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D4PC: Twila Brase, RN, CEO of Citizens' Council For Health Freedom (CCHF.org) reports on the newly expanded definition of "fraud" and the prosecutory ability of the Department of Justice under the Obama administration. We have also provided a link from the HHS website which elaborates on all the methods by which the Affordable Care Act utilizes state of the art technology against physicians and hospitals when evaluating potential fraud. Ironically, much of this technology has been purchased by physicians and hospitals only by threat of federal mandates.
"The administration has just announced a "partnership among the federal government and several leading private and state organizations to prevent health care fraud on a national scale." They will "share information and best practices" eventually "performing sophisticated analytics on a healthcare industry-wide data set that will detect and predict fraud schemes." There is virtually no end to dollars for fraud prevention.
How is fraud defined? Loosely. Obamacare expanded the definition to include "unnecessary" services, "ineffective" services, or those that don't comply with Medicare requirements, according to the AAPS. The penalty for committing "fraud" even if it can't be proven to be intentional (errors), was increased by the ACA to $50,000 per item from $11,000 per item. Federal officials are also allowed to "extrapolate" such errors across all the years of the doctor's practice of medicine. The federal governent will also begin topolice private insurance".