Health Care Fraud

Thursday August 25, 2011


To be posted on Google.com

http://www.googleblog.blogspot.com/LinoDial


My articles on Health Care Fraud are posted on Google.com because

it is simply the best.


Title : HEALTH CARE FRAUD

By Dr. Lino Dial


This is the sixth in the series on Health Care Fraud.

The first in the series, posted on google.com on August 19, 2011.
The third in the series posted on August 20, 2011.
The sixth is posted today on Google.com


The main point in Health Care Fraud is fraud. We are talking about fraud
in the delivery of health care. This was emphasized five days ago.

I went to Google.com and typed : What is fraud ?

Several definitions of fraud appeared in less than one second.

That is why Google.com is the best. Nothing even comes close.

Several definitions of fraud were posted six days ago. Let us just look
at the key words or phrases today :

1. Wrongful or Criminal deception for financial or personal gain.

2. Deliberate misrepresentation to cause damage or injury to a person.

3. False representation of a matter of fact.

4. Intentional perversion of truth.

5. Willful or deliberate act or failure to act with intention of obtaining an

unauthorized benefit.

6. Person or thing intended to deceive others.

7. Concealment of or hiding the truth.


Yesterday, I presented the list of frauds or crimes committed by

Dr. Robert S. Blum in accordance with the above definitions. This is

important because these frauds were the initial cases in a series of 53

crimes in Health Care committed in Vallejo, California 94589.

About two weeks ago, on August 9, 2011, I posted the comment that I

read on the website of : Hanson Bridgett LLP. It said :

" It is fair that Charles D. Ramey explain the crimes committed by doctors

or physicians in Vallejo, California..."

Charles D. Ramey is the Executive Director and Clerk of Court of the

Superior Court of Solano County where the City of Vallejo is located.


NOW THE BIG PICTURE :

Charles D. Ramey is the spokesman of the Judicial system in Solano

County, California. Mr. Ramey is being paid with public or Tax dollars.

We are still waiting for his comments or explanation in public.

Charles D. Ramey should explain the series of 53 crimes committed during

delivery of Health Care, hence, Health Care Fraud.

The Big Picture started with the frauds or crimes committed by Dr. Robert

S. Blum. The crimes of Dr. Blum were proven without a shadow of a doubt.

Dr. Blum even admitted in writing that he committed the frauds.

It does not get any better than this. This is recorded in writing and was

submitted to the California Medical Board and Justice Dept.


The items to be explained by Mr. Ramey :

1. Frauds and Crimes of Dr. Robert S. Blum.

Dr. Blum admitted that he fabricated a Surgical Consultation in Hospital.

2. Hospital and Medical Staff cover up or concealment of Dr. Blum's crimes.

3. Hospital and Medical Staff did not investigate Dr. Blum. Instead they

investigated Dr. Lino Dial, the victim of Dr. Blum's crimes and frauds.

4. The Hospital Investigation.

a. Hospital investigation was fraudulent on several counts.

1) The victim investigated , not the person who committed fraud or crime.

2) The Hospital investigation was supposedly done according to its

own Hospital Bylaws, Article 9 section 9.2 - 5 , and Article 8, section 8.1.

They did not follow the hospital bylaws. They are held liable for this.

Reference :

D.C.D.C. 1973. Hospital can be held liable for failure to follow its own

Standard of care.

Hicks v. U.S., 357 F. supp 434 Affirmed

511 F. 2d 407, 167 U.S. app. D.C. 169

This is found in U.S. code Annotated 44 A FPD 2d - 463.


2) Failure to follow its own own Standard of care : Evidences :

List of wrongful Deaths and Medical Malpractice filed in Solano County

Superior Court against doctors who investigated Dr. Lino Dial.

These Doctors were not subjected to Peer Review Investigations.

Wrongful Deaths, Malpractice, etc. should be grounds for Peer Review, etc.


These Doctors were in the position to investigate.

They did Not investigate themselves !! No Lawsuit for Dr. Lino Dial.

Why did they investigate Dr. Lino Dial ?

Name of Doctor : Name of Patient : Solano Superior Court File Number

1. Dr. Philbin M. B. 69355

2. Dr. Philbin P. A. 69630

3. Dr. Philbin L. S. 82283

4. Dr. Philbin L. V. 80947

5. Dr. Blum L. S. 73313

6. Dr. Brant V. S. VO 7491

7. Dr. Seidenverg D. T. 78747

8. No investigation or Peer Review for Physician who removed Breast

and Lung of patient : J. E. Q. this case was for Medical Negligence

and substandard care. After Surgery , NO CANCER WAS FOUND !!

This was settled for $ 95, 000.00.


Solano Superior Court cases for Medical Negligence :

Patient : File or Case No.

9. D. D. 78674

10. N. D. 75612

11. V. D. 77765

12. L.V.W. 80421

13. J. H. F. VO 2130

14. L.A.J. and M.J. 80593

15. B. C. 80437

16. D. A. T. 81504

17. H. F. 78916

18. M. B. 80805


None of these Lawsuits in Superior Court belong to Dr. Lino Dial.

Yet, the Hospital and Medical Staff investigated Dr. Lino Dial.

Question :

Is having a Lawsuit for Malpractice a requirement for membership or

to become a member of the Hospital Medical Staff ?

Dr. Lino Dial does not have a Lawsuit for malpractice, so Not qualified.


4. The Hospital Investigation .

a. Hospital investigation was fraud on several counts :

1) Victim was investigated and not Dr. Blum.

2) Hospital Violated its own Standard of Care.

3) Wrongful and Criminal deception :

a)) Two patients supposedly investigated or hospitalized during the

investigation or Peer Review period are definitely fraud cases.

These two patients were not in the hospital and not hospitalized

during the investigation period.

They have been dead and buried in the cemetery for one year

before the investigation.

These are definitely frauds.

I am eager to hear what Charles D. Ramey has to say about it.

Hospital and Medical Staff claimed they have medical reports on

these two patients.

These medical reports must be frauds ( two counts ).

Hospital and Medical Staff claimed that Physicians investigated

These patients.

The Doctors who investigated these committed frauds ( 2 counts ).

These Doctors could Not hospitalize people who have been dead

for a year. Did they see these people in the Hospital ?

They examined the non-existing patients ?

That makes two more additional counts of frauds ( two counts ).

4) THE FOLLOWING ARE THIRTY TWO MORE COUNTS OF FRAUDS :


The Hospital and Medical Staff claimed in writing during the Judicial

Review Hearing that was held according to Law that all patients

admitted during the investigation period ( six months ) were reviewed .


I have a list of sixteen patients who were admitted at the hospital during

the six months of Peer Review hospital investigation.

The Hospital and Medical Staff have no record that these sixteen patients

were investigated.

There were 23 patients mentioned during the Judicial Review Hearing.

This is Malicious because they knew for months that these sixteen people

were not in their list for the Judicial Hearing and yet they went ahead and

made the statement that they were indeed investigated.

They knew it was wrong but they went ahead and did it anyway.

That satisfies the definition of Malice in the Criminal Code of California.

That is also fraud.

There are sixteen patients, so sixteen counts of fraud.

The Hospital and Medical Staff said they had medical reports of the

investigation of these sixteen patients, so sixteen more counts of frauds.

That makes a total of thirty two counts of frauds just in this page.

These fraudulent cases were presented by the Hospital Attorney,

Mr. Steven V. Schnier during the Judicial Hearing.

Attorney Steven V. Schnier presented fraudulent cases, he knew

that these were frauds and yet Mr. Schnier went ahead and presented

them in the Judicial Hearing. That is glaring misrepresentation of facts.

Attorney Schnier was an officer of the Law during the hearing.


I wonder how Charles D. Ramey would explain these.

I would very much like to hear Mr. Ramey explain these numerous frauds

in public and even better in a Court of Law , under oath on witness stand.


The following is the list of the patients who were at the hospital as

in-patients, during the Peer Review Hospital investigations.

Hospital and Medical Staff and their Attorney, Steven V. Schnier claimed

that these were investigated. That is 32 counts of fraud right there :


Name of Patient : Hospital Room Number:

1. F.P. D. 307

2. B.R.N. 316

3. G.L.K. 317

4. M.A.B. 416 - B

5. A. D. 306 - A

6. H. L. 316

7. E. O. 302

8. J. J. 301 - A

9. L. D. 306 - B

10. S. G. 307

11. I. B. 309

12. E. C. 301 - A

13. W. J. 401 - A

14. C. J. 405 - A

15. D.J. E.R.

16. S.C. 413 - A


These are real people , hospitalized patients. My Real Heroes !

There are thirty two ( 32 ) fraud cases here.

Some of these patients are on Medicare and Medi-Cal, or Tax dollars.

The hospital sent a bill or charges in the hospitalization of these patients.

The U.S. Dept. of Health and Human Services should have a field day.


Moral of this Story : Fraud begets Fraud or More Frauds.


This Health Care Fraud started with the documented fabrication or

frauds and Crimes of Dr. Robert S. Blum.


Hospital Investigation followed : More frauds were committed.


Judicial Hearing followed the Investigation : Over 32 more frauds.


This Frauds and more frauds continues with :

1. Wrongful or criminal deception for financial gain.

2. Deliberate misrepresentation to cause damage or injury.

3. False representation of facts.

4. Intentional Perversion of T R U T H .

5. Willful or deliberate act or failure to act with intention of obtaining

an unauthorized benefit.

6. Person or thing intended to deceive others.

7. Concealment of or hiding the T R U T H .


To be continued.

Submitted by Dr. Lino Dial

E - mail : LinoADial2001@yahoo.com


The End for now.