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Date: 09-19-2020

Case Style:

United States of America v. Jami L. Mayhew

Case Number: 3:20-cr-30132-SMY

Judge: Staci M. Yandle

Court: United States District Court for the Southern District of Illinois (St. Clair County)

Plaintiff's Attorney: United States District Attorney’s Office, East St. Louis, Illinois

Defendant's Attorney:



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Description: East St. Louis, IL - Criminal Law, Health Care Fraud





The United States of America charged Jami L. Mayhew with health care fraud.

Mayhew carried out the fraudulent scheme by seeing nursing home residents multiple times, examining
them for only a few minutes at a time, generating progress notes she knew contained
misrepresentations and materially false statements about the services she had performed, and
falsely reporting that her visits met the billing requirements for complex subsequent nursing home
encounters, when in fact they had not.

As part of her guilty plea, Mayhew admitted that she knowingly caused 251 false claims to be
submitted to Medicare during the charged timeframe. Medicare paid her employer, General Medicine,
P.C., over $23,000 for those visits. Mayhew, herself, received $27 from the company for each of the
false claims she caused to be submitted, for a total of $6,777.

Sentencing is scheduled for Dec. 10, 2020. Healthcare fraud is a felony punishable by up to 10
years in prison and a $250,000 fine. Members of the public who believe they may have information
related to this or any similar schemes involving healthcare fraud in nursing homes are encouraged
to contact law enforcement by calling the HHS fraud hotline at 1-800-HHS-TIPS (1- 800-447-8477) or
by going online at https://oig.hhs.gov/fraud/report-fraud/.

The investigation of this case was a collaborative effort conducted by the Department of Health and
Human Services – Office of Inspector General, the Illinois State Police Medicaid Fraud Control
Bureau, the Department of Labor – Office of Inspector General, the Department of Labor
– Employee Benefits and Security Administration, the Federal Bureau of Investigation, the United
States Postal Inspection Service, and the Defense Criminal Investigative Service. The case is being
prosecuted by Assistant U.S. Attorney Nathan D. Stump.

18:1347 - Health Care Fraud
(1)

Outcome: 09/17/2020 11 Transcript of Plea to Information as to Jami L. Mayhew held on 09/08/2020, before Judge Staci M. Yandle. Court Reporter Christine Dohack LaBuwi, Telephone number (618) 439-7725.

NOTICE: Attorneys and unrepresented parties have 7 calendar days to file a Notice of Intent to Request Redaction of this transcript and 21 calendar days to file a Redaction Request. If redactions are not requested, the transcript will be made remotely available to the public without redaction after 90 calendar days. See the full Transcript Policy on the website at http://www.ilsd.uscourts.gov/forms/TranscriptPolicy.pdf
Transcript may be viewed at the public terminal or purchased through the Court Reporter before the deadline for Release of Transcript Restriction. After that date it may be obtained through PACER. Redaction Request due 10/8/2020. Redacted Transcript Deadline set for 10/19/2020. Release of Transcript Restriction set for 12/16/2020. (cad) (Entered: 09/17/2020)
09/17/2020 12 Sealed Transcript of Proceedings held on 09/08/2020, before Judge Staci M. Yandle. Court Reporter Christine Dohack LaBuwi, Telephone number (618) 439-7725. Release of Transcript Restriction procedures do not apply. (cad) (Entered: 09/17/2020)

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