Expansion of the Fraud and Abuse Laws Under PPACA

June 2010Articles BC Advantage
On March 23, 2010 the Patient Protection and Affordable Care Act (PPACA) was signed into law, followed a week later by The Health Care and Education Reconciliation Act of 2010 that amended PPACA. PPACA provides new fraud and abuse enforcement tools to the federal government and enhances both civil and criminal penalties for noncompliance of fraud and abuse laws. Some of the significant changes PPACA made to the health care fraud and abuse laws include False Claims Act, Anti-Kickback, Stark Law and Provider and Supplier Enrollment and Participation. In addition the significant changes, PPACA increased the government’s funding for fraud and abuse enforcement by an additional $350 million, one-third of which is allocated to the 2011 budget year. Health care providers are advised to review their operations and compliance programs to ensure they meet the health care fraud and abuse laws, specifically the new rules imposed by PPACA.