Medicare at Risk: Emerging Fraud in Medicare Programs : Hearing Before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate, One Hundred Fifth Congress, First Session, June 26, 1997
United States, United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
U.S. Government Printing Office, 1997 - 326 strani
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accounts activities actually addition Administration allow amount audit authority beneficiaries benefit billing carriers changes charges civil claims companies continue contract contractors controls corporate cost covered criminal Department detect determine develop documentation dollars effective efforts enforcement ensure estimate example excluded facilities false False Claims Act Federal fraud and abuse fraudulent funding going HCFA HCFA's HCPCS health care fraud hearing home health home health agencies hospital identify implement improper increased individual industry Inspector intermediaries involved issue laboratory legislation managed Medicaid medical equipment Medicare program million nursing home Office Operation paid patients payments percent performed physician plans practices problems procedures prosecution providers question reason received records regulations reimbursement Response result rule Senator specific statement Subcommittee submitted suppliers supplies types United visits
Stran 108 - Any person who willfully aids or assists in, or procures, counsels or advises, the preparation or presentation under, or in connection with any matter arising under, the internal revenue laws, of a false or fraudulent return, affidavit, claim, or document, shall (whether or not such falsity or fraud is with the knowledge or consent of the person authorized or required to present such return...
Stran 109 - The applicable rule is that where the same act or transaction constitutes a violation of two distinct statutory provisions, the test to be applied to determine whether there are two offenses or only one, is whether each provision requires proof of an additional fact which the other does not.
Stran 107 - ... any person who willfully attempts in any manner to evade or defeat any tax imposed by this title or the payment thereof, shall, in addition to other penalties provided by law, be guilty of a felony and, upon conviction thereof, be fined not more than $10,000, or imprisoned for not more than five years, or both, together with the costs of prosecution.
Stran 262 - American Institute of Certified Public Accountants. Reportable conditions involve matters coming to our attention relating to significant deficiencies in the design or operation of the internal control structure that, in our judgment, could adversely affect the entity's ability to record, process, summarize, and report financial data consistent with the assertions of management in the financial statements.
Stran 128 - It is more analogous to the Grand Jury, which does not depend on a case or controversy for power to get evidence but can investigate merely on suspicion that the law is being violated, or even just because it wants assurance that it is not.
Stran 107 - Whoever, having devised or intending to devise any scheme or artifice to defraud, or for obtaining money or property by means of false or fraudulent pretenses, representations, or promises...
Stran 107 - Willfully makes and subscribes any return, statement, or other document, which contains or is verified by a written declaration that it is made under the penalties of perjury, and which does not believe to be true and correct as to every material matter; or (2) Aid or assistance.
Stran 107 - Whoever embezzles, steals, purloins, or knowingly converts to his use or the use of another, or without authority, sells, conveys or disposes of any record, voucher, money, or thing of value of the United States...
Stran 38 - Do you swear that the testimony that you are about to give to the Subcommittee will be the truth, the whole truth, and nothing but the truth, so help you, God?
Stran 106 - If two or more persons conspire either to commit any offense against the United States or to defraud the United States, or any agency thereof in any manner or for any purpose, and one or more of such persons do any act to effect the object of the conspiracy, each shall be fined not more than $10,000 or imprisoned not more than five years, or both.