Daily Recap 11/19/12: Speaking Out: President Obama Born In Topeka KS

Daily Recap 11/19/12: Speaking Out: President Obama Born In Topeka KS:
Sunny and cool day. mail came and has prompted the following letter sent to Aetna and Medicare Secondary Payer recovery Unit.

Mark T Bertolini, CEO
Aetna
151 Farmington Ave
Hartford, Ct 06156
 P.S.    Today I talked with several of your employees in the Medicare part D sections. I had received two letters. One was the quarterly summary of claims paid and I appreciate your doing this as my primary payers have been allowed  to play illegal games by the highest authorities in the govt and are not paying their legal responsibilities. The second was letter form Aetna showing Blue cross Blue shield as primary and Medco as Secondary. I get  this about yearly, and complete it, Neither my reports nor the official postings to the Medicare computer ever is left alone even though no one is to alter the postings from  the US Dept of Labor to the Medicare computer owned by Emblem health and administered by their subsidiary, Medicare coordination of Benefits. They also maintain  the National heealth insurance Data base and filled withdocumented internal alterations of claims as well as not being under the HIPPAA law and many have died from it being used for medical treatment and is documented in Congressional studies on Wrongful death malpractice suits and causes. The former acting Director of Medicare Don Berwick MD had wanted to put it under HIPPAA and also initiated corrective actions in other areas including having Part D Medicare claims paid because the primaries did not pay be sent to the Medicare recovery unit to document and ask for the monies back from the primaries.
I had  info that this had been made law a couple of yearsl ago. Your employees have no knowledge of this  occurring nor that since the inception Of Part D Medicare  there has been no one in the govt to stop liable health plans and insurance companies from 'dumping the bills on to Medicare and getting by with it. No internal audit control and no enforcement the conditional payment laws under Medicare have occurred since Sec Of HHS Donna Shalala suspended them , illegally, in 1994.
I appreciate the claims you have paid and since I do have special help the State  has also had to assist.
Are the states aware that they are paying bills that belong to other parties and that Medicare is doing nothing to recoup the monies back for them.? Add to this that there are no negotiated prices for prescription drugs as primaries usually have.means that the taxpayers are literally being robbed.
Your employees asked me if I wished to file a grievance, but if you have no knowledge of any kind of Medicare secondary recovery program for part D Medicare what good would it do? I would appreciate a signed letter from your company that you have never been informed by HHS Medicare that you should be sending claims on any one with a primary payer  that includes a drug plan on to MSPRC after payment so that  records can be kept which would document for Congress just how major the problem is as many state it is astronomical over the last 6 years. I will be forwarding a copy of this with the questionaire And explain to them that the official posting is accurate per 3 Medicarie judges including an appellate one on case M09-1406 and  Federal workers comp and Federal Blues, neither are paying primary if they can call and get the reocrds changed and they do, are paying. No one can stop them and all claim OPM says to do it.
Your staff did check  and you show there is OWCP, but don't correlate my bills with  it and its obvious they are. But Affiliated Computer serivces with orders of a convicted criminal in the Jack Abramoff bribery scandal ordered them not to post my file and set aside monies went missing at the same time and a lot of files files do show it t and is why no claims have been paid for a decade since they took over and Ill Blues took over in our area. They all claim Office of Personnel Management is orderingthe illegal acts but none will ever  name a perosn but Horace M Cooper did say Director of OPM ordered it to him, Kay Coleman James, then.  The next Director Linda Springer made some phone calls  and then abruptly resigne. My letters to John Berry, current one have never been answered. OIG for OPM says they need permission form Director to investigiate and none given for over 7 years by any and its not just me this is happening to with millions?misisng in monies for our care. John O'Brien, head tofealth Care Unit at OPM, knows nothing about all these illegal orders that Fed Blues and ACS are claiming came from  OPM. Obviously someones lying and covering up and it needs someone from law enforcement to investigate as they are not going to speak to an elderly woman form rural OK who has conducted medciare and Social Security Fraud investigations.
I appreciate anything you can do and Thank You for paying the claims and I will continue to try and get the monies reouped for you but I do need your assistance in the matter. Its unfortunate that Don Berwick M|D. was forced out over his pooitics when he would not be creating laws any way. I don't have to agree with him  when the basic rights of people and protection of the public monies is at stake. That should be everyones concerns. no matter what laws one wants passed.
If you think it would be better to treat this as a formal grievance than do so if it would help get the needed letter that there's no recovery procedure to recoup  back to Medicare when Part D prescripions have to be paid as the primaries have been permitted to play illegal games and not pay. Attached are some filings done previously to show my attempts at resolving this. I have resigned them.
    I also called Medicare secondary payer recovery Unit and someone went in on their system and closed out all the recovery actions posted and done on Part A and B of Medicare and they have not recovered any monies nor have any letters been sent to me that they did so. The recovery letters that they have sent out over the years are valid and apparently there is no way to recover monies back to Medicare if its has to be done from a govt contractor or other agency as there is from a Private insurance or liable third party. The fact there is a third parity law suit pending that OWCP required me to file seems irrelevant to them.Their employees had no idea who had done this on their system.
Even social security' system has been hacked into for over a decde and is not secure and this isn't even a govt computer system so security is non existent on either computer or paper files. Yet no Federal law enforcement has been allowed to investigate.I informed them that permanent medical showson the official secured US dept of labor site and posted to the Medicare Coordination  of Benefits for Medicare computer is still on there and permanent means forever. Only leaving this life for the next would ends benefits. I am physically harmed by all the calls to day and have  no idea how to resolve this. And my medial care has often been obstructed over this. MCOB has no access to the official postings so those that need the info can;t get it. and whoeer is manipualting all this is able to sucessfully get by with it and would tend to indicate the Directors of OPM in the past did set this up so no one can now what is going on and can easliy be tricked into aiding and abetting theft of Medicare and other abuses of power. It would have to be someone that high.
Your employees did say that compounding medications are not covered under Part D and have been trying for over a year to get mine filed with fed Blues as they indicate they might pay for . Fed Blues, unlkie the prior Blues will not recognize OWCP as OPM doesn't want me to have it. There order: let her die! is witnessed.
OPM is not an official party to any OWCP case, yet they have continually obstructed claims and processing of files since 1/10/89 when I was injured. Yet no one will say name or business address or official job title other than Director said. and there had been more than one over the years. Congress must address these abuses of power before 2014 when they take charge of everyone's health care plans. My case is never official controverted and theri judges continually say pay , process, etcand their orders are 'disappeared' inside the conrtractor,ACS as they are in mulitple agenices I have had to deal with. Congress has givien them immunity for cirmes and cant be internally audited as the nations has had a coup dpetat when we have no rights, no laws obeyed and our monies gone where?

Sincerely

Linda Joy Adams


PRESIDENT OBAMA BORN IN TOPEKA KS: President Obama made  appointments at the beginning in 2009 that could have helped greatly in stopping some of the abuses of power. However, as I said to some of the people I spoke to day/ More than one political appointment in these agencies have resigned abruptly with my file on their desk.There's something so entrenched that no president and no high level political appointee of any party can stop it. Yet in order to live, the patient has been given the responsibility to do what the entire federal govt is unable to to do. Where is Congress? passing laws to allow the theft of our public monies! where is the  media, not reporting any of these kinds of abuse any more.Why? Its said the thieves own them? Why is sungard whose company controls the flow of monies through out most of the world wanting the president to be born out of the country? To incite massive unrest among those in the Red States against those in the Blue? when they knew very well he was born in Topeka KS ( Shawnee county as the hospital was out of the city limits at the time on the Forbes Air Force base.) why do we still have deaths and murders and the disappeared on going uninvestigated in this country as happened 50 years ago?
Been writing bout the 10 Commandments. #10 addressses the issue of one in power acting as if they are a supreme god and abusing power.) The Bill of Rights continues on from these. I wrote about freedom of religion yesterday,the first phrase in #1. The second part of that  says the right to express ones opinions and   called Freedom os\f speech. One has to be allowed to speak out against the abuses and sins of others.One has to be respctful of others right to practice their faith and all should be permitted to.. This has not been occurring for about 50 years. The first amendment has stripped  of our faith rights and turned into divisiveness insteadof mutual respect for one another. and Open dilaogue.
One has the right to say, don't want to hear. we allow others to speak but can ignore them.We have laws against not telling the truth and these seem to be violated horifically the more powerful the one who is blatantly and maliciously lying and gossiping and slandering. One has a right to an opinion but not to intentionally misinform in order to have a free society where we need to do things as a socieiy together and as a govt. nor are we allowed to steal another;s sayings or writings as one needs to give credit and payment if protected by our laws. the freedom of specch allows the open discourse to occur to share ideas to solve our problems and get things done we need to do together so all have life, liberty and the pursuit of happiness.
TOMORROW: Let's get together! Linda Joy Adams 11/19/12