This will pale in comparison to the cost, disruption, and political fallout if the state's new half a billion dollar Medicaid payment system fails or falters when it launches this summer, as Governor McCrory has said it might.

Like i said fraud is rampant in medicaid. Health care practices cannot afford to even stay in business if they have more than 40% medicaid patients or clients in their practices. One cannot stay in business because reimbursement is so low. The rest has to be private or self pay patients or clients to pay your salary and staff salaries and rent, insurance etc. Regulations through Obamacare will likely put the small practices out of business.

Just another example of why Medicaid AND Medicare should not exist. NO matter HOW hard the Federal and State Governments attempt to uncover fraud it will be widespread and ongoing. It would not surprise me to learn that more than half of all payments are fraudulent. You have the outright thieves, and then you have people that will manipulate billing codes to try to make up for some of the underpayment that they get from the Government. Time to get GOVERMENT OUT OF THE HEALTH CARE BUSINESS. As is usual they are causing vast harm. If you want affordable health care, get rid of ALL GOVERNMENT Programs associated with health care.

WRAL staff do your research, do not biased by righ-wing conservative propaganda. The NC-DMA Medicaid Policy manual 8-C allowed "incident to" billing but did not specified who could do this billing until late 2011 or 2012. Do your research. It wasn't until late 2011 - 2012 that NC-DMA clarified "incident to" to note that only Medical Doctors could bill "incident to". I can understand why this doctorate level mental health professional made this mistake. Read the facts. Will NC ever be fair, partcularly to minorities? That is the true issue. I found it truly alarming that a white-male conservative Republican is the one starting this inquisition against minorities owners. How come they haven't target white business owners who have been engaging in these practices or get rid of LME's/MCO's in the state which are a waste of tax payers dollars. I'll tell you why, they are creating a bigger bureaucracy for their "cronies friends" and less services for clients/families.

Read facts previously enter. Read NC-DMA Policy Manual 8-c, you will find discrepancies and errors that would have made this licensed professional made the mistake she made. I hope that her legal defense team looks at how the state changes rules in the middle on the game and expect providers to abide by them.

WRAL staff, the question should be, why a white-male Republican is targeting a female African-American business owner? This is the new institutionalized racism. Clearly, this has been an example of it. Hope her legal defense team picks up this one too.

Like I have told my Wife, Take all the Fraud and Cheating out of Medicare, Welfare,Medicade and the Bad Spending by our Politicans they can Lower our Taxes another 10%. ButI only went to the 12th Grade, Never went to College, So I guess I am not so smart as some of the College Grads who went to Harvard and Have no Common Sense. They must of all Flunked MATH.

I hope her legal defense team uses the following facts. WRAL staff, please do your research prior to preliminary judging someone or finding them guilty. Are you a right-wing news organization? It will be good to know.

Fact # 1: NC-DMA on their Policy Manual 8-c for direct enrolled outpatient providers, allowed "incident to" billing but did not specify until on or about late 2012 of who could bill "incident to", which is only for Medical Doctors (MD's) (personal opinion: unfair to other doctorate level professionals in the counseling/mental health field).

Fact # 2: In the NC-DMA Policy manual dated 12/2/2012 there was another admendment to "Incident to" which reads: "Date Section Revised Change 12/01/2012 Section 6.1 Specified that providers of these services must be licensed in North Carolina and be direct enrolled in Medicaid and that these providers are prohibited from allowing any other individual or practitioner to use their Medicaid number as this would be treated as Medica

kind of strange how WRAL can get ths insight and knowledge and abuse, but the people handing out the money just can't.. as mentioned below,, makes you wonder, if maybe they don't want to know... follow the money people,, follow the money, in goverment, that is where the truth lies.

corey3rd2, Did you get hit in the Head or What. ACORN a GOP Backer? Wall Street, they gave Oblamea More money than anyone before him, $45 Million Dollars. Big Money backers, Do you meanLike George Soros, Or Michael Moore, Or maybe Hollyweed, Sorry I mean Hollywood. Cheating in Elections, Do you mean like ACORN, The NAACP,Or maybe the druggies in Ohio And Florida who were given Drugs to fill out Election Forms? You and junkmail must get along Fine. I think Both of you can only see out of One EYE and that isn't to good.

It's what every other modern nation in the world does. junkmail5

Yes but thats not what was sold, and you know it. They lambasted anyone who used the words death panels or rationing. But now you are saying it has to be done, but when they were lobbying for it they never told that dirty little secret. And nwo that it was voted on we get to find out whats in it, a big ol do do sammich!

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