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Dr. Anita Louise Jackson: Raleigh physician dealing with federal costs in $46 million Medicare fraud case

Share this…FacebookPinterestTwitterLinkedin RALEIGH, N.C. (WTVD) — A physician who helped lead the COVID-19 response for the Durham County Well being…

By Staff , in Medicare , at January 7, 2022

RALEIGH, N.C. (WTVD) — A physician who helped lead the COVID-19 response for the Durham County Well being Division has been indicted by a federal grand jury after an investigation of her non-public follow.

Dr. Anita Jackson lives in Raleigh’s Brier Creek. She operates a number of ear, nostril and throat places of work between Lumberton and Rockingham. It is the placement of these places of work, in additional rural components of the state, which can have been the crimson flag for federal investigators. The query: How did Jackson change into the nation’s top-paid supplier of a particular sinus-relief process when she would not follow close to any main metropolitan areas? Federal prosecutors say the reply is fraud.

A federal grand jury handed up a 20-count indictment this week — charging Jackson in an enormous Medicare fraud scheme. Federal prosecutors allege between 2014 and 2018, Jackson used her practices at Higher Carolina Ear, Nostril, and Throat in Lumberton, Rockingham, and different japanese North Carolina locales to invoice Medicare for greater than $46 million. The indictment says Jackson’s follow generated greater than $5.4 million.

Jackson allegedly billed Medicare for performing greater than 1,200 balloon sinuplasties. It is a process to deal with continual sinus an infection the place a balloon is inflated within the affected person’s nasal passages to extend airflow and drainage.

The machine is meant to be a single-use machine. However prosecutors say Jackson racked up income by re-using it a number of occasions on a number of sufferers — with out telling them.

READ MORE: See the total 36-page indictment (.pdf)

The indictment additionally alleges Jackson deceived her sufferers, convincing them they owed little to no insurance coverage co-pay in order that Jackson might invoice Medicare the total quantity and make hundreds of thousands.

Prosecutors say Jackson tried to cover the scheme by falsifying billing information.

Jackson’s resume on Linked In says she performed an integral position in Durham County’s COVID-19 response; citing an Ivy League schooling with levels from Harvard, Princeton and Stanford. She was medical and laboratory director at Durham County Division of Public Well being. She was additionally considered one of Gov. Roy Cooper’s appointees to the North Carolina Medical Care Fee.

ABC11 spoke to Jackson’s legal professional on the telephone Thursday. He known as the fees “bogus” and “an evil prosecutorial indictment.”

A spokesperson for Durham County advised ABC11 that Jackson isn’t a present worker on the Division of Public Well being.

ABC11 has not heard again from the state’s Medical Care Fee on whether or not Jackson nonetheless holds her seat on the panel.

Jackson is charged with adulteration of medical gadgets, 10 counts of paying unlawful remunerations, three counts of creating false statements referring to well being care advantages, two counts of aggravated id theft, three counts of mail fraud, and conspiracy.

If convicted, she faces a most time period of imprisonment of 20 years for mail fraud and as much as 10 years on different costs. Jackson additionally faces fines exceeding $250,000.

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