Archive for the Planned Parenthood medicaid fraud Category

$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.

Planned Parenthood fined TRIPLE what AG reported for medicaid fraud ! $4.3 million !

Posted in Medicaid Billing Practices, Planned Parenthood medicaid fraud with tags , , , , , , on July 31, 2013 by saynsumthn

PPGulfCoast2010-affiliate-header-91650

Planned Parenthood’s Houston-based affiliate clarified Tuesday that it settled for $4.3 million, three times the $1.4 million that Abbott reported a week ago.

The Houston Chronicle. has reported that Planned Parenthood Gulf Coast settled a whistle-blower lawsuit that alleged the Houston nonprofit engaged in fraudulent Medicaid billing for $4.3 million – nearly $3 million more than was announced last week by Texas Attorney General Greg Abbott.

The say that, 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.”

The lawsuit was brought by a former medical assistant in agency’s Lufkin clinic. The lawsuit alleged “defendant’s billing policies routinely instructed clinic staff to enter billing codes for certain services, regardless of whether patients’ charts recorded that such service was actually provided.”

Last week, Texas Attorney General’s, in announcing a $1.4 million settlement, said its investigation showed the agency charged for “services that were never actually rendered, not medically necessary and were not covered by the Medicaid program.”

TX AG MEdicaid Fraud

Bad week for Planned Parenthood: $4.3 million medicaid fraud settlement, conditions exposed by ex-employees, center closes

Posted in Financial mismanagement, Medicaid Billing Practices, Planned Parenthood clinic inspections, Planned Parenthood closing, Planned Parenthood Employee, Planned Parenthood Employee Testifies against them, Planned Parenthood ex employee, Planned Parenthood Investigated, Planned Parenthood medicaid fraud with tags , , , , , , on July 31, 2013 by saynsumthn

PPGulfCoast2010-affiliate-header-91650

Planned Parenthood’s Houston-based affiliate clarified Tuesday that it settled for $4.3 million, three times the $1.4 million that Abbott reported a week ago.

The Houston Chronicle. has reported that Planned Parenthood Gulf Coast settled a whistle-blower lawsuit that alleged the Houston nonprofit engaged in fraudulent Medicaid billing for $4.3 million – nearly $3 million more than was announced last week by Texas Attorney General Greg Abbott.

The say that, 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.”

The lawsuit was brought by a former medical assistant in agency’s Lufkin clinic. The lawsuit alleged “defendant’s billing policies routinely instructed clinic staff to enter billing codes for certain services, regardless of whether patients’ charts recorded that such service was actually provided.”

Last week, Texas Attorney General’s, in announcing a $1.4 million settlement, said its investigation showed the agency charged for “services that were never actually rendered, not medically necessary and were not covered by the Medicaid program.”

TX AG MEdicaid Fraud

THEN IN DELAWARE: Planned Parenthood of Del. Under Investigation

PPDE2010-affiliate-logo-90240

A Planned Parenthood facility in Wilmington is under fire following new accusations from three former employees.

MelodyMeanor2Melody Meanor

Former manager Melody Meanor and former nurses Joyce Vasikonis and Jayne Mitchell-Werbrich spoke at a legislative hearing on Monday, claiming the Planned Parenthood clinic located on Shipley Street in Wilmington is unprofessional, under-trained and unsafe.

“Women are exposed to potential infection of any kind you can imagine that can be passed from one patient to another,” Vasikonis said.

PP DE 564507_501479036585800_403720624_nJoyce Vasikonis and Jayne Mitchell-Werbrich

During their testimony, the women claimed the privacy of patients was jeopardized, that they were asked to falsify employee records, that medical assistants were poorly trained and that certain women in need of certain medications after abortions often didn’t receive them. They also claimed that the facility failed to inform up to 200 women that they tested positive for gonorrhea and chlamydia, according to Delaware Online.

All three nurses insist that their motivation for testifying is not political. In fact, they say that they are pro-choice and believe in the national mission of Planned Parenthood. They also believe however that the Wilmington clinic is putting the lives of women at risk.

OSHA previously issued several citations against the clinic and the State Health Department found violations during an inspection. However, the Department allowed the clinic to stay open, satisfied with its attempts to make things right. The former employees however, don’t believe the state is looking close enough.

“I believe that Planned Parenthood should be fined and closed until all dangers are addressed,” Werbrich said. “Again, I’m going to state, I am pro-choice.”

Jayne PPDE

Former Planned Parenthood of Delaware employee , Jayne Mitchell-Werbrich, worked as a registered nurse at Planned Parenthood in 2012. She calls them “startling similarities between Planned Parenthood and Gosnell.

Dr. Gosnell was notorious in the Philadelphia/ Wilmington area – he ran a filthy clinic and was convicted of murder after performing late term abortions where babies were born alive and killed. I was not aware of such horrifying happenings at Planned Parenthood of Delaware The similarity between the case of Kermit Gosnell and Planned Parenthood of Delaware is that they both operated extremely hazardous abortion clinics, and that their respective states refused to close them despite the repeated warnings. I believe that Planned Parenthood should be fined and closed until all dangers are addressed.”

More on Kermit Gosnell here


PPMohawkHudson2010-affiliate-header-91180
IN NEW YORK : PLANNED PARENTHOOD TO CLOSE A CLINIC

Planned Parenthood‬ Mohawk Hudson has announced that they will close Ticonderoga Health Center in August ! The abortion giant closed its Granville and Herkimer health centers on July 3.

Herkimer Granville

Planned Parenthood in Wisconsin says a new admitting privileges law would force its Grand Chute clinic to close because providers there lack admitting privileges at local hospitals. What a shame !!!

Planned Parenthood to pay $1.4 MILLION for Medicaid fraud in Texas

Posted in Financial mismanagement, Medicaid Billing Practices, Planned Parenthood CEO, Planned Parenthood Employee, Planned Parenthood medicaid fraud with tags , , , , , , , on July 24, 2013 by saynsumthn

UPDATE: July 30,2013 Planned Parenthood Gulf Coast settled a whistle-blower lawsuit that alleged the Houston nonprofit engaged in fraudulent Medicaid billing for $4.3 million – nearly $3 million more than was announced last week by Texas Attorney General Greg Abbott, according to the Houston Chronicle.

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.

The lawsuit was brought by a former medical assistant in agency’s Lufkin clinic. The lawsuit alleged “defendant’s billing policies routinely instructed clinic staff to enter billing codes for certain services, regardless of whether patients’ charts recorded that such service was actually provided.”

Last week, the attorney general’s office, in announcing a $1.4 million settlement, said its investigation showed the agency charged for “services that were never actually rendered, not medically necessary and were not covered by the Medicaid program.”

The Texas attorney general’s office has settled a Medicaid fraud case with Planned Parenthood Gulf Coast.

TX AG MEdicaid Fraud

The Texas Attorney General’s Office today concluded the State’s Medicaid fraud investigation into Planned Parenthood Gulf Coast, Inc. Under today’s agreement, Planned Parenthood Gulf Coast must pay $1.4 million for fraudulently overbilling the taxpayer-funded Medicaid program.

After a whistleblower lawsuit was filed alleging improper billing practices by Planned Parenthood Gulf Coast, an investigation was opened by the Texas Attorney General’s Office and the Texas Health and Human Services Commission’s Office of Inspector General. The State’s investigation revealed that Planned Parenthood Gulf Coast improperly billed the Texas Medicaid program for products and services that were never actually rendered, not medically necessary, and were not covered by the Medicaid program – and were therefore not eligible for reimbursement. For example, state investigators determined that Planned Parenthood Gulf Coast falsified material information in patients’ medical records in order to support fraudulent reimbursement claims to the Medicaid program.

Under the agreement announced today, Planned Parenthood Gulf Coast must pay $1.4 million to resolve the Medicaid fraud enforcement action. Because Medicaid is jointly funded by the State and the federal government, the federal government is entitled to a portion of the Texas recovery. Under the Texas Medicaid Fraud Prevention Act, the relator-whistleblower that uncovered the defendant’s fraudulent conduct will also receive a share of the State’s recovery.

Nationally recognized for its successful efforts to recover funds wrongfully taken from the Medicaid program, the Texas Attorney General’s Civil Medicaid Fraud Division (CMF) is responsible for pursuing fraud claims through civil enforcement actions. Since 2002, CMF’s recoveries for the State of Texas have passed the $400 million mark – while total recoveries for the state and federal governments now exceed $1 billion.

According to Life News: 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 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.

PPGulfCoast

In 2005, Planned Parenthood of Houston and Southeast Texas (PPHSET) entered a management agreement with Planned Parenthood of Louisiana and the Mississippi Delta (PPLAMD). PPLAMD had been operating health centers in Louisiana since 1984. In 2010, the two affiliates officially merged and became Planned Parenthood Gulf Coast, Inc. (PPGC). Planned Parenthood Gulf Coast now serves 35 counties in Southeast Texas and the entire state of Louisiana. PPGC operates 12 health centers – 7 in the Houston area, 3 in Southeast Texas and 2 in Louisiana.

PPGULFCOASTBOARD

After the merger, as Planned Parenthood Gulf Coast, paid their employees well according to a 2010 annual report:

PPGULFCOAST 2010

Have to wonder if these six digit salaries did not come at the expense of Texas Tax Payers in the Medicaid Fraud?
CEO Peter Durkin took in $234,538
Meloney Linton $151,475
Jeffrey Palmer $124,236

Planned Parenthood reports that they killed 333,964 unborn children from abortion with our tax dollars in the year 2011 to 2012 according to their most recent report! In addition, according to Planned Parenthood’s “Services” fact sheet, its clinics performed 329,445 abortions in 2010.

2011to2012absPP

bling1233607244

According to Planned Parenthood’s 2011-2012 Annual Report, the Planned Parenthood abortion giant received $542 MILLION Dollars in Government Grants for year ending June 2012 !

READ ALSO:

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

Lawsuit: Planned Parenthood defrauded taxpayers in Wash. state

Case AGAINST abortion giant Planned Parenthood advances in Court

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

3 million in Medicaid payments puts Planned Parenthood and doc Caroline Hoke under investigation

BACKSTORY:

Texas
2012

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.”
H/T Texas Watchdog

Planned Parenthood of North Texas PAC fined $3,000 for campaign finance violations

Aug 26, 2010 By Mark Lisheron

The Texas Ethics Commission has fined Cary Jennings, the campaign treasurer for Planned Parenthood of North Texas‘ political action committee, $3,000 for failing to disclose spending $26,695 to support four political candidates in the November, 2008 state elections.

The Ethics Commission also found Planned Parenthood of North Texas Action Fund Political Committee had either failed to report or made mistakes with political contribution and expenditure totals on more than 17 monthly reports required by state law.

The political action committee in a November 2008 report said it spent $26,695 for mass mailings the previous month. However, the report failed to say the mailings were made in support of Wendy Davis, who was running for state Senate and Dan Barrett, Carol Kent and Chris Turner, who were running for state House seats, according to the Ethics Commission findings.

The following month, the political action committee reported spending $15,410 in one day to the same company for a blitz of campaign telephone calls on behalf of Davis, Kent, Turner and Robert Miklos, who was running for the House. The Commission took note that this disclosure of candidate support was not reflected on the report’s cover page.

The committee filed 17 corrected campaign finance reports on Sept. 14, 2009. Texas Watchdog has a call in to Planned Parenthood, and will update the blog if we hear back from the group here .
Davis, Kent, Turner and Miklos won their legislative races, while Barrett lost to Republican physician Mark Shelton.

The Ft. Worth Telegraph reported it this way: Planned Parenthood PAC failed to disclose campaign support
Posted Thursday, Aug. 26, 2010

The Planned Parenthood of North Texas Action Fund PAC fouled up 17 monthly campaign expense reports and omitted an expenditure of about $27,000 that supported four local candidates for the Legislature.

The Texas Ethics Commission posted a report this week that said the political action committee failed to identify the candidates and improperly disclosed expenditures on their behalf.

An amended finance report filed by the PAC shows that the candidates supported by the mailings were Sen. Wendy Davis, D-Fort Worth, and House candidates Chris Turner, Dan Barrett and Carol Kent, all Democrats.

The committee’s treasurer, Cary Jennings, declined to comment. He was fined $3,000, according to a commission order.

The PAC has made internal changes, Director Kathryn Allen said.

“We feel we have fixed the problem and will not make this mistake going forward,” she said. “We weren’t trying to conceal our support for those candidates.”

At question was $26,695 paid on Oct. 14, 2008. The PAC corrected filings in September 2009 to show that it paid Gold Communications to send mailers that benefited the four legislative candidates. The original November 2008 monthly report disclosed the expense but not that the money directly benefited candidates.

The commission found the error when examining a complaint about monthly reports. Between April 2008 and August 2009, the PAC filed reports that inaccurately stated the balance of cash on hand. Balances changed on average by about $6,700. The two largest changes to the contribution balance were a decrease of $25,100 and a decrease of $44,560.

Once the mistake was found, the PAC filed corrected reports within a week, Allen said.

“Our PAC is fairly new, and being new to reporting, we had some technical errors that were found,” Allen said. “They were related to cash on hand. Those have been corrected.”

Read more: http://www.star-telegram.com/2010/08/26/2428025/planned-parenthood-pac-failed.html#ixzz0xobkyfYd
________________________________________________________________________________________________________________________________________________
In 2009

An Audit Shows Planned Parenthood Owes Thousands, sources say debt stands at $1 million

According to this story by KFOX: Planned Parenthood Owes $154K To UMC from November 13, 2009

EL PASO, Texas — KFOX has confirmed Friday that Planned Parenthood Center of El Paso owes more than $150,000 to the county’s University Medical Center.

Through an open records request, KFOX has learned that PPCEP owes UMC $154,814. Sources close to PPCEP claim their total debt stands at more than $1 million.

University Medical Center declined any comment on PPCEP’s current balance. They did not disclose what type of contract was established.

As KFOX reported, a state audit found that PPCEP violated its state contracts after it requested reimbursement for bills that were never paid.

State representatives have told KFOX that it is unclear if the money will ever be collected, and PPCEP is currently under bankruptcy protection.

KFOX has not been able to confirm PPCEP’s bankruptcy status

View Story Here:

Inspector General Report Here

_____________________________________________________________________________________________________________________

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.

Lawsuit: Planned Parenthood defrauded taxpayers in Wash. state

Posted in Planned Parenthood lawsuit, Planned Parenthood medicaid fraud with tags , , , , , , on March 20, 2013 by saynsumthn

Planned Parenthood submitted “repeated false, fraudulent, and/or ineligible claims for reimbursement” to the state of Washington’s Department of Social and Health Services, according to a federal lawsuit made public Tuesday. Alliance Defending Freedom attorneys filed the lawsuit in July 2011 on behalf of Jonathan Bloedow, a Washington resident who discovered the alleged frauds through state open records requests.

Jonathan Bloedow

“Americans deserve to know, especially in economic times like these, if their hard-earned tax money is being funneled to groups that are misusing it,” said Senior Counsel Michael J. Norton, a former U.S. Attorney. “Compliance with the law should not be sacrificed for the sake of Planned Parenthood’s bottom line. They have cheated the American taxpayer for too long. It’s time the abortion giant is held accountable.”

Federal law allows “whistleblowers” with inside information to expose fraudulent billing by government contractors. By law, such cases must initially be filed under seal and may not be made public while federal authorities decide whether to join the case.

Bloedow has sued under the federal False Claims Act. The suit alleges that Planned Parenthood submitted false claims to Washington’s Department of Social and Health Services and its Health and Recovery Services Administration. HRSA runs the state’s Title XIX Medicaid program.

The lawsuit alleges that Planned Parenthood of the Great Northwest filed at least 25,000 false claims with HRSA for reimbursements in excess of the amount allowed for oral contraceptive pills and at least another 25,000 for reimbursements in excess of the amount allowed for “emergency contraceptive” (“Plan B”) pills under the federal government’s 340B drug reimbursement program. Total damages could be as much as $377,134,130.

The allegations of Bloedow’s complaint are consistent with a 2011 Government Accountability Office report that concluded that HRSA monitoring of the 340B program was inadequate and recommended that “HRSA take steps to strengthen oversight regarding program participation and compliance with program requirements.”

Alliance Defending Freedom has filed two prior False Claims Act lawsuits, Johnson v. Planned Parenthood of Houston and Southeast Texas and Thayer v. Planned Parenthood of the Heartland. Bloedow v. Planned Parenthood of the Great Northwest is pending in the U.S. District Court for the Western District of Washington. Allied Attorney Todd Nelson with Nelson Law Group in Seattle is co-counsel and is one of nearly 2,200 allied attorneys with Alliance Defending Freedom.

In 2012, Alliance Defending Freedom publicly released its report to Congress that identified nearly $100 million in waste, abuse, and potential fraud committed by Planned Parenthood affiliates and other providers. Seventy-two Members of Congress, led by Rep. Diane Black of Tennessee and Rep. Pete Olson of Texas, continue to press for the investigation of how Planned Parenthood, the nation’s largest purveyor of abortions, has spent more than $2.3 billion of federal taxpayer dollars over the last few years.

According to a 2008, 990 filed by Planned Parenthood of the Great Northwest:

Dr. Marianne Twyman made a salary of $111,351 plus $5310 in benefits only working 12 hours at Planned Parenthood

According to a 2009 990 from Planned Parenthood of Great Northwest

Christine Charbonneau President/CEO, took home $259,405 plus $10,888 in benefits totaling $270,293

Michael Romo COO, took home $217,071 plus $11,715 in benefits totality $228,786

Mary Grinnell CFO, took in $171,202 plus $11,060 in benefits plus $182,282

Lucile K Arendt VO External Affairs, walked away with $155,410 plus 10,718 in benefits totaling $166,128

Stephen McCallister VP info Technology, took home $147,010 plus $10,656 in benefits totaling $157,666

Robert Campbell McIntyre , Medical Director, took home $254,099 plus $11,763 in benefits totaling $265,862 ( Licensed in Washington State)

Anna Kaminski
, Assoc Medical Director, took in $145,453 plus $9661 in benefits totaling $155,114 ( also LICENSED IN Arkansas and Washington State )

Carole Williams VP Human Resources took home $136,568 plus $9577 in benefits

Carole Miller VP of Education Training took home $120,418 plus $10,272 in benefits

Victoria Fletcher, Director Clinical Services, took home $110,467 plus $2306 in benefits

In Arizona, Open Works was paid $154,770 for Janitorial Services to Planned Parenthood of the Great Northwest in 2009.

Planned Parenthood received $349.6 million in tax dollars in the fiscal year ending on June 30, 2008, and $363.2 MILLION Dollars on Government Grants ( Tax Dollars) in 2009– that is ONE MILLION DOLLARS PER DAY of taxpayer money !!!

Cecile Richards; Planned Parenthood President

Planned Parenthood then took those hard earned dollars away from poor and middle class hard working people and it paid its president, Cecile Richards, $385,163, plus another $11,876 in benefits and deferred compensation. ( View 2008 990 here )

The $385,163 in pay Planned Parenthood President Richards received in the organization’s fiscal year ending June 30, 2008 was recorded in the group’s publicly available Internal Revenue Service Form 990 filed for that year.

Richards also received $346,285 in total compensation from Planned Parenthood and $38,476 in total compensation from related groups in the organization’s fiscal year that ended on June 30, 2009, according to the organization’s Form 990 for that year. In a 2010 PPFA 990, Cecile Richards reported earning $319,245 from PPFA and $35,471 from related PP organizations

What you may not know is how much money , in a time of economic depression, Cecile Richards and her crew at Planned Parenthood are making, paid for by hard working American Tax Payers like me and you. GO HERE

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

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
_________________________________________________________________________________________________________________________________________________________________________

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