wex definitions

health care fraud: an overview

Health care fraud is a type of white-collar crime that involves the filing of dishonest health care claims in order to turn a profit. Fraudulent health care schemes come in many forms.

A ruling by a judge in favor of one party even though the jury found in favor of the opposing party. see, e.g. Hazen Paper v. Biggins, 507 US 604 (1993).

See Miranda warning.

The National Reporter System.....

Health Maintenance Organizations (HMOs) are comprehensive forms of insurance that include a wide range of coverages and prices. Health-care professionals offer care through the HMO for a flat-rate without deductibles. The HMO only covers care for organizations within the network, and must approve services before rendered.

See

• Health law
• Insurance law

Kickbacks: an overview

A "kickback" is a term used to refer to a misappropriation of funds that enriches a person of power or influence who uses the power or influence to make a different individual, organization, or company richer. Often, kickbacks result from a corrupt bidding scheme. Through corrupt bidding, the official can award the contract to a company, even though the company did not place the lowest bid. The company profits by having been awarded the bid and getting to perform the contract.

A punishment that can be ordered by a court which requires convicted or accused criminals to remain in their house for a period of time determined by the judge. Usually, the person is monitored electronically, and is permitted to leave the house only for purposes of work, community service, or medical attention. see, e.g. Reno v. Koray, 515 US 39 (1995).

Phone and Telemarketing Fraud: an overview

Phone and telemarketing fraud refers to any type of scheme in which a criminal communicates with the potential victim via the telephone. Because many reputable companies use telemarketing to conduct business, criminals can often effectively use the method as a way to obtain a victim’s credit card information or identity and then use this information to make unauthorized purchases elsewhere. Victims have difficulty distinguishing between reputable telemarketers and scam artists.

Definition

1) An unauthorized, mock court or legal proceeding, e.g. a tribunal of sorority sisters created to settle disputes within the sorority, in which some or all of the accused's due process rights are ignored and the outcome appears to be predetermined. The term's first known use was in the American West in the 1850s.

The insanity defense and diminished capacity

• Theoretical background: An important distinction: "Not guilty by reason of insanity" versus "diminished capacity"
• Related legal issues: