Chiropractor Disciplined for Improper Billing Chiropractor Lies to Board and Loses Right to Practice Post 4930 Read the full article at https://www.linkedin.com/pulse/chiropractor-disciplined-improper-billing-barry-zalma-esq-cfe-4qjdc, see the full video at and at and at https://zalma.com/blog plus more than 4900 posts. This appeal arises from an attempt by the state of Illinois to impose discipline upon plaintiff Christopher D. Leone, D.C., due to certain improper activities performed as a licensed chiropractor in the state of Illinois. In Christopher D. Leone, D.C. v. The Department Of Financial And Professional Regulation, Division Of Professional Regulation; and Cecilia Abundis, in Her Official Capacity as Acting Director of the Department of Financial and Professional Regulation, No. 4-22-0753, 2024 IL App (4th) 220753-U, Court of Appeals of Illinois, Fourth District (November 6, 2024) the Court of Appeal resolved the multiple claims of the chiropractor. BACKGROUND Leone has practiced as a chiropractor since 1999 and initially practiced in the state of Washington. The matter was resolved pursuant to an informal disposition via stipulation. Leone began practicing in Illinois in 2004, and in 2010 and a consent order was issued pursuant to which Leone admitted to the allegations and was reprimanded with a $5000 fine and a requirement that he undertake 20 hours of continuing education; 10 of those hours were to focus on Medicare billing and insurance coding and another 10 on record keeping. In 2013, the United States alleged that Leone “knowingly and fraudulently” submitted Medicare claims of less than $1000 for one-on-one physical therapy services that were not provided. Following negotiation, the parties entered into a plea agreement, pursuant to which Leone pleaded guilty to the one-count information and stipulated to a factual basis for his plea. Shortly after the Medicare fraud charge was filed against Leone, the State filed a five-count complaint alleging multiple violations of the Medical Practices Act of 1987 (Act). During the litigation, Leone applied to renew his chiropractic license. One of the questions on the application asked whether he had been convicted of any criminal offense, state or federal, since July 2011; Leone answered, “No,” failing to document the Medicare fraud conviction. Attempting to explain his federal guilty plea, Leone said that he was unable to modify the language in the plea agreement, as “the time for negotiations had run out” and the plea was a “take-it-or-leave-it” proposition. Leone read the plea agreement line by line and, although he claimed it contained false information, he signed it. ALJ Report and Recommendation The Administrative Law Judge (ALJ) issued his report and recommendation, finding that, pursuant to the guilty plea in the federal case, Leone had admitted that his patients performed physical therapy on their own without supervision. Also, Leone admitted in his plea that entries in patient records indicating that they received hands-on or one-on-one physical therapy were false. Further, the guilty plea established that Leone knowingly submitted claims to Medicare for services that he did not provide. Leone had also billed private insurers numerous times under the same code as Medicare. The conviction also established that he engaged in false billing and false entries in patient records. The ALJ recommended an indefinite suspension of Leone’s license for a minimum of two years. An expert testified that chiropractors who engaged in Medicare fraud violated several tenets of chiropractic ethics. There was a pattern of overcharging for services that were not provided, false notations in patient records to support the false charges, and the submission of false claims to insurance that went on for at least five years. Leone obtained fees by fraud, deceit, or misrepresentation, and those actions fell below the professional and ethical standards required of chiropractors in Illinois. Leone’s conduct, along with his past disciplinary history, “demonstrate[d] a pattern of behavior that [was] not acceptable.” ANALYSIS It was undisputed that Leone submitted charges under billing code 97110. Leone pled guilty to submitting a false demand for payment upon the United States. In his plea, Leone admitted to billing for services that were not actually provided to his patients as claimed, “and the instruments containing the demands for payment of public money, therefore were false when they were submitted” and “were submitted to Medicare with the knowledge that he did not perform the service charged.” The guilty plea supports the conclusion that Leone knowingly and intentionally submitted claims for reimbursement for services provided under code 97110 where the services did not meet the requirements to be paid under that code. This pattern went on for approximately five years, resulting in 1324 false claims in the amount of $93,900. The Department established a violation of the Act where Leone failed to note the federal conviction on his renewal application. Discipline A review of the initial circuit court order in this matter reveals that it merely recommended that the Department consider probation as a punishment; it did not make a ruling to that effect. There was no abuse of discretion in the discipline imposed. For the reasons stated, the Court reversed the circuit court’s judgment and affirm the Director’s decision. ZALMA OPINION Leone successfully committed fraud on the United States, the state of Illinois, and the insurance industry by falsely billing services he did not provide. He pleaded guilty to one count of Federal Health Insurance fraud and then lied to the state of Illinois when he applied to renew his license. With lawyers and retained experts he delayed the sanction for years. The Court of Appeals finally resolved the multiple disputes and applied an appropriate sanction and suspension of his license. He should consider himself lucky that he was not prosecuted criminally by the state and the US Government accepted his plea. (c) 2024 Barry Zalma & ClaimSchool, Inc. Please tell your friends and colleagues about this blog and the videos and let them subscribe to the blog and the videos. Subscribe to my substack at https://barryzalma.substack.com/subscribe Go to X @bzalma; Go to Newsbreak.com https://www.newsbreak.com/@c/1653419?s=01; Go to Barry Zalma videos at Rumble.com at https://rumble.com/account/content?type=all; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg Go to the Insurance Claims Library – https://lnkd.in/gwEYk

https://thewashingtonstandard.com/demonstrating-love-in-western-north-carolina-video/

https://settingbrushfires.com/demonstrating-love-in-western-north-carolina-video/

Big Pharma is About Greed & Control NOT Health & Healing https://johnhouk.substack.com/p/big-pharma-is-about-greed-and-control SUMMARY: I want to share two Telegram posts highlighting the Medical Tyranny imposed by Big Pharma. The last four years of the Installed Biden Administration demonstrated to me that the Corporatist greed of Big Pharma has tainted the Government services who are SUPPOSED to protect WE THE PEOPLE. Offhand the taxpayer services come to mind: HHS, CDC, FDA, NIH & NIAID – to name a few. …READ BIG PHARMA CORUPTION DATA! #CorruptBigPharma #CorruptedMedicine #CorruptedGovt

No Breach of Contract no Bad Faith Happy Veterans Day to My Fellow Veterans Some Claims Proper Some Not Read the full article at https://www.linkedin.com/pulse/happy-veterans-day-my-fellow-barry-zalma-esq-cfe-ovpec, shttps://www.linkedin.com/pulse/happy-veterans-day-my-fellow-barry-zalma-esq-cfe-ovpec and at https://zalma.com/blog plus more than 4900 posts. Post 4929 Vepo Design Corporation and its officers (collectively, “Vepo”) appealed the district court’s grant of summary judgment on their breach of contract and bad faith claims against American Economy Insurance Company (“AEIC”). Vepo’s claims relate to AEIC’s denial of coverage following a fire in a laundromat, known as the “Central Laundromat,” which Vepo was developing. In Vepo Design Corporation, et al. v. American Economy Insurance Company, No. 23-55634, United States Court of Appeals, Ninth Circuit (November 4, 2024) the issues were resolved serially. DECISIONS Business Income The Ninth Circuit reversed the district court’s grant of summary judgment in favor of AEIC on Vepo’s business income claim, which concerns income Vepo contends it would have earned operating the Central Laundromat if the fire had not occurred. AEIC argued that Vepo’s claim for lost income was too speculative given that the Central Laundromat was still under construction and Vepo had not secured additional financing to own and operate it. Construing the facts in the light most favorable to Vepo as the non-moving party the Ninth Circuit concluded that there is sufficient evidence to create a genuine dispute of material fact and that Vepo’s claim for lost business income is not unduly speculative. There is evidence that Vepo was contemplating an arrangement under which it would own and operate the Central Laundromat for a period of time before selling it, and that Vepo later engaged in similar arrangements for other laundromats. Vepo, which was experienced in the laundromat industry, also demonstrated that it had a history of securing financing for its laundromat projects and that it intended to refinance the Central Laundromat once a certificate of occupancy was received. Although Vepo had not secured refinancing for the Central Laundromat as of the time of the fire, Vepo’s Principal Owner stated in her declaration and confirmed at her deposition that it was too early to do so in the project timeline. That Vepo had yet to refinance does not render its claim too speculative as a matter of law and its losses are for a jury to decide. Extra Expense The Ninth Circuit affirmed the district court’s grant of summary judgment in favor of AEIC for the extra expenses that Vepo allegedly incurred in storing laundry equipment in a warehouse owned by Vepo’s sister company following the fire. While the policy only required the expense to be incurred, not paid, there was insufficient evidence to create a triable issue over whether the expense was incurred at all. No payment changed hands between the two entities, and there is no accounting record showing that Vepo was liable for the storage amount. When the same person signed as representative of both entities, does not create a genuine dispute of material fact. Lost Profits The Ninth Circuit concluded that the district court properly granted summary judgment on Vepo’s claim for lost profits on the prospective sale of the laundromat. Even assuming that such a loss would be covered under the policy, the claim fails because the policy limited coverage to losses that occur within one year of the incident. Vepo’s plan called for it to own and operate the Central Laundromat for at least one year after opening, which would place any hypothetical sale more than a year after the pre-opening fire. Individual Personal Property Claims The Ninth Circuit affirmed summary judgment for AEIC on the claims by the individual plaintiffs for their own personal property that was allegedly lost in the fire. As the district court correctly found, Vepo did not identify what individual property was lost or its worth. The individual plaintiffs’ claims were too unsupported to create a triable issue. Bad Faith The Ninth Circuit partially reversed the district court’s grant of summary judgment on Vepo’s bad faith claim, to the extent of the single insurance claim it allowed to go forward-the business income claim. The district court may permit any further motions practice on the bad faith claim as it deems appropriate. However, it affirmed the district court’s grant of summary judgment on the bad faith claim insofar as that claim is premised on any of the other breach of contract claims to which AEIC is entitled to judgment as a matter of law. There is never a claim for breach of the implied duty of good faith and fair dealing if there was no improper denial of coverage under the policy. ZALMA OPINION The importance of this case is the reiteration of the law that there can never be a viable tort of bad faith if there is no improper denial of a claim by breach of the insurance contract. If the one cause of action remaining was breached in bad faith and there was no genuine dispute over coverage, that cause can be brought for bad faith damages. The other decisions of the Ninth Circuit were obvious and well reasoned. (c) 2024 Barry Zalma & ClaimSchool, Inc. Please tell your friends and colleagues about this blog and the videos and let them subscribe to the blog and the videos. Subscribe to my substack at https://barryzalma.substack.com/subscribe Go to X @bzalma; Go to Newsbreak.com https://www.newsbreak.com/@c/1653419?s=01; Go to Barry Zalma videos at Rumble.com at https://rumble.com/account/content?type=all; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg Go to the Insurance Claims Library – https://lnkd.in/gwEYk

⚖️Justice Matters⚖️ @realDonaldTrump VIDEO : W.H.O, demon is speaking @JDVance1 The World Health Organization has proven to be on the wrong side of the people by their words and their actions. we cannot/ must not fall prey to the W.H.O. plandemic treaty. Biden/Harris were ready and even eager to hand over our medical/national sovereignty to the U.N./W.H.O. if they remained in power These psychopaths are after OUR CHILDREN 💉 Please use the power the U.S. Presidency holds (as we have handed to you) to not only end the globalist power grab once and for all but stop the funding of any global organization that does not have our best interests at heart and finally to hold all those who have commited crimes against humanity/treason accountable for their actions and the name PRESIDENT DONALD J TRUMP will go down in history as the Greatest President Ever to serve his country 🙏 🇺🇲 "We the People" have rested our hope and faith in your hands We know you will never let us down Stop💉 This💉 Madness Crimes💥Against💥Humanity 00:46 Nov 10, 2024, 4:22 PM https://truthsocial.com/@Spbrouman/posts/113460756780186941

Absolutely it is! This is a fantastic documentary that could be 110% better if it's creators were aware of (Or did not hide) the FACT that the earth is an ENCLOSED SYSTEM, and is FLAT & STATIONARY! If you believe in what your bible tells you, I want you to open to PAGE 1, GENESIS 1, and read down to verse 10! YHWH "separated the waters from the waters." Genesis 6 And God said, Let there be a firmament in the midst of the waters, and let it divide the waters from the waters. Genesis 7 And God made the firmament, and divided the waters which were under the firmament from the waters which were above the firmament: and it was so. There are several misleading parts within this documentary, like when the man claims that during creation "We now have a water ball in space." WHERE IS THAT IN THE TEXT??? No folks, "space" does not exist, #NASA is a Satanic organization of deception, and the earth is FLAT and STATIONARY just like the bible tells you it is! COUNT THE NUMBER OF TIMES YOUR BIBLE SAYS "The earth shall not be moved" Go and count them! Count how many times your bible says the earth has "foundations." This documentary would be perfect if it told the TRUTH about our earth being a flat and stationary PLANE and the Sun, Moon, and stars are "Lights in the sky" (within the firmament) just like the bible tells us it is. I respect the creators of this documentary, they could just be brainwashed into believing in "Space" and all of that nonsense, just like the rest of us were! But I have found that Hollywood and "Science so-called" always uses deception in this area. There is no demonstrable "curvature" to the earth's surface. This ALONE proves without a shadow of a doubt that the earth is flat! Don't believe me? I challenge you to "Prove the #Globe" you believe in! That is what I tried to do, and is why now I know the TRUTH.... That there is no proof to the claim the earth is a sphere! It's all a Satanic LIE. It is likely "The great delusion" spoken of in your bible! Have a blessed day and READ YOUR BIBLE! Go check out Rob Skiba's "Testing the Globe" website, there is a lot of information there! Most importantly though... PRAISE YHWH and admire His perfect Creation! A living Testament to His greatness and power! Walk in His statutes and be humble! https://youtu.be/UM82qxxskZE

https://t.me/davidavocadowolfe/145536 Bill Maher with a wake-up call for Demoncraps: “You’re brats, and you’re snobs, and people don’t like that.” (1 min, 16 sec)

I WILL SAY IT AGAIN....THE DEMONS TELL US WHAT THEY ARE GOING TO DO IN THEIR "MOVIES" AND "BOOKS" VIDEO @KatistheSea3 09 November, 10:50 🇺🇸 Shadow of Ezra 2.0 I am resurfacing that THE SIMPSONS predicted all 3 of Donald Trump presidencies in their 2015 episode TRUMPTASTIC VOYAGE. I hope everyone has been enjoy this show. The [their] world stage is coming to an end 💪💥🇺🇸🪖 https://t.me/ShadowCohen 👇 ICYMI 😼 Matthew Groening, one of the creators of THE SIMPSONS has been a 33 degree Mason since 1999. That would give him access to deep state demons’ technology [Looking Glass, Remote Viewers, Quantum etc.] & [their] fore-knowledge of what is to come in various Timelines. “In ‘The Billionaire’s Playboy Club’ by Virginia Roberts Giuffre, she writes that she was 15 when she was “recruited” by pedophile Jeffrey Epstein, & forced to have sex with Prince Andrew [who has paid her MILLION$ in a behind-the-scenes settlement] & ordered to give an in-flight foot massage to SIMPSONS creator, Matt Groening on Epstein’s private jet" - Daily Mail, 8-29-19 https://anonup.com/thread/14716579

TRUMP & ROBERT KENNEDY JR - MAHA - MAKING DEMONS GREAT AGAIN I don't like ANY political #Parasite! #MAGA and now #MAHA https://old.bitchute.com/video/JIyWrjrpXcmO/