North Carolina pharmacy owner pleads guilty to billing fraud

A North Carolina pharmacy owner pleaded guilty to conspiracy to defraud Medicare, North Carolina Medicaid and private insurers, the Justice Department said Oct. 6. 

Advertisement

James Craig Bell, 63, owned Townsend’s Pharmacy in Red Springs, N.C. According to the Justice Department, beginning as early as 2006, Mr. Bell billed Medicare, Medicaid and private health plans for prescriptions never dispensed by his pharmacy. 

According to the Justice Department, Mr. Bell trained employees to bill health care plans for drugs that were not dispensed. 

Mr. Bell’s employee, Melisha West, 51, also pled guilty to healthcare fraud in January for her role in the scheme. Ms. West independently ran the pharmacy while Mr. Bell continued to profit from the fraudulent billing. 

Mr. Bell faces up to 10 years in prison, the Justice Department said. His sentencing is scheduled for early next year. 

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.