Form Cms-855i - Medicare Enrollment Application - Physicians And Non-Physician Practitioners Page 25

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SECtion 14: PEnaltiES for f alSifying inforMa tion
(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-855I (07/11)
24

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