Archive for Patricia Carroll

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.

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.

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