Really warm for this time of year and sunny. Coolerr expected in the next couple of days.
President Obama signed the SMART BILL HR 1063 that's been in Congress for almost 2 years. Too late to get calls answered if it will help me or not. But if Federal Employees and programs are not excluded, and Can;' see that it is; then this is the first bill with any kind of 'teeth'; in it since SEC of HHS Donna Shalala suspended the enforcement of the conditonal payment laws under Medicare back in 1994 an collapsed the health care system as t was the law that made all the big companies 'behave.'.
Too often Federal employees are excluded and the abuses are worse as there is no state or local govts to help for us as there is for others.
In essence this bill is to aid Medicare recover monies paid for patients bills when another party is liable. That could be workers compensation, car accident and in our case, too; my employer group health plan, Federal Blue Cross BLUE SHIELD
some one called Mr Or Ms OPM has had them make Medicare primary any way possible and lied to Medicare coordination of benefits(Emblem Helath formerly Group Health) and they have to believe them over Medicares judges, law or even the terms of their US Dept of Labor contract that forbids an alteration of their postings bi weekly that says OWCP and Blues are primary for me and Blues is primary for my family due to active duty status.This has been going on for over a decade and Blues won't recognize owcp as then they would have to cooperate and break? some of those illegal proprietary agreements that insuers have among themselves that' thumbs their nose at any thing legal. ' When Lynn Blodgett CEO of Affiliated computer services lied to everyone back in 2009, and continued; after the appellate judges came down and said to ask me for the facts of the case and I did return to work in 1990 despite the theft of the files and my employer Social Security not cooperating ss they agreed because Mr or Ms OPM called them and lied and said I'd gotten an OWCP settlement and retired and nothing more to do, I could do nothing as Medicare Secondary Payer Recovery contractor, who had years of unanswered request for refund from OWCP;contractor Lynn Blodgett CEO of ACS now a Xerox company that has full control of what the US Dept of labor officers can see of my file and they have refused to post or work it while they took over claiming I had the missing million dollars for my medical care that showed on their system and its missing on many in a 'suspected embezzlement ring.'
This law gives appeals. But one has to get a decison first and that has not happened from them , yet. And what about those Medicare officials in Dallas Regional Office that participated in this fraud and theft?
Like most bills in recent years, its either thousands of pages that no one reads , or its brief as this one is, which means it can be months before it takes affects as rugulaltions and prcoedures have to be published and comment period and then implemented. I pray that it is a warning to all alaying these sick and deadly games with injured workers rights, lives and livelhoods to get things done now before the law kicks in.
So my prayers are for Lynn Blodgett to answer my 2009 letter asking for some kind of systematic process to be set up to carry out the judges orders. as there are new items back to 1989 that have been pending , timely filed all this time and never reviewed, nor processed or paid. (Even though illegally disappaered.") And Judges said to use my records to reconstruct the files. And according to rulings elsewhere it is NEW when never processed. My suggestion was to start with 1989 and finish that and move forward year by year as along the way secondary and tertiary claims were filed on other medcicl conditions that arose out out of the intiial injuries and due to long term medication side effects..
In 1996, the request for schedule award , with extensive medical documetation and everyhhing needed to make a decision was filed for permanent disability. Plus there is that over a decde of unprocessed oxygen claims that were never input due to orders from Mr or Ms OPM who said "Let her die and if you input them they will be paid and then we'll have to pay all her bills.
So if the bill and law does what is appears to do, this impasse would cost a fine of $1000 dollars a day. to keep this on going. I pray its covered, but if not we still need a bill and law for federal workers and federal health plans.
Maybe Congress has finally woke up that there is over a trillion dollars owed back to Medicare over the govt refusing to enforce their own laws, OUR LAWS)
The one thing in this bill, is some pressure for insurance companies and OWCP? to settle liablity cases. Sometimes, its not known early on what long term effects can take place. Medcially if one has the correct diagnosis, then its pretty well known. in this current era what a true prognosis can be. When a disease is progressive, its a matter of how long can the ultimate end be prolonged?
So I have Hope, that this bill will cover those, like me, and others that have no justice for far too long and continual felonies occurred, and some have died over this and physical harm done and all the other suffering with loss of livelhood. To be bealthy is much better, but when one enters into an employment agreement, and the system is set that one has no choice but to apply for workers comp, or ask any oher primary to pay, the bills should not be dumped onto Medicare.
The bill doesn't refer to my situation exactly where I have had the coverage, and govt's contractosr just played their 'games'. How does one fine a federal employee?, but govt contractors are not allowed to discriminate as they have done and decide that I'm old so file shouldn't be posted and worked!
Sec of Labor Hilda Solis resigned yesterday, and today we get the law signed that had been passed in December and was introduced earlier in 2011, after Affiliated computer services renewd their contract for another5 years Just listng the facts, you make your own conclusions.
Called my attorney as he was leaving the office and we will talk next week. There is a provision that appears I will need to send a certified letter every 60 days until they comply and get all this processed, BUT NOT HOLDING WHAT BREATH I HAVE LEFT!
If this does it, then thanks to those who got this passed and the President for Signing it. This is not a bill that will make him popular with the elitist of the world that take ins premium monies , then not pay the bills when needed and required to do so. But it is a piece of fixing the Afofrdable Care Act for next year--lots more needs to be done.
First they need to reinstate temp wage loss and pay the oxygen bills to Lincare and get them back out here to fulfill their contract with them on me.
IF this is not helpful to me, then I will proceed further for Justice in order to live.
Doyle saw doctor today and will keep trying meds until they get the right one. But Blues will finagle? out of paying primary and will have more appeals to file until this law kicks in if it will help we, feds. For the patient is still lliable to see all the paperwork is filed even if the govt will be able to impose some penalties on those refusing to comply with the laws. I pray ACS is not considered 'too big' to go after. and all the others complicit in what has been going on for over a decade because of a feloney rifling of a claims file in a federal US Dept of Labor office, where the Regional Commisisoner laughed and said He did it to us and thought it was funny he was too powerful to penalize, too. Where the naionwide policy has been for 24 yrs to have no enforcement of security and reoords disappear routinely. in a blatant pattern of abuse of power and fony aciions.
I got a recurrence of sinus infection and nothing got done on filings today and didn't get out to garden either.
PRESIDENT OBAMA BORN IN TOPEKA, KS; Apparently several bills were signed today and little coverage in the media. I learned of this In Business Insurance Online letter. I posted that and three more daily recaps.
One online newsletter, said that this will be the 5Th? time Orly Taitz will haveo ne of these phone conferences with US supreme court. I commented: why won't she ask for the Court order for the original records from Topeka KS judges. All we are hearing is about some buying guns as if war is coming now, in this USA.
The problems with registration of guns at gun shows has been debated ofr a decade and how to handle that. Why not allow the person to apply for a permit from the US got themselves, and then they can take that to the gun show or flea market and present the permit to buy and then e-mail or call in the serial number and that would void the permit as being used? How about using those US Post offices in rural areas as the place to go to get the permit and they can get online and take care of it? We need a hub for the Feds in our communities and why can't there be a sharing of govt services through them?
Doyle made a comment to night. He grew up where they often hunted for food. He said, with reference to those multiple round guns; if you don't hit a rabbit with one shot, you probably are not going to hit it. Why the rhetoricg oing on when the laws being debated have been pending for years and pastime have been law and no one overturned them and the gun show loop hole has been well known. We now have the computer systems online to verify ones data. PROBLEM: if one checks that fraudulent national heath insurance data base and one has medication that listed that would indicate one shouldn't have the gun and its wrong info for a similar sounding med, then how does one get something correted that is not under HIPPAA and even doctors whose records have been illegally changed by insurance and govt partners processing claims trying to circumvent those liabliaty insurers,can't get it corrected,currently. We are going to see those records used, for all kinds of rights and priviliges as its there and easy to access. It could be used for buying a gun, or for getting job around machinery.
The SMART Bill should help end these alterations of diagnosis codes to circumvent the liablity case as there are fines, now. But three is a mess of data that has mistakes and intentional alterations nad our rights are affected; as well as when its used for medical care its cositng lives and the wholel thing keeps us from being happy.
THE CONSTITUTION OF THE UNTIED STATES ARTICLE I SECTION 8 (Continuation phrase by phrase)
"To define and punish Piracies and Felonies committed on the high Seas, and Offenses against the Law of Nations:"
Apparently in the late 1770's there were international laws? there have always been common laws since the Roman Empire.. And the USA has the right under our constitiution to protect Americans and our property on the high seas and in other countries. When a citizen gets in trouble in another country. We are our 'brorher's keeper' not just in the USA but around the world. We have an obligaton to each of us to look out and protect each other. Most know, to as for soeone fomr our Embassy to be called when in legal trouble.Other nation's laws are usually obeyed by treaty, but we are sto see al lrihgts are preserved.
The anthem of the US Marines say from the halls of Tripoli, as one of their first missions was to go after pirates harming people and property from the USA. We have rights, and the contsittution makes it the gov ts business to see they are protected. So a fine of $1000 a day, may be one step forward. TOMORROW: AGenda 11 and the Soil Bank Laws ( still plan to get back to that) Linda Joy Adams 1/11/13
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