I. INTRODUCTION II. STATUTES ADDRE...

I. INTRODUCTION

II. STATUTES ADDRESSING MEDICARE AND MEDICAID FRAUD
A. Medicaid False Claims Statute
1 proper spheres of the Offense
a. Statement of Material Fact
b False Representation
c Knowing and Willful
d Knowledge of Falsity
2 Penalties
B Medicaid Anti-Kickback Statute
1 components of the Offense
a. Knowing and Willful
b Solicitation or Receipt of Remuneration
c For the intention of Inducing Referral Business
2 Defense
a. Unconstitutional Vagueness
b Entrapment according to Estoppel
c virtuous Faith
3 Penalties
4 Safe Harbor Provisions
a. intention
b Uncertainty in the of the present day Regulations
c Enumerated Safe Harbors
i. Investment Interest
ii. Sale of