Two healthcare executives pleaded guilty to charges of conspiracy to commit healthcare fraud Dec. 7, according to the Department of Justice.
Lisa Carol Raymond and Robert Paul Maglicic were charged with participating in a scheme to defraud the South Carolina Medicaid program through Southern Support Services, a provider in Florence, S.C. Southern Support Services' owner, Shepard Lee Spruill, was previously prosecuted for defrauding North Carolina's Medicaid program and sentenced to eight years in federal prison in July 2018.
According to the Department of Justice, Mr. Maglicic and Ms. Raymond fabricated records to support billings from Southern Support Services. The provider fraudulently billed the South Carolina Medicaid program between October 2013 and November 2014 for more than $595,000 in fictitious behavioral health services, according to the allegations. The Medicaid program also paid Southern Support Services another $1.4 million for behavioral health services it did not render between December 2014 and April 2015, according to the accusations. In total, the department projects Medicaid paid more than $2 million due to improper billing on behalf of the defendants.
Mr. Maglicic and Ms. Raymond face up to 10 years in prison for their alleged participation in the scheme, as well as fines, supervised release and mandatory restitution, according to the department.
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