Medicare and Medicaid are both very large complex bureaucracies. Navigating that bureaucracy can be a challenge for anyone in Kentucky or elsewhere. A health care fraud case in another state recently implicated a health care executive in what is considered to be the largest Medicare fraud case ever.

The accused man was charged with paying kickbacks to entice doctors to recommend patients to his nursing homes over a period of seven years. He was also accused of bribery related to paying a regulator to inform him in advance of nursing home inspection visits. The individual owns several homes across the country.

The fraud case went to trial and that lasted seven weeks. In the end the jury convicted the nursing home owner of money laundering and bribery but could not agree on the fraud charges. He had been in jail for three years pending trial and faces sentences of up to 250 years as a result of the charges he was convicted of. The sentence is likely to be less based on federal sentencing guidelines.

Being convicted of fraud is a serious crime in Kentucky or anywhere in the United States. A person accused of a crime is presumed innocent until and unless proved guilty in a court of law. The burden of that proof falls to the prosecution and must be supported by the evidence presented. Rules of evidence must be honored for evidence to be admissible during trial. A person charged with fraud may wish to consult with a criminal defense attorney who can advise the client of his or her legal rights and help to protect those rights throughout the criminal justice process.