Dr. Sievers' RHHC Medical Practice - Operations & Website

[jggordo]

I have been trying to get a list, prices and brand of "supplements" available directly from the clinic. It seems that information is only available to active patients and clients of the clinic with a password that is provided to the client by the clinic "office". Are the "supplements" FDA approved? I do not believe that Medicare or insurance will pay for or reimburse for "supplements". Furthermore many insurance companies and Medicare does not cover Holistic procedures and visits. If that is the case then there is no oversight for patients.

But a lot of $ can be made from the sale of "supplements".

JMO's

http://drteresasievers.com/supplements.php#.VhN_tXldHmQ

 

[DexterMorgan]

I have been trying to get a list, prices and brand of "supplements" available directly from the clinic. It seems that information is only available to active patients and clients of the clinic with a password that is provided to the client by the clinic "office". Are the "supplements" FDA approved? I do not believe that Medicare or insurance will pay for or reimburse for "supplements". Furthermore many insurance companies and Medicare does not cover Holistic procedures and visits. If that is the case then there is no oversight for patients.

But a lot of $ can be made from the sale of "supplements".

JMO's

http://drteresasievers.com/supplements.php#.VhN_tXldHmQ

I think some private doctors get paid to push certain brand meds and possible supplements or some new medical next hot thing. So maybe they were pushing the same supplements or meds on the clients. But still. Since patients paid cash and she didn't have a million patients. I doubt they made that much from being a supplement affiliate.

It's not like they were charging for fake mri's and fake chemo sessions and sending the bills to medicare.

 

[jggordo]

I think some private doctors get paid to push certain brand meds and possible supplements or some new medical next hot thing. So maybe they were pushing the same supplements or meds on the clients. But still. Since patients paid cash and she didn't have a million patients. I doubt they made that much from being a supplement affiliate.

It's not like they were charging for fake mri's and fake chemo sessions and sending the bills to medicare.

Without the "supplement" list and pricing information it is hard to tell. Without providing medical records to patients to take to a new Doctor who can and will scrutinize them, again hard to tell. Even though the clinic had a "cash" pay per visit the patient could or would turn in the paperwork for reimbursement by any insurance company. How did that work out?

Were the "supplements' manufactured in the US or imported without FDA approval?

JMO's

 

[Wyle_E_Coyote]

Were the "supplements' manufactured in the US or imported without FDA approval?

JMO's

RSBM

In general, FDA's role with a dietary supplement product begins after the product enters the marketplace. That is usually the agency's first opportunity to take action against a product that presents a significant or unreasonable risk of illness or injury, or that is otherwise adulterated or misbranded.

http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm050803.htm

More about FDA oversight, or lack thereof, of supplements at link.

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[Sunkist]

Trying to think what I would do in MS's shoes, if I were an innocent spouse/office manager. I believe I would have gone almost immediately, at least when the first article was published in MSM about client records, to the police who had my computers and say, "Hey, I understand you need the computers to catch my wife killers, but I've got to get medical records to these patients. How can we get that done?"

Maybe I'm naive, but I think that if an innocent spouse/office manager who was fully cooperating made that request, LE would try to help them figure something out.

Honestly, even if LE believes said spouse/office manager is guilty, I think they would work with them to get medical records sent to patients. IF they were asked.

And that is assuming MS really has no access to the records at this point.

This whole email reeks of shifting the blame. Very hard for me to think MS is uninvolved.


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[human]

DM Or even worse patients who weren't aware, either! (quoting from this linked article):

"some clinic operators also sold batches of fabricated prescriptions that Medicare patients didn’t even know about — distributing them like a “drive-thru” business, authorities say, to be used for filing fraudulent claims.'

and, "In 2013, ProPublica reporters highlighted the vulnerability of the Part D program, noting that insurance companies must pay for prescriptions issued by any licensed prescriber and filled by any willing pharmacy within 14 days.

Read more here: http://www.miamiherald.com/news/local/community/miami-dade/article24842470.html#storylink=cpy
I have no direct knowledge as I am not eligible for medicare....so I don't know the vulnerabilities of the system...but I imagined it can be complicated by some people who live seasonally in Florida and the rest of the year in another state. How does that work if you run out of meds while in Florida, but your winter residence (normal mailing address) is in Maine or Missouri?

Maybe people are on so many meds they don't notice?

I have medicare plus really really good supplemental insurance. I still have to pay something for meds and I get a printout each month listing what I have received and paid for.

 

[human]

Trying to think what I would do in MS's shoes, if I were an innocent spouse/office manager. I believe I would have gone almost immediately, at least when the first article was published in MSM about client records, to the police who had my computers and say, "Hey, I understand you need the computers to catch my wife killers, but I've got to get medical records to these patients. How can we get that done?"

Maybe I'm naive, but I think that if an innocent spouse/office manager who was fully cooperating made that request, LE would try to help them figure something out.

Honestly, even if LE believes said spouse/office manager is guilty, I think they would work with them to get medical records sent to patients. IF they were asked.

And that is assuming MS really has no access to the records at this point.

This whole email reeks of shifting the blame. Very hard for me to think MS is uninvolved.


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Can someone please explain why he needs that computer and cannot use a different one?

I don't understand the network issue. Was there a private one just for him?

He should be able to go the office and log on with any computer. The info is on the network.

What network tools does he need?

 

[U2forever]

It took MS three months to compose that drivel?

Welp, it has been raining. :drumroll:

 

[beach]

I just sent my daughter a text. She is an RN now (graduated 2 years ago) but prior to that for 5 years she worked for a company that sold EMR systems (most popular one used in the southeastern states). She trained Dr.'s and all staff how to use them and make the transition from paper charts to EMR. Idk if she is working at the hospital today or not. As soon as I hear from her, I will get her to add some clarity here for us. One thing I do know is her company had 2 systems - one was strictly for documenting patient charts and the other was designed to handle the billing. 90% of the offices bought both, however I believe there were a few that only used the EMR for documentation. Update ASAP. She just called me.

 

[FelicityLemon]

Can someone please explain why he needs that computer and cannot use a different one?

I don't understand the network issue. Was there a private one just for him?

He should be able to go the office and log on with any computer. The info is on the network.

What network tools does he need?

The network is the connected computers and it would be the computers on-site with a single location boutique practice like this. (Unless CWW babooned them into believing they needed the overkill of dedicated servers in another state). If all the practice's computers were taken by LE, the network no longer exists. Even if he got a new computer, there is no network for him to access. He'd have install the software needed, restore any backups, reinstall printer drivers, it really truly is a huge problem if you are not much more than an end user. I don't know what he knew about networking, coding, IT in general, but that part of it isn't a slam dunk at the best of times. Installing software other than the backup like that is not simple, either. You have to go through the licensing and registering setup all over again unless you can convince the software this is just a re-install. (Big troubles trying to do this with Adobe Suite products, just so ya know, so I can't imagine software that's more involved like medical practice stuff)

To recreate a working system basic enough to do what he needs to do isn't as simple as pushing the print button :/ No network necessary, just a computer robust enough to handle the restoration and workload.

I don't know why patients can't go to LE to get copies of their records. They have the computer and they have people to setup and run them so they can access all the info anyway, so while it may be awkward, it would be the simplest method.

 

[human]

Still confused.

I was a teacher and we documented everything on the school district system, whatever that was. I had remote access from home with a code using my computer at home.

I logged on the first time and added the security codes I was given.

I don't recall if I could access everything such a IEP's, but I imagine I could as teachers work many hours after school and on weekends. All I remember is I entered tons of data from home.

I cannot imagine that there was not some high tech software program that they used which could be accessed by any computer.

I lived by my doctor . He works three days a week. His wife, doc also, works two. He told me the other days he works at home entering info. His practice is with an enormous hospital conglomerate of several states.

 

[concernedmother]

Why doesnt he just be up front and say, LE has my computers, I dont know diddly about networking and my IT guy is permanently incarcerated?

 

[Daisy47]

The motive may be as simple as a huge life insurance that pays more than a divorce would. Plus, you don't have to share the kids. jmo

This happens to be my current theory. Also, the possibility MS had another love interest which could have prompted him wanting out of the marriage. As you said, aTS dying (ugh...) would be more beneficial to him (monetarily and otherwise) than a divorce. Evil evil EVIL sumbich IF he is involved, regardless of motive.

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[beach]

I just sent my daughter at text. She is an RN now (graduated 2 years ago) but prior to that for 5 years she worked for a company that she sold EMR systems (most popular one used in the southeastern states). She trained Dr.'s and all staff how to use them and make the transition from paper charts to EMR. Idk if she is working at the hospital today or not. As soon as I hear from her, I will get her to add some clarity here for us. One thing I do know is her company had 2 systems - one was strictly for documenting patient charts and the other was designed to handle the billing. 90% of the offices bought both, however I believe there were a few that only used the EMR for documentation. Update ASAP. She just called me.

Okay, she was at work and couldn't talk long. She did add some clarity though and offered to read this thread when she had time, but that will probably not be until tomorrow. (Her husband is a football coach and they have an out-of-town game tonight). She is not a member here but reads so I will be posting what she told me. Excuse the rough notes because I was asking the basics and just quickly jotting down her answers in a word doc.

For clarity, I filled her in on the following: problems patients having receiving their medical records since the death of Dr. Sievers, advised her that MS was office manager and surviving spouse, that CWW was tech guy employed by RHHC and who has been charged for Teresa's murder and that LE had seized the office computers almost immediately after her death.

Q: Considering LE seized the office PC's, wouldn't there have to be a back up somewhere?
A: Yes. By law (she then specified by our state law but felt like it would have to be the same everywhere because of the importance). Everything is backed-up on the company (provider's) EMR system. (offsite from the practice - whoever they bought from and held the contract).

Q: Okay, so how could MS get those records?
A: Simple. He contacts the EMR provider. They have all records. The company's back up will be comprehensive and will show everything. Even the stuff that had been previously entered, if later deleted.

Q: Can records be transferred electronically?
A: Sure. Send as uploaded file. Almost all systems can do that, even if a different EMR provider. Although some systems may vary. (She was talking about sending records directly to another doctor)

Q: How easy is it to create fake accounts?
A: Very simple. Especially easy if no insurance is being billed.

Q: So, it would be easy to use the EMR fraudulently?
A: Much easier if nothing is going to be submitted to an insurance company for audit.


Want to note that she knows absolutely nothing about this case and I didn't have time to fill her in on anything other that the points I posted above. I realize my questions were vague and her answers will probably only lead to more questions from y'all. She was in a big hurry and couldn't talk long so I just asked the bullet points. I'm sure she will read this all in context when she has time and can fill in the blanks.

 

[Stopwatch]

From the letter to patients:

"My computer and networking equipment that I have used to access & send medical records has not been in my custody since the death of my wife, Teresa. When I go to the office I seem to encounter the press, thus making it much more difficult.

I am currently working on a solution to this and will start sending records out again this week."

Seems to me that he is being careful about directly blaming LE, because they might contradict him by saying that he was given full backups of everything taken. He didn't actually say he doesn't have the records.

Suddenly he is working on a solution. How is the solution possible now, but wasn't months ago? Why did he lead people months ago to believe that they could get their records by requesting them?

From July:

http://www.winknews.com/2015/07/27/4-weeks-later-and-no-arrest-made-in-dr-teresa-sievers-murder/

"Meanwhile, Mark Sievers sent a message to patients telling them they found a new doctor to provide phone consultations three days a week."

How was MS planning to continue the practice without the new doctor being able to access their medical records? I can't find the link, but patient posters here have referenced an email where MS told them he would transfer their records if requested. Why didn't he mention to them at that time that he couldn't actually produce them?

I think what he is trying to say is that he has always had the records, but the computers they were on are gone. So way back when, why didn't he say I have all your records, but I'm running into technical difficulties accessing them? Seems like he should have been working on that solution as part of his plan to keep the practice going.

I'll be interested to hear SMS comment on this, if he is willing.

 

[Daisy47]

I have been trying to get a list, prices and brand of "supplements" available directly from the clinic. It seems that information is only available to active patients and clients of the clinic with a password that is provided to the client by the clinic "office". Are the "supplements" FDA approved? I do not believe that Medicare or insurance will pay for or reimburse for "supplements". Furthermore many insurance companies and Medicare does not cover Holistic procedures and visits. If that is the case then there is no oversight for patients.

But a lot of $ can be made from the sale of "supplements".

JMO's

http://drteresasievers.com/supplements.php#.VhN_tXldHmQ

I'm personally a fan of holistic meds, and my Dr uses the same approach as TS. Afaik, no supplements are FEATURED approved, but I could be wrong.

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[CeaElle]

I am a first time poster, and I meant to attach my response to a particular post...sorry

 

[FelicityLemon]

Okay, she was at work and couldn't talk long. She did add some clarity though and offered to read this thread when she had time, but that will probably not be until tomorrow. (Her husband is a football coach and they have an out-of-town game tonight). She is not a member here but reads so I will be posting what she told me. Excuse the rough notes because I was asking the basics and just quickly jotting down her answers in a word doc.

For clarity, I filled her in on the following: problems patients having receiving their medical records since the death of Dr. Sievers, advised her that MS was office manager and surviving spouse, that CWW was tech guy employed by RHHC and who has been charged for Teresa's murder and that LE had seized the office computers almost immediately after her death.

Q: Considering LE seized the office PC's, wouldn't there have to be a back up somewhere?
A: Yes. By law (she then specified by our state law but felt like it would have to be the same everywhere because of the importance). Everything is backed-up on the company (provider's) EMR system. (offsite from the practice - whoever they bought from and held the contract).

Q: Okay, so how could MS get those records?
A: Simple. He contacts the EMR provider. They have all records. The company's back up will be comprehensive and will show everything. Even the stuff that had been previously entered, if later deleted.

Q: Can records be transferred electronically?
A: Sure. Send as uploaded file. Almost all systems can do that, even if a different EMR provider. Although some systems may vary. (She was talking about sending records directly to another doctor)

Q: How easy is it to create fake accounts?
A: Very simple. Especially easy if no insurance is being billed.

Q: So, it would be easy to use the EMR fraudulently?
A: Much easier if nothing is going to be submitted to an insurance company for audit.


Want to note that she knows absolutely nothing about this case and I didn't have time to fill her in on anything other that the points I posted above. I realize my questions were vague and her answers will probably only lead to more questions from y'all. She was in a big hurry and couldn't talk long so I just asked the bullet points. I'm sure she will read this all in context when she has time and can fill in the blanks.

Freakin' awesome beach! :clap::rocker: I never even thought about the records being on servers provided by the software company!
Dismayed at how simple it is to commit fraud

 

[beach]

Freakin' awesome beach! :clap::rocker: I never even thought about the records being on servers provided by the software company!
Dismayed at how simple it is to commit fraud

At one point she said, "Come on, Mom! I know you know most of this stuff you're asking me. :facepalm:"

:lol:

 

[Helper9693]

From the letter to patients:

"My computer and networking equipment that I have used to access & send medical records has not been in my custody since the death of my wife, Teresa. When I go to the office I seem to encounter the press, thus making it much more difficult.

I divided this statement in two parts...to try and make sense of it. If he worked from home then the "computer and networking equipment" could have been that laptop that we saw being removed during the crime scene investigation. Ok I'll give him that...THEN...he might be saying his next choice is to go to the office to access and send medical records. He seems to imply he could go to the office and get it done if it wasn't for that darn media gauntlet...So is there still "computer and networking equipment" in the office or not. JMT=Just My Thoughts