On every Medicare Summary Notice is written "Stop Medicare Fraud." How many of you have reported fraud to your insurance company and had no satisfactory response? SPCP has reported to the authorities: 1) massive documentation fraud committed by the health care facilities involved in Carol's mother's care; 2) massive violation of the patient's rights; 3) no itemized bill for the hospital in the true name of the facility Blake Medical Center (also manual manipulation of the first computerized bill); 4) no itemized bill for the nursing home (yet at least two sets of medical records as indicated by different numbers) Today Heritage Park; 5) no true "continuity of care" documentation between the two facilities (Blake and IHS) and official health tracking forms are defective. All claims payment and all quality of care investigations are determined on the basis of medical records. If they are allowed to be manipulated, then fraud is allowed to occur regularly in the interest of profit. This patient died after being tortured at "Medicare expense" for about one month. The nursing home denied that the patient was at their facility on the day of her death on the MDS tracking form and in their billing to Medicare as well as their communication to Florida's health agency AHCA. The patient was denied emergency medical care for two days before she died. In those two days, she was in excruciating pain and was not given an adequate painkiller. The destructive costly care was allowed. Her death was excused as just old age. The care was CERTIFIED by the Medicare peer review organization : FMQAI (Florida Medical Quality Assurance, inc.) as having been "optimal!" Are we missing something?! |