Whistleblowers Earn Millions Turning in Medicare/Medicaid Scammers

What a coincidence!  Two stories came my way yesterday, one from Tennessee and the other from Pennsylvania, where whistleblowers filed cases against large companies they said were scamming the US taxpayers and were handsomely rewarded for their good work on our behalf.

The first story at the National Law Review is this one from Tennessee:

Tennessee-Based Health Services Company Settles FCA Case Alleging Medicaid Fraud For $9.5 Million

The Department of Justice (“DOJ”) announced another False Claims Act (“FCA”) settlement centered around a health services company’s practice of providing unnecessary therapy services to patients in order to receive the maximum amount of reimbursement under Medicare. The $9.5 million settlement is with Diversicare Health Services Inc, a Tennessee-based company that provides nursing and rehabilitation services at 74 locations throughout the country. Diversicare’s alleged violations are similar to those in a medicaid fraud case settled by the DOJ for $15.4 million two weeks earlier concerning fraudulent Medicare reimbursements for unnecessary rehabilitation services.

The settlement resolves two separate qui tam FCA lawsuits filed by whistleblowers Mary Haggard and Bryant Fitzmorris, both former Diversicare employees. Ms. Haggard will receive a whistleblower award of roughly $1.4 million, and Mr. Fitzmorris will receive $145,350. The FCA allows private citizens who possess inside information of fraudulently billing against the United States Government to initiate a lawsuit on the Government’s behalf to recover those funds. The citizens, known as qui tam relators, are then entitled to receive a share of any damages that the Government ultimately recovers from the litigation.

More details here.

Then from Whistleblower News Review (cool, a newsletter for whistleblowers) comes this story from Pennsylvania:

Guardian Elder Care Will Pay $15.4 Million to Resolve Allegations of Medicare Fraud – Whistleblowers Will Receive $2.8 Million

Guardian Elder Care Holdings Inc. and a list of related entities, including Guardian LTC Management and Guardian Rehabilitation Services (collectively, Guardian), have agreed to pay $15.4 million to settle a False Claims Act lawsuit. According to the complaint, Guardian billed government healthcare programs for medically unnecessary services. The company allegedly defrauded both Medicare and the Federal Employees Health Benefits Program.

Guardian is headquartered in PA. https://www.phillyvoice.com/guardian-elder-care-nursing-home-unnecessary-rehab-therapy-settlement/

Pennsylvania-headquartered Guardian operates over 50 nursing facilities in Pennsylvania, Ohio, and West Virginia. According to the whistleblower lawsuit filed by two rehab managers who worked at a Guardian facility in Carlisle, Guardian caused some of its facilities in all three states to bill the government for medically unnecessary services, at the highest level of Medicare reimbursement, solely to maximize profits.

The whistleblower complaint resolved by the $15.4 million settlement was filed under the False Claims Act (“FCA”). Under the FCA, whistleblowers with original information about a fraud can come forward and become eligible for an award ranging between 10 and 30 percent of any resulting recovery. The two whistleblowers in this case, Philippa Krauss and Julie White, will share a $2.8 million award.

More here.

How many more companies are ripping off US taxpayers via Medicare and Medicaid fraud?  I bet a lot.  So if you work for one and suspect fraud, check into becoming a whistleblower—it is the patriotic thing to do!

I have a bunch of posts about other successful whistleblowers, see here.

 

First Muslim Woman Elected to Pennsylvania Legislature Resigns

“[B]razen corruption… her theft knew no bounds.”

(Pennsylvania Attorney General Josh Shapiro’)

 

Movita Johnson-Harrell has been charged (and plead guilty!) in a massive fraud scheme involving embezzlement from Medicare and Medicaid, charity fraud, and other assorted fraudulent schemes.

Although the story did get a fair amount of media coverage, I hadn’t heard about it until a reader, Judy, alerted me to a detailed article at American Thinker entitled:

CAIR Pennsylvania Poster Girl Resigns in Shame

Pals Movita Johnson-Harrell and Rep. Ilhan Omar gather in Washington DC at ‘Black women in defense of Ilhan’ rally. https://www.phillytrib.com/news/local_news/group-of-women-led-by-state-rep-movita-johnson-harrell/article_f0089192-7874-5cf9-969c-84b46f2af2c0.html

Movita Johnson-Harrell seemed to take pride in her position as the first Muslim woman elected to the Pennsylvania State Legislature. Now that record will forever have an asterisk next to it as Johnson-Harrell has turned herself in to Pennsylvania Attorney General Josh Shapiro’s Office, pleading guilty on charges of perjury, record tampering, and embezzling over $500,000 in Medicare, Medicaid, and Social Security disability funds, as well as donations to Motivations Education and Consultation Associates (MECA), a charity she established to allegedly serve the mentally ill and drug addicted poor in her predominately African-American neighborhood.

[Rally for Ilhan is here in case link under photo won’t work.—ed]

In a press conference, Attorney General Shapiro described Johnson-Harrell’s actions as “brazen corruption… her theft knew no bounds.” Johnson-Harrell stole funds that personally belonged to the residents of her facilities and used it to purchase fox furs, trips to Mexico, to make payments on a Porsche, pay delinquent utility bills, cover her granddaughter’s private school tuition and even fund her political campaign. After the facility, where residents were living in squalor, was closed, Johnson-Harrell continued collecting their rent from MECA even though the facilities were no longer operating.
Perhaps unsurprisingly, Johnson-Harrell’s dereliction of duty extended to her short time as a Pennsylvania state representative.

During her brief period in office, Johnson-Harrell seemed to spend the majority of her time celebrating herself as the first Muslim woman elected to the state legislature, and helping to fundraise and advocate for the Hamas-linked Council on American Islamic Relations (CAIR).

This event happened only in October of this year. If you can stand it go here to watch her talk about herself. https://www.youtube.com/watch?v=-6nLv_-GMiU

 

Two months after being in office Johnson Harrell flew across the country to Washington State to stand with anti-Israel BDS supporter Congresswoman Ilhan Omar at a CAIR fundraiser with a separatist theme “Muslim Power for 2020 & Beyond.”

There is much more here (including many links).

Author Leonard Getz has done a lot of work on this piece, so please visit for more of the disgusting news.

I’m joking, but because I see so many stories,  I do wonder if there are Muslim training programs that teach their followers how to scam the infidels through Medicare and Medicaid fraud, Food Stamp fraud and the all-too-common Day Care Fraud.

With how far Left Pennsylvania is moving, I’m actually surprised the Attorney General would go after a Muslim ‘rising star.’

Gives us all hope!

Don’t forget to visit Refugee Resettlement Watch as the refugee program is again on front pages of newspapers across the country forcing me to spend more time there then here at ‘Frauds and Crooks.’

LOL!  However, there is some crossover between my blogs!

Just as I was wrapping up I came across this (below)!  Pennsylvania Governor Tom Wolf was the first governor in the US to tell the President to send the state more impoverished refugees for the state’s taxpayers to take care of.

Oops!

 

Pennsylvania Police: African American Vietnam Vet Run Over and Killed by Drunk Mexican

This is a story I missed last week.

You know the Left loves to tell their ‘stories’ to play on your emotions, well this one should play on ours and needs to be widely shared.

Samuel Jackson (right) survived Vietnam only to die on his own PA street. This is a news story and photo you won’t see on CNN! Can you imagine what an uproar there would be if the alleged killer was a Trump supporter!  Cable news might have had to interrupt their impeachment extravaganza!

 

From Breitbart:

Illegal Alien Allegedly Killed Vietnam Veteran Day Before Veterans Day

An illegal alien living in Pennsylvania is accused of killing a Vietnam War Veteran the day before Veterans Day, according to law enforcement officials.

Nemias Perez Severiano, a 31-year-old illegal alien from Mexico, is accused of killing Samuel Jackson, a disabled 69-year-old who served as a Marine in the Vietnam War, the day before Veterans Day this year in Norristown, Pennsylvania, according to the Montgomery County District Attorney’s Office.

On November 10, police said Severiano was driving drunk when he hit and killed Jackson before fleeing the scene of the accident. According to court records obtained by CBS Philly, the illegal alien had been drinking for five hours at a nearby bar before the fatal crash.

“While at the bar [Severiano] indicated he consumed seven to eight Modelo beers,” the arrest records stated. “[Severiano] informed the detectives that when he left the bar, he was ‘a little drunk.’”

Jackson’s sister, Peggy Jackson, said her brother “loved the Marines” and was “so proud to have served his country.”

“It was basically his day, it’s what he fought for,” Jayden Guidici, Jackson’s grandson, told ABC 6 News of his grandfather’s love of Veterans Day.

[….]

As Breitbart News reported, Marine Corp Veteran Richard Dunn donated his uniform to Jackson so he could be buried in uniform.

More here.

Send this story out to all of your social media lists!

Getting Ready for the New School Year? Then Prepare for Hating Haters Indoctrination

Maybe it might best be described as Hating Trump Voters 101.

I’m not spending a lot of time on this, too much backed up in my posting queue, but I just saw this Opinion piece at the Philadelphia Inquirer that tells us to see the Southern Poverty Law Center‘s “Hate at School” report. (I’m betting there is nothing in it about how to treat even Trump supporters with respect.)

Do your kids have the “emotional intelligence” to be ready for the 2020 Presidential election? Indeed are they ready to confront “racism, sexism, and heteronormativity” this year?

If not, may I suggest home schooling!

To confront the 2020 election cycle, we need emotional intelligence in schools | Opinion

In the history classes I teach, I begin with a digital dialogue called “What Gives Us Pause.” Before we begin formal instruction, I invite students to share with each other the social and political currents that worry them most, or make them most hopeful for the future. This dialogue unleashes a flood of student voices.

brendon jobs photo for interview
Author Brendon Jobs a “teacher leader.”  http://marcusedu.blogspot.com/2013/02/brendon-jobs-interview-how-to-be.html

Every year, students name wars that tear nations apart, gentrification that disrupts the fabric of urban communities, environmental crises, and hate and prejudice. I expect them to talk about the most recent incidents of mass shootings and gun violence right here in Philadelphia. Very quickly, this bonds the classroom in ways that prepare us to support and hold each other accountable, and name patterns of behavior we witness — in the news cycle, on social media, and in our own lived experiences — as the year unfolds.

When I began teaching in 2007, the first years felt sterile. I was discouraged from getting too political or confronting social power structures like racism, patriarchy, or class. I was trained to believe that teachers had to create “safe spaces” that were apolitical and socially neutral. We celebrated civil rights victories but did not discuss the dark legacy of slavery. We didn’t talk about the environment. Textbook-driven instruction drove my practice at the expense of student voices and authentic connections with each other.

Grrrrr!  “Student voices!” “Authentic connections!”  But, did they learn anything about the Revolutionary War or the Civil War?

I digress…. after a recent visit to the Antietam Battlefield, a friend whispered a question—what about all the northern white families who lost their husbands, fathers and sons fighting to free the slaves, don’t they deserve reparations?

Jobs goes on….

Too often, public conversations stop at simply naming transgressions: identifying something as hurtful or difficult and then moving on. In other cases, policy-driven mandates aiming to keep discourse respectful — like bans on the use of specific words, music, readings, or opinions — leave little room for gray areas. School communities, on the other hand, can model practical responses to and discussions of these moments that young people can use their entire lives, including when confronting racism, sexism, and heteronormativity. [You can bet any students who support our President will never emote in Jobs’ classes!—-ed]

[….]

Screenshot (1084)
The SPLC calls it the “Trump Effect” (LOL! note the obligatory dark cover of the report!) https://www.splcenter.org/20190502/hate-school

The stakes feel high. The special report “Hate at School”by the Southern Poverty Law Center’s Teaching Tolerance project showed a sharp increase in hate and bias in schools since the 2016 election.

Thankfully, the “Hate at School” report offers many entry points for engaging students, educators, and families in inquiry around how to notice, name, and combat acts of bias and hatred on an ongoing basis — not only when individual moments grow large and public. This defines the work that educators across the nation prepare to engage as school resumes, just over a year out from the 2020 election. [It is all about 2020 to the Progressives.—ed]

There is much more (if you can stomach it!).

Are you looking for a project?  Even if your kids are grown, how about looking into what is being taught in your local schools?

My post over the weekend about Michigan teachers being indoctrinated with incomplete information about Islam, see it here, was a huge success on social media.

Fascinating that the beat goes on at the Southern Poverty Law Center. You might think the media (and people like Jobs) would hesitate for a few minutes about using the work of the hypocrites at the SPLC after the incredible airing of their dirty (racist!) linen earlier last spring.

See my complete archive on the SPLC by clicking here.

Why Wasn’t Alleged Philadelphia Shooter’s Picture Plastered on CNN this Morning?

Philadelphia shooter
Maurice Hill, 36, had a long history of gun convictions.

 

I said I would write about American criminals from time to time, and I’ve told you that I watch CNN the first thing every morning as a way of seeing where the Leftwingers/Progressives are going on any given day.

Today, at CNN, the morning anchors were talking their viewers into thinking a Trump-induced recession was upon us, but they also reported on the gun violence in the Democrat-run city of Philadelphia.

They did report that the shooter, who wounded six police officers when officers came to serve a warrant on the man who ultimately opened fire, and said the shooter had a veritable arsenal of weapons and ammunition. But, I didn’t hear them mention his name, only that he was taken into custody.

Maurice Hill, we learn here at the Philadelphia Inquirer had a long criminal history.

(See that Townhall was on it overnight with a report about Hill’s criminal history.)

So, how did Hill get his guns including assault weapons?  Are we going to hear anything about whether he had a background check?  Are we going to hear anything about mental illness? Are we going to hear anything about who he hated (police?)? Are we going to be told that a background check would have kept him from owning guns?  Did his family, friends and neighbors ever try to report him to the local police?

Are we going to hear anything about who his political heroes are?

I’ll bet that starting tomorrow, you won’t hear another peep about how the city of brotherly love harbors violent criminals with arsenals in their closets. Why? Because it runs against the PC narrative our mainstream media is peddling.

All the gun laws in the world are not going to keep the Maurice Hills from acquiring “weapons of war.”

And, you know where that leaves you—the law abiding American!