Friday, October 12, 2018

Berkeley East Convalescent Hospital Should Be Investigated


I spent 2 weeks at the Berkeley East Convalescent Hospital in Santa Monica that billed itself to Medicare as Arizona 21st Street Corp.

This company should have its Medicare Accreditation revoked for what I went through at this hospital and they billed over $7,000 per week for that harassment and cleared $5,350 for their efforts.  One example of this horrible experience that I needed to go to the bathroom with a broken hip and elbow by bed pan or commode – but the sides of my bed were locked up, so I could not get out without help.  I rang ten times for the nurse’s aid for over 40 minutes and only because if a male nurse had not walked in my room, I could have wet the bed. When the woman “Maria” finally came in and I asked her where she was for 40 minutes she said very sarcastically, “I was busy with other patients sweetie!”  I was sexually abused by 3 different nurses aids and I reported immediately to their supervisors and finally “Steve” the owner.  I was told it was “innocent in the course of their duty.”  A deliberate act 3 times over is not “innocent” – its a CRIME.

I think the Department of Health and Human Services should investigate (without notice) this hospital especially for all the elderly women who probably are not aware or unwanted touching abuse they are subjected to. 

This was a horrible experience and they should not be allowed to continue to receive Medicare payments. 

Tuesday, September 18, 2018

My New Medicare Number was used for Medicare Fraud for $8,389.00



On August 20, 2018, St. Johns Health Center sent Medicare 3 billing services that I allege were not mine in the amount of $8,389.00.  These charges were part of the $78,531.06 totally billed for my hospital services from August 12 to August 15, 2018 for my broken elbow and broken hip that I broke on August 12, 2018 and was taken to St. Johns Health Center ER by ambulance.

The reason why this is important now is because Medicare was billed $8,389.00 that were not for me.  I believe they were for Carole Wells Doheny for her CARDIOLOGY in the amount of $3,731.00, CORONARY CARE in the amount of $4,219.00 and EKG for $439.00.  “Doheny” needed my name as she is listed in the computer system as JANET WINSTON and more importantly, my NEW MEDIACARE NUMBER that I only got in July for her medical needs.  She cannot use her real name for anything as a wanted criminal and the reason she has used my name for 30 years.  

Even though I arrived on August 12th at 8am to the ER, I didn’t have surgery until 33 hours later on August 13 from 5-8pm.  I don’t know now why I had to wait so long – was it so Doheny could have her surgery and coronary care before I had surgery?  Obviously no one knew of her involvement with UCLA Medical Center in May 2008 and the fraud she committed and caused all the professionals involved with that case to flee the US for Europe to avoid prosecution for Medicare Fraud.  Dr. Roddy S. Sooferian is the provider according to the billing statement.

If this is what happened, then that would answer all the questions and treatment I was subjected to after I left St. Johns for Berkeley East Convalescent Hospital for a 2 week stay of harassment and I asked twice to be transferred to another hospital and was told “no space available except for a clinic”.  I believe I was sexually assaulted by 3 different nurse’s aids and reported all to their supervisor and even “STEVE” the owner.  I am willing to file a police report if needed.  I was over medicated with various pills and was asked constantly if I wanted OPIODS for pain and I refused – the drug of choice for Doheny an addict.

I ask Medicare and the federal government to investigate the NEW SITUATION using me for my Medicare benefits as she did at UCLA Medical Center 10 years ago.  I am available if more information is needed.

Tuesday, August 7, 2018

WHISTLEBLOWER Exposes 4 Corrupt Doctors


Finally a network has created a prime-time television show called Whistleblower (on CBS) to expose corrupt doctors.  I want to congratulate them because it finally takes it out of the newspapers and telecasts it across the country for the public to see exactly what I have been saying in my blog since 2009.  

July 27, 2018 was the first broadcast about Dr. Fata – the man I wrote about in my blog during 2014 – who had administered chemotherapy in Michigan to patients who did not need it, and was sentenced to 45 years in federal prison and fined $17,000,000 dollars.

On August 3, 2018, the second show aired – which exposed 3 doctors at Saint Joseph London Hospital in Lexington, Kentucky.  These 3 doctors performed surgical heart procedures (like pace-makers and stints) when patients didn’t need them, starting back in 2010 (the same time my blog was active on the internet).  Dr. Michael Jones was the cardiologist who worked at the same hospital and became alarmed in 2010 at the amount of new patients he had that didn’t need the procedures they had complained about - such as a 39 year old man who merely fainted on his job as a truck driver - and the doctor at St. Joseph’s said he needed an immediate surgical procedure for a pacemaker (which was billed to Medicaid), and that his father needed a stint that cost between $12,000 - $15,000 (which was billed to Medicare) however the doctor only received $1,500 as his fee.  Everything was for the hospital and not the individual doctor – just like UCLA.  It was an elderly African-American woman who convinced Dr. Jones and his female partner to get an attorney and file a Whistleblowers lawsuit with the Department of Justice (which I never knew existed).

What I did not know when I contacted the Department of Health and Human Services in January of 2011, was that in 2007 there was a new department called the MEDICARE FRAUD STRIKE FORCE which the Department of Justice and the HHS had created.  As of May, 2013, the overall strike force charged almost 1,900 defendants for fraudulently billing Medicare for almost $6,000,000,000 dollars.  It was this agency that referred MY case to the California Department of Justice and Kamala Harris.  They charged defendants in Miami, Tampa (like my case), Houston and Los Angeles, which charged 8 individuals with $32,000,000 in claims for medically unnecessary services.  

In 2014, 4 years after Dr. Jones discovered what was going on, the Department of Justice decided to take his case and prosecute.  They did not have a trial (as I suspect would be the same with UCLA) unlike Dr. Fata who had his own clinics and not big beautiful new hospitals like Saint Joseph London and UCLA Medical Center, but they settled as follows:

1.   Saint Joseph London Hospital of Lexington, Kentucky agreed to pay $16.5 million dollars in fines and have 5 years overseen by the federal government.

2.   There were 175 victims who settled individually with the hospital

3.   One doctor who performed surgery on the African-American woman spent 2 years in federal prison and the other doctor is awaiting sentencing this month up to 10 years in federal prison.

4.   Two other doctors not involved in the surgery agreed to pay $380,000 in fines for fraudulent contracts

5.   Dr. Michael Jones and two other doctors split $2,450,000 as their share in the settlement.

GUESS WHAT?  Outside of Saint Joseph’s London Hospital hung 2 big banners that read: U.S. NEWS AND WORLD REPORT BEST HOSPITAL FOR 2017-2018 (Just like UCLA Medical Center does every year with a full-page color ad in the Los Angeles Times saying “We’re No. 1” while Saint Joseph London was under the 5 year federal oversee).

That says it all.  U.S. News and World Report should have their license revoked for fraud!