CRIME SYNDICATION IS PART OF MEDICARE

This is an open letter to the Secretary of Health & Human Services in Washington D.C., and I ask her to take this blog to heart as factual.  It is mind boggling how much crime has infiltrated Medicare in all regards.

In 2009, I sent my complaint to Health & Human Services in Washington D.C., and found out much later that she never saw it because it had been sent to the Seattle office regarding UCLA Medical Center.  It was then sent to Tampa, Florida to handle, and they “handled” it so that all medical professionals at UCLA would be set free as having “met the standard of care”.   Doctors take the Hippocratic Oath to “Do No Harm” … good luck with that one!  Money comes before any oath!  And the CRIME SYNDICATION that has infiltrated Medicare will make sure of that!

HSAG (Health Services Advisory Group) is a fraud, and was just the beginning for me and the tip of the iceberg as to how much cover-up goes on in Medicare… it is massive!  There is so much money in Medicare and the “Crooks” as I stated in July, 2013 are there for the long haul.  The legal community cannot know to what length unless someone spells it out for them to prosecute.  Well I’ve done that, but now I want them to know what is happening now and I didn’t have the evidence to prove the cover-up, until now, regarding another company.

I sent an APPEAL for money paid to Burbank Home Care in the amount of $2,880, because I had fired them after only 30 days even though they had already been paid in full for a 60 days. Burbank Home Care was a joke – They sent a woman to basically “show up” and then spent 45 minutes of my time with Carole Wells.  I wrote my complaint of September 29, 2015 and on November 12, 2015, a woman called to say “the case had been dropped and that they would repay Medicare all the money that was originally paid to them.”  That was the last I heard, until I called Medicare again to ask if I get a revised summary regarding them.  I was told “THERE IS NOTHING IN THE COMPUTER REGARDING AN APPEAL.”  I told the woman what had happened and could not understand why no appeal was listed.  She said she would send it up for review as to what happened.

On March 1, 2016, a woman called and said her name was Casey Shields of National Government Services (a contract agent).  She told me she had my appeal and the reason why it was not in the computer and that she would be responding to my inquiry by mail.  Because she had withheld my appeal, Medicare was never aware that I had filed this appeal against Burbank Home Care, who received $2,880 for only 30 days of work, even thought that amount was supposed to be for a full 60 days of work.  Burbank Home Care had kept the entire amount of $2,880 and Medicare never knew it.   

When I get her response on March 8, 2016 in an envelope with no postage on it or any governmental seal for the postage, I decided to ask my postman how it was possible to send something through the mail with no postage of any kind.  He told me it was not possible and looked at the envelope, saying that “it looks like an office sent it, or someone placed it in your mailbox by hand, but they would need a key to open it.”   So like what happened to me in Tampa Florida, more fraud was taking place.  And Ms. Shields addressed it to Janet Winston (not my legal name as Medicare has it).  It was another cover-up for the crime syndicate to protect the home care business and Carole Wells as Janet Winston.  In addition, Ms. Shields did not sign the letter, either by hand or by some sort of signature stamp, so she cannot be charged with mail fraud!

I ask Medicare and the legal authorities to prosecute my complaint as soon as possible so that these criminals be stopped, like Dr. Fata in Michigan was, and sentenced to 45 years in prison. 

ABSOLUTE NEW EVIDENCE OF THE FRAUD BY UCLA HEALTH

There are two situations that I became aware of in July and October of 2015 that were unknown to me before and therefore unknown to the Medicare and Medicaid authorities to prosecute against UCLA Health, Dr. Oliver Dorigo et al., and if there is a statute of limitation limit this should prolong that statute.

1.   In June of 2015 I found out I never had cancer because I was not on the National Cancer Registry as required by federal law, which I then posted on my blog.  That has not been disputed.  This is an ABSOLUTE and the heart of my case… Dr. Oliver Dorigo and his associates in this matter (especially Dr. Elizabeth Wagar, Director of Clinical Laboratories for UCLA) knew at least one week in advance of my surgery on May 28, 2008 that I had no cancer in my body but still went ahead with the surgery anyway and tried to cover up the fraud by telling me I had a “very rare cancer that affects the soft tissue and therefore needed 36 hours of chemotherapy” in addition to the total hysterectomy they had already performed on me. 

2.   In  October 2015, I went through my files and found documents that I did not fully understand until I re-read them more thoroughly. The documents are from my medical file which they sent via fax to the new doctor I had, who was associated with St. John’s Medical Center in Santa Monica, which are:

A.  Discharge Summary by Dr. Tevy Tith (P24541) on May 30, 2008 that states “This biopsy showed endometrial adenocarcinoma per THE PATIENT, this was then subsequently reviewed here at UCLA and the decision was made TO TAKE HER BACK TO THE OPERATING ROOM FOR CYTOREDUCTIVE SURGERY”

B.  NON-GYN CYTOPATHOLOGY REPORT for Janet H. Winston dated May 28, 2008 Specimen CO8-14268 that shows surgery was performed on May 28, 2008 for this matter a WASHINGS, PELVIC that was not mine and was sent the following day (May 29, 2008) to the lab and not with the other specimens taken from my body on May 28^th because this was for Carole Wells using my name as Janet Winston – and she was rolled into the operating room after I was taken to recovery.  That is backed up by what Dr. Tith had in her report and she was in the operating room.

I was given intravenous anesthesia at 8:55am, and Carole Wells was given intravenous anesthesia at 12:55pm and ended at 13.31 hours.  This was a fraud for my surgery that resulted in two visits to the E.R.  This Cytopathology was never billed to Medicare as my surgery was with Medicaid as a second insurance.  This was the reason Dr. Elizabeth Wagar, the head of pathology for UCLA met with me secretly on May 21, 2008 in the conference room of the 6^th floor in the Ronald Reagan UCLA Medical Center, to meet with me and discuss my anesthesia.  I did not know who she was, as she introduced herself as Elizabeth Wagar, and not a doctor – and certainly not the Director of Clinical Laboratories for UCLA

Reporting Medicare Fraud Will Stop The Criminals

On November 12, 2105, I received a call from Medicare in response to a letter I wrote them on September 29, 2015 to APPEAL THE PAYMENT of $2881.07 they paid as a lump sum for my health care at home after my surgery for my broken ankle and tibia.  I hired Dynasty Home Healthcare on February 11, 2015 and fired them on March 9, 2015 because they were frauds.  My former doctor, Alan G. Silverman's NURSE, arranged for Dynasty to come to my home to sign me up for a 60 day contract that they billed Medicare for $2881.07, but in fact, they had women show up that were there as a "pit stop" for Carole Wells.  She needed daily nurse care, physical therapy and home health care aids that attended to personal needs like sponge baths.  In other words, Carole Wells was using me AGAIN as she did with UCLA Health to have me go through what she did and have my Medicare number pay for it over and above the $100.00 she passes out to pay her bills, which is illegal money, becuase she doesn't have a bank account in her own name.

Dynasty Home Health Care located in Orange County committed fraud by billing Medicare as Burbank Home Care, Inc. of Studio City, and must repay all money paid to them for her benefit and that doesn't include the criminal aspect of the fraud that could result in criminal action taken against them - they could lose their Medicare accreditation that would put them out of business.

This is a warning to all medical professional businesses who have accepted her $100.00 bills (thousands of dollars could be involved).  Is she worth losing your license and reputation for?  I think today, Dynasty would say NO.

MEDICARE FRAUD BY CAROLE WELLS USING MY NAME AS JANET WINSTON

Following up on my last BLOG regarding reporting Medicare Fraud, I am listing 10 medical facilities and doctors who have billed me in the name of Janet Winston or sent correspondence for Medicare, and not in my legal name of Janet H. Winston, as listed with Medicare and my number is under, as of October 15, 2015.

1. Ronald Reagan UCLA Medical Center where she had cancer surgery the same day I did as arranged by Dr. Oliver Dorigo and this fraud has caused a complete turn over at UCLA Health, including the departure of CEO, Dr. David Feinberg.

2. Cedars Sinai Medical Center Imaging Department for X-rays.

3. Marina del Rey Emergency Hospital where I was taken by ambulance after I broke my ankle and tibia in February, 2015, but she had already used them in my name before

4. University Foot & Ankle Institute of Santa Monica had all of my surgery documents in the name of Janet Winston until I demanded they change it to my legal name.

5. Kaiser Permanente Senior Advantage HMO, she has used this hospital for prescription drugs in my name

6. SilverScript Choice (PDP) which is a drug prescription company thath I have never used but she has in my name.

7. AARP Medicare Complete through United HealthCare that she has used under my name after I dropped them as Part D prescription drug plan under Medicare.

8.  Dr. Gary Briskin wrote her a prescription for Hydrocodone-Acetaminophen for 60 pills in my name.

9. Dr. Alan G. Silverman.  I do not believe he personally knew anything about it.

10. CVS Pharmacy on Sepulveda & National Blvds., filled my prescription for Hydrocodone-Acetaminophen for 60 pills in the name of Dr. Gary Briskin instead of the doctor who wrote the prescription – Dr. Jason Morris, and only charged my .40 cents with no insurance.  At another CVS when I left the ER, my prescription was $17.00 for 14 pills and works out to over $1.00 per pill that should have cost me $60.00 but for Janet Winston it was only .40 cents.   

This is Medicare Fraud.  This woman used my name and address to get medical treatments, surgery and drugs – using me for the reduced cost of paying cash and at the rate of Medicare schedules.  I am not saying all of the names above were in on the fraud other than UCLA Health, because a patient has to make financial arrangements before surgery, and Carole Wells did not use my Medicare card in any of these situations, but she did pay cash.  She used my name and only when I also used these professionals did they realize she was a fraud. She paid cash, no insurance was involved, and I’m sure at a discounted rate. 

Carole Wells is 5’4”, 100lbs, bleach blonde with brown eyes and looks younger than her 73 years with face-lifts.

(See Sixth Anniversary of Fraud for my comment)

TELEVISION COMMERCIALS WILL CHANGE MEDICARE FRAUD

The Government is running national television commercials for the prevention of Medicare Fraud and using average citizens (not government employees) to urge the public to be on the look-out for fraud and gives an (800) number to call and report it.

1. Dr. Fata of Michigan was sentenced to 45 years in federal prison on July 10, 2015 for chemotherapy treatments that were not needed for cancer.

2. Dr. Ingram of Virginia was ordered to pay in a lawsuit $500,000.00 for a diagnosis of Hemorrhoids in June, 2015 that was a lie.

3. UCLA Health is changing now because Dr. David Feinberg left as CEO of UCLA Medical Center at the end of July, 2015... after Dr. Fata had been sentenced.

If my Blog has in any way contributed to the Federal Government's decision to create these television commercial public service announcements, alerting the public of potential Medicare Fraud, then I am absolutely thrilled!!  In all the years I have tried to contact Medicare to report the fraud I was subjected to at the Ronald Reagan UCLA Medical Center, I could not find a phone number - and ended up speaking with a fraudulent company in Tampa, Florida that only received the information, who then reported back to the doctors involved - mainly Oliver Dorigo - to change his records.

Now, the 59 million Medicare beneficiaries will have the right number to call - Finally there is a solution!

Call 1-(800)-Medicare (1-800-633-4227) to report fraud.