Sunday, November 13, 2011

Provider Fraud and Medicaid Fraud in Idaho.

We just finished a Provider Fraud Case in Bannock County, Pocatello last week.  Had a social worker who worked for a private company.  She submitted false progress notes to her employer who paid her and then sent the form to medicaid to get reimbursed.  State wanted to say she defrauded medicaid by "knowingly, with intent to defraud...presented" a claim to medicaid for payment.  We argued she could have been charged for a crime by sumbitting a false claim to her employer, but it was not possible for her to defraud medicaid as she did not, could not and did not ask medicaid to pay her anything.
After three days of trial, the jury, after two hours of deliberation agreed she could not have committed Medicaid fraud and acquited.

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