TODAY IS THE FIRST ANNIVERSARY TO THIS BLOG, AND I HAVE NEW INFORMATION BASED ON THE ABOVE TITLE.
WHEN I RECEIVED THE FINAL REPORT FROM HSAG (Health Services Advisory Group), THEY LIED AND NOW I HAVE THE EVIDENCE FROM DR. ASHTON'S REPORT. SHE SAID TODAY THAT IF YOU HAVE A TUBAL LIGATION (as I did in 1986) THAT WOULD PREVENT OVARIAN CANCER AND THE REASON IN THE REPORT OF JUNE 24, 2010, STATED "according to authoritative medical textbooks and journals, this test does not verify the presence or absence of cancer in other areas of the body other than ovarian." THAT IS AN ABSOLUTE LIE. ACCORDING TO THE WebMD INTERNET SOURCE, IT STATES "if a doctor has found a cancer that has spread to other parts of the body (metastic cancer) he or she may do a CA-125 TEST TO FIND OUT WHERE THE CANCER STARTED. HIGH LEVELS OF CA-125 ARE A STRONG SIGN THAT THE CANCER HAS STARTED IN THE OVARY. BUT OTHER TYPES OF CANCER CAN INCREASE levels too".
THat is a direct contradiction to what Denise Browsky, RN wrote in her report from HSAG. Even though I wrote Senator Boxer and she did an inquiry on my behalf with Medicare and HSAG, HSAG stuck to its report, all of which were lies.
The "Hat Trick" of Medicare Fraud involves the Medical professional, law firms in Century City and HSAG.
Because I have been the victim of IDENTITY FRAUD, the last being using my debit card to pay an insurance payment with Mercury, I want all to know that my legal name is Janet H. Winston.. Watson is my maiden name and I am 5'8" with green eyes... that cannot be changed.
Tuesday, December 14, 2010
Thursday, October 14, 2010
UNITED STATES SENATOR BARBARA BOXER RESPONSES
I wrote Senator Boxer and asked for a congressional investigation into the fraud within the Medicare system that I experienced with UCLA and all the professionals involved in my medical treatment and surgery in May of 2008.
I receieved a letter from her personally on September 7, 2010 that included two letters she received regarding the investigation. One was from the Office of Clinical Standards and Quality dated August 24, 2010 that was addressed to me, however I NEVER RECEIEVED IT., and the other was from the Centers fro Medicare Services in Seattle, Washington - the heart of this cover-up.
It now appears this should be a criminal investigation for Medicare fraud by the medical professionals who attended me, and the private business known as HSAG in Tampa, Florida. HSAG gathered all the evidence I had against all those involved and shared with them what I had, and discussed how to "edit" their report so that it would appear all involved met the "standard of care" and therefore no action was taken. This fraud has been going on for years and its the "dirty little secret" at least in Los Angeles, in that, a "teaching hospital" such as UCLA would not charge enough money for any law firm to undertake a lawsuit against them when in fact, the law firm would have to pay between $50,000.00 to $100,000.00 for "cost". So UCLA could get away with fraudulent medical treatment and surgeries on Medicare patients, because Medicare pays within one week of billing received, and a company such as HSAG would make sure no professional would be held accountable because they "met the standard of care" with the treatments and surgeries. That is why Medicare is in such trouble.
In addition, I found out from a letter I received from "S.I.", who is the Associate Regional Administrator in Seattle, that a James Randolph Farris, M.D., was the Consortium Administrator in Dallas, Texas... This was a surprise to me. The former Director of Clinical Labs at UCLA fled UCLA for Texas. I did not know until I received this letter that the heart of this cover-up was in Texas as a "consortium" and was not under the jurisdiction of the Office for Civil Rights through Medicare, because they are a "private business" not a Medicare office in Baltimore, Maryland or Washington, D.C.
It's no wonder the medical industry has been getting away with this fraud for years, because it is a "dirty little secret" betweent the medical professionals, law firms in Century City, and the private companies that "investigate" these wrongdoings.
I receieved a letter from her personally on September 7, 2010 that included two letters she received regarding the investigation. One was from the Office of Clinical Standards and Quality dated August 24, 2010 that was addressed to me, however I NEVER RECEIEVED IT., and the other was from the Centers fro Medicare Services in Seattle, Washington - the heart of this cover-up.
It now appears this should be a criminal investigation for Medicare fraud by the medical professionals who attended me, and the private business known as HSAG in Tampa, Florida. HSAG gathered all the evidence I had against all those involved and shared with them what I had, and discussed how to "edit" their report so that it would appear all involved met the "standard of care" and therefore no action was taken. This fraud has been going on for years and its the "dirty little secret" at least in Los Angeles, in that, a "teaching hospital" such as UCLA would not charge enough money for any law firm to undertake a lawsuit against them when in fact, the law firm would have to pay between $50,000.00 to $100,000.00 for "cost". So UCLA could get away with fraudulent medical treatment and surgeries on Medicare patients, because Medicare pays within one week of billing received, and a company such as HSAG would make sure no professional would be held accountable because they "met the standard of care" with the treatments and surgeries. That is why Medicare is in such trouble.
In addition, I found out from a letter I received from "S.I.", who is the Associate Regional Administrator in Seattle, that a James Randolph Farris, M.D., was the Consortium Administrator in Dallas, Texas... This was a surprise to me. The former Director of Clinical Labs at UCLA fled UCLA for Texas. I did not know until I received this letter that the heart of this cover-up was in Texas as a "consortium" and was not under the jurisdiction of the Office for Civil Rights through Medicare, because they are a "private business" not a Medicare office in Baltimore, Maryland or Washington, D.C.
It's no wonder the medical industry has been getting away with this fraud for years, because it is a "dirty little secret" betweent the medical professionals, law firms in Century City, and the private companies that "investigate" these wrongdoings.
Monday, June 28, 2010
MEDICARE IS IN TROUBLE BECAUSE OF THE FRAUD IN HSAG (The Health Services Advisory Group)
If doctors and health care providers are allowed to get away with unwarranted medical treatment that is only for financial gain, then how is Medicare to survive? Medicare patients are expendable, because we are over 65 years old, and have already had our children, and what worth are we other than to use for teaching new residents at "teaching hospitals" how to operate or to treat medical conditions? How is any patient to know they have cancer other than being told by either a pathology report, CT scan, or any other method a doctor uses to detect cancer? Except you can use someone else's report and say it is yours, only for financial gain. Doctors have to bring in billable dollars to their medical centers and what better way than by way of a Medicare patient - because Medicare pays within 7 days after being billed. Doctors do not care, and neither do the people who are supposed to supervise them through Medicare. There is a saying that "doctors are not to do any harm", even though they do harm when they perform surgery on a patient they know does not have cancer, but goes ahead anyway only for the billable dollars it will generate through Medicare. And if the patient experiences any problems in the operating room or post-surgery, who cares? They are just old people.
The problem now is the Health Services Advisory Group (HSAG), and the Quality Improvement Organization (QIO), which are supposed to investigate Medicare complaints. They do not investigate anything... they cover up for the doctors and medical centers by taking any given situation and turning it around for the benefit of the doctors - who have to APPROVE THE FINAL INVESTIGATION REPORT. That violates the 14th Amendment of the Constitution that guarantees "equal protection under the law." That is the same as any criminal having to approve the police report before the officer charges them with a crime. Just how stupid do you think we are? Our founding fathers put that guarantee into the Constitution for a reason as it is now. Obviously, they have been doing this and getting away with it for years, and it is the reason our Medicare program is in such trouble. If doctors are not held accountable for their unwarranted medical practices that are only for billable dollars, then how can Medicare survive? Thank God President Obama is now cracking down on the fraud and abuse within the Medicare program by instructing the Secretary of Health and Human Services, and the Attorney General of the United States to stop the abuse of fraud. They can stop it by eliminating HSAG and finding another program or entity to investigate Medicare complaints. HSAG is a private business.
The CA125 Test is used to detect cancer cells in the body before and after surgery. It is not EXCLUSIVELY FOR OVARIAN CANCER as HSAG is telling me. You do not have a CA125 after the OVARIES ARE REMOVED to TEST FOR OVARIAN CANCER. I have had the test 3 times since my surgery to see IF THE CANCER HAD RETURNED, and all the tests showed (before and after my surgery) as NORMAL. It was the one slip up of the doctors because they could not get around the fact that the test showed I had no cancer cells in my body before the surgery. And therefore, I did not need to have major surgery after all. But HSAG has protected all involved with my surgery and medical treatment at UCLA by lying. They said the polyp that the doctor told me held a "very rare cancer" was now INSIDE THE FIBROID that Cedars Sinai showed in their ultrasound, but the pathology report at UCLA does not show or even state that their was a fibroid.
The surgeon/doctor told both me and my son on June 10, 2008 that the polyp had a "very rare cancer" at the TIP OF THE UTERUS, and never said anything about having a fibroid... it was at the tip of the uterus. He further stated that "he would monitor me every three months with a blood test to see if the CANCER HAD RETURNED". I had the CA125 Test administered by him in October of 2008. A different doctor at UCLA administered another test in April of 2009, all of which to see if the cancer had returned, not for Ovarian Cancer that had been removed in May, 2008. HSAG is telling one lie after another, and I would question what kind of a "reviewer" they had to go over the file, since in 2009 they had someone from the HSAG headquarters in Arizona state that the "standards had been met" for all involved. In addition, they have lied and said that there was no record the Director of Clinical Labs, who later fled UCLA for Texas, ever saw me, and that another "nurse" handed me the card to "call for pre-op." EXCEPT, the evidence is in the Medical Summary Notice that I sent HSAG, which shows this same woman billed Medicare for 3 blood tests she ordered (and were denied payment) - but her name and medial license are listed on the billing statement. How could that possibly happen had I not met her in person?
HSAG is supposed to be in the business of investigating complaints for Medicare, but this office is covering up, so that all involved are not held accountable for their actions and thus would have to reimburse Medicare for all costs involved under fraud. And in this case, the costs are approximately $65,000.00. They are every bit a part of this fraud.
The Supervisor for HSAG has lied to me twice; her first lie was giving me the wrong address for her boss in Baltimore, Maryland, when in fact, her boss is actually based in Washington, D.C. And her second lie was to say that the "Office of Civil Rights only handles discrimination" when in fact, they also investigate violations of medical information abuse. These people are paid for by the federal government and are supposed to do their jobs - not lie. They should all be fired for what has happened in this case, and I think this is just the tip of the iceberg.
The problem now is the Health Services Advisory Group (HSAG), and the Quality Improvement Organization (QIO), which are supposed to investigate Medicare complaints. They do not investigate anything... they cover up for the doctors and medical centers by taking any given situation and turning it around for the benefit of the doctors - who have to APPROVE THE FINAL INVESTIGATION REPORT. That violates the 14th Amendment of the Constitution that guarantees "equal protection under the law." That is the same as any criminal having to approve the police report before the officer charges them with a crime. Just how stupid do you think we are? Our founding fathers put that guarantee into the Constitution for a reason as it is now. Obviously, they have been doing this and getting away with it for years, and it is the reason our Medicare program is in such trouble. If doctors are not held accountable for their unwarranted medical practices that are only for billable dollars, then how can Medicare survive? Thank God President Obama is now cracking down on the fraud and abuse within the Medicare program by instructing the Secretary of Health and Human Services, and the Attorney General of the United States to stop the abuse of fraud. They can stop it by eliminating HSAG and finding another program or entity to investigate Medicare complaints. HSAG is a private business.
The CA125 Test is used to detect cancer cells in the body before and after surgery. It is not EXCLUSIVELY FOR OVARIAN CANCER as HSAG is telling me. You do not have a CA125 after the OVARIES ARE REMOVED to TEST FOR OVARIAN CANCER. I have had the test 3 times since my surgery to see IF THE CANCER HAD RETURNED, and all the tests showed (before and after my surgery) as NORMAL. It was the one slip up of the doctors because they could not get around the fact that the test showed I had no cancer cells in my body before the surgery. And therefore, I did not need to have major surgery after all. But HSAG has protected all involved with my surgery and medical treatment at UCLA by lying. They said the polyp that the doctor told me held a "very rare cancer" was now INSIDE THE FIBROID that Cedars Sinai showed in their ultrasound, but the pathology report at UCLA does not show or even state that their was a fibroid.
The surgeon/doctor told both me and my son on June 10, 2008 that the polyp had a "very rare cancer" at the TIP OF THE UTERUS, and never said anything about having a fibroid... it was at the tip of the uterus. He further stated that "he would monitor me every three months with a blood test to see if the CANCER HAD RETURNED". I had the CA125 Test administered by him in October of 2008. A different doctor at UCLA administered another test in April of 2009, all of which to see if the cancer had returned, not for Ovarian Cancer that had been removed in May, 2008. HSAG is telling one lie after another, and I would question what kind of a "reviewer" they had to go over the file, since in 2009 they had someone from the HSAG headquarters in Arizona state that the "standards had been met" for all involved. In addition, they have lied and said that there was no record the Director of Clinical Labs, who later fled UCLA for Texas, ever saw me, and that another "nurse" handed me the card to "call for pre-op." EXCEPT, the evidence is in the Medical Summary Notice that I sent HSAG, which shows this same woman billed Medicare for 3 blood tests she ordered (and were denied payment) - but her name and medial license are listed on the billing statement. How could that possibly happen had I not met her in person?
HSAG is supposed to be in the business of investigating complaints for Medicare, but this office is covering up, so that all involved are not held accountable for their actions and thus would have to reimburse Medicare for all costs involved under fraud. And in this case, the costs are approximately $65,000.00. They are every bit a part of this fraud.
The Supervisor for HSAG has lied to me twice; her first lie was giving me the wrong address for her boss in Baltimore, Maryland, when in fact, her boss is actually based in Washington, D.C. And her second lie was to say that the "Office of Civil Rights only handles discrimination" when in fact, they also investigate violations of medical information abuse. These people are paid for by the federal government and are supposed to do their jobs - not lie. They should all be fired for what has happened in this case, and I think this is just the tip of the iceberg.
Tuesday, May 25, 2010
Cancer Tumor Antigen 125 Test
How imporant is the Cancer Tumor Antigen 125 Test (CA)? VERY!!
The National Nightly News reported on May 20, 2010 that OVARIAN CANCER is one of the most deadly cancers - because it is hard to detect... until now. They reported that a woman should have a baseline CA 125 Test done along with her yearly physical if she has a family history of ovarian cancer, or if she is showing possible symptoms of cancer. Anything between 0-35 on the CA 125 Test is considered "normal". So, if the blood test results go above 35, then there is a reason to believe cancer cells could be in the body, and the healthcare providor would then schedule an ultrasound test (at a cost of approximately $550.00) to explore the presence of a possible tumor or tumors, instead of performing the more costly and dangerous CT Scan (at a cost of $6,400).
I had three CT Scan tests between April and June of 2008, and now they are saying that just ONE CT Scan alone equals 200 X-Rays, which can be very dangerous in the long run. My CA 125 test which taken just one week prior to my major surgery at UCLA was in the "normal range", yet the doctors at UCLA ignored the test results and went ahead with my surgery any way - for financial gain.
80% of all ovarian cancers are found in the late stages, however with the CA 125 Test, the cancer can be detected in it's earliest stages and in turn, save thousands and lives.
The National Nightly News reported on May 20, 2010 that OVARIAN CANCER is one of the most deadly cancers - because it is hard to detect... until now. They reported that a woman should have a baseline CA 125 Test done along with her yearly physical if she has a family history of ovarian cancer, or if she is showing possible symptoms of cancer. Anything between 0-35 on the CA 125 Test is considered "normal". So, if the blood test results go above 35, then there is a reason to believe cancer cells could be in the body, and the healthcare providor would then schedule an ultrasound test (at a cost of approximately $550.00) to explore the presence of a possible tumor or tumors, instead of performing the more costly and dangerous CT Scan (at a cost of $6,400).
I had three CT Scan tests between April and June of 2008, and now they are saying that just ONE CT Scan alone equals 200 X-Rays, which can be very dangerous in the long run. My CA 125 test which taken just one week prior to my major surgery at UCLA was in the "normal range", yet the doctors at UCLA ignored the test results and went ahead with my surgery any way - for financial gain.
80% of all ovarian cancers are found in the late stages, however with the CA 125 Test, the cancer can be detected in it's earliest stages and in turn, save thousands and lives.
Wednesday, March 24, 2010
Protecting 3rd Ranking
UCLA in 2008 was ranked third in the nation for a medical center - behind John Hopkins in Maryland and The Mayo Clinic in Minnasota, so when I filed my complaint with both the Medical Board of California - who is responsible for a doctor's license, and Medicare - who can take away the priviledge to receive funds for any and all medical treatment for citizens over 65, the doctors involved with my treatment and UCLA alledgedly went into action to protect that ranking by making sure my complaint would never be heard in California, but rather Florida. No one expected me to question my medical treatment and that I had a "very rare cancer" ... the absolute arrogance of the doctor involved to think he was above the truth and I would buy whatever lie he told me!
What is very disturbing about this situation now, is that there are so many poeple involved with this alledged conspiracy. Last year in 2009, according to the Los Angeles Times and 60 Minutes on CBS, UCLA sold liver transplants to "Japanese Mob Bosses" for $1,000,000.00 for one man, and $400,000.00 for 3 others, making a total of $2,200,000.00. It didn't involve Medicare and the federal government so they got away with the excuse they gave as several men died waiting for a liver transplant who were high on the list and the Japanese Mob Bosses were low down on the list, but had millions to pay for one. How much has been paid to cover up the fraud involved in my case?
What is very disturbing about this situation now, is that there are so many poeple involved with this alledged conspiracy. Last year in 2009, according to the Los Angeles Times and 60 Minutes on CBS, UCLA sold liver transplants to "Japanese Mob Bosses" for $1,000,000.00 for one man, and $400,000.00 for 3 others, making a total of $2,200,000.00. It didn't involve Medicare and the federal government so they got away with the excuse they gave as several men died waiting for a liver transplant who were high on the list and the Japanese Mob Bosses were low down on the list, but had millions to pay for one. How much has been paid to cover up the fraud involved in my case?
Thursday, March 11, 2010
INTENTIONAL CONCEALMENT
Well here I am again, and with new information. It appears that this whole situation is a massive conspiracy and cover-up from day one, when I filed my complaint with Medicare for abuse, and later realizing fraud.
I have just learned that medical records are supposed to be reviewed by physician peer reviewers - licensed and in practice in California. That is what it is "supposed to be", but what it was, in fact, was that no one in California connected with Medicare knew of my complaint and the circumstances which I brought to light, because all of the records that were sent by doctors and by UCLA were sent to Florida for review - after the contract was taken from California just after I filed my complaint. The records were then given to a new HSAG office in Florida.
I allege that all of the records that were supposed to be sent to a physicians peer review were in fact sent to either the owner or an employee of the owner of the HSAG corporate office in Arizona to "review" and make a recommendation, and not from California as I allege they were contracted to do... It was intentional concealment of the facts of my case, and the goal was to let all physicians and UCLA off the hook by saying "it met the standard of care" and therefore my file was closed. Only when I wrote the Secretary of Health and Human Services in Washington D.C., was my case re-opened.
And that is the status now.
I have just learned that medical records are supposed to be reviewed by physician peer reviewers - licensed and in practice in California. That is what it is "supposed to be", but what it was, in fact, was that no one in California connected with Medicare knew of my complaint and the circumstances which I brought to light, because all of the records that were sent by doctors and by UCLA were sent to Florida for review - after the contract was taken from California just after I filed my complaint. The records were then given to a new HSAG office in Florida.
I allege that all of the records that were supposed to be sent to a physicians peer review were in fact sent to either the owner or an employee of the owner of the HSAG corporate office in Arizona to "review" and make a recommendation, and not from California as I allege they were contracted to do... It was intentional concealment of the facts of my case, and the goal was to let all physicians and UCLA off the hook by saying "it met the standard of care" and therefore my file was closed. Only when I wrote the Secretary of Health and Human Services in Washington D.C., was my case re-opened.
And that is the status now.
Monday, February 8, 2010
Fraud for Financial Gain
Hello,
Here I am for what is turning out to be a monthly "update" regarding this mess and the absolute fraud of the Medicare System for financial gain.
What I have discovered now is that my civil rights have been violated under th 14th Amendment to the Constitution which guarantees "equal protection under the law"... but that does not apply for Medicare recipients against health care providors.
Apparently when a Medicare beneficiery files a complaint against a doctor or hospital, THEY, not YOU, are totally protected because any cause of complaint one makes, and offers evidence to prove that complaint, is shared with the healthcare provider BEFORE they inform the patient what the investigation has discovered. AND, any information the healthcare provider does not want you to have is withheld. Where is the equal protection under the law??
After I filed complaints with both Medicare and the Medical Board of California regarding all doctors involved in my treatment, the office for Medicare (HSAG in Florida) was unprofessional and did not request information prior to my surgery that would prove I never had cancer, and it took me 9 months to get a result. That result was that "it met the standard of care" and therefore all files were closed. Only when I wrote the Secretary of Health and Human Services in Washington, D.C. did I get a chance for a new start. Yet, in the meantime, the Director of Clinical Laboratories, who is crucial to this matter (because she controlled the pathology labs at UCLA), immediately retired 3 months ago. She was given all information I had against her and then retired so I could not go after her either legally or criminally via the Federal Government.
So much for "Equal Rights"...
Here I am for what is turning out to be a monthly "update" regarding this mess and the absolute fraud of the Medicare System for financial gain.
What I have discovered now is that my civil rights have been violated under th 14th Amendment to the Constitution which guarantees "equal protection under the law"... but that does not apply for Medicare recipients against health care providors.
Apparently when a Medicare beneficiery files a complaint against a doctor or hospital, THEY, not YOU, are totally protected because any cause of complaint one makes, and offers evidence to prove that complaint, is shared with the healthcare provider BEFORE they inform the patient what the investigation has discovered. AND, any information the healthcare provider does not want you to have is withheld. Where is the equal protection under the law??
After I filed complaints with both Medicare and the Medical Board of California regarding all doctors involved in my treatment, the office for Medicare (HSAG in Florida) was unprofessional and did not request information prior to my surgery that would prove I never had cancer, and it took me 9 months to get a result. That result was that "it met the standard of care" and therefore all files were closed. Only when I wrote the Secretary of Health and Human Services in Washington, D.C. did I get a chance for a new start. Yet, in the meantime, the Director of Clinical Laboratories, who is crucial to this matter (because she controlled the pathology labs at UCLA), immediately retired 3 months ago. She was given all information I had against her and then retired so I could not go after her either legally or criminally via the Federal Government.
So much for "Equal Rights"...
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