18 U.S.C. Sec. 1347 HEALTH CARE FRAUD - ELEMENTS

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Official Pattern Jury Instructions adopted by Federal 7th Circuit Court. All converted to Word format. Please see the official site for addional information. www.ca7.uscourts.gov/pattern-jury-instructions/pattern-jury.htm 18 U.S.C. Sec. 1347 HEALTH CARE FRAUD — ELEMENTS is a federal criminal statute that makes it a crime to defraud any health care benefit program. It is illegal to knowingly and willfully execute, or attempt to execute, 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. This statute has two main elements: fraud and health care benefit program. The fraud element requires that the defendant knowingly and willfully execute or attempt to execute a scheme to defraud or obtain money or property by false or fraudulent pretenses, representations or promises. The health care benefit program element requires that the fraud be perpetrated against a health care benefit program. This includes any public or private plan or contract, affecting commerce, under which any medical benefit, item, or service is provided to any individual, and any claim for such medical benefit, item, or service is paid for, in whole or in part, by a public or private entity. The types of 18 U.S.C. Sec. 1347 HEALTH CARE FRAUD — ELEMENTS are the fraud element and the health care benefit program element.

18 U.S.C. Sec. 1347 HEALTH CARE FRAUD — ELEMENTS is a federal criminal statute that makes it a crime to defraud any health care benefit program. It is illegal to knowingly and willfully execute, or attempt to execute, 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. This statute has two main elements: fraud and health care benefit program. The fraud element requires that the defendant knowingly and willfully execute or attempt to execute a scheme to defraud or obtain money or property by false or fraudulent pretenses, representations or promises. The health care benefit program element requires that the fraud be perpetrated against a health care benefit program. This includes any public or private plan or contract, affecting commerce, under which any medical benefit, item, or service is provided to any individual, and any claim for such medical benefit, item, or service is paid for, in whole or in part, by a public or private entity. The types of 18 U.S.C. Sec. 1347 HEALTH CARE FRAUD — ELEMENTS are the fraud element and the health care benefit program element.

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18 U.S.C. Sec. 1347 HEALTH CARE FRAUD - ELEMENTS