koshergrl
Diamond Member
- Aug 4, 2011
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Again. The state of Texas didn't falsify medical records and file fraudulent medical claims.
Again.....I never said they did. I said that Texas is not an indicative sample of anything, because it's completely bass akwards.
"
A. Federal Criminal Statutes 1. False Claims Act
, 18 U.S.C. § 287. Under this statute, any health care provider who presents a false or fictitious claim or demand to the government seeking reimbursement for medical goods or services can be liable. The prosecutor need only prove that the provider intentionally submitted the claim knowing that it was false, fictitious or fraudulent. This can be shown by showing that the claim was for goods or services that were not provided, were not provided as stated, or were provided but not medically necessary. The punishment for a conviction under the False Claims Act is up to five years imprisonment and a fine of $250,000.00 for an individual and $500,000.00 for a corporation for a felony conviction; or $100,000.00 for an individual and $200,000.00 for a misdemeanor conviction. It should be noted that this penalty is per occurrence."http://www.aapsonline.org/fraud/fraud.htm
So when PP paid out 4.3 million dollars, they were saying that they believed they would be convicted on more than 9 medicaid fraud cases.
