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Thursday, January 31, 2013

Daily Recap 1/31/13: Doctor Bills in Electornic Chaos: President Obama Born In Topeka KS

Daily Recap 1/31/13: Doctor Bills in  Electronic Chaos President Obama Born In Topeka Ks;
 Gorgeous Sunny day  but a little cool so wore one of Doyle's old flannel shirts, he doesn't wear any more; out to the garden and sat down an planted some turnips, beets, radishes and carrots with a sprinkle of lettuce. Time gos so fast out there. And Sr Cat supervised and came over and scratcehd a little in the undug ground as of to say, what's the beig deal? Fortunately , Ive never had any trouble convincing our cats to do their personal 'biz' away from the garden area. Cats seem to have a sense of some some things. Maybe they just want to please those that care for them and understand when we are not pleased about something. like getting into our gardens.
                                                WATCH ALL YOUR MEDICAL BILLS AND RECORDS
Today Doyle and I worked on making a form for OWCP. The outcome , unless HR 1063 starts fining ACS and CEO Lynn Blodgett, could be no oxygen claims processed as they have not been or 14 years as they would be paid and then all the bills would be paid and judges orders and files disappeared and withheld from the US Dept of labor officials as the last three judge panel in 2/09 would have had to result in either a non renewal of thier contract with  US Dept  of labor for abuses of power and unethical behavior, ( crimes) or at least a hold and review and certainties of changes.  But look for our creation to possible  ending up or some variation of it used for organization of data, better than what is going on now as it pulls together all phases of the process. This is such a mess and whether its finishing up last years bill or starting the process for the s last 24 years to determine what has and has not been processed, some kind of sytematic process needs to occur and the last three appellate Judges ordered it done 4 years ago and all Igot is Lynn Blodgett CEO lying to the new manager and now she's not in her position any more and new people on duty and a new regional commisssioner that seems to not know just how corrupted the system is for injured federal employees not even realize there is a contract between us dept of labor and Emblem Health's company , Medicare coordination of benefits that owns and maintains the Medicare computer and that no over site has cost upwards of a trillion dollar theft of Medicare. In my case, bills they should have all been paid by owcp with out question on a established case with permanent medical benefits and occupational asthma, chemically induced pneumonitis after inhalation of toxic fumes with bronchial spasms and all the progressions and affect on other body organs is pretty well understood by the medical profession and treatment standards pretty well accepted so decisions on bills should not be out of the ordinary. Yet ACS,  Affiliated Computer Services, now a Xerox company;under direct orders of Horace M Cooper who claimed Mr or Ms OPM told him to do it, refused to allow them to post my file and to not share 15 Judges and two hearing offiecrs remand orders with the USdept of labor officials to make decisons that needed to to be made after a felony destruction of four years of history destroyed from the file to make it look as if I did not return to work in 1990, when I did that is well documented with EEOC sanctions against HHS for torture and refusing to recognize the very physical limitations of removal of chemical barriers plus non exertion work which they promised in writing to provide to OWCP. An no one enforces these against another govt agency as happens against private industry. Worse I s Forer chief of emplyement stanmdars Copperm now a conveicted cirminal in the Jack Abrmaoff bribery scandal,'s orders are still being carried out.
So the official posting goes to the medicare computer and billing services used to be able to call and try to figure out how to get claims in, and Trailblazers was altering diagnosis codes to circumvent owcp and having MCOB move Medicare to primary so that bills could get paid and this was all illegal theft of medicare becausee the safety net is medisare pays, but only if coded a conditional payment and so that recovery letter goes to the primary payrR Trailblazers, had over 200 medial prividers they never did this on and then began to create 17 payments out of 1 and sedn one to the provders and the others went? But the medicare trust fund was debited, Novatis has taken over, and in the transfer of info it got  covered up and cross referenced all the numbers but the money is missing.
Now medical providers have to use what the clearing houses send them from MCOB and after paying lots of money to have the service. They are doing nothing but passing on altered info after Fed Blues calls in and has Bleus deletd off the system for entire family . All illegal
 Now billing services don't know that Bleus is a primary for entire famaily and for me along with OWCP.  Nor it even is an insurer. And I'm getting bills when they have not even been billed yet.
We now have the third bill from a recent medical provider. One office viist where tests were run isn't even on there, Payments made by me not credited and some bills were  not paid by B Medicare and I have that appealed with no answer by Trailblazers and now in the  legal custody  of Novatis as they refused to pay for some tests that are consdered standard treatment and doctors would be amiss in not running them..But since Trailblzers and Fed Blues has no idea what my medical conditions are since they have been messing and altering what doctors sent in for a dozen years, putting my life at risk twice and causing chaos.
  The 500 witnesses that helped me document all this say its prevalent and HHS ignored it all and now the new sytemsa are';t working because of the on going corruption from the past that no one did any ting about has parties ts were harmed and in too many cases died and its was too easy to blame the doctor and hospital when itsoften  the govt's  own corrurption and their corrupted govt contractors being left with no internal audit control by past Congresses/
Any one goes after my doctors for a $1000 a day fine for improper coding, I will BE THEIR WITNESS with volumes of documentation to show they are victims of this too and when the Head of Fee for Service at CMS in Dallas is telling everyone to basically steal from medicare, as that's the way to do things. What is going on in Dallas? Where the original coup d'etat of the USA and world was planed step by step in 1983 as I have written and shown on line. Greed and power was allowed to take over and the current new era of computer systems is starting to catch all the corurption, but in the meantime its causing chaos for health care and putting patients at risk and medical providers reputationtion and practice and is unconscionable , morally wrong and down right illegal\
I don't;have Part B on the system of Medicare right now to help pay conditionally as the preiums are missing over this mess with Affiliated computer services in control in multiple agencies and even the Hearing file missing from SSA Hearing office in Mcalaetser OK in 9/09 so they coudl post it and t never came back so a judge could be asked for subpoenas and rule on a legal matter that has been interpreted one way and another by agency personnel for almost 30 years and they know full well that if what I say is true,and the original computer programmers did so , too, years ago, then many military and federal employees and other public employees under various pension plans will find they are due substantial refunds and since my file has been pending sinee 1989, yes! the corurption at SSA over what happened at 2 Journall squar, 9TH Fl  Jersey City SSA Teleservice center and covered up with most dead or will some day die of injuries from 1/10/89 et al  in the Hartz mountain Building will mean the filing date could go back almost 24 years.. But if the 2/09 Us dept laber  Judges had been obeyed then all would be moot as the premiums would have been withheld  from my spousal social security and I would no have been strugglieng for life and my families medical care for 4 years more over this.
 So the computer systems being paid for by the govt and the medial providers are not going to work in this corurupted fraudullently messed up records and medical providers are not getting the claims even sent in or only part of them. As the last bill form 5/12 rellcts a system that shows only owcp and ACS lies in their call center and then if claims is sent in refers to the missing million dollars set aside me and others that OIG Inspector at OPM said was a suspected imbezzlement ring and no director, yet has allowed an investigation and it appears its that the Us Dept of labor would';t allow it. as the political appt head of agencies decide if any investigation can occur and if any one is referred for prosecution.
So the last Judges are accurate, ask me.=for the facts. So the last bills showed Medciare billed, no one billed, then fed blues billed for the last few visits in the last couple of years, and Medicare didn't go to Fed blues or vice versa and the 5/12 claim wasn't sent in and unknown if it was sent to owcp as ACS deleted my entire 24 years old record off the system. Yes I hae copies so they will need to get that back from me.
I've been begging and pleading with phones slammaed  in  hung ups over and over since 2002 when ACS took over OWCP and most of the govt and nations of the world and HCS Illinois blues took over in TX, NM and OK and proceeded to turn every one over to medicare by creating false info and their agreement with Group Health now Emblem Health over rules Judges orders, the law and even the terms of their govt contracts  that the posting cannot be altered by them or any one else/. Their is only a few minutes every other Tues AM 6AM EST that the info is accurate so that;' the only time any one can get a claim processed accurately and legally. Most claim procsesors and billing personel are not at work then. Unless they can prepare and set up for automatic input at that time.
So dole and I responded to one Doctor, today and will need to so the other. And the third one has no record of some payments I made and I got print out of the canelled checks on line from the bank.. so systems can be helpful..
PRESIDENT OBAMA BORN IN TOPEKA KS: Not much new in the political arena. Except in the hearing for Sec of Defense Hagel there is oppostion and what is being said can't be the real reasons for the opposition. I've watched some of them too many years, and wish they would just come out and say ther true feelings and what they know that has made them so adament that he should not be in the position.
Comm Astrue, SSA; is leaving this month at SSA and many think Nancy Altman will be nominated by Pres Obama. I just want a boss, as whomever is confirmed will be, who will  not accept word of mouth rumor as facts and uphold the law, and make ACS do their job legally and allow me to have the process and appeals, and of course  we know know that Social Security's computer systems have been hacked into from outside for over a decade as I have appeals legally filed and pending since 9/00 and after about a year, someone has gone in and deleted them and I thought it could  be done internally  at SSA but the Head of IT said no way, an appeal posted as filed cannot be deleted, has to be closed with a decision or a transfer, etc. Which I knew from my being and working the claims process since 1968, all appeals have to have a decision, with appeal rights, iIs our due procses and the constitutional right to make our petition to the govt and have a decision and appeal rights, but these are not happening. Social security will not process my request for Part B Medicare  that has been pending for  over a year nor make an agreement to take  care of current enitilement pending a jduge;s ruling on the past fiasco. which many are not aware of the beginnings of this and the problems over the years with our ;class' of beneficiaries.Someone 'forgot' to program the system when they did the stimuolous  payment in 2009, that there was an owcp involvement. And I'm sick and tired of everyone but the claims examiner ( they also since they don't have the facts and files)and Judges at OWCP making decision on the claim from gossip and rumor and they aren't the ones allowed to make the decisions.
Many in Congress that hvae been there a long time, from both sides of the aisle, are being looked at now for allowing this mess to happen and turning our rights and monies over to an inernational cabal with no over site nd nor prosecutions for wrong doing allowed. HR 1063 is  a beginning but  some of the partners of Medicare and Fed Blues are the frist ones that need to be fined and so far, is it happenieng? I see some ;game playing; and cover upping going on and its hitting fast and furious and Doyle and I have a lot to do and we should n;t have to do any of this as others are paid to be dio billing and claims processing and a doctors are being asked to pay and pay for all these services that are not getting done and the doctor aren't even getting the monies they are legally due. Let alone, budget cuts lowering payment at Medicare due to the on going thefts and dwindling funds from that theft that has yet to be stopped. OIG doen'ts investigate he 'partners', even though they lie and say they take the reports. They have eyars of reports and its up to the patient to be the criminal and civil investigator as the govt so far hasn't done so.
THE CONSTITUTION OF THE UNITED STATES ARTICLE I SECTION 10 (phrase by phrase analysis)
"emit Bills of Credit"
 Congress has to deciDe to raise the debt ceiling, charge a war or create a loan from another source. And the recent ones have just gone on charging while the monies kept on being stolen and they seem unable to stop the criminals which is what thieves are. NO one can create a budget when ther money is being stolen.
When Sec of HHS Donna Shalala back in 1994, said the health insurance industry would 'play nice' and behave and couldbe on the 'honor system' so the SUSA didn't need to enforce conditional payments under medicare any more ( i. e the shenanighans I've just describes would not occur) I remember saying; Lady what planet were you liiving on, having signed enforcement orders my self against some companies that had blatantly played games t get out of paying their liegally obligated bills and finally the conditional payment law was passed in the early 1980's and the 'thieves' didn't like it then, either.
TOMORROW: Town Hall with new Congressman:: Linda Joy Adams 1/31/13
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