New River Behavioral Healthcare losses put at $6.5 million over 2 years

October 25th, 2011 by Clarissa Goodlett

From the Winston Salem Journal 10.21.11

With the losses at New River Behavioral Healthcare rising to at least $6.5 million over the past two fiscal years, the provider could become the single largest failure in the state’s multibillion-dollar attempt at reform.

New River, based in Boone, serves nearly 13,000 clients in need of behavioral-health services in eight counties — Alleghany, Ashe, Avery, Iredell, Surry, Watauga, Wilkes and Yadkin. It has about 300 employees.

The $6.5 million figure was made public Tuesday at a Wilkes Board of Commissioners meeting by county manager John Yates.

Yates said Thursday that the source of his information was a preliminary, unaudited report by a consultant, Ann Wilson, hired by the previous board of New River Service Authority to look into the provider’s financial status.

“We’re very stunned that the losses have reached this level,” Yates said, speaking of the county managers. “We knew it was going to be bad, but not to this extent.”

Wilson’s report showed New River’s losses resulted largely from overestimating accounts receivable, Yates said. According to Pat Mitchell, interim manager of Ashe, overstated revenues and poor accounting practices also were factors in the losses.

Wilson reported New River lost $2.91 million in fiscal 2010 and $3.64 million in fiscal 2011.

In contrast, the Wilkes Journal-Patriot has reported an audit by Lowdermilk, Church & Co. of Morganton showed New River lost $765,705 in fiscal 2010. The firm hasn’t provided its fiscal 2011 audit.

Renee McCoy, a spokeswoman with the N.C. Department of Health and Human Services, said it is accurate “to classify New River as one of the top-five largest providers to face this type of situation.”

“It is certainly one of the larger provider failures in terms of number of consumers serviced and volume of service delivered. To my knowledge, we don’t have data to compare the three to four other large failures we have had.”

Some statewide advocates point to the 2010 shutdown of the Mental Health Association of N.C., based in Raleigh, as likely being one of the five largest with losses in the multimillion-dollar range. It refused to provide a public figure of its losses. It faced more than $1.5 million in Internal Revenue Service liens after failing to pay payroll taxes for years.

For more on this story, click HERE.

 

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Health and Human Services Legislative Oversight Committee Meeting on Nov 8

October 25th, 2011 by Clarissa Goodlett

The Joint Legislative Oversight Committee on Health and Human Services will meet on Tuesday, November 8 at 10:30am in Room 643 of the Legislative Office Building.

If you can’t attend the meeting, you can listen to live audio here: http://www.ncleg.net/Audio/Audio.html

Click on the link for Appropriations Committee Room (Room 643).

You can download the agenda here  LOC Committee on HHS November 2011 agenda [9.2 KiB]

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2 Charlotte residents ordered to repay $3M in Medicaid fraud sentencing

October 24th, 2011 by Clarissa Goodlett

From the news and observer.com 10.21.11

Two Charlotte residents, in separate cases, were sentenced this week for Medicaid fraud and were ordered to repay about $3 million to the state Medicaid program, announced U.S. Attorney Anne M. Tompkins of the North Carolina’s western district.

Sarah Lavonne Willis, 49, was sentenced Monday to 92 months in federal prison for health care fraud, money laundering, failure to file tax returns, and possession of a firearm by a convicted felon, Tompkins said.

Willis was charged in November 2010 for billing state Medicaid for mental health services that she did not provide, according to the U.S. Justice Department. Willis used the money to buy a $40,000 Hummer H2, a $100,000 2006 Bentley Continental Flying Spur, and a $14,000 Dodge Charger, according to the department. She also used some of the money to bail herself out of jail in December 2009.

Willis submitted false claims for adults and children who never received services or who had dropped her services. Willis also claimed to have provided services while she was incarcerated, filing and receiving payments of $17,000 for services supposedly rendered while she was behind bars in August 2009, according to the Justice Department. She also submitted claims for services that covered more than 24 hours in a day, including claims for more than 80 hours of work in a day.

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Speaker’s drug plan tests the limits

October 24th, 2011 by Clarissa Goodlett

From the News and Observer.com 10.23.11

During a recent talk at Mars Hill College, Republican Rep. Thom Tillis, leader of North Carolina’s House of Representatives, proclaimed that the state should require drug testing for recipients of government assistance.

Immediately and justifiably, sarcastic retorts started flying – that such a policy would require drug testing of every child on the way to school, everyone who drives on public roads and definitely every lawmaker. Speaker Tillis’ spokesman, Jordan Shaw, has since tried to clarify his boss’s statements, saying, “It’s about providing real help to those legitimately in need while protecting our programs from fraud, waste and abuse.”

It’s clear that Tillis is exploring ideas such as requiring drug testing for all recipients of what we typically think of as public assistance – food stamps, child care subsidies, unemployment insurance and perhaps Medicaid. In fact, several bills were filed in this year’s legislative session to do just that.

If Tillis is indeed serious about implementing a broad drug-testing requirement for all recipients of public assistance, here are some things he must consider:

Read more: http://www.newsobserver.com/2011/10/23/1584858/speakers-drug-plan-tests-the-limits.html#ixzz1bj9SoP4d

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13th Carolinas Conference on Addiction and Recovery, November 9-11

October 24th, 2011 by Clarissa Goodlett

13th Carolinas Conference on Addiction and Recovery

November 9-11, 2011, Morganton, NC

“Uniting Soul and Role: Creating Transformational Leadership in Addiction Treatment and Recovery”

 

For more information and to register, click HERE.

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Funded wholly or in part by the federal Substance Abuse Prevention and Treatment Block Grant Fund (CFDA #93.959) as a project of the NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services.