Archive for the Planned Parenthood medicaid fraud Category

TX Gov : I hope Planned Parenthood sues so I can put officials under oath

Posted in Medicaid Billing Practices, Planned Parenthood medicaid fraud, Texas Abortion, Texas abortion clinics with tags , , , , , , , on October 28, 2015 by saynsumthn

The Governor of the State of Texas said he hopes Planned Parenthood files legal action against their move to cut off Medicaid funding to the abortion biz so he can put their officials under oath.

Greg ABbot Medicaid Planned Parenthood

Newly elected Governor Greg Abbot told Fox’s Bill Hemmer that in Texas, Planned Parenthood has very serious issues that violate federal law.

“One, the Inspector General says he has evidence showing that Planned Parenthood altered the abortion procedure in order to obtain fetal tissue. This violates federal law as well as state law,” Gov. Abbot said.

That fact was detailed in several undercover videos published by the Center for Medical Progress. One of the clinics that CMP filmed was a Planned Parenthood mega center in Houston.

Planned Parenthood houston

Abbot, who was the previously Attorney General of the state before being elected as Governor in 2014, continued:

Second, the Inspector General showed, that he had evidence where Planned Parenthood allowed unsanitary conditions that could cause the spread of infectious diseases.”

“Third…the fact that Planned Parenthood has already previously been found in violation of Medicaid fraud for billing for items and services that were either unnecessary or never provided. And, the Inspector General says he has uncovered more instances of these types of violations,” the Texas Governor added.

Days ago, Live Action News detailed these Planned Parenthood Medicaid fraud cases in a report you can read here.

When asked to respond to Planned Parenthood’s charge that this move by the state is a “scandal” Abbott called it “cover for the very serious violations they face.” He accused Planned Parenthood of bilking the taxpayers of the State of Texas and the US out of money which they did not deserve. He pointed out that there are thousands of places where women can receive the health care they need through the Medicaid Program.

Asked if he expected a legal challenge, the Texas Governor responded, “I hope for a legal challenge here because I want to put these Planned Parenthood officials under oath and get them to swear about the practices that they were conducting in the state of Texas.

“Either, their horrific practices will be revealed or they may be found in violation of laws for perjury.”

Abbott then reiterated that the State’s legal actions would have occurred without the CMP videos.

“Legal action had already been taken both by the state of Texas and by the United States Department of Justice for Medicaid fraud in the State of Texas long before these videos…”

Texas does have hard evidence showing Medicaid Fraud,” Governor Abbott stated.

Hours after this interview, the state raided several Planned Parenthood centers serving subpoenas on Planned Parenthood centers in Houston, Dallas and San Antonio. Read Live Action News’ report in this here.

Planned Parenthood’s fraud that Texas is pulling funds for political reasons

Posted in Medicaid Billing Practices, Planned Parenthood Medicaid Contract, Planned Parenthood medicaid fraud, Texas Abortion with tags , , , , , , , , , on October 23, 2015 by saynsumthn

This week, the state of Texas informed Planned Parenthood of its plan to remove its affiliates from the state’s Medicaid program. The announcement came after revelations that Planned Parenthood and specifically their Houston affiliate, Planned Parenthood Gulf Coast ( PPGC) is involved in a baby harvesting operation which has caused the nation to recoil in horror.

Planned Parenthood Houston  abortion mega

Investigators from the Center for Medical Progress, posing as buyers for a Biotech company captured under cover conversations with the Director of Research for Planned Parenthood Gulf Coast, Melissa Farrell. Farrell was recorded offering intact fetal cadavers for research as a “matter of line items.”

Alter-process-intact-fetal-cadavers-Planned-Parenthood

In addition to mentioning the CMP video, the letter obtained by Live Action News from Texas Health and Human Services Commission’s inspector general, Stuart Bowen, tells Planned Parenthood Gulf Coast that his office had information suggesting that, “fraud and other related program violations have been committed by a number of Planned Parenthood affiliates enrolled in the Medicaid program in Texas, including you.”

Planned Parenthood clinics in Texas received $3.05 million in federal funds through Medicaid for family planning services last year, according to a report in the Texas Tribune.

The letter also states that the Planned Parenthood Gulf Coast is “liable directly, or by affiliation for a series of serious Medicaid program violations,” and that Planned Parenthood affiliates in the state are, “no longer capable of performing medical services in a professionally competent, safe, legal and ethical manner.”

The letter details cases where Planned Parenthood’s credibility as a Medicaid provider for the state was called into question:

    “In Reynolds, a Planned Parenthood Whistleblower alleged sufficient evidence of fraud to assure the federal court handling the matter that the case was worth pursuing, after which Planned Parenthood promptly settled the lawsuit for $4.3 million. Furthermore, when the United States Department of Justice (DOJ) announced the 2013 settlement in Reynolds, it openly and compellingly criticized PPGC for “abuse of programs that are extremely important to the well-being of many American women.” Further, the DOJ was “particularly grateful to the Whistleblower” who came forward for revealing that Planned Parenthood Gulf Coast had billed the Texas Medicaid program, Title XX, and the Women’s Health Program “for items and services that were either medically unnecessary or were never actually provided.”

In the 2013 case mentioned in the letter, the state had accused Planned Parenthood of submitting more than $30 million in fraudulent bills between 2003 and 2009.

In addition to the Reynolds case, in 2014, another whistle-blower case alleged that PPCG defrauded Medicaid with regard to blood tests performed on Texas teens. The case was brought by Patricia Carroll who served for several years as the accounts receivable manager for Planned Parenthood Gulf Coast. The complaint stated that Carroll noticed “a large revenue increase” of 314.76% for a Planned Parenthood clinic in Huntsville while preparing the monthly projection report.

Patricia Carroll

Rather than looking at the hard cold facts that the citizens of Texas should not be forking over hard earned tax monies to an organization embroiled in so many accusations of fraud, the media is attempting to paint Planned Parenthood as some sort of a victim. And, although there are thousands of options for women’s healthcare in the state of Texas, other than Planned Parenthood, PPGC spokeswoman Rochelle Tafolla called the move by Texas “politically motivated.”

Planned Parenthood Medicaid revoked Texas

But, while the media publishes Planned Parenthood’s faux outrage the organization’s mother ship in the state, PPCG is hardly lacking financially. According to Planned Parenthood Gulf Coast’s most recent 990 report the Houston abortion business netted over $43 million dollars in assets by the end of 2013. In addition, 10 out of 11 officers or staff listed on the Planned Parenthood report made a hefty six digit salary.

PPGC 2013 990

PPCG interest 2013 990

PPGC’s statement of revenue shows $8,941,664 in total revenue that year which included $920,368 in government grants and $7,577,972 in contributions, gifts, and other grants. And, between 2009 and 2013, PPGC reported receiving $30,830,0483 in gifts, grants or contributions earning a whopping $3,603,781 in interest, dividends, and other investment income. In other words, Planned Parenthood Gulf Coast alone potentially earns as much revenue in interest as the amount the state of Texas is pulling through the state Medicaid program. So, when Planned Parenthood claims that women will be hurt by the mere $3 million state dollars the taxpayers will no longer have to pay through Medicaid, they are misleading the public.

IG audit reveals $129,000 in Medicaid payments to Planned Parenthood did not comply with requirements

Posted in Medicaid Billing Practices, Planned Parenthood medicaid fraud with tags , , , , , , , on April 1, 2015 by saynsumthn

The Department of Health and Human Services, Office of the Inspector General, conducted a review which covered 3,251 clients with claims for Medicaid family planning services (Medicaid services) that Planned Parenthood of North Texas ( PPNT ) submitted, totaling $493,112 ($443,800 Federal share), during the period March 1, 2007, through September 30, 2008 (audit period).

The IG conducted their field work at Planned Parenthood locations in Dallas and Ft Worth.

In Texas, the State agency is responsible for administering the Medicaid program. In addition to family planning services for Medicaid recipients, Texas established the waiver under section 1115 of the Social Security Act to provide a limited and defined set of family planning services to uninsured women who are not eligible for Medicaid

Texas 2015 Audit Planned Parenthood

The review also covered 5,548 clients with claims for waiver family planning services (waiver services) that PPNT submitted totaling $800,000 ($720,000 Federal share), during their audit period. They selected a stratified random sample of 105 clients from each of these client populations. They then reviewed the services and determined the unallowable Federal share of the payments made.

Planned Parenthood North Texas 2015 Medicaid Fraud Audit

Here is what they found:

The State agency did not always claim Medicaid reimbursement for family planning services provided by PPNT in accordance with Federal and State Medicaid requirements or the conditions of the waiver, whichever was appropriate.

Of the 210 sampled Medicaid and waiver client records:

    (1) 50 Medicaid client records contained 1 or more deficiencies (totaling $3,983) on insufficient supporting documentation, and 39 waiver client records contained 1 or more deficiencies (totaling $1,855) on insufficient supporting documentation;
    (2) 23 Medicaid client records contained 1 or more deficiencies (totaling $738) on incorrect billing, and 28 waiver client records contained 1 or more deficiencies (totaling $972) on incorrect billing; and
    (3) 5 Medicaid client records contained 1 or more deficiencies (totaling $104) on services unrelated to family planning.

The State agency did not always properly claim Medicaid reimbursement for family planning services because it did not ensure that:

    (1) PPNT maintained the appropriate required supporting documentation,
    (2) PPNT properly billed for family planning services, and
    (3) services claimed had a family planning purpose.

As a result of these errors, the State agency incorrectly claimed a total of $7,651 for Medicaid and waiver services.

Medicaid Sample - Planned Parenthood North Texas audit

On the basis of their sample results, the IG estimated that the State agency improperly claimed a total of $129,028: $67,019 for Medicaid services and $62,009 for waiver services.

The agency is now recommending a refund of $129,028 to the Federal Government: $67,019 for Medicaid services and $62,009 for waiver services that did not comply with Federal and State requirements for family planning service.

According to the audit:

THE STATE AGENCY DID NOT ENSURE THAT PLANNED PARENTHOOD OF NORTH TEXAS HAD SUFFICIENT SUPPORTING DOCUMENTATION

Providers must keep records to fully disclose the extent of services provided to Medicaid beneficiaries. Additionally, all Medicaid records must be kept for 5 years from the date of service or until all pending audit questions are resolved, whichever is longer. Records and supporting documentation must be made available upon request to the Texas Department of Health or its designated agent.

    For 50 of the 105 Medicaid clients in the IG’s sample, PPNT did not have the required supporting documentation for at least 1 family planning service.

    For 39 of the 105 waiver clients in the sample, PPNT did not have the required supporting documentation for at least 1 family planning service.

    For example, all of the medical records for the dates of service were missing, or the records did not have sufficient information to support the services claimed.

    These errors occurred because the State agency did not ensure that PPNT maintained the appropriate required supporting documentation for family planning services.

    As a result, the State agency improperly claimed $3,983 for Medicaid services and $1,855 for waiver services.

The Medicaid program pays for services provided to a client only when the extent of the services is fully disclosed.

According to the official coding guidelines,billing codes are determined using several components, including client’s history, examinations, medical decision making, counseling, coordination of care, the nature of the presenting problem, and the amount of time spent with the client.

    For 23 of the 105 Medicaid clients in our sample, at least 1 family planning service was incorrectly billed.

    For 28 of the 105 waiver clients in our sample, at least 1 family planning service was incorrectly billed

    Examples of this type of error included billing an incorrect office visit code when the client received only a birth control injection, billing a counseling code in addition to another code that already included the counseling, or billing for a service that was claimed during a previous visit and that was not allowed to be billed again.

    These errors occurred because the State agency did not ensure that PPNT correctly billed for family planning services. As a result, the State agency improperly claimed $738 for Medicaid services and $972 for waiver service

The State agency said that it would collect the overpayment from Planned Parenthood North Texas and refund the Federal share.

In 2013, Planned Parenthood’s Houston-based affiliate settled for $4.3 million with the state of Texas after an audit revealed that the agency charged for “fraudulently over billing the taxpayer-funded Medicaid program.”

TX AG MEdicaid Fraud

Details of other Planned Parenthood state and federal audits are linked at this blog post (here).

Planned Parenthood director on Medicaid audit claims “no wrongdoing no fraud”

Posted in Financial mismanagement, Planned Parenthood CEO, Planned Parenthood Employee, Planned Parenthood fined by state, Planned Parenthood medicaid fraud with tags , , , , , , , , , , , on January 30, 2015 by saynsumthn

In 2010, Planned Parenthood of the Inland Northwest agreed to pay the state $345,000 after settling a 2009 audit that uncovered the clinic used incorrect codes and provided insufficient documentation for some claims billed to Medicaid.

The original audit finding estimated the Spokane family-planning organization improperly billed Medicaid more than $629,000 for 333 patient procedures from March 2004 through February 2007.

During that time, the clinic collected about $7.6 million from Medicaid.

Planned Parenthoods in New Jersey were also investigated that same year.

In 2012, a published report said that Illinois Medicaid’s inspector general was investigating the billing practices of Planned Parenthood of Illinois’ medical director.

Crain’s Chicago Business reported more than $3 million in Medicaid funds going to the Planned Parenthood doctor made her the Illinois program’s second-highest-paid doctor.

In 2013, Planned Parenthood’s Houston-based affiliate settled for $4.3 million with the state of Texas after an audit revealed that the agency charged for “fraudulently over billing the taxpayer-funded Medicaid program.

TX AG MEdicaid Fraud

So when Nicole Safar, Planned Parenthood of Wisconsin’s policy director claimed audits in her state of the abortion giant would only turn up compliance, it looked rather suspicious to me.

Nicole-Safar

The investigation stems from a letter 28 Wisconsin State Representatives and 4 State Senators wrote calling for an investigation into family planning centers and Planned Parenthood centers in the state.

PPWI request for Planned Parenthood audit

As Life Dynamics reports, the letter asked co-chairmen of the non-partisan Joint Legislative Audit Committee, “conduct a comprehensive independent audit of Wisconsin’s Medicaid family planning providers including Planned Parenthood of Wisconsin (PPWI) .”

PPWI

The letter detailed what it calls “red flags” already discovered by the Office of the Inspector General (OIG) at the Department of Health Services against two family planning facilities, (NEWCAP and Wisconsin Family Planning Health Services) in the state which over-billed the state a combined total of $3.5 million.

The letter states that several other states report, “similar findings with Planned Parenthood and other Medicaid family planning providers.”

They point to a Milwaukee Journal Sentinel article which states, “All of the family planning clinics, including those run by Planned Parenthood of Wisconsin, are paid the same rate by the state.”

In response to the previous investigation of the prior family planning facilities, Nicole Safar, director of policy and legal advocacy for Planned Parenthood of Wisconsin, told the Journal, “We are all doing it the same way.”

Planned Parenthood Wisconsin Audit

The lawmakers write that Planned Parenthood’s statement in that article is troubling, “It is peculiar and deeply troubling,” they said, “that any large recipient of taxpayer dollars would pre-emptively divulge that they are guilty of massively defrauding the government and actively in violation with their billing practices, with no plans to change or reimburse taxpayers–and yet that is precisely what Planned Parenthood of Wisconsin is admitting to.

But, of course, Planned Parenthood is crying foul and the media is listening.

As Safar so boldly stated before the audit has even begun, “Any sort of audit of family planning providers is only going to show widespread compliance. There is no wrongdoing, there is no fraud,” Safar said. “Anyone can shine a light on us.”

Americans United for Life has documented known and alleged abuses by Planned Parenthood, in a published entitled, The Case for Investigating Planned Parenthood, including: misuse of federal health care and family planning funds including that audit reports and admissions by former employees detail a pattern of misuse by some Planned Parenthood affiliates. (read here)

A 2014 report by the legal group, Alliance Defending Freedom, entitled, “Profit No Matter What,” makes similar claims.

So forgive me if I do not buy what Safar is selling !

Widespread abuse of taxpayer money by Planned Parenthood – says new report

Posted in Financial mismanagement, Medicaid Billing Practices, Planned Parenthood medicaid fraud with tags , , , , , , , on July 31, 2014 by saynsumthn

Alliance Defending Freedom made public Wednesday its latest annual report to Congress that identifies waste, abuse, and potential fraud by Planned Parenthood, state family planning programs, and other organizations. As in 2013 and previous years, the report urges Congress to continue its investigation into the misuse of taxpayer dollars.

Read the report here

Profit No Matter What report exposes Planned Parenthood’s ongoing taxpayer abuse

Posted in Financial mismanagement, Medicaid Billing Practices, Planned Parenthood fined by state, Planned Parenthood medicaid fraud with tags , , , , , , , , on July 23, 2014 by saynsumthn

Profit no matter whatAlliance Defending Freedom made public Wednesday its latest annual report to Congress that identifies waste, abuse, and potential fraud by Planned Parenthood, state family planning programs, and other organizations. As in 2013 and previous years, the report urges Congress to continue its investigation into the misuse of taxpayer dollars.

“The government should use American tax dollars responsibly and for the common good. The taxpayers who provide that hard-earned money deserve to know if it’s being funneled to groups that are abusing it,” said ADF Litigation Counsel Catherine Glenn Foster. “When it comes to accountability and transparency, Planned Parenthood’s publicly-funded, billion-dollar abortion empire cannot be given a pass. It has to play by the same rules as everyone else.”

ADF Report 2014

The updated report, titled “Profit. No Matter What,” explains that “Planned Parenthood and its affiliates are engaged in a pattern of practices designed to maximize their bottom-line revenues through billings to complex, well-funded federal and state programs that are understaffed and rely on the integrity of the provider for program compliance.”

The report details the 44 known audits or other reviews of Planned Parenthood affiliates’ financial data and practices, as well as 51 known audits of state family planning programs and three known audits of family planning organizations that found overbilling. The audits for fiscal year 2013 found a total of more than $115 million in waste, abuse, and potential fraud in federal and state family planning funding programs, the lion’s share of which goes to Planned Parenthood. Approximately $14.4 billion of federal Medicaid expenditures were improper payments, according to government sources.

The report also identifies 10 types of waste, abuse, and potential fraud Planned Parenthood affiliates have been found to be committing or have been credibly accused of nationwide. The potential fraud includes the illegal practice of billing and being reimbursed by Title XIX agencies for medications and/or services provided in connection with an abortion.

Other alleged billing violations include billing in excess of actual acquisition cost or other statutorily approved costs for contraceptives and Plan B products, inappropriately billing for services that were not medically necessary, billing for multiple initial prenatal care visits, and incorrectly billing initial, follow-up, and postpartum services.

Planned Parenthood former employee turned whistle blower charges the abortion giant with fraud

Posted in Financial mismanagement, Medicaid Billing Practices, Planned Parenthood Employee, Planned Parenthood Employee Testifies against them, Planned Parenthood fined by state, Planned Parenthood lawsuit, Planned Parenthood medicaid fraud with tags , , , , , , , , , on May 21, 2014 by saynsumthn

Planned Parenthood must face claims that it defrauded Medicaid with regard to blood tests performed on Texas teens, a federal judge ruled.
Patricia Carroll

According to Court House News, Patricia Carroll brought the complaint in late 2012 after serving as the accounts receivable manager for Houston-based Planned Parenthood Gulf Coast Inc. for five years. In March of that year, she had allegedly noticed that a Planned Parenthood clinic in Huntsville experienced a revenue increase of more than 300 percent.

PPGulfCoast2010-affiliate-header-91650

On July 30,2013 Planned Parenthood Gulf Coast settled a whistle-blower lawsuit that alleged the Houston abortion giant engaged in fraudulent Medicaid billing for $4.3 million.

In finalizing the settlement, which includes total state and federal recovery, the agency claimed the allegations that it submitted more than $30 million in fraudulent bills between 2003 and 2009 were “baseless.”

“This settlement is not an admission of guilt,” Planned Parenthood said in a prepared statement.

TX AG MEdicaid Fraud

Carroll’s May 2014 claim against Planned Parenthood:

Patricia Carroll Fraud 1

Patricia Carroll Fraud 2

Patricia Carroll Fraud 3

Read More

Of course, despite receiving MILLIONS in federal tax dollars- this is not Planned Parenthood’s first accusation of fraud. Saynsumthn has been detailing this from around the country here and here.

This lawsuit comes on the heels of news that Planned Parenthood staffers were accused of selling illegal meds in the abortion clinic parking lot. (Read more here)

Clinic Worker oster

The pro-life organization, Life Dynamics has been encouraging pro-lifers to warn abortion and Planned Parenthood workers that illegal activity could send them to prison:

According to Life Dynamic’s press release, it is clear that the pro-life movement has a greater potential for recruiting informants from the abortion industry than ever before. To capitalize on this, Life Dynamics, Inc. a national pro-life organization located in Denton, Texas is re-launching its ClinicWorker.com direct mail campaign.

Since Life Dynamics began the ClinicWorker.com project, they have seen that virtually every abortion clinic in the country is engaged in at least some sort of illegal activity and most are engaged in several. Life Dynamics claims that when this information is brought out into the public, the consequences for the abortion industry can be devastating.

Crutcher recently spoke about this project on his monthly TV show, Life Talk,

Clinic Worker poster

According to Crutcher, “In just one example, several years ago two employees of Petroplex Gynecological – an abortion clinic in Midland, Texas – contacted us with information documenting that the abortionist who owned this facility was underreporting his income and filing false Medicaid claims. Following several days of conversations with these women, we called our contact at the Internal Revenue Service and made arrangements to turn this evidence over to them. Within a few months, that material was used to convict abortionist John Alderman and send him to a federal prison. His abortion clinic was also shut down and never reopened.”

Clinic Worker osterAccording to Mark Crutcher, president of Life Dynamics Inc, a national pro-life organization in Denton, Texas, “Every piece of information we need to destroy the abortion industry is in the abortion industry.”

Life Dynamics has considerable experience with abortion clinic employees and former employees who have either witnessed or participated in illegal activities occurring at their places of work. A few of the most common of these crimes include:

• Income Tax Evasion • Physical Assault of Patients
• Medicaid Fraud • Sexual Harassment of Employees
• Insurance Fraud • Sexual Assault of Patients
• Money Laundering • Failure to Report Statutory Rape of Minors
• Consumer Fraud • Health and Safety Code Violations

Mark Crutcher2013

Crutcher points out that, “An issue that was recently brought into the public spotlight is the killing of children outside the womb who survive botched abortions. While many of us in the pro-life movement already knew that this has been going on for years, the general public was not made aware of it until May, 2013, when Pennsylvania abortionist, Kermit Gosnell, was sentenced to life in prison for committing this crime.”

Gosnell Perp Walk

Crutcher continues, “From the abortion industry’s standpoint, it may be that the most damaging outcome of this trial is not that Gosnell went to prison, but that his wife and several employees did as well. This creates trouble for the abortion industry given that (a) it is common for the authorities to get information about an employer’s illegal activity from disgruntled former employees and ex-spouses; and (b) the divorce rate within the abortion industry appears to be well above average and the employee turn-over rate is astronomical. Beyond that, we have also found that, even among those employees who remain on abortion clinic payrolls, the vast majority have an attitude toward their employers that ranges from distrust to loathing.

gosnell9_20110120163405_320_240

When prison sentences were handed down against Gosnell’s employees, it was easy to predict that one consequence would be a heightened concern among America’s abortion clinic workers regarding their own vulnerability to criminal charges.

“In the past, most of these people were intimidated into silence because they didn’t know the answers to two questions: “How would I go about telling what I know?” and the most important question of all, “Am I in trouble?” But at Life Dynamics, we know that these issues can be resolved. We also see evidence that clinic employees are starting to be less afraid to come forward.”

On the day after Gosnell was convicted, Life Dynamics released the first part of an interview they taped with three former employees of Houston abortionist, Douglas Karpen. In graphic detail, these women publicly revealed that the same things that were going on in Gosnell’s abortion clinic are going on in Karpen’s. Life Dynamics furnished the unedited footage of this interview to the Houston police resulting in a criminal investigation.

americanabortionclinic-dvd

In addition, Life Dynamics has since produced a DVD called An American Abortion Clinic that contains more of this chilling interview plus an interview we conducted with a recent patient of this same facility.

Crutcher, says, “Since the Gosnell trial many abortion employees are looking out there and saying, ‘You know what? I like my job, and I’m pro-choice and all that, but I’m not interested in going to prison. I’m not that committed.’ And they are starting to come out of the abortion industry. Well..Life Dynamics, Inc. is going to make it a little easier for them.”

To capitalize on this, Life Dynamics will be sending information to every abortion clinic in the country alerting employees about illegal activity that may be going on in their facility, what they can do about it, and what their own legal exposure might be.

clinicworker_packet

Recognizing that these efforts will not get through to every employee, Life Dynamics has also developed a kit to help sidewalk counselors increase the reach of the campaign. Included will be five picketing signs (posters) that we recommend pro-life sidewalk counselors attach to cardboard or foamcore for use at the clinics. Life Dynamics will also include a supply of ClinicWorker.com business cards.

Those who would like to more information on the Clinic Worker Kit can contact Life Dynamics here www.LifeDynamics.com