Open letter to Senators stop allowing Federal HMO Fraud
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An Examination of Health Care Costs
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Senate Budget Committee - Democratic Staff Website
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http://budget.senate.gov/democratic/pressroom.html
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Senate Budget Committee - Main Office:
624 Dirksen Senate Office Building
Washington, DC 20510
Phone: (202) 224-0642
Fax: (202) 228-2007
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All hearings in SD-608 unless stated otherwise. Click on witness to view testimony.
August 7, 2007 at 4:00 PM: An Examination of Health Care Costs: Challenges and Options for Reform
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LOCATION: The Grand International, Grand Ballroom, 1505 N. Broadway, Minot, ND -- Mary K. Wakefield, Ph.D., R.N. -- Associate Dean for Rural Health and Director, Center for Rural Health, University of North Dakota, Grand Forks; Commissioner, Commonwealth Fund Commission on High Performance Health System -- Janis Cheney -- State Director, American Association of Retired Persons (AARP) -- Terry G. Hoff -- President and CEO, Trinity Health -- Candace Abernathey -- Patient -- * Additional Witness to be Determined*
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GENERAL PUBLIC CRIMINAL COMPLAINT
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U.S. Attorney General and Office of Inspector General PUBLIC FRAUD
Criminal Misconduct T18CFR371 White Collar, Economic Crime.
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http://hometown.aol.com/kstbylite1/myhomepage/business.html
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T18CFR371 Selective Law Enforcement
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http://www.usdoj.gov/usao/eousa/foia_reading_room/usam/title9/crm00983.htm
983 Guidelines for Implementation of the Health Care Fraud and Abuse Control Program
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1998 -- HEALTH CARE FRAUD AND ABUSE CONTROL PROGRAM [ subject to prosecution ], under the Joint Direction [ T18CFR371-illegal agreement to induce forfiture of Hospital Insurance Benefits DHHS T42CFR417 Anti-dumping violation ] of the ATTORNEY GENERAL and the Secretary of [ DHHS ] the Department of Health and Human Services (HHS)(1), acting through the Department's [ OIG ] Inspector General (HHS/OIG), Designed [ Federal HMO Grievance Procedure T42CFR417 criminal denial of covered Federal Hospital Insurance claims / Volentary Disclousure of Health Care Fraud & Abuse / SELF-Audit Program ] to coordinate Federal, State and Local Law Enforcement activities [ T18CFR371 white collar economic crime, misprison of a felony / defrauding federal health insurance programs: HCFA STATE Medicaid and OPM FEHB Programs et al ] With Respect to ( Claims CITE: OPM T5CFR890.105 ) Health Care Fraud and Abuse.
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CITE- 18 USC Sec. 1518 01/02/01-EXPCITE- TITLE 18 - CRIMES AND CRIMINAL PROCEDURE PART I - CRIMES CHAPTER 73 - OBSTRUCTION OF JUSTICE-HEAD- Sec. 1518. Obstruction of criminal investigations of health care offenses -STATUTE
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DHHS OIG News Release 21 October 1998 - PUBLIC FRAUD
Volentary Disclousure of Health Care Fraud <~ T18CFR371 illegal aggreement ( SELF-Audit )
For Immediate Release Contact: ……………Judy Holtz (202) 619-0893
Wednesday, October 21,1998 ……………….Ben St.John (202) 619-1028
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The ( DHHS OIG ) Department of Health and Human Services’s Office of Inspector General ( OIG ) today unveiled an expanded and simplified Program For [ Federal HMO Hospital Insurance Contract ] Health Care Providers to 'volentarily report' [ misprison of a felony / T42CFR417 ] Fraudulent Conduct ( Hospital Insurance Fraud DHHS T42sec417 CRIME ) Affecting Medicare, Medicaid and other [ OPM FEHBP et al ] Federal health care programs.
Unlike the piolet program,which was only available to ‘certain’ ( Federal ) health care providers in a few STATES and had strict eligibility requirements, the New Program is OPEN TO ALL ( Federal ) providers NATIONWIDE under signaficantly Relaxed Requirements ( misprison of felony/T42CFR417 ) for ( Health Care fraud ) participation.
NOW ALL ( Federal ) health care Providers Doing Business with Medicare, Medicaid,or Other Federal health care programs [ OPM FEHBP / TRICARE / CHAMPVA / etal ] that ” Want to ” disclose Violations of Law [ Title18CFR24Crime ] are eligible for acceptance into The [ National - Health Care Fraud & Abuse -illegal agreement to induce forfiture T42CFR417 Control ] Program. The [ Federal ( OPM FEHBP ) HMO Contractor ] Provider will have the option of doing 'SELF-audit' [ DHHS T42CFR417 Anti-dumping violation ] in conformance 'with OIG' [ defrauding federal health insurance programs with respect to claims: OPM FEHBP 5CFR890.105: criminal denial of COVERED Claims T18CFR371 to FORCE illegal HCFA State Medicaid kickback conversions ]
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TITLE 42--PUBLIC HEALTH CHAPTER IV -[ HCFA ]-HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF [ DHHS ] HEALTH AND HUMAN SERVICES PART 409--HOSPITAL INSURANCE BENEFITS--Table of Contents Subpart D-[ Federal ]-Requirements for Coverage of Posthospital SNF Care Sec. 409.33 Examples of skilled nursing and rehabilitation services.
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The Health Care Financing Administration ( HCFA ) administers the Medicaid
program. Authorized under Title XIX of the Social Security Act.
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The Anti-Dumping Statute [ Hospital Insurance Fraud DHHS T42CFR417 anti-dumping violation for illegal HCFA Medicaid kickback conversions ] is Enforced Jointly by the Health Care Financing Administration [ HCFA ] and the Office of Inspector General [ OIG ] of the [ DHHS ] U.S. Department of Health and Human Services (HHS).
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DATED: November 24, 1998
_______/s/______________________
June Gibbs Brown
[ DHHS ] Inspector General
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DATED: November 24, 1998
_______/s/_______________________
Nancy-Ann Min DeParle
[ HCFA ] Administrator, Health Care Financing Administration
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1. Separate and apart from the anti-dumping statute, in accordance with sections 1857(g), 1876(i)(6), 1903(m)(5) and 1932(e) of the Social Security Act, the OIG (acting on behalf of the Secretary) has the authority to impose intermediate sanctions against Medicare and Medicaid [ Federal ] contracting managed care Plans that Fail to Provide [ DHHS & Federal HMO T42CFR417 criminal denial of covered Federal Hospital Insurance Benefits, anti-dumping violation ] Medically Necessary Services, including Emergency Services, to Enrollees where the Failure ADVERSELY Affects (or has a substantial likelihood of adversely affecting) the Enrollee. Medicare and Medicaid [ Federal ] managed care plans that fail to comply with the above provision are subject to civil money penalties of up to $25,000 for EACH Denial [ DHHS T42CFR417 anti-dumping violation ] of Medically Necessary Services. [ T42CFR409.33 - Federal Requirements for Coverage of Posthospital SNF Extended Care ].
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The HHS/OIG continues to work with the ( AOA ) Administration on Aging, ( HCFA ) Health Care Finance Administration, and the American Association of Retired Persons ( AARP ) to develop an Outreach Campaign to Educate Beneficiaries [ Entitled Individuals with Existing Federal Hospital Insurance Benefits ] and those who work with the Elderly to recognize Fraud and Abuse [ Hospital Dumping ] and to report it appropriately [ T42sec417 government grievance procedures, Anti-dumping violation, misprison of a felony ]. This campaign will be fully "launched" in 1999.
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The Region V HCFA [ Chicago ] office had a record high 940 new MSP cases filed in 1998. Contributing to this were PARTNERSHIP Arrangements with [ Federal HMO T42CFR417 Hospital Dumping ] Contractors and U.S. Attorneys [ T18CFR1518 - T18CFR286 - T18CFR371 ] in Michigan and Ohio........
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Illegal Agreement: Michigan Law Requires YOU [ Federally Entitled Hospitalized Individual ] to complete an internal review with your health plan [ DHHS T42CFR417 Anti-dumping/Anti-kickback Violation - Federal Hospital Insurance Fraud & Abuse - & OPM 5CFR890.105 Illegal agreement to induce forfiture T18CFR371 for illegal State Medicaid kickback conversions/'grievance procedure' - misprison of a felony T18CFR286 ] prior to using the external review. The health plan will give you a final decision within 45 days and will provide an Office of Financial and Insurance Services ( OFIS ) Health Care Request for external review form. If your health plan does not provide a decision within the required time frame, you may [ be dead - by criminal denial and termination of posthospital extended care services/benefits, misprison of a felony T42CFR417 grievance procedure/actual commission of a felony - used to Force illegal HCFA medicaid kickback conversions ] file for External Review Without the Notice of Final ADVERSE Determination.
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Approximate Value of Existing OPM Federal Hospital Insurance 'Extended Care' Benefit criminally denied T42CFR417 DHHS OIG grievance service = $288,000.oo.
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Subj:Skilled Nursing Facility Coverage<-- OPM FEHB 'Hospital Extended Care Benefits'
Date: 4/23/99 8:19:16 PM !!!First Boot!!!
From:MSWEB1@hapcorp.org (Member Services Web) Federal HMO
To: Kstbylite1@AOL.com
Ms. Kimball,
Thank you once again for contacting the <~ DHHS T42sec417 Denial of Posthospital Care
Member Services Web. Upon review of the
referral to Nightengale East Nursing Center, <--deception: Hospital transfer
we have found that Mrs.Rupert will be
referred to Nightengale for a Total of TWO <-- Felony to induce forfiture
WEEKS for family training for maintenance of
her feeding tube. This family training is
considered to be basic care according to <--T42PHC409.32&.33 Federal requirements
HAP criteria. Although the 'skilled nursing
facility benefit' is for up to 730 days, HAP <--Hospital Extended Care Benefit 730 days
criteria require that the care must be skilled. <-- Medical records were concealed & withheld from family members until the OPM FEHBP Dumping Victim was off hospital property / transfered 20 April 99 - Hospital Medical Records released for Law Enforcement on 21 april 99.
Because Mrs.Rupert is recieving basic and
NOT skilled care, she does not meet the <---false claim fraud - intent to harm
criteria for the maxium benefit.
If you would like to speak to someone
directly regarding Mrs.Rupert's care, you
are more than welcome to call HAP at
1-800-422-4641 and ask for Mattie Ogburn. <~ HMO in direct contact with Hospital DHHS Employee Marla Ruhana - concealing OPM FEHB Patient needs ( terminally ill ) and existing coverage, to Force HCFA medicaid kickback conversion for 'Long Term Care' Medicaid payments.
Ms.Ogburn has spoken with Mr.Rupert and
is handling your Mother's case.
Member Services Web
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1999 Retired OPM FEHBP was killed During the Commission of a Felony: DHHS T42sec417 ' OIG Grievance Service '[ as threatened 2 weeks ] Hospital Insurance Fraud - criminal denial of Existing Federal Hospital insurance Benefits T42CFR409.33 Posthospital EXTENDED skilled and basic care ( Medically necessary services ) Anti-dumping Violation, to Force criminal HCFA Medicaid kickback conversion for 'Long Term Care' HCFA Medicaid kickback [ State OFIS ] payments -Fraud by Fright / white collar crime - illegal agreement / induced forfiture- Fraudulent Insurance Act - DHHS OIG T42CFR417 'Health Care Fraud and Abuse Control Program'. PUBLIC FRAUD
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According to the Detroit News, Between 1999 & 2001 Michigan's Medicaid clientele ballooned [ DHHS T42sec417 induced forfiture of existing federal hospital insurance benefits for illegal Medicaid kickback conversions ] to 1.25 million from 1 million, at a cost of approximately $6,000 on each Medicaid Reciepent.
The Detroit News stated according to Paul Rienhart " a Medicaid Expert " in
The State Budget Office of Michigan, says
[ OFIS / HCFA ] Medicaid consumed 8% of Michigan's General Funds in 1998.
[ OFIS / HCFA ] Medicaid will consume 32 % of the General Fund budget by 2004.
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1998 -- The Health Care Fraud and Abuse Control Account would be established as an expenditure account within the Federal Hospital Insurance (HI) Trust Fund.
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1999 RULES & REGULATIONS Part IV DHHS OIG 42 CFR Part 1001 . Federal Health care Programs: ( OPM FEHBP ) . Fraud & Abuse Anti Kickback Statutes Sect 1128B(b) of the Social Security Act provides criminal penalties for individuals [ DHHS employees ] or entities [ Federal HMO employees ] that knowingly & willfully [ DHHS & Federal HMO T42CFR417 Anti-dumping Violation ] offer [ illegal medicaid application ], pay, solicit [ illegal medicaid application ], or recieve renumeration to induce [ DHHS inducing forfiture Existing OPM FEHBP Hospital Insurance T42CFR417 for criminal HCFA Medicaid kickback conversions ] the referral of business reimbursable under a Federal Health Care Program ( including Medicare & HCFA Medicaid ). Section 2 of the Medicare and Medicaid Patient & Program Protection Act of 1987 ( MMPPPA )
.
The 1999 DHHS OIG Beneficiary Outreach Program, in part, encourages [ General Public / entitled / covered ] individuals to contact the HHS/OIG Hotline, 1-800-HHS-TIPS, which receives complaints of improprieties in Medicare and other DHHS [ Federal HCFA Medicaid & OPM FEHB Health Care ] programs.
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THE MEDICAID FALSE CLAIM ACT (EXCERPT)Act 72 of 1977
400.603 Application for, or Determining Rights to, medicaid benefits; false statement or false representation of material facts; concealing or failing to disclose certain events; felony; penalty. [M.S.A. 16.614(3) ] ............. DHHS T42CFR417 Federal Hospital Insurance Fraud by Fright /Anti-dumping violation and OPM T5CFR890.105 Criminal DENIAL of COVERED Federal Hospital Insurance Claims to Force illegal HCFA Medicaid Kickback Conversions - U.S. Attorney General & OIG misprison of a felony 'grievance procedures': DHHS & Federal HMO Hospital Dumping.
.
Contacting the HHS OIG Hotline
By Phone: 1-800-HHS-TIPS (1-800-447-8477)
By Fax: 1-800-223-8164
By E-Mail: HHSTips@oig.hhs.gov
By TTY: 1-800-377-4950
By Mail: Office of Inspector General
Department of Health and Human Services
Attn: HOTLINE
330 Independence Ave., SW
Washington, DC 20201
All DHHS [ Employees ] and [ Federal HMO ] Contractor Employees have a responsibility to Assist [ DHHS OIG T42CFR417 Federal HMO grievance service - denial of Existing Federal Hospital Insurance Benefits to Force HCFA State Medicaid kickback conversions T18CFR4Crime ] in combating fraud, waste and abuse in all departmental [ Health Care Fraud and Abuse Control Program ] programs. As such you are encouraged to report matters involving fraud, waste and mismanagement [ Federal Hospital Insurance Fraud T42CFR417 Anti-dumping violations ] in any departmental program(s) to the OIG.
To assist you [ DHHS Employees and Federal HMO Contractor Employees ],the OIG maintains a Hotline which offers [ protection from Federal Prosecution for defrauding the Government and Entitled Americans with respect to Federal Hospital Insurance Claims T42CFR417 Fraud by fright / white collar crime / Hospital dumping ] a confidential means for reporting vital information.
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DHHS OIG Federal Hospital Insurance 'PUBLIC' Fraud:
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Subj: RE: HHS OIG Hotline Web Submission - 1998 AG & OIG Health Care Fraud and Abuse Control Program - Volentary Disclousure - SELF-Audit - misprison of a felony program, T18CFR371Crime:
1999 Beneficiary Outreach Program PUBLIC FRAUD.
Date: 2/13/2003 10:29:22 AM Eastern Standard Time
From: hhstips@oig.hhs.gov (Tips, HHS)
To: Kstbylite1@aol.com
Ms. Kimball:
This is in response to your email of February 5, 2003, regarding the [ DHHS employee & Federal HMO Employee Denied T42CFR417 Region V HCFA ] health care coverage for your [ Entitled OPM FEHBP Hospital Insurance Fraud: Dumping Victim ] deceased mother.
Although WE ACKNOWLEDGE that you have SERIOUS CONCERNS [ Hospital DHHS Workers conducting HMO Hospital Insurance Fraud - T42CFR417 Anti-dumping and Anti-kickback violations Against Retired FEHBP to Force criminal HCFA Medicaid kickback conversions, Fraud by Fright, white collar crime ], it is our judgment that the issues [ Federal Hospital Insurance Fraud ] do Not fall under the Jurisdiction of the Office of Inspector General.
Since your mother was a federal employee ( Covered Individual ), her FEHB would have been administered by the Office of Personnel Management (OPM). If you contend that her FEHB [ Federal HMO Contractor ] insurer failed to [ Supply -DHHS and Federal HMO 'DHHS OIG Grievance Service' T42sec417 DENIAL of Existing OPM FEHBP Hospital Insurance Benefits ] pay for Contracted Services, OPM would be the proper agency to handle [ SELF-audit CITE: 5CFR890.105 criminal denial of COVERED Claims to force illegal State HCFA Medicaid kickback conversions, Fraud by Fright, white collar crime ] your ( Criminal ) complaint.
Inspector General's Hotline - [ illegal agreement to induce forfiture of existing federal hospital insurance benefits T42CFR409 for criminal HCFA Medicaid kickback conversions T18CFR371Crime ].
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U.S. Attorneys and Office of Inspector Generals [ DOJ Employees ] are obstructing justice T18CFR24Crime defination of Federal Health Care Offences.
.
CALL THE HEALTH CARE FRAUD HOTLINE
202-418-3300
OR WRITE TO:
The United States Office of Personnel Management
Office of the Inspector General Fraud Hotline
1900 E Street, NW, Room 6400
Washington, DC 20415
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http://www.usdoj.gov/usao/eousa/foia_reading_room/usam/title9/crm00923.htm
White Collar Crime
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Subj: Alexandra Rupert - Retired OPM FEHB - DHHS & HMO Hospital Dumping Victim
Date: 9/6/00 2:45:32 PM Eastern Daylight Time
From: IETHOMAS@opm.gov (Thomas, Imogene E)
To: SpiritDancerMita@aol.com
CC: kstbylite1@aol.com
Hello Ms. Kimball
I received a response from Jeanette Girty at ( Federal HMO Michigan ) Health Alliance Plan regarding your mother Alexandra Rupert's Denied ( T42CFR417 ) CLAIM. Ms. Girty informed me that They ( Federal HMO ) resolved this case ( DHHS OIG -1998 federal contractor 'volentary disclousure / SELF-Audit Program' T18CFR371 ) long ago. HAP paid the additonal days and sent the approval letter to you in Marysville, MI on May 21, 1999. You also sent in a complaint letter to the [ OFIS Kristie Tabor etal ] Michigan Insurance Bureau in March of this year regarding ( DHHS Hospital Dumping of Elderly for Medicaid Kickback Conversions ) the same thing as well as some alleged Quality Issues ( OPM FEHBP killed during the commission of a felony T42CFR417 Hospital Insurance Fraud ). They also investigated [ misprison of a felony OFIS & HCFA State Medicaid Kickback Fraud 1998 illegal agreement to induce forfiture of existing Federal Hospital Insurance Benefits T42CFR417 ] the QA issues and responded to you. Ms. Girty said HAP ( OPM FEHBP Hospital Insurance Service Contract Provider ) had not received an itemized bill for the additional three days so they sent you another letter reminding you of the approval and Asked YOU to FORWARD the itemized BILL to them. ( criminally billing covered individuals / Felony, to force Medicaid eligibility / poor - kickbacks ) As of today, they have not received this information. HAP need the information (the itemized bill) ( to conceal Hospital Insurance Fraud resulting in death of Retired FEHB ) for proof of payment. HAP ( Federal HMO T42sec417 ) considers this case [ murder ] resolved and closed. Any questions let me know.
Regards,
Imogene E. Thomas
Health Benefits Contracts Specialist - CITE: 5CFR890.105 misprison of a felony
Office of Insurance Programs
Insurance Contracts Division III, Branch II
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Section 1001 of the USA Patriot Act, signed into law by the President on October 26, 2001, directs the [ OIG ] Inspector General to review information and receive [ criminal ] complaints alleging abuses [ CRIMES ] of Civil Rights and Civil Liberties by Department of Justice employees.
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Subj: RE: abuse of civil rights by justice employees
Date: 12/13/2002 8:54:30 AM Eastern Standard Time
From: Inspector.General@usdoj.gov (General, Inspector)
To: Kstbylite1@aol.com ('Kstbylite1@aol.com')
.
Dear Ms. Kimball:
.
The purpose of this letter is to acknowledge receipt of your Internet submission dated October 31, 2002. The matters that you raised have been reviewed by the staff of the Investigations Division, Office of the Inspector General.
.
The primary investigative responsibilities of this office are:
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· Allegations of criminal, as well as non-criminal, misconduct committed by U.S. Department of Justice Employees and Contractors; and
· Waste and abuse by high ranking Department officials, or that affects major programs and operations.
.
This Office does not have jurisdiction in the matter you described.
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Section 1001 of the USA Patriot Act, signed into law by President Bush on October 26, 2001
.
OPM FEHBP - TITLE 5 [CITE: 5CFR185.104] PROGRAM FRAUD Sec. 185.104 Investigation. (d) Nothing in this section modifies any Responsibility of an Investigating Official to Report Violations of Criminal Law [ Anti-dumping & Anti-Kickback Violation Against Retired 'Entitled' Federal Beneficiaries CITE: 5CFR890.105 ] to the U.S.Attorney General.
.
Therefore, your complaint has been forwarded to:
.
Office of Personnel Management
Office of the Inspector General
1900 E Street NW
Washington, D.C. 20415
.
Office of Inspector General - Misprison of a felony - T42CFR417 ' grievance service ' Hospital Insurance Fraud
Office of Personnel Management - CITE: 5CFR890.105 criminal denial of Covered Claims
Joseph Frech investigator - illegal agreement w/U.S.Attorney General & DHHS OIG Volentary Disclousure / Self-Audit / misprison of a felony - Program
dtd: 9 may 2002
.
" The matters discribed [ Anti-dumping and Anti-kickback Violations - Federal Hospital Insurnce Fraud resulting in Death of Retired FEHBP ] in your letter are not within the jurisdiction of this office. The OIG had also received information regarding your case in September 2000. At that time we determined that the [ OPM FEHBP ] Health Benefits Contracts Division has sole jurisdiction over [ SELF-Audit ] your ( criminal ) complaint. The decision made by the contracts division is final and The OIG will NOT Investigate. " [ OPM FEHBP Contracting Divisions assisting, allowing & concealing CITE: 5CFR890.105 felony federal health care offences against Retired FEHBP ].
.
I hope this answers any questions regarding this [ Criminal T18CFR24CRIME ] matter.
.
Sincerely,
.
The Office of the Inspector General
Department of Justice
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PUBLIC FRAUD -- Misprison of Federal Hospital Insurance Fraud and Abuse
.
The OIG has jurisdiction over all [ criminal ] complaints of misconduct against Department of Justice Employees [ T18CFR371 Misprison of a felony ], including the Federal Bureau of Investigation; Drug Enforcement Administration; Federal Bureau of Prisons; U.S. Marshals Service; Bureau of Alcohol, Tobacco, Firearms, and Explosives; United States Attorneys Offices; and employees who work in other Divisions or Offices in the Department of Justice. The one exception is that allegations of misconduct involving Department ATTORNEYS a that arise from their AUTHORITY TO INVESTIGATE [ the OIG for treason ], litigate, or provide legal advice are the responsibility of the [ OIG ] Department's Office of Professional Responsibility.
.
Office of Inspector General - Misprison of a felony T42sec417 Hospital Insurance Fraud
Office of Personnel Management - CITE: 5CFR890.105 criminal Denial of Covered Claims
Dated: 14 May 2003
Joseph Frech Investigator - T18CFR371 illegal agreement with U.S. Attorneys to defraud Entitled Individuals and Federal Health Care Programs with respect to Federal Hospital Insurance Benefit Claims
C 03-206 Quote:
.
" Your only recorse is to file suite against the Office of Personnel Management in Federal Court. "
.
Subject: FBI Response
Date: 5/26/2004 10:26:33 AM Eastern Daylight Time
From: tips11@fbi.gov
Reply To:
To: LawISAmootIssue@aol.com
CC:
BCC:
Sent on:
Sent from the Internet (Details)
.
Dear Ms. Kimball,
.
THIS IS NOT AN AUTOMATED RESPONSE
Thank you for your submission to the FBI Internet
Tip Line. After a careful evaluation of your
information, it is our determination that your
complaint should be reported to your Local Law
Enforcement authorities or District Attorney's
office. If you wish pursue legal matters against
the hospital you should contact an attorney.
.
LOCAL LAW ENFORCEMENT: Government/Grievance/Inquiry Unit -T42sec417 illegal agreement Misprison of a felony / Hospital Insurance fraud
.
Michigan Attorney General - health care fraud division # 2002-04-0925 - Mike Cox / Jennifer Granholm <~ Former U.S.Attorney / Current Governor
Health Care Fraud Division # 99-05-1034 January 2000 Linda Damer
Insurance Bureau [ OFIS ] #31302-001 March 2000 Cindy Mielock , Kristie Tabor
Liscensing Division #68-99-3073-00 april 1999 Cynthia Samuel - victim still living
Bureau of Health Systems #990759 april 1999 Mary Duncan - victim still living
ACE Eastern District Ellen Christensen USAO refused to investigate 2001 - T18CFR286/T18CFR371.
.
The criminal liability of individuals [ Law Enforcement Officials ] through whom the entity [ Federal [ OPM FEHBP et al ] HMO Contractors & thier affiliates ] committed its acts [ Hospital Insurance Fraud T42CFR417 Anti-dumping Violation ] should be investigated and should be resolved separately from the entity's liability. Public Official Criminal Misconduct / Consumer fraud / et al.
.
USAOs continue to cooperate closely with numerous federal, state and local law enforcement agencies who are involved in [ 1998 AG & OIG - ' Health Care Fraud and Abuse Control / Volentary Disclousure of Federal Health Insurance Fraud, induced forfiture program used to force illegal kickback conversions into Other Federal Programs T18CFR371 illegal agreement / misprison of a felony T18cfr24crime ] the prevention, evaluation, detection, and Investigation of health care fraud. In addition to the HHS/OIG and HCFA, these agencies include the State Medicaid Fraud Control Units; Inspectors General Offices of other federal agencies; the Drug Enforcement Administration; Department of Defense, Defense Criminal Investigative Service; and the TRICARE Support Office in the Department of Defense.
.
The Federal HMO Programs affected by DHHS T42CFR417 , T18CFR286 Hospital Insurance - Fraud by Fright / White Collar Crime - resulting in death by criminal denial of covered T42sec409.33 posthospital extended care Claims - are:
.
Medicare
Medicaid
OPM FEHBP
CHAMPVA
TRICARE (including coverage provided by the Uniformed Services Family Health Plan)
TRICARE-for-Life
.
The OIG is an 'Independent Entity Within' [ white collar criminals ] the Department of Justice that reports to both the Attorney General and Congress on issues that affect the Department's personnel or operations.
.
Felony ex: Illegal agreements to defraud Federal Hospital Insurance Programs.
.
1998 --U.S. Attorney & DHHS Office of Inspector General - Health Care Fraud and Abuse Control Account would be established as an expenditure account within the Federal Hospital Insurance (HI) Trust Fund.
.
U.S.Justice Department workflow number 7 1998 2
.
14 February 2005
U.S.Department of Justice
Executive Office for United States Attornies
Washington DC 20515
.
Dear Congressman Stupak:
.
Regarding: CITE: 5CFR890.105 Filing for Denied Covered Claims, misprison of a felony
.
Judicial Review Denied - CITE: 5CFR890.105 misprison of a felony T18CFR371
.
Violation of Crime Victims Rights - Under federal law [42 U.S.C.10606(b)] and also 42 USC 1983. Civil action for deprivation of rights and The U.S. Constitution: Fourteenth Amendment.
.
" This is in response to your letter to William E. Moschella, Assistant Attorney General for Legislative Affairs, on behalf of your constituent, Mrs. Kimberly Kimball. We apologize for any inconvience our delay in responding may have caused. "
.
"We have carefully reviewed the issues raised in Mrs. Kimball's letter, " [ FEHBP killed during the commission of a felony as threatened T42CFR417 grievance service, fraud by fright, white collar crima, federal health care offence, anti dumping and anti kickback violations ]" but have found no issue upon which DOJ can provide assistance."
.
"Mrs. Kimball alledges that the ( Federal HMO ) Health Maintenance Organization that provided ( DENIED ) health care coverage ( OPM FEHBP Hospital Insurance Benefits ) for her Mother IS Engaging in Medicaid [ kickback ] Fraud, and caused [ & are concealing ] her mothers ( murder ) death, by it's use of Managed Care [ DHHS OIG and U.S. Attorney Service T42CFR417 Federal HMO grievance procedure, used to induce forfiture of Existing Federal Hospital Insurance Benefits, fraud by fright, white collar crime - misprison of a felony T18CFR371Crime to force illegal HCFA State Medicaid kickback conversions ] Grievance Procedures. "
.
" It is our understanding that Mrs. Kimball referred her allegations [ because of Public Official Criminal Misconduct OIG & FBI T18CFR371 ] to federal law enforcement agencies charged with investigating health care fraud and that they ( OIG's , FBI ) have declined further investigation after due consideration. " [ Obstruction of Justice T18CFR1518Crime ]
.
"In addition, we note that public records reflect that your constituent filed a lawsuite in the Eastern District of Michigan [ PER CITE: 5CFR890.105 Judicial Review ] asserting these and other allegations ( RICO ) against the Office of Personnel Management ( OPM ), which contracted with the health insurance carrier [ OPM Hospital Insurance Service Contractor - affiliate - HMO Health Alliance Plan Detroit MI ] that Apparently Denied [ T42CFR417 grievance service ] coverage of her mother.
Felony Hospital Insurance fraud resulting in death by criminal denial T42CFR417 of covered T42CFR409.33 posthospital extended care benefits and services - Fraud by Fright, White Collar Crime
.
"As you may be aware, the United States Attorney's Office generally do NOT investigate allegations of crimes [ LIE ], but rather Prosecute cases developed by investigative agencies."
.
"We are sorry that We Cannot be of further assistance ( Title 18 U.S.C. § 4. Misprision of felony T18CFR371Crime illegal agreement to Allow fraudulent insurance acts against Elderly Hospitalized American Citizens with Federal HMO Policies ) in responding to your constituent. Please do not hesitate to contact the Department of Justice if we can be of assistance in other matters."
Sincerely,
Marry Beth Buchanan, Director
Executive Office for United States Attornies
.
Read the October 2006 Health and Human Services (HHS) Office of Inspector General report on [ HCFA ] Medicaid payments for [ MI OFIS kickbacks ] deceased [ Federal ] beneficiaries - for more insite into the ongoing Criminal Abuse [ U.S. Attorney & DHHS Office of Inspector General - Health Care Fraud and Abuse Control Program T42CFR417 criminal denial of existing federal insurance to force illegal State HCFA Medicaid kickback conversions ] Against Elderly American Citizens with Federal HMO Policies
.
We the People demand Rule of Law T18CFR24Crime regarding Public Official Criminal Misconduct: White Collar Economic Crimes against the United States Government Federal Hospital Insurance Benefit Programs and Entitled Federal Beneficiaries and The General Public who have been denied Federal Services, criminally billed for denied covered claims, looted of their 401ks and savings accounts then FORCED into State HCFA Medicaid Programs for the poor WHEREAS the Same HMO Hospital Insurance Fraud is conducted against them AGAIN. This is fraud resulting in death of American Citizens by U.S. Law Enforcement Officials = domestic terrorism, OIG Homeland Security, fraud by fright white collar crime.
.
Sincerely,
The GENERAL PUBLIC
.
House ethics rules are very broad and provide that any Member, Officer or Staff shall conduct themselves “in a manner that shall reflect creditably on the House.” Other ethics clauses Require Any Person in the Government to “Expose Corruption wherever Discovered.” These are solemn obligations to ensure that members of Congress and Staff will preserve the integrity and dignity of the institution and Expose Wrongdoing.
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Subj: Re: Health Alliance ( Hospital ) Insurance Fraud - DHHS T42CFR417
Date: 2/21/2003 5:07:41 PM Eastern Standard Time
From: senator@stabenow.senate.gov (Senator Debbie Stabenow)
To: kstbylite1@aol.com
February 21, 2003
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Thank you . . .
. . for contacting me about ( OPM FEHBP ) insurance & Medicaid ( kickback ) fraud committed by ( Federal HMO ) Health Alliance Plan. I appreciate that you have taken the time to communicate your views and concerns with me. ( T18CFR1518 Obstruction of justice ). I understand your concern about this issue. Should related legislation ( medicare drug plan November 2003 ) come before the U.S. Senate for a vote, I will keep your views in mind,
and share your thoughts on this issue with my colleagues who serve on the
Health, Education, Labor and Pensions Committee.
Thank you again for contacting me. Please feel free to contact me
whenever I can be of assistance to you or your family.
Sincerely,
Debbie Stabenow
United States Senator
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Related Legislation - Medicare Drug Bill: November 2003.
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Homeland Security and Governmental Affairs
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Subj: Re: Your Concerns
Date: 3/26/2007 1:16:37 PM Central Standard Time
From: senator_levin@levin.senate.gov
To: JustmyOpnion@aol.com
Sent from the Internet (Details)
Dear Mrs. Kimball:
Thank you for sharing your thoughts with me regarding HMO dumping. I will certainly keep your thoughts in mind should this issue come before the Senate.
Best wishes.
Sincerely,
Carl Levin
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Sincerely,
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All Entitled Federal Employee Health Beneficiaries being criminally denied [ DHHS T42CFR417 ] Existing Federal Health Insurance Coverage Title18CFR1001Crime.
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Kimberly Kimball
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