Archive for the Planned Parenthood Audit Category

More audit records reveal overbilling and potential fraud at Planned Parenthood

Posted in Medicaid Billing Practices, Planned Parenthood Audit, Planned Parenthood Medicaid Contract, Planned Parenthood medicaid fraud with tags , , , , , , , , , , , , , , , , , , , , , on October 15, 2017 by saynsumthn

|  (From Live Action News)

Previous Live Action News reports have documented Planned Parenthood‘s history of potential fraud in light of half a billion tax dollars being entrusted to the abortion corporation annually. Watchdog organizations like Alliance Defending Freedom and the Charlotte Lozier Institute have published reports showing Planned Parenthood’s blatant disregard for regulations regarding Medicaid dollars.

In addition to those reports, here are more cases involving the misuse of Medicaid reimbursements by the abortion corporation:

1) Kansas

On January 23, 2017, Planned Parenthood Great Plains and Comprehensive Health of Planned Parenthood Great Plains Kansas (PGP) agreed to pay more than $18,800 for “allegedly violating the Civil Monetary Penalties Law,” according to a report published by the Office of Inspector General (OIG). According to the OIG, PGP submitted claims to Medicaid where the services were:

  • provided by advanced registered nurse practitioners (ARNPs) but were billed improperly under a supervisory physician’s name and national provider identifier
  • provided by ARNPs who were not properly enrolled or credentialed under the Medicaid program and were billed improperly under a supervisory physician’s name and national provider identifier

2) North Carolina

In 2016, the OIG reported that Planned Parenthood Health System, Inc., incorporated in North Carolina, agreed to pay nearly $1.6 million for potentially violating the Civil Monetary Penalties Law. This case involved violations Planned Parenthood disclosed to the OIG; several states were involved, including North Carolina, South Carolina, Virginia and West Virginia. The OIG found that Planned Parenthood submitted claims to Medicaid programs. Billing errors were:

  • services billed under a provider number different than the medical professional who provided the service
  • billed for services of non-physician practitioners who were not properly enrolled in their state Medicaid program

3) Michigan

An audit report of Planned Parenthood and Mid South Michigan, conducted by the Michigan Department of Community Health (MDCH) in 2013, found that Planned Parenthood claimed too much for their CEO’s salary, overcharging MDCH in the amount of $3,358. In addition, the audit noted that Planned Parenthood misclassified expenses, something Planned Parenthood defended as a “spreadsheet error.”

4) New Jersey

A 2008 Office of Inspector General report in New Jersey reveals that Planned Parenthood believes all the services they provide pertain to family planning, and thus warrant a Medicaid reimbursement, when this is not the case. The report states in part:

During our visits to family planning clinics throughout the State, many providers (especially Planned Parenthood providers) stated that they billed all claims to Medicaid as “family planning.” Officials at these clinics stated that they believed that all of the services they provided were related to family planning. Therefore, officials at these clinics often populated the family planning indicator field on Medicaid claims even though the service provided did not meet the criteria for 90-percent Federal funding. By populating this field, the MMIS designated the claim as eligible for 90-percent Federal funding.

5) New York

A 2008 audit by the Office of Inspector General in that state, which found that providers incorrectly coded the 90 Medicaid claims by marking “Yes” in the family planning indicator field, said in a footnote:

Officials at Planned Parenthood providers stated that they believed that nearly all the services they provide are related related to family planning. However, the medical review determined that the providers improperly claimed, for example, services to pregnant women, treatment for sexually transmitted diseases, and counseling visits unrelated to family planning services.

In 2011, the State of New York, Office of the Medicaid Inspector General, sent a letter to Planned Parenthood of the Hudson Peconic, requiring restitution of overpayments of nearly $31,000 after reviewing claims with payment dates of January 2006 through December 31, 2008.

A New York State Office of Medicaid Inspector General audit of Planned Parenthood Hudson Picnic, published in 2011, reviewed HIV counseling paid from July 1, 2004 through June 30, 2007, and found that nearly $2,227,000 was overpaid but only repayment of just over $2 million was required. Out of a random sample of 100 services the IG reviewed, 83 had at least one error and did not comply with state requirements; a number of those contained more than one deficiency.

 

These examples are yet more proof that serious oversight is needed to guard the millions of tax dollars being sent to the nation’s largest single abortion provider every year. Planned Parenthood’s history of fraud even extends to violations with the federal 340B Drug Discount Program, previously reported here at Live Action News and at Townhall.

Despite this evidence, and after years of politicians promising to defund this abortion behemoth, Planned Parenthood is again poised to receive another half a billion taxpayer dollars in 2018.

  • This article is reprinted with permission. The original appeared here at Live Action News.

Planned Parenthood Federation of America audit revealed over $62 MILLION paid in employee compensation

Posted in Planned Parenthood Audit, Planned Parenthood CEO, Planned Parenthood rich off taxpayers, Planned Parenthood six digit salary with tags , , , , , , , , on September 5, 2015 by saynsumthn

An Independent audit on Planned Parenthood Federation of America published December 5, 2014 by KPMG, revealed some interesting facts.

KPMG’s Charities practice audits over 200 charity clients nationwide and work with many other charities in a tax or other advisory relationship.

Planned Parenthood received half a billion dollars from the federal taxpayer annually. They are the nation’s largest provider of abortions in all trimesters ranging in the hundreds if thousands of babies killed every year according to their own records. In addition, Planned Parenthood has been accused by the group The Center for Medical Progress for selling the body parts of babies they abort, some alegedly still alive when they are “procured.”

By June of 2014, PPFA’s total assets totaled: $367,254,551.

PPFA Planned Parenthood liabilities and assets 2014

Planned Parenthood’s total contributions and grants for 2014, a whopping $186,178,077.

EMPLOYEE SALARIES, COMPENSATION, HEALTH AND RETIREMENT:

Total employee compensation for 2014 $62,410,804.

Salaries and Payroll taxes totaled $54,053,081 and health and retirement benefits totaling $8,357,723 in 2014.

Planned Parenthood salaries employee 2014 aufit

An increase from the $50,031.640 employee compensation for 2013, ($43,304,187 for salaries and Payroll taxes and health and retirement benefits totaling $6,727,453).

Planned Parenthood salaries employee 2013 aufit

A sampling of Planned Parenthood salaries can be found here.

According to a 2015 report from American Life League’s STOPP 78 percent of Planned Parenthood’s clients receive incomes below the federal poverty level. Yet, the combined salaries of its CEOs was $11,536,408 in 2013.

PPFA top CEO Salaries 201

The audit revealed that PPFA holds a long term debt balance for revenue bonds issued in 2012 and purchased by Bank of America in New York. The proceeds of the bonds were utilized for PPFA’s New York office space. The loan amount was $30,000,000.

Planned Parenthood Bank of America

As a side note, Bank of America has been the target of a Waco pro-life group who said they are hoping to convince BOA to stop matching employee funds to Planned Parenthood.

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Pro-life Waco recently conducted a demonstration outside the Waco Bank of America Branch to educate the public.

Of course our goal is to convince Bank of America to terminate its matching donation for employees who give to Planned Parenthood.” organizer John Pisciotta said.

John Pisciotta Bank of America Planned Parenthood

When the BOA capitulation finally comes, this will be another blow delivered to Planned Parenthood for their brutal, deadly, and disgraceful treatment of preborn babies,” he added.

KPMG is listed by Evaluetor as a company that funds Planned Parenthood.

KPMG Planned ParenthoodAn interesting note is that WESLEY A. BROWN, Managing Director for KPMG, served either as President or Chairman of the Board’s of the Denver Public Library Commission, Denver Public Library Friends Foundation, the Iliff School of Theology, as well as Planned Parenthood of the Rocky Mountains, according to his own bio published online.

KPMG has also audited IPPF.

View the PPFA audit here.