Skip to comments.Breaking: Third Medicaid fraud lawsuit emerges against Planned Parenthood Gulf Coast
Posted on 05/21/2014 12:25:28 PM PDT by Morgana
A third lawsuit has emerged accusing Planned Parenthood Gulf Coast of committing Medicaid fraud.
Former PPGC accounts receivable manager Patricia Carroll is alleging her former employer falsified Medicaid claim forms and double billed.
Carroll joins former Planned Parenthood Gulf Coast employee Karen Reynolds, who won her case in 2013 and received a $1.25 million bounty from the $4.3 million settlement paid by PPGC to Obamas Department of Justice, and former PPGC employee Abby Johnson, whose lawsuit accusing PPGC of $6 million in fraud is still pending.
Carroll originally filed a sealed whistleblower lawsuit in 2012, but at some point the case was unsealed, coming to light on May 19 when she filed an amended complaint.
Carroll alleges Planned Parenthoods Huntsville clinic staff ran a Medicaid fraud scheme between 2002-12 involving troubled teens involuntarily remanded at Gulf Coast Trade Center in New Waverly, Texas.
Nonphysician staff from Planned Parenthood routinely drove to the center to take two separate blood draws for STD and HIV testing 10 days apart from newly detained youths, when one blood draw would have sufficed. Planned Parenthood then filed Medicaid claims falsely indicating the blood draws were completed at its Huntsville clinic on two separate visits and by a physician.
Carrolls lawsuit alleges PPGC is an ineligible provider of Medicaid services in a school or prison setting. So, she states, PPGC Huntsville staff created false charts and false office appointments to cover up the scheme. Furthermore, Carroll alleges Trade Center violated the HIPAA privacy rule by providing identities and Medicaid numbers to Planned Parenthood.
Carroll further alleges the blood tests were unnecessary to begin with, since the youth were medically screened before coming to the center.
Carroll says she became suspicious when Planned Parenthoods Huntsville clinic suddenly showed a 315% spike in revenue, whereupon she took a closer look at its books.
If Carrolls allegations prove true, the cover-up extends all the way up to the upper echelons of Planned Parenthood Federation of America.
After Carroll discovered the illegal revenue stream, she first approached local PP managers to no avail and finally called PPFAs corporate office in New York, which forwarded her to PPFAs ethics attorney, Jay Meisley, in Washington, D.C.
Meisley referred Carroll to a local attorney, with whom she understood she would be filing an ethics complaint. But that attorney, presumably Alissa Rubin, according to the lawsuit, turned out to be Planned Parenthoods own attorney defending PPGC against Reynolds and Johnsons lawsuit.
Carroll finally quit, refusing to file additional Medicaid claims she thought were illegal.
Immediately thereafter, according to her lawsuit, [PPGC CFO] Jeffrey Palmer, [PPGC HIV Program Director] Susan Rokes and [PPGC VP of Medical Services] Laurie McGill made the decision to write-off the claims Carroll refused to release, but did not, to Carrolls knowledge, fully inform the Medicaid Program or reimburse fraudulent billings.
Carroll alleges the fraudulent claims were for approximately $200 each and amounted to thousands over the course of a decade.
PPGC garnered great media sympathy by taking the occasion of Texas Governor Rick Perrys signing of the omnibus pro-life law in 2013 to announce it was closing three of its 12 clinics.
Not coincidentally, the clinics were in Lufkin, where Reynolds discovered fraud, Bryan, where Johnson discovered fraud, and Huntsville, where Carroll discovered fraud.
Planned Parenthood tried to get Carrolls lawsuit dismissed by claiming the statute of limitations had run out and that her fraud claims were not specific enough.
On May 14, District Court Judge Sim Lake ruled against PPGC about the statute of limitations and for PPGC about the specifics. BUT, because Carroll has adequately pleaded factual content that allows the court to draw the reasonable inference that Planned Parenthood knowingly filed false claims, wrote Lake, he gave her 15 days to file an amended complaint listing particular facts, which she did on May 19.
And I'm also sure they didn't talk to anyone else within the Planned Parenthood empire about how they got away with it, either.
Their primary service is baby hit man. They KILL babies for money. What is a little fraud?
They think they are above the law
Who would have guessed that people who kill babies for a living would be comfortable stealing from taxpayers too?