Medicare secondary recovery unit: Fax: 405-869-3309 Issues on death panel decision from OPM.
Have you been reimbursed by ACS-Xerox, the contractor for the Us dept of Labor for Federal workers compensation for the medical bills related to my accepted medical conditions for my 1/10/89 injury? In '05 and in '07, using the national health insurance data base you located many of my pulmonologists, cardiologists, ear, nose and throat and family doctors that had treated me for those conditions. You also, received as a conditional payment referral from Cigna Govt services, my paid oxygen claims. ACS- Xerox has refused to ever set my file and input 11 years of oxygen invoices which is the reason i was awarded permanent medical benefits over 15 years ago , effective 1/10/89. You don't show the date of injury ans this confuses many medical providers who often call and ACS call center had no info as file off line. There are also pending secondary/tertiary claims, timely filed and never reviewed on kidney disease, cataracts, steroid side effects, gastroenterology, skin, etc. All medical bills are for either accepted conditions as of 1/10/89 or are pending with no initial review in defiance of 6 DOL judges who said ask me for the facts of the case.
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4 comments:
I just wondered if your attorney is able to help settle this problem. I'm sure you have written a lengthy letter describing what has happened and what you have endured healthwise. Is Blue Cross not wanting to pay on your medical bills, or is it the government not wanting to comply with billings?
UPDATE;In repsonse to Carmen C.; The govt has not enforced the law since 1994. on this. Attorneys can do little, more as the case is won. Even judges orders are defied as M09-1406 appellate decision at Medicare was these are Federal workers comp bills and must pay back but suspension of enforcement must be lifted first. HR 1063 does this and adds penalties against the wrong doers. Govt contractors, govt officals not excluded in this law from these penalties. There's no one to make them pay, yet.
To pay back means to 'make' ACS- Xerox post my file following in manner as the 2/09 appellate judges orders we got from the US Dept of Labor who ordered all 'ask me for the facts of the case and use my records to reconstruct the files. We can reconstruct the files for the judges, but when they send it to ACS-Xerox to post, they diappear..along with the judges orders. . and what this means is that ACS- will no longer be able to hide from even my claims examiner at workers comp that they have over a decade of timely filed and reminder follow-ups; including of oxygen claims never input as they would be paid re their own mananger and 'gig' would be up and all bills would get paid. (Other claims are processed and not paid referring to this 'missing' million dollars.)
But ACS doesn't tell doctors nor oxygen suppliers the whole truth of what happened or would happen if claim is filed and appealed if processed and not paid; an investigation would occur as a result) Lincare and Rhema which have both denied supplying oxygen which are contractors of ACS-Xerox as Federal workers comp suppliers have refused to allow serive and its not about coverage as approved for life even by Medicare as was affirmed in M09-1406 appellate which was about the govt enforcing the collection to get the bills paid back to Medicare by ACS-Xerox.
ACS-XEROX hides appeals, too. ACS-Xerox etc. is the one who misinforms FED Employeee plan and MCOB misinforms MSPRC I don't have it as other primary.
Oxygen for ilfe was what caaued the ssytem to put me on permanent medicala at Federal workers comp almost 18 years ago and a $ million started through the agencies and casued the secured possting on the official computer at US Dept of Labor which gives it on to the Medicare computer bi weekly and then each time back thruogh the Federal Reserve each until the final step(s) unless the susepcted embezzlement ring is inside ACS or another of the 'interlocked' OPM contractors which is to reimburse my Federal Blues at 100% and not 50% as they do now?. for payment of entire bill and not what health policy says for non injuries and where is the missing millions on me and others?
OIG Director says not given funds to investigate what indicators say is billions mising in many programs through OPM..
MSPRC is a subsidiary of Emblem health International fomrerly Group Health, parent company of Medicare Coordination of Benefits that misinforms MSPRRC that there is no Fed Blues for family as a primary. So the theft of Medicare is going stond and no one does anything to stop it and won't til HR 1063 is implemented or a 'change of heart' occurs and I pray it does. Linda Joy Adams 1/1/14(spellcheck is not working)
Recovery and coordination unit has refused to stop deleting the primary Federal Blues form the common working file as the judges said the official posting is accurate that posts bi weekly from US dept of labor and no change has occurred even though ACS et al said it did, but that is false info. Our submissions to them to reconstruct the recovery files they destroyred on CEO Lynn Blodgett's verbal orders have gone ignored also, so they are not collecting the money owed medciare nor are the implementing tHR 1063 to revive the conditional payment law, so just what is going on but continued theft of Medicare and a free for all looting of our precious public monies by those given total immunity under an unconstitutional broadening of the Patriot act partners which now are in control of all of healthcare with the patients and the medical personnel at the mercy of this international cabal that seems to ignore the object of good health care for each one of us. Linda Joy Adams 5/14/15
UPDATE; No change and its worse as MSPRC not the Recovery and coordination still under Emblemhealth International formerly Group Health Int. still takes its orders from Lynn Blodgett the head of the USA for this international cabal. And now that he has control of all workers comp in the USA he has created layers of contractors and companies to shuffle around data, that used to be annotated each time a claim was filed that the workers comp did not pay for current or future recovery . As if no one get ongoing bills paid by a worker comp as is still to be at FECA None even understand it's too stop what their own company is doing deleting primary pays to do illegal dumps onto Medicare. The main reason for the law in the first place is what they are illegally doing. Then informing billing services not to code as a conditional payment getting everyone but them over paid and for patients that is even after ones will is probated and proceeds distributed to heirs.
First and foremost is the political embarrassment of most in congress who got conned into voting to defund the government in the COUP OF 2002 TO HAVE NO CIVIL OR CRIMINAL OVERSIGHT OR SEC OVERSIGHT OF GOVERNMENT CONTRACTORS. It's not just me but many high level officials in the real government who have begged and written to Congress for the right to spend the taxpayers money even from existing budget to do their jobs and protect the interests of the people and the security of the nation,
The misinformation is so bad inside the contractors who now managed the whole healthcare system that NO ONE KNOWS WHAT A CONDITIONAL PAYMENT EVEN IS. The 1980 was passed for just the things that have happened to me and those on my employer group health plan that have Medicare as secondary to it as primary and of course FECA is the 100% primary due to the home liquid oxygen they put me on nearly 22 years ago.
Congress says the USA is broke as it's being robbed and scammed by this cabal, and has no way to verify any fact or figure since they are self imposed gagged to not contact, mention or have a contractor testify and the real government cannot find out by no money allowed to be spent to know either. Linda Joy Adams 8/16/16
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