New Hampshire Revised Statutes 167:61-a – Prohibited Acts
Current as of: 2023 | Check for updates
|
Other versions
I. No person shall:
(a) Knowingly make, present or cause to be made or presented, with intent to defraud, any false or fraudulent claim for payment for any good, service, or accommodation for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
For details, see N.H. Rev. Stat. 651:2
(b) Knowingly make, present, or cause to be made or presented, with intent to defraud, any false or fraudulent statement or representation for use in determining rights to benefits or payments which may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
(c) Knowingly make, present, or cause to be made or presented, with intent to defraud, any false or fraudulent report or filing which is or may be used in computing or determining a rate of payment for goods, services, or accommodations for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or make, present, or cause to be made or presented any false or fraudulent statement or representation in connection with any such report or filing;
(d) Knowingly make, present, or cause to be made or presented, with intent to defraud, any claim for payment, for any good, service, or accommodation for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167, which is not medically necessary in accordance with professionally recognized standards;
(e) Knowingly make or cause to be made, with intent to defraud, any wholly or partially false or fraudulent book, record, document, data, or instrument, which is required to be kept or which is kept as documentation:
(1) For any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or
(2) Of any cost or expense claimed for reimbursement for any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
(f) Knowingly:
(1) Make or cause to be made, with intent to defraud, any false or fraudulent statement to; or
(2) Offer or present or cause to be offered or presented, with intent to defraud, any wholly or partially false or fraudulent record, document, data, or instrument to any law enforcement officer, including any employee or agent of the attorney general, or to any employee or agent of the department of health and human services, in connection with any audit or investigation involving any claim for payment or rate of payment for any good, service, or accommodation payable in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
(g) Destroy or conceal or cause to be destroyed or concealed any book, record, document, data, or instrument required to be kept or which is kept as documentation:
(1) For any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or
(2) Of any cost or expense claimed for reimbursement for any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; with the purpose of hindering or impeding any audit or investigation conducted by any law enforcement officer, including any employee or agent of the attorney general, or to any employee or agent of the department of health and human services;
(h) Knowingly make, present, or cause to be made or presented, with intent to defraud, any claim for payment for any good, service, or accommodation for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167, which may only be furnished by a person who is licensed by an appropriate licensing authority, and the person who furnished the good, service, or accommodation:
(1) Was not licensed by the appropriate licensing authority; or
(2) Was licensed by the appropriate licensing authority but such license was obtained through a misrepresentation of material fact, including cheating on any examination required for licensing;
(i) Knowingly solicit or receive any remuneration, including any bribe or rebate, directly or indirectly, overtly or covertly, in cash or in kind, in return for purchasing, leasing, ordering, or arranging for or recommending the purchase, lease, or ordering of any good, service, accommodation or facility for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167, or knowingly offer or pay any remuneration, including any bribe or rebate, directly or indirectly, overtly or covertly, in cash or in kind, to induce a person to purchase, lease, order, or arrange for or recommend the purchase, lease, or ordering of any good, service, accommodation or facility for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or
(j) Knowingly charge, solicit, accept or receive, in addition to any amount otherwise required to be paid under N.H. Rev. Stat. Chapter 161 or RSA 167, any gift, money, donation, or other consideration either as a precondition of admitting or expediting the admission of a patient to a hospital, skilled nursing facility, or intermediate care facility, when the cost of the services provided in such facility to the patient is paid for in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167.
II. (a) Any natural person who violates any provision of this section shall be guilty of a class B felony.
(b) Any other person who violates any provision of this section shall be guilty of a felony.
(a) Knowingly make, present or cause to be made or presented, with intent to defraud, any false or fraudulent claim for payment for any good, service, or accommodation for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
Attorney's Note
Under the New Hampshire Revised Statutes, punishments for crimes depend on the classification. In the case of this section:| Class | Prison | Fine |
|---|---|---|
| Class B felony | up to 7 years | up to $4,000 |
Terms Used In New Hampshire Revised Statutes 167:61-a
- Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
- Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
- person: may extend and be applied to bodies corporate and politic as well as to individuals. See New Hampshire Revised Statutes 21:9
(b) Knowingly make, present, or cause to be made or presented, with intent to defraud, any false or fraudulent statement or representation for use in determining rights to benefits or payments which may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
(c) Knowingly make, present, or cause to be made or presented, with intent to defraud, any false or fraudulent report or filing which is or may be used in computing or determining a rate of payment for goods, services, or accommodations for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or make, present, or cause to be made or presented any false or fraudulent statement or representation in connection with any such report or filing;
(d) Knowingly make, present, or cause to be made or presented, with intent to defraud, any claim for payment, for any good, service, or accommodation for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167, which is not medically necessary in accordance with professionally recognized standards;
(e) Knowingly make or cause to be made, with intent to defraud, any wholly or partially false or fraudulent book, record, document, data, or instrument, which is required to be kept or which is kept as documentation:
(1) For any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or
(2) Of any cost or expense claimed for reimbursement for any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
(f) Knowingly:
(1) Make or cause to be made, with intent to defraud, any false or fraudulent statement to; or
(2) Offer or present or cause to be offered or presented, with intent to defraud, any wholly or partially false or fraudulent record, document, data, or instrument to any law enforcement officer, including any employee or agent of the attorney general, or to any employee or agent of the department of health and human services, in connection with any audit or investigation involving any claim for payment or rate of payment for any good, service, or accommodation payable in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167;
(g) Destroy or conceal or cause to be destroyed or concealed any book, record, document, data, or instrument required to be kept or which is kept as documentation:
(1) For any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or
(2) Of any cost or expense claimed for reimbursement for any good, service, or accommodation for which payment is or has been sought in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; with the purpose of hindering or impeding any audit or investigation conducted by any law enforcement officer, including any employee or agent of the attorney general, or to any employee or agent of the department of health and human services;
(h) Knowingly make, present, or cause to be made or presented, with intent to defraud, any claim for payment for any good, service, or accommodation for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167, which may only be furnished by a person who is licensed by an appropriate licensing authority, and the person who furnished the good, service, or accommodation:
(1) Was not licensed by the appropriate licensing authority; or
(2) Was licensed by the appropriate licensing authority but such license was obtained through a misrepresentation of material fact, including cheating on any examination required for licensing;
(i) Knowingly solicit or receive any remuneration, including any bribe or rebate, directly or indirectly, overtly or covertly, in cash or in kind, in return for purchasing, leasing, ordering, or arranging for or recommending the purchase, lease, or ordering of any good, service, accommodation or facility for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167, or knowingly offer or pay any remuneration, including any bribe or rebate, directly or indirectly, overtly or covertly, in cash or in kind, to induce a person to purchase, lease, order, or arrange for or recommend the purchase, lease, or ordering of any good, service, accommodation or facility for which payment may be made in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167; or
(j) Knowingly charge, solicit, accept or receive, in addition to any amount otherwise required to be paid under N.H. Rev. Stat. Chapter 161 or RSA 167, any gift, money, donation, or other consideration either as a precondition of admitting or expediting the admission of a patient to a hospital, skilled nursing facility, or intermediate care facility, when the cost of the services provided in such facility to the patient is paid for in whole or in part under N.H. Rev. Stat. Chapter 161 or RSA 167.
II. (a) Any natural person who violates any provision of this section shall be guilty of a class B felony.
(b) Any other person who violates any provision of this section shall be guilty of a felony.