Tuesday, February 21, 2017

I’ve Made the Case for Fraud Against University Foot & Ankle Institute



On February 13, 2017, I received from Noridian Healthcare Solutions, the appellate contractor for Medicare, a dismiss notice for an untimely appeal by University Foot & Ankle Institute.  This notice was addressed to them with a copy to me on February 6.  University Foot & Ankle Institute double-billed Medicare for the walking boot for $292.  On January 29, 2016, Medicare paid for the boot, as reflected on my bill as Janet H. Winston.  They then 7 months later billed for the same boot, the same date, and in the name of Janet Winston (the name Carole Wells Doheny used) that was denied on August 31, 2016.  These stupid people then appealed the denial on January 11, 2017. 

If you are dealing with legitimate people in accounting, they would know you have to appeal within 4 months, making the last date December 31, 2016.  They have been caught for double billing fraud, using two different people, and why I appealed the second bill was not mine, but for Carole Wells that resulted in the denial on August 31, 2016.  They just didn’t file their appeal on time, so the appellate effort is over.  They have to pay the supplier of the boot $292, repay Medicare for the overpayment of $116.13, and pay me my refund of $61.58, making the total for their greed $469.71. 

This is just the beginning for exposing these criminals from UCLA Health System because Medicare fraud is a federal offense and punishable by time in federal prison – thank GOD!  They should have their Medicare Accreditation revoked.

Friday, February 3, 2017

Should University Foot & Ankle Institute Be Investigated for Prescription Drug Fraud?



After I received the 5th monthly bill on January 23, 2017 from zip code 48220 in Ferndale, MI for University Foot & Ankle Institute located at 2121 Wilshire Blvd., Santa Monica, CA, I decided to write this blog.  What is the purpose of this harassment and mail fraud after I sent all evidence to Dr. Gary Briskin – head of the office- I owed nothing from November, 2015 to the present.  They owe me the difference of approximately $61.  What is the purpose of the accounting department in Suite 103 since they didn’t send out billing to me, but somebody in Michigan did?  They have 4 chairs in a row before 4 computers and a desk and computer for reception.  That is a lot of equipment for billing Foot & Ankle medical treatment and physical therapy, in addition to an office manager.  I allege they have a prescription hydrocodone drug fraud business.

I speak from my personal experience.  When I was released from Marina Del Rey ER on Feb 7, 2015, I had a prescription for hydrocodone for 16 pills, at $1 per pill, which I got filled at CVS at the hospital, so when I had my surgery, Dr. Jason Morris wrote a prescription for Janet H. Winston for 60 pills.  When my son went to fill it at the CVS on Sepulveda and National in West Los Angeles, the cost for Janet Winston (the name that Carole Wells used) was only .40 cents, when it should have been over $60, with no insurance.

I now allege that Carole Wells used the name as Carole Doheny to invest in as a silent partner and control the accounting department in Suite 103, which UCLA Health may or may not know about because of the Doheny Eye Institute located on campus, and that’s how she got away with so much.