Federal Hospital Insurance Fraud Targeting Elderly. Medicaid Fraud, Michigan Corruption - DOJ Does NOTHING !!

Post Sent in On Attorney Corruption

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Corrupt Attorneys - Corrupt Judges - Allowing Federal Hospital Insurance Fraud, targeting T42CFR417.1 the Elderly ~ fraud by fright and illegal billing ~ to force illegal HCFA State Medicaid Kickback conversion - organized, white collar, economic crime - BY Justice Employees in violation of the U. S. Patroit Act Sect 1001 - T18CFR242CRIME.
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Here is a copy of my - Grievance T18CFR242CRIME - about DOJ racketeering with Federal Hospital Providers, to force the Elderly into State Medicaid for the poor - criminal and financial misconduct Allowed by Eric Holder 1998 still pending rule of law 2010.
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How can we stop [ Eric Holder et al ] color of law abuse by Justice employees, who are in charge of enforcing the laws they are violating ?
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1998 DOJ - HCFA and HHSOIGHMO Volentary Disclousure Program for Dishonest Providers T42CFR417.1 grievance appeals procedure, alternate T18CFR1518CRIME dispute resolution: adverse determination, a $25,000 HHSOIG Anti-dumping violation - Elderly Citizens are being intentionally killed, by systematic denial of Covered Federal T42CFR409.33 health insurance claims, to force - fraud by fright, illegal HCFA State Medicaid T42CFR409.33 kickback conversion - a $50,000 HHSOIG Anti-kickback violation - an HCFA 1996 HIPAA - RICO violation - HCFA State Medicaid eligibility, of defrauded T42CFR417.1 Individual - POOR. Documentation enclosed.
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In 1999, the NATIONAL Health Care Fraud and Abuse TASK FORCE, Chaired by the Deputy Attorney General [ ERIC HOLDER - anti trust - color of law ] set various goals toward working together to PROTECT the Vulnerable NURSING HOME population [ FALSE CLAIM - T42CFR417.1 alternate T18CFR1518CRIME dispute resolution ] and in Stepping Up Efforts to EXCLUDE DISHONEST PROVIDERS from [ HCFACMS ] Medicare, Medicaid and other [ OPM FEHB - CHAMPVA - TRICARE ] Federal Health Programs [ FALSE CLAIM - T42CFR417.1 alternate T18CFR1518CRIME dispute resolution ].
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From: Antitrust.Complaints@usdoj.gov
To: JustmyOpnion@aol.com
Sent: 8/20/2009 4:32:50 P.M. Eastern Daylight Time
Subj: RE: Citizens of Michigan DENIED civil and criminal rights BY DOJ
Thank you for contacting the Antitrust Division of the U.S. Department of Justice.

The Citizen Complaint Center receives, reviews and files complaints and concerns. We are prohibited from providing legal advice or offering opinions on whether conduct may violate the law. However, if you have a complaint, we would be happy to receive it.

We appreciate your interest in the enforcement of federal antitrust laws.

Sincerely,
'Citizen Complaint Center' - T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME - RICO - Unjust Enrichment for DISHONEST PROVIDERS
Antitrust Division - Fully Engaged in Obstruction of Justice - criminal and financial FRAUD & ABUSE
Department of Justice - 1999 still pending 2010
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Sent: 10/18/2010 11:50:48 A.M. Eastern Daylight Time
Subj: Health Law - Grievance Appeals Procedure RICO Violation
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Health Law - OPM Grievance Appeals Procedure T5CFR890.105, is a RICO Violation T18CFR371CRIME documentation enclosed.
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OPM civil and criminal rights violations Targeting -( enactment of T42CFR417.1 Hospital Discharge Procedure - denial of covered OPM FEHB claims )- Retirees for criminal and financial fraud ' ~ OPM T5CFR890.105 Grievance Appeals Procedure ' systematic Denial of Covered Federal T42CFR409.33 Post Hospital Extended Care Nursing Home Service Claims - to force illegal HCFAState Medicaid T42CFR409.33 kickback conversion - color of law RICO violation.
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2010 HEALTH LAW ............. Residents of Alabama, Mississippi and Nebraska -- STATES that lack any external appeals law -[ Title 42, U.S.C., Section 14141 ] - will have access to an interim external Review Process ADMINISTERED by the Federal [ OPM ] OFFICE of PERSONNEL MANAGEMENT [ Copy Enclosed - OPM racketeering T5CFR890.105 with Federal Contractors - grievance appeals procedure - systematic denial of Covered T42CFR409.33 Hospital Insurance Claims, to force illegal State Medicaid kickback conversion RICO ].

Consumers in these states who have questions about an external appeal [ T18CFR242CRIME ] can call 1-877-549-8152 beginning Sept. 23, 2010.
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SOS,
Kimberly Kimball Michigan
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Determining Rights to Existing OPM FEHB - Federal HMO Hospital Insurance - Hospital Discharge Procedure, enactment of T42CFR417.1 HHSHMO Grievance Appeal Procedure: Systematic DENIAL of 'Covered T42CFR409.33 Post Hospital Extended Care' Service Claims, Adverse Determination - a $25,000 HHSOIG Anti-Dumping Violation, to force ( fraud by fright ) illegal HCFA State OFIS Medicaid kickback conversion - a $50,000 HHS OIG Anti-Kickback Violation and an HCFA 1996 HIPAA Violation SSA 1128b - determining rights to Existing Federal Insurance - Color of Law.
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Note: Mike Cox Michigan Attorney General, has been allowing Federal HMO Hospital and Nursing Home Dumping, for illegal HCFA State OFIS Medicaid Kickback conversion - $50,000 FELONY against EACH Elderly Defrauded T42CFR417.1 Individual - Citizen of Michigan - color of law RICO violation.
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http://www.foxnews.com/politics/2010/10/14/federal-judge-allows-multi-state-suit-health-care-law-proceed/
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1998 still pending 2010 - HEALTH LAW
T42CFR417.1 criminal, physical and financial abuse targeting the Elderly.
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1999 still pending 2010 - criminal and financial abuse T42CFR417.1 grievance appeals procedure [ Hospital and Nursing Home Dumping to force illegal State Medicaid kickback conversion ], targeting Retired Federal Beneficiaries, will be exposed and stopped according to rule of law, civil and criminal rights.
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U.S. Constitution: Fourteenth Amendment - Rights Guaranteed Privileges and Immunities of Citizenship, Due Process and Equal Protection Amendment Text Annotations
Section. 1. All persons born or naturalized in the United States and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside. No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.
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TITLE 18 > PART I > CHAPTER 13 > § 242 Prev Next § 242. Deprivation of rights under color of law
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Title 42, U.S.C., Section 14141 makes it Unlawful for STATE or Local LAW ENFORCEMENT Agencies to ALLOW officers to engage in a pattern or PRACTICE [ 1998 DOJ - HCFA and HHSHMO T42CFR417.1 grievance procedure - Anti Trust - DOJ alternate T18CFR1518CRIME dispute resolution: systematic denial of Existing -Covered- Federal Hospital Insurance T42CFR409.33 Claims - Failure to keep from harm, to force, fraud by fright & illegal billing - illegal HCFA State OFIS Medicaid T42CFR409.33 Kickback $50,000 felony conversion ] of conduct that deprives persons of rights protected by the Constitution or U.S. laws.
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How can we stop color of law abuse by Justice employees who are in charge of enforcing the laws they are violating ? Elderly Citizens are being intentionally T42CFR417.1 killed by systematic denial of Covered Federal health insurance claims, to force - fraud by fright, illegal State medicaid kickback conversion - medicaid eligibility of defrauded T42CFR417.1 Individual - POOR. Documentation enclosed.
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Investigation and prosecution of fraud related to Federal Health Programs is the Responsibility of the Department of Health and Human Services (HHS), the FBI and (USAO) the Department of Justice.
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My mother - Retired OPM FEHB - was killed as threatened - yes murdered, in front of her terrorized family, by an HMO and HHS employee who enacted T42CFR417.1 the grievance appeals procedure, to force - fraud by fright [ threats, intimidation, a false police report ] illegal HCFA State OFIS Medicaid kickback conversion - we have been denied due process of law regarding our mothers murder because the Grievance Appeals Procedure ' systematic denial of covered claims, was used to kill her.
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According to the Eastern District of Michigan, allowing Federal HMO T42CFR417.1 Hospital and Nursing Home Dumping - to force, fraud by fright, illegal HCFA State Medicaid Kickback conversion - criminal and financial abuse, resulting in physical injury and death as threatened - was without merrit and frivolous - T18CFR242CRIME CONTRARY to LAW.
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ALL Retired OPM FEHB have NO Criminal or Civil Rights for Due Process of Law, because the Grievance Appeals Procedure - also called ' T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME ', was designed by DOJ - HCFA and HHS OIG to systematically deny covered claims and systematically deny Rule of Law for T18CFR24CRIMES.
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Department of HOMELAND SECURITY - ANTI TRUST Report any suspected criminal [ T18CFR24CRIMES ] or terrorist activity [ T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME ] to the Federal Bureau of Investigation (FBI).

The FBI is the lead federal agency for Investigating color of law abuses -- but have REFUSED to do so.
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Enclosed is a copy of the 'Grievance Appeals Procedure' T42CFR417.1 - inflicted on our Elderly, to force them into State Medicaid for the POOR ~ NOTE, wealthy individuals can not be forced by T42CFR417.1 systematic denial of covered hospital insurance claims, into State Medicaid for the poor.
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1997 ~ A report of the Advisory Commission on CONSUMER PROTECTION and QUALITY in the Health Care Industry published in November 1997. The FEHB Program is in full compliance with the President's Patients Bill of Rights.
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1998 ~ DOJ - HCFA and HHS OIG T42CFR417.1 Volentary Disclousure Program for Dishonest Providers - Consumer Fraud, Physical and Criminal Abuse - Fully LAUNCHED in 1999.
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HHS/OIG investigations, audits and evaluations focus not just on IMPROPER BILLING for health care services, but also the QUALITY of CARE provided to program beneficiaries. These efforts include: FALSE CLAIM: Prosecution and Exclusion of Dangerous Provider - 1998 DOJ - HCFA and HHS OIG illegal agreement with Federal Hospital Providers to systematically Deny Covered Claims T42CFR417.1 grievance procedure - alternate T18CFR1518CRIME dispute resolution T18CFR242CRIME Volentary Disclousure Program for Dishonest Providers ~ RACKETEERING against the ELDERLY.......beware Marketing Deceptions and Violations by AARP.
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The Piolet [ T42CFR417.1 ] VOLENTARY DISCLOSURE Program was introduced in 1995 as part of Operation Restore Trust ( ORT ), a Major anti-fraud Initiative AIMED at DISHONEST Durable Medical Equipement, Home Health Care, Nursing Home T42CFR409.33, and Hospice Care [ FEDERAL T42CFR409 HOSPITAL INSURANCE Service Contract ] PROVIDERS in California, Florida, Illinois - HCFA Region 5 - Michigan, New York, and Texas.
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1999 DISHONEST - DANGEROUS PROVIDER: HAPCORP.ORG - OPM FEHBHMO - Region 5 HCFA - MICHIGAN - Health Alliance Plan Detroit - HAP PROVIDERS offers 2,596 personal care physicians (PCP) and 4,901 specialists. HAP’s delivery system includes 45 hospitals ( 42CFR438.704 inducing forfiture, RACKETEERING - Hospital HHS Marla Ruhana and HMO Mattie Ogburn - employee T42CFR417.1 enactment of the Government Grievance Procedure - Systemic Denial of Existing OPM FEHB T42CFR409.33 Hospitalextended care ~ adverse determination ~ 1998 U.S. Attorney General Janet Reno-Eric Holder, HCFA Nancy DeParle and HHS OIG June Gibbs Brown - [ 1998 ] OIG’s Self-Disclosure Protocol (SDP) VOLENTARY DISCLOUSURE Program: misprison of a felony ~ administrative Fraud by Fright - Anti-Dumping Violation, to force illegal HCFA State OFIS Medicaid Kickback Conversions ) in southeast Michigan and the Flint area, including 23 major hospital networks ( robbing the Elderly of 401k's and savings accounts to Force Medicaid kickback Conversions - Eligibility Poor ), 65 urgent care centers and 765 ancillary providers: Hospital Affiliate NURSING HOMES [ illegally Billing OPM FEHB for criminally Denied T42CFR409.33 COVERED Post-hospital Extended Care Claims CITE: OPM 5CFR890.105 illegal agreement denial of COVERED Claims, to force illegal HCFA State OFIS Medicaid kickback conversions ), mental health facilities, optical providers, laboratories, durable medical equipment providers,ambulance services and PHARMACY CHAINS
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HHS OIG - gets $50,000 on EACH Defrauded Federal ( Beneficiary ) T42CFR417.1 Individual, forced into HCFA State Medicaid - eligibility poor - FROM - Federal Hospital ' Dishonest ' Providers, who also Have - HCFAState Medicaid contracts - eligibility of Defrauded T42CFR417.1 COVERED Individual - POOR.

Criminal and Financial Misconduct BY Justice Employees - T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME grievance appeals procedure - RICO Violation - Color of Law.
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Office of Personnel Management - OPM - is violating civil and criminal rights and conducting felony fraud against Retirees, to force illegal State Medicaid kickback conversion - Grievance Appeals Procedure - medicaid eligibility of defrauded OPM FEHB Individual - POOR.
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OFFICE OF PERSONNEL MANAGEMENT ( OPM ) Sec. 900.401, Title VI of the CIVIL RIGHTS Act of 1964 Authority: Sec. 602, 78 Stat. 252 (42 U.S.C. 2000d-1). Source: 38 FR 17920, July 5, 1973 - A PERSON [ Entitled INDIVIDUAL ] SHALL NOT BE DENIED [ T5CFR890.105 FEHBOIGHMO T42CFR417.1 adverse determination, anti-dumping and anti-kickback violation T18CFR242CRIME ] the BENEFITS of or be otherwise subjected to discrimination under a program ( OPM FEHB Health Insurance Program ) or activity Receiving Federal FINANCIAL assistance from OPM
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CRIMINAL PENALTIES FOR ACTS INVOLVING FEDERAL HEALTH CARE PROGRAMS SEC. 1128B. [42 U.S.C. 1320a-7b] (a) Whoever--(1) knowingly and willfully makes or causes to be made any false statement or representation of a material fact [ 1998 DOJ - HCFA and HHSOIGHMO Volentary Disclousure Program for Dishonest Providers T42CFR417.1 grievance appeals procedurealternate DISPUTE RESOLUTION - anti-dumping and anti-kickback violation - 1996 HCFA HIPPA Violation ] in any application FOR ANY BENEFIT or PAYMENT under a Federal [ OPM FEHBP - CHAMPVA - HCFACMS MedicareMedicaid - TRICARE, Tricare for Life ] health care program (as defined in subsection (f)), (2) at any time knowingly and willfully makes or causes to be made any FALSE Statement or REPRESENTATION of a material fact FOR USE IN DETERMINING RIGHTS [ T42CFR417.1 grievance procedure - systematic denial of Covered T42CFR409.33 Hospital Extended Care ] to such benefit or payment....
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Failure to keep from harm [ T42CFR438.704 ]: The public counts on its LAW ENFORCEMENT OFFICIALS to PROTECT local communities. If it's shown that an official willfully failed to keep an INDIVIDUAL [ Retired Federal OPM FEHBHMO et al ] from HARM [ HHSOIGHMO T42CFR417.1 Grievance Appeals Procedure - alternate T18CFR1518CRIME dispute resolution T18CFR24CRIME - a $25,000 HHSOIG Anti-Dumping and and a $50,000 HHSOIG Anti-Kickback Violation - HCFA 1996 HIPAA Violation ], that official could be in violation of the color of law statute.
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The OIG has created a 'SPECIAL SECTION' in its Investigations Division to process these complaints. This section will * Identify the More SERIOUS * Civil Rights [ OPM FEHB T6CFR900.401 ] and civil liberties allegations and assign them to OIG employees for investigation. The OIG will refer other complaints to Department components for their review and handling.
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ANTI TRUST -- 1998 HHS/OIG investigations, audits and evaluations focus not just on IMPROPER BILLING for health care services, but also the QUALITY OF CARE provided to program beneficiaries. These efforts include [ FALSE CLAIM ] Prosecution and Exclusion of Dangerous Provider. - RICO - 1998 DOJ - HCFA and HHSOIGHMO illegal agreement to terminate Individual Federal Health Policies T42CFR417.1 Grievance Appeals Procedure - adverse determination $25,000 HHSOIG Anti-Dumping violation - FRAUD by FRIGHT - Volentary Disclousure Program for Dishonest Providers, to force illegal HCFASTATE OFIS Medicaid kickback conversion - a $50,000 HHSOIG Anti-Kickback Violation - HCFA 1996 HIPAA Violation T18CFR24CRIMES ]
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2010 HEALTH LAW - Continued T42CFR417.1 Fraud and Abuse T18CFR1518CRIME - Greater consumer appeals rights - T42CFR417.1 grievance procedure - adverse determination $25,000 HHS OIG anti-dumping violation T18CFR242CRIME.
............The basics: Consumers have the right to appeal insurers' decisions through their plans' internal review processes, as well as to an independent, third-party reviewer. ~ HCFA 1996 HIPAA Violation SSA 1128b.
............ Be aware:
This does not apply to grandfathered plans.

[ 1998 illegal agreement to terminate Individual Federal health policies T42CFR417.1 FRAUD by FRIGHT - DOJ - HCFA & HHS OIG ' VOLENTARY DISCLOUSURE PROGRAM for Dishonest Providers - RICO Violation T18CFR242CRIME ].

Most states already have rules allowing some form of external appeal of insurance problems. The level of protection varies greatly, and states have until next summer to meet all federal standards, or the federal government will run the appeals programs in those states.
............. Residents of Alabama, Mississippi and Nebraska -- STATES that lack any external appeals law -- will have access to an interim external Review Process ADMINISTERED by the Federal OFFICE of PERSONNEL MANAGEMENT [ Copy Enclosed - OPM racketeering T5CFR890.105 with Federal Contractors - grievance appeals procedure - systematic denial of Covered Claims to force illegal State Medicaid kickback conversion RICO ]. Consumers in these states who have questions about an external appeal can call 1-877-549-8152 beginning Sept. 23, 2010.
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OPM FEHB - T5CFR890.105 Denial of Covered Claims - grievance appeals procedure - alternate T18CFR1518CRIME dispute resolution -- DEEMED Without Merrit and Frivolous -- January 4th 2004, Michigan Eastern District Court - to allow and conceal Felony Federal Hospital Insurance Fraud and Abuse Targeting T42CFR417.1 Elderly Covered INDIVIDUALs - FRAUD by FRIGHT - to force illegal HCFASTATE Medicaid kickback conversion - Intent to harm - Medicaid eligibility of DEFRAUDED T42CFR417.1 Individual - POOR.
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The president is announcing that the Department of Health and Human Services will initiate a Major OUTREACH CAMPAIGN led by Surgeon General Satcher that will send critical treatment and prevention messages to all Americans, with a special focus on ...
Date: Saturday, February 21, 1998
WHITE HOUSE FACT SHEET:
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1998 ~ High-RISK Situtation ~ RICO - The HHS/OIG - June Gibbs Brown - continues to work with the ( AOA ) Administration on Aging, ( HCFA - Nancy DeParle 1996 HIPAA Violation ) Health Care Finance Administration, and the American Association of Retired Persons ( AARP ) to develop an OUTREACH CAMPAIGN [ 42CFR438.704 Marketing Violation ] to Educate Beneficiaries [ Entitled INDIVIDUALS with Existing Federal HMO Hospital Insurance Benefits ] and those who work with the ELDERLY to recognize FRAUD AND ABUSE and to -'report it appropriately' [ 1998 DOJ - HCFA and HHSOIGHMO T42CFR417.1 illegal agreement, grievance procedure - alternate T18CFR1518CRIME dispute resolution - systematic denial of COVERED T42CFR409.33 Claims Anti-dumping and Anti-kickback violation - racketeering with federal hospital insurance service contract providers ]. This campaign ( DOJ and HHSOIG Volentary Disclousure Program - PUBLIC FRAUD T42CFR417.1 ) will be ( WAS ) fully "LAUNCHED" in 1999.
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CRIMINAL PENALTIES FOR ACTS INVOLVING FEDERAL HEALTH CARE PROGRAMS SEC. 1128B. [42 U.S.C. 1320a-7b]
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HHS OIG News Release 21 Oct 98 - RACKETEERING - T18CFR242CRIME
For Immediate Release Contact: Judy Holtz (202) 619-0893
Wednesday, October 21,1998 Ben St.John (202) 619-1028
OIG Issues Guidance on Volentary Disclosure of Health Care Fraud
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Joanna M. Jacobs
Acting Director, Office of Dispute Resolution ~ INTENT TO HARM _ T42CFR417.1 Intimidation, Fraud by Fright_DOJ _ HHS _ HMO _ illegal termination of Individual Federal Health Policies: HHSOIG $25,000 Anti-Dumping Violation - to Force HCFA Medicaid Kickback conversion - HHSOIG $50,000 Anti-kickback violation - 1996 HCFA HIPAA Violation -- LAUNDERED through the Office of Dispute Resolution -- RICO.
U.S. Department of Justice
Suite 5738
950 Pennsylvania Avenue NW
Washington, DC 20530
joanna.jacobs@usdoj.gov
(202)305-4439
----------- 'carrier T42CFR417.1 subject to prosecution' FALSE CLAIMS ACT ------------
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DOJ - T42CFR417.1 ALTERNATE T18CFR1518CRIME DISPUTE RESOLUTION - Victims BY the GOVERNMENT
Allowing - Hospital and Nursing Home Dumping, to force - fraud by fright, illegal KICKBACK Conversions into other Federal Programs T18CFR286CRIME - Obstruction of Justice
1998 HHSOIGHMO T42CFR417.1 Volentary Disclousure Program for Dishonest Providers T18CFR242CRIME
Insurance Code of 1956 act 218 of 1956
500.2005 Misrepresentations: 1998 DOJ - HCFA and HHSOIG - HMO T42CFR417.1 grievance procedurealternate dispute resolution T18CFR1518CRIME Anti-Dumping & Anti-Kickback Violation, used to induce forfiture - HCFA 1996 HIPAA Violation.

Fraudulent Insurance Acts : 445.903 Unfair, unconscionable, or deceptive methods, acts, or PRACTICES [ T42CFR417.1 systematic denial of covered Hospital T42CFR409.33 Extended Care Nursing Home Service Claims - adverse determination, anti dumping and anti kickback violation - to force, fraud by fright, illegal HCFA State Medicaid Kickback conversion ] in conduct of trade or commerce; rules.

(q) Representing or implying that the SUBJECT of a Consumer Transaction ( Hospital Insurance: T42CFR409.33 Post-Hospital Extended Care Nursing Home Services ) will be provided promptly, or at a specified time, or within a reasonable time, if the merchant [ HMO ] KNOWS or has reason to KNOW [ T18CFR371CRIME - 1998 DOJ - HCFA and HHSOIGHMO T42CFR417.1 Volentary Disclousure Program -adverse determinationgrievance procedure - RICO T42CFR438.704 ] It Will NOT be so Provided.
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HHS OIG News Release 21 Oct 98 - RACKETEERING
For Immediate Release Contact: Judy Holtz (202) 619-0893
Wednesday, October 21,1998 Ben St.John (202) 619-1028
OIG Issues Guidance on Volentary
Disclosure of Health Care Fraud
http://www.usdoj.gov/usao/eousa/foia_reading_room/usam/title9/crm00983.htm

The Department of Health and Human Services's Office of Inspector General ( OIG ) today unveiled an expanded and simplified program for health care providers to volentarily report FRAUDULENT CONDUCT affecting [ HCFACMS ] Medicare, Medicaid and OTHER [ OPM FEHB, TRICARE, CHAMPVA ] Federal Health Care Programs.

Called the PROVIDER Self-Disclousure Protocol, it replaces a Volentary Disclosure Program piolet tested by the OIG over a two-year period. The Protocol, which is Effective IMMEDIATELY, provides detailed guidance to health care providers that decide volentary to disclose irregularities in their dealings with the Federal health care programs.

It will be published in the Federal Register and posted on the OIG's Internet Site ( www.hhs.gov/progorg/oig ).
Unlike the piolet program,which was only available to 'certain' health care providers in a few STATES and had strict eligibility requirements, the new program is OPEN TO ALL providers NATIONWIDE under signaficantly Relaxed Requirements for participation. While NOT protected from CIVIL or CRIMINAL ACTION under the FALSE CLAIMS ACT, Providers disclosing Fraud are advised in the Protocol that the Self Reporting of Wrongdoing could be a Mitigating Factor in OIG's Recommendations to PROSECUTING Agencies.

" Major modifications have been made to the Volentary Disclosure Program in response to The Needs Of the many honest Providers trying to do the right thing, " INSPECTOR GENERAL, JUNE GIBBS BROWN said in Announcing the revisions. " we have sought to address the concerns of the Provider community by removing disincentives to participation while at the same time emphasizing that providers have LEGAL and ETHICAL DUTY to identify and Correct incidents of Non compliance with program requirements."

The Piolet VOLENTARY DISCLOSURE Program was introduced in 1995 as part of Operation Restore Trust ( ORT ), a Major anti-fraud Initiative AIMED at DISHONEST Durable Medical Equipement, Home Health Care, Nursing Home T42CFR409.33, and Hospice Care [ FEDERAL T42CFR409 HOSPITAL INSURANCE Service Contract ] PROVIDERS in California, Florida, Illinois - HCFA Region 5 - Michigan, New York, and Texas. To be eligible, an applicant had to be a CORPORATE ENTITY Doing BUSINESS in one of the ORT STATES in one of the provider industries being examined. Morever, a participant had to disclose a matter that was not allready under investigation by or KNOWN to a Federal or State LAW ENFORCEMENT Authority.

In addition, the participant was required to sign AN AGREEMENT to fully Cooperate with Authorities. These requirements have been DROPPED from the Protocol.

NOW ALL health care PROVIDERS Doing Business with [ HCFACMS ] Medicare, Medicaid, or OTHER [ OPM FEHB, TRICARE, CHAMPVA ] Federal health care programs that Want to disclose VOILATIONS OF LAW [ T18CFR24CRIMES ] are eligible for acceptance into the [ Health Care Fraud ] Program. There are NO Pre-disclosure requirements, applications for admission, or preliminary QUALIFYING characterisitics that must be met.

If, after an initial assessment, a provider uncovers suspected Fraud or other problems involving the FEDERAL HEALTH CARE PROGRAMS, the Provider is urged to Report the discovery To the OIG. The Provider will have the option of doing SELF-AUDIT in conformance WITH OIG [ T18CFR371CRIME ] guidance. The Protocol offers a detailed Step-By-Step explaination of how a provider should proceed in reporting and assessing the extent of Wrongdoing and how the OIG will go about verifying irregularities.

Self-reporting Offers Providers the Opportunity to minumize the potential Cost and Disruption of a FULL SCALE audit and INVESTIGATION, to negotiate a fair Monentary Settlement, and TO AVOID an OIG permissive EXCLUSION [ CITE: 42CFR1003.105 ] preventing the ENTITY from Doing Business with the Federal Health Care Programs. Because a Provider's Disclosure can involve anything from a simple error to OUTRIGHT FRAUD, the OIG is not making any commitments as to How a particular Disclosure will be Resolved or the SPECIFIC Benefit that will Ensure to the disclosing ENTITY.

Providers are simply told that Full disclosure And Cooperation generally Benefits the Individual or COMPANY, and that The HHS OIG will report on the [ DISHONEST - OPM FEHBHMO - HAPCORP.ORG ] PROVIDER's involvement and level of Cooperation [ T18CFR286CRIME - SELF-AUDIT ] to THE DEPARTMENT OF JUSTICE [ T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution T18CFR371CRIME ] or other government agency affected by the disclosed [ RICO ] matter.
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What is Patient Abuse and Neglect ? - National Health -- NHDOJ Patient abuse or neglect is any action or FAILURE to ACT [ T42CFR417.1 grievance appeals procedure - alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME ] which causes unreasonable suffering, misery or harm to the patient
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[CITE: 42CFR1003.105 ] Sec. 1003.105 EXCLUSION from participation in [ HCFA ] Medicare, Medicaid and all Federal Health Care Programs [ OPM FEHB, TRICARE, CHAMPVA ]. A gross and flagrant violation is one that presents an Imminent DANGER [ 1998 HHS OIG Provider Self-Disclosure Protocol (SDP), see 63 Fed. Reg. 58,399 ~ HHSHMO T42CFR417.1 ~ 1996 HIPAA Violation ~ Denial of COVERED T42CFR409.33 Claims ~ 42CFR438.704 Anti-Dumping Violation, used to Force illegal HCFA State Medicaid KICKBACK Conversions ] to the health, safety or well-being of the INDIVIDUAL [ Retired OPM FEHBHMO - all HMO Beneficiaries ] who seeks emergency examination and treatment [ Hospital Insurance Benefits T42CFR409.33 ] or places that individual unnecessarily in a High-Risk Situation
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In 1999, the NATIONAL Health Care Fraud and Abuse TASK FORCE, Chaired by the Deputy Attorney General [ ERIC HOLDER ] set various goals toward working together to PROTECT the Vulnerable NURSING HOME population [ FALSE CLAIM T42CFR417.1 alternate T18CFR1518CRIME dispute resolution ] and in Stepping Up Efforts to EXCLUDE DISHONEST PROVIDERS from [ HCFACMS ] Medicare, Medicaid and other [ OPM FEHB - CHAMPVA - TRICARE ] Federal Health Programs [ FALSE CLAIM T42CFR417.1 alternate T18CFR1518CRIME dispute resolution ].
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TITLE 42--PUBLIC HEALTH CHAPTER IV-[ HCFA ]-HEALTH CARE FINANCING ADMINISTRATION, [ HHS ] DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 409-- HOSPITAL INSURANCE BENEFITS --Table of Contents Subpart D-[ Federal ]-Requirements for Coverage of POST HOSPITAL Extended SNF [ NURSING FACILITY ] Care Sec. 409.33 Examples of skilled nursing [ Medically Necessary ] and rehabilitation services. ~~ To DENY this SERVICE [ HHSOIGHMO T42CFR417.1 systematic denial of COVERED Claims, Hospital HHS Employee T18CFR286CRIME enactment grievance appeals procedure, Alternate Dispute Resolution 42CFR438.704 adverse determination ], is called an Anti-Dumping Violation - and results in Physical Injury and death
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The Anti-Dumping Statute is Enforced [ 1998 still pending T18CFR371CRIME - DOJ Alternate Dispute Resolution T18CFR1518CRIME ] Jointly by the Health Care Financing Administration ( HCFA - Nancy DeParle ) and the Office of Inspector General ( HHSOIG - June Gibbs Brown ) of the U.S. Department of Health and Human Services. Health Care Finance Administration ( HCFA - Nancy DeParle ), has JURISDICTION over the Health Insurance Portability and Accountability Act ( HIPAA ) of 1996
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1998 still pending 2010 - Prohibited Act
DOJ and HHS -T42CFR417.1 grievance procedure - Alternate DISPUTE RESOLUTION ~ fraud by fright white collar crime - HCFA 1996 HIPAA Violation - RACKETEERING
TITLE 42 - [ HHS employee - Marla Ruhana ] - PUBLIC HEALTH HUMAN SERVICES PART 417 - [ Federal HMO employee - Mattie Ogburn ] - HEALTH MAINTENANCE ORGANIZATIONS, Subpart B -( HMO )- Qualified Health Maintenance Organizations: SERVICES ( g ) INTIMIDATION enactment: Grievance procedures: Alternate Dispute Resolution, DENIAL OF Existing T42CFR409.33 OPM FEHBHMO Hospital Insurance Services - HHS Anti-DUMPING violation, to force, fraud by fright, illegal HCFA State Medicaid T42CFR409.33 kickback - Michigan OFIS Kristie Tabor - conversions ].

( h ) SPECIAL ( FEHBHMO - INTIMIDATION ) rules : Enrollees ( Covered Individuals ) under the Federal Employee Health Benefits Program ( FEHBP ). An HMO that accepts enrollees under the ( OPM ) FEHBP (Chapter 89 of title 5 of the U.S.C. - T5CFR890.105 Denial of COVERED T42CFR409.33 Claims, Alternate T18CFR242CRIME Dispute Resolution OPM - Sharron Knight Anti-DUMPING violation - illegal agreement to induce forfiture to force illegal HCFA State Medicaid T42CFR409.33 kickback conversion - eligibility POOR ) may obtain and retain Federal qualification if ................
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Hospitalized ENTITLED Individual's [ OPM Alexandra Rupert ], are not able - physically or mentally - to fight - 1998 DOJ Janet RenoEric Holder - HCFA Nancy DeParle - region 5 Suzan Riezner and HHS OIG June Gibbs BrownDaniel Levinson - criminal, physical and financial fraud - enactment of T42CFR417.1 grievance proceduresdispute resolution - for their DENIED 'Covered T42CFR409.33 HOSPITAL Extended Care NURSING HOME Service Claims'.
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1998 still pending 2010 - Prohibited Act
OPM FEHB - Grievance Appeals Procedure - [CITE: 5CFR890.105] [Page 424-425] TITLE 5--ADMINISTRATIVE PERSONNEL CHAPTER I-( OPM )-OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) PART 890-( FEHBP )-FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents. Subpart A--Administration and General Provisions - RACKETEERING
Sec. 890.105 Filing CLAIMS for ( criminally denied ) Payment or ( criminally denied ) SERVICE.
If the carrier ( Federal HMO - Health Alliance Plan Detroit MI ) Denies a Claim ( T42CFR417.1 adverse determination - or a portion of a claim - [ T42CFR409.33 post HOSPITAL Extended Care NURSING HOME Services ] the Hospitalized ( Entitled ) COVERED Individual - RETIRED FEHB Alexandra Rupert - may ask the ( OPM FEHBPHMO ) carrier [ Health Alliance Plan Detroit - 1996 HIPAA Violation ] to reconsider its ( Criminal ) Denial.

If the ( Federal HMO Donna O'Connor ) carrier affirms its ( T42CFR417.1 grievance procedure-adverse determination -criminal ) Denial or Fails to Respond as required by paragraph (c) of this section, the Hospitalized ( DUMPING VICTIM ) COVERED Individual may ask OPM to review the ( Imogene Thomas - criminally DENIED T42CFR409.33 Covered ) CLAIM.

A Hospitalized ( Entitled Alexandra Rupert ) COVERED Individual * Must Exhaust Both the carrier ( 1. HMO Health Alliance Plan, Detroit Michigan T42CFR417.1 - State Liscensed Hospital HHS employee enactment of the grievance procedure: systematic denial of Existing OPM FEHB Hospital Insurance Benefits ) and ( 2. ) OPM review processes ( T5CFR890.105 systematic denial of COVERED Claims - aiding and abetting felony HMO Fraud against Retired FEHBP - anti-dumping and anti-kickback violation - economic white collar crime ) specified in this section BEFOR SEEKING JUDICIAL REVIEW of the ( Criminally ) Denied ( COVERED ) Claim.
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SSA 1128b DETERMINING RIGHTS to Existing T42CFR409.33 OPM FEHB Insurance:
TITLE 48--FEDERAL ACQUISITION REGULATIONS SYSTEM CHAPTER 16--OFFICE OF PERSONNEL MANAGEMENT FEDERAL EMPLOYEES HEALTH BENEFITS ACQUISITION REGULATION PART 1609--CONTRACTOR QUALIFICATIONS--Table of Contents Subpart 1609.4--Debarment, Suspension, and Ineligibility - 1609.471 Contractor certification.

This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the Carrier [ T42CFR417.1 alternate T18CFR1518CRIME dispute resolution T18CFR242CRIME Law Enforcement Officials Allowing physical abuse, criminal and financial misconduct - color of law ] subject to prosecution under section 1001, title 18, United States Code.
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Michigan Compiled Laws: Complete through PA ( public act ) 297 of 2000 PUBLIC HEALTH CODE ( EXCERPT ) ACT 368 OF 1978 333.5659 Life Insurer, health insurer, or health care payment or benefits plan; Prohibited Acts. ( b ) LIMIT the amount [ HHSOIGHMO T42CFR417.1 induced forfiture, Adverse Determination ] of coverage or benefits available [ T42CFR409.33 Federal Requirements ] to a terminally ill patient within the scope and level of coverage or benefits of an EXISTING [ OPM FEHBP, TRICARE, CHAMPVA, HCFA Medicaid/medicare ] policy, certificate, or contract
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1999 ~ Health Alliance Plan Detroit Michigan - T42CFR417.1 grievance appeals procedure - Dangerous HOSPITAL Service Contract Provider T18CFR371CRIME - 1998 DOJ - HCFA and HHSOIG Volentary Disclousure Program RICO
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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) HMO T42CFR417.1 Region 5 HCFA 1996 HIPPA Violation. Ms. Kimball, Thank you once again for contacting the <~ HHSOIGHMO T42CFR417.1 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 <-- induced forfiture -fraud by fright WEEKS for family training for maintenance of her feeding tube. This family training is considered to be basic care according to <--T42CFR409.33 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, transferred 20 April 99 - HOSPITAL Medical Records released for Law Enforcement on APRIL 21, 1999.

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 Employee - in direct contact with Hospital - HHS Employee Marla Ruhana - concealing OPM Patient needs ( skilled care/terminally ill ) and existing T42CFR409.33 coverage: T42CFR417.1 inducing forfiture - $25,000 Anti-DUMPING Violation, to Force ~ fraud by fright \ white collar crime ~ illegal HCFA State OFIS Medicaid kickback $50,000 Felony conversion for 'LONG TERM CARE' State OFIS Medicaid KICKBACK T42CFR409.33 payments.

CRIMINAL, PHYSICAL & FINANCIAL Misconduct RICO resulting in death as threatened. Ms.Ogburn has spoken with Mr.Rupert and is handling your Mother's case. Member Services Web . RICO - Denied Covered Claim - Intimidation T42CFR417.1 HOSPITAL & NURSING HOME DUMPING, Felony fraud, resulting in death as threatened - fraud by fright - of RETIRED OPM FEHB INDIVIDUALS - to force illegal HCFAOFIS State Medicaid Kickback conversion - RICO. . In the event that an Individual, e.g., nurse, doctor, other emergency room staff member or patient, believes that a Hospital [ HHS Employee Marla Ruhana - Certified Social Worker ] may have Violated the Anti-Dumping Statute [ T42CFR417.1 HHS OIG $25,000 FELONY - Crime ], that Individual should report the alleged Violation [ HCFA Medicaid Kickback HHS OIG $50,000 FELONY - Crime ], to the HCFA office in the Region [ 5 - Michigan ] in which the Hospital is located. .

Fraud by Fright: White Collar Crime by Health Providers, 67 N.C.L.Rev. 855 (1989). . 1999 ~ State Liscensed HHS Employee - Systemic Deprivation, Hospital Discharge Procedures enactment of T42CFR417.1 denial of Covered OPM FEHBHMO T42CFR409.33 Claims ~ 1998 DOJ - HCFA and HHS OIG Volentary Disclousure Program for Dishonest Providers: Designed to defraud Entitled Individual's and Federal Health Care Programs with respect to HOSPITAL T42CFR409.33 Extended Care NURSING HOME Service CLAIMS ~ RICO felony fraud ~ INTENT to HARM - $25,000 HHS OIG Anti-dumping and $50,000 HHS OIG Anti-kickback Violation: racketeering with Federal Hospital Insurance Provider - Health Alliance Plan Detroit MI - HAP.ORG Targeting T42CFR417.1 the Elderly: 1998 HCFA and HHSOIG ' OUTREACH CAMPAIGN' Consumer Fraud T18CFR242CRIME. Name and Address Name : MARLA KAY RUHANA ~ T42CFR242CRIME - T18CFR286CRIME

Address : Saint Clair Shores, MI 480813719 United States Profession and License/Registration Information Profession : Social Workers Type : Certified Social Worker \ induced forfiture T42CFR417.1 Permanent ID # Status Issue Date Expiration Date 6801067035 Active 05/14/1993 04/30/2004 Complaint(s) Open Formal Complaints None - Federal Hospital Insurance Fraud resulting in death of a Federal Beneficiary - 2 weeks, as threatened T42CFR417.1 grievance procedure: Adverse Determination 42CFR438.704 ~ illegal denial of Existing OPM FEHBP T42CFR409.33 Hospital Extended Care Services: anti-dumping violation, fraud by fright, white collar crime, to force illegal HCFA State OFIS Medicaid kickback conversion \ eligibility POOR ~ criminal and financial misconduct Disciplinary Action(s) Disciplinary Action Date of Action None .

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 [ 1998 DOJ Janet Reno, HCFA Nancy DeParle and HHSOIG June Gibbs Brown - illegal agreement RICO - HMO T42CFR417.1 adverse determination, grievance appeals procedure: Allowing HOSPITAL and NURSING HOME Dumping to force - fraud by fright and illegal billing - HCFA State OFIS Medicaid KICKBACK 1128b conversion ]; concealing or failing to disclose certain events [ T18CFR24CRIMES ]; felony; penalty. [M.S.A. 16.614(3) ] . MICHIGAN Racketeering - According to the Detroit News, Between 1999 & 2001 Michigan's Medicaid clientele ballooned [ HHSOIGHMO T42CFR417.1 systematic denial of Existing Federal T42CFR409.33 Insurance - induced forfiture $25,000 Anti-Dumping Violation, to force - fraud by fright - illegal HCFA State OFIS Medicaid kickback T42CFR409.33 conversion ] to 1.25 million from 1 million, AT A COST [ T42CFR417.1 failed to provide Existing Federal insurance T42CFR438.704 ] of approximately $6,000 on -

Each [ Defrauded Federal Beneficiary - INDIVIDUAL ] Medicaid [ $50,000 KICKBACK ] Reciepent. The Detroit News stated according to Paul Rienhart a Medicaid Expert in The State Budget Office of Michigan, says HCFA OFIS Medicaid consumed 8% of Michigan's General Funds in 1998. HCFA OFIS Medicaid will [ HHSOIGHMO T42CFR417.1 alternate dispute resolution - Volentary Disclousure Program for Dishonest Providers T18CFR242CRIME ] consume 32 % of the General Fund budget by 2004 . Title 42, U.S.C., Section 14141 makes it Unlawful for STATE or Local LAW ENFORCEMENT Agencies to ALLOW officers to engage in a pattern or PRACTICE [ 1998 DOJ - HCFA and HHSHMO T42CFR417.1 grievance procedure - Anti Trust - DOJ alternate T18CFR1518CRIME dispute resolution: systematic denial of Existing -Covered- Federal Hospital Insurance T42CFR409.33 Claims - Failure to keep from harm, to force, fraud by fright & illegal billing - illegal HCFA State OFIS Medicaid T42CFR409.33 Kickback $50,000 felony conversion ] of conduct that deprives persons of rights protected by the Constitution or U.S. laws. . U.S. Constitution: Fourteenth Amendment -

Rights Guaranteed Privileges and Immunities of Citizenship, Due Process and Equal Protection Amendment Text Annotations Section. 1. All persons born or naturalized in the United States and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside. No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; Nor shall Any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws. . CITE: 42CFR438.704 -- 1998 DOJ, HCFA & HHS OIG - State of MICHIGAN illegal agreement with Federal HMO - Hospital Service Contract 'DISHONEST Providers' - VOLENTARY DISCLOUSURE ProgramDispute Resolution T42CFR417.1 Adverse Determination Anti-Dumping Violation Sec. 438.704 Amounts of civil money penalties (1) The limit is $25,000 for Each Determination under the following paragraphs of Sec. 438.700: (i) Paragraph (b)(1) ( Failure to provide services ).

T42CFR417.1 systematic denial of covered T42CFR409.33 HOSPITAL & NURSING HOME Service claims - Dumping for Kickbacks (ii) Paragraph (b)(5) ( Misrepresentation or false statements to enrollees, potential enrollees, or health care providers ). Alternate Dispute Resolution T18CFR242CRIME - 2004 lawsuite abuse reduction act, 2010 health care reform T18CFR1518CRIME - T18CFR371CRIME (iii) Paragraph (b)(6) ( failure to comply with physician incentive plan requirements ). (iv) Paragraph (c) ( Marketing violations ). 1998 HCFA - HHS OIG Outreach Campaign T42CFR417.1 for the ELDERLY T18CFR242CRIME (2) The limit is $100,000 for each determination under paragraph (b)(3) ( discrimination ) or (b)(4) ( Misrepresentation or false statements to CMS or the State) of Sec. 438.700. (3) The limit is $15,000 for each recipient the State determines was not enrolled because of a discriminatory practice under paragraph (b)(3) of Sec. 438.700. (This is subject to the overall limit of $100,000 under paragraph (b)(2) of this section).

(c) Specific amount. For PREMIUMS or Charges in EXCESS [ illegal kickback conversions 1998 DOJ - HCFA & HHS OIG Volentary Disclousure Program T42CFR417.1 for DISHONEST PROVIDERS to defraud Entitled Individuals - $25,000 Anti-dumping violation, with respect to T42CFR409.33 claims, to force, fraud by fright, illegal HCFAState OFIS Medicaid Kickback conversion $50,000 Felony T18CFR371CRIME ] of the amounts permitted under the Medicaid program, the amount of the penalty is $25,000 or double the amount of the excess charges, whichever is greater. The STATE MUST deduct from the penalty the amount of overcharge and RETURN IT to the affected [ T42CFR417.1 DEFRAUDED ] enrollees INDIVIDUALs . As enacted by section 6031 of the Deficit Reduction Act of 2005, section 1909 of the Social Security Act (Act) provides a financial incentive for States to enact [ EXISTING - CITE: 42CFR438.704 ] False Claims Acts that Establish Liability to the State for the submission of false or fraudulent [ HHSHMO Hospital Discharge Procedure - enactment of T42CFR417.1 grievance procedure - Anti-Dumping Violation HHS OIG $25,000 FELONY ] claims to the State’s Medicaid program. [ to force illegal HCFA State OFIS Medicaid Kickback conversion HHSOIG $50,000 Felony EACH defrauded T42CFR417.1 Individual an HCFA 1996 HIPAA Violation SSA 1128b ]. . MICHIGAN INSURANCE BUREAU 611 West Ottawa Street 2nd Floor North Lansing, Michigan 48933 (517) 373-0220 (Voice) (517) 335-4978 (Fax) .

The Office of Financial and Insurance Services (OFIS) provides information regarding financial institutions, insurance, and securities. OFIS is part of the Department of Labor & Economic Growth (DLEG) and is primarily fee-funded, requiring minimal public tax dollars for its regulatory and consumer assistance activities. . 1999 still pending 2010 -- RACKETEERING -- MICHIGAN law requires YOU [ Federally Entitled T42CFR409.33 Hospitalized INDIVIDUAL ] to complete an internal review with your health plan [ HAPCORP.ORG - HHSOIGHMO T42CFR417.1 Alternate Dispute Resolution - grievance procedure - Adverse Determination - $25,000 anti-dumping violation ] prior to using the external review.

The health plan [ HMO ] 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 file for External Review Without the Notice of [ DANGEROUS PROVIDER - 1998 Volentary Disclousure Program - HHSOIGHMO T42CFR417.1 grievance procedure - Adverse Determination, T18CFR242CRIME $25,000 Anti-dumping violation, to force, fraud by fright, illegal HCFA State OFIS Medicaid T42CFR409.33 Kickback $50,000 felony Conversion ] Final Adverse Determination 42CFR438.704. .
http://www.justice.gov/atr/public/testimony/260809.htm PRESENTED ON JULY 27, 2010 -- Statement of Christine A. Varney - Assistant Attorney General - ANTI TRUST Division - befor the Subcommittee on the COURTS and competition policy - Committee on the JUDICIARY - U. S. HOUSE of Representatives OVERSITE Hearing on the Federal Trade Commission's Bureau of Competition and the Department of JUSTICE's ANTI TRUST Division Another example of our law enforcement was the abandonment by Blue Cross-Blue Shield of MICHIGAN of its proposed purchase of Physicians Health Plan of Mid-Michigan.

Had that acquisition gone forward, it would have given Blue Cross control of nearly 90 percent of the commercial health insurance market in the Lansing, Michigan, area, Resulting in HIGHER [ PREMIUMS ] Prices, Fewer Choices, and a REDUCTION in the QUALITY of commercial health insurance plans purchased by Lansing area residents and their employers. The acquisition also would have given Blue Cross the ABILITY to CONTROL Physician Reimbursement rates in a manner that could HARM the quality of health care delivered to CONSUMERS. We informed the parties that we would file an antitrust suit to block the transaction, and the parties then abandoned the deal. .

The United States Attorney's Office - Western District of Michigan - INTIMIDATION http://www.usdoj.gov/usao/miw/programs/health.html What Is The U.S. Attorney’s Office Doing About Health Care Fraud?

General Contact Information If you believe that a Health Care Provider [ HAPCORP.ORG - Detroit ] has engaged in [ T18CFR24CRIMES 1996 HIPAA Violations ] any of the conduct or Practices [ T42CFR417.1 ] described, you should Promptly CONTACT the [ HMO ] INSURANCE CARRIER [ Systemic Deprivations T42CFR417.1 grievance appeals procedure - alternate T18CFR1518CRIME dispute resolution T18CFR242CRIME - illegal agreement - 1998 U.S. Attorney General - HCFA and HHS OIG 'VOLENTARY DISCLOUSURE Program for Dishonest Providers: T42CFR417.1 is used to ALLOW and conceal HMO Hospital Insurance Fraud and Abuse TARGETING T42CFR417.1 the ELDERLY 'Entitled Individuals', and Federal Health Care Programs with respect to T42CFR409.33 Claims, in Region 5 HCFA T18CFR286CRIME -- Violation of Civil and Criminal Rights T18CFR1518CRIME Consumer Fraud ] that sent the payment notice to you.

Alternatively, you may contact one of the agencies or offices listed below to report the discrepancy, irregularity, or other problem that you have identified. The Inspector General’s Hotline: 1-800-HHS-TIPS (1-800-447-8477) --- ANTI TRUST 1998 HHS OIG June Gibbs Brown T18CFR242CRIME - Volentary Disclousure Program for dishonest providers The Michigan Attorney General’s Hotline: 1-800-242-2873 --- ANTI TRUST 1998 Jennifer Granholm - Mike Cox - still pending rule of law 2010 .... T18CFR242CRIME . Michigan Consumers Pay the Price - T18CFR242CRIME color of law T18CFR371CRIME For Health-Insurance Market Failure -1998 DOJ - HCFA and HHS OIG - T42CFR417.1 DISPUTE RESOLUTION - Volentary Disclousure Program for dishonest providers - RICO Blue Cross and Blue Shield of Michigan, the state’s biggest health insurer, controls 65 percent of the State Commercial Market. Together with the Henry Ford Health System, they hold 73 percent of the Market. 1 • Health Insurance PREMIUMS for Michigan - HCFA Region 5 - T42CFR417.1 Michigan racketeering with HCFA - 1996 HIPAA Violation - allowing Federal Hospital Dumping for State Medicaid Kickback Conversion. working families have SKYROCKETED, increasing 78 percent from 2000 to 2007 •

For family health coverage in Michigan during this time, the average annual combined premium for employers and employees rose from $6,817 to $12,151.3 • For family health coverage in Michigan from 2000 to 2007, the average employer’s portion of annual premiums rose 63 percent, while the average worker’s share grew by 171 percent. •

From 2000 to 2007, the median earnings of Michigan workers increased 5 percent, from $25,910 to $27,096. During that time health insurance premiums for Michigan working families rose 17 times faster than median earnings. If one company holds more than a 42 percent share of a market the U.S. JUSTICE DEPARTMENT [ DOJ ] would consider that market “highly concentrated.”

This means that a [ Dishonest, Dangerous - Federal HMO Hospital PROVIDER - HEALTH ALLIANCE PLAN DETROIT - et al ] PROVIDER with [ RICO - Alternate T18CFR1518CRIME DISPUTE RESOLUTION -- HHSOIGHMO T42CFR417.1 grievance procedure - adverse determination, $25,000 anti-dumping Felony and $50,000 anti-kickback violation T18CFR371CRIME ] Impunity, could RAISE PREMIUMS and/or REDUCE the variety of plans or QUALITY of ......... Services offered to INDIVIDUALS - RETIRED OPM FEHBHMO - T42CFR417.1 INTIMIDATION and illegall billing, fraud by fright - grievance procedure T18CFR242CRIME. . 2000 - 2007 . Patient abuse or neglect is any action or FAILURE to ACT [ 1998 DOJ - HCFA and HHSOIG - HMO Grievance Appeals Procedure T42CFR417.1 DISPUTE RESOLUTION - INTIMIDATION - Anti Dumping and Anti Kickback Violation ] which causes unreasonable suffering, misery or harm to the patient . Region 5 HCFA : Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin The Health Care Financing Administration ( HCFA ) administers the Medicaid program [ Eligibility Poor ] Authorized under Title XIX of the Social Security Act. . HEALTH CARE FINANCE ADMINISTRATION - T42CFR417.1 Dispute Resolution RICO Date: 8/2/00 6:19:31 PM Eastern Daylight Time

From: PMiner@hcfa.gov (Paul Miner) To: miag@ag.state.mi.us, HJCL@aol.com, Kstbylite1@aol.com, SpiritDancerMita@aol.com, mamillen@earthlink.net, fraudnet@gao.gov, JPeters@hcfa.gov, TRoe@hcfa.gov, lhager@house.state.mi.us, jelb@jcaho.org, david.bonior@mail.house.gov, FEHB@opm.gov, JWEASTER@opm.gov, hcf@state.mi.us CC:JCraig@hcfa.gov, SHahnReizner@hcfa.gov We are currently looking into your allegations [ HHSHMO Hospital Dumping T42CFR417.1 to force illegal HCFA State OFIS Medicaid KICKBACK conversion ].

By copy of this note, I am referring your inquiry to the HCFA Chicago Regional Office as the State of Michigan falls within that Regional Office's purview. Once obtained, whatever information we have will be shared with you. . TITLE 42-PUBLIC HEALTH PART 417-( HMO ) -HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS--Table of Contents Subpart F--Continued Regulation of Federally Qualified ( HMO ) Health Maintenance Organizations Sec. 417.163 ENFORCEMENT procedures. (a) Complaints. Any Person [ INDIVIDUAL ], group, association, corporation, or other entity may file with HCFA a written complaint [ T18CFR24CRIMES, HHSHMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violation - misprison of a felony Alternate Dispute Resolution - 1996 HIPAA Violation - systematic denial of Covered Federal Hospital Insurance Claims, to force - fraud by fright, illegal HCFAState Medicaid KICKBACK conversion - denial of civil and criminal rights ~ 14th Amnd Constitution - white collar, economic crime ] with respect to an HMO's compliance [ T42CFR409.33 Federal Requirements ] with assurances it gave under Subpart D of this part. . TITLE 42--PUBLIC HEALTH CHAPTER IV-[ HCFA ]-HEALTH CARE FINANCING ADMINISTRATION, [ HHS ] DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 409-- HOSPITAL INSURANCE BENEFITS --Table of Contents Subpart D-[ Federal ]-Requirements for Coverage of POST HOSPITAL Extended SNF [ NURSING FACILITY ] Care Sec. 409.33

Examples of skilled nursing [ Medically Necessary ] and rehabilitation services. ~~ To DENY this SERVICE [ HHSOIGHMO T42CFR417.1 systematic denial of COVERED Claims, Hospital HHS Employee T18CFR286CRIME enactment grievance appeals procedure, Alternate Dispute Resolution 42CFR438.704 adverse determination ], is called an Anti-Dumping Violation - and results in Physical Injury and death. . A Health Maintenance Orgazination - T42CFR417.1 Federal Racketeering with DOJ - HHSOIG - HCFA - FBI and the STATE of Michigan - T42CFR438.704 - Allowing Hospital and Nursing Home Dumping for State Medicaid Kickback conversion Serving: Detroit and Southeastern Michigan NCQA This Plan has full accredation from the NCQA - National Committee for Quality Assurance: Aiding and abetting See the FEHB Guide for more information on NCQA visit the OPM Website at http://www.opm.gov/insure and this Plans website http://www.hapcorp.org/ 1999 ~ Federal HMO Hospital Insurance Service Contract Provider - APPEALS PROCEDURE RICO OPM.GOV/INSURE - VICTIMS BY the GOVERNMENT and this Plans website HAPCORP.ORG - HCFA Region 5 CMS Authorized for distribution by the: United States Office of Personnel Management RI 73-105 Advisors: Richard D. Chaney, Daryle E. Johnson, Anita Landino, Fran Parker, Suzan Schwandt HAP Board of Directors: Cleve L Killingsworth, President and CEO N. Charles Anderson, Sandra Baumchen Health Alliance Plan - HAPCORP.ORG systematic denial of COVERED OPM FEHB T42CFR409.33 post HOSPITAL extended care NURSING HOME services 2850 West Grand Boulevard Detroit MI 48202 May 21, 1999 RE: Federal OPM FEHBP Hospital Service Contract PROVIDER HAP # 991550 ~ HHSOIGHMO T42CFR417.1 Grievance Appeals Procedure T18CFR371CRIME - dispute resolution: adverse determination 42CFR438.704 anti-dumping violation - 1998 HHS OIG Volentary Disclousure 'SELF-Audit' Program - 1996 HIPAA Violation - RICO DETERMINING RIGHTS to EXISTING federal insurance. Dear Mrs. Kimball: The following is in response to the grievance [ HHSOIGHMO T42CFR417.1 DENIAL ] you submitted on behalf of your mother, Alexandra, requesting coverage for [ Existing T42CFR409.33 ] Extended skilled nursing care at Nightengale Health Care Center. Please referance the 1999 - OPM FEHB - Federal Employees Health benefits Program Manual, Hospital/Extended Care Benefits, page 15 which states - the Plan provides a comprehensive range of benefits when full time skilled nursing care and confinement in a skilled nursing facility is medically appropriate as determined by a plan Doctor.

Upon the receipt of the Grievance [ HHSOIGHMO T42CFR417.1 systematic denial of covered claims - felony ], your mothers case was reviewed by OUR [ 1998 SELF-Audit with HHSOIGHMO and DOJ - Volentary Disclousure Program ] Associate Medical Director. After the assessment [ SELF-Audit of felony abuse T18CFR24CRIMES ] you will be pleased to know that HAP has decided to approve your request for 3 additional days of [ criminally Denied T42CFR417.1 ] SKILLED CARE from May 6th through May 8th 1999 [ date & place of death ] at Nightengale Health care Center. Please KNOW ~ that this approval is on a ONE (1) TIME ONLY Exception basis and should not be considered a precedent NOR does it imply Future Coverage [ OPM FEHBP Hospital Extended Care Benefits T42CFR409.33 ] of this Type. This letter will serve as OFFICIAL authorization for Skilled Nursing Care [ terminated 5 May 1999 causing onset of death ] provided from May 6th through May 8th 1999 at Nightengale Health Care Center. ALL RELATED CLAIMS [ T42CFR409.33 ] should be FORWARDED to the ATTENTION of Mrs. Marsha Albert, Member Advocate, at our letterhead address For SPECIAL [ HHSOIGHMO T42CFR417.1 Anti-Dumping, Anti-Kickback Violation, to force illegal HCFA State OFIS Medicaid Conversion T18CFR371CRIME ] HANDELING [ DOJ 1998 Office of Dispute Resolution - laundering ]. Failure to Properly submitt the claims will result in rejection of payment. Mrs. Kimball, I would like to express our sincere sympathy on the loss [ HHSOIGHMO T42CFR417.1 anti-dumping and anti-kickback violation - murder ] of your mother. Should you have any questions or need further assistance please contact our member services department at 313-872-8100 or our toll free number 1-800-422-4641. Sincerely, Richard D. Chaney Director RICO -- T18CFR371CRIME Dangerous Dishonest Provider Client Services RDC/ma cc: Eastern Shores Network Nightengale Health Care Center - Hospital Affiliate Nursing Facility Sharon Knight - Office of Personnel management ( OPM ) Racketeering T5CFR890.105 . The Largest RETIREMENT Savings Plan ( OPM FEHB Health Insurance Program ) in the U.S.A. with 1.8 million FEDERAL EMPLOYEE [ INDIVIDUAL ] contributiors, treated as a 'TRUST ' Fund, exempt from taxation ( Tax Reform Act of 1986 Section 1147 Title 26 U.S.Code 7701 ( j ). THRIFT SAVINGS PLAN ( TSP ) G Fund ( Gov SEC urities investment fund ). . [ OFIS ] Michigan Insurance Bureau Criminal Complaint # 31302-001 March 2000 Cindy Mielock , Kristie Tabor - Federal HMO defrauding the Government with Respect to Claims. Federal HMO Employee Jeanette H. Girty, Manager Government/Grievance/Inquiry Unit - HHSHMO T42CFR417.1 Victims BY the Government 1998 DOJ and HHS OIG T18CFR371CRIME Volentary Disclousure Program for Dishonest Providers $25,000 anti-dumping and $50,000 anti kickback violation allowed by Law Enforcement Officials - resulting in physical injury and death T18CFR242CRIME. Member Services Department JHG/ma Health Alliance Plan - Federal HMO - Region 5 HCFA Michigan 2850 West Grand Blvd Detroit Michigan 48202 Dated June 20, 2000 [CITE: 42CFR438.704 the STATE MUST return $$ to the Defrauded T42CFR417.1 INDIVIDUALS ] To - State of Michigan Insurance Bureau [ OFIS ] PUBLIC Employee: Kristie Tabor: Federal HMO Employee - Jeanette H. Girty Quote --- " Prior To ( OPM FEHBP ) Mrs. Ruperts discharge ( Hospital Transfer ) the Social Worker ( State Liscensed HHS Employee - Marla Ruhana ) Department at Bon Secours Hospital was also ' Consulted for Discharge Planning ' ( criminal enactment of T42CFR417.1 HHSHMO: Grievance Procedure - alternate T18CFR1518CRIME dispute resolution: systematic Denial of Existing OPM Hospital Insurance T42CFR409.33 Services $25,000 anti-dumping violation - to force illegal HCFA State OFIS Medicaid T42CFR409.33 Kickback $50,000 felony conversion T18CFR286CRIME ) from the Hospital. Ms.Rupert's ( OPM FEHBP ) Spouce Was [ Intimidated and Threatened ] Provided With Instructions regarding the ( DENIED Covered OPM FEHB T42CFR409.33 CLAIM ) Extended Care and also [ illegal Medicaid SOLISITATION ] information in regards to Applying for MEDICAID [ $50,000 FELONY ] for his wife. ( Medicaid False Claims Act - $50,000 Felony - termination of the Federal OPM FEHBHMO Policy in 2 weeks ). Marla Ruhana, the ( HHS Employee ) Social Worker did advise ( Threats and Intimidations false police report ) Mr.Rupert that HAP ( Federal HMO ) does Not Cover 'LONG TERM CARE' ( Retired OPM FEHBP Hospital Dumping Victim is Terminally Ill ) at an Extended Care Facility. " ......" After a two week stay ( in a Medicaid Bed Ward ), the ( Covered OPM FEHBP ) Husband STILL refused to apply for ( HCFA kickback - $50,000 Felony, illegal application ) Medicaid ". -- The Retired Hospitalized, terminally ill, OPM FEHBP ( 'Long Term Care' ) Hospital and Nursing Home Dumping Victim, was killed as threatened T42CFR417.1 ( 2 weeks ), for refusing to defraud HCFA State OFIS Medicaid by Hospital HHS RACKETEERING T42CFR417.1 illegal termination of INDIVIDUAL Federal OPM FEHBHMO POLICIES - T18CFR24CRIMES. . The Anti-Dumping Statute is Enforced [ 1998 still pending T18CFR371CRIME - DOJ Alternate Dispute Resolution T18CFR1518CRIME ] Jointly by the Health Care Financing Administration ( HCFA - Nancy DeParle ) and the Office of Inspector General ( HHSOIG - June Gibbs Brown ) of the U.S. Department of Health and Human Services. Health Care Finance Administration ( HCFA - Nancy DeParle ), has JURISDICTION over the Health Insurance Portability and Accountability Act ( HIPAA ) of 1996 . HEALTH CARE FINANCE ADMINISTRATION - SSA 1128b Determining Rights - HIPAA

Subj: update, letter sent to STATE FRAUD & Insurance Bureaus -Reply Date: 8/3/00 11:06:34 AM Eastern Daylight Time

From: SHahnReizner@hcfa.gov - T18CFR242CRIME - T18CFR1518CRIME - T18CFR371CRIME

To: Kstbylite1@aol.com CC: DSchmidt@hcfa.gov, JTolian@hcfa.gov, PMiner@hcfa.gov Ms. Kimball, While we appreciate your efforts to keep this office informed of your communication [ AGAINST 42CFR438.704 ] with the Michigan [ OFIS ] Department of Insurance, please note that the matter that Department has taken up in response to your inquiry concerns [ Hospital HHS Employee T42CFR417.1 Anti-dumping & Anti-Kickback Violation ] a coverage decision made by [ HAPCORP.ORG ] a Federal Employee Health Benefit Plan. As you know, the Federal agency that handles inquiries about [ HHSHMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violations 1996 HCFA HIPAA Violation, to force - fraud by fright, illegal HCFA STATE Medicaid KICKBACK conversion ] FEHB plan coverage issues IS NOT HCFA, but the Office of Personnel Management, which has already been in communication with you about this matter [ T18CFR242CRIME - T18CFR1518CRIME: OPM OIG illegal agreement to Induce Forfiture FEHBHMO T5CFR890.105 denial of COVERED Claims, to force illegal HCFA State Medicaid Kickback conversion - eligibility POOR ]. It is therefore not necessary or for you to copy me on your ongoing [ criminal complaint AGAINST ] communications with the Michigan Department of Insurance [ RACKETEERING ]. Susan Hahn Reizner Medicaid Fraud and Abuse Coordinator HCFA Region V - Chicago - Alternate Dispute Resolution - Anti Trust .
http://www.JUSTICE.gov/dag/pubdoc/HIPAA00ar21.htm

As required by the Act, HHS and DOJ must detail in this ANNUAL Report the [ T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution - 1996 HIPAA Violation - T18CFR286CRIME ] amounts deposited and appropriated to the Medicare Trust Fund, and the source of such deposits. In 2000, as a result of the combined anti-fraud actions of the Federal and State Governments and others, the federal government collected $717 million in connection with health care fraud cases and matters(3).

These funds were deposited with the Department of the TREASURY and Health Care Financing Administration ( HCFA - Medicare, Medicaid ), transferred to other Federal [ OPM FEHB, TRICARE, CHAMPVA ] Agencies Administering [ 1998 DOJ - HCFA and HHSOIGHMO VOLENTARY DISCLOUSURE Program T42CFR417.1 Alternate Dispute Resolution - grievance procedure - Anti Dumping and Anti Kickback violation, HCFA 1996 HIPAA Violation SSA 1128b ] health care programs, or Paid to Private Persons.

State of MICHIGAN T42CFR417.1 Subj: Re: attn: Mr.William E. Dennis Date: 9/1/00 9:21:27 AM Eastern Daylight Time

From: hcf@state.mi.us (Health Care Fraud Division) To: Kstbylite1@aol.com Your correspondence has been received, printed and forwarded to Mr. Dennis. Thank you. . 1999 still pending 2010 - DISHONEST - DANGEROUS PROVIDER: OPM FEHBHMO T42CFR417.1 - Region 5 HCFA - MICHIGAN - Health Alliance Plan Detroit - HAPCORP.ORG - HAP PROVIDERS offers 2,596 personal care physicians (PCP) and 4,901 specialists. HAP’s delivery system includes 45 hospitals ( 42CFR438.704 inducing forfiture, RACKETEERING - Hospital HHS Marla Ruhana and HMO Mattie Ogburn - employee T42CFR417.1 enactment of the Government Grievance Procedure - Systemic Denial of Existing OPM FEHB T42CFR409.33 Hospitalextended care ~ adverse determination ~

1998 U.S. Attorney General Janet RenoEric Holder _ HCFA Nancy DeParleSuzan Riezner and HHS OIG June Gibbs Browncurrent Daniel Levinson - VOLENTARY DISCLOUSURE Program T18CFR371CRIME - T18CFR1518CRIME ~ administrative Fraud by Fright - Anti-Dumping Violation, to force illegal HCFA State OFIS Medicaid Kickback Conversion ) in southeast Michigan and the Flint area, including 23 major hospital networks ( robbing the Elderly of 401k's and savings accounts to Force Medicaid kickback Conversions - Eligibility Poor ), 65 urgent care centers and 765 ancillary providers: Hospital Affiliate NURSING HOMES [ illegally Billing OPM FEHB for criminally Denied T42CFR409.33 COVERED Post-hospital Extended Care Claims CITE: OPM 5CFR890.105 illegal agreement denial of COVERED Claims, to force illegal HCFA State OFIS Medicaid kickback conversions ), mental health facilities, optical providers, laboratories, durable medical equipment providers,ambulance services and PHARMACY CHAINS . Failure to keep from harm [ T42CFR438.704 ]:

The public counts on its LAW ENFORCEMENT OFFICIALS to PROTECT local communities. If it's shown that an official willfully failed to keep an INDIVIDUAL [ Retired Federal OPM FEHBHMO Alexandra Rupert - et al ] from HARM [ HHSOIGHMO T42CFR417.1 $25,000 Anti-Dumping and $50,000 Anti-Kickback Violation ], that official could be in violation of the color of law statute . DETERMINING RIGHTS of INDIVIDUALs to EXISTING - OPM FEHB - FEDERAL HOSPITAL INSURANCE by a DISHONEST T42FR417.1 DANGEROUS PROVIDER RACKETEERING - MICHIGAN . From: vwheelwr@HAPCORP.ORG ( Valerie Wheelwright ) Federal - OPM FEHB - Dangerous PROVIDER - RICO - 1998 DOJ, HCFA and HHSOIG Volentary Disclousure Program T18CFR242CRIME. Date: 1/5/2001 11:07AM Eastern Standard By First Class Mail and Email Ms. Kimberly Kimball Marysville, Michigan 48040 . RE: Alexandra Rupert FEHB; HAP # 991550 .

Dear Ms. Kimball Health Alliance Plan ("HAP") received a copy of your Email message dated October 5, 2000, regarding the [ Denied T42CFR417.1 ] care of your mother, Alexandra Rupert [ OPM FEHBP ], at Nightengale NURSING HOME on April 20 through May 8, 1999. This Matter [ Federal Hospital Insurance Fraud ] has been The Subject of TWO Grievances [ T42CFR417.1 Adverse Determinations HOSPITAL and NURSING HOME DUMPING - systematic denial of COVERED T42CFR409.33 CLAIMS ] filed with HAP, as well as [ criminal ] complaint filed with the STATE of MICHIGAN, Department of Consumer & Industry Services. Your Email message does not raise any additional issues, but rather reiterates the issues raised in the grievance filed with HAP and the complaint filed with the State. The Grievances [ T18CFR24CRIMES ] were investigated, resolved, and CLOSED in 1999 [ BY the FEDERAL HMO Hospital Service Provider ]. I have enclosed a copy of HAPs corraspondance to you resolving each grievance. HAP will take NO further action on the [ criminal ] matter. Your Email did request a copy of HAPs criteria for SKILLED Nursing Services [ T42CFR409.33 Federal Requirements ].

This information was [ Not ] provided to you in corraspondence dated October 16, 2000, from [ OFIS ] Kristie TABOR of the STATE of Michigan. I have [ not ] enclosed a copy of this correspondence to assure that your records in this regard are complete. I have also enclosed a copy of the 1999 Health Alliance Plan FEHB brochure. Please refer to pages 21-22 of the brochure, which outlines the RIGHTS OF Members - INDIVIDUALS, to HAVE Claim or SERVICE DENIALS [ HHSOIGHMO T42CFR417.1 Adverse determinations: $25,000 HHS OIG Anti-dumping violation ] reconsidered by HAP and reviewed by the Office of Personnel Management [ OPM T5CFR890.105 Self-Audit: denial of covered claims T18CFR371CRIME ] Please note the RIGHT of HAP reconsideration And OPM review is only available the [ DEFRAUDED - murdered ] Member or the executor of the [ DEFRAUDED ] Members estate. HAPs file does not contain documentation that you are the executor of your mother's estate and, therefore, to the extent that you raise further issues, please provide a certified copy of the letters of Authority from the Probate Court Appointing You as your mother's executor. Please also note that the FEHB brochure requires that requests for reconsideration of payment or Service Denials must be made within six months of the DATE of DENIAL. [ 4-23-1999 ] There has been NO DENIAL of payment or SERVICE [ FALSE CLAIM ] in this matter since HAP has authorized payment of all requested services provided by Nightengale NURSING HOME. I understand that the ITEMIZED BILL for the [ T42CFR417.1 DENIED ] care at Nightengale NURSING HOME on May 6-8, 1999 has NOT been presented to HAP for Payment [ Family was criminally billed for the denied covered claims - HCFAOFIS State Medicaid - Eligibility POOR ] I have enclosed a copy of RICHARD CHANEY's letter to YOU reminding YOU to submit the itemized bill for payment by HAP. HAP has an obligation to its members to PROVIDE high QUALITY health care in an efficient and cost-effective manner, to meet its obligation, HAP must bring [ criminal ] matters that have been resolved [ self-audit by the HMO with HHSOIG Volentary Disclousure Program T18CFR242CRIME ] to clousure at some point. Ms. Kimball, that point is has been reached. UNLESS a Person authorized [ LAW Enforcement Officials ] to Do So Properly [ due process of law ] - raises new issues, you will receive NO further responces from HAP. Sincerely, Donna A. O'Connor Director of Government Programs - VICTIMS by the Government T18CFR1518CRIME - 1998 DOJ & HHSOIG VOLENTARY DISCLOUSURE PROGRAM 1996 HCFA HIPAA Violation - alternate dispute resolution - grievance procedure T18CFR1518CRIME criminal and financial misconduct Against Federal OPM FEHB covered INDIVIDUALS - T18CFR242CRIME Health Alliance Plan - Federal HMO

Cc: Imogene Thomas, 9-6-00 OPM ( via fax and Email ) T5CFR890.105 Denial of Covered Claims Sharron Knight, 4-23-99 OPM ( via Fax and Email ) T5CFR890.105 Denial of Covered Claims Jeanette Girty, Federal HMO HAPCORP.ORG T42CFR417.1 Denial of Covered Claims RICO .

From: Antitrust.Complaints@usdoj.gov - T42CFR417.1 Grievance Procedure - alternate T18CFR1518CRIME dispute resolution T18CFR242CRIME To: JustmyOpnion@aol.com Sent: 8/20/2009 4:32:50 P.M. Eastern Daylight Time Subj: RE: Citizens of Michigan DENIED civil and criminal rights BY DOJ Thank you for contacting the Antitrust Division of the U.S. Department of Justice.

The Citizen Complaint Center receives, reviews and files complaints and concerns. We are prohibited from providing legal advice or offering opinions on whether conduct may violate the law. However, if you have a complaint, we would be happy to receive it.

We appreciate your interest in the enforcement of federal antitrust laws. Sincerely, Citizen Complaint Center - T42CFR417.1 Grievance Appeals Procedure - Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME - RICO - Unjust Enrichment for Dishonest PROVIDERS - 1998 DOJ - HCFA and HHS OIG Volentary Disclousure Program for Dishonest Providers T18CFR371CRIME Racketeering. Antitrust Division Department of Justice . Investigation and prosecution of fraud related to Federal Health Programs is the Responsibility of the Department of Health and Human Services (DHHS), the FBI and ( USAO ) the Department of Justice. . USAO U.S.Department of Justice United States Attorney Eastern District of Pennsylvania 615 Chestnut Street Suite 1250 Philadelphia, Pennsylvania 19106-4476 215-861-8200 John N. Joseph Direct Dial: 215-861-8322 Facsimile: 215-861-8349 . October 2, 2001 . Ellen Christensen Assistant Chief 211 West Fort Street Suite 2300 Detroit, Michigan 48226-3211

Dear Ms. Christensen: Enclosed please find the corraspondence that I called you about. After reviewing the contents, it appears that venue for this matter is in the Eastern District of Michigan.

If you have any questions, or if I can be of assistance, please let me know. Sincerely, Patrick L. Meehan United States Attorney Signature by John N. Joseph Assistant United States Attorney Deputy Chief, Civil Division Encls. cc: Kimberly Kimball Kenockee Twp, MI 48006 . Accomplishments - Civil Cases Civil health care fraud efforts constitute a major focus of Affirmative Civil Enforcement (ACE) activities. The ACE Program helps - Ensure that FEDERAL LAWS are OBEYED - and that violators provide compensation to the government for losses and damages they cause. Civil health care fraud matters ordinarily involve the United States utilizing the FALSE CLAIMS ACT, as well as common law fraud remedies, payment by mistake, UNJUST ENRICHMENT and conversion to recover damages from those who have submitted false or improper claims to the United States. Each time a civil referral is made to a USAO it is opened as a matter pending in the DISTRICT. Civil health care fraud matters are referred directly from federal or state investigative agencies [ From: Eastern District of Pennsylvania - To Eastern District MICHIGAN ]................. .

Marie A. O’Rourke Victims’ Rights Ombudsman
Executive Office for United States Attorneys -
Alternate Dispute Resolution T18CFR242CRIME
Department of Justice RFK Main Justice Building 950 Pennsylvania Ave., N.W. Room 2261 Washington, DC 20530-0001 Fax: (202) 305-4937 .

Current as of: 16 September 2009 . District: MICHIGAN, EASTERN HEADQUARTER Phone Numbers Address Mailing: 211 W. Fort Street Suite 2001 Detroit, MI 48226 Shipping: 211 W. Fort Street Suite 2001 Detroit, MI 48226 . Chief, Asset Forfeiture ( RICO Statutes ) Ellen Christensen Chief, FLU Ellen Christensen . November 6, 2001, U.S. Attorney, Eastern District of Michigan - OPM FEHBHMO HAPCORP.ORG . Affirmative Civil Enforcement - ACE US Department of Justice 313-226-9764 Eastern District of Michigan - color of law T42CFR417.1 Alternate Dispute Resolution T18CFR242CRIME 211 W.Fort Street Suite 2001 Detroit, MI 48226 November 6, 2001 Kimberly Kimball Kenokee Twp, MI 48006 Dear Ms. Kimball: We have received your letter dated October 9,2001 indicating your strong dissatisfaction over the way your mother's medical care was [ T42CFR417.1 denied ] handled by her [ Federal OPM FEHB ] HMO [ Health Alliance Plan Detroit HAPCORP.ORG ].

Your dissatisfaction appears to arise from the fact that her final days of care were PAID in FULL by [ HCFA State OFIS ] MEDICAID [ eligibility POOR ] rather than by her [ FEDERAL OPM FEHB ] HMO [ <~ this is called a KICKBACK felony ], which you believe should have been the FINANCIAL responsible entity. It also appears that You Have allready CONTACTED the APPROIATE Offices for [ HCFA ] Medicare / Medicaid [ False Claims Act ] and your mother's [ Federal OPM FEHB ] HMO [ HAPCORP.ORG ] and you have received responses, albeit unsatisfactory to you. Without a finding [ T42CFR417.1 grievance procedure - DISPUTE RESOLUTION - illegal agreement HHSOIGHMO Systemic Deprivations - misprison of a felony ] by the investigative arm of Medicaid [ Region 5 HCFA - NURSING HOME Initiative ENFORCEMENT T18CFR371CRIME illegal agreement with U.S. Attorneys in MI and Ohio ], or any other Federal investigative agency [ misprison of a felony T18CFR1518CRIME obstruction ] that there was impropriety in this case This [ Department of Justice - section 14141 ] Office is without Authority to regulate the manner in which [ Federal/State ] GOVERNMENT and Private ( HMO ) INSURANCE COMPANIES assess suscriber needs [ T42CFR417.1 Denial of COVERED Claims ~ RICO ] or Define Service Coverage. [ T42CFR409.33 Federal Requirements ] If you continue to feel that your mother's care or her [ OPM FEHBP ] ENTITLEMENT to benefits was JEOPARDIZED 42CFR438.704, you are, of course, free to consult with A PRIVATE ATTORNEY [ alternate dispute resolution illegally PROTECTS Government HHS Employees and HMO Employees who Defraud INDIVIDUALS - Retired Federal Beneficiaries and Federal Health Insurance Programs T42CFR417.1 with respect to T42CFR409.33 Hospital and Nursing Home Dumping CLAIMS ] to explore any legal options that may be available to you. Sincerely, ALLEN M. GERSHEL - Region 5 HCFA : Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin United States Attorney signature by: INTIMIDATION -- ELLEN CHRISTENSEN Assistant United States Attorney T18CFR1518CRIME Obstruction T18CFR286CRIME allowing ~ T18CFR371CRIME illegal agreement with HCFACMS Region 5 ~ T18CFR242CRIME color of law - violation of section 14141 of the Violent Crime Control and Law Enforcement Act of 1994. . What is Patient Abuse and Neglect ? - National Health -- NHDOJ Patient abuse or neglect is Any Action or FAILURE to ACT [ 1998 T42CFR417.1 Volentary Disclousure Program for Dishonest Dangerous Providers 1996 HIPAA Violation ] which causes unreasonable suffering, misery or harm to the patient - INDIVIDUAL. . OFFICE OF PERSONNEL MANAGEMENT ( OPM ) Sec. 900.401, Title VI of the CIVIL RIGHTS Act of 1964 Authority: Sec. 602, 78 Stat. 252 (42 U.S.C. 2000d-1). Source: 38 FR 17920, July 5, 1973 - A PERSON [ Entitled INDIVIDUAL ] SHALL NOT BE DENIED [ T5CFR890.105 FEHBOIGHMO T42CFR417.1 adverse determination, anti-dumping and anti-kickback violation T18CFR242CRIME ] the BENEFITS of or be otherwise subjected to discrimination under a program ( OPM FEHB Health Insurance Program ) or activity Receiving Federal FINANCIAL assistance from OPM. .

Inclusion of Section 1001 in the PATROIT ACT ( October 2001 ) raised the profile of the OIG's Responsibilities in this area by highlighting a forum for INDIVIDUAL's to raise their claims of CIVIL RIGHTS [ OPM Sec. 900.401, Title VI of the CIVIL RIGHTS ] or civil liberties ABUSE T18CFR242CRIME - BY Department of Justice Employees [ T18CFR1518CRIME Alternate Dispute Resolution ]. As a first step in implementing Section 1001, Inspector General GLEN FINE has designated his Counselor, PAUL MARTIN, as the Official who is responsible for coordinating the OIG's response to the Section 1001 directives .

The OIG has created a 'SPECIAL SECTION' in its Investigations Division to process these complaints. This section will * Identify the More SERIOUS * Civil Rights [ OPM FEHB T6CFR900.401 ] and civil liberties allegations and assign them to OIG employees for investigation. The OIG will refer other complaints to Department components for their review and handling. . Office of Inspector General Office of Personnel Management - OPM T5CFR890.105 Denial of Covered T42CFR409.33 Claims Joseph Frech investigator - INTIMIDATION Dated: 9 may 2002 " The ( criminal ) matters discribed in your letter ( T42CFR417.1 HHS & Federal HMO Employee Anti-dumping & Anti-kickback Violations - OPM FEHB Hospital Insurance Fraud resulting in death ) are Not within the Jurisdiction of This Office. The OIG had also recieved information regarding your case in September 2000. At that time We [ OIG, FBI, U.S. Attorneys Region 5 HCFA ] Determined that the ( OPM FEHBP - Imogene E. Thomas ) Health Benefits Contracts Division has sole jurisdiction ( OIG Volentary Disclousure/SELF-Audit Program ) over your ( criminal ) complaint. The decision made by the contracts division is final and the OIG will NOT Investigate." T18CFR242CRIME - willfully failed to keep INDIVIDUALs from Harm: OPM FEHBP Contracting Divisions assisting, allowing & concealing CITE: 5CFR890.105 felony federal T18CFR24CRIMES health care offences against Retired FEHBP. . 1998 DOJ - HCFA and HHSOIG T42CFR417.1 Volentary Disclousure Program for Dishonest Providers to avoid exclusion RICO . TITLE 42--PUBLIC HEALTH CHAPTER IV-[ HCFA ]-HEALTH CARE FINANCING ADMINISTRATION, [ HHS ] DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 409-- HOSPITAL INSURANCE BENEFITS --Table of Contents Subpart D-[ Federal ]-Requirements for Coverage of POST HOSPITAL Extended SNF [ NURSING FACILITY ] Care Sec. 409.33 Examples of skilled nursing [ Medically Necessary ] and rehabilitation services. ~~ To DENY this SERVICE [ HHSOIGHMO T42CFR417.1 systematic denial of COVERED Claims, Hospital HHS Employee T18CFR286CRIME enactment grievance appeals procedure, Alternate Dispute Resolution 42CFR438.704 adverse determination ], is called an Anti-Dumping Violation - and results in Physical Injury and death . CONSUMER Protection and QUALITY - OPM Retired INDIVIDUAL . Subj: Alexandra Rupert - Retired OPM FEHB - HHSOIGHMO Hospital Dumping Victim T42CFR417.1 Date: 9/6/00 2:45:32 PM Eastern Daylight Time From: IETHOMAS@opm.gov (Thomas, Imogene E) $25,000 Dumping $50,000 Kickback FELONY To: SpiritDancerMita@aol.com CC: kstbylite1@aol.com Hello Ms. Kimball I received a response from Jeanette Girty at ( Federal HMO T18CFR286CRIME HAPCORP.ORG Michigan ) Health Alliance Plan regarding your mother [ Retired OPM FEHB ] Alexandra Rupert's DENIED ( post-hospital T42CFR409.33 extended care services T42CFR417.1 adverse determination $25,000 Anti-DUIMPING Violation, resulting in death, as threatened ' grievance appeals proceduredispute resolution ) CLAIM. Ms. Girty informed me that They ( HMO ) resolved this case ( T18CFR242CRIME - 1998 HHS OIG Volentary Disclousure 'SELF-Audit' Program T18CFR371CRIME ) 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 - criminal complaint #31302-001 March 2000 Cindy Mielock , Kristie Tabor et al ] Michigan Insurance Bureau in March of this year regarding [ State Liscensed HHS Hospital Employee Insurance Fraud - T42CFR417.1 Dumping of Elderly to force illegal HCFA Medicaid Kickback $50,000 felony Conversion ] the same thing as well as some alleged QUALITY ISSUES [ Retired OPM FEHB - killed during the commission of a felony T42CFR417.1 Anti-dumping and Anti-Kickback Violation - Federal Hospital Insurance Fraud ]. They also investigated [ T18CFR242CRIME misprison of a felony T42CFR417.1 white collar crime ] the QA issues and responded to you. Ms. Girty said HAP [ OPM FEHBHMO Hospital Service PROVIDER ] had Not received an ITEMIZED BILL for the additional three days [ of denied skilled care T42CFR417.1 suffering in pain until death as threatened ] 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 - fraud by fright - Medicaid KICKBACK, defrauded OPM FEHB INDIVIDUAL eligibility - Poor ] 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 [ Health Alliance Plan HAPCORP.ORG Detroit Michigan ] considers this case [ murder T42CFR417.1 systematic denial of covered claims-adverse determination FELONY physical, financial and criminal abuse ALLOWED by OPM T5CFR890.105 ] resolved and closed. Any questions let me know.

Regards, Imogene E. Thomas - T5CFR890.105 willfully failed to keep Individuals from harm - anti-dumping and anti-kickback violation - RACKETEERING ~ T42CFR417.1 HCFA 1996 HIPAA Violation 1128b. Health Benefits Contracts Specialist - CITE: 5CFR890.105 misprison of a felony T18CFR1518CRIME Office of Insurance Programs - 1998 U.S. Attorney General and HHS OIG Provider Self-Disclosure Protocol Insurance Contracts Division III, Branch II . Subj: RE: abuse of civil rights BY Justice Employees - Alternate Dispute Resolution Date: 12/13/2002 8:54:30 AM Eastern Standard Time From: Inspector.General@usdoj.gov (General, Inspector) To: 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 [ Federal OPMFEHB - HMO T42CFR417.1 Hospital Insurance Fraud 42CFR438.704 ] have been reviewed by the staff of the Investigations Division, Office of the Inspector General. The primary investigative responsibilities of this office are: · Allegations of criminal, as well as non-criminal, misconduct committed BY U.S. Department of Justice Employees [ U.S. Attorneys - FBI - OIG - HCFA Region 5 - T18CFR1518CRIME ] and Contractors [ HAPCORP.ORG T42CFR417.1 Anti-dumping Anti-kickback violation ]; and · Waste and abuse BY High Ranking Department Officials, or that Affects MAJOR Programs and operations. [ 1998 HHS OIG Provider [ HAPCORP.ORG ] Self-Disclosure Protocol ~ VOLENTARY DISCLOUSURE Program ~ T18CFR286CRIME - RICO ] This Office does not have JURISDICTION in the matter you described.

Therefore, your complaint has been forwarded to: Office of Personnel Management - T5CFR890.105 illegal denial of covered T42CFR409.33 claims Office of the Inspector General - illegal agreement T18CFR371CRIME 1998 HHSOIG Volentary Disclousure Program T18CFR286CRIME 1900 E Street NW Washington, D.C. 20415 I hope this answers any questions regarding this [ criminal T18CFR371CRIME ] matter. Sincerely, The Office of the Inspector General - violation of section 14141 of the Violent Crime Control and Law Enforcement Act of 1994. Department of Justice . T18CFR1518CRIME Obstruction - The OIG has JURISDICTION over all complaints of ( criminal ) misconduct AGAINST Department of Justice employees [ misprison of felony crimes T18CFR242CRIME ], including the [ FBI ] 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 ( OIG / APPOINTED JUDGES ) in the Department of Justice. . FBI has Jurisdiction regarding Color of Law Violations Color of Law - BY High Ranking Department Officials - US PATRIOT ACT sec 1001 9-110.330 Charging RICO Counts A RICO charge where the predicate acts consist only of state offenses will not be approved except in the following circumstances:

Local law enforcement officials are unlikely to investigate and prosecute otherwise meritorious cases in which the Federal government has significant interest; Significant organized crime involvement exists; or The prosecution of significant political or governmental individuals may pose special problems for local prosecutors. . Subj: FBI Response - alternate dispute resolution T18CFR1518CRIME Date: 12/21/2002 7:21:46 AM Eastern Standard Time From: sioc fbi.gov (FBI Internet Tips) To: KstbyLite1 aol.com Dear Mr. Kimbell, Thank you for your submission to the FBI Internet Tip Line regarding the [ OPM FEHBHMO Federal Hospital Insurance Service Contract Provider ] Health Alliance [ HAPCORP.ORG ].

After evaluating your information [ T18CFR24CRIMES ] it is our determination that your situation IS one in which the FBI investigates, however your situation cannot be handled by the FBIHQ Internet Team. . Office of MANAGEMENT & BUDGET

Subj: Re: HMO Fraud resulting in death of FEHB Beneficiaries Date: 1/30/2003 9:36:26 AM Eastern Standard Time From: Karen_M._Shaffer@omb.eop.gov To: Kstbylite1@aol.com CC:Sheila_Conley@omb.eop.gov,Areletha_L_Venson@omb.eop.gov File: att1.zip (1522 bytes) DL Time (44000 bps): < 1 minute Adam Knapp forwarded your e-mail to me for response. I serve as the Office of Management and Budget's liaison to the Inspector General community.

I forwarded your information to the Honorable Patrick E. McFarland, Inspector General, Office of Personnel Management, Room 6400, 1900 E Street, NW, Washington, DC 20415. He will take whatever action he deems appropriate. You may contact his office through its HOTLINE at 1-202-606-2423. . Subj: FBI Response - T42CFR417.1 Federal Hospital Insurance Fraud Date: 2/5/2003 3:19:49 AM Eastern Standard Time

From: sioc@fbi.gov (FBI Internet Tips) Reply-to: sioc@fbi.gov To: Kstbylite1@aol.com Dear Ms Kimball, Thank you for taking the time to submit your information to the FBI via the FBI.Gov Web site. It is being evaluated at this time by one of my Agents, and will be forwarded to the appropriate FBI component, as appropriate. If 'They are Not Responding' - to your emails Try calling Detroit FBI at 313-965-2323. Sincerely, David N. Rushing/rwh Supervisory Special Agent FBI Headquarters Washington, D.C. . ANTI TRUST -- 1998 HHS/OIG investigations, audits and evaluations focus not just on IMPROPER BILLING for health care services, but also the QUALITY OF CARE provided to program beneficiaries. These efforts include [ FALSE CLAIM ]: Prosecution and Exclusion of Dangerous Provider. . PUBLIC AFFAIRS -- Office of Inspector General, U.S. Department of Health and Human Services - HHS OIG -- Organization URL(s) paffairs@oig.hhs.gov, www.oig.hhs.gov The Inspector General's Hotline was established to protect the integrity of programs of the Department of Health and Human Services (HHS). HHS employees - Marla Ruhana, [ FEDERAL HMO Mattie Ogburn - Donna O'Connor et al ] Contractors, and the general public [ INDIVIDUALS ] can call or write the Hotline [ HHS TIPS ] to report VIOLATIONS of LAW [ HHSOIGHMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violation ] and Regulations [ T18CFR24CRIMES ] in HHS [ 1998 HHSOIGHMO VOLENTARY DISCLOUSURE ] programs and operations . Subj: RE: HHS OIG Hotline Web Submission - 1998 U.S. Attorney General Janet Reno - Eric Holder, et al, HCFA Nancy Deparle - Suzan Riezner, et al and HHS OIG June Gibbs Brown - Daniel Levinson, et al - PROVIDER [ HAPCORP.ORG ] Self-Disclosure Protocol T42CFR417.1 Volentary Disclousure PROGRAM T18CFR371CRIME, misprison of a felony T18CFR1518CRIME ~ RICO T18CFR242CRIME Date: 2/13/2003 10:29:22 AM Eastern Standard Time From: hhstips@oig.hhs.gov ( Tips, HHS ) Fraud T42CFR417.1 resulting in death of Retired Hospitalized Federal Beneficiaries ( grievance procedure concealing genocide of the elderly ) FOR PROFIT T18CFR286CRIME HHSOIG $25,000 Dumping HHSOIG $50,000 Kickback 'EACH' Defrauded INDIVIDUAL To: Kstbylite1@aol.com Ms. Kimball: This is in response to your email of February 5, 2003, regarding the ( HHSHMO Denied T42CFR417.1 ) health care coverage ( Region 5 HCFA ) for your deceased ( OPM FEHBP ) mother. Although WE ACKNOWLEDGE that you have SERIOUS CONCERNS ( Hospital HHS Employees conducting Federal HMO Hospital Insurance Fraud T42CFR417.1 Anti-dumping and Anti-kickback violations against Retired FEHBP to Force - fraud by fright - criminal HCFA State OFIS Medicaid kickback conversions ), it is our judgment that the issues do Not fall under the JURISDICTION of the Office of Inspector General. ( Color of Law Violation - Sect 1001 U.S. Patroit Act Violation ) 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 ( HMO ) insurer FAILED to ( PROVIDE HHSOIGHMO T42CFR417.1 systematic DENIAL of Existing T42CFR409.33 OPM FEHBHMO Insurance ) pay for contracted services, OPM would be the proper agency to handle ( HHSOIG anti-dumping and HHSOIG anti-kickback violations ~ OPM OIG illegal agreement with HHS OIG T5CFR890.105 systematic Denial of Covered Claims, OIG Volentary Disclousure Program for dishonest providers ) your ( Criminal RICO ) complaint. Inspector General's Hotline . White Collar Crime, Section 371. Both offenses require the traditional elements of Section 371 conspiracy, including An illegal agreement, criminal intent, and proof of an overt act . 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 HHS ) has the AUTHORITY to impose intermediate sanctions against Medicare and Medicaid contracting managed care PLANS THAT FAIL TO PROVIDE [ T42CFR438.704 - HHS & Federal HMO T42CFR417.1 illegal DENIAL of covered - Existing OPM FEHBHMO Hospital Insurance Benefits T42CFR409.33 Post-HOSPITAL Extended care NURSING HOME services ] medically necessary services, including emergency services, to enrollees where the failure adversely affects (or has a substantial likelihood of ADVERSELY affecting HHSHMO T42CFR417.1 anti-dumping violation ) the enrollee [ Covered INDIVIDUAL ]. Medicare and Medicaid 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 [ CITE: 42CFR438.704 - T42CFR417.1 Adverse Determination ] of medically necessary services T42CFR409.33. . Subj: Re: Health Alliance ( Hospital ) Insurance Fraud - HHSOIGHMO T42CFR417.1 anti-dumping and anti-kickback violation Date: 2/21/2003 5:07:41 PM Eastern Standard Time From: senator@stabenow.senate.gov ( Senator Debbie Stabenow ) alternate T18CFR1518CRIME dispute resolution - grievance procedure T18CFR371CRIME color of law T18CFR242CRIME. To: kstbylite1@aol.com February 21, 2003 Thank you . . . . . for contacting me about ( OPM FEHBP Hospital Dumping $25,000 Felony ) insurance & Medicaid ( HCFAOFIS Kickback $50,000 Felony ) fraud committed by ( Federal OPM FEHBHMO ) Health Alliance Plan [ enactment of T42CFR417.1 grievance procedure: systematic denial of covered T42CFR409.33 Hospital & Nursing Home Service Claims, adverse determination resulting in physical injury and death ]. I appreciate that you have taken the time to communicate your views and concerns with me. I understand your concern about this issue. ( T18CFR1518CRIME Obstruction of justice ). Should related legislation ( Nov 2003 Medicare Drug Plan - 2004 lawsuite abuse reduction act - 2010 Health Care Reform ) come before the U.S. Senate for a vote, I will keep your views in mind, and share your thoughts on [ OPM FEHB T5CFR890.105 - systematic denial T42CFR417.1 of covered T42CFR409.33 Post HOSPITAL Extended Care NURSING HOME Service Claims - racketeering ] 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 - D-Michigan T42CFR417.1 alternate T18CFR1518CRIME dispute resolution DISHONEST United States Senator - Federal Budget Committee . Subj: Re: Health Alliance Hospital Insurance Fraud Date: 4/15/2003 12:44:25 PM Eastern Daylight Time From: MIAG@michigan.gov (Michigan Attorney General) To: Kstbylite1@aol.com Thank you for your email to the Attorney General. Due to the large volume of email and surface mail we receive, we may not be able to respond right away. This automated response has been established to let you know that we have received your message, and it has been forwarded to the correct Attorney General division for review. Once we have researched your question, we will reply by email. . On April 16, 2003, President Bush appointed Daniel W. Sutherland to be the Officer for Civil Rights and Civil Liberties at the U.S. Department of Homeland Security. This position was created by Section 705 of the Homeland Security Act of 2002. In this position, Mr. Sutherland provides legal and policy advice to the Secretary and the senior officers of the Department on a full range of civil rights and civil liberties issues. . OPM FEHBP [CITE: 5CFR185.104] PROGRAM FRAUD Sec. 185.104 Investigation. (d) Nothing in this section modifies any Responsibility of an Investigating Official ( OIG \ FBI \ HCFA ) to Report Violations of Criminal Law [ T18CFR24CRIMES ] to the U.S. Attorney General. . Office of Inspector General ~ Criminal, Judicial and Financial Fraud - intimidation Office of Personnel Management - HAPCORP.ORG illegal denial of covered claims T5CFR890.105 Dated: 14 May 2003 Joseph Frech Investigator ~ Color of Law T18CFR371CRIME C 03-206 Quote: " Your only recorse is to file suite against the Office of Personnel Management in Federal Court. " . State of Michigan Department of Attorney General - T18CFR242CRIME P.O.Box 30212 Lansing, MI 48909 Mike Cox Attorney General - INTIMIDATION - T18CFR1518CRIME June 10, 2003 Dear Mrs. Kimball: This is to acknowledge your e-mail of April 15,2003, reguarding your ( Criminal ) complaint against [ OFIS T18CFR286CRIME and ] Health Alliance. [ HAPCORP.ORG 42CFR438.704 systematic denial of T42CFR409.33 post-hospital extended care services $25,000 Anti-dumping violation, to force - fraud by fright, illegal HCFA State OFIS Medicaid Kickback T42CFR409.33 $50,000 felony Conversion T18CFR286CRIME ] The Office of Financial and Insurance Services ( OFIS ) is the State Agency Responsible for regulating insurance companies doing business in the State of Michigan and investigating matters involving insurance companies and policy holders. I am, therefore, sending your letter to OFIS [ intimidation T18CFR242CRIME - T18CFR1518CRIME - T18CFR286CRIME ] so they can investigate the matter, and I am requesting them to contact YOU directly [ intimidation ] regarding their findings. Thank you for bringing this matter [ Public Corruption ] to my attention. Sincerely yours, Mike Cox Attorney General - willfully failed to keep Individuals from harm criminal and financial misconduct against the Citizens of Michigan Allowing domestic terrorism against the elderly, by systematic denial of post-hospital extended care services resulting in bodily injury and death. T18CFR242CRIME. c: Consumer Services Office of Financial and Insurance Services - 1998 illegal agreement with HCFA Region 5 and U.S. Attorneys - to allow HAPCORP.ORG to harm 42CFR438.704 their Covered Individuals Citizens of Michigan for Medicaid kickbacks - 1998 DOJ - HCFA and HHSOIG Volentary Disclousure Program RICO
P.O.Box 30220
Lansing, MI 48909
( 517) 373-0220

Failure to keep from harm [ T42CFR438.704 ]: The public counts on its LAW ENFORCEMENT OFFICIALS to PROTECT local communities. If it's shown that an official willfully failed to keep an INDIVIDUAL [ Retired Federal OPM FEHBHMO et al ] from HARM [ HHSOIGHMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violation ], that official could be in violation of the color of law statute
.
Subj: MI Civil Rights Dept. 285032
Date: 12/2/2003 10:42:57 AM Eastern Standard Time
From: BlairJ@michigan.gov - INTIMIDATION
To: manifestdreams aol.com
Sent from the Internet (Details)
Dear Ms. Kimball,
Thank you for your e-mail correspondence on November 18, 2003.
As YOU [ Individual ] WERE NOTIFIED in April and August 2002, this department is unable to assist you [ T18CFR242CRIME OPM FEHB T6CFR900.401 ] with your concern. If you have not already done so, I encourage you to contact the Michigan [ OFIS - RACKETEERING ] Insurance Bureau.
Sincerely, Joan Blair, Reconsideration Team Manager 313/456-3827
.
The Civil Rights Division shares enforcement responsibility under some of these statutes with the Criminal Division, generally depending upon whether the matter involves discrimination or intimidation on account of race, or, in the case of those statutes dealing with Obstruction of Justice [ T18CFR1518CRIME ], relates to civil rights litigation. See 28 C.F.R. §§ 0.50 and 0.55.
The Civil Rights Division has responsibility under 18 U.S.C. § 1001 with respect to false official statements made in connection with alleged violations of federal civil rights statutes.
.
http://www.justice.gov/crt/
.
DECEMBER 2003
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TITLE 5 > PART III > Subpart G > CHAPTER 89 > Sec. 8912. Prev Next Sec. 8912. - Jurisdiction of courts The district courts of the United States have original JURISDICTION, concurrent with the United States Court of Federal Claims, of a civil action or claim against the United States founded on this chapter
.
Title 28 U.S.C. § 1361. Action to Compel an officer of the United States to Perform his DUTY. The district courts shall have original JURISDICTION of any action in the nature of mandamus to compel an officer or employee of the United States or any agency thereof to perform a DUTY owed to the plaintiff.
.
http://www.justice.gov/usao/mie/
With offices in Detroit, Flint and Bay City, we employ 115 attorneys and approximately 100 support staff members. We also maintain unstaffed offices in Ann Arbor and Port Huron, where our attorneys also handle cases in court.
Our jurisdiction covers 6.5 million people and 34 counties, and our budget is approximately $24 million. Our office is organized into three divisions: Criminal, Civil and Appellate.
.
$150.00 Filing Fee ~ T5CFR890.105 Judicial Review
.
FEHB Consumer Protections ~ NONE
fraud upon the court
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UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF MICHIGAN - RACKETEERING
Chambers of Honorable George Caram Steeh
United States District Judge
Theodore Levin United States Courthouse
231 West Lafayette Blvd. - room 235
Detroit, Michigan 48226
.
The Honorable George C. Steeh was APPOINTED United States District Judge in 1998 [ 1998 U.S. Attorney General Janet RenoEric Holder and HHS OIG June Gibbs Brown - PROVIDER [ HAPCORP.ORG ] Self-Disclosure Protocol ~ Volentary Disclousure Program, see 63 Fed. Reg. 58,399 ~ 1996 Nancy DeParle HIPAA Violation - HHSHMO T42CFR417.1 Systemic Deprivations T18CFR242CRIME of civil and criminal rights and COVERED Health Insurance Benefits ~ T18CFR371CRIME ~ T18CFR286CRIME ~ RICO ~ INTIMIDATION
.
Kimberly Kimball
Vs
Office of Personnel Management OIG
& The State of Michigan
.
Case # 03-75161 -- filed December 30, 2003
Regarding: T5CFR890.105 Judicial Review of Systematic Denial T42CFR417.1 of Covered T42CFR409.33 Hospital Insurance Claims
.
The lawsuite was dismissed by the District Court, Sua Sponte, and for among other things LACK of JURISDICTION on JANUARY 4th 2004 - intimidation - T18CFR371CRIME ~ T18CFR242CRIME ~ Color of Law.
.
The Judge also claimed the lawsuite: T5CFR890.105 illegal denial of COVERED T42CFR409.33 post-hospital extended care services, resulting in death, as threatened 4-23-99 in writting - HHSOIGHMO Grievance Appeals Procedure T42CFR417.1 Alternate Dispute Resolution T18CFR1518CRIME ~ was Without Merit and Frivolous, to ALLOW and Conceal T18CFR286CRIME - T18CFR371CRIME Federal Hospital Insurance Fraud and Abuse, TARGETING T42CFR417.1 ELDERLY Entitled INDIVIDUALS [ 1998 HHSOIG and HCFA OutReach Campaign - fully LAUNCHED in 1999 ] with Federal HMO Hospital Insurance T42CFR409.33 Service Contract -- DISHONEST Dangerous PROVIDER: Health Alliance Plan, Detroit - CITE: 42CFR438.704 adverse determination, systematic denial of Existing OPM FEHB Federal T42CFR409.33 Post-Hospital Extended Care Nursing Home Services, to force - fraud by fright, illegal HCFA State OFIS Medicaid Kickback T42CFR409.33 Conversion. Economic White Collar Crime.
.
JANUARY 2004
State of Michigan ALLOWING T18CFR286CRIME Federal HMO Health Alliance Plan - HAPCORP.ORG to harm 42CFR438.704 their Covered Individuals Citizens of Michigan for HCFAOFIS State Medicaid kickback $50,000 felony conversion on EACH defrauded T42CFR417.1 covered INDIVIDUAL.
.
Subj: RE: Request for Complaint Referral
Date: 3/18/2004 1:41:40 PM Eastern Standard Time
From: referrals@usccr.gov
To: SpiritDancerMita@aol.com
Sent from the Internet (Details)
March 17, 2004
Dear SpiritDancer:
The United States Commission on Civil Rights recently received your correspondence.
We assist the many people who write to us alleging discrimination [ OPM Sec. 900.401, Title VI of the CIVIL RIGHTS Act of 1964 ] on the basis of race, sex, age, disability, national origin or religion by forwarding their complaints to the appropriate civil rights enforcement agency.
After carefully reviewing your correspondence [ SSA 1128b ~ T18CFR24CRIMES ], we find that it does not contain allegations that may be forwarded to an enforcement agency.
We are therefore returning your correspondence and regret that we cannot assist you [ T18CFR242CRIME alternate dispute resolution T18CFR371CRIME ] further.
Sincerely,
TERRI A. DICKERSON - color of law T18CFR1518CRIME.
Assistant Staff Director
of Civil Rights Evaluation
.
PUBLIC CORRUPTION. In its efforts to anticipate or prevent crime, the FBI must at times initiate investigations in advance of criminal conduct. United States v. United States District Court, 407 U.S. 297, 322 (1972). Conversely, a racketeering enterprise investigation may yield information warranting a general crimes inquiry or investigation or a domestic security/terrorism investigation
.
Department of Homeland Security
Report any suspected criminal [ T18CFR24CRIMES ] or terrorist activity [ T42CFR417.1 DOJ Alternate T18CFR1518CRIME Dispute Resolution an HHSOIG anti-dumping violation - adverse determination - fraud by fright, targeting the Elderly, to force illegal HCFASTATE Medicaid kickback conversion T18CFR242CRIME resulting in physical injury and death ] to the Federal Bureau of Investigation (FBI). The FBI is the lead federal agency for Investigating color of law abuses
.
Subject: FBI Response - T42CFR417.1 alternate T18CFR1518CRIME dispute resolution
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 [ STATE of MICHIGAN ] or DISTRICT ATTORNEY's Office. If you wish pursue legal matters against the Hospital you should contact an attorney.
.
HEALTH CARE FRAUD VICTIMS: Department of Justice prosecutors ( U.S. Attorneys ) and investigators ( Office of Inspector Generals ~ HCFA Region 5 CMS ~ FBI ) shall ensure that 'Victims Rights' and Services under FEDERAL STATUTES [ T18CFR24CRIMES ] and administrative guidelines WILL BE ENFORCED for the benefit of Victims of Health Care Fraud, including provisions concerning notice to victims about case and offender status, appropriate consultation with victims, advocacy of restitution for victims, and enforcement of restitution awards For Victims BY the GOVERNMENT [ T42CFR417.1 systematic denial of Covered post HOSPITAL Extended Care NURSING HOME Service Claims, RICO Violation T18CFR242CRIME ]
.
Investigation and prosecution of fraud related to Federal Health Programs is the Responsibility of the Department of Health and Human Services (HHS), the FBI and ( USAO ) the Department of Justice.
.
1998 - The Office of DISPUTE RESOLUTION ~ [ racketeering - HHSOIGHMO T42CFR417.1 grievance procedure - illegal termination of Individual Federal Health Policies, to force, fraud by fright, illegal HCFA State Medicaid Kickback T42CFR409.33 Conversion - RICO - HCFA 1996 HIPAA Violation - T18CFR1518CRIME ] ~ represents, and is working [ laundering ] on behalf of, The DEPARTMENT OF JUSTICE - T18CFR242CRIME
.
1998 U.S. Attorney General and HHS Office of Inspector General ~ Volentary Disclousure of Health Care Fraud Program to AVOID EXCLUSION - RICO:
.
U.S. Justice Department workflow number 7 1998 2
14 February 2005
U.S. Department of Justice
Executive Office for United States Attorneys - T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME
Washington DC 20515
.
Dear Congressman Bart Stupak D-MI:
.
Regarding: CITE: 5CFR890.105 Filing for Denied Covered Claims, misprison of a felony
.
Judicial Review Denied - CITE: 5CFR890.105 misprison of a felony T18CFR371CRIME
.
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 [ T18CFR24CRIMES ~ HIPAA ] in Mrs. Kimball's letter, but have found no issue upon which DOJ can provide assistance." RICO ~
"Mrs. Kimball alledges that the ( Federal OPM FEHBHMO - HAPCORP.ORG ) Health Maintenance Organization that provided ( DENIED T42CFR417.1 ) health care coverage for her Mother IS Engaging in Medicaid ( KICKBACK ) Fraud, and caused ( fraud by fright ) her mothers death, by it's use of Managed Care ( T42CFR417.1 Retired OPM FEHBP killed during the actual commission of a felony ~ denial of COVERED post hospital extended care CLAIMS ) Grievance Procedures. "
" It is our understanding that Mrs. Kimball referred her allegations to federal law enforcement agencies charged with investigating health care fraud and that they ( HCFA Region 5 - OIG's - FBI ) have declined ( RICO T18CFR1518CRIME ) further investigation after due consideration. "
"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 - denial of covered claims - grievance appeals procedure ] asserting these and other allegations ( RICO ) against the Office of Personnel Management ( OPM ), which contracted with the health insurance carrier [ Federal HMO Region 5 HCFA ~ Health Alliance Plan Detroit ] that Apparently Denied coverage ( T42CFR417.1 grievance procedure - adverse determination resulting in death as threatened ) of her mother. [ Fraud by Fright, White Collar Crime ]
As you may be aware, the United States Attorney's Office generally do NOT Investigate allegations of [ T18CFR24CRIMES HIPAA Violation ~ RICO T18CFR286CRIME ] crimes, but rather Prosecute cases developed by investigative agencies.
We are sorry that We Cannot be of further assistance [ RICO ~ illegal partnership arrangement with HCFA Region 5 CMS to allow T42CFR417.1 criminal misconduct - 1998 U.S. Attorney General & HHS OIG ~ Volentary Disclousure of Health Care Fraud & Abuse CONTROL Program ] 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 Attorneys ~ RICO - T18CFR371CRIME - T18CFR1518CRIME - T18CFR242CRIME ....
.
United States Attorneys' offices (USAOs) criminally and civilly prosecute health care Professionals, PROVIDERS, and other SPECIALIZED business ENTITIES who engage in health care fraud, and work with the Department's Civil and Criminal Divisions,and the FBI.
.
H.R.4571 Sensenbrenner -- intimidation by lawsuite - JUNE 15, 2004 `Lawsuit Abuse Reduction Act of 2004' ~ a bill that would require judges to fine lawyers who file cases [ T5CFR890.105 Judicial Review of systematic denial HHSHMO T42CFR417.1 of Covered Federal Hospital Insurance Benefit T42CFR409.33 Claims - white collar economic crime T18CFR286CRIME to force illegal HCFA State Medicaid KICKBACK Conversion ] that are dismissed as " FRIVOLOUS ". T18CFR242CRIME Alternate Dispute Resolution - denial of civil and criminal rights for due process of law.
.
Subj: RE: Corrupt Judicial System - Michigan RICO
Date: 8/8/2005 11:30:06 PM Eastern Daylight Time
From: Dallas.Public@ic.fbi.gov
To: JustmyOpnion@aol.com
Sent from the Internet (Details)
Your e-mail has been received by this office for review.
In order for the Federal Bureau of Investigation (FBI) to initiate an investigation of any complaint which we receive, specific facts must be present to indicate that a violation of federal law within the FBI's investigative JURISDICTION [ color of law violations ] has occurred.
.
Subj: From the Office of Congressman Bart Stupak
Date: 8/17/2005 9:19:13 AM Eastern Daylight Time
From: ima_mi01iq@mail.house.gov
To: justmyopnion@aol.com
Sent from the Internet (Details)
August 16, 2005
Mrs Kimberly Kimball
Kenokee Twp, Michigan 49770
Dear Mrs Kimball:
Thank you for contacting my office. I appreciated hearing from
you on issues relating to Retired FEHBP [ T5CFR890.105 systematic Denial of Covered T42CFR409.33 Post-Hospital Extended Care Nursing Home Service Claims ] and for providing me with your report. [ racketeering 1998 DOJ - HCFA and HHS OIG PROVIDER T42CFR417.1 Volentary Disclousure Program ] Please know I value your opinions, and will keep your comments
in mind if your concerns are discussed in the House.
Again, thank you for sharing your comments. Please do not
hesitate to contact me if I or members of my staff may be of
service.
Sincerely,
BART STUPAK - D MI - alternate T18CFR1518CRIME dispute resolution T18CFR371CRIME
Member of Congress - RICO - T42CFR417.1 Unjust Enrichment for Dishonest dangerous PROVIDERS
.
Subj: RE: US Attornies Conceal Hospital HMO Insurance fraud
Date: 9/22/2005 1:47:54 PM Eastern Daylight Time
From: NewCase.ATR@usdoj.gov - Alternate Dispute Resolution
To: LawISAmootIssue@aol.com
Sent from the Internet (Details)
Dear Ms. Kimball:
Thank you for contacting the Antitrust Division of the U.S. Department of Justice. Upon review of your email [ DOJ T18CFR242CRIME Alternate Dispute Resolution T18CFR371CRIME ], we have determined that your complaint does NOT fall under the purview of the Division.
Thank you for your interest in the enforcement of federal antitrust laws, and we wish you the best in resolving your concerns.
Sincerely,
New Case Unit
Antitrust Division - HHSHMO T42CFR417.1 DOJ Alternate Dispute Resolution T18CFR1518CRIME Volentary Disclousure of Health Care Fraud and Abuse Control ( T18CFR242CRIME ) Program - T18CFR371CRIME
.
As enacted by section 6031 of the Deficit Reduction Act of 2005, section 1909 of the Social Security Act (Act) provides a financial incentive for States to enact [ EXISTING - CITE: 42CFR438.704 ] false claims acts that Establish Liability to the State for the submission of false or fraudulent claims to the State’s Medicaid program.
.
At their initial meeting in 1999, the NATIONAL Health Care Fraud and Abuse TASK FORCE, Chaired by the Deputy Attorney General [ ERIC HOLDER ] set various goals toward working together to PROTECT the Vulnerable NURSING HOME population [ FALSE CLAIM T42CFR417.1 ] and in Stepping Up Efforts to EXCLUDE DISHONEST PROVIDERS [ FALSE CLAIM T42CFR417.1 VOLENTARY DISCLOUSURE Program for Dishonest Providers to avoid exclusion - racketeering against Elderly American Citizens T18CFR242CRIME ] from [ HCFACMS ] Medicare, Medicaid and other [ OPM FEHB - CHAMPVA - TRICARE ] Federal Health Programs.
.
Mercy killing is defined as the killing of one person by another. The victim of mercy killing is normally in the vegetable state or has an injury or illness that cannot be cured, as it is usually in its last stage. The victim experiences immensely painful last days just before his or her death. For a voluntary case of mercy killing to take place, the killer must first obtain the consent of the victim, but there have been RECORDED CASES of mercy killing AGAINST the wishes of the Victim [ T42CFR417.1 grievance procedure - alternate dispute resolution - adverse determination - anti-dumping violation resulting in physical injury and death ] as well.
.
EASTERN DISTRICT MICHIGAN - Corporate Accountability
HAPCORP.ORG - 1998 DOJ - HCFA and HHSOIGHMO T42CFR417.1 systematic denial of covered Hospital Insurance: T42CFR409.33 Post-Hospital Extended Care Nursing Home Claims - Volentary Disclousure Program for DISHONEST Providers - alternate T18CFR1518CRIME dispute resolution T18CFR242CRIME
.
Darren J. Burmania, Esq.
JustUs® Corporate Counsel
At a time when high-profile scandals rule the headlines
CORPORATE ACCOUNTABILITY and integrity are paramount
Mr. Burmania originally began working with JustUs® in 2001 as a Client Relations Manager. With a legislative and public policy background, he brings unique abilities and compliance perspectives. Today, he serves JustUs® as Corporate Counsel, handling the corporate legal duties.
Mr. Burmania has an undergraduate degree from Central Michigan University and a Juris Doctorate from Wayne State University Law School. In addition to serving as Corporate Counsel for JustUs®, Mr. Burmania works as an Attorney, focusing in the area of labor and employment law.
He is Admitted to PRACTICE [ T42CFR417.1 dispute resolution T18CFR371CRIME - T18CFR1518CRIME et al ] in the STATE OF MICHIGAN and the FEDERAL EASTERN DISTRICT COURT.
.
RE: " Lawsuit Abuse Reduction Act ", T18CFR242CRIME systematic denial T42CFR417.1 of civil and criminal rights regarding due process of law, for anti-dumping and anti-kickback violations [ T42CFR417.1 HOSPITAL & NURSING HOME DUMPING ] resulting in physical injury and death.
.
djb at ksklaw.com Karen Smith Kienbaum & Associates, P.C.
A law firm emphasizing labor and employment matters and Alternate DISPUTE RESOLUTION
.
~ white collar crime - misrepresentations 42CFR438.704 - HHSOIGHMO-Health Alliance Plan Detroit T42CFR417.1 ILLEGAL AGREEMENT - systematic denial of covered claims T18CFR286CRIME ~ Color of Law - DISHONEST PROVIDER
Karen Smith Kienbaum & Associates, P.C.
The International Center Building, 400 Monroe, Suite 470, Detroit, Michigan 48226
313-967-0700 / Fax 313-967-0244
http://lists.indymedia.org/pipermail/www-newswire/2005-July/0707-hi.html
[Www-newswire] Objectionable Listserv Posting
Darren J. Burmania djb at ksklaw.com
Thu Jul 7 11:33:09 PDT 2005
To Whom It May Concern:
I have been asked to contact your organization regarding the removal/editing of a listserv posting that it particularly objectionable. The link to this particular item is:
http://lists.indymedia.org/pipermail/imc-ftaa/2004-October/1001-aa.html
.......... Note: Judge dismissed 'Sua Sponte' meaning: without the litigants having presented the issue for consideration [ misrepresentations 42CFR438.704 ]...........
.
The reason the item is objectionable is not that it is regarding the
" Lawsuit Abuse Reduction Act ", but rather that the posting references a
particular suit filed against [ ~ OPM OIG and State of Michigan ~ T18CFR242CRIME ] a Social Worker that was dismissed as frivolous. In that case the JUDGE FOUND that the lawsuit [ OPM FEHB T5CFR890.105 JUDICIAL REVIEW OF DENIED COVERED CLAIMS ] was FRIVOLOUS and WITHOUT MERIT, but the listserv entry suggests the CONTRARY. The [ Hospital ] Social Worker [ Discharge Procedures HHS T42CFR417.1 ( Alternate T18CFR1518CRIME Dispute Resolution: T18CFR286CRIME ) enactment of T42CFR417.1 grievance procedure: Systematic denial of Existing OPM FEHB T42CFR409.33 Post-Hospital Extended Care NURSING HOME Services, Adverse Determination, to force - fraud by fright - illegal HCFA State OFIS Medicaid T42CFR409.33 Kickback Conversion - felony ] in question is Ms. MARLA RUHANA. She 'was named in a lawsuit in 2003' for allegedly abusing a patient [ Retired OPM FEHB ], but no evidence of misconduct was found.
Rather, Ms. Ruhana was cleared of all charges, and it was found that the family filed A FRIVOLOUS SUITE BECAUSE Ms. RUHANA had reported abuse [ False Police Report 4\13\99 Intimidation - threat to jail OPM FEHB Spouse for refusing to defraud HCFA State T42CFR409.33 Medicaid $50,000 felony illegal application - eligibility POOR ] by the parents of the child she was treating. The listserv posting, however, would lead one to believe that Ms. Ruhana was actually found guilty of misconduct, which she was not.
The reason this listserv entry is problematic and has come to the attention of Ms. Ruhana is because when her name is 'Googled' the listserv entry is the third or fourth item listed, which is very troubling for a highly regarded and dedicated mental health professional. She was THE SUBJECT [ DETERMINING RIGHTS SSA 1128b ] of a FRIVOLOUS LAWSUITE and is now being portrayed as Someone who Committed " CRIMINAL ABUSE " [ HAPCORP.ORG and HHSOIG illegal agreement HHSHMO T42CFR417.1 Anti-dumping and Anti-kickback violation - resulting in Death, 2 weeks As Threatened ~ RICO ] when there has never been any evidence of such. Ms. Ruhana has become very upset to learn that this posting can be accessed by patients, colleagues, friends and family, when she was found completely innocent by a federal judge. We are not asking that the entire posting be removed, nor are we necessarily objecting to the subject matter of the posting. We do ask, however, that, at a minimum, Ms. Ruhana's name be completely removed from the posting as she was never found [ T18CFR1518CRIME - T18CFR371CRIME - illegal termination of INDIVIDUAL Federal Health Insurance Policies T18CFR242CRIME ] to have committed any wrongdoing.
As you know, the Internet is a wonderful tool for all. However, in this particular instance it appears that a completely innocent individual is being punished for having had a frivolous suit filed against her. Thank you in advance for your help and please feel free to contact me with any questions or comments.
Darren J. Burmania, Esq.
Karen Smith Kienbaum & Associates - 1998 DOJ - HCFA and HHSOIG Alternate T18CFR1518CRIME Dispute Resolution RICO
400 Monroe, Suite 470
Detroit, MI 48226
(313) 967-0700
.
Investigation and prosecution of fraud related to Federal Health Programs is the Responsibility of the Department of Health and Human Services (HHS), the FBI and ( USAO ) the Department of Justice.
.
Senator Carl Levin (D-MI)
5th-term Democrat from Michigan.
Committees:
• Armed Services , Chair
• HOMELAND SECURITY and Governmental Affairs - DOJ Racketeering Against American Citizens
• Small Business and Entrepreneurship
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 [ OPM FEHB ] HMO [ HAPCORP.ORG Hospital and Nursing Home ] dumping [ T42CFR417.1 adverse determinations - RICO - APPEALS procedure FELONY T18CFR24CRIME ]. I will certainly keep your thoughts in mind should this issue come before the Senate.
Best wishes.
Sincerely,
Carl Levin D - MI T18CFR286CRIME economic white collar crime
.
TITLE 28--JUDICIAL ADMINISTRATION CHAPTER I--DEPARTMENT OF JUSTICE
Under current United States law, set forth in the USA PATRIOT Act, acts of Domestic Terrorism are those which: "(A) involve acts dangerous to human life [ HHSOIGHMO T42CFR417.1 adverse determination - systematic denial of EXISTING Federal Insurance T42CFR409.33 Claims - 42CFR438.704 ] that are a violation of the criminal laws [ T18CFR24CRIMES ] of the United States or of any State [ MCL imment danger ]; (B) appear to be intended - [ 1998 DOJ Alternate T18CFR1518CRIME Dispute Resolution ] (i) to intimidate or coerce a civilian population [ Anti Trust T42CFR417.1 grievance procedureadverse determination, systematic denial of Existing Federal Insurance, fraud by fright & illegal billing, used to force illegal HCFA State OFIS Medicaid Kickback Conversion - eligibility POOR ]; (ii) to influence the policy of a government by intimidation or coercion; or (iii) to affect the conduct of a government by mass destruction, assassination, or kidnapping; and (C) occur primarily within the territorial JURISDICTION of the United States."[3]
.
From: RETIRE@opm.gov -- T5CFR890.105 denial of covered T42CFR409.33 Claims
To: JustmyOpnion@aol.com
Sent: 4/25/2007 6:57:26 A.M. Eastern Daylight Time
Subj: Re: 46723 Social Security - Elderly Hospital Insurance Fraud - T18CFR4 [#155800]
Dear Inquirer:
Your e-mail is being Sent to Another GROUP in the Office of Personnel Management so a response can be made to you on this matter. You should be hearing from them shortly.
If our office can be of further assistance, please contact us again.
Sincerely,
Marilyn Smith
Legal Administrative Specialist - 1998 DOJ Janet Reno and HHSOIG June Gibbs Brown Federal HMO HAPCORP.ORG enactment T42CFR417.1 grievance procedure - Alternate Dispute Resolution, anti Dumping and anti Kickback violation - VOLENTARY DISCLOUSURE Program for Dishonest Providers - racketeering against Retired Federal Beneficiaries.
Customer Services Group
1 (888) 767-6738
.
Subj: FBI Tip
Date: 10/4/2007 1:31:25 P.M. Central Daylight Time
From: fbitips1@leo.gov
To: JustmyOpnion@aol.com
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 evaluating your information it is determined that YOU SHOULD CONTACT you’re A PRIVATE ATTORNEY of your choice. T18CFR242CRIME Alternate dispute resolution 9-110.800 Violent Crimes 42CFR1003.105 in Aid of Racketeering Activity (18 U.S.C. § 1959) INTIMIDATION
.
2007 - H.R. 3199 Sensenbrenner - color of law - JUDICIARY (Subject to a Rule) (Sec. 4) Requires the ATTORNEY GENERAL ,on an ANNUAL BASIS [ misprison of a felony ~ T18CFR242CRIME Alternate Dispute Resolution - 'carrier T42CFR417.1 subject to prosecution' - False Claims Act ], to submit to the HOUSE and SENATE JUDICIARY Committees a report containing: (1) the Number of Accounts [ Federal HMO HAPCORP.ORG et al Hospital PROVIDER racketeering ] from which the Department of Justice (DOJ) has received VOLENTARY DISCLOUSURES [ 1998 U.S. Attorney General Janet Reno-Eric Holder - HCFA Nancy DeParle and HHS OIG June Gibbs Brown - Provider Self-Disclosure Protocol (SDP) Program, see 63 Fed. Reg. 58,399 ~T18CFR286CRIME HCFA 1996 HIPAA Violation T18CFR371CRIME Color of Law ] of customer communications or records under provisions authorizing disclosure of the contents of electronic communications in Emergencies [ Federal Hospital Insurance Services ] INVOLVING IMMEDIATE DANGER OF DEATH OR SERIOUS PHYSICAL INJURY [ T42CFR417.1 HHS Employee enactment of the grievance appeals procedure Alternate DISPUTE RESOLUTION T42CFR438.704 adverse determination T42CFR409.33 $25,000 Anti-dumping and $50,000 Anti-Kickback Violation ]; and (2) a summary of the basis for voluntary disclosures to DOJ where the pertinent investigation was CLOSED WITHOUT the filing of CRIMINAL CHARGES ( Willfully failed to keep an individual from harm - Unjust Enrichment for dangerous providers - 9-110.100 - 42CFR438.704 misprison of felony T18CFR286CRIME ALLOWING ~ OIG, HCFA, FBI & U.S. Attorneys - Law Enforcement Officials - to conduct Federal HMO Hospital Insurance & HCFA State Medicaid kickback fraud, against American Citizens - Entitled INDIVIDUALs T18CFR242CRIME - Consumer Fraud ) Contact - THOMAS (Library of Congress) . 9-110.800 Violent Crimes in Aid of RACKETEERING Activity (18 U.S.C. § 1959)
.
[CITE: 42CFR1003.105] Sec. 1003.105 EXCLUSION from participation in [ HCFA ] Medicare, Medicaid and all Federal health care programs [ OPM FEHB, TRICARE, CHAMPVA ]. A gross and flagrant violation is one that presents an Imminent DANGER [ 1998 DOJ - HCFA and HHS OIG Provider Self-Disclosure Protocol (SDP), see 63 Fed. Reg. 58,399 ~ HHSHMO T42CFR417.1 ~ 1996 HIPAA Violation ~ Denial of COVERED T42CFR409.33 Claims ~ 42CFR438.704 Anti-Dumping Violation, used to Force illegal HCFA State Medicaid KICKBACK Conversions ] to the health, safety or well-being of the INDIVIDUAL [ Retired OPM FEHBP Alexandra Rupert, et all HMO Beneficiaries ] who seeks emergency examination and treatment [ Hospital Insurance Benefits T42CFR409.33 ] or places that individual unnecessarily in a HIGH RISK SITUTATION - T42CFR417.1 grievance appeals procedure, dispute resolution T18CFR1518CRIME - T18CFR242CRIME.
.
December 16, 2009 - Testimony -- http://www.justice.gov/crt/speeches/perez_testimony_121609.pdf
Assistant Attorney General Thomas E. Perez testified before the SENATE JUDICIARY Subcommittee
Protection from Abuse of OFFICIAL Authority is fundamental in a society governed by the Rule of Law and democratic principles. Using our criminal civil rights laws, we are vigorously prosecuting significant cases involving OFFICIAL Misconduct BY Law Enforcement Officials, including Federal and State corrections officers, local police, and sheriff’s deputies. We also have opened a number of investigations to determine whether there is Evidence of A Pattern or PRACTICE [ T42CFR417.1 DOJ Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME ] of discriminatory policing in violation of section 14141 of the Violent Crime Control and Law Enforcement Act of 1994.
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2010 HEALTH LAW - Continued T42CFR417.1 Fraud and Abuse T18CFR1518CRIME - Greater consumer appeals rights - T42CFR417.1 grievance procedure - adverse determination $25,000 HHS OIG anti-dumping violation T18CFR242CRIME.
............The basics: Consumers have the right to appeal insurers' decisions through their plans' internal review processes, as well as to an independent, third-party reviewer.
............ Be aware:
This does not apply to grandfathered plans.
[ 1998 illegal agreement to terminate Individual Federal health policies T42CFR417.1 FRAUD by FRIGHT - DOJ - HCFA & HHS OIG ' VOLENTARY DISCLOUSURE PROGRAM for Dishonest Providers - RICO Violation T18CFR242CRIME ].
Most states already have rules allowing some form of external appeal of insurance problems. The level of protection varies greatly, and states have until next summer to meet all federal standards, or the federal government will run the appeals programs in those states.
............. Residents of Alabama, Mississippi and Nebraska -- STATES that lack any external appeals law -- will have access to an interim external Review Process ADMINISTERED by the Federal OFFICE of PERSONNEL MANAGEMENT [ Copy Enclosed - racketeering T5CFR890.105 with Federal Contractors - grievance appeals procedure - systematic denial of Covered Claims to force illegal State Medicaid kickback conversion RICO ]. Consumers in these states who have questions about an external appeal can call 1-877-549-8152 beginning Sept. 23, 2010.
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OPM FEHB T5CFR890.105 Denial of Covered Claims - grievance appeals procedure - alternate T18CFR1518CRIME dispute resolution -- DEEMED Without Merrit and Frivolous -- January 4th 2004, Michigan Eastern District Court - to allow and conceal Felony Federal Hospital Insurance Fraud and Abuse Targeting T42CFR417.1 Elderly Covered INDIVIDUALs - FRAUD by FRIGHT - to force illegal HCFASTATE Medicaid kickback conversion - Intent to harm - Medicaid eligibility of DEFRAUDED T42CFR417.1 Individual - POOR.
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2010 HEALTH CARE REFORM - HHS OIG - ANTI TRUST - Mercy Killing or murder T42CFR417.1 Grievance Procedure T18CFR242CRIME - SEC. 1553. PROHIBITION -addresses the provision in the Patient Protection and Affordable Care Act (the health care bill), Section 1553, that “protects” doctors from participating in assisted suicide (or aid in dying, death with dignity, etc.).
The Office for Civil Rights [ OPM Sec. 900.401, Title VI of the CIVIL RIGHTS Act of 1964 ] of the Department of Health and Human Services is designated [ ANTI TRUST ] to receive complaints of discrimination [ 1998 still pending T18CFR371CRIME - HHS OIG Government T42CFR417.1 Grievance Procedure an HHS OIG $25,000 anti dumping and an HHS OIG $50,000 anti kickback violation on EACH Defrauded T42CFR417.1 OPM FEHB et al Federal Beneficiary - INDIVIDUAL ] based on this section.
(a) In General- The Federal Government, and any State or local government or health care Provider that receives Federal financial assistance under this Act (or under an amendment made by this Act) or any health plan created under this Act (or under an amendment made by this Act), may not subject an Individual or institutional health care entity to discrimination on the basis that the ENTITY does not Provide [ HHSOIGHMO T42CFR417.1 systematic denial of EXISTING ( OPM FEHBHMO ) covered T42CFR409.33 post HOSPITAL extended care Nursing Home Service claims ] Any Health Care item or Service [ 1998 DOJ - HCFA - HHS OIG’s Self-Disclosure Protocol (SDP - RICO organized crime ) Volentary Disclousure Program for Dishonest Providers T42CFR417.1 grievance procedure, systematic denial of covered Federal HOSPITAL and NURSING HOME Service T42CFR409.33 claims, $25,000 Anti-DUMPING violation, adverse determination - resulting in physical injury and death - to force illegal HCFA State MEDICAID Kickback $50,000 Felony conversion ] furnished for the purpose of causing, or for the purpose of assisting in causing, the death of any individual [ 1999 OPM FEHB Alexandra Rupert - et al still pending rule of law ], such as by assisted suicide, euthanasia, or mercy killing.
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ANTI TRUST -- HHS/OIG investigations, audits and evaluations focus not just on IMPROPER BILLING for health care services, but also the QUALITY of CARE provided to program beneficiaries. These efforts include: FALSE CLAIM - Prosecution and Exclusion of Dangerous Provider.
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Presidentially Appointed Inspectors General - Alternate Dispute Resolution T18CFR286CRIME
Health and Human Services, Department of
The Honorable Daniel Levinson, Inspector General - INTIMIDATION
Main Phone Number: (202) 619-3148
Mailing Address: 330 Independence Avenue, S.W.; Washington, D.C. 20201
Hotline Number: (800) HHS-TIPS [ RICO T18CFR242CRIME ]; email: HHSTips@oig.hhs.gov.
[Federal Register: January 24, 2008 (Volume 73, Number 16)]
[Notices] [Page 4248-4249] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr24ja08-92]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of Inspector General - White Collar Crime
SOLICITATION [ SSA 1128b ~ 1996 HIPAA Violation ] of Information and Recommendations for Revising the Compliance PROGRAM guidance for NURSING FACILITIES [ T42CFR409.33 ]
AGENCY: Office of Inspector General (OIG), HHS.
ACTION: Notice.
---------------[ 42CFR438.704 -- GROUNDS TO SEEK POSSIBLE CRIMINAL AND CIVIL SANCTIONS AGAINST OIG AND IT’S EMPLOYEES ]--------------------------------------
SUMMARY:
This Federal Register notice seeks the input and
recommendations of interested parties as OIG revises the compliance
PROGRAM guidance (CPG) for Nursing Facilities, ESPECIALLY [ Targeting T42CFR417.1 HHS denial of covered T42CFR409.33 claims ] THOSE SERVING Medicare, Medicaid, and other [ OPM FEHBP, CHAMPVA,TRICARE ] FEDERAL HEALTH CARE PROGRAM [ Entitled INDIVIDUAL ] BENEFICIARIES.
The nursing home industry has experienced a number of changes since OIG FIRST PUBLISHED a CPG in this area ( 65 FR 14289; March 16, 2000 T18CFR371CRIME Alternate Dispute Resolution T42CFR417.1 ).<~~ RICO Additionally, the subsequent years of enforcement and compliance activity in the Nursing Home Industry [ Judiciary Committee HR 3199 FBI et al ~ T18CFR286CRIME VOLENTARY DISCLOUSURE Program for dishonest providers T18CFR242CRIME ] has ALLOWED OIG to address more fully the various risk areas in Nursing Home compliance. SUPPLEMENTARY INFORMATION: The development of CPGs IS a *MAJOR ( Program - 1998 DOJ Janet Reno-Eric Holder - HCFA Nancy DeParle-Suzan Riezner-Richard P. Billera and HHS OIG June Gibbs Brown-Daniel Levinson - Volentary Disclousure Program - HCFA Nancy DeParle 1996 HIPAA Violation and violation of RICO Statutes and the U.S. PATROIT ACT Section 1001: December 2002 OIG response to ABUSE BY Justice Employees ) initiative of OIG in its effort to engage the private health care industry in addressing and combating fraud and abuse. OVER THE PAST SEVERAL YEARS, OIG has developed and issued CPGs directed at various segments of the health care industry. These guidances are DESIGNED [ HHSOIGHMO T42CFR417.1 INTIMIDATION - to coordinate Federal, State and Local Law Enforcement activities ~T18CFR1518CRIME Obstruction T18CFR371CRIME ~ 1998 Health Care Fraud and Abuse Control T18CFR242CRIME Program ~ fraud by fright ~ RICO ~ 1996 HIPAA Violation ] to provide CLEAR DIRECTION and assistance to SPECIFIC sections of the health care industry that are interested in addressing compliance with Federal Health Care Program requirements. The CPGs set forth OIG's suggestions on how [ FEHBHMO HAPCORP.ORG ] 'PROVIDERS CAN' most effectively establish 'Internal Controls' [ SELF-Audit T18CFR286CRIME ] and implement monitoring procedures [ HHSHMOOIG T42CFR417.1 grievance procedures - Alternate T18CFR1518CRIME DISPUTE RESOLUTION - misPrison of felony T18CFR242CRIME $25,000 anti-dumping violation ] to identify, correct, and prevent potentially Fraudulent Conduct. OIG would appreciate specific comments, recommendations, and suggestions on risk areas for the nursing home industry, such as the submission of [ T42CFR417.1 Adverse Determinations ] FALSE CLAIMS, as well as QUALITY of CARE concerns, KICKBACKS, and accurate reporting of data to [ HCFA - forced T42CFR417.1 Medicaid kickback conversions ] Medicare and Medicaid. Detailed justifications and empirical data supporting any suggestions would be appreciated. Dated: January 16, 2008. Daniel R. Levinson, Inspector General. [FR Doc. E8-1213 Filed 1-23-08; 8:45 am] BILLING CODE ~~ 4150-04-P .... Color of Law .. T18CFR371CRIME alternate dispute resolution ~ INTENT to HARM and to defraud 'Entitled Individual's and Federal Health Care Programs' with respect to T42CFR409.33 Claims T18CFR286CRIME - violation of section 14141 of the Violent Crime Control and Law Enforcement Act of 1994. . Color of Law - BY High Ranking Department Officials - US PATRIOT ACT sec 1001 9-110.330 Charging RICO Counts A RICO charge where the predicate acts consist only of state offenses will not be approved except in the following circumstances: Local law enforcement officials are unlikely to investigate and prosecute otherwise meritorious cases in which the Federal government has significant interest; Significant organized crime involvement exists; or The prosecution of significant political or governmental individuals may pose special problems for local prosecutors. . Title 42, U.S.C., Section 14141 makes it Unlawful for State or Local LAW ENFORCEMENT Agencies to ALLOW officers to engage in a pattern or PRACTICE [ T42CFR417.1 grievance procedure - alternate T18CFR1518CRIME dispute resolution - illegal termination of individual federal health policies ] of conduct that deprives persons [ Citizens of the United States ] of rights protected by the Constitution or U.S. laws . RULES & REGULATIONS Part IV HHS OIG 42 CFR Part 1001 Federal Health care Programs: [ OPM FEHBP - CHAMPVA - HCFACMS Medicare,Medicaid - TRICARE ] . Fraud & Abuse ANTI KICKBACK Statutes Sect 1128B(b) of the Social Security Act provides Criminal Penalties for individuals [ Hospital HHS - OPM - HMO Employees ] or [ LAW ENFORCEMENT ] ENTITIES that Knowingly & willfully offer, pay, SOLICIT, or receive renumeration to induce [ 1998 DOJ - HCFA and HHSOIG - HMO illegal agreement T42CFR417.1 Dispute Resolution, Grievance Appeals Procedure - used to induce forfiture of Existing Federal Insurance OPM FEHBPHMO etal - a $25,000 HHS OIG Anti-dumping and a $50,000 HHS OIG Anti-kickback violation - 1998 still pending 2010 T18CFR1518CRIME - HHSOIG VOLENTARY DISCLOUSURE Program - fraud by fright, to force illegal HCFA State OFIS Medicaid Kickback conversion T18CFR242CRIME ] the referral of business reimbursable under a Federal Health Care Program ( including HCFA Medicare & Medicaid ). Section 2 of the Medicare and Medicaid PATIENT & Program PROTECTION ACT of 1987 ( MMPPPA ) . National GOVERNORS Association - INTIMIDATION January 28, 2008 letter (from NGA executive director Ray Scheppach) to U.S. Department of Health and Human Services Secretary ~ Michael Leavitt ~ requesting that HHS rescind the proposed rule amending Departmental Regulations Governing ADMINISTRATIVE REVIEW ~ by the Departmental Appeals Board (DAB). RE: Proposed Rulemaking: Revisions to Procedures for the Departmental Appeals Board and Other Departmental Hearings ~ 'DISPUTE RESOLUTION' ( T18CFR371CRIME HHSOIGHMO T42CFR417.1 grievance procedure, denial of covered T42CFR409.33 claims \ misprison of a felony \ $25,000 HHS OIG anti-dumping violation ) ~ For example, litigation briefs, memos, Emails, and other types of " informational documents [ HMO Government Grievance Procedure T18CFR286CRIME ] interpreting STATUTES and published REGULATIONS " [ SSA 1128b Consumer Protection \ due process of law T18CFR24CRIMES \ Civil and Criminal Rights ] WOULD be deemed to HAVE equivalent AUTHORITY to the statute and regulations themselves. GOVERNORS OPPOSE the proposed rule [ T18CFR242CRIME ] AND REQUEST that the department Retain Existing ( HHSOIGHMO T42CFR417.1 adverse determinations \ misprison of T18CFR24CRIMES white collar crime ) DAB policies that Provide STATES with [ illegal HCFA STATE Medicaid KICKBACK conversions T18CFR286CRIME $50,000 HHS OIG Anti-kickback violation ] the assurance of an impartial and independent dispute resolution process ~ RICO willfully failed to keep INDIVIDUALS from harm T18CFR1518CRIME - violation of section 14141 of the Violent Crime Control and Law Enforcement Act of 1994. . An Open Letter to Health Care Providers - ANTI TRUST - T18CFR242CRIME March 24, 2009 This Open Letter Refines the [ 1998 ] OIG’s Self-Disclosure Protocol (SDP) [ FOR DISHONEST - DANGEROUS PROVIDERS - HCFA 1996 HIPAA Violation ] to build upon the initiative announced in my April 24, 2006, Open Letter. The 2006 Open Letter promoted the use of the SDP to resolve matters giving rise to civil monetary penalty (CMP) LIABILITY under both the ANTI-KICKBACK Statute and the physician self-referral (“Stark”) law. As part of our ongoing efforts to evaluate and prioritize our work, these refinements aim to focus our resources on kickbacks intended to induce or reward a physician’s referrals. KICKBACKS pose a SERIOUS RISK to the integrity of the health care system, and deterring kickbacks remains a high priority for OIG. To more effectively fulfill our mission and allocate our resources, we are narrowing the SDP’s scope regarding the physician self-referral law. OIG will no longer accept disclosure of a matter that involves only liability under the physician self-referral law in the absence of a colorable anti-kickback statute violation. WE WILL CONTINUE to accept [ DISHONEST - DANGEROUS ] PROVIDERS into the SDP when the disclosed [ HHSOIGHMO T42CFR417.1 grievance proceduredispute resolution - systematic denial of EXISTING T42CFR409.33 Federal NURSING HOME services - criminal misconduct ] conduct involves colorable violations [ HCFA Region 5 Racketeering T18CFR371CRIME to force, fraud by fright - illegal HCFA State MEDICAID KICKBACK conversion ] of the anti-kickback statute, whether or not it also involves colorable violations of the physician self-referral law. Although we are narrowing the scope of the SDP for resources purposes, we urge [ DISHONEST ] PROVIDERS not to draw any inferences about the Government’s approach to Enforcement of the physician self-referral law. To better allocate provider and OIG resources in addressing kickback issues through the SDP, we are also establishing a minimum settlement amount. For kickback-related submissions accepted into the SDP following the date of this letter, WE will require a minimum $50,000 ............ settlement amount to resolve the matter [ RICO ]. This minimum settlement amount is consistent with OIG’s statutory authority to impose a penalty of up to .......... $50,000 for EACH -[ DEFRAUDED T42CFR417.1 INDIVIDUAL ] KICKBACK ...........and an assessment of up to three times the total remuneration. See 42 U.S.C. § 1320a-7a(a)(7). We will continue to analyze the facts and circumstances of each disclosure to determine the appropriate settlement amount CONSISTENT with OUR [ RICO ] PRACTICE [ T42CFR417.1 DISPUTE RESOLUTION T18CFR242CRIME ], stated in the 2006 Open Letter, of generally resolving the matter near the lower end of the damages continuum, i.e., a multiplier of the value of the financial benefit conferred. These refinements to OIG’s SDP are part of our ongoing efforts to develop the SDP as an efficient and fair mechanism for providers to work with OIG collaboratively. Further information about our SDP can be found at: http://oig.hhs.gov/fraud/selfdisclosure.asp. I look forward to continuing our joint efforts to promote compliance and protect the Federal health care Programs and their beneficiaries. Sincerely, /Daniel R. Levinson/ T18CFR242CRIME - FINANCIAL FRAUD - criminal misconduct Daniel R. Levinson Inspector General - color of law - INTIMIDATION - ALLOWING illegal Kickback Violations against Covered Individuals - HHSOIGHMO T42CFR417.1 racketeering in HCFA Region 5 CMS - to force illegal State Medicaid kickback conversions. . HHS/OIG investigations, audits and evaluations focus not just on IMPROPER BILLING for health care services, but also the QUALITY of CARE provided to program beneficiaries. These efforts include: FALSE CLAIM: Prosecution and Exclusion of Dangerous Provider. . 1999 DISHONEST - DANGEROUS PROVIDER: HAPCORP.ORG - OPM FEHBHMO - Region 5 HCFA - MICHIGAN - Health Alliance Plan Detroit - HAP PROVIDERS offers 2,596 personal care physicians (PCP) and 4,901 specialists. HAP’s delivery system includes 45 hospitals ( 42CFR438.704 inducing forfiture, RACKETEERING - Hospital HHS Marla Ruhana and HMO Mattie Ogburn - employee T42CFR417.1 enactment of the Government Grievance Procedure - Systemic Denial of Existing OPM FEHB T42CFR409.33 Hospitalextended care ~ adverse determination ~ 1998 U.S. Attorney General Janet Reno-Eric Holder, HCFA Nancy DeParle and HHS OIG June Gibbs Brown - [ 1998 ] OIG’s Self-Disclosure Protocol (SDP) VOLENTARY DISCLOUSURE Program: misprison of a felony ~ administrative Fraud by Fright - Anti-Dumping Violation, to force illegal HCFA State OFIS Medicaid Kickback Conversions ) in southeast Michigan and the Flint area, including 23 major hospital networks ( robbing the Elderly of 401k's and savings accounts to Force Medicaid kickback Conversions - Eligibility Poor ), 65 urgent care centers and 765 ancillary providers: Hospital Affiliate NURSING HOMES [ illegally Billing OPM FEHB for criminally Denied T42CFR409.33 COVERED Post-hospital Extended Care Claims CITE: OPM 5CFR890.105 illegal agreement denial of COVERED Claims, to force illegal HCFA State OFIS Medicaid kickback conversions ), mental health facilities, optical providers, laboratories, durable medical equipment providers,ambulance services and PHARMACY CHAINS . OPM FEHB - 2009 Office of Personnel Management -- Federal Employee Health Benefits Program LONG TERM CARE [ T42CFR409.33 NURSING HOME ] Insurance Act of 2009 . In the letter to Norton, Laura J. Lawrence, a chief in the OPM's insurances services [ T5CFR890.105 systematic denial of COVERED HOSPITAL T42CFR409.33 and NURSING HOME Claims - anti-dumping and anti-kickback violation ] program, said that "The PREMIUM INCREASE is based on revised 'assumptions' that more accurately reflect expected future return on Program investments ~ over the Life of the Enrollees [ 42CFR438.704 Alternate Dispute Resolution ] ... and the number of INDIVIDUALs who remain ENROLLED in the program and are projected to be eligible for benefits." ....................... . OPM FEHB -- ILLEGAL Kickback Solisitation: -- ELDERLY FRAUD and ABUSE -- [Code of Federal Regulations][Title 5, Volume 2][ Revised as of JANUARY 1, 2003 ] From the U.S. Government Printing Office via GPO Access[CITE: 5CFR890.304] [Page 439-441] TITLE 5--ADMINISTRATIVE PERSONNEL CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) PART 890--FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents Subpart C--ENROLLMENT Sec. 890.304 When do enrollments terminate, cancel or suspend? T5CFR890.105 DENIAL OF COVERED T42CFR409.33 NURSING HOME CLAIMS - T18CFR242CRIME - SSA 1128B Determining Rights - HCFA 1996 HIPAA VIOLATION - to force, fraud by fright, illegal HCFA State Medicaid KICKBACK conversion RICO - DOJ T18CFR1518CRIME LAUNDERING through The Office of Dispute Resolution. . Color of Law Abuses BY Department of Justice Employees . State False Claims Act Reviews - MICHIGAN MICHIGAN -- April 15, 2009 Wallace T. Hart Division Chief, Health Care Fraud Division Department of the Attorney General P.O. Box 30218 Lansing, Michigan 48909 Dear Mr. Hart: The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) has received your request to review the Michigan Medicaid False Claims Act, Mich. Comp. Laws 400.601 through 400.615, under the requirements of section 6031(b) of the [ 2005 ] Deficit Reduction Act (DRA). Section 6031 of the DRA provides A FINANCIAL INCENTITIVE for STATES to enact [ EXISTING SSA 1128b ] LAWS that establish liability to the State [ T42CFR438.704 The STATE MUST RETURN IT to the affected - DEFRAUDED INDIVIDUALs ] for individuals and [ LAW ENFORCEMENT - FEDERALSTATE PROVIDERS ] ENTITIES that submit false or fraudulent claims [ T42CFR417.1 ] to the State Medicaid program. For a State to qualify for this incentive, the State law must meet certain requirements enumerated under section 6031(b) of the [ 2005 ] DRA, as determined by the Inspector General of HHS in consultation with the Department of Justice - (DOJ) ALTERNATE DISPUTE RESOLUTION HHSOIG T42CFR417.1 systematic denial of COVERED Federal Claims RACKETEERING ]. Based on our review of the law and consultation with DOJ, we have determined that the Michigan Medicaid False Claims Act meets the requirements of section 6031(b) of the DRA. Any amendment to the Michigan Medicaid False Claims Act could affect OIG’s determination that it meets the requirements of section 6031(b) of the DRA. Therefore, please notify OIG of any amendment to the Michigan Medicaid False Claims Act within 30 days after such amendment. If you have any questions regarding this review, please contact me or have your staff contact Katie Arnholt at (202) 205-3203 or katie.arnholt@oig.hhs.gov. Sincerely, /Daniel R. Levinson/ Daniel R. Levinson Inspector General - unjust enrichment for dishonest providers in HCFA Region 5 CMS cc: HCFA REGION 5 - Richard P. Billera, Centers for Medicare & Medicaid Services . From: Antitrust.Complaints@usdoj.gov To: JustmyOpnion@aol.com Sent: 8/20/2009 4:32:50 P.M. Eastern Daylight Time Subj: RE: Citizens of Michigan DENIED civil and criminal rights BY DOJ Thank you for contacting the Antitrust Division of the U.S. Department of Justice. The Citizen Complaint Center receives, reviews and files complaints and concerns. We are prohibited from providing legal advice or offering opinions on whether conduct may violate the law. However, if you have a complaint, we would be happy to receive it. We appreciate your interest in the enforcement of federal antitrust laws. Sincerely, Citizen Complaint Center - T42CFR417.1 Alternate Dispute Resolution - RICO - Unjust Enrichment for DISHONEST PROVIDERS Antitrust Division - Fully Engaged in Obstruction of Justice - criminal and financial FRAUD & ABUSE Department of Justice - 1999 still pending 2010 . From: senator@stabenow.senate.gov To: justmyopnion@aol.com Sent: 3/23/2010 12:55:53 P.M. Eastern Daylight Time Subj: Health Insurance Reform Dear Kimberly, President Obama has just signed into law historic health insurance reform legislation called the [ 1987 ] Patient Protection and [ 2005 DRA ] Affordable Care Act. In 6 Months... o All new health plans will be required to [ FORCE ] allow consumers to APPEAL [ Dangerous Provider HAPCORP.ORG ] Insurance Company [ CRIMINAL T42CFR417.1 ] DENIALS of [ EXISTING Federal ] coverage and get an independent review [ OPM FEHB T5CFR890.105 systematic Denial of Covered Claims - JUDICIAL REVIEW DENIED January 2004 Eastern District Court MICHIGAN ] of their [ criminal, physical and financial abuse RICO ] case. Sincerely, Debbie Stabenow D- Michigan INTIMIDATION - Unjust Enrichment for Dishonest, Dangerous Providers DISHONEST United States Senator . Department of HOMELAND SECURITY - ANTI TRUST Report any suspected criminal [ T18CFR24CRIMES ] or terrorist activity [ T42CFR417.1 Alternate T18CFR1518CRIME Dispute Resolution T18CFR242CRIME ] to the Federal Bureau of Investigation (FBI). The FBI is the lead federal agency for Investigating color of law abuses -- . CITE: Patient & Program Protection Act of 1987 ( MMPPPA ) ANTI-KICKBACK STATUTE 1128B SSA. determining rights to existing Federal Health Insurance . Senator Carl Levin (D-MI) 5th-term Democrat from Michigan. Committees: • Armed Services , Chair • HOMELAND SECURITY and Governmental Affairs - Color of Law Abuses BY DOJ Employees • Small Business and Entrepreneurship From: senator_levin@levin.senate.gov To: JustmyOpnion@aol.com Sent: 3/26/2010 10:06:20 A.M. Eastern Daylight Time Subj: Passage of Health Care Reform Legislation Dear Mrs. Kimball: I thought you might appreciate knowing that Thursday afternoon the Senate passed important health care reform legislation. The first step in this process, the enactment of the [ 1987 ] PATIENT PROTECTION and [ 2005 DRA ] Affordable Care Act (P.L.111-148), took place earlier this week. President Obama signed the Patient Protection and Affordable Care Act into law this past Tuesday. In October, the Federal Government will [ Anti Trust - CONTINUE ] begin [ T42CFR417.1 ] HELPING [ OFIS ] States - set up agencies [ racketeering ] to HELP Consumers, choose new health plans or to Challenge Unfair [ DISHONEST - DANGEROUS PROVIDER ] decisions [ T42CFR417.1 Grievance Procedure - alternate dispute resolution, adverse determination an HHS OIG $25,000 Anti Dumping violation - used to induce forfiture of EXISTING Insurance, to force - fraud by fright, illegal HCFA State OFIS Medicaid Kickback conversion a $50,000 HHS OIG Anti-kickback violation ] by their CURRENT Insurance Plan. Among other measures, this reconciliation bill will provide equitable Medicaid Funding for all States, instead of a select few, will close the [ 2003 Illegal Kickback Solisitation by DOJ and HHS ] Medicare Prescription Drug “doughnut hole” that HURTS so many SENIORS, and will cut the deficit by an additional $143 billion dollars. [ 2003 D - MI Debbie Stabenow Federal Budget Committee Knowingly FINANCED $130 BILLION dollars to HHS and DOJ regarding the 1998 VOLENTARY DISCLOUSURE Program for Dishonest - dangerous Providers - T42CFR417.1 Grievance APPEALS Procedure, who DEFRAUDED Covered INDIVIDUALS [ hospital & nursing home dumping ] and Federal Health Care Programs with respect to FALSE CLAIMS - T42CFR417.1 HCFA STATE Medicaid KICKBACK Conversions - Racketeering ] Presidents and members of Congress from both parties, seeing health care costs continually rise, have grappled with this issue ever since President Theodore Roosevelt.

Yet, attempts at reform have largely fallen short. The health Insurance Industry has Dominated health care Decisions [ Federal Contractors racketeering with DOJ - GOVERNORS - HCFACMS and HHSOIG: 1998 Volentary Disclousure Program for Dishonest Providers T42CFR417.1 grievance appeals procedure - alternate T18CFR1518CRIME dispute resolution T18CFR242CRIME 1996 HIPAA Violation ] in this country for too long. I voted in favor of this historic legislation to finish the task of bringing [ continued fraud and abuse T42CFR417.1 ] landmark change to health care in America. Sincerely, Carl Levin - D - MICHIGAN - racketeering T18CFR286CRIME allowing T18CFR242CRIME. . TITLE 18 > PART I > CHAPTER 13 > § 242 Prev Next § 242. Deprivation of rights under color of law
Whoever, under color of any law, statute, ordinance, regulation, or custom, willfully subjects any person [ Alexandra Rupert et al Retired Federal Beneficiaries ] in any State, Territory, Commonwealth, Possession, or District to the deprivation of any rights [ T42CFR417.1 illegal termination of INDIVIDUAL Federal Health Insurance Policies - 1998 DOJ alternate T18CFR1518CRIME dispute resolution T18CFR24CRIMES ], privileges, or immunities secured or protected by the Constitution or laws of the United States, or to different punishments, pains, or penalties, on account of such person being an alien, or by reason of his color, or race, than are prescribed for the punishment of citizens, shall be fined under this title or imprisoned not more than one year, or both; and if bodily injury results from the acts committed in violation of this section [ 1998 DOJ - HCFA and HHS OIG’s Self-Disclosure Protocol (SDP) Volentary Disclousure Program for DISHONEST Providers RICO - T42CFR417.1 systematic denial of Existing Federal Hospital T42CFR409.33 Insurance Claims -$25,000 anti-dumping violation and $50,000 anti-kickback violation ] or if such acts include the use, attempted use, or threatened use of a dangerous weapon, explosives, or fire, shall be fined under this title or imprisoned not more than ten years, or both; and if death results from the acts committed in violation of this section [ T42CFR417.1 systematic denial of existing Federal Hospital T42CFR409.33 Insurance -$25,000 anti-dumping violation and $50,000 anti-kickback violation ] or if such acts include kidnapping or an attempt to kidnap, aggravated sexual abuse, or an attempt to commit aggravated sexual abuse, or an attempt to kill, shall be fined under this title, or imprisoned for any term of years or for life, or both, or may be sentenced to death.
.
Sincerely,

All ENTITLED Federal Employee Health Beneficiaries &
the General Public in Region 5 HCFACMS,
who are being criminally denied HHS T42CFR417.1

Existing ( Federal \ State \ Private ) HMO Health Insurance Coverage, illegally billed for HMO denied covered claims and forced into HCFA State Medicaid Programs for the POOR. Title18CFR1001Crime. 1998 still pending, denial of civil and criminal rights - reporting waste fraud and abuse - Color of Law, alternate T18CFR1518CRIME dispute resolution T18CFR242CRIME. Kimberly Kimball - Kenockee Twp, Michigan 48006
.
.
The Largest Retirement Savings Plan ( OPM FEHBP Insurance Program ) in the U.S.A. with 1.8 million FEDERAL EMPLOYEE - INDIVIDUAL Contributiors. Treated as a 'Trust' Fund, exempt from taxation ( Tax Reform Act of 1986 Section 1147 Title 26 U.S.Code 7701 ( j ). THRIFT SAVINGS PLAN ( TSP ) G Fund ( Gov SEC urities investment fund ).
.
From: LawISAmootIssue
To: CongRel@gao.gov, Criminal.Division@usdoj.gov, info@ap.org, info@candicemiller.house.gov, info@greenparty.org, internationaljustice@humanrightsfirst.org, otp.informationdesk@icc-cpi.int, editor@capitaleye.org, enforcement@sec.gov, LawISAmootIssue, lawschool@regent.edu, letters@latimes.com, letters@stateline.org, letters@usnews.com, lou@loudobbsradio.com
Sent: 10/16/2008 1:14:03 P.M. Eastern Daylight Time

Subj: 9-110.800 Violent Crimes in Aid of Racketeering Activity (18 U.S.C. § 1959)
From: enforcement@sec.gov
To: LawISAmootIssue@aol.com
Sent: 10/17/2008 10:32:52 A.M. Eastern Daylight Time
Subj: Delivery Notification / Enforcement Complaint Response
*PLEASE DO NOT REPLY TO THIS MESSAGE*

Dear Sir or Madam:
Thank you for your recent e-mail to the group electronic mailbox of the Division of Enforcement at the United States Securities and Exchange Commission in Washington, D.C. We appreciate your taking the time to write to us. This automated response confirms that the Division of Enforcement has received your e-mail. You can rest assured that an attorney in the Office of Internet Enforcement will review your e-mail promptly.

We appreciate your interest in the work of the Commission and its Division of Enforcement.
Very truly yours,
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John Reed Stark
Chief, Office of Internet Enforcement
United States Securities & Exchange Commission
.
From: JustmyOpnion
To: enforcement@sec.gov
CC: JustmyOpnion
Sent: 9/11/2009 9:50:04 A.M. Eastern Daylight Time
Subj: Senator Debbie Stabenow - MICHIGAN Health Care Reform vs Law Enforcement
From: enforcement@sec.gov
To: JustmyOpnion@aol.com
Sent: 9/14/2009 11:23:27 A.M. Eastern Daylight Time
Subj: Delivery Notification / Enforcement Complaint Response
*PLEASE DO NOT REPLY TO THIS MESSAGE*

Dear Sir or Madam:
Thank you for your recent e-mail to the group electronic mailbox of the Division of Enforcement at the United States Securities and Exchange Commission in Washington, D.C. We appreciate your taking the time to write to us. This automated response confirms that the Division of Enforcement has received your e-mail. You can rest assured that an attorney in the Office of Internet Enforcement will review your e-mail promptly.

We appreciate your interest in the work of the Commission and its Division of Enforcement.
Very truly yours,
S/
John Reed Stark
Chief, Office of Internet Enforcement
United States Securities & Exchange Commission
.
Subj: SEC Division of Enforcement Confirmation Reply
Date: 3/22/2006 9:23:48 AM Eastern Standard Time
From: enforcement@sec.gov
To: LawISAmootIssue@aol.com
Sent from the Internet (Details)

Dear Sir or Madam:
Thank you for your recent e-mail to the group electronic mailbox of the Division of Enforcement at the United States Securities and Exchange Commission in Washington, D.C. We appreciate your taking the time to write to us. This automated response confirms that the Division of Enforcement has received your e-mail. You can rest assured that an attorney in the Office of Internet Enforcement will review your e-mail promptly. "