Archive for P. Victor Gonzalez

Former Planned Parenthood staffers explain how Medicaid fraud is being committed

Posted in Abortion Quota, Planned Parenthood Abortion Quota, Planned Parenthood former employee, Planned Parenthood illegal activity, Planned Parenthood medicaid fraud with tags , , , , , , , , , , , , , , , , , , , , , , , , on October 16, 2017 by saynsumthn

|  (From Live Action News)

In 2015, seven former Planned Parenthood (PPFA) employees informed the House Energy and Commerce Subcommittee on Oversight and Investigations that Planned Parenthood should be investigated for a number of potentially criminal and fraudulent acts. These former employees told Committee members in a formal letter that because Planned Parenthood receives half a billion in taxpayer funding annually, Planned Parenthood should “[…] merit close Government attention as to whether or not these funds are being spent appropriately.”

The former Planned Parenthood staffers’ letter noted, “we are of one mind that the extent of theses problems with the organization is not fully understood by the American people….” They added that they “could personally attest” that Planned Parenthood has “operated as a law unto itself, gladly accepting tens of millions of dollars of taxpayer support while using the rubric of ‘reproductive rights’ to claim exemption from the normal standards of accountability that every other recipient of public funds is expected to meet.”

In recent years, additional former Planned Parenthood staffers have come forward to accuse the abortion corporation of fraudulently overbilling Medicaid, milking American taxpayers for millions of dollars.

READ: Half of WI Planned Parenthood’s Medicaid payments were fraud, auditors say

Karen Reynolds

In August 2013, the whistleblower case of Karen Reynolds, a former employee of Planned Parenthood Gulf Coast, resulted in the Houston-based Planned Parenthood affiliate paying $4.3 million to resolve civil allegations made by Reynolds under the False Claims Act in the Eastern District of Texas. According to a Department of Justice release:

The government alleged that between 2003 and 2009, Planned Parenthood Gulf Coast billed and was paid by government programs, Texas Medicaid, Title XX, and the Women’s Health Program, for certain items and services related to birth control counseling, STD testing and contraceptives when such items and services were either not medically necessary, not medically indicated or not actually provided.

According to a 2017 report called “Profit No Matter What,” published by Alliance Defending Freedom (ADF) and the Charlotte Lozier Institute (CLI), Planned Parenthood’s facilities were required “to constantly increase their ‘pay per visit’ goals which were the bills charged to Medicaid for every patient visit.”

A recent interview with former Planned Parenthood manager, Sue Thayer, indicated that Planned Parenthood also had abortion quotas:

Patricia Carroll

Patricia Carroll was employed as the Accounts Receivable Manager by Planned Parenthood Gulf Coast and stated in her claim against Planned Parenthood that she noticed “a large revenue increase” of 314.76% for PP in Huntsville “while preparing the monthly Projection report.” The Dallas Morning News said about Carroll’s Medicaid fraud accusation:

Carroll worked as the accounts receivable manager at Planned Parenthood Gulf Coast from 2007-2012. In that position, she said she discovered “a fraudulent Medicaid scheme” that dated back to 2002. She alleged that a Planned Parenthood clinic in Huntsville had an employee visit a charter school called Gulf Coast Trade Center and perform STD/HIV tests on the students there, all of whom receive Medicaid benefits.

Carroll said Planned Parenthood incorrectly coded the visits to collect Medicaid reimbursements, estimating the clinic received about $200 per student. “Thousands of claims were filed” in the ten year span, according to Carroll’s original complaint.

In May 2014, a federal district judge in Houston ruled that Carroll had “adequately pleaded factual content that allows the court to draw the reasonable inference that Planned Parenthood knowingly filed false claims.”

The ADF/CLI report added that “at least some of the services were not medically necessary due to the duplication of visits, teens already having been tested at the jails or court systems they came from, and the higher-level staff already onsite at the school who could provide the same testing and education at no cost.”

Carroll’s lawsuit was dismissed on January 29, 2016, for an undisclosed settlement amount, the ADF/CLI report states.

Victor Gonzalez’s complaint against Planned Parenthood

P. Victor Gonzalez

P. Victor Gonzalez was employed as Vice President of Finance and Administration by Planned Parenthood of Los Angeles (PPLA). Gonzalez accused Planned Parenthood affiliates in California of marking up the cost of birth control drugs between 1997 and 2004 for government reimbursement, resulting in improper reimbursements — at taxpayer expense — far in excess of $200 million.

“An internal email from Gonzalez states that PPLA’s actual acquisition cost for oral contraceptive pills was $1-2, but that it was charging the government $12-48 per pack – a ‘hefty markup’ ‘proscribed by DHS regulations.’ Gonzalez estimates the impact on PPLA alone as approximately $4 million in revenues in a single typical year,” the ADF/CLI report states.

Sue Thayer

Sue Thayer, former manager for Planned Parenthood of the Heartland’s Storm Lake and LeMars facilities in Iowa, claimed Planned Parenthood defrauded Medicaid out of millions by overcharging for services, illegally billing for abortion-related care.

In 2015, Thayer testified before a Congressional committee about the claim, accusing Planned Parenthood of filing “[…] false claims totaling about $28 million with Iowa’s Medicaid program for (1) illegally dispensing “medically unnecessary” quantities of oral contraceptive pills and birth control patches to C-Mail Medicaid patients and doing so without a prescription; (2) fraudulently billing the Iowa Medicaid program for abortion-related services; and (3) coercing “donations” from Medicaid patients.

In an op-ed Thayer wrote in 2017, she elaborated further:

Planned Parenthood advertises that services and supplies are free, but when Medicaid-eligible women are served, it is expected they donate fifty percent of the total cost for the visit…. Planned Parenthood receives $542,000,000 in federal funding, yet asks women who live at or below the poverty line, who depend on federally-funded healthcare to make a donation — proof that Planned Parenthood is much more concerned about its bottom line than women in need.

“Planned Parenthood counted those payments as voluntary donations and billed the full amount to Medicaid,” Thayer recounted in her 2015 testimony, adding, “There is a reason that, despite technically being a nonprofit, Planned Parenthood has reported $765 million in excess revenue over the last 10 years. It is run very much like a business – focused on increasing revenues, placing its own bottom line above the interests of women. And yet leadership would take expensive trips to Europe and Russia and throw elaborate parties at fancy venues.”

In addition, Thayer discussed the alleged fraud accusations in the video below:

Abby Johnson

Abby Johnson, the former director of an abortion center operated by Planned Parenthood Gulf Coast, (formerly Planned Parenthood of Houston and Southeast Texas) accused Planned Parenthood in her lawsuit of “repeated false, fraudulent, and ineligible claims for Medicaid reimbursements” through the Texas Women’s Health Program:

In violation of its duty to report such false, fraudulent, and/or ineligible claims and/or to reimburse the United States and/or the State of Texas for monies wrongfully received by Planned Parenthood of the Gulf Coast, Planned Parenthood Gulf Coast knowingly or willfully concealed the making of such false, fraudulent, and/or ineligible claims and knowingly or fraudulently retained funds which Planned Parenthood Gulf Coast knew it was not entitled to retain.

According to the ADF/CLI report, Johnson “alleged that Planned Parenthood of Houston and Southeast Texas filed at least 87,075 false, fraudulent, or ineligible claims with the Texas Women’s Health Program.”

As a result, Planned Parenthood wrongfully received and retained reimbursements totaling more than $5.7 million, Johnson alleged.

Abby Johnson alleges millions in fraud by Planned Parenthood

According to a report published by LifeSiteNews, the lawsuit also claimed:

… Planned Parenthood held a meeting in late 2008 or early 2009 to inform its clinic directors that it had been falsely billing the Texas WHP since January 1, 2007.  Johnson says that when she asked “what are we going to do about” the money that Planned Parenthood had improperly received, her supervisor answered, “Well, we are going to hope we don’t get caught.”

Ramona Trevino

A 2017 op-ed written by Ramona Trevino, a former Planned Parenthood North Texas facility manager, claimed further that “Medicaid patients are like mini cash cows for Planned Parenthood.” Trevino added, “Patients who went to Planned Parenthood abortion centers used federal funds to pay for post-abortion exams at Planned Parenthood’s non-abortion centers….”

Today, due in part to the broken promises of politicians to defund Planned Parenthood, American taxpayers are still forced to hand over $1.5 million per day to this fraudulent organization.

Government tax dollars going to Planned Parenthood in just the past ten years now total in the billions of dollars with little to no oversight, while Planned Parenthood continues to send hefty “campaign contributions” to its allies through its political arm. And, despite accusations of fraud, another half a billion in taxpayer dollars is slated to be handed over to Planned Parenthood in 2018.

It is past time to stop this abuse and defund Planned Parenthood.

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

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

Slain abortion doc, George Tiller honored by eugenic and racist founded organization

Posted in Abortion, birth control, Black Genocide, Darwin, Eugenics, Hitler, Infanticide, Margaret Sanger, Nazi, Planned Parenthood, Population Control, Racism, Sterilization, Violence against women with tags , , , , , , , , , , , , , , , , , , , , , , , on September 29, 2009 by saynsumthn

From the Wichita Eagle:

Slain Wichita abortion provider George Tiller was honored posthumously in Washington over the weekend with one of the highest honors given by the International Federation of Planned Parenthood Foundation, the group announced Monday.

abortmedal

Tiller was named recipient of the group’s Medal of Honor for “outstanding individual contribution to sexual and reproductive health.”

The medal was presented at the international group’s Western Hemisphere meeting. Tiller’s widow, Jeanne, accepted it on her late husband’s behalf, according to a statement from the organization.

The award was presented by Alexander Sanger, grandson of Margaret Sanger, a nurse who crusaded for women’s access to birth control in the early 20th century and co-founded Planned Parenthood.

For 30 years, George Tiller stood up to protests, harassment and assaults, even being wounded some years ago in a shooting,” Alexander Sanger said. “He kept his clinic doors open to give a choice to women who never imagined they would ever need it — women with a wanted pregnancy that had gone terribly awry as it progressed.”

After decades of operating a controversial clinic providing late-term abortions in Wichita, Tiller was gunned down May 31 at Reformation Lutheran Church, where he was serving as an usher for Sunday services.

Abortion Doctor Shooting

Rest of story here: Tiller’s work honored in D.C.

So Late-Term Abortion Doc, George Tiller, is now in the Planned Parenthood: Hall of Fame alongside Eugenics Member and Planned Parenthood Founder Margaret Sanger.

Margaret Sanger, the founder of Planned Parenthood was a long-standing member of the American Eugenics Society as were many of Planned Parenthood’s founders. It is no wonder that an organization which worked alongside those who felt that blacks, Jews, disabled were not equal to White Elitists would honor Tiller.

Check out Maafa21 for more details on how racist abortion really is: Maafa21 Trailer

tiller-1

Let’s see some of Tiller’s handiwork: ( Story here)

confession

Tess-cradling-baby

Tess-Killed by Tiller

I wonder when the “We care about women abortion industry” and Planned Parenthood will honor Christin Gilbert who died from the abortion she received at the hands of Dr. Tiller. Oh, but I forgot, she had Down’s Syndrome, and that is just the type of “Health Problem” Tiller targeted in his eugenic christinhugsabortion mill.

ChristinGilbert Tombstone


More Dirt on Planned Parenthood :
ACLJ Files Reply Brief with Federal Appeals Court in Massive Fraud Case against Planned Parenthood Affiliates in California

WASHINGTON–(BUSINESS WIRE)–The American Center for Law and Justice (ACLJ) has filed an additional brief with the U.S. Court of Appeals for the Ninth Circuit in a multi-million dollar fraud case against Planned Parenthood (PP) affiliates in California. The ACLJ filed its reply brief Friday with the appeals court in a case where ACLJ attorneys represent a former employee of the PP affiliate in Los Angeles, who is now a federal whistleblower. The case had been dismissed by a federal district court, but the ACLJ is asking the appeals court to reinstate the lawsuit.

The federal False Claims Act (FCA) forbids government contractors from submitting “false or fraudulent” claims for payment. The FCA also authorizes private individuals to bring suit against the offenders to recover the fraudulently obtained funds.

Nationally, Planned Parenthood is a billion-dollar operation. We believe this case will show that Planned Parenthood has been soaking taxpayers even beyond the legal limits,” said Jay Sekulow, ACLJ Chief Counsel. “The False Claims Act provides an important weapon in rectifying illegal runs on taxpayer dollars.

The allegation in this case is that PP affiliates in California illegally marked 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. State audits in both California and Washington State have found PP affiliates guilty of overbilling.

In the reply brief filed with the appeals court on September 25th, the ACLJ counters arguments that the Planned Parenthood affiliates made in their own brief on appeal. In particular, the ACLJ brief takes Planned Parenthood to task for “misrepresenting” the record in the case and for “improperly” trying to inject new materials into the case on appeal.

You can read the reply brief here:

When the former PP staffer sued the PP affiliates in federal court, charging the defendants with having fraudulently overbilled the state and federal governments in the amount of tens of millions of dollars, a prominent law firm began representing the PP defendants in the case for free. The law firm convinced a federal district court to dismiss the case. ACLJ attorneys then entered the case to handle the appeal.

“This is a very complicated, highly technical area of the law,” noted Sekulow. “There is no way an ordinary citizen, no matter how just the claim or how egregious the fraud, could afford to take on a prominent law firm in a complex area of the law like this. We’re very pleased that the ACLJ was available to provide the high-powered analysis a case like this calls for,” concluded Sekulow.

The ACLJ filed its opening brief in July and explained why the appeals court should reverse the lower court’s judgment and reinstate the lawsuit. You can read the ACLJ opening brief here:

Led by Chief Counsel Jay Sekulow, the American Center for Law and Justice focuses on constitutional law and is based in Washington, D.C. The ACLJ is online at http://www.aclj.org.

Contacts

American Center for Law and Justice (ACLJ)
For print:
Gene Kapp, 757-575-9520
or
For broadcast: Christy Lynn Wilson or Todd Shearer, 770-813-0000.
Visit ACLJ Newsroom: http://www.DeMossNewsPond.com/aclj
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