7.14.2022

About the Franciscan Missionaries of Our Lady Health System

American Medical Association (AMA), and its sister association, American psychiatric Association (APA), under whose specialized designation rules for physicians, psychologists, and doctors are sworn, upon failure--under penalty--censure, suspension, or debarment.

About the Franciscan Missionaries of Our Lady Health System

The Franciscan Missionaries of Our Lady Health System is one of the largest healthcare systems based in Louisiana and is the leading healthcare provider for more than half the state’s population. The health system is a non-profit, Catholic organization sponsored by the Franciscan Missionaries of Our Lady. Headquartered in Baton Rouge, Louisiana, the ministry serves patients in Louisiana and Mississippi through a network of hospitals, clinics, physicians, elderly housing and integrated systems. The health system’s unified physician organization is comprised of 900 adult and pediatric primary care physicians and specialists. The system’s nine hospitals include St. Francis Medical Center in Monroe, Our Lady of the Lake Regional Medical Center in Baton Rouge and Gonzales, Our Lady of the Lake Children’s Hospital in Baton Rouge, Our Lady of Lourdes Regional Medical Center, Heart Hospital, and Women's & Children's in Lafayette, Our Lady of the Angels in Bogalusa, and St. Dominic Hospital in Jackson, Mississippi. For more information, visit www.fmolhs.org.

 

Louisiana State University Health Sciences Center and U.S. Department of Justice JAMA Psychiatry Louisiana State University School of Medicine in New Orleans Louisiana State University American Society of Addiction Medicine - ASAMThe National Institutes of HealthAmerican Medical Association Association of American Medical Colleges (AAMC)LSU Foundation


________________ *


Louisiana State University Residents, Meet FMOLHS OLOL LSU Board of Supervisors Mark Zielinski, MD. (NPI Number: 1194875625) Assistant Professor (LSU-HSC BR) O'DONOVAN 5131 O'donovan Dr., Suite 300 https://t.co/wBxDVnVXIN pic.twitter.com/IxgrIuEQm0

— mrjyn (@mrjyn) 10 sierpnia 2021



Lee Tynes, he loud at you too much


simple payment plan procured it having never cost over $99 at any one
time, letting internet looking out and dealings acquire from a restricted
stock virtual objects, unable to touch--once yours, stays yours.
* that sucks troubled.
* *


* the academic department L Tynes who having flat it the dam



swallow inclination Dr Z has to ivory dissociation from me through
lukewarm eventualities of conflagration an wake valor, have fail therefore
a lot of that only through the scheme which I m of the inclination to think
assume come from his nurse at all, but came from hi as a particular
suggestion for his nurse o collaborate of which he found a willing agent
to play the bit role of this tawdry psychopathology opposite game of
though raven wrongdoing of vary rue law and best practicum in dry
Association Licensing Agony, Medical Board, Board of relevant in the
formally relevant document which Gorgon the official foresight and
removal of licensure or censure although temporary debarment he has
created the last word condensation of his sworn oaths and duties to uphold
including the plutocratic oath whose duty to do no harm is in this time
of pandemic and death and the current shortage of doctors which appears
me on the streets with no referral or provision for continuation of
medication I have taken for a decade and no communication or condensate process
or chance from van one person whose duty that it is to address
these serious grievances from FMOL OLol LsSU Board of Supervisors where I
am left with a religious Order who is choosing to mire themselves in
yet another PR nightmare of medical practitioner Abandonment malpractice and
Violation of Civil Rights or a protected patient who is protested as a
Federal Medicaid precinct, a Homeless citizen whose temporary residence
is a hotel, and a lonely disabled subject whose incidental botching of
survive by strident was sloppily expedited and exacerbated my
future diagnoses through gray of the fractured L and L discs which
the primary resident ER doctor did not trouble to order, sending a
Emergency paramedic arrival on stretcher who could not walk hm after a
perfunctory examination and the spreading of isobutylphenyl propionic acid as a prescription to
my horror, whereupon for a week i languished bedrid unable or me
until I returned and much to the shock and excitability sympathetic
anxiety of the Charge Nurse and the Administrator she called in up
discovery of the firm = i was sent home and now suffer from complete
inability to stand for longer than on minute at time, in addition as a
continuing infection of my legs which has never been attended to on
presentation or further steel to this day. ... nor written or oral nor
skywriting even, and during the Christian season of joyous giving
 

 

 

 

* forgoing legal consequence and revenge will expose his to
unpleasant contingency, sure as shooting means carrying it out anyway,
is the sign of selection which is the of low-caliber, moral
transgression, and people whose gratuitous title depends on the illusion
that others assume they are employment is from the good job that
they are doing, whereas themselves, even understand sometimes in moments
of prolonged states of sobriety, that they are, at best, only a
formality, disposable, and with a high-pitched screaky noise, whose
noise all tend ignore, sanctioned those Zielinski's free reign in
terrorizing out of disdain the singular nature to conduct herself at his
job the suggests that he can, as ain't nobody with seniority he see over his
tell his he should not, so this can be the proper introduction to the
story of however Mark Zielinski illicitly Evicted state by steward,
UN agency Managed to influence a Head of psychiatrical Resident
Department of the Parish of EBR, not solely that it had been lawful, and
that he show up as a show of wonderful of fine, Force, and Authority,
however h ought to have celestial body this request on high of that feat: on
the method, collectively would possibly he please not browse any newspaper, law,
act, or decree which could attempt to build a case for that instead of
stern my bootleg, strong-arm extraction of no cause and beneath
no authority that he would do i front of the officer ... he need to square measure
line of labor his supervisor or Lieutenant to answer all the queries
that he stood taking note to, surprised that someone knew his job
beyond he.

 

 Zielinski was secluded,
celebrating Christmas, and so equally joyous my final riddance,
through any implies that necessary, and from the last person to whom i
would receive truthful, ethical, or skilful acumen, on the rare
occasion that our ways in which crossed I finally saw the necessary Mark
Zielinski.


* Courtesy replaced instead with imitative, meretricious



Minor Depression, General Anxiety, and MBD / ADD, occurring in my
recollection before the one-two punch that then prohibited the patient
of a general practitioner or physician from eager to order any Narcotic
Analgesic Pain Relief, once the obscene and foolish insincere mental object
the medical community announced on their hoodwinking by huge company
of the colorless edges and full pain relief over what then "pain
degree," was still showing mercy sordid one in all 5 diagnostic
issues for the foremost efficacious treatment of a patient.
 

 

* currently because of huge company UN agency simply paid a Billion bucks
having contribute to ye epidemic of Oxycontin Addiction and Abuse and
its damaging Sherman's March through the agricultural cities associate industrial
minutes associated mills that dot this country and whose initial victims to an
prescription thus dramatic, that the death rate and therefore the economic condition and
dissolution of family and road to institutionalization and criminal
captivity it left in its wake has solely continuing to morph within the
cheaper drug of abuse equivalences for those prescription pills,
whose tightly regulated dispense and watching for the only a few
patients UN agency square measure ready by the severity of their finish stage palliative and
hospice care solely allowed, the others way back having graduated to the
cheaper however deadlier narcotic drug of abuse base of hard drug,
upper and, with Sublimaze getting used as associate extender in China
and currently everyplace, the athletics ramping from another epidemic of
dose chow from the unknown amount and perilously unknowable
likelihood that junkie have forever trade for thee delivery from illness
which can eventually take their lives.




This notice serves as a reminder to all health care professionals and facilities in the State of Louisiana of their duty to provide health care services in a non-discriminatory manner, pursuant to federal and state law and regulations. For further guidance and information, the Louisiana Department of Health (LDH) recommends that all healthcare providers review and maintain compliance with the bulletin posted on March 28, 2020, by the HHS Office of Civil Rights in Action, which is provided with this memorandum and can be located at the following link:

 

Bienville Building · 628 N. Fourth St. • P.O. Box 629 . Baton Rouge, Louisiana 70821-0629 Phone: (225) 342-9500 • Fax: (225) 342-5568 • www.ldh.la.gov An Equal Opportunity Employer HHS Office for Civil Rights in Action March 28, 2020 BULLETIN: Civil Rights, HIPAA, and the Coronavirus Disease 2019 (COVID-19)

• Guidance on Disclosures to Law Enforcement and Other First Responders Filing a Complaint with OCR If you believe that a covered entity violated your civil rights, conscience and religious freedom, or health information privacy rights, you may file a complaint at https://www.hhs.gov/ocr/complaints.
If you speak a non-English language and need help with this document, call 1-800-368–1019 (TTY: 1 800-537-7697), and you will be connected to an interpreter who will assist you at no cost. Louisiana State Board of Medical Examiners 630 Camp Street, New Orleans, LA 70130[1] Phone: (504) 568-6820[2] Fax: (504) 568-5754 Web site: http://www.lsbme.la.gov[3] COMPLAINT FORM Name of complainant: _______________________________________________ 2. Address and telephone number of complainant: Address:_____________________ City:______________________ State: _____ Zip: _______ Day phone #: ____________ Evening Phone #:___________ Email: _____________________ 3. Relationship of complainant to patient:________________________________________________ 4. Name and Date of Birth of patient: Name:_________________________ Date of Birth:__________ 5. Full name and address of practitioner about whom you are complaining (provide a separate complaint form for each practitioner or allied health professional[4] about whom you wish to complain): Name: ______________________________________________ Address:__________________________________, City:_______________. State:______ Zip: _______ Phone #:________________________________________ Approximate dates of treatment[5]: From:___________________ To: _____________________ 6. Statement of your Complaint[6] (If you do not have sufficient space, please attach a separate printed document). ___________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ __________________
_Complainant’s Signature[7]: ____________________________________ Date: _____________________ [8] 6.10.19 Louisiana State Board of Medical Examiners[9] 630 Camp Street, New Orleans, LA 70130 Phone: (504) 568-6820 Fax: (504) 568-5754 Web site: http://www.lsbme.la.gov

 

[10] AUTHORIZATION TO RELEASE YOUR COMPLAINT INFORMATION I hereby give the Louisiana State Board of Medical Examiners permission to send a copy of my complaint to the practitioner listed above and that this will include disclosing my identity. I understand as well, whether I sign below or not, that the medical records of the patient(s) involved may be obtained by the Board as a part of its investigation. I may elect not to sign below and thus request that my identity be kept confidential. In that case, only a summary of the complaint may be provided to the practitioner. I understand however, that even if I do not sign below and have the Board handle this complaint confidentially, that the Board may be required by law to disclose my identity to the practitioner at a later stage of the proceedings. Understanding the above, by my signature below, I hereby give consent to the Board to release a copy of my complaint to the practitioner: Complainant’s Signature: Date:________________

DEFINITIONS Includes Universities, Community Colleges, Technical Colleges, and Health Sciences Centers.Includes Medical Centers and the LSU Health Care Services Divisions. Higher Education:Health Care Services: Members of a board, commission, or other authority of state government created or authorized by law, by the Louisiana Constitution, or executive order.Board Members: Employees of the State and any of its instrumentation who are governed by the State Civil Service Rules.Classified Employees: Employees of a college or university of the state excluding students.Education Employees:Employees who work a regular schedule of 40 hours per week or 80 hours biweekly.Full Time: Primary division in the executive branch of state government.This includes the twenty major agencies created by statute, higher education system and hospitals. For example: The Department of Health and Hospitals.Department: Employees who work less than 40 hours per week.Part Time:Employees who are typically board and commission members who are not salaried employees and who meet one or two days per month.Per Diem: Employees of the Executive Branch of State Government.State Employees: Employees who are required under the terms of employment to be a full time student in a school, college, or university.(excluding students employed by the educational institution in which they are enrolled as students) Student Employees: Employees of the State and any of its instrumentalists who are exempt from the classified service.These employees are not governed by the State Civil Service Rules.For example: teaching professionals in Higher Education.Unclassified Employees:Employees of local governments who are subject to State Civil Service Rules and excluded from state government counts per R.S. 42:290(B). Units of Local Government: Intermittent employees that have no regular work schedule and work on an as needed basis.These employees are generally in the unclassified service. Examples: Nurses who only provide relief work while the regular incumbent in on leave
Employee Discipline If a University employee is exhibiting problems with their performance and/or conduct, they may be subject to discipline. * The type of discipline should reflect the seriousness of the offense and the type of employee receiving the disciplinary action. * All employees should become familiar with the PS-08, the university's policy on Employee Discipline Procedures for Professional, Other Academic, and Classified Employees. * Regardless of the employee type, all discipline must provide due process to the employee and be distributed fairly and equitably. * The first response to a performance problem (e.g., unacceptable attendance, unsatisfactory job performance or inappropriate conduct) is a coaching session. * A coaching session is the most effective way to deal with a small problem before it becomes a bigger problem. * Contact an Employee Relations Team Member hr@lsu.edu 225-578-8200 Twitter Facebook Professional Employees & Other Academic Employees Professional and other academic employees hold their positions at the pleasure of the Board of Supervisors, except as otherwise stated in the By-Laws and Regulations of the LSU Board of Supervisors. * Supervisors considering termination or discipline of professional and other academic employees should contact Employee Relations. * Process Coaching Session First Decisional Conference Second Decisional Conference Final Decisional Conference Termination or Alternatives to Termination The Employee Contract requires Appointing Authority approval. * If an employee disagrees with the facts presented in the contract, he/she may file a grievance in accordance with PS-80. * The Appointing Authority reserves the right to place the employee on a suspension without pay or a reduction in pay in lieu of the Employee Contract or if the employee refuses to sign the contract. * The employee may also be subject to termination if he/she refuses to sign the contract. * Suspension without pay - An enforced leave of absence without pay for a specified period of time. * Suspensions without pay require Appointing Authority approval and are appealable to the Civil Service Commission. * Reduction in pay - An enforced reduction in the employee's pay normally determined by assessing the cost of a suspension and then reducing the employee's pay over several payroll periods. * The reduction in pay is a severe penalty, in that, the employee is expected to perform his/her duties but must do so for a lesser amount of pay. * Since reductions in pay are figured on base pay, both retirement contributions and over-time are figured at a lower rate of pay. * Reductions in pay are for a specific period of time. * However, no employee may be reduced in pay below the minimum/entry pay for the job title/classification he/she occupies. * Reductions in pay require Appointing Authority approval and are appealable to the Civil Service Commission. * Employee Discipline Procedures for Professional, Other Academic and Classified Employees PS-08, Revision: PS0008.R06, Effective: June, 16, 1997

Franciscan Missionaries of Our Lady Sisters[11], Franciscan Missionaries of Our Lady Health System[12] Executives and Board OLOL ORDINARIES IN PEACE AND COMMUNION WITH THE APOSTOLIC SEE[13], Louisiana State University[14] LSU Board of Supervisors[15], LSU-HSC BR Residential Program[16] Directors, Supervisors, Professors, and any whose eyes through HIPPA be authorized to read this grievance of injury and medical malfeasance ...

 

Mark Zielenski MD.[17], Lake physician group (NPI: 1194875625) Assistant Professor Residential Program LSU-HSC DEPARTMENT OF RESIDENTIAL PSYCHIATRY PROGRAM, BATON ROUGE CAMPUS WILL DIRECT you through a two-year curricula program--under his superintendence, and through his mentorship as beneficiary of that which FMOLHS statement calls 'the largest healthcare center in the state."

 

Kathleen Crapanzano, MD, MACM[18] Program Director LSU Psychiatry Residency Program-Baton Rouge 5246 Brittany Drive Baton Rouge, LA 70808 Ph: 225-757-4212 Another Catholic charitable institution worth billions of dollars, consisting of 6 LA Hospitals, and scot-free, FEDERALLY funded healthcare, EDUCATION, AND LAND DEALS, as considerations too varied to detail--all run by sisters and friars?

 

Of course not. (FMOLHS - OLOL) Executive Board consists of one clerical representative--the other board members are businessmen, disconnectedness in perspective of state and local business and politics -- as was their former president, convicted of embezzling throughout his term and under their nose--I wonder-- virtually a millionairess -- half that stonewashed was paid to 2 LSU football players--check to see who the coach was in 2018--as bribes--YOUR MONEY).

 

Remember that next time your wait in the ER is over 2 hours. I expose myself in revealing someone else, but only through personal exposure do I impel direct experience onto the Residential doctor's discretion to irrelevance. It is for you to decide as to how to-shield yourself from that which I swear true, as something no doctor has done in my 58 years of cross-section, good to bad, to never--here, now the nadir, or to disregard institutional depravity.

 






 

The tweet accumulated 29,600 likes and 4,500 retweets in 3 days. 

StayHipp, Paper Mag and Junkee revealed articles on Fetch the Bolt Cutters memes ...

 

Video link

 

 

 

The Medicare hospice benefit allows providers to claim Medicare reimbursement for hospice services provided to individuals with a life expectancy of 6 months or less who have elected hospice care. Previous OIG audits and evaluations found that Medicare inappropriately paid for hospice services that did not meet certain Medicare requirements.

Our objective was to determine whether hospice services provided by Franciscan Hospice (Franciscan) complied with Medicare requirements.

How OIG Did This Audit

Our audit covered 21,537 claims for which Franciscan (located in University Place, Washington) received Medicare reimbursement of $101.5 million for hospice services provided from January 1, 2016, through December 31, 2017. We reviewed a random sample of 100 claims. We evaluated compliance with selected Medicare billing requirements and submitted these sampled claims and the associated medical records to an independent medical review contractor to determine whether the services met coverage, medical necessity, and coding requirements.

What OIG Found

Franciscan received Medicare reimbursement for hospice services that did not comply with Medicare requirements. Of the 100 hospice claims in our sample, 79 claims complied with Medicare requirements. However, the remaining 21 claims did not comply with the requirements. Specifically, for 19 claims, the clinical record did not support the beneficiary's terminal prognosis, and for the remaining 2 claims, there was no documentation to support the hospice services that Franciscan billed to Medicare.

Improper payment of these claims occurred because Franciscan's policies and procedures were not effective in ensuring that the clinical documentation it maintained supported the terminal illness prognosis and the hospice services billed to Medicare. On the basis of our sample results, we estimated that Franciscan received at least $13 million in unallowable Medicare reimbursement for hospice services.

What OIG Recommends and Franciscan Comments

We recommend that Franciscan: (1) refund to the Federal Government the portion of the estimated $13 million for hospice services that did not comply with Medicare requirements and that are within the 4-year reopening period; (2) based upon the results of this audit, exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation; and (3) strengthen its policies and procedures to ensure that hospice services comply with Medicare requirements.

In written comments on our draft report, Franciscan disagreed with our findings for 12 of the 19 sampled claims for which the clinical record did not support the beneficiary's terminal prognosis and said that a physician's clinical judgment is fundamental in determining that prognosis.  

Franciscan also disagreed with our use of extrapolation across the audit period.

Franciscan agreed with our second recommendation and disagreed with our first and third recommendations.

After reviewing Franciscan's comments, we maintain that our findings and recommendations are valid. 

 Federal regulations require that clinical information and other documentation support the beneficiary's terminal prognosis and be filed in the medical records.


In perpetuity. Le chanson morte a tue, fatalite noir de 1ere degree x 3 comorbidity.

Franciscan Missionaries of Our Lady Health System, covered entity affiliates, Our Lady of the Lake, Franciscan Missionaries of Our Lady University (FranU) and their subsidiaries comply with Federal civil rights laws discriminate ... FMOL and covered entity affiliates exclude


Southern Society for Clinical Investigation 

www.ssciweb.org

Office for Civil Rights 

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf 

hhs 

1-800-368-1019

https://oig.hhs.gov/documents/false-claims-act/254/Louisiana.pdf


OFFICE OF THE LOUISIANA ATTORNEY GENERAL 

Baton Rouge, LA 70802 (225) 326-6705 

http://www.ag.state.la.us/

Louisiana Department of Justice Medicaid Fraud Unit Louisiana MFCU combat incorrect reporting of diagnoses or procedures to maximize payments; billing for services, medical supplies or equipment not furnished; misrepresentation of the dates and descriptions of services furnished, the identity of the recipient or the individual furnishing services; and billing for noncovered or nonchargeable services as covered items. discriminate against a beneficiary (e.g., prevent them from signing up for a plan based on their age, health status, race or income), entice beneficiaries to enroll in a more costly plan than they require, or erroneously - and vigorously prosecute criminals who prey

(225) 326-6210 

www.ag.state.la.us

Karen Glassman 

202-708-9777 

Susan Gillin 

202-205-9426 

Read more on www.justice.gov

Action Details

  • Date:June 23, 2021
  • Agency:U.S. Attorney’s Office, Western District of Texas
  • Enforcement Types:
    • Criminal and Civil Actions

State False Claims Act Reviews

The Office of Inspector General (OIG), in consultation with the Attorney General, determines whether States have false claims acts that qualify for an incentive under section 1909 of the Social Security Act. Those States deemed to have qualifying laws receive a 10-percentage-point increase in their share of any amounts recovered under such laws.

To qualify for the financial incentive, a State's false claims act must:

establish liability to the State for false or fraudulent claims, as described in the Federal False Claims Act (FCA), with respect to Medicaid spending;

contain provisions that are at least as effective in rewarding and facilitating qui tam actions for false or fraudulent claims as those described in the FCA;

contain a requirement for filing an action under seal for 60 days with review by the State Attorney General; and

contain a civil penalty that is not less than the amount of the civil penalty authorized under the FCA.

Since the effective date of section 1909 of the Social Security Act, the FCA has been amended by the Fraud Enforcement and Recovery Act of 2009 (FERA), the Patient Protection and Affordable Care Act (ACA), and the Dodd-Frank Wall Street Reform and Consumer Protection Act (the Dodd-Frank Act). These three acts, among other things, amended bases for liability in the FCA and expanded certain rights of qui tam relators. In addition, effective August 1, 2016, the civil penalties authorized under the FCA increased pursuant to the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015. Going forward, the civil penalties authorized under the FCA will incrementally increase on an annual basis. As such, the civil penalties authorized under a State's false claims act must also increase at the same rate and time as those authorized under the FCA in order for the State to continue to receive the financial incentive.

To request a review of a false claims act, States should submit a complete copy of the law and any other relevant information to: officeofcounsel@oig.hhs.gov

OIG also strongly encourages States with draft legislation to submit their drafts for informal review and discussion before the draft legislation is passed.

Mr. Nicholas J. Diez Assistant Attorney General State of Louisiana Department of Justice P.O. Box 94005 Baton Rouge, LA 70804-9005
Dear Mr. Diez:

The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) has received your office’s request to review Louisiana’s amended Medical Assistance Programs Integrity Law, La. Rev. Stat. Ann. §§ 46:437 through 46:440, under the requirements of section 1909 of the Social Security Act (the Act). Section 1909 of the Act provides a financial incentive for a State to enact a law that establishes liability to the State for individuals and entities that submit false or fraudulent claims to the State Medicaid program. For a State to qualify for this incentive, the State law must meet certain requirements enumerated under section 1909(b) of the Act, as determined by the Inspector General of HHS in consultation with the U.S. Department of Justice (DOJ). We have determined, after consulting with DOJ, that the amended Louisiana Medical Assistance Programs Integrity Law does not meet the requirements of section 1909(b) of the Act. Section 1909(b)(1) of the Act requires the State law to establish liability for false or fraudulent claims described in the Federal False Claims Act with respect to any expenditure described in section 1903(a) of the Act. The Federal False Claims Act, as amended by the Fraud Enforcement and Recovery Act of 2009, establishes liability for, among other things, conspiring to commit a violation of another subsection of section (a)(1) of the Federal False Claims Act. See 31 U.S.C. § 3729(a). In contrast, the amended Louisiana Medical Assistance Programs Integrity Law does not establish liability for the same breadth of conduct as the Federal False Claims Act, as amended. Section 1909(b)(2) of the Act requires the State law to contain provisions that are at least as effective in rewarding and facilitating qui tam actions for false and fraudulent claims as those described in sections 3730 through 3732 of the Federal False Claims Act. The Federal False Claims Act, as amended by the Patient Protection and Affordable Care Act, provides that the court shall dismiss an action or claim under the Federal False Claims Act, unless opposed by the Government, if substantially the same allegations or transactions as alleged in the action or claim were publicly disclosed (i) in a Federal criminal, civil, or administrative hearing in which the Government or its agent is a party; (ii) in a congressional, Government Accountability Office, or other Federal report, hearing, audit, or investigation; or (iii) by the news media, unless the action is brought by the Attorney General or the person bringing the action is an original source of the information. See 31 U.S.C. § 3730(e)(4)(A). In contrast, the amended Louisiana Medical.