Showing posts with label enforcement. Show all posts
Showing posts with label enforcement. Show all posts

Wednesday, February 9, 2011

Feds Sentence Novartis For Drugging Kids

Trileptal is a common drug that was readily prescribed to foster children and other low income children for false claims and false diagnoses.  Novartis paid off doctors to ghostwrite reports to drug kids.

Children in foster care are still being prescribed Trileptal as mood stabilizers and not was it was approved for.  Someone needs to ask Maura Corrigan about this.
Novartis Pharmaceuticals Sentenced For Off-Label Drug Marketing

DOJ Makes Novartis Pay $420 Million For Kiddy Kickback Scheme

I cringe when I see the growing list of pharmaceutical corporations that not only drugged kids for cash, but drugged the entire industry of child welfare to believe that it was a good thing for kids.

When you look at the national statistics, you will see a category labeled as " physical neglect".  Physical neglect has 12 codes assigned to break down the different categories for purposes of research studies.
There are two specific codes which address issues of medical neglect:

  1. Refusal to allow or provide needed care for diagnosed condition or impairment.
  2. Unwarranted delay or failure to seek needed care
TRANSLATION: When a parent refuses psychotropic medication to the child, this constitutes medical neglect, a reportable condition to increase the national statistics of child abuse and neglect, and grounds for removal.

This is a classic Title IV-E funding training technique (usually billing at the improper higher rate of 75%) where a Child Welfare Worker will use the tactic of performing an Axis III diagnosis, without medical license, to support the placement of the child in foster care and to automatically classify the child as special needs, accessing Targeted Case Management funding benefits called kiddy kickbacks.

Novartis resolves its own kiddy kickback liabilities, generated from Social Securitydollars while the States child welfare systems continue its pattern of practice of promoting the drugging of children.

Trileptal is a commonly prescribed as a psychotropic drug for foster children.

Wolverine Human Services of Michigan uses this drug liberally with foster children.

Here are two physicians who participated in the illegal and wrongful marketing of Trileptal.


Trileptal Illegal Marketing Material

States Cry Foul With Health Care Mandate

Ever wanted to know why there was so much opposition to the health care reform?  Well here it is.

It's called fraud.  Yes, contained within health care reform is also regulation.  Here is a great little rant from the State of Florida.  Why are they ranting?  It is because they are not compliant.

Florida is so bad, the U.S. Department of Justice teamed up with the U.S. Department of Health and Human Resources to establish the Health Care Fraud Enforcement Task Force (H.E.A.T.)  The worst part of the levels of health care fraud in these states that are crying the unconstitutional foul is that the levels of Medicaid fraud, once the federal moritoria on the suspension of the rules are lifted, will make Medicare pail in comparison to the ugly beast called Medicaid fraud.

U.S. DHHS OIG and DOJ Health Care Fraud Prevention Enforcement Team
The lack of Medicaid and Medicare regulation in the states will substantially cut the federal funding to their programs.  In essence, coming into federally funded, mandated compliance to end Medicaid and Medicare fraud will kill jobs because these fraud scheme, racketeering operations will be shut down.
Department of Justice and Department of Health and Human Services response to Senator Grassley's inquiry on...

Monday, January 24, 2011

National Coalition for Child Welfare Fraud Exposure

National Coalition for Child Welfare Fraud Exposure


 0digg
I have started a facebook group.

National Coalition for Child Welfare Fraud Exposure

"An international group of legal, health care and child welfare experts dedicated to the exposure of fraud, waste, fabrications, misdirection, exaggerations, and intentional lies in Child Welfare. This will be an open and public group for information sharing, coordination and discussion.


Anybody dedicated to the cause is welcome to join.


And now I can give myself a catchy title.


LK
Executive Director of the NCCWFE
National Coalition for Child Welfare Fraud Exposure

HHS and DOJ Health Care Fraud and Abuse Annual Report 2010

The Department of Health and Human Services and The Department of Justice Health Care Fraud and Abuse Contr...

Fraud Prevention Efforts Recover $4 Billion

Medicare, Medicaid, CHIP Final Rules 2011

Final rules with opportunity for public comment only on fingerprinting requirement.

These regulations are effective on March 25, 2011

Medicare, Medicaid, CHIP Additional Screening Requirements, Application Fees, Temporary Enrollment Moratori...

Friday, January 21, 2011

Same Model, Same Fraud

Why is this case so important?  Because this is the exact fraud scheme that is used in child welfare, particularly in the area of Targeted Case Management (TCM) in dealing with psychological services.  


The complexity of the TCM scheme incorporates all the components of the False Claims Act and RICO but will incorporate another layer of fraud in the use, or rather improper use of psychotropic medication in children and egregious violations of antitrust law.


The only difference is, in child welfare, you never get busted due to the propaganda machines, FOIA protections and the moritoria on Medicaid regulation.

Iowa physician involved in Florida Medicaid fraud surrenders license

A 55-year-old Iowa physician who formerly practiced in Fairfield has voluntarily surrendered his state medical license in the wake of a Florida-based criminal conviction on grand theft and racketeering charges related to treatment of individuals with HIV and AIDS.
Robert David was arrested and charged in September 2004 with criminal racketeering, 1st degree grand theft and 2nd degree grand theft for engaging in Medicaid fraud in Miami-Dade County, Fla. Charges brought against the physician indicated that he had entered into a financial agreement with an HIV/AIDS treatment center that allowed use of his Medicaid provider number in Florida to bill for services he did not provide.
Last February, David pleaded guilty in federal court to one count of each of the charges he faced, and was placed on probation for four years. He was also ordered to pay $100,000 in restitution and roughly $45,000 in court costs.
The Iowa Board of Medicine, which has filed formal disciplinary charges against David in 2006, accepted his surrendered medical license on Dec. 31, 2010, as part of a settlement agreement to resolve any further state disciplinary action.
The Florida scheme, which prosecutors estimate bilked the government out of $4.7 million, involved a south Florida treatment center for infectious diseases. Four people — two co-owners of the facility, a nurse and David — were arrested for their individual roles in billing for prescriptions for medications that were never dispensed and the creation of false medical records to conceal David’s absence from patient treatment and office supervision.
From 1999 to 2001, according to court records, the treatment center employed David as a physician. According to the clinic’s Medicaid billing records, David was present to administer professional treatment to HIV and Hepatitis-C patients and to oversee staff procedures. In fact, the physician was in Iowa and other locations when patients received whatever treatment was provided. David allegedly ordered a physician’s assistant to initial and mark hundreds of patient records with a rubber “Robert David, MD” stamp in his absence. These records contained high-cost medication orders for injections and infusions of Neupogen and WinRho that were never administered to the clinic’s patients. The pharmacy would then submit bills to Medicaid for drugs that were never actually dispensed, resulting in a total of $4.7 million in improper billings.
During the course of the investigation, the Attorney General’s Medicaid investigators seized over $1.6 million in illegally purchased assets, including a 40-foot motor vessel, an ocean-view condominium, a Cadillac Escalade and funds in a money market account.