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Raleigh woman pleads guilty in Medicaid fraud case

Posted October 31, 2013

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— A Raleigh woman has been sentenced to prison and ordered to repay nearly $500,000 in a Medicaid fraud case, authorities said Thursday.

Gloria J. Sawyer, 54, pleaded guilty Monday to five counts of obtaining property by false pretense. She was sentenced to 16 to 20 months in prison and ordered to pay $483,791 in restitution to the state Medicaid program.

Sawyer was one of nine North Carolina health care providers arrested last December as part of a statewide Medicaid fraud sweep. Investigators determined that she concealed her criminal history to obtain a Medicaid provider number for I Believe in Miracles, which handles health care for Medicaid recipients infected with HIV, and that she didn't provide many of the services for which she was paid.

Investigators discovered a system of fraud in which Sawyer directed employees to create false documents and to back-date service notes in an attempt to conceal the fraud.

“Medicaid cheaters harm needy patients, waste tax dollars and contribute to rising health care costs,” Attorney General Roy Cooper said in a statement. “This case is a prime example of the fraud and abuse our investigators and prosecutors are attacking.”


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  • Rebelyell55 Nov 1, 2013

    You can see what things that are seized at the NC Dept of Revenue seized property

    November 1, 2013 9:12 a.m........Hmmm, ya maybe a little bit mis-informed there. The seized property for drugs is to pay taxes on the drugs found by the LEO.

  • SMILE323 Nov 1, 2013

    OMG.....is that why she had that big beautiful home and rode around in expensive cars...hmmmmm, makes you wonder!

  • remer54 Nov 1, 2013

    They if convicted and cannot payback the cash. Then treat them just like the drug dealers seize all of their property thought to be bought with the money. You can see what things that are seized at the NC Dept of Revenue seized property

  • jeffjohnson123 Oct 31, 2013

    Rather than spend a huge amount of money tracking down these criminals, make an example of a few. A few months isn't enough. This is a fraud against society and should received penalties in the decades.
    Punishment is a great deterrent. People with soft hearts shouldn't be allowed to weigh in on discipline and punishment, it harms us all.

  • teleman60 Oct 31, 2013

    If the complainers in both NC and the US House spent as much time backing fraud investigations of all govt programs THERE WOULDN'T BE ANY DEBT PROBLEMS!

    PS - the criminals are not people most often they are BUSINESSES!

    Doctors and rest homes and home health care services who are false billing as a matter of course - like REX Hospital who routinely charged Medicare for over night stays when patients WENT HOME!!

    Somebody should have gone to jail for stealing millions but they got off with a $1.9 million fine paid for by (wait for it) PATIENTS!!!

  • Just the facts mam Oct 31, 2013

    1 down, 1 million more cheaters to go.....

  • DontVote4LiarsCheatsOrThieves Oct 31, 2013

    whatelse - "Roll people over to Medicare..."

    You think there isn't fraud in Medicare?


    And by the way, I worked for the benefit of MY Medicare, for 47 years, serving three of them in the USMC. I don't feel any need or desire to share my benefits with anyone.

    As for this comment:

    "They could have left the rest of us alone to keep what we have."

    Yeah, I thought that when I worked for 47 years, and furthermore, I remember our dad saying the same thing back in the 40s, 50s and 60s.

    Truth is, since the churches don't do all they're suppose to according to what's written in The Bible, then it's our job to help the needy. My dad did it when it was his turn, I did it when it was mine - sorry, but now it's your turn.

    When you grow old and retire, you'll be glad the programs are in place to help you.

  • whatelseisnew Oct 31, 2013

    Well good. 1 down and who knows how many millions to go. This problem only gets worse with that crazy expansion. They really ought to eliminate medicaid. Roll people over to Medicare or better yet, move them to Obamacare and just pay their premiums and deductibles. Not sure if that would be cheaper, but it sure would be worth looking at the numbers to figure it out. I still say they should have either done a small program ONLY dealing with the uninsured, or rolled the uninsured, Medicaid and Medicare people into one framework where they would get subsidized premiums. They could have left the rest of us alone to keep what we have. Doing that would have been a massive boon to States that are floundering trying to handle Medicaid costs.

  • scubagirl2 Oct 31, 2013

    good start! get them all!!!!

  • icdumbpeople Oct 31, 2013

    And now.. lets round up the other million.