Fraude en Medicaid en Ohio

Explicación Simple

El fraude en Medicaid ocurre cuando alguien miente sobre los servicios o productos que proporciona para obtener dinero. Es como si alguien vendiera entradas falsas para un concierto y se quedara con el dinero sin ofrecer nada a cambio.

Es como cuando un amigo te pide que le compres un helado, pero después te dice que le diste un helado de un sabor caro, cuando en realidad le diste uno barato. Él está tratando de ganar más dinero del que realmente gastó.

Ejemplo Práctico

Imagina que Juan es un proveedor de servicios médicos y presenta facturas por tratamientos que nunca realizó. Esto podría ser considerado fraude en Medicaid, ya que está mintiendo para recibir pagos por servicios no prestados.

Penalidades

null

Texto Original del Estatuto (Inglés)

Section 2913.40 Home Laws Ohio Constitution Ohio Revised Code Ohio Administrative Code About Contact Related Sites Go To Revised Code Number Go Revised Code Keywords The Legislative Service Commission staff updates the Revised Code on an ongoing basis, as it completes its act review of enacted legislation. Updates may be slower during some times of the year, depending on the volume of enacted legislation. Section 2913.40 | Medicaid fraud. Ohio Revised Code / Title 29 Crimes-Procedure / Chapter 2913 Theft and Fraud Effective: September 29, 2013 Latest Legislation: House Bill 59 - 130th General Assembly PDF: Download Authenticated PDF (A) As used in this section: (1) "Statement or representation" means any oral, written, electronic, electronic impulse, or magnetic communication that is used to identify an item of goods or a service for which reimbursement may be made under the medicaid program or that states income and expense and is or may be used to determine a rate of reimbursement under the medicaid program. (2) "Provider" means any person who has signed a provider agreement with the department of medicaid to provide goods or services pursuant to the medicaid program or any person who has signed an agreement with a party to such a provider agreement under which the person agrees to provide goods or services that are reimbursable under the medicaid program. (3) "Provider agreement" has the same meaning as in section 5164.01 of the Revised Code.