Melania Trump Holds BE BEST BS Propaganda Gathering On Pretending To Protect Native Children Without Ever Once Mentioning CPS, NICWA Or Parental Rights

They refuse to say Child Protective Services or NICWA.

Do you know how many children were raped in
foster care in the U.S. last year?
Neither does US DHHS.
They don't keep records.

A freak worked as a federally tax paid pediatrician despite complaints of what he was doing, who probably not even a doctor, is showcased as all the wonderful things CPS has done, under the FBI for the last 30 years for native children.

They are speaking on whistleblower protections because there is lots of stealin'.

They said reporting sexual abuse of children started in 1992.

What happened before that and where are the numbers?

How come this task force is not talking about abject poverty, missing women, suicides and the rampant drug operations, under CIA structure because they were the idiots who came up with blood quantum and the entire concept of foster care, which is nothing but a christian assimilation operation for the native savages. 

How come there is no mention of child trafficking?

Go look at that damn reservation system. 

CIA created that crap. 

Anyone remember Trail of Tears or stories from your elders? 

They do not teach this in school.

I am waiting for these people to talk about the egregious child sex trafficking in foster care and adoption, let alone the reservations.

FLOTUS: Melanie Trump v. Be Best - What Is The Citizenship Of A Foster Child?

What is this crap??????

Working with tribal leaders?

They are the ones stuffing their pockets!!!!!!!!!

Who owns these tribal lands because I can smell land patents.

What about money laundering on tribal lands to fund political campaigns?

Is this health care funding falsely claimed to protect children?

I would most definitely say so.

This is that BE BEST BS. 

BE BEST - Modern Day Trafficking Tiny Humans Through Faith Based Funding Stimulus - Corporate Parental Rights

Staff for Melanie Trump is either really freakin' stupid are extremely vile. 

You tell me in a task force briefing, or a criminal indictment.

#maytheheavensfall

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DOJ: Tennessee Health Care Executive Sentenced to Prison for Role In $4.6 Million Kickback Scheme

A Tennessee health care executive was sentenced to 42 months in prison yesterday for her role in a $4.6 million kickback scheme.

Assistant Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division, U.S. Attorney Don Cochran of the Middle District of Tennessee, Special Agent in Charge Derrick Jackson of the U.S. Department of Health and Human Services Office of Inspector General's (HHS-OIG) Atlanta Region, Special Agent in Charge John F. Kihn of the U.S. Department of Defense Criminal Investigative Service’s (DCIS) Southeast Field Office and Director David Rausch of the Tennessee Bureau of Investigation made the announcement.

Brenda Montgomery, 71, of Camden, Tennessee, was sentenced by U.S. District Judge William Campbell Jr., of the Middle District of Tennessee.  Judge Campbell also ordered Montgomery to forfeit $595,676.80.  Montgomery pleaded guilty on Jan. 7, 2019, to one count of conspiracy to violate the anti-kickback statute and seven counts of violating the anti-kickback statute. 

As part of her guilty plea, Montgomery admitted that she agreed to pay John Davis, the former CEO of Comprehensive Pain Specialist (CPS), illegal kickbacks in exchange for his arranging for Medicare referrals for durable medical equipment (DME) ordered by CPS employees.  Davis agreed to arrange for referrals of DME for Medicare beneficiaries from the providers he supervised in exchange for a kickback equaling 60 percent of the Medicare proceeds.  In addition, Montgomery and Davis took a number of steps to conceal their illegal agreement, including making kickback payments through a nominee, creating and filing false tax documents, and, for Davis, intervening as CEO to prevent the owners of CPS from obtaining their own Medicare DME supplier numbers that would have allowed CPS to bill for its own Medicare DME orders.

Beginning in or around May 2015, Montgomery renegotiated her illegal agreement with Davis to further obscure their personal contract from Medicare and from CPS owners and employees, the court found.  From approximately May 2015 until approximately November 2015, Montgomery agreed to pay Davis $200,000 for the sham purchase of a shell entity known as ProMed Solutions LLC (ProMed).  Montgomery again sought to renegotiate the sham transaction with Davis after she complained that her referrals from CPS had been lower than expected.  Montgomery ultimately paid $150,000 for ProMed.  The true purpose of this payment was to induce Davis to continue driving CPS referrals to CCC Medical, which was Montgomery’s DME  supplier.

The Court further found that Montgomery received as much as $2.9 million in fraudulent reimbursements from Medicare.  In addition, Montgomery admittedly paid more than $770,000 in illegal kickbacks to Davis. 

Davis was tried for his role in the conspiracy on March 26, 2019.  On April 4, 2019, a jury in the Middle District of Tennessee returned a verdict of guilty on one count of conspiracy to defraud the United States and to violate the anti-kickback statute, and seven counts of violating the anti-kickback statute.  Davis’ sentencing has not yet been scheduled.

This case was investigated by the HHS-OIG Atlanta Region, the DCIS’s Southeast Field Office and the Tennessee Bureau of Investigation Medicaid Fraud Control Unit.  Trial Attorney Anthony J. Burba of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Henry Leventis of the Middle District of Tennessee are prosecuting the case.  

The Criminal Division’s Fraud Section leads the Medicare Fraud Strike Force.  Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged nearly 4,000 defendants who have collectively billed the Medicare program for more than $14 billion.  In addition, the HHS Centers for Medicare & Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.   

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DOJ: The United States Intervenes Once Again In A False Claims Act Lawsuit & Matt Whitaker Is Still The Acting Attorney General

Yes, that is correct.

Matt Whitaker has yet to leave the building and the U.S. has intervened in yet another False Claims Act case.

In this particular situation, we are dealing with billions in Medicare fraud.

I am quite sure there is more to this story because its current name indicates medical research, there is an LLC involved, and I see over $600,000,000 in bonds, which makes me curious to find out if they are patents involved.

Government Intervenes in False Claims Act Lawsuit Against Sutter Health and Palo Alto Medical Foundation for Mischarging the Medicare Advantage Program

The United States has intervened in a complaint against Sutter Health LLC, a California-based healthcare services provider, and an affiliated entity, Palo Alto Medical Foundation, (collectively “Sutter”) that alleges that Sutter violated the False Claims Act by submitting inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage Plans, the Justice Department announced today.  Sutter Health is headquartered in Sacramento, California. 

“Federal healthcare programs rely on the accuracy of information submitted by healthcare providers to ensure that patients are afforded the appropriate level of care and that managed care plans receive appropriate compensation,” said Assistant Attorney General Jody Hunt of the Department of Justice’s Civil Division. “Today’s action sends a clear message that we will seek to hold healthcare providers responsible if they fail to ensure that the information they submit is truthful.” 

Under Medicare Advantage, also known as the Medicare Part C program, Medicare beneficiaries have the option of enrolling in managed healthcare insurance plans called Medicare Advantage Plans (MA Plans) that are owned and operated by private Medicare Advantage Organizations (MAOs).  MA Plans are paid a capitated, or per-person, amount to provide Medicare-covered benefits to beneficiaries who enroll in one of their plans.  The Centers for Medicare and Medicaid Services (CMS), which oversees the Medicare program, adjusts the payments to MA Plans based on demographic information and the health status of each plan beneficiary.  The adjustments are commonly referred to as “risk scores.”  In general, a beneficiary with more severe diagnoses will have a higher risk score, and CMS will make a larger risk-adjusted payment to the MA Plan for that beneficiary.

Sutter Health, a non-profit public benefit corporation that provides healthcare services through affiliated entities, including hospitals and medical foundations, contracted with certain MAOs to provide healthcare services to California beneficiaries enrolled in the MAOs’ MA Plans.  In exchange, Sutter received a share of the payments that the MAOs received from CMS for the beneficiaries under Sutter’s care.  

Sutter submitted diagnoses to the MAOs for the MA Plan enrollees that they treated.  The MAOs, in turn, submitted the diagnosis codes to CMS from the beneficiaries’ medical encounters, such as office visits and hospital stays, and these diagnosis codes were used by CMS to calculate a risk score for each beneficiary. 

The lawsuit alleges that Sutter Health and Palo Alto Medical Foundation knowingly submitted unsupported diagnosis codes for certain patient encounters for beneficiaries under their care.  These unsupported diagnosis scores allegedly inflated the risk scores of these beneficiaries, resulting in inflated payments to Sutter.   The lawsuit further alleges that once the Sutter entities became aware of these unsupported diagnosis codes, they failed to take sufficient corrective action to identify and delete additional potentially unsupported diagnosis codes. 

“This intervention illustrates our commitment to protecting the integrity of the Medicare Advantage program,” said U.S. Attorney Alex G. Tse for the Northern District of California.  “The share of Medicare beneficiaries enrolled in Medicare Advantage has steadily grown over the past decade, with 19 million beneficiaries enrolled in 2017.  It is critically important that the data submitted to the Medicare Advantage program is truthful, because the government relies on this information to set payment levels.  We will continue to guard government health programs from companies that improperly maximize their bottom line at taxpayer expense.”

The lawsuit was filed under the qui tam, or whistleblower, provisions of the False Claims Act, which permit private parties to sue on behalf of the government for false claims and to receive a share of any recovery.  The False Claims Act also permits the government to intervene in such lawsuits, as it has done in this case.  The whistleblower, Kathleen Ormsby, was a former employee of Palo Alto Medical Foundation. 

This matter was investigated by the Civil Division’s Commercial Litigation Branch, the United States Attorney’s Office for the Northern District of California, and HHS-OIG.     

The case is captioned United States ex rel. Ormsby v. Sutter Health, et al., Case No. 15-CV-01062-JD (N.D. Cal.).  The claims in which the United States has intervened are allegations only, and there has been no determination of liability.

PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE RESEARCH & EDUCATION

GROSS RECEIPTS: $2,351,820,667

ASSETS: $1,608,618,203

Here is the link to the unsealed original complaint.

U.S. Attorney General Stipulation and Order of Intervention False Claims Act Medicare Fraud 12-11-2018 by Beverly Tran on Scribd

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HHS OIG Busts New Jersey In $600 Million Medicaid Fraud In Child Welfare

Thinking of how I was going to
end Medicaid fraud in child welfare
back in the day.

As long as I have been filing into my great repository of child welfare fraud, I have never seen anything so repugnant as this level of child welfare fraud.

Wait a minute, yes I have.

I remember when Medicaid fraud in child welfare all began in Michigan.

Back to the present.

This HHS OIG report produced a whopping $600 million in Medicaid fraud in child welfare in the State of New Jersey of it ripping off its IDEA children with special needs.

Now, ponder this for just a moment.

If there are 50 states and a few territories that are engaging in similar transgressions against children through Medicaid fraud in child welfare via special needs education cost-reimbursements, and each state and territory engaged in a comparable about of fraud, $500 million, then, that would mean the U.S. is being ripped off through privatized child welfare fraud, to an estimated tune of $25 billion a year.

This is why Betsy DeVos wants to privatize education in America.

She needs to keep funding political campaigns and international capital ventures.

Think about what I just said, then think about what I have been saying.

Much love to my #Superfans.

NEW JERSEY CLAIMED HUNDREDS OF MILLIONS IN UNALLOWABLE OR UNSUPPORTED MEDICAID SCHOOLBASED REIMBURSEMENT 2... by Beverly Tran on Scribd

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FBI Begins To Take Down Child Welfare Fraud Programs In Collaborative Conjugations

This is but one case in an emerging pattern of the DOJ going after child welfare fraud.

Child welfare fraud is a multi-billion dollar industry in the United States and I graciously bow to honor the Special Agents of the FBI, UDSA and IRS, across the nation who have finally listened to my calls to take these people out.

I am at the humble service of the U.S. Department of Justice.

Get them all.

Theft from the Most Vulnerable 

Group Stole Millions Designated to Feed Hungry Children

Gladys and Anthony Waits seemed to be living successful lives.

He was a business owner; she worked for the state of Arkansas.

They lived in a large, renovated home and drove high-end cars.

 But the Waits’ lifestyle was a fraudulent one of the worst kind:

They lined their pockets with money earmarked for feeding needy children through Gladys Waits’ job at the Arkansas Department of Human Services (DHS), the agency that administers U.S. Department of Agriculture (USDA) grants to feed children in low-income communities.

Along with their co-conspirators, they stole $11 million that was meant to feed children from low-income families.

 “These investigations are so important because they hit at the heart of what these programs stand for—taking care of children,” said Special Agent Jacob Stokes, who helped investigate the case out of the FBI’s Little Rock Division.

“These people are taking advantage of that, and people that are truly hurt by it are the children. Money was taken away from a program that could have helped children in need.”

 The premise of the state program was relatively simple. Organizations or individuals applied to the state to host a program and find a feeding site, such as a school or daycare center.

Applicants went through an initial site visit and were approved by Gladys Waits’ agency, the Arkansas DHS.

The sites reported back to the state how many children were fed, and Arkansas paid the site sponsors per child who participated.

 In the case of the fraudulent sites, the numbers of children fed were grossly inflated, and the excess funds the site sponsors received became kickback money—both for a group of the site sponsors who were in on the fraud, as well as for Gladys and Anthony Waits and a few state employees.

 “Money was taken away from a program that could have helped children in need.” Jacob Stokes, special agent, FBI Little Rock

 The fraud went on for more than two years, ending in 2014, with additional site sponsors being recruited with the promise of kickbacks.

As the conspiracy went on, Gladys Waits was promoted to a management role in her agency, giving her more power to keep the fraud going undetected.

For example, she would give site sponsors a heads-up before the state conducted an “unannounced” site visit to ensure children were being fed properly.

 “Some of these sites were simply fronts; they didn’t feed any children. Others would feed a few and claim they fed many more,” said Special Agent Richard McLain, who also worked the case out of the FBI’s Little Rock office.

 The group went to great lengths to cover their tracks.

 Investigators pored through numerous pages of falsified documentation, such as fake invoices and spreadsheets.

The investigation, worked jointly with the USDA, Internal Revenue Service, and U.S. Marshals Service, showed about 10 percent of the state program’s budget was fraudulent.

 The investigation was truly a team effort, with each agency bringing their own capabilities and resources.

 "Our agency has the knowledge and expertise in USDA-funded programs, but you can never have enough help,” said Special Agent David Rucker of the USDA Office of Inspector General, who worked on the investigative team.

“In addition to having an FBI agent on the team, the FBI’s financial analyst analyzed bank records, and team members from all the agencies, including the FBI, made simultaneous arrests of several of the subjects."

 The extensive analysis allowed the investigative team to focus their efforts on feeding centers with the highest likelihood of fraud.

From there, traditional investigative techniques—such as interviews and surveillance—led investigators to not only Gladys and Anthony Waits but also several co-conspirators, some of whom worked with Gladys Waits in the state government and others who were site sponsors.

 “The government’s stance was they were taking food from the mouths of children.” Richard McLain, special agent, FBI Little Rock While much of the money may never be recovered, thanks to the asset forfeiture process, the government seized more than $850,000 of the group’s ill-gotten gains, much of it from one of the site sponsors.

 Gladys Waits pleaded guilty to conspiracy to commit wire fraud, and in July, she was sentenced to nine years in prison and ordered to pay $9.7 million in restitution.

Anthony Waits was convicted of conspiracy to commit wire fraud and was sentenced to more than 14 years.

Twelve others involved have either been convicted or pleaded guilty. Officials from the Arkansas DHS were also key partners in helping to facilitate the investigation.

For the FBI personnel who worked this case, the years-long effort was worth stopping those who would take from such vulnerable victims.

 “By falsely inflating those numbers, you remove money from a program that only has so much funding. The government’s stance was they were taking food from the mouths of children,” McLain said.

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Michigan CHAMPS Opportunity To End Medicaid Fraud In Child Welfare

Michigan Department of Health and Human Services has proposed policy for the Community Health Automated Medicaid Processing System (CHAMPS) by having providers enroll.

Why not hold private contractors to similar standards
as individuals?

Effective January 1, 2018, any individual or entity that provides services to, or orders, prescribes, refers or certifies eligibility for services for, individuals who are eligible for medical assistance under the State Plan participating in a managed care organization’s provider network are required to be screened and enrolled in the Michigan Medicaid Program. Managed Care Organization (MCO) providers furnishing services to Medicaid beneficiaries must enroll in CHAMPS. 

Interestingly enough, if a client of Medicaid, particularly children, are screened for eligibility before of Medicaid services before being treated, which is more than just going to the doctor, then, by similar standards, providers should also be held to the same eligibility criteria.

In the same light of eligibility to submit cost reimbursement to Medicaid, providers should also be contractually disbarred, licensed revoked, sanctioned, prosecuted, with recovery, if it is found that a provider has engaged in any activity of fraud, resulting in the submission of false claims.

U.S. HHS maintains an exlusionary database of providers who have been found to engage in fraudulent activities.

Why not the States?

This is an excellent opportunity for Michigan to lead the nation by closing out the Medicaid loopholes in CHAMPS.

This is an instant solution to address one of the main issues of privatization.

The States Medicaid Fraud Control Unit do not possess the authority to go after Medicaid fraud in child welfare due to the fact that there exists an inherent conflict of interst, being that the States Attorney General contemporaneously advises and advocates for the privately contracted child welfare agencies.

CHAMPS can be constructed to analyze metadata to quickly identify, and address through administrative action, as the child welfare organization is privately conducted, for resolution, whatever that will be.

Michigan has the electronic records, but has done absolutely nothing in dealing with Medicaid fraud in child welfare.

As it stands, any transgression, be it financial or physical, goes untouched, because the Michigan Attorney General Bill Schuette will tell a parent that they have to go get an attorney to sue in a civil action.

Parents with children receiving Targeted Case Management Medicaid services cannot afford attorneys, which is why they are eligible for Medicaid.

It is time to stop financial crimes against children.

Corporations are also considered to be legal individuals, why not hold them to the same standards as individuals?

This is why I have always been, and always will be a Sarb-Ox gal.

If they can put us on a central registry; then I say we can put them on a central registry.

The Central Registry of Child Welfare Fraud

For many years the Congress of the United States has worked diligently to protect the health and welfare of the nation's elderly and poor by implementing legislation to prevent certain individuals and businesses from participating in Federally-funded health care programs. Legally Kidnapped has mandated that the health and welfare of the nation's children and families must  be protected by including Child Welfare Agencies in this exclusion database.  Foster Care and Adoption Agencies should be banned from entering contracts using federal funds if the bases for exclusion have been met.

Bases for exclusion include for child welfare program-related fraud, child abuse, child deaths, licensing board actions, improper and questionable claims, false reports.

The effect of not being able to participate in federally funded contracts is:

• No payment will be made by any Federal child welfare program for any items or services furnished, ordered, or prescribed by an excluded individual or entity. Federal foster care and adoption programs include Medicaid Targeted Case Management, and Social Security Title IV A, B, D, and E, Maternal and Child Health Services Block Grant (Title V), Block Grants to States for Social Services (Title XX), State Children's Health Insurance (Title XXI) and all other plans and programs that provide health benefits for foster care and adoption funded directly or indirectly by the United States.

Learn more: BEVERLY TRAN: Medicaid Exclusion Program Has Loophole http://beverlytran.blogspot.com/2010/05/medicaid-exclusion-program-has-loophole.html#ixzz4zlWYBNey
Stop Medicaid Fraud in Child Welfare 

Comments on this proposed policy are due January 1, 2018.

Comments may be forwarded to Sharene Johnson at JohnsonS14@michigan.gov or to the address noted on the proposed policy transmission, below.

Michigan Community Health Automated Medicaid Processing System (CHAMPS) by Beverly Tran on Scribd

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Jerry Milner Advises Jerry Milner On Handing Jerry Milner Children's Bureau Contracts

Jerry Milner
ACYF Commissioner,
Former VP of a former
ACYF contractor

Remember that time I told you about Jerry Milner, the former private contractor for the U.S. Administration on Children, Youth & Families (ACYF) who came up with a review tool that has reviewed alot of fraud, waste and abuse, with no recommendations of referral to the U.S. HHS OIG?

The same Jerry Milner who was the Associate Commissioner of the Children's Bureau, who is now the interim Commissioner of the Children's Bureau, who has yet to be confirmed in his nomination?

Well, guess what!

The Associate Commissioner of the Children's Bureau, the big money area of ACYF that hands out all those lucrative contracts to research think tanks to come up with more creative billing ways to siphon billions more from the Social Security Trust Fund with fraudulent research and paper programs with no feasibility, whatsoever, because the money is being used for real estate ventures and other forms of personal inurement, advises the Commissioner of the Children's Bureau.

So, that means Jerry Milner is advising himself, self-advising on who gets these big dollar child welfare research and evaluation project contracts.

Guess who is going to get the contracts?

It is a hot mess up at HHS right now.

Please be kind to the HHS staffers.

The mobile site and the website have yet to be synched.

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Why Kansas Will Not Pay Back $18 Million In Child Welfare Fraud

Said Kansas to the U.S. DHHS OIG

To begin, let us get one thing straight.

Kansas does not have to give back a red cent and neither do any of the other States busted by the HHS OIG for child welfare fraud.

Besides, Kansas used the money for political campaigns, personal inurement and to pay off some dividends to its investors of the state's social impact bonds.

$17 Million Reasons How Kansas Pays Child Welfare Social Impact Bonds


In the spirit of fuchsia...

Kansas took millions it shouldn’t have, federal probe says. But will it give it back?

Kansas took nearly $18 million in federal funds that it shouldn’t have, a federal government watchdog says. It wants the state to give the money back.

There has yet to be a HHS Decisions Appeal Board ruling on this, which means the federal government has not even commenced the process.

Kansas rejects the findings.

This rejection takes the challenge to the next administrative level and which will not see the light of day in a civil nor criminal court of law and can go on for years.

“We don’t believe we did anything wrong,” said Angela de Rocha, a spokeswoman for KanCare, the state’s Medicaid program.

Of course they did nothing wrong because Kansas has been submitting false claims to the federal government for years where the state has constructed and incorporated administrative policies absolving itself from any misdeeds of false claims as it kicks the can down the proverbial road to the privatized entity, KVC and KanCare.

The U.S. Department of Health and Human Services Office of Inspector General alleges Kansas incorrectly counted some children in seeking bonus payments to offset the cost of children enrolled in Medicaid, a federal program run by states that provides health care to the uninsured. That led to more bonus payments than Kansas should have received.

Kansas did not incorrectly count some children in seeking bonus payments to offset the cost of children enrolled in Medicaid because these 'miscounted' children will eventually end up in the state's foster care system just because the economic policies were intentionally designed to 'target' these populations.

Even if some of these children are missing, there is nothing written in stone that the state has to cease submitting cost reimbursements.

A November report by the Office of Inspector General recommends Kansas refund $17,796,598.

The Office of Inspector General audited bonus payments from 2009 through 2013. The nearly $18 million represents almost half of the bonus payments Kansas received during that time, which totaled $36.6 million.

Some of this federal funding was used to pay its state Financial Participation Rates, which is illegal, but HHS OIG will not do a damn thing about it, and everyone knows this.

The dispute between Kansas and the Office of Inspector General centers on the way the state calculated the number of children enrolled in Medicaid – specifically the Children’s Health Insurance Program – for the purposes of the bonus payments. The report says Kansas overstated its enrollment.

Kansas maintains it followed guidance given by the Centers for Medicare and Medicaid Services on how to make the calculations. But the OIG says CMS correctly explained how the calculations should be made.

CMS did properly calculate the overstated enrollment but nothing is going to be done about it because it would interfere with economic development of KVC funding political campaigns and acquistion of land.

Yes, the state revenue generated from these transgressions are used to acquire land in KVC investments and its individual associates.

“Kansas understands the importance of utilizing Federal Medicaid funds appropriately. This was no exception,” Christine Swartz, the state’s deputy Medicaid director, wrote in a July letter to the Office of Inspector General.

Brownback set it up so that its private contractors could generate funding for political campaigns, mostly state campaigns as its campaign finance reporting system is poorly structured to hide to decipher what actually is an issue campaign for a private contractor and a political campaign.

The complaint, below, illuminates how KVC solicits under the guise of child welfare issues where many of its state elected and administrative officials function in the capacities of being on KVC payroll, advisory boards, and lobbyists.

KanCare, which put private companies in charge of managing the state’s Medicaid program, was launched by Gov. Sam Brownback in January 2013. The program moved nearly all state Medicaid enrollees into health plans run by Sunflower and two other managed care organizations, Amerigroup and UnitedHealthcare.

Leary sued in October, shortly after it was reported that the three companies running KanCare collectively lost $76.2 million in 2014 after incurring losses of $110 million in 2013.

The federal report says that after considering Kansas’s comments, the OIG stood by its findings and recommendation.

Now, the question is, "What is OIG going to do about it?"

The OIG’s recommendation that Kansas give the money back remains just that – a recommendation – de Rocha emphasized. She said CMS has not sought the funds’ return.

Kansas has yet to even file an appeal to be ruled upon which is why CMS has not sought the funds' return.

The report comes as Kansas seeks reauthorization of its privatized Medicaid program, known as KanCare. The state must obtain permission from CMS to continue the program.

Kansas was denied reauthorization in January.

Audits of other states have also found bonus payments that should not have been allowed. Another report released this month found that Ohio had been overpaid by $29.5 million.

“In previous audits…we found millions of dollars in unallowable bonus payments,” the Kansas report said, “therefore, we identified (Children’s Health Insurance Program) bonus payments as a high-risk area.”

So far, CHIP reauthorization has yet to go through and Tom Price, under federal investigation, has resigned.

As demonstrated in the KVC complaint, below, there is no indication that Kansas is going to pay back the funding from its false claims of Medicaid because it is currently in its state court suing a whistleblower for putting their dirty deeds on a public platform.

What I really want to know is why, a private child welfare contractor, that submits cost reimbursements to Medicaid, owns intellectual property and is allowed to engage in private fundraising without having to report what it does with the money.

But I know what Kansas does with the money, and now, you do, too, and the state has all intentions of using Medicaid dollars to make sure it keeps its money.

KVC vs Frie 17-cv-06172 by Beverly Tran on Scribd

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Did DOJ Say "Medicaid Fraud In Child Welfare"?

Nah, not yet.

It will.

See, the States Medicaid Fraud Control Unit are statutorialy constrained when it comes to going after Medicaid fraud in child welfare.

In this particular case, we see another one of the collaborative conjugations, or rather designer investigations, where Florida, Georgia, Lousiana Attorneys General are getting into the mix with the U.S. Attorneys Office.

This is how you circumvent arcane legislation in a world where fraud has become the norm, at the expense of humans.

On a mission...

Four charged in multi-state health care fraud conspiracy

ATLANTA – Matthew Harrell, Nikki Richardson, Tomeka Howard and Andrea Barrett have been indicted on multiple counts of conspiracy to commit healthcare fraud and aggravated identify theft related to fraudulent claims filed with the Georgia, Florida and Louisiana Medicaid programs.

“Through their scheme, the defendants are alleged to have fraudulently billed over $3 million to Medicaid,” said U.S. Attorney Byung J. “BJay” Pak. “Their greed knew no bounds of decency, as they left a number of victims in their wake.”

“The FBI continues to play a key and critical role in protecting federally funded health care based programs, to include Medicaid and Medicare, from those individuals who would, through fraud, attempt to divert those funds to their own accounts and away from those who desperately need the services that they provide.  The federal investigation and resulting federal indictments of these four defendants illustrates not only the problems of healthcare fraud but the aggressive efforts underway by law enforcement to combat it,” said David J. LeValley, Special Agent in Charge, FBI Atlanta Field Office.

“The defendants allegedly ripped off programs meant to provide critical mental health services for children and adults.  This type of criminal behavior will not be tolerated,” said Derrick L. Jackson, Special Agent in Charge for HHS OIG. “We will continue to work with our law enforcement partners to uncover these fraudulent schemes and bring criminals to justice.”

“The Medicaid Program is not an endless source of money, and those who victimize the program take valuable resources away from the people that need them,” said Attorney General Chris Carr.  “The Georgia Attorney General's Office will continue to collaborate with our federal and state partners to investigate these kinds of egregious cases.”

“This multi-millon dollar Medicaid scheme spanned several states and involved the stolen identities of medical professionals and children—but through coordinated investigative efforts with our federal partners and Medicaid Fraud Control Units in Georgia and Tennessee this scheme was thwarted and arrests have been made,” said Florida Attorney General Pam Bondi. “Medicaid fraud essentially steals from our taxpayers and we will not tolerate anyone manipulating the program to get rich.”

“Medicaid welfare fraud steals money from the taxpayers and jeopardizes care for the needy,” said Louisiana Attorney General Jeff Landry. “We are grateful to have law enforcement partners throughout the country who are committed to investigating, arresting, and prosecuting criminals who defraud our State and its people.”

According to U.S. Attorney Pak, the charges, and other information presented in court: The defendants owned or worked with companies that purportedly provided mental health counseling and treatment to children and adults. These companies included, Revive Athletics, Inc., R.A. Florida, Inc., Jode Counseling Treatment and Training Services, LLC, 118 Management and Consulting, Inc., A Brighter Day, LLC, and Lillie Cares Health Services, LLC. These companies billed over $3.7 million in Medicaid claims, and received approximately $2.5 million based on the fraud.  

According to the indictment, the defendants stole the identities of mental health service providers, including a psychologist and licensed clinical social workers, in Georgia and Florida. The defendants’ companies then used the stolen identities to submit fraudulent Medicaid claims seeking payment for mental health services that were never provided. The defendants attempted to conceal the fraud scheme by directing employees and contractors to create fraudulent documentation and forge provider signatures to support the fraudulent billing.

Matthew Harrell, 42, of Atlanta, Georgia, Nikki Richardson, 42, of Fairburn, Ga., Tomeka Howard, 42, of Decatur, Georgia, and Andrea Barrett, 42, of Virginia Beach, Virginia were indicted on November 7, 2017.

Members of the public are reminded that an indictment contains only allegations.  The defendants are presumed innocent of the charges and it will be the government’s burden to prove the defendant’s guilt beyond a reasonable doubt at trial.

The case is being investigated by the Georgia State Attorney General’s Medicaid Fraud Control Unit, U.S. Department of Health & Human Services, Office of the Inspector General, Federal Bureau of Investigation and the Medicaid Fraud Control Units for Florida and Louisiana. Assistant United States Attorney Jeffrey Brown and Georgia Assistant Attorney General Robin Daitch are prosecuting the case.

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A Fan Asked Me To Take A Survey Asking If The Foster Care System Is Working.

A fan asked me to take the follow survey asking if the foster care system is working.

Enjoy and I encourage everyone to take the survey, too.

https://www.surveymonkey.com/r/CC56BQ3

From your perspective, what do you feel the role and mission of the foster care system should be?

To not participate in human trafficking through the generation of false claims to fund political campaigns, beholden to social impact bond investment payments.

From your perspective, do you feel as though the foster care system is working? Please explain why or why not.

No, the foster care system is not working based on the plethera of HHS OIG reports of hundreds of millions of dollars in false claims, U.S. DOJ False Claims Act settlements in the hundreds of millions of dollars, the multitude of state and federal lawsuit settlements in the hundreds of millions of dollars, and the fact that the U.S. Ninth Circuit opined that the foster care system does not have the "Right to Lie". Right to Lie in Child Welfare Cases - Opinion 15-55563

http://beverlytran.blogspot.com/2017/03/9th-circuit-opinion-says-child-welfare.html#ixzz4xrrk2iRu 

From your perspective, what are the strengths of the foster care system?

The one main strength of the foster care system is its ability to construct complex fraud schemes, under the color of law, to engage in the generation of fraudulent documents, to submit false claims to the federal government, in order to fund political campaigns, for personal inurement and not get caught.

 From your perspective, what are the major challenges in the foster care system?

Not getting busted in its fraud scheme by continuously coming up with new and improved ways to promulgate propaganda through statutes and policies manufactured to solicit more money to launder through its private charities and foundations.

 From your perspective, what misconceptions do people have about the foster care system?

The misconceptions, from my analytical findings, that people have about the foster care system is that it actually works.

 If you had a magic wand and were in charge of the foster care system, what would you do? (i.e. think revolutionary and radical paradigm-shifting ideas)

I would wave my magic wand over the entire U.S. Department of Justice, Federal Bureau of Investigation, the U.S. Department of Health and Human Services Office of Inspector General, the Federal Election Commission, Securities Exchange Commission and all the States Attorney General Medicaid Fraud Control Units to magically empower them to go after the pervsivelly rampant fraud, waste and abuse in the entire child welfare system because the legislators, whose politcal campaigns are funded through foster care fraud, will never do anything to stop the trafficking of tiny humans.

 From your perspective, what changes and/or improvements would you make in the foster care system (both short-term and long-term)?

From my perspective, the changes I would make are currently underway by engaging law enforcement to prosecute the primary stakeholders who have privatized the entire child welfare system to circumvent prosecution of human and civil rights violations, including false claims.

What approaches from other systems and/or fields would (or might) work in foster care? (i.e. systems such as prisons or schools and/or fields such as physics, engineering, biology, etc.)

Expansion in enforcement of civil penalties (i.e. sanctions, contractual disbarment, license revocation, exclusionary databases) and criminal prosecution are approaches which have been excluded from the operations and administration of the child welfare system.  The creation of a direct whistleblowing vehicles to law enforcement & human rights violations, and false claims to expedite prosecution in foster care contracts.

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$17 Million Reasons How Kansas Pays Child Welfare Social Impact Bonds

The State of Kansas did not just file false claims to the U.S. Department of Health and Human Services, Centers for Medicaid and Medicare for Children's Health Insurance Program Bonuses, it used the money to make payments on its social impact bonds running its child welfare programs, fund the politcal campaigns of its candidates, and paid its child welfare lobbyists who just so happen to also be employed by the privatized state contractor KVC and its elected officials, who just also so happens to be on the payroll for KVC.

Kansas intentionally makes people poor, so their children are poor, so they can submit fraudulent billing and false claims like this.

Taken directly from the HHS OIG Report:

Some of the bonus payments that Kansas received for the audit period were not allowable in accordance with Federal requirements. Most of the data used in Kansas’ bonus payment calculations were in accordance with Federal requirements. However, the State agency overstated its FYs 2009 through 2013 current enrollment in its bonus requests to CMS because it included individuals who did not qualify because of their BOE code. As a result, CMS overpaid Kansas $17,796,598 in bonus payments. 

Kansas Received Millions In Unallowable Bonus Payments HHS OIG Report 11317 by Beverly Tran on Scribd

Now, the major question is....."When will the U.S. Department of Justice finally step in and clean up the public corruption going on in Kansas elections, its child welfare programs, and, what I have yet to really put out there, its fraudulent land bank activitites?


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South Dakota Is Why HHS OIG Daniel Levinson Must Go Far Away

Well, well, well.  Look at what we have here.

The U.S. Department of Health and Human Services Office of Inspector General has issued a report on some of the "general compliance" issues within the State of South Dakota's Medicaid Fraud Control Unit.

Aww.

The HHS OIG said, "Bad South Dakota MFCU, bad."

They even went so far as to generate a podcast on the great things it is doing for the poor lil' Indians in South Dakota but here is my issue:

Daniel Levinson has got to go.

Yes, Levinson, the Inspector General of the DHHS has been at the helm for quite some time, and, for quite some time, Medicaid Fraud in Child Welfare has been utterly ignored, intentionally omitted from the political conversation for years.

HHS OIG Danny Levinson
contemplating the quagmire
of Medicaid Fraud in
Child Welfare

Levinson cannot say that he is unaware of Medicaid Fraud in Child Welfare because I have a big mouth and I have actually sat at the table in D.C. to have raised the issue, only to be met with silence, with mouths wide open, as the concept of incompetence within the administration went flying over their heads.

One reason why there is no public discussion of Medicaid Fraud in Child Welfare is because the States Attorneys General contemporaneously "advise and advocate" for its contractual fraudfeasors.

That is correct.  How can a State Attorney General prosecute what it defends?

Then there is the nasty issue of these MFCUs not being designed to even address child welfare fraud.

See, the original legislation, stemming from Walter Mondale's actions to protect the aging population from fraud within the Social Security programs excluded the children.

Child Abuse Prevention Treatment Act (CAPTA) came around and everyone thought it was the greatest invention since sliced bread as it established funding for economically struggling cities to create educational and employment opportunities for those historically excluded, for the purposes of "assimilating children of the poors".

No one would ever consider that there would be fraud in a child welfare program.  Nope, because most of this work was done in the name of God, non-profits, and everyone knows.... say it together with me...

"YOU CANNOT AUDIT GOD"

Then came the horrific Adoption Safe Families Act which set an expedited timeline to allowed fraudulent billing under Targeted Case Management, a Medicaid program, and also provided for, what I like to call the "shredding of the bills" through termination of parental rights.

As long as these States are without policies to refer child welfare fraud to the MFCU for prosecution and recovery, there will always be a few of those pesky "general compliance" issues found.

Do not even let me get started on advocating for the use of aggregate data to generate predictive models of abuse and neglect or the blatant refusal to even touch contract compliance and fraud within the Administration of Children and Families!

Just take a look, below, at the recently upheld decision on improper removals of Sioux children in South Dakota.  If this is not a working example of the lackadaisical stewardship of Daniel Levinson, I do not know what is.

Hey, Danny, time to retire!

You suck.

Feds fault state for Medicaid fraud efforts

A federal report on Wednesday criticized South Dakota’s commitment to fighting Medicaid fraud, finding the state is understaffed in a key area for rooting out fraud and abuse.

The report from the United States Health and Human Service’s Office of Inspector General was ostensibly a review of the state’s Medicaid Fraud Control Unit, or MFCU, within the attorney general’s office. Nationally, MFCUs are responsible for prosecuting Medicaid fraud cases, levying civil fines or prosecuting abuse and neglect cases.

Medicaid is a taxpayer funded health program for the poor.

The federal review found that the state’s MFCU was in “general compliance” with federal requirements. But it also found that the fraud unit was receiving few referrals of potential cases from the Department of Social Services, which administers Medicaid.

South Dakota State Medicaid Fraud Control Unit 2016 Onsite Review by Beverly Tran on Scribd

Each time a kid is snatched from the family for the crime of poverty, another state child welfare contractual arm cashes a check drawn off Medicaid.

Whether the snatching is legitimate or not, does not matter, because the States Medicaid Fraud Control Units will never, ever, receive referrals of fraudulent billing in child welfare.

Aho.

OGLALA SIOUX TRIBE V. VAN HUNNIK - SUMMARY JUDGMENT on ICWA and Child Protective Services by Beverly Tran on Scribd

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Michigan Governor Rick Snyder Lies About Child Welfare Under Direction of Maura Corrigan

What manner of asshatterry is this?

Michigan Governor Rick Snyder learning how to lie about
child welfare operations from The Madame Maura Corrigan

What we have here is a news blurb, that has not been picked up by any other news source outside of the state's capitol, with no identified sources of authority, sans any mention of any press release or formal statement.

As a matter of fact, if Michigan was in federal compliance, that is what it is called, then there would be pomp and circumstance in the waiving of the federal determination.

If Michigan's child welfare and foster care meets national standards, then, please, someone answer why:

Children of Flint were poisoned; 

Only one kid passed Detroit EAA testing;

 Detroit has the nation's highest rate of child poverty; and,

Michigan is still under a federal monitor of its child welfare?

Oh, and while I am at it, allow me to ask how and what happened to the $2 million the state has "saved"?

Report, please, #OneToughNerd #RickSnyder ~

You really need to let The Madame Maura Corrigan do it directly for you, as she is a Brilliant and Refined Liar,

I am calling BS on this until someone proves me wrong.

Michigan now meets national standards for child welfare and foster care

LANSING, MI. (WLNS) – Six years after federal officials determined the State of Michigan did not meet national requirements for child welfare and foster care, Governor Rick Snyder announced that’s not the case anymore.

In 2009 federal officials said the Great Lakes state didn’t meet certain standards.

Michigan officials made a list of goals.

According to the governor’s administration, all of those goals have been met including enhancing our capacity to provide for children and families and enhancing accountability and workforce development.

Not only that, but the state saved more than $2 million because of those improvements.

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Feds Combating Health Care Fraud on Multiple Fronts...Except Medicaid Fraud in Child Welfare

Michigan FBI and HHS forgot about Medicaid fraud in child welfare.

Yes, that is correct.  The U.S. Department of Justice and the Office of Inspector General of Health and Human Services, still, to this day, as witnessed, or rather omitted, from this press release, refuse to deal with health care fraud in children's programming.

Why, you may ask?  Allow me.

It is political.  It is too big to fail.  There is too much money.

But for the final reason the feds will do nothing about Medicaid fraud in child welfare is because you cannot audit God.

Yes, that is correct.  There are many child welfare agencies which provide health care services to children and youth that are classified as non-profit.  As a matter of fact, the majority are non-profits, with a growing number of these social welfare organizations claiming the animated status of a corporate person, enforcing religious beliefs in the commission of Medicaid fraud.

Patrick Miles needs to look into Catholic Charities in his backyard.  Trust me, you will find an entire treasure trove of Medicaid fraud.

#DOJ #HHSOIG #DanielLevinson #MedicaidFraud #ChildWelfare #EricHolder #Time2AuditGod

Civil, Criminal, and Administrative Sanctions Combined with Outreach to Professionals Netting Positive Results and Millions in Recoveries

GRAND RAPIDS, MI—United States Attorney for the Western District of Michigan Patrick Miles, Jr. announced this week that the multi-prong approach to combat health care fraud his office uses has achieved unprecedented results for the Western District. Miles said his office seeks to pursue criminal charges, civil penalties and administrative exclusions in health care fraud cases as well as educate health care providers and the public about detecting and avoiding health care fraud practices. “We made addressing financial frauds, such as a health care fraud, one of our top U.S. Attorney’s Office priorities,” U.S. Attorney Miles said. “We put additional resources into prosecuting health care fraud cases and warning practitioners of our emphasis on pursuing both health care fraud prosecutions and civil remedies. We hold corporations and individuals accountable for wrongdoing. Consequently, we are seeing very positive results.”

Specifically, U.S. Attorney Miles noted that over the past two years his U.S. Attorney’s Office has obtained 20 criminal convictions in cases involving health care fraud or health care practitioners, negotiated over $5,500,000 in civil health care fraud settlements, caused mandatory or voluntary federal health care program exclusions of doctors and other practitioners totaling over 50 years, and seen a $100,000,000 decrease in Medicare home health care expenditures in the Western District of Michigan largely due to federal investigations, prosecutions, and educational outreach efforts focused on home health care and home health care kickback payments.

U.S. Attorney Miles praised the collaborative efforts of the federal prosecutors in his office working along with law enforcement investigative partners such as the Drug Enforcement Agency (DEA), Federal Bureau of Investigation (FBI) and U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG). In the Western District of Michigan veteran Federal prosecutor Ray Beckering is the U.S. Attorney’s Office Criminal Health Care Fraud Coordinator and the Civil Health Care Fraud Coordinator is Assistant U.S. Attorney Adam Townshend. Miles stated, “AUSA Beckering, AUSA Townshend, and other AUSAs engage various Michigan health care communities through outreach efforts including speaking at annual conference sessions for the Michigan Academy of Physician Assistants, the Michigan Council of Nurse Practitioners, and physician groups to educate practitioners on illegal kickback schemes and diverting prescription drugs.”

“The partnership between the U.S. Attorney’s Office and the HHS-Office of Inspector General is very strong”, stated Lamont Pugh III, Special Agent in Charge, DHHS-OIG-OI-Chicago Region. “A significant part of the OIG’s mission is to protect the integrity of the Medicare and Medicaid programs and the health and welfare of the people they serve. The OIG continues to work diligently to identify, investigate, and seek the indictment and conviction of those who would attack these programs. We will continue to work in concert with the U.S. Attorney’s Office and other law enforcement agencies to hold wrongdoers accountable”.

U.S. Attorney Miles said that many health care frauds involve unnecessary procedures and tests. “Law enforcement and our Office continue to focus on unnecessary laboratory testing, including unnecessary blood, urine, and drug testing. We will also address improper relationships between practitioners and laboratory testing companies,” Miles said.

It is illegal to offer or request, or pay or receive, money or anything of value in exchange for referring Medicare and Medicaid patients for health care services. U.S. Attorney Miles observed that “kickbacks and other suspect arrangements are saturating the Western District of Michigan, particularly in the areas of home health care, diagnostic testing, and laboratory testing. Kickbacks also distort the competitive playing field, taking business away from providers who play by the rules.”

U.S. Attorney Miles says patients and health care consumers can help stop frauds by looking out for the following “Red Flags”:

Benefit Statements:

• Check for services and procedures not rendered
• Cost of procedures disproportionate with time or complexity

Waivers of Co-Payments:

• Blanket waivers of copays are generally not permitted
• Good indication of fraud schemes because if patients are notpaying, they are unlikely to scrutinize insurance billings

The following are some recent health care fraud case highlights from the U.S. Attorney’s Office in the Western District of Michigan:

Civil Case Settlements

United States, et al., ex rel. Jahn, et al. v. Agility Health, Inc., et al.

The U.S. Attorney’s Office recovered $1,000,000 in a whistleblower lawsuit involving allegations of false claims to Medicare for skilled therapy services that were not provided or provided to beneficiaries who were incapable of participating in therapy programs. The whistleblowers recovered more than $200,000.

United States v. Portage Hospital LLC

The U.S. Attorney’s Office recovered $4,446,392.43 in a voluntary disclosure by Portage Hospital in Hancock, Michigan stemming from billings by the hospital’s home health care agency for physical therapy services—purportedly performed by a single staff physical therapist—that were medically unnecessary and/or lacked adequate documentation.

United States ex rel. Morgan v. Advanced Professional Home Health Care

The U.S. Attorney’s Office recovered $57,000 in an action brought by a whistleblower, and the home health care agency agreed to implement a compliance program to resolve allegations that the agency illegally altered physicians’ signature dates and other information on physician orders in order to bill home health care services to Medicare.

Criminal Convictions

United States v. Kim Mulder, et al.

Initiated by reports from former employees, the execution of federal search warrants and a DEA Immediate Suspension Order resulted in the cessation of operations and the subsequent filing of criminal charges against eighteen Kentwood Pharmacy officers and employees related to the dispensing and billing for adulterated and misbranded drugs to nursing homes and adult foster care homes. The convictions included felony charges for six licensed pharmacists and prison sentences of six years for the head pharmacist and fourteen years for the Vice President of Sales. The CEO Kim Mulder and one other pharmacist are pending sentencing. The district court found a Medicare fraud loss of over $80,000,000 stemming from payments for the recycled drugs and ordered over $8,000,000 in restitution.

United States v. Chyawan Bansil, Shannon Wiggins, Mohamad Abduljaber

Reports concerning the diversion of prescription drugs led to an investigation of the Lansing medical practice of Dr. Shannon Wiggins. Undercover patient visits revealed an illegal kickback scheme where Dr. Wiggins and her husband/ officer manager Mohamad Abduljaber were paid to refer patients for purported EMG and nerve conduction testing that was not necessary and often not performed. Dr. Wiggins also charged cash payments for medical marijuana certifications. The investigation exposed that Dr. Wiggins and Mr. Abduljaber did not report the cash income to the IRS. Global resolutions of civil claims and criminal kickback and tax charges resulted in: felony convictions and prison sentences for all three defendants; collection from Mr. Bansil of $2,250,000 in civil treble damages on behalf of Medicare and $350,000 in restitution paid to BCBSM; $150,000 in forfeiture from Mr. Bansil; and court-ordered restitution from Dr. Wiggins and Mr. Abduljaber of $285,781 to Medicaid and forfeiture of $550,000, including automobiles and real property. The pattern of Dr. Wiggins’ referrals demonstrates the costly impact of unnecessary testing as a result of illegal kickback payments.

United States v. Babubhai Rathod et al.

In an ongoing civil case and parallel criminal investigation stemming from the filing of a whistleblower lawsuit, the U.S Attorney’s Office has convicted nine individuals on felony kickback and health care fraud charges and reached civil settlements with an additional six practitioners that total over $1,200,000 and involve 25 years of individual exclusions from federal health care programs. To date, the whistleblower has received more than $200,000.

The lead defendant, Babubhai Rathod of Okemos, Michigan, was sentenced to four years’ imprisonment for coordinating illegal referral payments to physician assistants and doctors to refer patients to his physical therapy clinics and a home health care agency. Rathod lost his physical therapy license as a result of a criminal conviction and allegations of patient assaults, but he was able to open a home health agency based on the fact that there are no licensing or certificate of need requirements to opening a home health company in Michigan. The government collected $900,000 in a related civil False Claims Act settlement.

United States v. Anthony Kirk

United States v. Martin Hoffmeister

As part of a state-wide initiative, HHS-OIG separately investigated Grand Rapids podiatrists Anthony Kirk and Martin Hoffmeister for the billing of nail avulsions. Dr. Kirk pled guilty to felony health care fraud, was sentenced to six months in prison, and was ordered to pay $65,110 in restitution and a $15,000 fine. Dr. Hoffmeister pled guilty to a misdemeanor charge and was ordered to pay over $50,000. Both podiatrists were excluded from participation with Medicare and Medicaid for at least five years. The prosecution of these cases and others in the Eastern District of Michigan has resulted in an annual reduction of almost 30%, or $3,000,000, in nail avulsion payments by Medicare.

To report any kind of Health Care Fraud, people are encouraged to contact HHS through their tip line—1-800-HHS-TIPS.

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