Owner Of Charlotte Health Care Company Sentenced To Prison For $1.9 Million Medicaid Fraud

Owner Of Charlotte Health Care Company Sentenced To Prison For $1.9 Million Medicaid Fraud 
CHARLOTTE, N.C. - The owner of a Charlotte mental and behavioral health services company was sentenced on Tuesday, October 18, 2011, to serve 15 months in federal prison, to be followed by three years of supervised release for his role in a Medicaid fraud scheme, announced Anne M. Tompkins, U.S. Attorney for the Western District of North Carolina.

King of Prussia Man Indicted on Health Care Fraud and Aggravated Identity Theft Charges

King of Prussia Man Indicted on Health Care Fraud and Aggravated Identity Theft Charges 
Elissa Jo Benoit was charged today by indictment with a total of 75 counts involving health care fraud, aggravated identity theft, aiding and abetting the distribution of controlled substances and distribution of controlled substances by a person at least 18 years of age to persons under 21 years of age, announced United States Attorney Zane David Memeger.

HHS False Claims Reports Nothing On Child Welfare Fraud

Below, is a few examples of Medicaid fraud schemes where individuals are employed who were not eligible because they had been previously busted for Medicaid fraud.

Of all the years in existence, the U.S. Department of Health and Human Services Office of Inspector General has never, ever, ever brought forth violations of the Civil Monetary Penalties Law against any child welfare entity.

Never.

Not only that, no one from the child welfare industry has been placed on the OIG Exclusionary Database.

The reason it is never enforced is because it would shut down the entire child welfare system.

08-09-2011

After it self-disclosed conduct to the OIG, Kmart Corporation (Kmart), Indiana, agreed to pay $945,021.19 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that Kmart employed four individuals that it knew or should have known were excluded from participation in Federal health care programs

07-22-2011

After it self-disclosed conduct to the OIG, Health Management Services, Inc. (HMS), Louisiana, agreed to pay $6,545.61 for allegedly violating the Civil Monetary Penalties Law. Specifically, HMS disclosed the alteration of continuous positive airway pressure downloads for patients by two individuals at HMS in order to obtain Federal health care program reimbursement.

06-06-2011

After it self-disclosed conduct to the OIG, University of North Texas Health Science Center at Fort Worth (UNTHSC), Texas, agreed to pay $859,500 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that UNTHSC submitted claims for physicians' services provided to beneficiaries of Federal health care programs using the provider identification numbers of 103 physicians who neither furnished the service nor personally supervised the services rendered.

08-30-2010

After it self-disclosed conduct to the OIG, Catholic Healthcare West, Bakersfield Memorial Hospital, and Community Hospital of San Bernardino (collectively CHW), CA, agreed to pay $243,819.28 for allegedly violating the Civil Monetary Penalties Law. The OIG alleged that CHW employed five individuals that it knew or should have known were excluded from participation in Federal health care programs.

Stop Child Medicaid Fraud

FAKE DOCTOR PLEADS GUILTY TO HEALTH CARE FRAUD AND CRIMINAL HIPAA VIOLATIONS

FOR IMMEDIATE RELEASE
September 14, 2011
http://www.jusice.gov/usao/gan/

CONTACT:  Patrick Crosby
(404)581-6016
FAX (404)581-6160

Matthew Paul Brown Impersonated a Doctor,
Treated Over 1,000 Patients, and Wrongfully Disclosed Their Health Information

            ATLANTA, GA - MATTHEW PAUL BROWN, 30, formerly of Atlanta, Georgia and Nashville, Tennessee, pleaded guilty today in federal district court to charges of health care fraud and wrongful disclosure of individually identifiable health information.  

            United States Attorney Sally Quillian Yates said, “Medicare and Medicaid provide treatment for some of  our community’s most vulnerable citizens: the elderly, young children and the financially needy.  These vulnerable citizens deserve to be treated by medical personnel who have been duly trained and licensed and not by someone impersonating a doctor.  This defendant’s crime defrauded over a thousand people of the care they deserved and defrauded Medicare, Medicaid and private health insurance companies of funds intended and needed for legitimate health care.”

            Brian D. Lamkin, Special Agent in Charge, FBI Atlanta Field Office, said: “The reckless conduct displayed by the defendant not only displayed a total disregard for the patients that he was improperly and illegally treating but also for those individuals who could have legitimately benefitted from the federal medicaid/medicare funds. The FBI works hard to ensure that these healthcare based federal funds are used as intended and dedicates substantial investigative resources to bringing such activities as Mr. Brown's to justice.”

            According to United States Attorney Yates and the charges:  From November 2009 through April 5, 2011, BROWN carried out a health care fraud scheme in the metro Atlanta and Nashville, Tennessee areas.  While operating in the Atlanta area, from November 2009 through August 2010, BROWN approached numerous practicing physicians and persuaded them to bill Medicare, Medicaid, and private health insurers under their own provider numbers for allergy-related care provided by BROWN.  The care was provided both at the physicians’ own offices and at health fairs, with the physicians agreeing to pay BROWN between fifty and eight-five percent of a total of approximately $1.2 million they received from the health care benefit programs. BROWN has never been licensed in Georgia as a physician, physician assistant, nurse practitioner, or clinical nurse specialist.

                The United States is not aware of any patients who were seriously injured by care received from BROWN.  BROWN purchased the needles and allergy shots he used from a commercial pharmacy.  The United States is not aware of any evidence that BROWN ever used unsterile needles for the shots.  The U.S. Attorney’s Office has notified the individuals treated by BROWN, to the extent it was possible to identify and locate them.

            BROWN also pleaded guilty to wrongful disclosure of individually identifiable health information, in violation of the Health Insurance Portability and Accountability Act (“HIPAA”). The individually identifiable health information wrongfully disclosed by BROWN was a spreadsheet he created with information concerning each person he treated.  BROWN sent the spreadsheet to an undercover FBI agent, who BROWN believed to be an investor considering a large investment in BROWN’s business.

            BROWN was indicted in April  2011. He pleaded guilty to the indictment today.  The indictment charges 17 counts of health care fraud, each of which carries a maximum sentence of 10 years in prison and a fine of up to $250,000. The HIPAA charge also carries a maximum sentence of 10 years in prison and a fine of up to $250,000.  In determining the actual sentence, the Court will consider the United States Sentencing Guidelines, which are not binding, but provide appropriate sentencing ranges for most offenders.

                Sentencing for BROWN is scheduled for November 22, 2011, at 11 a.m., before United States District Judge Amy Totenberg.

            This case is being investigated by Special Agents of the Federal Bureau of Investigation. Assistance has been provided by the City of Duluth Police Department.

            Assistant United States Attorney Alana R. Black is prosecuting the case.

                For further information please contact Sally Q. Yates, United States Attorney, or Charysse L. Alexander, Executive Assistant United States Attorney, through Patrick Crosby, Public Affairs Officer, U.S. Attorney's Office, at (404) 581-6016.  The Internet address for the HomePage for the U.S. Attorney's Office for the Northern District of Georgia is www.justice.gov/usao/gan.

JURY CONVICTS MIAMI MAN FOR STEALING IDENTITY INFORMATION FROM DCF COMPUTERS FOR USE IN MEDICARE FRAUD SCAM

JURY CONVICTS MIAMI MAN FOR STEALING IDENTITY INFORMATION FROM DCF COMPUTERS FOR USE IN MEDICARE FRAUD SCAM

September 14, 2011

FOR IMMEDIATE RELEASE

Co-conspirator convicted and sentenced for buying and using stolen DCF patient information to commit Medicare fraud

Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Henry Gutierrez, Postal Inspector in Charge, United States Postal Inspection Service, Miami Division, Michael K. Fithen, Special Agent in Charge, U.S. Secret Service, John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office, Dawn E. Case, Inspector General, Florida Department of Children and Families, and James K. Loftus, Director, Miami-Dade Police Department, announced that a jury returned a verdict of guilty on September 12, 2011 against Yenky Sanchez, 25, of Miami. Sanchez was found guilty on one count of conspiracy to commit health care fraud, in violation of Title 18, United States Code, Section 1349; one count of conspiracy to commit authentication feature fraud, in violation of Title 18, United States Code, Sections 1028(a)(3) and (f); and ten counts of aggravated identity theft, in violation of Title 18, United States Code, Section 1028A(a)(1). The guilty verdict against Sanchez follows on the heels of the guilty plea by his co-conspirator, Raul Lazaro Diaz-Perera, 43, of Miami, for the same charges.

According to the evidence at trial against Sanchez, and in the factual proffer filed with the court during Diaz-Perera’s plea hearing, Diaz-Perera was a former supervisor at the Florida Department of Children and Families’ call center in downtown Miami. On the day he was fired, October 28, 2010, Diaz-Perera negotiated with a cooperating subject to sell the Medicare numbers of elderly and disabled Floridians who had applied to DCF for food stamps, cash benefits, and Medicaid. The intent was for those numbers to be used to fraudulently bill Medicare for services that were never provided to the DCF beneficiaries. Diaz-Perera obtained the Medicare numbers from the DCF computer system through a contact he had at DCF.

That contact was defendant Yenky Sanchez, who was then working as an employee at DCF’s call center in downtown Miami. Sanchez used his access to the DCF internal computer system to obtain the names, addresses, telephone numbers, dates of birth, Social Security numbers, and Medicare numbers of 148 elderly and disabled Floridians. Sanchez then gave the personal identification information to Diaz-Perera, who sold it to the cooperating subject on December 15, 2010.

Diaz-Perera negotiated a second time with the cooperating subject to sell additional Medicare numbers. Diaz-Perera again turned to Sanchez to obtain the numbers. Sanchez again used his access to the DCF computer system to steal the names and other identification information, including Medicare numbers of more than 400 beneficiaries. Sanchez then gave these additional numbers to Diaz-Perera, who attempted to sell it to the cooperating subject on January 18, 2011.

On June 30, 2011, U.S. District Court Judge Cecilia M. Altonaga sentenced Diaz-Perera to 36 months in prison, to be followed by three years of supervised release. Sentencing for Sanchez is scheduled for November 21, 2011. At sentencing, Sanchez faces a maximum of ten years in prison on the health care fraud charge, five years on the authentication feature fraud charge, and two years each for the aggravated identity theft charges.

This case was investigated by the United States Postal Inspection Service’s Identity Theft and Economic Crimes Task Force, the U.S. Secret Service, the FBI, and the Miami-Dade County Police Department, and prosecuted by Assistant United States Attorneys Robert J. Luck and Adam M. Schwartz. The Office commends the Florida Department of Children and Families for its cooperation in the investigation and prosecution of two of its former employees.

Medicaid Fraud In Costs U.S. More than $90 Billion A Year

Medicaid fraud in child welfare costs more than $90 billion a year.



Stop Child Medicaid Fraud

Nebraska Joe Bruning Advocates Medicaid Fraud In Child Welfare

I posted this almost 4 years ago.  In honor of Nebraska's Auditor General Report on posthumous payments, I have dedicated this piece on privatization to them.

Privatization can be fiscally responsible.

The Detroit News

This was published 10/31/07 06:09 PM

The Governor should embrace with joy the championing of privatization of foster care and adoption services by Senator Hardiman. This is what we all have been awaiting.

Privatizing foster care and adoption services releases the constraints of enforcement within the executive branch. The Attorney General is now able to flick the switch of the oversight machine and provide accountability for the state and its families. This is what is to happen:

The responsibility of contract monitoring and compliance is transferred from DHS back into the hands of the Attorney General. For example, families whose children have been removed where privatized agencies do not believe in family reunification, can now file complaints with the Attorney General regarding protection of consumer rights. The Bureau of Children and Family Services Fraud Division may now protect, not just vulnerable adults, but vulnerable children and families.

When the Attorney General conducts investigations and finds material violations of law and policy by the privatized child placing agencies, he is now allowed to follow through with full prosecution of the agencies and their workers.

In turn, families are provided proactive services, there are no longer phantom programs funded by DHS, tens of millions of dollars in improper payments of improper, unneccessary services and placements of children in foster care are ameliorated.

The number of children entering foster care are reduced because privatized child placing agencies must promote and advocate for placement of children within the family which is more cost effective than having a child prescribed psychiatric medication to "calm" from the trauma of being ripped from his/her home and placed in a strangers home, further reducing medicaid waste and fraud.

Privatized child placing agencies, under the theory of punishment by deterrence, will produce accurate and transparent audit reports, simply from the fear of prosecution.

Practices of targeting minority and impoverished children, due to the fact that child abuse and neglect is an entitlement program, will cease in the face of civil rights penalties.

Michigan will become a model state for accountability and transparency by reducing dependency of federal funding streams in Social Security. The money saved by privatized child placing agencies can be invested in education, thus, replacing the state's number one industry (Human Services) with higher education.

Michigan is no longer liable for litigation. The Executive Office is no longer a demagogue to privatized child placing agencies who also lobby (many without proper IRS status), but becomes the fiscal savior of our families.

Everyone wins...except the privatized child placing agencies that violate federal and state laws and policies, under color of state law.

Beverly Tran

Where the hell is the Attorney General?  

Hey Joe, get off your lazy punk ass and get that Medicaid Fraud Control Unit up and do something.  Damn.  Just sad.  Maybe you might want to keep screaming about too much regulation particularly the antifraud provisions in the Obamacare.  Moron.

Seriously, listen to him.  Here he is referring to welfare recipients as "raccoons".  He has to know that when the families are cut off, the children go to foster care... wait, he does know what he is talking about.  The privatized child placing agencies are making a killing on Medicaid fraud.

This is why his Medicaid Fraud Control Unit allows fraud to flourish in child welfare.  

Medicaid Integrity Program Nebraska Comprehensive Program Integrity Review Final Report December 2010

Medicare Fraud Strike Force Charges 91 Individuals for Approximately $295 Million in False Billing 

U.S. Department of JusticeSeptember 07, 2011

Office of Public Affairs(202) 514-2007/TDD (202)514-1888

WASHINGTON—Attorney General Eric Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that a nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in charges against 91 defendants, including doctors, nurses, and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $295 million in false billing.

Attorney General Holder and Secretary Sebelius were joined in the announcement by FBI Executive Assistant Director Shawn Henry, Assistant Attorney General Lanny A. Breuer of the Justice Department’s Criminal Division, and HHS Inspector General Daniel R. Levinson.

As part of a coordinated action, 70 individuals were charged by Strike Force prosecutors in indictments unsealed yesterday and today in six cities alleging a variety of Medicare fraud schemes involving approximately $263.6 million in false billings. As part of takedown operations last week, 18 additional defendants were charged in Detroit and one defendant was charged in Miami in cases unsealed on Sept. 1, 2011, for their alleged roles in Medicare fraud schemes involving approximately $29.4 million in fraudulent claims. Additionally, two individuals are scheduled to appear in court today on charges filed on Aug. 24, 2011, for their roles in a separate $2 million health care fraud scheme. This coordinated takedown involved the highest amount of false Medicare billings in a single takedown in Strike Force history.

The joint Department of Justice-HHS Medicare Fraud Strike Force is a multi-agency team of federal, state, and local investigators designed to combat Medicare fraud through the use of Medicare data analysis techniques and an increased focus on community policing. Over the course of the past week, approximately 400 law enforcement agents from the FBI, HHS-Office of Inspector General (HHS-OIG), multiple Medicaid Fraud Control Units, and other state and local law enforcement agencies participated in the takedown. In addition to making arrests, agents also executed 18 search warrants in connection with ongoing strike force investigations.

“The defendants charged in this takedown are accused of stealing precious taxpayer resources and defrauding Medicare – jeopardizing the integrity of our health care system and our nation’s most critical health care program for personal gain,” said Attorney General Holder. “Our highly coordinated, nationwide Strike Force operations are working aggressively to combat Medicare fraud and our anti-health care fraud efforts have never been more innovative, collaborative, aggressive – or effective. We will continue to work with our law enforcement partners and partners across government to fight against health care fraud.”

“Today’s arrests are a powerful warning to those who would try to defraud taxpayers and Medicare beneficiaries,” said HHS Secretary Sebelius. “These arrests illustrate close cooperation between the Medicare program that identified these fraudsters and the law enforcement officials who acted swiftly to cut them off. And our efforts to stop criminals don’t end here because the Affordable Care Act gives us new tools to prevent Medicare fraud before it is committed – better protecting seniors and the integrity of the Medicare program for generations to come.”

The defendants charged are accused of various health care fraud-related crimes, including conspiracy to defraud the Medicare program, health care fraud, violations of the anti-kickback statutes and money laundering. The charges are based on a variety of alleged fraud schemes involving various medical treatments and services such as home health care, physical and occupational therapy, mental health services, psychotherapy, and durable medical equipment (DME).

According to court documents, the defendants allegedly participated in schemes to submit claims to Medicare for treatments that were medically unnecessary and oftentimes never provided. In many cases, indictments and complaints allege that patient recruiters, Medicare beneficiaries and other co-conspirators were paid cash kickbacks in return for supplying beneficiary information to providers, so that the providers could submit fraudulent billing to Medicare for services that were medically unnecessary or never provided. Collectively, the doctors, nurses, medical professionals, health care company owners and others charged in the indictments and complaints are accused of conspiring to submit a total of approximately $295 million in fraudulent billing.

“The health care system is part of our nation’s infrastructure and we must do everything in our power to protect the integrity of Medicare and the system at large,” said FBI Executive Assistant Director Henry. “Working together as partners, we can stop criminals who seek to steal American taxpayers’ hard-earned dollars and we help ensure our nation’s health care system is there for those who need it.”

“As charged in these indictments, the defendants cover nearly the entire spectrum of health care providers, and perpetrated a variety of fraudulent schemes,” said Assistant Attorney General Breuer. “From Brooklyn to Miami to Los Angeles, the defendants allegedly treated the Medicare program like a personal piggy bank. Today’s Strike Force operations should serve as a wake-up call to would-be fraudsters nationwide. With Strike Force teams now in nine cities across the country, and employing sophisticated, data-driven law enforcement methods, we are determined to hold criminally responsible those who defraud Medicare.”

“The warning should be unambiguously clear by now,” said HHS Inspector General Levinson. “We will continue using the combined law enforcement might of Strike Forces around the country to combat health care fraud.”

In Miami, 45 defendants, including one doctor and one nurse, were charged today and yesterday for their participation in various fraud schemes involving a total of $159 million in false billings for home health care, mental health services, occupational and physical therapy, DME, and HIV infusion. Another defendant in Miami was charged on Sept. 1, 2011, for a $1 million Medicare fraud scheme. In one case, 24 defendants are charged for participating in a community mental health center fraud scheme involving more than $50 million in fraudulent billing. According to court documents, the defendants allegedly paid patient recruiters to refer ineligible beneficiaries to the mental health center. In some instances, beneficiaries who were residents of halfway houses were allegedly threatened with eviction if they did not agree to attend the mental health center.

This is done everyday in foster care.  If an original parent does "not agree to attend the mental health center", their parental rights shall be terminated.  The children in foster care have no choice.  They are automatically sent to mental health services, well, at least on paper they are.

Same fraud scheme.  Different age population.

In Houston, two individuals were charged today with fraud schemes involving $62 million in false billings for home health care and DME. According to an indictment, one defendant allegedly sold beneficiary information to 100 different Houston-area home health care agencies in exchange for illegal payments. The indictment alleges that the home agencies then used the beneficiary information to bill Medicare for services that were unnecessary or never provided.

Ten defendants were charged in Baton Rouge, La., for participating in schemes involving more than $24 million related to false claims for home health care and DME. According to one indictment, a doctor, nurse, and five other co-conspirators participated in a scheme to bill Medicare for more than $19 million in skilled nursing and other home health services that were medically unnecessary or never provided.

Six defendants, including two doctors, were charged in Los Angeles for their roles in schemes to defraud Medicare of more than $10.7 million. In Brooklyn, three defendants, including two doctors, were charged for a fraud scheme involving more than $3.4 million in false claims for medically unnecessary physical therapy. Two defendants, including a doctor, are making initial appearances today in U.S. federal court in Dallas after being charged for a scheme to defraud Medicare of approximately $2.1 million.

In Detroit, 18 defendants, including three doctors, were charged last week for schemes to defraud Medicare of more than $28 million. According to an indictment, 14 of the defendants participated in a home health care scheme that submitted more than $14 million in false claims to Medicare.

Finally, four defendants including one doctor, were charged in Chicago for their alleged roles in schemes to defraud Medicare of more than $4.4 million.

The Medicare Fraud Strike Force operations are part of the Health Care Fraud Prevention & Enforcement Action Team (HEAT), a joint initiative announced in May 2009 between the Department of Justice and HHS to focus their efforts to prevent and deter fraud and enforce current anti-fraud laws around the country.

Since their inception in March 2007, Strike Force operations in nine locations have charged more than 1,140 defendants who collectively have falsely billed the Medicare program for more than $2.9 billion. In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.

The cases announced today are being prosecuted and investigated by Medicare Fraud Strike Force teams comprised of attorneys from the Fraud Section of the Justice Department’s Criminal Division and from the U.S. Attorney’s Offices for the Southern District of Florida, the Eastern District of Michigan, the Eastern District of New York, the Southern District of Texas, the Central District of California, the Middle District of Louisiana; the Northern District of Illinois, and the Northern District of Texas; and agents from the FBI, HHS-OIG, and state Medicaid Fraud Control Units.

An indictment is merely a charge and defendants are presumed innocent until proven guilty.

To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to: www.stopmedicarefraud.gov.

How Not To Hide A Secret Love Child - Baby LK Report For May 29th 2011

Baby LK recaps the week in news for the child protection industry.

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REINS Is Literally "Job-Killing"

Oh, this is hilarious.

Here you have a group of individuals who believe regulation is "job killing".  Well, when you are dealing with elected persons who lack administrative sophistication, you must assume their advice comes from their advocates... oops, I mean lobbyists, the same individuals who would significantly benefit from less regulatory mandates.

See, it goes like this, even though all three branches of government have their input into any administrative regulation that comes down, it is actually "job killing" because most of the local governments would not be in operation if they had to be compliant, let alone have to be compliant wtih civil rights policies.  This rings with even more truth when you understand that these "economically significant" new rules that may come down are dealing with privatization, out-sourced by state governments.

If one possessed basic understanding of the legislative process, one would know there currently exists multiple forms of input from the people regarding the formation and adoption of regulations beyond the sole elected official.


There is the Federal Registry which allows for public content.  The elected official who is concerned with having a voice should assist and engage his/her constituents in the opportunities to submit historical comments into federal record.

Then, there is always the role of the elected official to, again, assist and engage his/her constituents on how to contact the administrators of each agency to voice concerns and to provide critical input in the development of any policies.

Alas, it seems here the elected official would prefer to bog down the legislative process in minutia of applying a fifth layer of approval for policies which would virtually shut down governmental functions.  Grandstanding at its finest.

Now, let's examine the counterfactual of a "so-called" removal of regulatory policies.  Let's take EPA for example.

You remove regulation of EPA, people become sick and die.  Sick people tend to cause a soaring costs to overall health care.  Sick people can not work nor be productive to society which means that they will not be able to afford individual private insurance and seek the single payer programs.  The moral hazard kicks in to increase the cost of private insurance placing more individuals at risk of loosing their medical coverage.

As the insurance companies financially benefit with an increase in profits by cherry picking who will be insured, there will be a need to further reduce its work force with fewer clients.
Dead people do not work nor pay taxes.

Now, that is what I call "job-killing", literally.

Beverly Tran
An Original Source

Michigan Senate Resolution To Memorialize Congress For Moritoria On Regulation With REINS Act 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
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:

Refusal to allow or provide needed care for diagnosed condition or impairment.

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.

Demitri and Janice Papolos

Trileptal Illegal Marketing Material

REINS Drops The Reins On Medicaid Fraud

REINS Drops The Reins On Medicaid Fraud

Oh, this is hilarious.

Here you have a group of individuals who believe regulation is "job killing".  Well, when you are dealing with elected persons who lack administrative sophistication, you must assume their advice comes from their advocates... oops, I mean lobbyists, the same individuals who would significantly benefit from less regulatory mandates.

See, it goes like this, even though all three branches of government have their input into any administrative regulation that comes down, it is actually "job killing" because most of the local governments would not be in operation if they had to be compliant, let alone have to be compliant wtih civil rights policies.  This rings with even more truth when you understand that these "economically significant" new rules that may come down are dealing with privatization, out-sourced by state governments.

Now, let's put this into a more familiar perspective.

States get their Medicaid funding.  Then the contracts to provide child welfare services are privatized.  Even though there is already a moritoria on Medicaid regulation ... oh hell, just watch the video!

Taking aim at federal rules

U.S. Rep. Daniel Webster is among those who want to ease the red tape that often accompanies federal money

In recent weeks, Marion County officials have complained about being hog-tied by the strings that accompany some federal money they receive.

U.S. Rep. Daniel Webster wants to help them by cutting the fiscal ties that bind.

During a recent visit to Ocala, the newly elected Republican said he supports legislation that would empower Congress to approve "major" rules made by federal regulatory agencies deemed to have a significant impact on the overall economy.

The Regulations from the Executive in Need of Scrutiny Act — or REINS Act — defines a "major rule" as one that would have an annual effect on the economy of $100 million or more — or one that causes a "major increase" in costs for consumers, individual industries or government agencies.

Federal grants and awards often have extensive requirements for compliance and reporting that lead local officials to rethink whether they should have even accepted the funding in the first place.

In recent weeks, for example, the County Commission has questioned staff spending under a federal housing grant designed to stabilize neighborhoods with large numbers of foreclosures.

The program, created in 2008 under the $800 billion Housing and Economic Recovery Act, allows the county to buy, refurbish and resell selected properties as a way to slow the spread of blight in emptying communities.

The county initially received $6.3 million toward the effort and is considering whether to take an additional $4.6 million.

Last week, the commission agreed to approach the Federal Aviation Administration to find out whether a ban on aerobatic planes and pilots at the Dunnellon-Marion County Airport would force the county to forfeit at least $2.5 million in federal grants that fund improvements at the facility.

Marion County Public Schools, meanwhile, once devoted an entire department tomonitoring federally funded programs and the attached requirements to ensure compliance with Washington's demands.

Webster, in a recent interview, said there must be a way to give local governments more latitude in deciding how those funds can be spent and still comply with the goals set by federal regulators.

He noted that President Barack Obama has even said as much.

In mid January, Obama issued an executive order calling for a "government-wide" review of federal regulations that hamper job creation and adversely affect economic growth.

"We can aid our communities by getting rid of federal strings," said Webster, whose district includes much of eastern Marion, including parts of Ocala and Silver Springs Shores.

Describing these requirements as often "duplicative and oppressive," the freshman congressman, who is also a 28-year veteran of the Florida Legislature, indicated that he believes these regulations eventually catch up to local governments as they do local businesses.

"These are the items I want to dispose of," he added. "Part of Congress' duty is to oversee, and they have not done that."

He also thought Congress should start to write more specific laws to curtail the ambiguity that executive-branch agencies exploit in the absence of concrete direction from lawmakers.

"People and states have had it with the federal government telling them what to do. This just balances what's there," Webster said.

The REINS Act was introduced in January by Rep. Geoff Davis, a Kentucky Republican. The two other Republican congressmen who represent parts of Marion County — Cliff Stearns of Ocala and Richard Nugent of Brooskville — support the measure. In fact, Stearns is a cosponsor and Nugent has asked to be one.

The fourth member of Marion's congressional delegation, Democrat Corrine Brown, is still studying the legislation and has not taken a formal stand.

Not everyone thinks the bill is so great. "While the legislation...may be well-intentioned, it simply misses the mark," U.S. Rep. John Conyers (D-Mich.) told a House subcommittee last month.

He went on to summarize the critics' position:

For starters, the bill overreaches. Congress may make laws, he said, but the REINS Act "unduly trammels on executive authority."

Second, the REINS cure does not target the disease of over regulation.

"Some might argue that there is a legitimate need to strike a balance between protecting the safety and health of all Americans (through federal rules and requirements) and fostering economic growth, job creation and competitiveness," Conyers said.

But REINS "will distort the rulemaking process" and "hamper the implementation of evert single law on the books!" he said.

"By changing the presumption in the Congressional Review Act, and requiring affirmative congressional approval (as opposed to disapproval) for all major rules, this act will serve as a chokehold, and stifle regulatory review, which I am afraid is the real intent of this legislation."

Finally, he said, REINS is based on incomplete economic analysis and "solely addresses the costs of regulation, while failing to account for the tremendous cost benefits that regulations yield."
Regulations From the Executive in Need of Scrutiny (REINS) Act of 2009