Anatomy of a fraud indictment and acquittal

J Med Pract Manage. 2009 Jan-Feb;24(4):237-40.

Abstract

Just because a physician/practice is innocent of any wrongdoing does not mean that it won't be captured in a net of prosecution. Each practice must look at what it needs to do defensively to both avoid the possibility of prosecution and, if an indictment is handed down, proactively defend itself in a cost-effective and positive fashion without having to negotiate a settlement when no fraud has been committed. This article examines the case of one physician's healthcare criminal indictment and his ultimate acquittal; learn from his experience.

MeSH terms

  • Centers for Medicare and Medicaid Services, U.S.
  • Expert Testimony / legislation & jurisprudence*
  • Forms and Records Control / legislation & jurisprudence
  • Fraud / legislation & jurisprudence*
  • Humans
  • Liability, Legal*
  • Medical Audit
  • Negotiating
  • Physicians / legislation & jurisprudence*
  • United States
  • Whistleblowing / legislation & jurisprudence