Archive for the Planned Parenthood employee sues Category

Black Planned Parenthood Employee Claims he was Fired because of his Race

Posted in Planned Parenthood EEOC, Planned Parenthood Employee, Planned Parenthood employee sues with tags , , , , , , , , , , on July 24, 2014 by saynsumthn

On February 6, 2013, the United States District Court , Eastern District of Missouri, Eastern Division, denied Planned Parenthood’s motion for summary judgement in a case where they were accused of firing a black employee because of his race.

According to the lawsuit, Edgar Harris, who is African-American filed a civil rights complaint against Planned Parenthood after he was terminated claiming his termination was racist based.

Harris was employed by Planned Parenthood as an armed security guard from March 30, 2009 to September 28, 2011.

Because Harris was scheduled to be in court on September 28, 2011, he asked his supervisor, Tom Hemingway, to find coverage for his shift on that date. On September 27, 2011, Hemingway told Harris that no coverage was available. According to Hemingway, Harris became angry and made the
statement, “I should shoot this place up.”

Hemingway states that he became concerned and asked another employee to speak to Harris. Hemingway left the premises and Harris completed his shift. On September 28, 2011, Cathy Williams, Planned Parenthood’s Vice President of Human Resources, informed Harris that his employment was terminated for making a threat.

Harris then filed a claim for unemployment benefits which was initially denied based on the finding that he had been discharged for misconduct.

After receiving testimony from Harris and a witness from Planned Parenthood, the Appeals Tribunal determined that Harris did not make the threat for which he was terminated and that Harris was
not disqualified from unemployment benefits.

Harris filed a charge of discrimination with the Equal Employment Opportunity Commission (EEOC), in which he alleged that he was terminated because of his race. According to Harris’ sworn statement to the EEOC, Williams told him over the telephone that he was terminated because he threatened “to shoot up the place.”

Harris denied making the statement and pointed out to Williams that Hemingway would not have allowed Harris to complete his shift if he had made such a threat.

Harris states that Williams refused to consider Harris’ argument or conduct an investigation and opted to believe Hemingway, who is white, instead of Harris.

Despite terminating his employment for making a violent threat, Williams told Harris that he could come to the facility to pick up his paycheck. Harris states that before his termination, he “always had excellent job performance.”

The case continues….(here)

$1.4 Mil for ex- ‪Planned Parenthood‬ employee after Obama DOJ settlement against the abortion giant

Posted in Medicaid Billing Practices, Planned Parenthood employee sues, Planned Parenthood Employee Testifies against them, Planned Parenthood ex employee, Planned Parenthood lawsuit, Planned Parenthood lies, Planned Parenthood medicaid fraud with tags , , , , , , , on August 2, 2013 by saynsumthn

According to Jill Stanek, The good people at Alliance Defending Freedom have forwarded me the settlement agreement between Planned Parenthood Gulf Coastand the United States of America, the Texas Attorney General, and whistleblower Karen Reynolds, for charges that PPGC committed Medicaid fraud between 2003-2009. The settlement was signed by all parties on July 24 and 25.

As I wrote yesterday, PPGC has agreed to pay $4.3 million. According to the settlement, the money will be divided three ways:

$2,552,169 – United States
$1,247,000 – Karen Reynolds (bounty)
$500,831 – State of Texas

In addition, PPGC must pay Reynolds’ attorney fees. Reynolds was represented by the American Center for Law and Justice.

Read More here

Karen Reynolds, who worked as a “health care assistant” from 1999 to 2009 at the Lufkin, Texas, branch of the affiliate formerly known as Planned Parenthood of Houston and Southeast Texas, submitted company memos and emails to support her charge that PPGC has engaged in a systemwide scheme to bilk Medicaid, Title XX, and the Women’s Health Program of tens of millions of dollars over the course of at least a decade.

Reynolds alleged bosses trained employees to bill government agencies for medical and family planning services not rendered, for services no reasonable medical personnel would provide, and – the biggest bombshell – for abortion-related services fudged to appear as if they were not.

Case AGAINST abortion giant Planned Parenthood advances in Court

Posted in Financial mismanagement, Medicaid Billing Practices, Planned Parenthood employee sues, Planned Parenthood Investigated, Planned Parenthood lawsuit, Planned Parenthood medicaid fraud, Planned Parenthood Whistleblowers with tags , , , , , , , on August 14, 2012 by saynsumthn

Posted from the ACLJ Aug. 13, 2012

Our federal lawsuit against Planned Parenthood in Texas alleges that the abortion giant defrauded taxpayers by charging state and federal governments for services not actually provided, medically unnecessary services, and services that are not covered under Medicaid and other programs.

On Friday, a federal court agreed with the ACLJ that these allegations, if proven, constitute fraud in violation of federal law. The federal court in Texas denied Planned Parenthood’s attempt to have this critical case against the abortion giant thrown out.

This is a major victory as this case to hold Planned Parenthood accountable moves forward to trial. At stake are literally hundreds of millions of dollars, and it is a case that could have a substantial impact on one of Planned Parenthood’s largest affiliates in Texas.

The federal court noted that our lawsuit on behalf of former Planned Parenthood employee turned whistleblower, Karen Reynolds, “asserts that these false claims were submitted to the United States and Texas governments for reimbursement and, to support its claims for payment, [Planned Parenthood] regularly falsified patient charts.”

As the court also noted, Planned Parenthood merely argues that “there is nothing fraudulent about a policy to maximize revenues.” The Court didn’t buy that argument and held that if our client’s allegations are proven, it would show that Planned Parenthood engaged in a “fraudulent scheme to maximize revenues” in violation of federal law “on a regular if not daily basis” over the course of at least ten years.

This court decision is also a major victory in light of a recent decision from a California federal court throwing out a similar case against Planned Parenthood there. The ACLJ has already successfully appeal that case to the Ninth Circuit Court of Appeals once, and is preparing to appeal the trial court’s second attempt to throw the case out on a technicality.

The federal district court in California held that fraudulent overbilling of the government does not constitute a “false” claim. We are arguing on appeal, and as the federal court in Texas agreed, Planned Parenthood’s alleged fraudulent actions do violate federal law.

Both of these cases against the largest abortion provider in America are critically important in the fight for life and against continued taxpayer funding for the abortion business. We will continue to keep you informed as these cases proceed.

For more on the practices of Planned Parenthood read: Many reasons to defund Planned Parenthood: eugenics, racism, abortion, audits, misappropriation of funds, Medicaid billing practices, hiding sexual predators

Planned Parenthood loses suit to ex employee who says she was fired because she was disabled

Posted in Planned Parenthood disability, Planned Parenthood Employee, Planned Parenthood employee sues with tags , , , , , , , on July 12, 2012 by saynsumthn

Former Planned Parenthood employee wins lawsuit in Benton County
BY MICHELLE DUPLER, TRI-CITY HERALD
Published: July 12, 2012

After an eight-year battle, a former Planned Parenthood employee won a lawsuit in Benton County alleging that the organization fired her because of a disability.

Shannon Sharp worked for Planned Parenthood of Central Washington as a regional manager before being diagnosed with degenerative arthritis in her neck and back that required ongoing medical treatment, her attorney Mike Saunders of Seattle told the Herald.

Her neck and back pain sometimes made Sharp unable to perform all of her job functions, and her lawsuit alleged that Planned Parenthood fired Sharp rather than provide reasonable accommodations.

Planned Parenthood — now Planned Parenthood of Greater Washington and North Idaho — claimed in court that it fired Sharp because of her performance.

The lawsuit was filed in 2004, but Washington’s anti-discrimination law was unsettled for several years because of court battles and legislative changes, Saunders said.
The case finally came to trial in June, and a jury on June 27 awarded more than $136,000 to Sharp after finding that she was fired because of her disability.

Read full story here:

Planned Parenthood is the largest abortion clinic chain in the nation. As part of their defense of child killing in the womb, Planned Parenthood says that abortions are acceptable if the child is going to be disabled. Is it any wonder why they would then be so cruel to oe of their own disabled employees?

Another whistleblower sues Planned Parenthood claims the tax funded abortion giant is guilty of Medicaid Fraud

Posted in Financial mismanagement, Former Planned Parenthood Employee, Medicaid Billing Practices, Planned Parenthood Employee, Planned Parenthood employee sues, Planned Parenthood medicaid fraud, Planned Parenthood Whistleblowers with tags , , , , , , , , , , on July 10, 2012 by saynsumthn

The Alliance Defending Freedom(formerly the Alliance Defense Fund) is representing Sue Thayer, a former Planned Parenthood of the Heartland Clinic manager in a lawsuit filed in March, 2011. The complaint by law was not allowed to be made public until a court unsealed it which happened recently. The ADF attorneys filed suit under a federal law that allows “whistleblowers” with inside information to expose fraudulent billing by government contractors.


Thayer, who is a former manager of Planned Parenthood’s clinics in Storm Lake, IA and LeMars, IA has sued under both the federal and Iowa False Claims acts. The suit alleges that Planned Parenthood knowingly committed Medicaid fraud from 2002 to 2009 by improperly seeking reimbursements from Iowa Medicaid Enterprise and the Iowa Family Planning Network for products and services that were not legally reimbursable under those programs.

Thayer in the lawsuit alleges that Planned Parenthood of Greater Iowa, now known as Planned Parenthood of the Heartland, filled nearly 500,000 false claims with Medicaid from which Planned Parenthood received and retained nearly $28 million. If the court rules in favor of Thayer, Planned Parenthood of the Heartland could be ordered to pay both the federal and Iowa governments as much as $5.5 billion in False Claims Act damages and penalties.

In the lawsuit, Thayer alleges that in order to enhance revenues, Planned Parenthood implemented what is called the “C-Mail” program which automatically mailed a year’s supply of birth control pills to women who had only been seen once at a Planned Parenthood clinic. Those women, the lawsuit explains, were usually seen by personnel who were not qualified health care professionals.

Planned Parenthood’s cost for a 28-day supply of birth control pills mailed to clients was $2.98, but Thayer asserts that the actual Medicaid reimbursement received by Planned Parenthood was $26.32. After being seen only once clients were mailed thousands of unrequested birth control pills. The lawsuit also alleges that when the Postal Service returned the pills in some cases Planned Parenthood would resell the same birth control pills and bill Medicaid again instead of crediting Medicaid or destroying the pills.

Read Rest Here

In a Washington Times Op-ed penned by Sue Thayer, the Planned Parenthood whistle blower states, “So what does Planned Parenthood, the “trusted friend of women,” love so much about telemed abortions? Low overhead costs. My superiors justified telemed abortions, lauding the financial benefits of not having to worry about or pay for specialized equipment, staff and a traveling physician – all required with surgical abortions. When I expressed my concerns, I was “let go,” supposedly because of ‘downsizing.’ ”

________________________________________________________________________________________________

And in Texas…..According to a Lufkin Daily News Article entitled: Former Lufkin clinic employee alleges fraud in suit against Planned Parenthood

Planned Parenthood Gulf Coast is a defendant in a federal lawsuit after a former Lufkin clinic employee alleged a multi-million-dollar billing scheme.

The complaint names Karen Reynolds as the whistle-blower in the allegations brought against her former employer of 10 years.

The updated complaint, filed in October 2011, alleges that while Reynolds was employed as a health center assistant, she was instructed by the organization to maximize billing revenue when the government was fitting the bill through Medicaid and the Women’s Health Program.

She claims this was the procedure in all 12 Planned Parenthood Gulf Coast locations across Texas and Louisiana.

The suit alleges that, in addition to falsifying patient records, billing the government for unwarranted services and services not covered by Medicaid, Planned Parenthood tacked on services patient did not receive.

An example given in the suit is Medicaid being billed for birth control counseling. The suit states almost all Women’s Health Program and Medicaid patients were handed a bag of at least two birth control devices despite the fact the items were not needed or requested by the patient.

“Pursuant to corporate policy and instructions from clinical directors, after merely handing the patient a bag of condoms and vaginal film on the way out the door, clinic employees then entered billing codes to be submitted to the government” at an average billed cost of $57.85.

If Planned Parenthood Gulf Coast loses the case set for trial in April 2013, Reynolds, the federal government and the state of Texas will be owed a sum of money by the corporation known for family planning and women’s health issues.

Reynold’s attorney Mike Love said the case is in its early stage. While he said he was reluctant to comment on the case due to its magnitude, Love said on the behalf of his client, “if an entity is not billing properly, it doesn’t matter if it’s Planned Parenthood, a large hospital facility or a local doctor’s office — fraud is fraud.”
A phone call to an attorney representing Planned Parenthood was not returned as of 5 p.m. Friday.

Read Complaint Here

READ: Whistleblower alleges Texas Planned Parenthood committed massive Medicaid fraud
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According to the ACLJ who is representing another Planned Parenthood whistleblower:

P. VICTOR GONZALEZ, has accused the Planned Parenthood (PP) affiliates in California of also marking up the supposed cost of various birth control drugs when seeking government reimbursement, resulting in tens of millions of dollars of overbilling-at taxpayer expense.

Read that complaint here

Also READ: Many reasons to INVESTIGATE abortion giant Planned Parenthood – spelled out in gruesome detail!

READ: Many reasons to defund Planned Parenthood: eugenics, racism, abortion, audits, misappropriation of funds, Medicaid billing practices, hiding sexual predators

Planned Parenthood in Texas accused of multi-million-dollar billing scheme by former employee

Posted in Financial mismanagement, Planned Parenthood Employee, Planned Parenthood employee sues, Planned Parenthood Investigated, Planned Parenthood lawsuit, Planned Parenthood lies, Planned Parenthood rich off taxpayers, Planned Parenthood Whistleblowers with tags , , , , , on February 13, 2012 by saynsumthn

Former Lufkin clinic employee alleges fraud in suit against Planned Parenthood
Posted: Sunday, February 12, 2012 1:15 am
By JESSICA COOLEY/The Lufkin News

Planned Parenthood Gulf Coast is a defendant in a federal lawsuit after a former Lufkin clinic employee alleged a multi-million-dollar billing scheme.

The complaint names Karen Reynolds as the whistle-blower in the allegations brought against her former employer of 10 years.

The updated complaint, filed in October 2011, alleges that while Reynolds was employed as a health center assistant, she was instructed by the organization to maximize billing revenue when the government was fitting the bill through Medicaid and the Women’s Health Program.

She claims this was the procedure in all 12 Planned Parenthood Gulf Coast locations across Texas and Louisiana.

The suit alleges that, in addition to falsifying patient records, billing the government for unwarranted services and services not covered by Medicaid, Planned Parenthood tacked on services patient did not receive.

An example given in the suit is Medicaid being billed for birth control counseling. The suit states almost all Women’s Health Program and Medicaid patients were handed a bag of at least two birth control devices despite the fact the items were not needed or requested by the patient.

“Pursuant to corporate policy and instructions from clinical directors, after merely handing the patient a bag of condoms and vaginal film on the way out the door, clinic employees then entered billing codes to be submitted to the government” at an average billed cost of $57.85.

If Planned Parenthood Gulf Coast loses the case set for trial in April 2013, Reynolds, the federal government and the state of Texas will be owed a sum of money by the corporation known for family planning and women’s health issues.

Reynold’s attorney Mike Love said the case is in its early stage. While he said he was reluctant to comment on the case due to its magnitude, Love said on the behalf of his client, “if an entity is not billing properly, it doesn’t matter if it’s Planned Parenthood, a large hospital facility or a local doctor’s office — fraud is fraud.”
A phone call to an attorney representing Planned Parenthood was not returned as of 5 p.m. Friday.

Read Complaint Here

READ: Whistleblower alleges Texas Planned Parenthood committed massive Medicaid fraud

READ: Many reasons to INVESTIGATE abortion giant Planned Parenthood – spelled out in gruesome detail!

READ: Many reasons to defund Planned Parenthood: eugenics, racism, abortion, audits, misappropriation of funds, Medicaid billing practices, hiding sexual predators

Whistleblower alleges Texas Planned Parenthood committed massive Medicaid fraud

Posted in Financial mismanagement, Medicaid Billing Practices, Planned Parenthood Employee, Planned Parenthood employee sues, Planned Parenthood Investigated, Planned Parenthood lawsuit, Planned Parenthood rich off taxpayers, Planned Parenthood Whistleblowers with tags , , , , , , , on November 3, 2011 by saynsumthn

Jill Stanek is reporting:

Whistleblower alleges Texas Planned Parenthood committed massive Medicaid fraud

A former employee of Planned Parenthood Gulf Coast has filed a whistleblower’s complaint with both the Texas and United States Attorneys General alleging her management engaged in massive Medicaid fraud. ( Read here )

Karen Reynolds, who worked as a “health care assistant” from 1999 to 2009 at the Lufkin, Texas, branch of the affiliate formerly known as Planned Parenthood of Houston and Southeast Texas, has submitted company memos and emails to support her charge that PPGC has engaged in a systemwide scheme to bilk Medicaid, Title XX, and the Women’s Health Program of tens of millions of dollars over the course of at least a decade.

Reynolds alleges bosses trained employees to bill government agencies for medical and family planning services not rendered, for services no reasonable medical personnel would provide, and – the biggest bombshell – for abortion-related services fudged to appear as if they were not.

PPGC operates 10 clinics in Texas – including, at seven stories and 78,000 sq ft, the largest abortion clinic in the U.S., located in Houston (pictured left, with PPGC CEO Peter Durkin in the foreground) – and two in Louisiana.

PPGC’s bilking scheme was elaborate and, frankly, fascinating. It allegedly involved several corporate officers, including Durkin (also pictured right with Planned Parenthood Federation of America CEO Cecile Richards in 2009) as well as board members, clinic directors, assistant clinic directors, health care assistants, and nurse practitioners.

According to the complaint, each clinic was given annual, monthly, and daily government revenue goals.
In conjunction, monthly staff meetings that included PowerPoint presentations were held at all clinics to train how to maximize government revenue.
PPGC went so far as to send employees from “under-performing” clinics to “higher-performing” clinics to learn how to increase revenue, which included double-billing.

One-size-fits-all billing
According to the complaint:
The scheme included the express policy of billing these government health care programs for a predetermined list of reimbursable services for every eligible patient who visited the clinic, regardless of whether those services were medically necessary or ever actually provided to the patient….
PPGC policy regarding which medical services to provide and bill for depended in large part on who was paying the bill…. [S]elf-pay patients were provided services based on medical necessity. WHP, Medicaid, and Title XX patients, however, were provided a series of predetermined services based on what those programs would pay for with the result that patients covered by government health programs were often provided services on an “across the board” basis even when such services were not medically necessary. The medical testing services most commonly provided to Medicaid and Title XX patients on an “across the board” basis… are:
a) Gonorrhea testing (Codes 87590 and 87591);
b) Chlamydia testing (Codes 87490 and 87491);
c) HIV testing;
d) Syphilis testing;
e) urinalysis (Codes 81002 and 81015);
f) hemoglobin blood count testing (Code 85018); and,
g) pregnancy testing

Because Medicaid guidelines allow for reimbursement for counseling on primary birth control and back-up bc, each Medicaid/WHP-eligible patient was also billed for both for every visit, although such counseling was not necessary and not given.
Another trick was to hand every contracepting patient a bag of condoms and vaginal film on her way out the door, despite the fact they were not needed or requested. This allowed PPGC to bill the government for, according to the complaint:

a. Condoms $4.20
b. Vaginal film $12.60
c. Method counseling $30.60 (Primary method, plus film and condoms as ‘back-up’ $10.20 X 3)
d. Problem counseling $10.45 (Under PPGC procedures, handing out condoms justified billing the government for ‘problem counseling’ because condoms are also used to prevent STD’s) (Code 99402 + Modifier FP [$10.45])

Isn’t it illegal to bill the government for abortions?
The biggest bombshell in the complaint comes on page 15, which describes how PPGC falsified charts of aborting or post-abortive patients to appear as if their visit was for another reason. It is illegal under the Hyde Amendment for federal taxpayer dollars to fund abortions unless for rape, incest, or life of the mother. But PPGC found ways around this. Quoting from one PPGC memo listed in the complaint:

POST AB VISITS:
We must work these clients in! This visit is self-pay. Quote the self-pay price then ask if she needs any other services such as birth control. If she is interested, screen for WHP or Title XX and offer the WWE [Well Woman Exam]. If the client is getting on birth control make this the focus of the visit and put a note in the chief complaints that the client had a surgical or medical abortion “x” weeks ago.

To pro-lifers, this information is the proverbial smoking gun, showing more than that the line of demarcation between federal funds and abortion is fungible, but that at least this Planned Parenthood worked the system to illegally obtain taxpayer dollars for abortion-related services.

Super billing

In addition, patient records were double-checked after visits against a “super bill” inserted into each chart that listed all possible government-reimbursable services. If more charges could be eked out, they were, regardless of whether or not the services were performed. In those cases charts were returned to nurses for back-charting, to add those services in the record.

In all, Reynolds is alleging six counts against PPGC for violating the Federal False Claims Act and the Texas Medicaid Fraud Prevention Act.
Status of case

On October 18 United States District Judge Ron Clark, a GWB appointee, denied PPGC’s request to stop the discovery process.
I spoke with attorney Frank Manion today, of the American Center for Law and Justice, which is handling Reynolds’ case. Manion told me they have just started to receive relevant documents from PPGC.

If PPGC is indeed found to have committed fraud, it will lose all government funding. In fact, the entire nationwide Planned Parenthood chain will be at risk for defunding.
Reynolds is the third whistleblower to accuse her former Planned Parenthood employer of fraud against the government.

Former Planned Parenthood of Los Angeles CFO P. Victor Gonzalez has a case in federal court accusing his employer of similar activity.

And the IRS is investigating charges brought by an unnamed employee of the now defunct Planned Parenthood Golden Gate.

Meanwhile, Americans United for Life reports that government audits have uncovered similar fraud at Planned Parenthoods in New Jersey, New York, and Washington state.

On September 15 Republican Congressman Cliff Stearns, Chairman of the House Subcommittee on Oversight and Investigations, launched an investigation of Planned Parenthood Federation and its 83 affiliates. He can add this information to the pile.

Also Read: Many reasons to INVESTIGATE abortion giant Planned Parenthood – spelled out in gruesome detail!