Tuesday, April 5, 2011

Patients' Right to Choose Providers

By Elizabeth E. Hogue, Esq.

The right of patients to choose providers who will render care to them is currently based upon three key sources:
 
  • Court decisions that establish the right of all patients, regardless of payor source and the setting in which services are rendered, to control treatment, including who provides it.
  • Federal statutes for both the Medicare and Medicaid Programs that establish the right of patients whose care is paid for by these programs to choose providers who render care in the absence of a waiver.
  • The Balanced Budget Act of 1997 (BBA), which currently requires hospitals only to provide a list of home health agencies to patients.  According to the BBA, the list must meet the following criteria:
    1. Agencies that provide services in the geographic area in which patients reside, are Medicare-certified, and request to be included must appear on the list given to patients.
    2.  If hospitals have a financial interest in any agency that appears on the list, this interest must be disclosed on the list.
    * Conditions of Participation (COP’s) of the Medicare Program that are the same as the provisions of the BBA described above.

Despite the existence of these requirements that are intended to protect the right of patients to choose providers, there is a lingering perception, however unfair it may be, that hospitals give “lip service” to patients’ right to freedom of choice, but still operate based upon a culture that emphasizes ownership of patients and the need, and perhaps even the right, to go to great lengths to keep patients “within the system.”  Case managers/discharge planners are likely to see more enforcement actions by state survey agencies with regard to the rights of patients to choose their providers.

Action taken by a provider in Indiana is instructive.  Specifically, the provider documented instances of alleged violations and reported them to the state survey agency.  Surveyors treated the reports like a complaint and conducted a complaint survey of the hospital's practices.  Surveyors concluded that the hospital violated its own policies and procedures and the provisions of the Balanced Budget Act in the process of making referrals for home health services.  The hospital received a statement of deficiencies and was required to submit and follow a plan of correction (POC).

This action opens the door for clear enforcement action against hospitals and other providers who violate patients' right to freedom of choice.  If violations are at the condition level of deficiencies, providers could, at least in theory, lose their right to participate in the Medicare/Medicaid Programs.

The right of patients to choose providers has generated considerable conflict within the provider community.  This right is likely to be tested and reinforced.  Case managers/discharge planners need a thorough understanding of the issues in order to stay out of the fray.
 
(To obtain more information about the fraud issues discussed above in a book entitled Medicare/Medicaid Fraud and Abuse: A Practical Guide for Providers, send a check to Elizabeth Hogue for $30.00 including shipping and handling to: Fulfillment, 107 Guilford,Summerville, SC  29483.) 

©2011
Elizabeth E. Hogue, Esq.  All rights reserved.
No portion of this material may be reproduced in any form without the advance written permission of the author.

21 comments:

  1. I think choosing right hospital is one of the most important decision you'll have to make because good hospital can provide you good medical facilitates.
    Hospitals In Dubai
    http://azhd.ae/

    ReplyDelete
    Replies
    1. My father was diagnosed with amyotrophic lateral sclerosis (ALS) in the summer of 2013; His initial symptoms were quite noticeable. He first experienced weakness in his right arm and his speech and swallowing abilities were profoundly affected. We all did our best to seek help for this disease no medications they prescribe worked ,we were all scared we might lost him due to his condition, as he had been his brother's caregiver a few years earlier for the same disease before he past. doctor recommend nuatural treatment from total cure herbal foundation for his ALS we have no choice to give a try on natural organic treatment ,this herbal cure has effectively reverse my father condition ,losing his balance which led to stumbling and falling stop after the completing the herbal supplement which include his weakness in his right arm and his speech, natural herbs from totalcureherbsfoundation .co m home remedy is the best although their service is a little bit expensive but it worth it, they save lives.

      Delete
    2. HOW I GOT CURED OF HERPES DISEASE
      I'm here to testify about what DR. OSO did for me. I have been suffering from (HERPES) disease for the past 5 years and had constant pain,especially inside my body. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago i came across a testimony of one lady on the internet testifying about a Man called DR. OSO on how he cured her from herpes disease. And she also gave the email address of this man and advise anybody to contact him for help for any kind of sickness that he would be of help, so I emailed him telling him about my (HERPES) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as DR. OSO assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE,the test came out negative. So friends my advise is if you have such sickness or any other at all you can contact DR. OSO for help via email} drosohaberhome@gmail.com or WhatsApp+2348162084839

                     here is the DR OSO website.

      https://sites.google.com/view/drosohaberhome/

      His blog page https://drosohaberhome.blogspot.com

      you can also email me for more information about DR oso via smithmorgan2777@gmail.com ALL THANK TO DR OSO .  

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    3. Am henry from vegas, I am testifying about a great hebal man that cured my wife of fibroid and painful menstruation, his name is Dr osaze. My wife was diagnose of fibroid two years ago, i almost spent all i had then, until i saw dr Osaze's recommendation online, and i call him, then he told me how to get the herb.within a month and a week, the herbs shrink the fibroid, You can call him on +2347089275769 or email him at drosaze39@gmail.com

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  2. I agree with you there, If it is true that Medical Directors cannot complete face-to-face encounters and documentation of them, the new requirements are more likely to be problematic to implement. I think they will so stress with it. Amina Hospital Ajman

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  3. It was during my research on HIV/Herpes that I stumbled upon the Hiv/Herpes information; information which is quite easy to find when doing a search for STD on google. I was into conspiracy at the time thought of HIV/Herpes Cured' being a conspiracy was something Ignorance though,I found pretty interesting about herbal medicine. I asked questions about the Herbal cure's on official HIV/Herpes websites and I was banned for doing so by moderators who told me that I was parroting Hiv/Herpes propaganda. This reinforced my belief that there is a cure for Hiv/Herpes Then i found a lady from germany name Achima Abelard Dr Itua Cure her Hiv so I send him a mail about my situation then talk more about it and send me his herbal medicine I drank for two weeks.And today I'm Cured no Hiv/Herpes in my life,I searched for Hiv/Herpes groups to attempt to make contact with people in order to learn more about Hiv/Herpes Herbal Cure's I believed at this time that you with the same disease this information is helpful to you and I wanted to do the best I could to spread this information in the hopes of helping other people.That Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's,Alzheimer’s disease,Bechet’s disease,Crohn’s disease
    ,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Colo_Rectal Cancer,Lyme Disease,Blood Cancer,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer,Love Spell,Lottery Spell,disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity Syndrome Fibrodysplasia Ossificans Progressiva.Infertility, ,Epilepsy ,Diabetes ,Coeliac disease,,Arthritis,Amyotrophic Lateral Sclerosis,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
    Syndrome Fibrodysplasia Ossificans ProgresSclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.
    Dementia.,Hiv_ Aids,Herpes,Inflammatory bowel disease ,Copd,Diabetes,Hepatitis,I read about him online how he cure Tasha and Tara,Conley,Mckinney and many more suffring from all kind of disease so i contacted him . He's a herbal doctor with a unique heart of God, Contact Emal..info@drituaherbalcenter.com / drituaherbalcenter@gmail.com Phone or whatsapp..+2348149277967.

    ReplyDelete
  4. Natural herbs have cured so many illnesses that drugs and injection can’t cure. My name is Sharon from USA. I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I read people's testimonies online on how they were cured of Herpes, HIV, ALS, Diabetics etc by Dr. AIGBE herbal medicine, so i decided to contact the doctor because i know nature has the power to heal anything. I was diagnosed with HIV for the past 6 years which i had spent so much on medications without a solution. But within the shortest time i met Dr. AIGBE, my dream of living longer became a reality. I was cured within two weeks of taking his herbs. I referred my aunt and her husband to him immediately because they were both suffering from herpes but to God be the glory, they were cured too. I know is hard to believe but i’m a living testimony to these very facts. There is no harm trying herbs. He is also a spell caster, he cast spell to restore broken marriages and he cast good luck spells to prosper and excel in life. Contact draigbeherbalhome@gmail.com or call/whatsapp him on; +2349014575214. Please share the good news once you are cured.

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  5. Thank you very much for sharing your thoughts with us. I am also sharing my thoughts on:
    Liposuction in Dubai
    Rhinoplasty in Dubai
    Cosmetic Surgery in Dubai

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  6. I am very happy to pass this to everyone that is sicking from any kind of disease that the solution to all diseases and sickness have arrive, i was just cured by Dr idahosa the great healer after i have been passing through stress all day and night. i never know i was going to be cured of this HIV sickness in my life cause they said there is no cure, i am proving all those that said that there is no cure wrong cause i have just been cured with herbal medicine of Dr idahosa the great healer, i cant talk cause my heart is full of excitement and i am using this medium of my testimony to inform you all to contact this man for any kind of sickness and he is ready to help you solve your problem. please if you are out there passing through any sickness kindly contact him here through his email address:{ dridahosasolutioncenter@gmail.com } whatssap number +2348134261542,  he  is waiting for you. once more i say a very big thank you for what you have done for me, i will keep my promise to keep sharing testimony about what God have use you to do in my life.
    Dr Idahosa also cure listed diseases:

    1, Night sweats
    2, Lesions on your tongue or mouth
    3, Weight loss
    4, Frequent fever
    5, Persistent Diarrhea
    6, Skin rashes
    7, Tiredness
    8, Swollen lymph glands
    9, Pneumonia
    10, Memory loss
    11, Depression
    12, Swelling of the lymph glands
    13, Red, brown, pink spots on the skin, mouth, nose, or eyelids
    14, Sores of the mouth, anus, or genitals
    15' HIV/AIDS
    16' Herpes virus
    17, Penis Enlargement
    18, Hepatitis AB and C
    19, Diabetes
    20, Ulcer

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  7. My father was diagnosed with amyotrophic lateral sclerosis (ALS) in the summer of 2013; His initial symptoms were quite noticeable. He first experienced weakness in his right arm and his speech and swallowing abilities were profoundly affected. We all did our best to seek help for this disease no medications they prescribe worked ,we were all scared we might lost him due to his condition, as he had been his brother's caregiver a few years earlier for the same disease before he past. doctor recommend nuatural treatment from total cure herbal foundation for his ALS we have no choice to give a try on natural organic treatment ,this herbal cure has effectively reverse my father condition ,losing his balance which led to stumbling and falling stop after the completing the herbal supplement which include his weakness in his right arm and his speech, natural herbs from totalcureherbsfoundation .co m home remedy is the best although their service is a little bit expensive but it worth it, they save lives.

    ReplyDelete
  8. I was diagnosed of Herpes 2 years ago and I have tried all possible means to get the cure but all to no avail, until I saw a post in a health forum about a Herbal Doctor(Dr Akhigbe) who prepares herbal medicine to cure all kind of diseases including Herpes, at first i doubted, if it was real but decided to give him a trial, when I contacted Dr Akhigbe through his Email: drrealakhigbe@gmail.com he guided me and prepared a herbal medicine and sent it to me via courier Delivery service,when I received the package (herbal medicine) He gave me instructions on how to consume it,I started using it as instructed and I stopped getting outbreaks and the sores started vanishing, could you believe I was cured of this deadly virus within two to three weeks and notices changes in my body. Days of using this REMEDY,couldn't believe the healing at first until I see it as my HERPES  get cleared like magic Dr Akhigbe also use his herbal medicine to cure diseases like, HIV, HERPES, CANCER, ALS, CHRONIC DISEASE, HEART DISEASE, LUPUS, ASTHMA,  DIABETES, MARBURG VIRUS,  HEPATITIS A AND B.ECZEMA, BACK PAIN, EXTERNAL INFECTION ,ASTHMA, MALARIA, DENGUE FEVER, BACTERIA DIARRHEA, RABIES, OBESITY, PROGERIA,  MENINGITIS, ARTHRITIS, EPILEPSY,STROKE, LYMPHEDEMA, GALLSTONE, PULMONARY HYPERTENSION, PENIS  EJACULATION, UTIVE, LCERA  HPV, DENGUE, COELIAC DISEASE, OSTEOPOROSIS, RHEUMATISM, THYROID, COLD & FLU,KIDNEY DISEASE,ACME. TOXOPLASMOSISM  ERYSIPELAS. etc Contact this great herbal Doctor today the father of herbal root cure. via Email: drrealakhigbe@gmail.com or whatsapp him  +2349010754824   and get cured permanently He is real..website:      https:drrealakhigbe.weebly.com

    ReplyDelete
  9. I am very happy to inform the general public that I am finally cured from Herpes simplex virus recently with the use of herbal medicine, the powerful herbal medicine cured me completely and i was tested negative after usage, I am using this means to inform other's who have the virus that there is a cure for Herpes simplex 1&2 . It is absolutely true. I was cured by Dr Alli, only him I can recognize who cure Herpes perfectly well. I will advice you to contact this great doctor who God has send to put an end to the sorrowful and deadly disease. Contact him via Email  Allispellhelp1@gmail.com or add him on WhatsApp +2348100772528

    ReplyDelete
  10. I am here to give my testimony about Dr Ebhota who helped me.. i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by salami, i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr Ehbota cured them. when i contacted him he gave me hope and send a Herbal medicine to me that i took for just 2 weeks and it seriously worked for me, my HERPES result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that there is no cure for herpes that is Not true just contact him and get cure from Dr Ebhota healing herbal cure of all kinds of sickness you may have like
    (1) CANCER,
    (2) DIABETES,
    (3) HIV&AIDS,
    (4) URINARY TRACT INFECTION,
    (5) CANCER,
    (6) IMPOTENCE,
    (7) BARENESS/INFERTILITY
    (8) DIARRHEA
    (9) ASTHMA
    (10)SIMPLEX HERPES AND GENITAL
    (11)COLD SORE
    HERPES. he also cure my friend from cervical cancer Email: drebhotasoultion@gmail.com or whatsapp him on +2348089535482

    ReplyDelete
  11. Hello all viewer online HIV has cure but doctor said Hiv/Aids has no cure until i met Dr Godwin who help me in my life. I was infected with HIV/AIDS in 2006, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution, so that my body can be okay. until this faithful day as i was browsing the net I saw a testimony on how Dr. Godwin helped people in curing HIV Disease, quickly I copied his Email which is .com so i contacted him for solution for my HIV, so Dr. Godwin told me that his going to prepare herbal medicine for my health, then he prepared the medicine and luckily after three week my HIV was be cured. Dr Godwin is well recognize as one of the best herbalist doctor in West Africa, you don't have to be sad anymore or share your tears anymore on this disease when the cure have already be found by Dr.godwin herbal medicine, he so cure HERPES,CANCER, ALS,HEPATITIS B, DIABETIC ,or his whats-app number: + 2348054615060 or email drgodwinsolutionhome@gmail.com

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  12. May God bless dr.idowu. for his marvelous work in my life, I was diagnosed of HERPES VIRUS, since 2017 and I was taking my medications, I wasn't satisfied with it because i needed to get the{cold score} HERPES VIRUS, Out of my system, I searched about some possible cure for{cold score} Herpes i saw comments about Dr.idowu how he cured people's diseases with his herbal medicine, I contacted him and he guided me. I asked for solutions, he stated the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 14 days later i was cured from {cold score} HERPES, thank you so much and you are the one that God sent to change my miserable life, may the almighty GOD be with you all the days of your life, so my brothers and sisters, I ugh you to contact him on this email address if you need his help Dr.idowuherbalhome@gmail.com .Dr idowu ONCE AGAIN THANK YOU SIR.He also told me that he has solution for the flowing. (+2348052789941) on Whats-app now*fibroid *kidney*fatty liver *HIV/AIDS**..1 Cancer cure Diabetes cures Ringing ear 4 Herpes cures Warts cure HPV cure Get your ex backs Pregnancy herbal medicines Prostate enlargement Hepatitis B 11 Disability Etc. Add him on Whats-app .now add him on via .(+2348052789941) or (+2348052789941). +2348052789941.. .good luck ...save life. you can contract if you have any probelem .............

    ReplyDelete
  13. May God bless dr.idowu. for his marvelous work in my life, I was diagnosed of HERPES VIRUS, since 2017 and I was taking my medications, I wasn't satisfied with it because i needed to get the{cold score} HERPES VIRUS, Out of my system, I searched about some possible cure for{cold score} Herpes i saw comments about Dr.idowu how he cured people's diseases with his herbal medicine, I contacted him and he guided me. I asked for solutions, he stated the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 14 days later i was cured from {cold score} HERPES, thank you so much and you are the one that God sent to change my miserable life, may the almighty GOD be with you all the days of your life, so my brothers and sisters, I ugh you to contact him on this email address if you need his help Dr.idowuherbalhome@gmail.com .Dr idowu ONCE AGAIN THANK YOU SIR.He also told me that he has solution for the flowing. (+2348052789941) on Whats-app now*fibroid *kidney*fatty liver *HIV/AIDS**..1 Cancer cure Diabetes cures Ringing ear 4 Herpes cures Warts cure HPV cure Get your ex backs Pregnancy herbal medicines Prostate enlargement Hepatitis B 11 Disability Etc. Add him on Whats-app .now add him on via .(+2348052789941) or (+2348052789941). +2348052789941.. .good luck ...save life. you can contract if you have any probelem .............

    ReplyDelete
  14. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a lady called peter Lizzy she was testifies to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

    ReplyDelete
  15. My name is Giovanni, am feeling so much better now after Dr. Raymond healed me of corona virus with the help of a spell. it really hurt to have lost my mother and wife to this virus before meeting this great healer, i am so happy to have survive this deadly virus. A friend of mine Lee from China told me how this great Dr. Raymond healed two of his Daughter with a spell, so I decided to contact him immediately for help. I did as he instructed and now am healed completely. What a magnificent experience with Dr Raymond. I will not stop sharing these testimonies until each patients recovered. Thanks to the great Dr. Raymond for restoring my health. Contact him via: Email> swiftspellcast@gmail.com WhatsApp> +2348118116281
    He also solve issues listed below
    (1)HIV/AIDS
    (2) Herpes virus
    (3) Do you want to be promoted in the office?
    (4) Spiritual protection
    (5) Do you want children?
    (6) Do you want to get rich?
    (7) You want your husband / wife to be yours forever?
    (8) Do you need financial assistance?
    (9) Are you cheated and want to Recover lost money?
    (10) Cancer treatment and various diseases
    (11) You want to stop divorce
    (12) Commercial protection
    (13) Looking for a job
    (14) Body care
    (15) Divorce spell. (16)Bring back my Ex.
    If you need to resolve any of these issues today, please contact the solution temple ...

    ReplyDelete
  16. I’m isabell from the States.I want to use this medium to appreciate Mrs Julia Lucas for coming on the platform to share her experience with Dr osuma i have been online looking for a genuine remedy to my illness of 5 years Hepatitis B until i read Mrs Julia Lucas post.As we all know these days the truth is rear so i didn’t want to believe Mrs Julia Lucas until a second taught asked me to.I contacted Dr osuma as directed by Mrs Julia Lucas and follow the procedures and everything worked out in a brief.I thought there was no actual cure for Hepatitis B until a little trial convinced me.i was cured after 3 weeks of usage of Dr osuma great herbal medicine,he has a cure for what so ever health challenging issue HIV,TB,VERTEBRAL ISSUE,CANCER,DIABETES,ISCHEMIC DISEASES,STROKE,RESPIRATORY INFECTIONS,PULMONARY DISEASE,ALZHEIMER”S DISEASE,DEHYDRATION,CIRRHOSIS ETC.You can contact him via his Email (drosumaherbalcure@gmail.com)

    You can as well go through his website (http://drosumaherbalcure.weebly.com)

    ReplyDelete
  17. Hello Everyone out there,I am here to give my testimony about a Herbalist doctor who helped me . I was infected with HERPES VIRUS in 2012, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at {dradigba@gmail.com} or whatsapp him number: +2348077875210.Contact him today and you will have a testimony…Good luck!... DOCTOR ADIGBA CAN AS WELL CURE THE FOLLOWING DISEASE:-1. HIV/AIDS2. HERPES3. CANCER4. ALS5. Hepatitis6 Diabetes7 LOVE SPELL8 IF YOU NEED YOUR EX LOVER BACK TO LOVE YOU AGAIN.     

    ReplyDelete
  18. Good News My People ..I Want To Appreciate Dr OYAKHIRE Herbal Medicine Is A Good Herbal Medicine For( HIV ),I Was Diagnosed With Hiv
    Virus Last Month,And i Looked For Solution To
    Be Cure,Luckily I Saw A Testimonies On How Dr
    OYAKHIRE Cured Hiv Virus,I Decided To Contact Dr OYAKHIRE ,I Contacted Him and He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine For My Health,He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of This Deadly HIV Virus Within 1week, I Am Now Hiv Negative.My Brothers And Sisters I
    know That There Are So Many People That Have
    this Same HIV Virus Please Dr OYAKHIRE is here To Help you too,And please Help Me To Thank Dr OYAKHIRE For Curing Me, I’m Cured By Dr.OYAKHIRE Herbal Medicine,His Contact you can whatapps him on is phone number okay
    here is the number on Whatsapp,
    (+2349039208180 or email droyakhire7@gmail.com
    (1) HIV / AIDS
    (2) CANCER
    (3) HERPES
    (4) DIABETES
    (5) HERPERTITIS B
    (6) HPV
    (7)EX BACK
    (8)Tinnitus
    (9) stroke
    (10) asthma
    (11) fibroid

    ReplyDelete