FILE - Medicaid, Chip

A North Carolina behavioral health specialist has pleaded guilty to Medicaid fraud, Attorney General Josh Stein announced Thursday.

Pamela Grace Faulkner, the owner of Skeen Services Inc., pleaded guilty to one count of conspiracy to commit health care fraud in the Eastern District of North Carolina after authorities said she submitted fraudulent Medicaid claims for about 200 different patients in Beaufort, Greene, Guilford, Lenoir, Mecklenburg, Pitt and Wilson Counties. 

Faulkner and a co-conspirator agreed to split $213,927 obtained from the claims.

 “This individual wasted taxpayer money that should have gone to people who need health care,” Attorney General Josh Stein said. “My office will protect taxpayers and hold health care providers and practices accountable when they commit fraud.”

The federal government recovered $2.3 billion in judgments and settlements as a result of health care fraud in the 2018 fiscal year, according to the Inspector General’s office.

Last month, Stein reached a $375,000 settlement agreement with a North Carolina dentist who was also accused of submitting false claims. The North Carolina Bureau of Investigation has a special unit that works with the attorney general on Medicaid abuse cases called the Medicaid Investigations Division.  It has recovered more than $850 million in restitution and penalties for North Carolina so far.

 

Staff Reporter

Nyamekye Daniel has been a journalist for three years. She was the managing editor for the South Florida Media Network and a staff writer for The Miami Times. Daniel's work has also appeared in the Sun-Sentinel, Miami Herald and The New York Times.