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, 1997U.S. Government Printing Office, 1997 - 326ÆäÀÌÁö |
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... Criminal Investigative Service Health Care Fraud Program , un- dated 23. Transcript of June 13 , 1997 , ABC News 20/20 television program seg- ment regarding Medicare 24. Wall Street Journal , June 11 , 1997 , " Estimate of Improper ...
... Criminal Investigative Service Health Care Fraud Program , un- dated 23. Transcript of June 13 , 1997 , ABC News 20/20 television program seg- ment regarding Medicare 24. Wall Street Journal , June 11 , 1997 , " Estimate of Improper ...
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... criminal enforcement measures . I realize that is a very tall order to explore all of these issues , but the intent of this hearing is to be an overview hearing which will establish a framework for the Subcommittee's ongoing ...
... criminal enforcement measures . I realize that is a very tall order to explore all of these issues , but the intent of this hearing is to be an overview hearing which will establish a framework for the Subcommittee's ongoing ...
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... criminal and civil investigations that will return about $ 1 billion to the Medicare Trust Fund from those who have abused the pro- gram . We have also excluded about 980 health care providers who have been committing fraudulent or ...
... criminal and civil investigations that will return about $ 1 billion to the Medicare Trust Fund from those who have abused the pro- gram . We have also excluded about 980 health care providers who have been committing fraudulent or ...
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... Criminal In- vestigative Service , and other Inspectors General , the Health Care Financing Administration , State Medicaid Fraud Control Units , and the United States Attorneys throughout the country , often in task forces , to address ...
... Criminal In- vestigative Service , and other Inspectors General , the Health Care Financing Administration , State Medicaid Fraud Control Units , and the United States Attorneys throughout the country , often in task forces , to address ...
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... criminal convictions . We think that will go a long way toward excluding some of these nefarious persons . Senator COLLINS . I would note that the staff has informed me that the person you cited in your testimony had no background in ...
... criminal convictions . We think that will go a long way toward excluding some of these nefarious persons . Senator COLLINS . I would note that the staff has informed me that the person you cited in your testimony had no background in ...
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accounts payable amount ARNOLD DIAZ audit benefit billed Medicare billing code Bucy carriers claims processing controls conviction corporate cost reports criminal detect disenrollment documentation dollars durable medical equipment enrolled ensure equipment and supplies estimate example False Claims Act Federal fee-for-service financial statements fraud and abuse fraudulent funding HCFA HCFA's HCPCS Health Care Financing health care fraud health care providers HIPAA home health agencies home health claims home health services hospital Human Services identified implement improper payments Inspector intermediaries investigation kickbacks laboratory legislation LYNN SHERR managed managed care MANGANO Medicaid medical necessity medical records medical review Medicare accounts Medicare and Medicaid Medicare beneficiaries Medicare claims Medicare contractors Medicare payments Medicare program Medicare's million monitoring nursing home paid patients percent physician plans problems procedures prosecution qui tam Senator COLLINS Senator GLENN Siddiqi submitted suppliers VLADECK white collar crime
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120 ÆäÀÌÁö - 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...
121 ÆäÀÌÁö - 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.
119 ÆäÀÌÁö - ... 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.
119 ÆäÀÌÁö - 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 he does not believe to be true and correct as to every material matter ; or (2) AID OR ASSISTANCE.
140 ÆäÀÌÁö - 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.
119 ÆäÀÌÁö - 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 or of any department or agency thereof, or any property made or being made under contract for the United States or any department or agency thereof; or...
118 ÆäÀÌÁö - 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...
50 ÆäÀÌÁö - 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?
118 ÆäÀÌÁö - 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.
118 ÆäÀÌÁö - If the violation affects a financial institution, such person shall be fined not more than $1,000,000 or imprisoned not more than 30 years, or both.