• https://t.me/davidavocadowolfe/146424
    The banksters fund the war machine. The banksters fund the politicians. The banksters created and fund the usury system and drive the brainwashing in government run schools. The banksters pay the media to produce propaganda against your best interest. The banksters seek to control without doing any work. The banksters are the head of the snake and must be stopped. (1 min, 18 sec)
    https://t.me/davidavocadowolfe/146424 The banksters fund the war machine. The banksters fund the politicians. The banksters created and fund the usury system and drive the brainwashing in government run schools. The banksters pay the media to produce propaganda against your best interest. The banksters seek to control without doing any work. The banksters are the head of the snake and must be stopped. (1 min, 18 sec)
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  • I'm on bsky.app https://bsky.app/profile/brainymango.bsky.social
    I'm on bsky.app https://bsky.app/profile/brainymango.bsky.social
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  • A child in the FIRST GRADE has so much left to learn about LIFE and about surviving in this world!

    The child needs to learn so much. The child needs to learn the #Truth about how to stay healthy, how to avoid danger, how to earn a living, how to add and subtract,how to read and write his name.....

    But instead of teaching this child
    ANY OF THESE REAL WORLD SKILLS THAT HE WILL USE DAILY....

    The child will be led into the classroom, seeing the #Globe on his teacher's desk FIRST THING, and then his VERY FIRST ASSIGNMENT will typically be learning of the purely THEORETICAL "Solar System."

    An UNPROVEN THEORY that directly contradicts the word of YHWH and the child's bible about the LIGHTS IN THE SKY that the child will NEVER interact with, never need to interact with, and has no effect on the child's life whatsoever...

    with the exception of enjoying their beauty
    and the light they provide on his earth

    WHY would this be the
    VERY FIRST THING YOU TEACH A 6 YEAR OLD CHILD?????

    Perhaps because you are brainwashing the child into a belief system that goes against all of creation AND the word of Yah???

    Perhaps you are indoctrinating this child into an ancient Babylonian SUN #CULT that has existed since before the bible was written...

    Perhaps you are being funded by a Luciferian, if not the seed of the Devil himself, who gets to choose the curriculum taught to children because he is wealthy beyond belief.

    Wealthy because he has enslaved the entire world by printing up worthless pieces of paper and convinced humanity that they have value, when in truth it is simply a system of Satanic control!

    Ever consider THAT???
    It is likely the very SAME Luciferian that provides the TEXTBOOKS at BELOW COSTS to assure that he gets to provide the information that EVERY CHILD IN AMERICA must learn!

    This way he never has any competition...
    Because most publishers want to at least make a nickel per book...

    But this Luciferian does not WANT money....
    He prints his own money already!

    What he wants is CONTROL OVER THE MINDS OF CHILDREN!
    He wants to be certain that children are taught Luciferian doctrines

    And he wants these children taught WHAT TO THINK.....
    And not HOW TO THINK!

    The #Schools in America are for the purposes I mentioned above...
    THERE IS NO QUESTION... This is all factual!

    It should be painfully obvious to people, but those people had their own minds usurped by this demonic indoctrination center!

    You are being "Educated" how to be a "Good little #Slave"
    with some Luciferian, anti-bible doctrines mixed in, and nothing more.

    I don't know how else to spell it out for you!
    I hope that you will at least ponder, and look into what I have told you, it is all factual and true
    A child in the FIRST GRADE has so much left to learn about LIFE and about surviving in this world! The child needs to learn so much. The child needs to learn the #Truth about how to stay healthy, how to avoid danger, how to earn a living, how to add and subtract,how to read and write his name..... But instead of teaching this child ANY OF THESE REAL WORLD SKILLS THAT HE WILL USE DAILY.... The child will be led into the classroom, seeing the #Globe on his teacher's desk FIRST THING, and then his VERY FIRST ASSIGNMENT will typically be learning of the purely THEORETICAL "Solar System." An UNPROVEN THEORY that directly contradicts the word of YHWH and the child's bible about the LIGHTS IN THE SKY that the child will NEVER interact with, never need to interact with, and has no effect on the child's life whatsoever... with the exception of enjoying their beauty and the light they provide on his earth WHY would this be the VERY FIRST THING YOU TEACH A 6 YEAR OLD CHILD????? Perhaps because you are brainwashing the child into a belief system that goes against all of creation AND the word of Yah??? Perhaps you are indoctrinating this child into an ancient Babylonian SUN #CULT that has existed since before the bible was written... Perhaps you are being funded by a Luciferian, if not the seed of the Devil himself, who gets to choose the curriculum taught to children because he is wealthy beyond belief. Wealthy because he has enslaved the entire world by printing up worthless pieces of paper and convinced humanity that they have value, when in truth it is simply a system of Satanic control! Ever consider THAT??? It is likely the very SAME Luciferian that provides the TEXTBOOKS at BELOW COSTS to assure that he gets to provide the information that EVERY CHILD IN AMERICA must learn! This way he never has any competition... Because most publishers want to at least make a nickel per book... But this Luciferian does not WANT money.... He prints his own money already! What he wants is CONTROL OVER THE MINDS OF CHILDREN! He wants to be certain that children are taught Luciferian doctrines And he wants these children taught WHAT TO THINK..... And not HOW TO THINK! The #Schools in America are for the purposes I mentioned above... THERE IS NO QUESTION... This is all factual! It should be painfully obvious to people, but those people had their own minds usurped by this demonic indoctrination center! You are being "Educated" how to be a "Good little #Slave" with some Luciferian, anti-bible doctrines mixed in, and nothing more. I don't know how else to spell it out for you! I hope that you will at least ponder, and look into what I have told you, it is all factual and true
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  • While she is a bit of a drama queen......
    It's only because SHE SAYS what everyone else just THINKS!

    EVERYTHING that she says is essentially true. The ONLY thing that I take exception with is when she starts the racial stuff with "You are a white man Mr. Policeman" etc....

    Folks... #Totalitarianism and #Authoritarianism based on "Maritime Admiralty Law"

    IS NOT BIASED! IT DISCRIMINATES AGAINST US ALL EQUALLY!!!
    So stop with the "Race" BS! It's "EVERYONE vs The Blue"

    Black, White, Red, Brown, and Yellow people are ALL being enslaved by a #Fraud based system of Maritime Admiralty Law.... SO STAND TOGETHER AND DROP THE RACIST BS!
    (Or you'll die a SLAVE, as will your children!)

    #Police are literally #Pirates operating under "Maritime Admiralty Law" They have no legitimate #Jurisdiction over YOU!

    But they OWN the "Legal Fiction"
    which you supposedly "represent"....

    The "Legal Fiction" is a #Corporation that was created with your
    BIRTH CERTIFICATE.... It is NOT YOU!

    But a lifetime of continuous brainwashing and indoctrination has led you to believe that it's you! So like a dummy, you GIVE THEM JURISDICTION by failing to challenge their claims that the "Legal Fiction" is YOU!

    You sincerely need to LEARN THE LAW!
    What #Police deal in is NOT law, it's POLICY of the CORPORATION of the United States!

    Thus their name.... "POLICE" enforce POLICY!
    This deception goes back over 100 years....

    It is EXACTLY how you were converted from a FREE MAN or WOMAN Into a #Slave of the CORPORATION of the United States!

    ONLY YOU can represent yourself as a flesh and blood MAN or WOMAN!

    As long as you continue "representing" the "Legal Fiction" created with your birth certificate, you will remain a SLAVE!

    https://old.bitchute.com/video/eywSJy1ADqc/
    While she is a bit of a drama queen...... It's only because SHE SAYS what everyone else just THINKS! EVERYTHING that she says is essentially true. The ONLY thing that I take exception with is when she starts the racial stuff with "You are a white man Mr. Policeman" etc.... Folks... #Totalitarianism and #Authoritarianism based on "Maritime Admiralty Law" IS NOT BIASED! IT DISCRIMINATES AGAINST US ALL EQUALLY!!! So stop with the "Race" BS! It's "EVERYONE vs The Blue" Black, White, Red, Brown, and Yellow people are ALL being enslaved by a #Fraud based system of Maritime Admiralty Law.... SO STAND TOGETHER AND DROP THE RACIST BS! (Or you'll die a SLAVE, as will your children!) #Police are literally #Pirates operating under "Maritime Admiralty Law" They have no legitimate #Jurisdiction over YOU! But they OWN the "Legal Fiction" which you supposedly "represent".... The "Legal Fiction" is a #Corporation that was created with your BIRTH CERTIFICATE.... It is NOT YOU! But a lifetime of continuous brainwashing and indoctrination has led you to believe that it's you! So like a dummy, you GIVE THEM JURISDICTION by failing to challenge their claims that the "Legal Fiction" is YOU! You sincerely need to LEARN THE LAW! What #Police deal in is NOT law, it's POLICY of the CORPORATION of the United States! Thus their name.... "POLICE" enforce POLICY! This deception goes back over 100 years.... It is EXACTLY how you were converted from a FREE MAN or WOMAN Into a #Slave of the CORPORATION of the United States! ONLY YOU can represent yourself as a flesh and blood MAN or WOMAN! As long as you continue "representing" the "Legal Fiction" created with your birth certificate, you will remain a SLAVE! https://old.bitchute.com/video/eywSJy1ADqc/
    OLD.BITCHUTE.COM
    "OMG! Let Me Go POTTY!" Cops Threaten & Arrest Her for NO REASON
    🔴 Grab a SHIRT: http://bit.ly/HighImpactFlix-Merch Become a Channel member: https://www.youtube.com/channel/UCTSYXSwbauRs79G1skOCzIw/join Support the channel: ⭐ Patreon: https://www.patreon.com/highimpactflix ✅ CashApp: https://cash.app/$HighImpa…
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  • Why Living in Canada Has Become Unbearable
    There is a housing crisis in Canada, cost-of-living crisis, and now even an immigration crisis. What's happening to Canada?

    This should be a no-brainer. You keep electing the same old fascist CUCK to rule you. Get rid of him. Doing the same thing the same way over and over again and expecting different results is the definition of insanity. While calling himself anti-fascist, he IS the fascist; and he has convinced you otherwise...
    https://rumble.com/v5qa8qk-why-living-in-canada-has-become-impossible.html
    Why Living in Canada Has Become Unbearable There is a housing crisis in Canada, cost-of-living crisis, and now even an immigration crisis. What's happening to Canada? This should be a no-brainer. You keep electing the same old fascist CUCK to rule you. Get rid of him. Doing the same thing the same way over and over again and expecting different results is the definition of insanity. While calling himself anti-fascist, he IS the fascist; and he has convinced you otherwise... https://rumble.com/v5qa8qk-why-living-in-canada-has-become-impossible.html
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  • Dead In The Water - Maritime Admiralty UCC

    EVERYONE is stuck "in the matrix" because a large percentage of the world's population simply REFUSE to educate themselves, and to throw off the brainwashing they have endured!

    These are the people who call you a "conspiracy theorist" just like the #CIA created the term for them to do because they don't want those people finding out the #Truth!

    The entire system is based on "Maritime Admiralty Law" and the ONLY REASON that you are within it's #Jurisdiction is because you have not challenged it and made your stand under COMMON LAW!

    COMMON LAW is the "Law of the LAND" (Like the Constitution)
    "Maritime Admiralty Law" is the "Law of the SEA" and Commerce!

    UCC etc.... BUT IT'S NOT APPLICABLE TO LIVING MEN & WOMEN!

    The criminals of the state created YOUR BIRTH CERTIFICATE, which is a "Legal Fiction".... A #Corporation... and that corporation falls under the jurisdiction of maritime law!

    BUT YOU DON'T!
    UNLESS you "represent yourself" as that legal fiction!
    Which everyone does because they know no better!

    And when you TRY to tell them they dismiss you
    and call you a conspiracy theorist or something worse!

    The knowledge of the ages IS AT YOUR FINGERTIPS!

    But you'll refuse to do any research whatsoever because
    YOU THINK THAT YOU KNOW IT ALL ALREADY!

    https://youtu.be/CZIRAEraPIA
    Dead In The Water - Maritime Admiralty UCC EVERYONE is stuck "in the matrix" because a large percentage of the world's population simply REFUSE to educate themselves, and to throw off the brainwashing they have endured! These are the people who call you a "conspiracy theorist" just like the #CIA created the term for them to do because they don't want those people finding out the #Truth! The entire system is based on "Maritime Admiralty Law" and the ONLY REASON that you are within it's #Jurisdiction is because you have not challenged it and made your stand under COMMON LAW! COMMON LAW is the "Law of the LAND" (Like the Constitution) "Maritime Admiralty Law" is the "Law of the SEA" and Commerce! UCC etc.... BUT IT'S NOT APPLICABLE TO LIVING MEN & WOMEN! The criminals of the state created YOUR BIRTH CERTIFICATE, which is a "Legal Fiction".... A #Corporation... and that corporation falls under the jurisdiction of maritime law! BUT YOU DON'T! UNLESS you "represent yourself" as that legal fiction! Which everyone does because they know no better! And when you TRY to tell them they dismiss you and call you a conspiracy theorist or something worse! The knowledge of the ages IS AT YOUR FINGERTIPS! But you'll refuse to do any research whatsoever because YOU THINK THAT YOU KNOW IT ALL ALREADY! https://youtu.be/CZIRAEraPIA
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  • https://thewashingtonstandard.com/at-un-climate-summit-brainwashing-children-takes-center-stage-video/
    https://thewashingtonstandard.com/at-un-climate-summit-brainwashing-children-takes-center-stage-video/
    THEWASHINGTONSTANDARD.COM
    At UN ‘Climate’ Summit, Brainwashing Children Takes Center Stage (Video) - The Washington Standard
    BAKU, Azerbaijan — Indoctrinating children to believe in the man-made global warming hypothesis and teaching them to see the United Nations as the solution to that alleged problem is once again taking center stage at this year’s annual UN “climate” summit. UN leaders say global testing of children to ensure ...
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  • Unlike most Americans, the Amish likely don't have "Birth Certificates" which are used to turn a flesh and blood LIVING MAN into a Maritime Admiralty Law PRODUCT!

    This is 100% TRUE! Your "Birth Certificate" created a "Legal Fiction" that the CORPORATION of the United States created, and therefore OWNS!

    The Amish don't generally attend the
    BRAINWASHING & INDOCTRINATION CENTERS we call #Schools, where Americans are DECEIVED into representing the "LEGAL FICTION," which puts them firmly into the #Jurisdiction of Maritime Admiralty Law!

    The Amish generally do not "VOTE" which gives your CONSENT to being ruled over by psychopaths, under a system of Maritime Admiralty Law (Despite being on LAND)

    Every supposed "Law" in the United States is NOT A LAW!
    It is a "Statute or Code" only applicable to those who CONSENT!

    You MUST CONSENT and put yourself into the JURISDICTION of this private society called "The CORPORATION of the United States" fir it's "statutes and codes" to be applicable to YOU!

    EVERY AMERICAN should know this information by now....
    But very few do!

    The Amish are smarter than most!
    And the further they stay away from the CORPORATION of the United States, the smarter they are!

    NEVER CONSENT!
    NEVER call yourself a "citizen"
    CORRECT YOUR STATUS!

    Get OUT of the JURISDICTION of Maritime Admiralty Law!
    Return to where you belong.... COMMON LAW!

    It's where EVERY LIVING MAN or WOMAN BELONGS!
    Unlike most Americans, the Amish likely don't have "Birth Certificates" which are used to turn a flesh and blood LIVING MAN into a Maritime Admiralty Law PRODUCT! This is 100% TRUE! Your "Birth Certificate" created a "Legal Fiction" that the CORPORATION of the United States created, and therefore OWNS! The Amish don't generally attend the BRAINWASHING & INDOCTRINATION CENTERS we call #Schools, where Americans are DECEIVED into representing the "LEGAL FICTION," which puts them firmly into the #Jurisdiction of Maritime Admiralty Law! The Amish generally do not "VOTE" which gives your CONSENT to being ruled over by psychopaths, under a system of Maritime Admiralty Law (Despite being on LAND) Every supposed "Law" in the United States is NOT A LAW! It is a "Statute or Code" only applicable to those who CONSENT! You MUST CONSENT and put yourself into the JURISDICTION of this private society called "The CORPORATION of the United States" fir it's "statutes and codes" to be applicable to YOU! EVERY AMERICAN should know this information by now.... But very few do! The Amish are smarter than most! And the further they stay away from the CORPORATION of the United States, the smarter they are! NEVER CONSENT! NEVER call yourself a "citizen" CORRECT YOUR STATUS! Get OUT of the JURISDICTION of Maritime Admiralty Law! Return to where you belong.... COMMON LAW! It's where EVERY LIVING MAN or WOMAN BELONGS!
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  • Zalma’s Insurance Fraud Letter September 15, 2024

    Zalma’s Insurance Fraud Letter

    A ClaimSchool™ Publication © 2024 Barry Zalma & ClaimSchool, Inc.

    Read the full issue at https://www.linkedin.com/pulse/zalmas-insurance-fraud-letter-november-15-2024-barry-zalma-esq-cfe-cxkycVolume 28, Issue 21 – November 15, 2024

    “Honor, justice, and humanity, forbid us tamely to surrender that freedom which we received from our gallant ancestors, and which our innocent posterity have a right to receive from us. We cannot endure the infamy and guilt of resigning succeeding generations to that wretchedness which inevitably awaits them if we basely entail hereditary bondage on them.”

    Thomas Jefferson

    Insurance Fraud Requires Doctor to Lose his License

    Sexual Misconduct, Fraud, Bribery & Unnecessary Surgery Revokes License

    Louis Quartararo appealed from an August 22, 2022 final agency decision of the State Board of Medical Examiners (Board), revoking his license to practice medicine and surgery in New Jersey. The Superior Court of New Jersey, in In The Matter Of The Suspension Or Revocation Of The License Of Louis Quartararo, M.D. License No. 25MA07137700 To Practice Medicine And Surgery In The State Of New Jersey, No. A-0425-22, Superior Court of New Jersey, Appellate Division (October 31, 2024) affirmed the revocation.

    The Board charged Dr. Quartararo with engaging in sexual contact with patients; negligent acts by performing surgeries with co-surgeons who lacked the requisite privileges; and acts of fraud, deception and misrepresentation by miscoding procedures on patient operative reports and listing procedures in the reports he had not performed for the purpose of ensuring insurance coverage.

    FACTS

    Quartararo was a physician and Board-certified orthopedic surgeon licensed to practice medicine in New Jersey.

    Approximately one week before K.D. was scheduled to meet with Board investigators, Quartararo gave K.D. $20,916, which K.D. told an investigator was “for school.” Later, Quartararo’s attorney offered her more money to retract the statement she had made to the Board about her relationship with Quartararo.

    THE OAL HEARING

    At a formal hearing, the Board’s expert, Dr. Ashraf addressed Quartararo’s treatment of patient Y.O. revealed that the surgical procedures Quartararo performed were not medically necessary. In reviewing the description of Quartararo’s procedure on Y.O.’s spine, Dr. Ashraf concluded that Quartararo’s surgery on Y.O.’s completely normal spine “is gross negligence.”

    Regarding the fraud claims alleging that Quartararo had failed to properly code surgical procedures that he performed on E.S., D.C., Y.O., L.V., D.E., and V.C., Dr. Ashraf testified that the “whole function” of the “operations” section on the first page of the operative report was to list the procedures that were performed during the operation and he testified that, despite “laminotomy” appearing on the first page of V.C.’s and D.C.’s reports, their post-surgery MRIs revealed that laminotomies had not been performed.

    THE ALJ’S DECISION

    The Administrative Law Judge (ALJ) issued a comprehensive seventy-nine-page decision and concluded that Quartararo had “engaged in gross malpractice, professional misconduct, failure to comply with regulations administered by the Board, and failure to be of good moral character.”

    On August 22, 2022, the Board filed its final decision, revoking Quartararo’s license for a minimum of seven years from the date of voluntary surrender, April 5, 2019. The Board concluded that Quartararo’s “misconduct warrants a serious penalty in excess of that recommended by [the ALJ]” and that he “flagrantly ignored, and in fact shattered professional norms when he engaged in sexual misconduct with patients Y.R. and K.D.” The Board found Quartararo’s conduct was “so egregious that the only appropriate discipline is a license revocation.”

    The Board also imposed an aggregate monetary sanction of $343,909.75, comprised of a civil penalty of $90,000, $61,684.75 in costs, and $192,225 in attorney’s fees.

    Quartararo Argued

    The Board determined that revocation was warranted because he preyed on two vulnerable patients employed intimidation and coercion tactics to dissuade at least one of his victims-K.D.- from testifying about the true nature of their relation and resorted to making threats resulting in the issuance of a temporary restraining order against him.

    Quartararo admitted he had not performed laminotomies and that he had used the laminotomy code to ensure that he would be paid by insurance carriers. He did so rather than correctly coding the procedures he actually performed because of the risk he would otherwise not be paid.

    ZIFL OPINION

    Quartararo admitted before the ALJ that he committed fraud by billing insurers for laminotomies that he did not perform. As such he admitted to committing a federal as well as a New Jersey felony that should be presented to the US Attorney and the local District Attorney for prosecution. He lost his license because he took advantage sexually of vulnerable patients, committed gross acts of malpractice and profited from knowing insurance fraud. The people of New Jersey are now safe from his criminal and unprofessional conduct for a few more years, and in my opinion he should be prosecuted and sentenced to prison for the fraud.

    Read the full issue at https://www.linkedin.com/pulse/zalmas-insurance-fraud-letter-november-15-2024-barry-zalma-esq-cfe-cxkyc

    IT PAYS INSURER DEFENDANTS TO INVESTIGATE INJURY CLAIMS

    In Chris Kallco v. Melissa Lynn Pugh, Chris Kallco, and Precise Mri Of Michigan, LLC v. Citizens Insurance Company Of The Midwest and Melissa Lynn Pugh, No. 368156, Court of Appeals of Michigan (October 30, 2024) affirmed the trial court’s decision.

    Plaintiff appealed from two orders granting summary disposition in favor of defendants even though he failed to respond to either motion.

    FACTUAL BACKGROUND

    This case arises out of a motor vehicle accident that occurred on March 9, 2020 involving plaintiff and Pugh. Plaintiff alleges that he sustained injuries from the accident. A year after the accident, plaintiff brought a negligence claim against Pugh, alleging that, because of Pugh’s negligence, plaintiff sustained “severe permanent and progressive personal injuries and serious impairment of a body function, including but not necessarily limited to: Head, Neck, Back, Shoulders ….” Plaintiff also brought a claim against Citizens for PIP benefits, including medical expenses, work loss, and replacement services.

    Pugh and Citizens moved for summary disposition arguing that plaintiff could not meet his burden of showing that he sustained a threshold injury under the no-fault act and, therefore, he could not maintain his negligence claim against her. Pugh submitted the deposition testimony of the plaintiff and the report of an independent medical examination (IME) conducted by Dr. James Bragman on December 27, 2021. Dr. Bragman further observed that plaintiff had “near full range of motion” in his neck and that he was “eminently capable” of standing and touching his toes despite his refusal to do so. Dr. Bragman noted that plaintiff had “very little” medical treatment documented in his records and that he had been undergoing physical therapy for six months with no medical basis for doing so. An investigator’s report includes pictures of plaintiff walking, riding a child’s bicycle, squatting, bending over, lifting a bicycle out of a minivan unassisted, playing with a dog, driving a car, and twisting his neck.

    Citizens’ motion argued that plaintiff made material misrepresentations to Citizens regarding the extent of his injuries, which rendered him ineligible for benefits.

    The trial court found that, based upon the evidence presented, plaintiff failed to establish that he sustained a serious impairment of body function and therefore summary disposition in favor of Pugh was appropriate.

    THRESHOLD INJURY

    Plaintiff argued that the trial court erred by granting summary disposition in favor of Pugh.

    Under the no fault statute, the threshold question of whether the person has suffered a serious impairment of body function should be determined by the court as a matter of law as long as there is no factual dispute regarding the nature and extent of the person’s injuries that is material to determining whether the threshold standards are met.

    Plaintiff was obligated to respond to Pugh’s motion in order to meet his burden of demonstrating that a fact question existed as to whether he suffered a serious impairment of body function.

    The parts of plaintiff’s deposition identified by Pugh do not establish a genuine issue of material fact as to whether he suffered a serious impairment of body function. The relevant portions of plaintiff’s deposition testimony fail to rebut the evidence and instead set forth, at best, mere subjective complaints of pain.

    FRAUDULENT INSURANCE ACT

    The fraud statute finds that a person who presents or causes or to be presented an oral or written statement knowing that the statement contains false information concerning a fact or thing material to the claim commits a fraudulent insurance act under that is subject to the penalties imposed under the statute. A claim that contains or is supported by a fraudulent insurance act as described in this subsection is ineligible for payment of PIP benefits.

    An individual commits a “fraudulent insurance act” when: (1) the person presents or causes to be presented an oral or written statement, (2) the statement is part of or in support of a claim for no-fault benefits, and (3) the claim for benefits was submitted to the MAIPF. Further, (4) the person must have known that the statement contained false information, and (5) the statement concerned a fact or thing material to the claim.

    ZIFL OPINION

    The evidence presented by the defendants were damning since they established the injuries claimed were false. Plaintiff failed to respond to the motions to his detriment and sought reconsideration without any admissible evidence that he was truly injured. The defendants established that the Plaintiff committed fraud and he is lucky that this was a civil finding not a criminal proceeding that, in my opinion, should be presented by the prosecutor.

    More McClenny Moseley & Associates Issues

    This is ZIFL’s thirty seventh installment of the saga of McClenny, Moseley & Associates and its problems with the federal courts in the State of Louisiana and what appears to be an effort to profit from what some Magistrate and District judges may be criminal conduct to profit from insurance claims relating to hurricane damage to the public of the state of Louisiana.

    Health Insurance Fraud Convictions
    Pharmacist and Brother Convicted of $15M Medicare, Medicaid, and Private Insurer Fraud Scheme

    Raad Kouza, a pharmacist in Wayne County, Michigan, and his brother, Ramis Kouza, of Oakland County, Michigan, billed Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at pharmacies they owned or operated in Michigan. A federal jury convicted the pharmacy owner and his brother November 8, 2024 for conspiracy to commit health care fraud and wire fraud.

    Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024-1.pdf

    Indicators of Bad Faith Set Up

    Some of the more common red flags of a bad faith set-up include the following:

    The claimant makes a policy limits settlement demand quickly after an accident, thereby depriving the insurer of the ability to conduct a full investigation.
    Quick demands that are combined with a limited amount of time to accept, again, in the hopes that records cannot be obtained and the investigation cannot be completed within that limited time period, and the settlement will be refused.
    The claimant makes a settlement offer with one or more unusual acceptance conditions.
    The involvement of the claimant’s counsel pre-dates certain medical or psychiatric care (e.g., testing and treatment for alleged mild traumatic brain injury)

    Read the full article and the full issue of ZIFL at http://https//zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024.pdf

    Convictions of Other Than Health Insurance Fraud
    Star in Reality TV Series Pleads Guilty Crop Insurance Fraud

    Steve A. McBee, 52, waived his right to a grand jury and pleaded guilty to a federal information that charges him with one count of federal crop insurance fraud. McBee, a Missouri farmer who appears in a reality TV show about his family’s farming operation pleaded guilty this week to a multi-million dollar fraud scheme involving federal crop insurance benefits.

    Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024-1.pdf

    Chutzpah – STOLI Fraudster Claims Hardship
    Felon Seeks Release from Home Confinement in Luxury Apartment in New York City

    Insurance Fraud is a serious crime, especially when it takes advantage of the elderly to defraud insurers in a Stranger Originated Life Insurance (STOLI) scheme. In United States Of America v. Michael Binday, No. 12 CR 152 (CM), United States District Court, S.D. New York (November 4, 2024) the defendant continued to use the wealth he gained from his fraud to impose on the courts of the United States with frivolous and unfounded motions.

    Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024-1.pdf

    Barry Zalma, Esq., CFE

    Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome.
    Zalma’s Insurance Fraud Letter September 15, 2024 Zalma’s Insurance Fraud Letter A ClaimSchool™ Publication © 2024 Barry Zalma & ClaimSchool, Inc. Read the full issue at https://www.linkedin.com/pulse/zalmas-insurance-fraud-letter-november-15-2024-barry-zalma-esq-cfe-cxkycVolume 28, Issue 21 – November 15, 2024 “Honor, justice, and humanity, forbid us tamely to surrender that freedom which we received from our gallant ancestors, and which our innocent posterity have a right to receive from us. We cannot endure the infamy and guilt of resigning succeeding generations to that wretchedness which inevitably awaits them if we basely entail hereditary bondage on them.” Thomas Jefferson Insurance Fraud Requires Doctor to Lose his License Sexual Misconduct, Fraud, Bribery & Unnecessary Surgery Revokes License Louis Quartararo appealed from an August 22, 2022 final agency decision of the State Board of Medical Examiners (Board), revoking his license to practice medicine and surgery in New Jersey. The Superior Court of New Jersey, in In The Matter Of The Suspension Or Revocation Of The License Of Louis Quartararo, M.D. License No. 25MA07137700 To Practice Medicine And Surgery In The State Of New Jersey, No. A-0425-22, Superior Court of New Jersey, Appellate Division (October 31, 2024) affirmed the revocation. The Board charged Dr. Quartararo with engaging in sexual contact with patients; negligent acts by performing surgeries with co-surgeons who lacked the requisite privileges; and acts of fraud, deception and misrepresentation by miscoding procedures on patient operative reports and listing procedures in the reports he had not performed for the purpose of ensuring insurance coverage. FACTS Quartararo was a physician and Board-certified orthopedic surgeon licensed to practice medicine in New Jersey. Approximately one week before K.D. was scheduled to meet with Board investigators, Quartararo gave K.D. $20,916, which K.D. told an investigator was “for school.” Later, Quartararo’s attorney offered her more money to retract the statement she had made to the Board about her relationship with Quartararo. THE OAL HEARING At a formal hearing, the Board’s expert, Dr. Ashraf addressed Quartararo’s treatment of patient Y.O. revealed that the surgical procedures Quartararo performed were not medically necessary. In reviewing the description of Quartararo’s procedure on Y.O.’s spine, Dr. Ashraf concluded that Quartararo’s surgery on Y.O.’s completely normal spine “is gross negligence.” Regarding the fraud claims alleging that Quartararo had failed to properly code surgical procedures that he performed on E.S., D.C., Y.O., L.V., D.E., and V.C., Dr. Ashraf testified that the “whole function” of the “operations” section on the first page of the operative report was to list the procedures that were performed during the operation and he testified that, despite “laminotomy” appearing on the first page of V.C.’s and D.C.’s reports, their post-surgery MRIs revealed that laminotomies had not been performed. THE ALJ’S DECISION The Administrative Law Judge (ALJ) issued a comprehensive seventy-nine-page decision and concluded that Quartararo had “engaged in gross malpractice, professional misconduct, failure to comply with regulations administered by the Board, and failure to be of good moral character.” On August 22, 2022, the Board filed its final decision, revoking Quartararo’s license for a minimum of seven years from the date of voluntary surrender, April 5, 2019. The Board concluded that Quartararo’s “misconduct warrants a serious penalty in excess of that recommended by [the ALJ]” and that he “flagrantly ignored, and in fact shattered professional norms when he engaged in sexual misconduct with patients Y.R. and K.D.” The Board found Quartararo’s conduct was “so egregious that the only appropriate discipline is a license revocation.” The Board also imposed an aggregate monetary sanction of $343,909.75, comprised of a civil penalty of $90,000, $61,684.75 in costs, and $192,225 in attorney’s fees. Quartararo Argued The Board determined that revocation was warranted because he preyed on two vulnerable patients employed intimidation and coercion tactics to dissuade at least one of his victims-K.D.- from testifying about the true nature of their relation and resorted to making threats resulting in the issuance of a temporary restraining order against him. Quartararo admitted he had not performed laminotomies and that he had used the laminotomy code to ensure that he would be paid by insurance carriers. He did so rather than correctly coding the procedures he actually performed because of the risk he would otherwise not be paid. ZIFL OPINION Quartararo admitted before the ALJ that he committed fraud by billing insurers for laminotomies that he did not perform. As such he admitted to committing a federal as well as a New Jersey felony that should be presented to the US Attorney and the local District Attorney for prosecution. He lost his license because he took advantage sexually of vulnerable patients, committed gross acts of malpractice and profited from knowing insurance fraud. The people of New Jersey are now safe from his criminal and unprofessional conduct for a few more years, and in my opinion he should be prosecuted and sentenced to prison for the fraud. Read the full issue at https://www.linkedin.com/pulse/zalmas-insurance-fraud-letter-november-15-2024-barry-zalma-esq-cfe-cxkyc IT PAYS INSURER DEFENDANTS TO INVESTIGATE INJURY CLAIMS In Chris Kallco v. Melissa Lynn Pugh, Chris Kallco, and Precise Mri Of Michigan, LLC v. Citizens Insurance Company Of The Midwest and Melissa Lynn Pugh, No. 368156, Court of Appeals of Michigan (October 30, 2024) affirmed the trial court’s decision. Plaintiff appealed from two orders granting summary disposition in favor of defendants even though he failed to respond to either motion. FACTUAL BACKGROUND This case arises out of a motor vehicle accident that occurred on March 9, 2020 involving plaintiff and Pugh. Plaintiff alleges that he sustained injuries from the accident. A year after the accident, plaintiff brought a negligence claim against Pugh, alleging that, because of Pugh’s negligence, plaintiff sustained “severe permanent and progressive personal injuries and serious impairment of a body function, including but not necessarily limited to: Head, Neck, Back, Shoulders ….” Plaintiff also brought a claim against Citizens for PIP benefits, including medical expenses, work loss, and replacement services. Pugh and Citizens moved for summary disposition arguing that plaintiff could not meet his burden of showing that he sustained a threshold injury under the no-fault act and, therefore, he could not maintain his negligence claim against her. Pugh submitted the deposition testimony of the plaintiff and the report of an independent medical examination (IME) conducted by Dr. James Bragman on December 27, 2021. Dr. Bragman further observed that plaintiff had “near full range of motion” in his neck and that he was “eminently capable” of standing and touching his toes despite his refusal to do so. Dr. Bragman noted that plaintiff had “very little” medical treatment documented in his records and that he had been undergoing physical therapy for six months with no medical basis for doing so. An investigator’s report includes pictures of plaintiff walking, riding a child’s bicycle, squatting, bending over, lifting a bicycle out of a minivan unassisted, playing with a dog, driving a car, and twisting his neck. Citizens’ motion argued that plaintiff made material misrepresentations to Citizens regarding the extent of his injuries, which rendered him ineligible for benefits. The trial court found that, based upon the evidence presented, plaintiff failed to establish that he sustained a serious impairment of body function and therefore summary disposition in favor of Pugh was appropriate. THRESHOLD INJURY Plaintiff argued that the trial court erred by granting summary disposition in favor of Pugh. Under the no fault statute, the threshold question of whether the person has suffered a serious impairment of body function should be determined by the court as a matter of law as long as there is no factual dispute regarding the nature and extent of the person’s injuries that is material to determining whether the threshold standards are met. Plaintiff was obligated to respond to Pugh’s motion in order to meet his burden of demonstrating that a fact question existed as to whether he suffered a serious impairment of body function. The parts of plaintiff’s deposition identified by Pugh do not establish a genuine issue of material fact as to whether he suffered a serious impairment of body function. The relevant portions of plaintiff’s deposition testimony fail to rebut the evidence and instead set forth, at best, mere subjective complaints of pain. FRAUDULENT INSURANCE ACT The fraud statute finds that a person who presents or causes or to be presented an oral or written statement knowing that the statement contains false information concerning a fact or thing material to the claim commits a fraudulent insurance act under that is subject to the penalties imposed under the statute. A claim that contains or is supported by a fraudulent insurance act as described in this subsection is ineligible for payment of PIP benefits. An individual commits a “fraudulent insurance act” when: (1) the person presents or causes to be presented an oral or written statement, (2) the statement is part of or in support of a claim for no-fault benefits, and (3) the claim for benefits was submitted to the MAIPF. Further, (4) the person must have known that the statement contained false information, and (5) the statement concerned a fact or thing material to the claim. ZIFL OPINION The evidence presented by the defendants were damning since they established the injuries claimed were false. Plaintiff failed to respond to the motions to his detriment and sought reconsideration without any admissible evidence that he was truly injured. The defendants established that the Plaintiff committed fraud and he is lucky that this was a civil finding not a criminal proceeding that, in my opinion, should be presented by the prosecutor. More McClenny Moseley & Associates Issues This is ZIFL’s thirty seventh installment of the saga of McClenny, Moseley & Associates and its problems with the federal courts in the State of Louisiana and what appears to be an effort to profit from what some Magistrate and District judges may be criminal conduct to profit from insurance claims relating to hurricane damage to the public of the state of Louisiana. Health Insurance Fraud Convictions Pharmacist and Brother Convicted of $15M Medicare, Medicaid, and Private Insurer Fraud Scheme Raad Kouza, a pharmacist in Wayne County, Michigan, and his brother, Ramis Kouza, of Oakland County, Michigan, billed Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at pharmacies they owned or operated in Michigan. A federal jury convicted the pharmacy owner and his brother November 8, 2024 for conspiracy to commit health care fraud and wire fraud. Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024-1.pdf Indicators of Bad Faith Set Up Some of the more common red flags of a bad faith set-up include the following: The claimant makes a policy limits settlement demand quickly after an accident, thereby depriving the insurer of the ability to conduct a full investigation. Quick demands that are combined with a limited amount of time to accept, again, in the hopes that records cannot be obtained and the investigation cannot be completed within that limited time period, and the settlement will be refused. The claimant makes a settlement offer with one or more unusual acceptance conditions. The involvement of the claimant’s counsel pre-dates certain medical or psychiatric care (e.g., testing and treatment for alleged mild traumatic brain injury) Read the full article and the full issue of ZIFL at http://https//zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024.pdf Convictions of Other Than Health Insurance Fraud Star in Reality TV Series Pleads Guilty Crop Insurance Fraud Steve A. McBee, 52, waived his right to a grand jury and pleaded guilty to a federal information that charges him with one count of federal crop insurance fraud. McBee, a Missouri farmer who appears in a reality TV show about his family’s farming operation pleaded guilty this week to a multi-million dollar fraud scheme involving federal crop insurance benefits. Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024-1.pdf Chutzpah – STOLI Fraudster Claims Hardship Felon Seeks Release from Home Confinement in Luxury Apartment in New York City Insurance Fraud is a serious crime, especially when it takes advantage of the elderly to defraud insurers in a Stranger Originated Life Insurance (STOLI) scheme. In United States Of America v. Michael Binday, No. 12 CR 152 (CM), United States District Court, S.D. New York (November 4, 2024) the defendant continued to use the wealth he gained from his fraud to impose on the courts of the United States with frivolous and unfounded motions. Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/11/ZIFL-11-15-2024-1.pdf Barry Zalma, Esq., CFE Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome.
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