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HEALTH CARE,FALSE CLAIM
165.692 Making false claim for health care payment. A person commits the crime of making a false claim for health care payment when the person:
(1) Knowingly makes or causes to be made a claim for health care payment that contains any false statement or false representation of a material fact in order to receive a health care payment; or
(2) Knowingly conceals from or fails to disclose to a health care payor the occurrence of any event or the existence of any information with the intent to obtain a health care payment to which the person is not entitled, or to obtain or retain a health care payment in an amount greater than that to which the person is or was entitled. [1995 c.496 §2]
165.694 Aggregation of claims. (1) Single acts of making a false claim for health care payment may be added together into aggregated counts of making false claims for health care payments if the acts were committed:
(a) Against multiple health care payors by similar means within a 30-day period; or
(b) Against the same health care payor, or a contractor, or contractors, of the same health care payor, within a 180-day period.
(2) The charging instrument must identify those claims that are part of any aggregated counts. [1995 c.496 §3]
165.696 Who may commence prosecution. The district attorney or the Attorney General may commence a prosecution under ORS 165.692.