United
States v. Popov, No. 12-10045 (Feb. 11, 2014)(Lasnik,
D.J., with Reinhardt and Watford).
"Doctor, Doctor,
give me the news, I got a bad case of [over billing] you," or at least
over billing Medicaid. The defendants appeal their convictions and sentence for
health care fraud and health care fraud conspiracy in violation of 18 USC 1345
et seq. The 9th had no trouble affirming, finding evidence sufficient. The
sentences were remanded however because of how loss was calculated. The court
used the amount billed, while the defendants argued that it was the amount paid
out. Usually the amount invoiced sets the loss, but it is rebuttable,
especially if the defendants could argue that Medicaid never paid completely.
The 9th remanded to allow the court to sort it out, and make findings if that
was actually the case.
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