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Report: #1530728

Complaint Review: KEPRO - BFCC-QIO - Medicare Quality Improvement Organization - Elkridge Maryland

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  • Reported By: Barbara — United States
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  • KEPRO - BFCC-QIO - Medicare Quality Improvement Organization 6095 Marshalee Drive, Suite 130 Elkridge, Maryland United States

KEPRO - BFCC-QIO - Medicare Quality Improvement Organization KEPRO - Totally Failed to Investigate My Complaint Against a Wyoming Neurologist. Never Gave My Complaint Any Consideration, and Just Sided with the the Neurologist Who Harmed Me Elkridge Maryland

*Author of original report: KEPRO REPORT: NEED TO CORRECT THE DATES TO OCTOBER 2021. ISSUE CONTINUED FOR SEVERAL MONTHS TO JUNE, 2022; and OTHER UPDATES

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KEPRO - BFCC-QIO - is SUPPOSED to be a Medicare Quality Improvement Organization that is SUPPOSED to help Medicare patients who have serious issues with the Quality of Care they received by a doctor or hospital.

Medicare tells its insured TO FILE A COMPLAINT WHEN THEY THINK THE STANDARD OF CARE HAS BEEN BAD AND IF THEY FEEL A DOCTOR OR HOSPITAL HAS OVERBILLED AND PERFORMED UNNECESSARY TESTS.

SOUNDS GOOD, RIGHT?   WRONG, WRONG AND WRONG.

My experience with KEPRO proves that they are NOTHING MORE THAN A PROTECTION AGENCY FOR THE DOCTOR AND HOSPITAL AND CERTAINLY NOT, I REPEAT, NOT - HELPING THE PATIENT WHO HAS MADE THE COMPLAINT.

In fact, just filing a complaint with KEPRO, will end up with YOU, feeling more angry and frustrated than you were before you file this complaint.

Believe what I say.  Doctors know this.  Hospitals know this.  That is why it is so difficult for a patient and citizen to get any kind of resolution with doctors and hospitals in the USA.  The plain fact is, the doctors and hospitals do NOT CARE about patient complaints.  WHY SHOULD THEY?  AFTER ALL, THEY HAVE KEPRO TO PROTECT THEM.

HERE IS MY STORY.  Read it and you will see my point.  I also invite anyone out there, who has also felt that KEPRO has NOT taken their complaint seriously and even made matters worse for them.

Back in October, 2023, I made the mistake of going to a Gillette, Wyoming neurologist for long term problems with my neck on the upper left side.

This so called "doctor" recommended the injectible drug BOTOX to relax the muscles in that one spot.  In other words, the botox was supposed to be a trigger point injection.

Come mid December, my husband and I went to the doctor's office to get the single injection of botox, hoping it would work.  We put our full trust in him.

To my shock, this doctor kept injecting the entire vial of botox, willy nilly, into all parts of my neck, both right and left sides.

When I asked him WHY he did this, this poor excuse for a doctor replied,  I NEED TO USE THE ENTIRE VIAL SO I CAN BILL MEDICARE FOR ALL OF IT.

No regard for my safety, just the almighty dollar.

About 3 days later, I could not lift up my head and was in great pain.  The doctor's office, did not give a damm, and that is the truth.

Now, BOTOX, is a dangerous drug and one that the FDA (Food and Drug Administration) requires that the doctor FULLY DISCUSS THE SIDE EFFECTS OF THE DRUG AND HAS THE PATIENT SIGN A WRITTEN CONSENT SAYING THAT THEY UNDERSTAND THE SIDE EFFECTS.

This doctor, failed to comply with the FDA requirements and KEPRO SEEMS TO FEEL HE IS RIGHT.

SOMETHING IS GRAVELY WRONG WITH THIS PICTURE.

I was unable to get any financial relief from this doctor.  The lawyers I contacted, either had a conflict of interest, or were just plain lazy.  One law firm kept me strung along for 9 months without even taking on my case.

I had to spend money on accupuncture, physical therapy, and seeing 2 other doctors, one of whom was just as bad as this neurologist.

NEWS FLASH:  Most Doctors will NOT go against another doctor, even if they know that doctor is in the wrong!!!  Why, because they stick together, like a brotherhood.  Unless they are paid court witnesses, they will almost always go against the patient.

Did you ever hear the saying YOU CANNOT FIGHT CITY HALL.  WELL THE SAME GOES FOR THIS.  YOU CANNOT FIGHT A DOCTOR OR HOSPITAL UNLESS YOU HAVE A VERY COMPETANT LAWYER  GOOD LUCK IN FINDING ONE.

Now, I filed a complaint against the neurologist with Medicare and all they could tell me to do was to file a QUALITY OF CARE COMPLAINT WITH KEPRO.

Since hindsight is 20/20, this action was and is a BIG WASTE OF TIME.

I took the time to write up a very good and very detailed complaint with Kepro.  The people there I spoke to all acted like they are on the side of the patient and will fully investigate the complaint.  As they claim they take every complaint seriously.

WELL WHAT KEPRO REALLY DOES IS VERY FAR FROM THE TRUTH AND WHAT THEY CLAIM TO DO.

To make a long story shorter, what happened, after several months of misery is that THEY GOT THE DOCTORS MEDICAL RECORDS, WHICH WERE FULL OF LIES AND DISTORTIONS OF THE REAL TRUTH.

After all, no doctor out there, is going to admit any type of fault.  NO SIR!

Part of the report from this lying doctor was to say that INFORMED CONCENT WAS GIVEN TO THE PATIENT.

That is a bald face lie!!!

There is no documentation that was given to me to sign and understand, BEFORE this so called "doctor" jacked my neck up with botox.

He could have killed me, with this drug that contains a poison, and KEPRO DOES NOT GIVE A HOOT.

KEPRO, just sided with the doctor - believing his words on a false medical record report.

He did not have to provide proof of complying with the FDA - NOTHING - JUST HIS WORD WAS GOOD ENOUGH FOR KEPRO.

I argued with the so called, INVESTIGATOR OF KEPRO,  I saiid  SHOW ME PROOF THAT HE GAVE ME FULL DISCLOSURE ON BOTOX.  SHOW ME SOMTHING I SIGNED.

They could not do so and that did not matter to them.  Here is the lame excuse I got from KERPRO.

WELL THE DOCTOR SAID, IN HIS MEDICAL RECORDS, THAT HE GAVE YOU INFORMED CONSENT AND THAT IS GOOD ENOUGH FOR THEM.

KEPRO CHOSE TO BELIEVE THIS DOCTOR AND NOT ME!!!

HE DID NOT HAVE TO PROVE A THING.

THIS IS WHY I SAY THAT KEPRO IS RUNNING A PROTECTION RACQUET FOR THE DOCTORS AND NOT THE PATIENT.

You readers out there, should know that any complaint against a doctor or hospital is reviewed by OTHER DOCTORS.

YOUR CHANCES OF WINNING ARE LESS THAN 1%.  As I stated before, doctors do not go against other doctors, and that is the truth.

Asking other doctors to decide cases when a patient complains about another doctor is like asking the FOX TO GUARD THE HEN HOUSE.

This entire experience has been very stressful for me and there seems to be no help anywhere.

This is why I am writing this truthful report on this website, so the real story gets out there for anyone to see.

IF ANY OF YOU READING THIS, HAS ALSO HAS A BAD EXPERIENCE WITH KEPRO OR ANY OTHER Medicare Approved Quality of Care Organization, please make a comment on this report.

Maybe, together, we can get the EAR of Medicare, so they will FIRE KEPRO and put this task of resolving complaints to an Organization who TRULY DOES CARE FOR THE WELFARE OF THE PATIENTS.

Signed,

Mad as Hell and Not Going to Take it Sitting Down

 

 

This report was posted on Ripoff Report on 01/17/2024 03:43 PM and is a permanent record located here: https://www.ripoffreport.com/report/kepro-bfccqio-medicare/elkridge-maryland-totally-1530728. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year. Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content

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REBUTTALS & REPLIES:
1Author
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0Employee/Owner

#1 Author of original report

KEPRO REPORT: NEED TO CORRECT THE DATES TO OCTOBER 2021. ISSUE CONTINUED FOR SEVERAL MONTHS TO JUNE, 2022; and OTHER UPDATES

AUTHOR: Barbara - (United States)

POSTED: Thursday, January 18, 2024

I am the author of the report on Kepro, BFCC-QIO.  I need to correct the dates that this all happened to  

October, 2021 and it continued to June, 2022, with no help at all from Kepro - just to get the record straight.

In addition to KEPRO, I also filed a major complaint against the neurologist and his group with the Wyoming State Board of Medicine.

Well, as you might already guess, they also did nothing.  My complaint was very detailed and valid.  Yet , despite everything, the Wyoming State Board of Medicine did NOTHING.  

Their lame excuse was that they did not have the power to change a medical record.

Again, the excuse is IF THE DOCTOR SAID HE GAVE YOU 'INFORMED CONSENT' THEN THAT IS THE TRUTH TO THEM.  Again, THE DOCTOR DOES NOT HAVE TO PROVE ANYTHING HERE.

In frustration, I called my State Senator, and he totally agreed with US.  This is what he basically told me.

The Wyoming State Legislature, a few years ago, decided to CHANGE THE WORDING OF CERTAIN LEGISLATURE LAW.

Now, get this one folks!  They changed the words, MEDICAL MALPRACTICE AND MEDICAL NEGLIGENCE to

MEDICAL ERROR!

Wow, this gives the unprofessional and negligent doctors and hospitals out there, CARTE BLANCHE to claim, WELL SHUCKS, IT WAS ONLY A MISTAKE!

In my case, it was certainly NOT a mistake, but my word is NOT good enough for the Wyoming State Board of Medicine.

This legislature action is proof positive that the Wyoming State Medical Board is HOLDING THE HANDS OF SUCH DOCTORS THAT DO HARM TO PATIENTS.

This honest State Senator told me.  Don't expect any win from the Wyoming State Board of Medicine.  Now, he should know.

Even some lawyers I spoke to all say HOW HARD IT IS FOR THEM TO WIN A MEDICAL MALPRACTICE CASE IN COURT DUE TO THIS LEGISLATURE CHANGE.  This is why they only take MAJOR INJURY CASES.

Now, I am sure that 90% of the doctors out there, are generally good doctors who care about the welfare of their patients, but Wyoming, ( and who knows what other states out there ) are protecting the 10%, who cause harm.

Not fair to the patients who have put their trust in such doctors.  Not fair to the good doctors out there, who work hard every day.

NOW TO THE FDA - FOOD AND DRUG ADMINISTRATION:

I mentioned in my report of January 17, 2024, that I did file a complaint, againt this Neurology Group with the FDA.  The lady I spoke to there, made notes about my complaint and agreed that there should have been some signed documentation that the patient understood the side effects of BOTOX.

She went on to say that YES, Botox is a form of poison and should be injected in the proper way.  She also said that trigger point injections into a neck can help with the pain by relaxing the muscles.

As you know, from my original report here, this doctor just injected me with Botox most incorrectly and not in the way we had discussed.  Just wanted to bill Medicare for the entire vial.

She was concerned to hear that this doctor did NOT follow FDA guidelines and made a REPORT ON IT, that she never sent to me.

So, ladies and gentlemen out there, I do not have the foggist idea, if the FDA did anything at all.

All I do know, is that this doctor and his Neurology Group got away with everything.  Harmed Me.  Caused Me Great Pain.  Had to Wear a Neck Brace for Months.  Had to Spend Money on Neck Braces and other Medical Specialists, and Medicare had to pay some of it.

The point here, is this is what happens to innocent people who put their trust in some doctors, who harm them.  If they cannot find a lawyer to take on their case - they are out of luck.  Also, in the case of Wyoming, the State Board of Medicine will do nothing to help.

If you ask why I got no where with lawyers out there, including the firm who, strung me along for over 9 months, THE SIMPLE AND SHORT ANSWER IS BECAUSE THE BOTOX SIDE EFFECTS ONLY LAST FOR MONTHS AND IS NOT PERMANENT.

Well, that was alot of months of pain and misery for me.  How would you feel out there, if you could not lift your head up to eat or bathe?  I almost fell down the stairs during that time, and could not use the stairs.

Anyone out there, who has had a similar experience, feel free to make a constructive comment.

Signed,

No Luck in Wyoming

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