Psychiatric Treatment Plans

Monthly treatment plans are wasteful, disruptive of care, toxic and actually illegal. I suggest you review these questions with your lawyer;

1) I found no evidence of a benefit of a treatment plan. In this study of asthma, it made no difference compared to ordinary patient education. 

http://www.cochrane.org/CD011859/AIRWAYS_written-and-personalised-action-plans-help-adults-manage-their-asthma

You should inquire of reviewers for the studies supporting this practice. I may have missed them searching the medical literature. If they cannot provide the evidence, then they are not medically necessary;

2) the definition of Medicaid fraud is reviewed here. It includes the provision of procedures that are not medically necessary;

https://definitions.uslegal.com/m/medicaid-fraud/

3) if the predicate crime is Medicaid fraud, and one communicates with others about it, that satisfies the definition of the federal conspiracy crime;

https://www.law.cornell.edu/uscode/text/18/371

4) beyond quackery, and its legal consequences, such treatment plans are not required in internal medicine, nor in pediatrics;

Obamacare contains a mental health parity provision. If it is repealed, mental health parity is still required by the Wellstone Act of 2008. These treatment plans and all other requirements not demanded of other specialties violate the Wellstone Act. One reports such violations to the Labor Department for federal enforcement. Review here. 

https://www.dol.gov/sites/default/files/ebsa/laws-and-regulations/laws/mental-health-parity/dol-report-to-congress-2018-pathway-to-full-parity.pdf

5) because of the fraction of minorities on Medicaid, these policies have a disparate impact on minorities. Statistical disparity is now sufficient evidence of racial discrimination;
  https://en.wikipedia.org/wiki/Texas_Department_of_Housing_and_Community_Affairs_v._Inclusive_Communities_Project,_Inc.

6) their intent is to deny access to care, to deter providers with punitive writing assignment, to consume time to reduce the number of procedures billed. The result of this bad faith scheme? The 30% surge in suicide in Pennsylvania. These government functionaries should be considered to be mass murderers. Did you ever get a repetitive writing assignment, after you broke a rule in school?

It was a form of corporal punishment. It was administered to the body. It took your time. It frustrated you and made you feel bad. It took your freedom away, to do other physical activities. It was even physically painful. It traumatized you, and deterred future misconduct by a lasting PTSD. It also intimidated the other students in a form of social learning. Seeing other animals punished has an effect on the on looking animals. That is called social learning.

We are not allowed  to apply corporal punishment to our patients. We are not even allowed to do anything corporal, such restrain them. That is a human rights violations according to the regulators.

Why on earth would you allow payers to physically punish your staff? What are you deterring by this corporal punishment? It is billable clinical care.

The result? A rise of 30% in the suicide rate of Pennsylvania. That is 100% caused by the criminals who control your payments. Because they know the effect of limiting access to care, they are mass murderers as if they killed those thousands of people themselves. Your payers are knowing, cold hearted, mass murderers.

Vicious Phone Hacking I and II

Vicious Phone Hacking II.
I told a guy about Vicious Phone Hacking I. He replied:
A beautiful woman made a video call. He did not know her. She eventually disrobed. She then asked him to show his genitals. He did. She recorded the genitals. She then demanded $1500 to not send them to the contacts in his phone and in social media. He refused. She sent the pictures to his sister. He told the police. They said, they coould nothing about it.
...

He also believed she may have gotten his information from free dating sites.
He told me he got 63 Friend requests on Facebook from good looking women. If you allow the Request, they then have the Facebook accounts of all you Facebook Friends. These are false accounts. They may have your phone number.


Vicious, Disconcerting Phone Hacking and Extortion I
The press claims crime is dropping. Far from crime rates dropping, they are exploding. Crime has moved to the internet, is far more lucrative, and much less risky, close to immune.
I think I know how this happened.
Guy gets video call from a good looking woman he does not know. She says, she has all his phone content. She will publish it to the internet and to social media. She then displays icons of his pictures, documents, including identification, credit card information, video, some intimate, along the side of her picture. When he says, he is disabled and poor, has no money, she says, she will have him beheaded. He understandably got frightened, and took the phone back to the store for replacement. I suggested he file a report with the FCC, and with the FBI. I had not heard of this crime before. Someone needs to go on my group A New Word is Needed for This on Facebook, and invent a name for this crime. I am banned from Facebook for another week. Another word is needed for people who repeatedly get on Facebook one week, and get banned 4 weeks.
I think he downloaded an app. It asked for permission to access all the content, and he consented.
Either remove compromising phone content, or do not consent to any app access to it. If you have a project that needs advertising, then tell the lady from Eastern Europe to publish everything. Get free labor posting to social media.