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Monday, December 17, 2012

Daily recap 12/17/12: Blues Deletes Self: President Obama born In Topeka Ks

Daily Recap 12/17/12: President Obama Born In Topeka Ks CORRECTION: i picked up some news online of 21 children dead in China in an attack at a school yard from various sources and re posted and mentioned it. They did not die but were all injured and I pray for their complete recovery.  Thom Hartmann was blaming Fox news, but my sources were not from them. I am not paid for this site and have no researchers , but after several sources around the world referring to it I did link it.
 Cool day but sunny  Doyle faxed to Us Dept of Labor contract compliance complaint papers and then photocopied some letters to be sent to the Medicare clams prcessing contractors. Its the same set that was just sent to Federal Blues on there appeals. Its all the same impasse: Mr or Ms OPM tells every entity different things and they all accept the orders with out regard to law, judges orders or contractor terms and the chaos has ended with a life and livelihood threatening situation for us and I hear others, too. Got a call back form Novaitas in Camp Hill Pa and my recap cover letter to them is below: (minus personal names.)
                              
                                                             Novitas Solutions
                                                              ATTN:
                                                              P.O. Box 890113
                                                               Camp Hill, Pa 17089
 Thanks for calling me back on a matter that has gone on for years and needs to be resolved. Apparently you did not receive any of the pending claims and appeals infor from Trailblazers    that is currently pending on every claims they have processed on my family and I. Also Wisconsin Physicians which they took over.COn me they go back to when Affiliated computer services took over at Federal workers compensation and Health care Services, Blue Cross/Blue Shield  from Illinois took over in Texas and OK at the same time.back at the end of 2001. Then began denying the existence of OWCP and saying I was retired because I was not going to work and Mr or Ms OPM had already  started giving conflicting orders to various parties.
This started the decae long process of Trailblazers faxing in requests to move fed blues form Primary to secondary and then to often alter diagnoses codes to circumvent the secucity Lock on the OWCP posting that comes from US dept of labor bi weekly.
You affirmed that this on going obstruction is still occurring as you only showed OWCP and Part A Medicare but no primary Federal Blue corss blues shield on the system from Medicare Coordination of Benefits an Emblem Health company.. I'm assuming it will post again about 6AM your time on every other Tues an then be deleted on orders of Stacy Johnson from HCS Blues who claims Mr Or Ms OPM told her to do it.
Yet OPM's general counsel had the correct info a few years ago and why doesn't any one else at OPM?
 I also mentioned the Medicare Appellate judge's decision that the patients must go get the govt's money back even when its been illegal actiivity beyond the control of the patient to stop as our voluminous attempts clearly shows. And I have had 44 years of experience around these programs and even conducted Social secuiriy and medicae fraud investigations and my ' limited' knowledge is not enough to stop it. All we can do is document and keep asking for the claims to be processed legally.
 You did indicate that know the 17 Medicare claim numbers created on my by Trailblzaers and other medicare claim procesing partners in order to circumvent doing conditional payments which is the legal way to do this are now corss referenced to my legal claim numbers. This has been done, recently, at Trailblazers before the transfer to your company. And of course as you alluded to;  does not indicate the 17 payments made on each claim and where they went. As the 500 witnesses and other documentation clearly showed 17 pays per claims since 1/06 were debited  from the Medicare trust fund and the medicare judges have said  patient is arequired to recoup this from the party that received the monies which appears to have now 'disappeared from your records. As according to what we have learned they did not go to the medical providers  named. I pray that none of he 200 providers that have gotten ensnared in this, by the misinformation from the Provider call center at Trailblazers and CMS officials in Dallas; are asked to refund what they did not receive. I am only aware of each getting one pay, but it was not properly coded as a conditional payments.
What we wish to happen is to be unburdened from having to file claimsand appeals and be free  of any liabilty in the matter and have our medical care unobstructed and Pat B premims found and put back so I can have Part B Medicare again to pay the co pays, conditionally. Untill ACS and OWCP can pay my benefits there, but I'm tld the workers have to find the misisng millions that have disappaeared as no OIG is being permitted to investigate there either at US Dept of Labor or OPM..
As you confirmed today, medical providers and suppliers can't even get the truth from accessing the Medicare computer to know what my insurances are ,let alone whom to bill first. So who covers what ia major factor in getting medcial care. And now our family is  embroiled in this, too in the same way.
Medicare Coordination of bennfits has nhd no civil or moral right or legal right to have altered my official postings which affects my family as they are on my federal Blues family policy, yet have done so for over a decade foo rme and since 11/08 for dependent and for Doyle since 11/09 when he became 65.
Medciare paying pirmary on any of us has been ruled an overpayment but we would have no liability nor would the medical providers and suppliers if it had been coded as a conditional payment and the 1980's law, I  referred to today  on conditional payments says the govt is to enforce its own laws. and Sec of HHS Donna Shalala\ literalay collapsed the health care system when she suspended the enforcement back in 1994 and still is..No one seems to think they have had to play by the rules any more and lives and public monies are involved and its horrendous what has occurred. especially since the AMA lawsuit to correct the mess left the patients out; and I was not aware of it until too late to share my documentation with the attorney for the American Medical Association.
AlI have ever wanted is for the claims to be coded for conditional payment and not only is there OWCP involved on me but  third party lawsui(OWCP required us to file to reimbuirse the taxpayer) that has been obstructed by the US dept of labor and their contractor Affiliated commute services who will not do as the 15 appellate Judges and 2 hearing officers have said and process and pay as ordered on an established case with permanent medical benefits.
As I mentioned even Medciare secondary payer recovery had misinformation from unknown source and unofficial source posted to ther computer system and stopped any recovery actions allegedly all coming from the Mr. or MS OPM, who is a person of interest in the embezzlement of the million dollar set aside money on me and many others according to the OIG for OPM who has suspected the embezzelement ring for some time but not been allowed to investigate by the current or past directors OPM. I have no knowledge that my letters to John Berry have ever been seen by him .Linda Springer did start making some calls about my case and then abruptly resigned to go work for Ernst and Young one of the two govt contractors that got the TARP money to spend in 2008. Acting Director in '09, was the general counsel that did know the facts and even had a copy of my signed agreement with SSA my employer available and said to me to not forget that I Can't legally retire until OWCP gets me on permanent disability with them and there is no such thing as inactive Federal employment which is what federal Blues was trying to create and so were some Medicare officials..
Another on going problem on many cases is that Medicare's compuiers are programmed to show the date of entilement to Part A Medicare as the date of injury which is usually going to be at laest 2 1/2 years too late and miss most cases. So no recovery letters or conditional payments done. on most cases for those under age 65. Mine is 1/10/89 and Part A did not start unitl years later, altough a claim for earlier benefits back to '89 goes continually obsructed and diappeared multiple times at SSA. Personnel file missng as Mr or Ms OPM called and said I had received an OWCP settlement and retired which is all a lie and thus it stopped compleiton of items they had agreed to do.
Few seem to be aware of some of these basic laws?
I also mentioned that the memorandum of understanding between Commissioner Astrue of SSA and Sec of HHS Tommy Tompkins back in 2005 has never been implemented, but I filed the form 632, anyway that goes unanswered. So I can't get a waiver of liability on these clamms medicare paid on me and on our family. This is not a hardship waiver but one against 'equity and good consceince'; so no personal financial info is provided.
We have spent thousands over the last 25 years reconstuctiing all the govt files that routinely go missing and the  US attys' say these are felonies and the custodian of the records must file law enforcement reports or they have committed another felony if they do not do so. But the over all polucy is not to investigate on any one of thefts of files or data. Not even at SSA when the computer shstem has been hacked into for over a decade as documented and the Director  of IT can't seem to get Comm Astrue to okay an investigation?.

When the mulitple Medicare claims numbers started being used and even when just one phony was, SSA and FTC's OIG could not get the FBI cybercrimes peopls to intervene and investigate South Carolinea Blues and their subsisidiaries. Palmetta GBA and Ttrailblazers. whom we have documented as doing this. Also there is pending appeals transferred form Wisconsin Physicians sent to Trailblzaers and tnow to you still pending as far back as 2007. legally pending even if not present in paper or digital file.
It was amazing to find that you do know about conditional payment over ride codes, etcs. since no one in Dallas regional office and now of the claims's procesors there didi But did locate someone in Atlanta regional office who did know them, etc.  But he never retrned myh calls as usually a referrral is made to Dallas and the persona I mentioned that has been documented in cmmitting irregularities that facilitated theft..
That's all that is needed, but its conditional payment for two primary payers and you don't have the Fed Blues on the system so how would MSPRC be sent the ones for Fed Blues, too. on our  family members?
Its been really bad to have my personal doctors told I don't have Part B Medicare because I didn't pay the premiums when that is not the truth as I expalned today. And ACS should never have disappeared a file out of the SSA  McAlestar Hearing office and the remand from the Applellae judge s at SSA seems to have disappaered along with part of the file we had to reconstrucv there. They wo';t even process a request for Part B from me for  almost a year ago and appeals to review and/or  straighten out  this  corrupted mess. All that occurred with the premiums disappearing ot of cyber escrow as ACS? did not code theer is OWCP. If the 2/09 US Dept of Labor judges had been obeyed I would hvae had my wife's benefits paid and premiums withheld from those back to 12/06 by now and all would be moot as they would be paying claims and be caught up on all the new items legally pending since as far back as 1989 on some items at OWCP under ACS's total control at  present.
What has occurred is anarchy and chaos and no one enforcing anything for way to long. If the conditional payments had been done  and  stillneed to be coded; on all of us injured workers car accidents et al., then   this total to be recovered might get the attn of Congress to know how much money is out there to reocover and maybe some attn to getitng it back would occur from the primaries who have been allowed to get out of paying..
The documentation I have was said to be sufficient, by US attys'  to get a search warrant if there was any law enforecement allowed to investigate and refer the cases. There is more since then as I alluded to.  OIG for Medicare can do nothing as it involved s a partner of Medicare.Civil rights compliants are not permitted to be read or answered by the regional manager for over 4 years in the Dallas office.  And none of the ones doing this are under the HIPPAA law.And the altered diagnoses  is a constant life threatening situation as the fruadulent mess is on the naiional health insurance data base and not under HIPPAA, being a govt contract..Yet its been used for medcicl history and obstructed life sustaining care.
I appreciate your asisstance in the matter so we do not have to continue having the patients in a position and reqiured to be the cviil and criminal investigators for the govt. And even filing the initila cliams as providers are told not to when the entitlement is present just not on the system. Its time the officials hired to do this , do it. and those abusing their powers made to stop or replace them with those who will do the job, the law requires ;
 Please let us know what you need to proceed  and a fax number to send it. Basically: Medciare has never been primary on  me, nor on my family members. Blues is primary for them and owcp and blues pirmary for me. all requests are current.
It appears the Dr Berwick, acitng director of Medicare did try to straighten this out as you do seem aware at Novatis of the basics of what should be going on and has not been in the Dallas region..
From what I leaned frm our phone call today, is that trailblazer did not inform you that the total to recover is @ $4 million dollars as the 500 named witnesses at 1-800 medicare documented but I cannot call them from my home phones since the Deputy Sec of HHS and I learned that not one of the 500 fraud reports was sent to CMS by Vangent(now General Dynamics) and docketed in as required in Washington, dc. and the OIG director Levenson went intoa Congressional hearing and praiseds the partners and doesn't mention that laws need to be put back in place for internal audit and oversight control of the partners and criminal investigating  and prosecutions allowed if there is illegal wrong doing as it always used to be.
You stated that Palmetto GBA is still under SC Blues and Cigna Govt Services is too, now.And Palmetto GBA was also paying the claims 17 times by debiting the medicare trust fund 17 times and there wss no cross referencing of the numbers. As you can see many of the numbers show my husband as dead and he isn't as his claims show is periodicaly lgetiting medical care himself.  But there have been documented obstruction on him and our dependent also. even a dumping onto atste medicaid when there are two health plans  ahead of the stste paying.
                                                        Sincerely
                                                         Doyle and Linda Joy Adams
PRESIDENT OBAMA BORN IN TOPEKA KS; WESTBORO BAPTIST IS SUPPOSEDLY GOING TO SANDY HOOK FRIDAY TO PROTEST AT THE FUNERAL OF THE VICTIMS OF THE SCHOOL MASSACRE AND anonymous IS BLOCKING THEIR POSTINGS. hopefully NOT MINE, AS anon. NEEDS TO CONFRONT THEM ABOUT THE EVENTS IN Topeka ks AND THEIR ORGANIZATION BEING ONE OF THE REASONS THERE WAS SUCH FEAR AND NEEDS FOR THE FAKE BIO OF THE PRESIDENT.  Don't forget murderers have gone free for 50+years in Topeka KS and those who instigated the gossip frenzy bear some guilt , too. Its time for the whole TRUTH to come out and Anonymous will you do so or continue the cover up of the real history of all of circumstances behind and surrounding the birth of the President in Topeka KS at Forbes air force base hospital. I have re posted a few more days of the original daily recaps and will continue until caught up then keep repeating until the TRUTH is known and world peace has come.
I made some comments on other sites and linked. them back to mine.
THE CONSTITUTION OF THE UNITED STATES ARTICLE I SECTION 3; (continued line by line analysis and comments)
" Judgement in Cases of Impeachment shall not extend further than to removal from Office, and disqualification to hold and enjoy any office of Honor, Trust or Profit under the United States:  but the Party convicted  shall nevertheless be liable and subject to Indictment, Trial, Judgement and Punishment, according to Law."
The US Senate can only evict the President from office nd bar any return to such an office. he or she can;t go out and run for the office again and be elected. This is a lifetime eviction. But whatever any other jurisdiction might wish to do can occur afterwards. Crimes committed can be prosecuted just as they can be against any one else and the punishments as any one else. Being President is not a divine right and no immunity from the people's systems. After reading this, it  makes the immunity given to gov contractors by Congresses over the last several years seem very unconstitutonal and we are all suffering over the constitution not being followed by Congre. Yet no one speaks up agiasnt it/.Why? Its only our public monies being stolen and lives and property gone and what happened to the "general welafre of the people" which is the reason we have criminaland civil laws ; and even the Constitution,to start with?

TOMORROW: States set dates: Linda Joy Adams 12/17/12



1 comment:

Linda Joy Adams said...

Spellcheck didn't always work.