Retired OPM FEHB - et al Federal Beneficiaries, are being denied due process of law regarding Hospital Dumping and Illegal HCFA|CMS State Medicaid Kickback conversion. OFFICIAL Misconduct BY Law Enforcement Officials violation of section 14141 of the Violent Crime Control and Law Enforcement Act of 1994.. Antitrust Enforcement and the Consumer Many CONSUMERS have Never heard of ANTI TRUST LAWS, but when these laws are effectively and responsibly Enforced, they can Save consumers [ Lives - 42CFR438.704 ] millions and even BILLIONS of dollars a year in illegal [ HHS|HMO T42CFR417.1 KICKBACK ] overcharges. Most STATES have Antitrust Laws, and so does the FEDERAL Government. Essentially, these laws PROHIBIT BUSINESS PRACTICES [ Alternate Dispute Resolution T18CFR242CRIME ] that unreasonably Deprive consumers - INDIVIDUALS, of the benefits [ HHS|HMO T42CFR417.1 systematic denial of Existing Federal FEHB|HMO T42CFR409.33 Post-Hospital Extended Care Services, to force illegal HCFA State OFIS Medicaid Kickback T42CFR409.33 conversion ] of competition, RESULTING in higher prices [ PREMIUM INCREASES ] for inferior products and [ OPM FEHB denied T5CFR890.105 grievance procedure - covered ] services Joel I. KleinAssistant Attorney GeneralAntitrust Division. 1998 ~ NATIONAL HEALTH CARE FRAUD AND ABUSE CONTROL [ T18CFR242CRIME ] PROGRAM, under the Joint Direction of the ATTORNEY GENERAL and the Secretary of (HHS) the Department of Health and Human Services (HHS) (1), acting through the Department's Inspector General (HHS OIG), DESIGNED (T42CFR417.1 HMO Grievance Procedure | Alternate Dispute Resolution | systematic denial of covered T42CFR409.33 claims | Self-audit, Volentary Disclousure Program - RICO Anti Trust, white collar crime) to coordinate Federal, State and Local Law Enforcement activities (T18CFR1518CRIME racketeering - misprison of a felony SSA 1128b - T18CFR286CRIME defrauding Federal Beneficiaries and Federal Health Insurance Programs CITE: OPM FEHB 5CFR890.105) With Respect to (T42CFR409.33 Post-Hospital Extended Care CLAIMS) Health Care Fraud and Abuse. The Federal Programs and RETIRED Federal Beneficiaries|INDIVIDUALs, affected by the 1998 U.S. Attorney General and HHS OIG Provider [ VOLENTARY DISCLOUSURE ] Self-Disclosure Protocol (SDP) Program — HHS|HMO T42CFR417.1 Fraud by Fright - Hospital dumping - criminal Denial of Covered T42CFR409.33 post hospital extended care Claims, to force illegal HCFA|CMS STATE Medicaid KICKBACK conversion ARE: OPM FEHBP CHAMPVAHCFA|CMS Medicare - Medicaid TRICARE (including coverage provided by the Uniformed Services Family Health Plan) TRICARE-for-Life. Racketeering ~ October 21 1998 HHS OIG Issues Guidance on VOLENTARY DISCLOUSURE of Health Care Fraud and Abuse CONTROL (T18CFR1518CRIME HHS|HMO T42CFR417.1 alternate Dispute Resolution T18CFR242CRIME) Programhttp://www.usdoj. Gov/usao/eousa/foia_reading_room/usam/title9/crm00983.htm The Anti-Dumping Statute is Enforced [ 1998 still pending T18CFR371CRIME - Alternate Dispute Resolution T18CFR1518CRIME ] Jointly by the Health Care Financing Administration (HCFA - Nancy DeParle) and the Office of Inspector General (HHS|OIG - 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.. 1998 - MISPRISON of FELONY & DOJ Alternate Dispute Resolution HHS|HMO T42CFR417.1 Grievance Procedure|adverse determination - systematic Denial of Existing T42CFR409.33 Federal Insurance Claims - to force, fraud by fright - illegal Kickback conversion into other Federal Programs (3) FELONY CONVICTION RELATING TO HEALTH CARE FRAUD.—Any individual or entity that has been convicted for an offense [ T18CFR24CRIME ] which occurred after the date of the enactment of the Health Insurance Portability and Accountability Act [ HIPAA ] of 1996 [36], under Federal or State law, in Connection With the Delivery of a Health Care Item or SERVICE [ HHS|HMO T42CFR417.1 grievance procedure | alternate dispute resolution T18CFR1518CRIME | Adverse Determination - Anti-Dumping and Anti-Kickback Violation ] or With Respect to any Act or Omission in a Health Care Program... (1) operated by or financed in whole or in part by any FEDERAL, STATE, or Local GOVERNMENT AGENCY, of a criminal offense consisting of a felony relating to Fraud, Theft, Embezzlement, Breach of fiduciary responsibility, or other Financial Misconduct. Criminal Resource Manual 923 18 U.S.C. 371 — Conspiracy to Defraud the U.S. Http://www.usdoj. Gov/usao/eousa/foia_reading_room/usam/title9/crm00923.htm 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. The mission of the Office of DISPUTE RESOLUTION [ T18CFR371CRIME - HHS|HMO T42CFR417.1 grievance procedure - systematic denial of Existing Federal T42CFR409.33 Claims - Alternate Dispute Resolution 42CFR438.704 - 1996 HIPAA Violation - termination of Individual Federal Health policies, to force illegal State Medicaid Kickback conversion - Anti Trust Violation T18CFR1518CRIME ] is to promote and facilitate the broad and effective use of Alternative Dispute Resolution (ADR) processes BY the Department of Justice and throughout the Executive Branch of the federal government. Please note that the Office of Dispute Resolution represents, and is working on behalf of, the Department of Justice and the United States in matters being handled by the federal government. DOJ — ALTERNATE DISPUTE RESOLUTION HHS|HMO T42CFR417.1 - T18CFR242CRIMEInsurance Code of 1956 act 218 of 1956 500.2005 Misrepresentations: DOJ and HHS|OIG - HMO T42CFR417.1 grievance procedure|alternate dispute resolution T18CFR1518CRIME, used to induce forfiture. Fraudulent Insurance Acts: 445.903 Unfair, unconscionable, or deceptive methods, acts, or PRACTICES 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 services) will be provided promptly, or at a specified time, or within a reasonable time, if the merchant knows or has reason to know [ HHS|HMO T42CFR417.1 adverse determination T42CFR438.704 ] It Will NOT be so Provided. 1998 HHS|OIG - 42CFR438.704 - OUTREACH CAMPAIGN for the ELDERLY -T18CFR242CRIMEHHS|HMO T42CFR417.1 ~ fraud by fright | white collar crime HCFA 1996 HIPAA Violation ~ TITLE 42-[ HHS employee ]-PUBLIC HEALTH HUMAN SERVICES PART 417 -[ Federal HMO employee ]-HEALTH MAINTENANCE ORGANIZATIONS, Subpart B - (HMO)- Qualified Health Maintenance Organizations: SERVICES (g) Grievance procedures: Alternate Dispute Resolution, DENIAL OF Existing T42CFR409.33 OPM FEHBP HMO Hospital Insurance Services - HHS Anti-dumping violation, to force, fraud by fright, illegal HCFA State Medicaid T42CFR409.33 kickback conversions ]. (h) SPECIAL 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 Dispute Resolution | OPM 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... Criminal and Civil investigations may reveal indications of QUALITY of CARE Issues, and Patient Harm or abuse [ HHS|HMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violation ].information concerning these matters should expeditiously be disseminated to the appropriate authority so that no further harm can occur. Elderly, Hospitalized, Entitled - Covered INDIVIDUALs, are not able - physically or mentally - to fight HHS|HMO T42CFR417.1 grievance procedures - for their DENIED Covered T42CFR409.33 Hospital Extended Care Claims. CITE: 42CFR438.704 — Federal HMO 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). HHS|HMO T42CFR417.1 systematic denial of covered T42CFR409.33 Post Hospital Extended Care (ii) Paragraph (b) (5) (Misrepresentation or false statements to enrollees, potential enrollees, or health care providers). T42CFR417.1 Alternate Dispute Resolution T18CFR242CRIME Managed Care Government Grievance Procedure T18CFR286CRIME lawsuite abuse reduction act T18CFR1518CRIME - Medicare drug plan, T18CFR371CRIME (iii) Paragraph (b) (6) (failure to comply with physician incentive plan requirements). (iv) Paragraph (c) (Marketing violations). 1998 HHS OIG Outreach Campaign 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 HHS OIG Volentary Disclousure Program for HMO Hospital Service Contract PROVIDERS to defraud Entitled|COVERED Individuals - Anti-dumping violation, with respect to T42CFR409.33 claims, to force, fraud by fright, illegal State Medicaid Kickback T42CFR409.33 conversion 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 enrollees INDIVIDUALs. Title 18 US Code section 286 Conspiracy to defraud the Government [ and Entitled Individuals ] With RESPECT to [ T42CFR409.33 Post-Hospital Extended Care ] CLAIMS - WHOEVER enters into any agreement, combination, or conspiracy to defraud the United States [ HHS|HMO T42CFR417.1 Alternate Dispute Resolution T18CFR242CRIME ], or any department or agency thereof, by obtaining or aiding to obtain the payment or ALLOWANCE of any false, fictitious or fraudulent claim, shall be fined under this title or imprisoned not more than 10 years, or BOTH. Federal HMO Hospital Insurance Service Contract Provider OPM. GOV/INSURE and this Plans website hapcorp.org 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 T42CFR409.33 post hospital services2850 West Grand Boulevard Detroit MI 48202 May 21,1999 RE: Federal OPM FEHBP Hospital Service Contract PROVIDERHAP # 991550 ~ HHS|HMO T42CFR417.1 Grievance Service: adverse determination 42CFR438.704 anti-dumping violation [ 1998 HHS OIG Volentary Disclousure 'SELF-Audit' Program - 1996 HIPAA Violation - DETERMINING RIGHTS ] Dear Mrs. Kimball: The following is in response to the grievance [ 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 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 [ T42CFR417.1 systematic denial of covered claims -felony ], your mothers case was reviewed by OUR Associate Medical Director. After the assessment [ SELF-Audit ] you will be pleased to know that HAP has decided to approve your request for 3 additional days of [ Denied ] 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 [ HHS|HMO T42CFR417.1 Anti-Dumping, Anti-Kickback Violation, to force illegal HCFA State OFIS Medicaid Conversion T18CFR371CRIME ] HANDELING. 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 [ HHS|HMO 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 - racketeering Volentary Disclousure Program T18CFR371CRIMEClient 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 NOTE - Cleve L. Killingsworth, curent President/CEO Blue Cross Blue Shield of Massachusetts, $3.6 million. Under Title 42, U.S.C., Section 1997, The DEPARTMENT of JUSTICE [ U.S. ATTORNEY et al ] has the ability to initiate Civil Actions against mental hospitals, retardation facilities, jails, prisons, NURSING FACILITIES T42CFR409.33 (long term care), and juvenile detention facilities when there are Allegations of Systemic Deprivations [ 1998 HHS|HMO T42CFR417.1 VOLENTARY DISCLOUSURE Program: denial of Covered T42CFR409.33 Claims and T18CFR371CRIME - OPM T5CFR890.105 denial of Covered T42CFR409.33 Claims to force ~ fraud by fright ~ illegal HCFA|CMS State Medicaid T42CFR409.33 Kickback Conversion ~ eligibility POOR ] of the CONSTITUTIONAL RIGHTS of institutionalized persons|INDIVIDUALS. 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 [ HHS|HMO T42CFR417.1 Systematic Denial of Existing (OPM FEHB et al) Federal T42CFR409.33 HMO Hospital Insurance Benefits, to force illegal HCFA|CMS State OFIS Medicaid T42CFR409.33 kickback conversion ~ T18CFR286CRIME color of law | Alternate Dispute Resolution T18CFR371CRIME ] of conduct that deprives persons of rights protected by the Constitution [ due process and equal protection ] or U.S. Laws - t18cfr24crimes. 1998 still pending 2010 — T18CFR242CRIME - T18CFR1518CRIME — MICHIGAN law requires YOU [ Federally Entitled T42CFR409.33 Hospitalized INDIVIDUAL ] to complete an internal review with your health plan [ HAPCORP.org - HHS|HMO T42CFR417.1 Alternate Dispute Resolution - grievance procedure - Adverse Determination - 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 (T42CFR417.1 misprison of a felony ~ $25,000. Oo Anti-dumping violation, to force, fraud by fright, illegal HCFA State OFIS Medicaid T42CFR409.33 Kickback Conversion) Final Adverse Determination 42CFR438.704 - willfully failed to keep individuals from harm. Michigan Consumers Pay the Price - T18CFR242CRIME color of law T18CFR371CRIMEFor Health-Insurance Market Failure - ALTERNATE DISPUTE RESOLUTION Blue Cross and Blue Shield of Michigan, the state’s biggest health insurer, controls65 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 Michiganworking families have SKYROCKETED, increasing78 percent from 2000 to 2007.2• For family health coverage in Michigan duringthis time, the average annual combinedpremium for employers and employees rosefrom $6,817 to $12,151.3• For family health coverage in Michigan from2000 to the average employer’s portionof annual premiums rose 63 percent, while theaverage worker’s share grew by 171 percent. • From 2000 to the median earnings ofMichigan workers increased 5 percent, from$25,910 to $27,096. During that time healthinsurance premiums for Michigan workingfamilies rose 17 times faster than medianearnings. If one company holds more than a 42 percent share of a market the U.S. JUSTICE DEPARTMENT would consider that market “highly concentrated.” This means that [ HAPCORP.org et al ] an INSURER, with [ RICO - alternate dispute resolution HHS|HMO T42CFR417.1 ] impunity, could RAISE PREMIUMS and/or REDUCE the variety of plans or QUALITY of services offered to customers. Anti trust violation t18cfr242crime. HEALTH CARE FINANCE ADMINISTRATION — HCFA now called 'CMS' Date: 8/2/00 6:19: 31 PM Eastern Daylight Time From: PMiner@hcfa. Gov (Paul Miner) To: miag@ag. State. Mi.Us, [email protected], [email protected], [email protected], [email protected], fraudnet@gao. Gov, JPeters@hcfa. Gov, TRoe@hcfa. Gov, lhager@house. State. Mi.Us, [email protected], 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 [ HHS|HMO 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. The Anti-Dumping Statute is Enforced [ 1998 still pending T18CFR371CRIME - Alternate Dispute Resolution T18CFR1518CRIME ] Jointly by the Health Care Financing Administration (HCFA) and the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS). Health Care Finance Administration (HCFA), has JURISDICTION over the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Health care finance administration - cms t18cfr286crime - t18cfr1518crime... 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 - Alternate Dispute ResolutionTo: [email protected] 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 [ HHS|HMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violations 1996 HIPAA Violation ] FEHB plan coverage issues IS NOT HCFA, but the Office of Personnel Management, which has already been in communication with you about this matter [ OPM OIG illegal agreement to Induce Forfiture 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 - alternate dispute resolution T18CFR371CRIMEHCFA Region V - Chicago. Subj: MI Civil Rights Dept. 285032 - intimidationDate: 12/2 10:42: 57 AM Eastern Standard Time From: BlairJ michigan. Gov To: manifestdreams aol.com Sent from the Internet (Details) Dear Ms. Kimball, Thank you for your e-mail correspondence on November 18. As YOU [ Individual ] WERE NOTIFIED in April and August this department is unable to assist you [ T18CFR242CRIME OPM FEHB T6CFR900.401 ] with your concern. If you have not already done so [ T18CFR1518CRIME ], I encourage you to contact the Michigan [ OFIS ] Insurance Bureau. Sincerely, Joan Blair, Reconsideration Team Manager 313/456-3827. Office of Inspector General, U.S. Department of Health and Human Services - HHS OIGOrganization URL (s) paffairs@oig. Hhs. Gov, www.oig. Hhs. GovThe Inspector General's Hotline was established to protect the integrity of programs of the Department of Health and Human Services (HHS). HHS employees, [ FEDERAL HMO ] Contractors, and the general public [ INDIVIDUALS ] can call or write the Hotline [ HHS TIPS ] to report violations of law [ HHS|HMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violation ] and regulations [ T18CFR24CRIMES ] in HHS [ 1998 VOLENTARY DISCLOUSURE ] programs and operations. 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 [ HHS TIPS ] employees for investigation. The OIG will refer other complaints to Department components for their review and handling. Subj: RE: HHS OIG Hotline Web Submission -1998 U.S. Attorney General and HHS OIG - PROVIDER [ HAPCORP.org ] SELF-Audit - Volentary Disclousure PROGRAM T18CFR371CRIME, misprison of a felony ~ RICO T18CFR242CRIMEDate: 2/13 10:29: 22 AM Eastern Standard Time From: hhstips@oig. Hhs. Gov (Tips, HHS) To: [email protected] Ms. Kimball: This is in response to your email of February 5, regarding the (HHS|HMO 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 - Anti-dumping and Anti-kickback violations against Retired FEHBP to Force criminal HCFA State Medicaid kickback conversions), it is our judgment that the issues do Not fall under the JURISDICTION of the Office of Inspector General. Since your mother was a federal employee (Covered Individual), her FEHB would have been administered by the Office of Personnel Management (OPM). If you contend that her FEHB (HMO) insurer failed to (Supply: HHS|HMO T42CFR417.1 DENIAL of Existing T42CFR409.33 OPM FEHB|HMO Insurance) pay for contracted services, OPM would be the proper agency to handle (anti-dumping and anti-kickback violations ~ OPM illegal agreement with HHS OIG T5CFR890.105 denial of covered claims) your (Criminal) complaint.inspector General's Hotline. 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 FEHB|HMO et al ] from harm [ HHS|HMO T42CFR417.1 Anti-Dumping and Anti-Kickback Violation ], that official could be in violation of the color of law statute. 1. Separate and apart from the ANTI-DUMPING STATUTE, in accordance with sections 1857 (g), 1876 (i) (6), 1903 (m) (5) and 1932 (e) of the Social Security Act, the OIG (acting on behalf of the Secretary) has the authority to impose intermediate sanctions against Medicare and Medicaid contracting managed care PLANS THAT FAIL TO PROVIDE [ T42CFR438.704 - HHS & Federal HMO T42CFR417.1 illegal denial of covered - Existing OPM FEHB|HMO Hospital Insurance Benefits T42CFR409.33 Post-Hospital Extended Care ] medically necessary services, including emergency services, to enrollees where the failure adversely affects (or has a substantial likelihood of adversely affecting HHS|HMO 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.. 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) to Report Violations of Criminal Law to the U.S. Attorney General. Office of Inspector General ~ Criminal, Judicial and Financial Fraud - intimidationOffice of Personnel Management - HAPCORP.org illegal denial of covered claims T5CFR890.105Dated: 14 May Joseph Frech Investigator ~ Color of Law T18CFR371CRIMEC 03-206 Quote: " Your only recorse is to file suite against the Office of Personnel Management in Federal Court.". December. 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. & Investigation and prosecution of fraud related to Federal Health Care Programs is the responsibility of the Department of Health and Human Services (HHS), the FBI and the Department of Justice | U.S. Attorneys. $150.00 Filing Fee ~ T5CFR890.105 Judicial Review. FEHB Consumer Protections ~ NONEfraud upon the court. UNITED STATES DISTRICT COURTFOR THE EASTERN DISTRICT OF MICHIGAN - RACKETEERINGChambers of Honorable George Caram Steeh United States District JudgeTheodore Levin United States Courthouse231 West Lafayette Blvd. - room 235Detroit, Michigan 48226. The Honorable George C. Steeh was APPOINTED United States District Judge in 1998 [ 1998 U.S. Attorney General and HHS OIG PROVIDER [ HAPCORP.org ] Self-Disclosure Protocol ~ Volentary Disclousure PROGRAM, see 63 Fed. Reg. 58,399 ~ 1996 HIPAA Violation HHS|HMO T42CFR417.1 Systemic Deprivations T18CFR242CRIME ~ T18CFR371CRIME ~ T18CFR286CRIME ~ RICO. Kimberly Kimball VsOffice of Personnel Management OIG & The State of Michigan. Case # 03-75161 — filed December 30 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 - 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 (42399 - HHS T42CFR417.1 Alternate Dispute Resolution T18CFR1518CRIME) ~ of a federal beneficiary, was Without Merit and Frivolous, to ALLOW T18CFR286CRIME and Conceal T18CFR371CRIME Federal Hospital Insurance Fraud and Abuse, TARGETING T42CFR417.1 Entitled INDIVIDUALS with Federal HMO Hospital Insurance T42CFR409.33 Service Contract PROVIDER: HAPCORP.org - Health Alliance Plan, Detroit CITE: 42CFR438.704 adverse determination / denial of T42CFR409.33 Post-Hospital Services. White Collar Crime. State of Michigan ALLOWING T18CFR286CRIME Federal HMO HAPCORP.org to harm 42CFR438.704 their Covered Individuals | Citizens of Michigan for Medicaid kickbacks. Department of Homeland SecurityReport any suspected criminal [ T18CFR24CRIMES ] or terrorist activity to the Federal Bureau of Investigation (FBI).investigation and prosecution of fraud related to Federal Health Care Programs is the responsibility of the Department of Health and Human Services (HHS), the FBI and the Department of Justice | U.S. Attorneys. The FBI is the lead federal agency for Investigating color of law T18CFR242CRIME abuses. Subject: FBI Response - alternate dispute resolution T18CFR1518CRIMEDate: 5/26 10:26: 33 AM Eastern Daylight Time From: tips11@fbi. Gov Reply To: To: [email protected] 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. David Walker, U.S. Comptroller general from 1998 to 2008. “If there’s one thing that can bankrupt the country, it’s health-care costs.”. (1999) 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).. Subject: Defrauding the US Government - alternate dispute resolutionDate: 5/31 9:49: 17 AM Eastern Daylight Time From: LawISAmootIssue Reply To: To: public.info@ots. Treas. Gov, oadmin@bpd. Treas. Gov, opda@bpd. Treas. Gov, chcounsel@bpd. Treas. Gov, procurement@bpd. Treas. Gov, commoffc@bpd. Treas. Gov CC: LawISAmootIssue RESPONSES TO E-MAIL: Thank you for visiting the Department's "Contact Us" page. On behalf of the Attorney General, the Department of Justice would like to thank you for your MANY e-mail messages on law enforcement issues and activities and other matters of special interest to many groups across the nation. The Attorney General appreciates the fact that so many citizens have taken the time to express their views and thoughts on these important matters. Subj: RE: US Attornies Conceal Hospital HMO Insurance fraud Date: 9/22 1:47: 54 PM Eastern Daylight Time From: NewCase. ATR@usdoj. Gov - Alternate Dispute Resolution To: [email protected] 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 - HHS|HMO T42CFR417.1 DOJ Alternate Dispute Resolution T18CFR1518CRIME Volentary Disclousure of Health Care Fraud and Abuse Control (T18CFR242CRIME) Program - T18CFR371CRIME. The Office of DISPUTE RESOLUTION [ HHS|HMO T42CFR417.1 grievance procedure - illegal termination of Individual 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 on behalf of, The DEPARTMENT OF JUSTICE T18CFR242CRIME. EASTERN DISTRICT MICHIGAN - Corporate Accountability HAPCORP.org - HHS|HMO T42CFR417.1 systematic denial of covered T42CFR409.33 Post-Hospital Extended Care Claims - alternate 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 in the STATE OF MICHIGAN and the FEDERAL EASTERN DISTRICT COURT. RE: "Lawsuit Abuse Reduction Act", [email protected] KAREN SMITH KIENBAUM & ASSOCIATES, P.C. A law firm emphasizing labor and employment matters and ALTERNATE DISPUTE RESOLUTION.~ white collar crime - misrepresentations 42CFR438.704 - HHS|HMO T42CFR417.1 & HAPCORP.org - ILLEGAL AGREEMENT -systematic denial of covered claims T18CFR286CRIME ~ Color of LawKaren 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-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-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 [ 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 Dispute Resolution: T18CFR286CRIME) grievance procedure: Systematic denial of Existing OPM FEHB T42CFR409.33 Post-Hospital Extended Care 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 41399 Intimidation - threat to jail OPM FEHB Spouse for refusing to defraud HCFA State T42CFR409.33 Medicaid ] 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 HHS|OIG illegal agreement HHS|HMO 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 400 Monroe, Suite 470 Detroit, MI 48226 (313) 967-0700. Lawsuit Abuse Reduction Act of 2005 (H.R. 420) On October 27, the House passed the Lawsuit Abuse Reduction Act of which would preempt state law by imposing federal penalties for those who file frivolous lawsuits [ T5CFR890.105 FEHB|HMO T42CFR417.1 systematic denial of COVERED T42CFR409.33 Claims - Alternate Dispute Resolution T18CFR242CRIME ] in State Courts. T18cfr242crime. Subj: RE: What the RICO Settlements Mean to You (Physicians) Date: 4/3 2:11: 45 AM Eastern Daylight Time HOLDING Blue Cross and Other HEALTH PLANS ACCOUNTABLE What the RICO Settlements Mean to You and Your Practice. RE: " Seminar participants will learn how to maximize their relief under the settlements ~ To date, six major health plans (BlueCross, Anthem, Wellpoint, Aetna, Cigna, Health Net, Prudential, and Humana - Federal Contractors) have settled CMAs RICO lawsuit, which Alleges that the Health Plan Defendants Engaged in Fraud and Extortion by Wrongfully Denying [ T42CFR417.1 Alternate Dispute Resolution ] payment to Physicians, in Violation of Federal Racketeering Law. Where is due process and equal protection of law T42CFR438.704, for the Covered INDIVIDUAL - Target T42CFR417.1 systematic denial of covered T42CFR409.33 claims, USED - by Federal Contractors to conduct fraud against Physicians? Subj: RE: HHS-TIPS Outreach Campaign launched in 1999 T42CFR417.1 Date: 3/28 1:30: 20 AM Eastern Daylight Time From: ASKDOJ@usdoj. Gov To: [email protected] Sent from the Internet (Details) Thank you for contacting the Department of Justice. This is an automatic acknowledgement that your e-mail was received. It will be reviewed in the order it was received... Still pending. 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 snf [ nursing facility ] care sec. 409.33 Examples of skilled nursing [ Medically Necessary ] and rehabilitation services. ~ To DENY this SERVICE [ HHS|HMO T42CFR417.1 systematic denial of COVERED Claims, Hospital HHS Employee T18CFR286CRIME enactment grievance procedure, Alternate Dispute Resolution 42CFR438.704 adverse determination ], is called an Anti-Dumping Violation - and results in Physical Injury and death. From: retire@opm. Gov — T5CFR890.105 denial of covered T42CFR409.33 ClaimsTo: JustmyOpnion@aol. ComSent: 4/25 6:57: 26 A.M. Eastern Daylight TimeSubj: 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 - Alternate Dispute ResolutionCustomer Services Group 1 (888) 767-6738. HEALTH CARE FRAUD VICTIMS: Department of Justice prosecutors (U.S. Attorneys) and investigators (Office of Inspector Generals ~ FBI) shall ensure that 'Victims Rights' and Services under FEDERAL STATUTES 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. 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 [ HHS|HMO T42CFR417.1 adverse determination - systematic denial of (EXISTING Federal Insurance) Covered T42CFR409.33 Claims - 42CFR438.704 ] that are a violation of the criminal laws [ T18CFR24CRIMES ] of the United States or of any State; (B) appear to be intended-[ DOJ Alternate Dispute Resolution T18CFR1518CRIME ] (i) to intimidate or coerce a civilian population [ Anti Trust: to force, fraud by fright, illegal HCFA State OFIS Medicaid Kickback Conversion ]; (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]. 2007 - h.R. 3199 Sensenbrenner - color of law - Judiciary (Subject to a Rule) (Sec. 4) Requires the ATTORNEY GENERAL, on an ANNUAL BASIS [ Anti Trust - misprison of a felony ~ T18CFR242CRIME Alternate Dispute Resolution - 'carrier 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 racketeering ] from which the Department of Justice (DOJ) has received VOLENTARY DISCLOUSURES [ 1998 U.S. Attorney General and HHS OIG Provider Self-Disclosure Protocol (SDP) Program, see 63 Fed. Reg. 58,399 ~T18CFR286CRIME 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 grievance procedure | Alternate Dispute Resolution 42CFR438.704 adverse determination T42CFR409.33 Anti-dumping - 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 (9-110.100 Racketeer Influenced and Corrupt Organizations (RICO) Willfully failed to keep an individual from harm... 42CFR438.704 misprison of felony T18CFR286CRIME ALLOWING ~ OIG, HCFA, FBI & U.S. Attorneys to conduct Federal HMO Hospital Insurance & HCFA State Medicaid kickback fraud, against American Citizens - Entitled INDIVIDUALs - COLOR of LAW T18CFR242CRIME ~ illegal kickback conversions - Anti-Dumping Violations - Consumer Fraud) Contact - THOMAS (Library of Congress). 9-110.800 Violent Crimes in Aid of RACKETEERING Activity (18 U.S.C. § 1959). What is Patient Abuse and Neglect? - National Health — NHDOJ Patient abuse or neglect is any action or failure to act which causes unreasonable suffering, misery or harm to the patient.[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 ~ HHS|HMO 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 all HMO Beneficiaries ] who seeks emergency examination and treatment [ Hospital Insurance Benefits T42CFR409.33 ] or places that individual unnecessarily in a high-risk situation T18CFR242crime: 1998 HHS|OIG - HMO - OUTREACH CAMPAIGN for the ELDERLY - Racketeering. AGREEMENTS WITH PROVIDERS OF SERVICES [ HAPCORP.org Federal Hospital Insurance Service Contract Provider ] [427] SEC. 1866. [42 U.S.C. 1395cc] (a) (1)[428] (M) in the case of HOSPITALS, to provide to each INDIVIDUAL who is 'entitled to benefits' under part A (or to a person acting on the individual's behalf), at or about the time of the INDIVIDUAL's admission as an inpatient to the hospital, a written statement (containing such language as the Secretary prescribes consistent with this paragraph) which explains— (i) the INDIVIDUAL's rights to benefits for inpatient hospital services and for post-hospital services [ T42CFR409.33 ] under this title. 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 FEHB|HMO T42CFR417.1 anti-dumping|anti-kickback violation ] 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 - T18CFR24CRIMES. Subj: FBI Tip - Alternate Dispute Resolution T18CFR1518CRIME - T18CFR371CRIME... Date: 10/4 1:31: 25 P.M. Central Daylight Time From: fbitips1@leo. Gov To: [email protected] 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. People For the American Way is launching a Campaign to Restore Justice. That means restoring checks and balances, accountability, transparency and the rule of law — some of our most fundamental constitutional values that have been stepped on and undermined by the previous administration. From: [email protected]: JustmyOpnion@aol. ComSent: 7/16 3:22: 52 P.M. Eastern Daylight TimeSubj: Re: Contact Us: www.pfaw.orgDear Ms. Kimball, We are in receipt of your July 08 email regarding a request for legal assistance. Please be advised that People For the American Way Foundation will not be able to assist you in this matter. Thank you for contacting us. Sincerely, Jennifer BaarsonAdministrative Assistant - Legal Department - alternate dispute resolution People For the American Way Foundation. 1998 ANTI-TRUST ~ The HHS/OIG - June Gibbs Brown - continues to work with the (AOA) Administration on Aging, (HCFA - Nancy DeParle) 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 [ HHS|HMO illegal agreement T42CFR417.1 grievance procedure - alternate dispute resolution - systematic denial of COVERED T42CFR409.33 Claims | Anti-dumping and Anti-kickback violation - racketeering ]. This campaign (DOJ and HHS Volentary Disclousure Program - PUBLIC FRAUD T42CFR417.1) will be (WAS) fully "LAUNCHED" in 1999.. Color of Law - BY High Ranking Department Officials - US PATRIOT ACT sec 1001. Presidentially Appointed Inspectors General - Alternate Dispute Resolution T18CFR286CRIMEHealth and Human Services, Department of The Honorable Daniel Levinson, Inspector General Main Phone Number: (202) 619-3148Mailing Address: 330 Independence Avenue, S.W.; Washington, D.C. 20201Hotline Number: (800) HHS-TIPS ; email: HHSTips@oig. Hhs. Gov.[Federal Register: January 24 (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 CrimeSolicitation [ 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 ] — 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).
0 comments