Form Cms-855a - Medicare Enrollment Application - Institutional Providers Page 47

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SECTION 14: PENALTIES FOR FALSIFYING INFORMATION
(Continued)
6. 18 U.S.C. 1347 authorizes criminal penalties against individuals who knowing and willfully
execute, or attempt, to executive a scheme or artifice to defraud any health care benefit program, or
to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money
or property owned by or under the control of any, health care benefit program in connection with
the delivery of or payment for health care benefits, items, or services. Individuals shall be fined or
imprisoned up to 10 years or both. If the violation results in serious bodily injury, an individual will
be fined or imprisoned up to 20 years, or both. If the violation results in death, the individual shall
be fined or imprisoned for any term of years or for life, or both.
7. The government may assert common law claims such as “common law fraud,” “money paid by
mistake,” and “unjust enrichment.” Remedies include compensatory and punitive damages, restitution,
and recovery of the amount of the unjust profit.
CMS-855A (07/11)
46

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Parent category: Medical