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Friday, December 15, 2006

Ind. Decisions - One Indiana case today from 7th Circuit

In USA v. Davis (SD Ind., Judge Barker), a 15-page opinion, Judge Kanne writes:

The defendant was indicted for defrauding Indiana Medicaid. The government’s case centered on three independent methods that Davis used to get Indiana Medicaid to pay for procedures that they might not otherwise have paid: he billed for services that were actually provided by other people (substitute-billing), he billed for hours of work that nobody performed (overbilling), and he billed for different procedures in order to avoid pre-authorization requirements (miscoding). A jury returned a general verdict of guilty. On appeal, Davis raises four issues. He challenges two evidentiary rulings, he challenges whether one of the three charged methods of fraud—substitute billing—was actually prohibited, and he challenges the indictment as duplicitous. Because we find no error, we affirm.

Posted by Marcia Oddi on December 15, 2006 04:41 PM
Posted to Ind. (7th Cir.) Decisions