1st Circ. Affirms Conviction In $19.9M Mass. Medicare Fraud

By Dani Kass (February 27, 2017, 4:46 PM EST) -- The director of clinical services at a Massachusetts home health services agency knew that she was assisting a $19.9 million Medicare fraud by falsifying paperwork to make patients wrongly seem eligible for services, the First Circuit affirmed Friday.

Janice Troisi had appealed a Massachusetts federal judge's conviction, not disputing that she took part in the scheme, but rather arguing it wasn't proven that she acted "with the required culpable state of mind." A three-judge panel disagreed, saying she ordered nurses to mark patients as eligible for home care and redid their paperwork when nurses said otherwise.

"Troisi cannot claim that she...

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