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Friday, October 24, 2014

DAILY RECAP 10/21/14-10/24/14; GOVT REJECTS THE PEOPLE; PRESIDENT OBAMA BORN IN TOPEKA KS

Dallas Hospital Had the Ebola Screening Machine That the Military Is Using in Africa - Defense One

This is a link to an article that shows just one more area where the FDA IS WORKING AGAINST THE SAFETY AND HEALTH  OF THE PEOPLE AND NOT FOR THEM.

 Throughout the health Care and food system in our nation,  in one way or another the taxpayers monies are not being used for  the "general welfare the people or the security of the nation/"
ALL BECAUSE THE FDA IS  LONG BEEN A NON FUNCTIONING AGENCY FOR THE DIRECTIVE OF HEALTH AND SAFETY OF THE PEOPLE.AND HHS IN GENERAL HAS BEEN CONTRACTED OUT WITH NO CONTROLS  TO STOP MISDEEDS OR BLATANT THEFTS

                Some rule or regulation written by the international cabal for their purposes overrides the  need to use the public monies for the people. This is exactly where executive order of the president or the Sec of HHS or even the director of  FDA would be able to override a rule that makes no common sense to any one but 'them.'  We have international health care today and germs and viruses can travel  as fast as a plane and be any where and those diseases we have no cure for, is an emergency that needs to be addressed as soon as it lands in the USA or I any other country,

If this hospital or any other would have grabbed the unit and asked for the kit, do you really think FDA WOULD HAVE DONE ANYTHING? with THE GOVT OVER THROWN IN TO THE MITTS OF GOVT CONTRACTORS NOT SUBJECT TO INTERNAL AUDITS OR INVESTIGATIONS EITHER CIVIL OR CRIMINAL ? NO THERE WOULD NEED TO BE ANOTHER REQUEST TO CONGRESS FOR MORE MONEY TO RENEGOTIATE ANOTHER CONTRACT IS THE WAY THINGS ARE GOING?. Common Sense is not recognized in spending of the public monies  and this is one more example of why GOVERNMENT CAN NOT WORK WHEN THE GOVT IS NOT IN CHARGE OF MUCH OF ANYTHING ANYMORE.

Time for CONGRESS  to ask the govt contractor heads to  come and be under oath in front of Congress who are the only ones who know what is going on anymore.

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         TO WHOM IT MAY CONCERN AMONG OUR HEALTH INSURERS

      For 12 years we have tried to get the law obeyed and judges orders carried out and the theft of public monies stopped that results in overpayment liability on the back of patients and .

their  estates as is occurring in the Medicare program

Health care in the USA is not under the control of HHS , FDA CMS or any govt agency at all.

 Affiliated Computer services et al and CEO Lynn Blodgett is I  control from one end to another and that is from having  higher ,management controls  of ones own medical providers to billing services to being a partner of the state and federal govts and being able to give orders to make any one involved have to obey them as not any official source such as a law, govt contract terms that to be legal say the laws of the land must be upheld or judges rulings, etc. which we got.

                  Any one with an employer group health plan finds that is  deleted off the COMMON WORKING FILE ALL USE TO KNOW WHOM TO BILL  soon after the postings come in from ones employer or agency that has jurisdiction. with billions paid by those caring for us to get access and getting criminally altered info. Emblem Health International is not allowed to alter. Professional organizations tried once to do something and left the patients out and got scammed by the AMA who let them all down. The lawsuit was filed before 1999 when Group Health of New York got control to facilitate  the thefts through secret deals and has gotten worse over the years especially after 2002. when more ethical insurers lost  out to the thieves? They are now Emblem Health International and what is going on in the USA is being repeated around the world in various scams?

THIS  is owned by EMBLEM HEALTH INTERNATIONAL, FORMERLY GROUP HEALTH  and soon may be the only insurer left in the USA as HR1063 has been turned over to them and after they trick every insurer to commit Medicare  fraud by having Medicare pay the claims, they now can be assessed fines and penalties because THEY  say so. THE ULTIMATE CON WITH OUR HEALTH AND LIVES AND LIVELIHOODS IN JEOPARDY AS OUR PUBLIC MONIES DISAPPEAR.

           None in the govt has access to any of  the records and  as `1/2 a billion has been lost  on a health insurance exchange that may cost us another 1/2 billion on going because  as the illegal offline system are  knowingly being run, hacking in and altering official info and all this conflicting information is going to crash a system.

 One does not have to have much computer savvy to know that things will not 'compute.' when the Common working file now says one thing and all the official records at employers  and agencies says another. Medicare Judges ruled that the US Dept of Labor posting is accurate and there has been no change since   That's CASE NUMBER 09-1406 and  Judges got the internal  official records from  US Dept of  Labor, not from me. official records that are on the Common Working File only a couple of hours every two weeks until illegally altered show. I'm active duty , with Medicare as last payer not first.  and the same for depedents who have Medicare  second also.
   Just because CEO Lynn Blodgett doesn't want me to have workers comp, too bad, I do and he is ordered by Labor's Judges to work with me to reconstruct my file and get things processed and paid and let my claims examiner have access to my file, including the judges orders who were not  very good for you  That's 15 judges and two hearing officers orders to obey,. Its ahodge podge mess going back  not of my doing at all.

     When the official  one on  me and those on my Federal Blues Cross Blues Shield policy posts as I am active duty and Blues is a primary payer for all as well as Federal workers comp for me, then the Common Working File is illegally altered to delete the Blues off  the system , then the wrong health plan will pay the bills .ITS CALLED RICCO  and is organized crime to do this and THAT DOES NOT COMPUTE.

            The fraud unit at HHS is now a subsidiary/ partner of Goldman -Sachs? and they are covering up the crimes as they did in 4/14 by calling  the manger at Emblem Health who added in the Blues  on my record as if it were a medigap policy and not a primary employer plan. with different  coverage, etc.

 For 8 years ,ACS has been paying the claims for all  plans under Part D Prescription Drug plan and nothing on any one has gone to recovery from a primary payer. ALL health insurance companies are being 'fingered' by ACS saying THEY NEVER TOLD US. ALL ARE IN LEGAL TROUBLE OVER THIS.  I have not found that Group Health wrote any Part D policies at all.  SO NOW ACS IS TAKING OVER ALL WORKERS COMP PROCESSING FOR NON FEDERAL WORKERS. AND THIS IS THE FEDERAL PLAN YOU ALL THOUGHT YOU WANTED AND YOU HAVE BEEN SCAMMED AND ROBBED OF RIGHTS TO LIFE AND LIVELIHOODS.  FOR THE MOST PART. Just as we have been with no one in charge to right wrongs done.

Now they say all the insurance companies lied to them and didn't tell them when there was a primary ahead of Medicare;. Yet Emblem Health says that ACS CEO has okayed the ILLEGAL  offline system to delete, etc

                    TODAY GOT ON THE WRONG PHONE MENU AT HUMANA AND I TOOK THE OPPORTUNITY TO ASK THE NICE SALESMAN IF HE HAD  A COPY OF THE COORDINATION PLAN BETWEEN PART D MEDICARE AND ALL THE FEDERAL EMPLOYEE PLANS.  This is something we were all told, in our policies  and never can get one at all to find out.  back to  2005 during open enrollment as all had to decide whether to sign up if they also had Medicare.
    NO INSURANCE SALES PERSON IS STILL ABLE TO TELL ANY FEDERAL EMPLOYEE, RETIREE OR DEPENDENT WHAT THEIR COVERAGE MIGHT BE.  This year we started paying $0 for our prescription drugs, but where is the policy and where has it been for 8 years? Since we have appeals pending and civil rights complaints pending and all the  other kinds of filings and appeals alive in  all this time and kept alive where is all the back pay for all of us  FEDS no matter which is  primary.  We all have been robbed. This violates all licensing to sell insurance so Medicare has made law breakers out of all selling health plans under Part D. All can be come after legally as they have all been tricked..
              NO ONE IS ALLOWED TO EVEN KNOW WHAT THEIR HEALTH INSURANCE POLICY IS YOU PAY THE PREMIUMS AND THE TAXPAYER SUBSIDIZES ALL OF THEM AND YOU HAVE NO RIGHT TO KNOW. EVEN THE POICY PARTS IN WRITING ARE A LIE.  AS I HAVE WRITTEN. 100% FOR EXAMPLE IS TO BE PAID FOR PREVENTATIVE CARE TESTS AND . ANY ONE OUT THERE GOT THEIRS PAID AT 100%?  One claim for one depend already in collections for a co pay has a letter saying everything was fine. 
     SECRET DEALS HAVE BEEN MADE THAT WERE/ARE THE REAL ALICE AND WE PATIENTS HAVE NO RIGHT TO KNOW. Since THE TAX PAYERS ARE PAYING 3/4TH OF OUR PREMIUMS FOR BLUES DON'T THE TAXPAYERS KNOW WHAT THEY ARE PAYING FOR? AND WHY IS THE PART BLUES IS PAYING  ON ALL CLAIMS  1/2 PAID BY THE TAXPAYER AND NOT FORM THE PREMIUMS?

CAUGHT IN A WEB OF LIES as too often those doing illegal acts often get caught.

BUT THERE IS NO ONE TO ARREST ANYONE OR SHUT DOWN THE ON GOING THEFT.

We write litters, file appeals reports etc and its all ignored. Others have done so too, and their reports are shredded as is the US Constitutional rights of all and our public monies go missing in to the depths. of this cabal never to be seen again and the over payments assesses against the patterns.

 Many do not know they are overpaid as the letters are being suppressed AND CRASHING SYSTEMS.? stealing more of the public monies that all pay into either directly or indirectly.

                             NO ONE TO REPORT FRAUD TO 

Navex -Global is the contracting fraud party to report fraud to, but not for any one they represent.

and that includes  any one at HHS, ANY OF THE PARTNERS OF MEDICARE AND NOT AGAINST ANY HEALTH INSURER THAT ONE  BOUGHT A POLICY FROM . this is a new twist to be told that now. \

               SO THERE IS NO ONE TO FILE A CRIMINAL COMPLAINT WITH IF THEY INCLUDE SOME ONE THEIR COMPANY REPRESENTS WHICH IS GETTING TO BE ALMOST ALL IN PRIVATE AND PUBLIC CONTRACTING OR GOVT TODAY. AT ALL LEVELS AND AROUND THE WORLD.

They  CAN ONLY TAKE A REPORT ON A MEDICAL PROVIDER. and THAT DOES NOT INCLUDE WALMART OR ANY ANY PHARMACY AS  THEY REPRESENT THEM,  TOO.

                So the main culprits who are not obeying the law and committing acts to steal Medicare can not be stopped. at all  AT THIS POINT WE STILL CONSIDER ALL MEDICAL PROVIDERS AS VICTIMS , TOO.  of this cabal that is controlling them, also. BUT ITS TIME FOR THE PROFESSIONAL GROUPS TO BAND TOGETHER AND HELP OVER COME THIS ILLEGAL MESS PUTTING ALL IN JEOPARDY.  . Govt CONTRACTORS HAVE HAD 'IMMUNITY ' GIVEN BY CONGRESS FOR OVER A DECADE AS NO MONIES CAN BE SPENT TO INVESTIGATE THEM. AND THAT INCLUDES CIVIL RIGHTS AS WELL AS CRIMINAL ACTS? HIPPAA does not help as govt contractors and govt officials are still not under that law..

         No one gets arrested for stealing and at times these felonies do cause deaths as medical care is denied or delayed. as hospitals, .etc. need to know whom to bill to get n OK for treatment, etc. ITS THE REAL WORLD! PROFITS NOT HEALTH CARE DIRECTS ALL AND THE DOCTOR IS NOT THE ONE IN CHARGE AS THE MANAGER OF THEIR MANGER IS CEO BLODGETT.  I have yet to find one that does not lead up the hierarchy to him as being in charge of all phases.

And no one up the ladder to the top has much medical training to know what the best thing to do for the patient is. That person seems to be 'piled on ' by all those above as they are pummelled on the bottom of the heap  with the patients excluded from the process.

                                 SIMPLE LEGAL SOLUTION NOT BEING DONE.

 ITS CALLED CONDITIONAL PAYMENT AND ITS THE LAW AND HAS BEEN FOR OVER 30    YEARS, But not enforced for the last 20.

             HR 1063 is the enforcement revived with penalties but given to the  main culprit in all of this Emblem Health International who now has the power  and authority under the law plus CEO Blodgett's blessing  under that law to trick every health insurer and partner and medical provider or supplier in to committing fraud and then TURN ON THEM AND PUNISH THEM WITH LOSS OF OPERATING CAPITOL WITH FINES AND PENALTIES.

 The first case enforced  under the law, I have read about occurred recently and fine for dumping on to Medicare was 4 times the amount  Medicare paid assessed back against the insurer. START MULTIPLYING  ALL THAT IS BEING PAID ILLEGALLY , AND MANY INSURERS WILL NOT SURVIVE. This was a non federal employee case. So e often go to the back of the line for our rights. The govt will have to force CEO BLODGETT to input that over a decade of oxygen claims he has had pending filed timely as that is the key to bringing  his offline system online with the official one on me. at labor.

 Some have said the AFFORDABLE CARE ACT, OBAMACARE OR HILARY CARE IF YOU WISH TO CALL IT THAT  should be changed to MEDICARE FOR ALL.

SORRY, IF THIS ILLEGAL PROCESS IS NOT STOPPED BY CONGRESS ALLOWING IT TO BE STOPPED WE MAY WILL O LY HAVE ONE HEALTH INSURER LEFT  Group Health, now Emblem Health International as ALL POWER HAS BEEN GIVEN TO THEM WITH CEO BLODGETTS ORDERS AND BLESSINGS?.

I am not in favor of cutthroat competition, but FAIR MARKET COMPETITION  is one of the best ways to keep things ethical and honest and stop price gouging . If we had one health insuring company left from all of this, what do you think would occur? What would one pay in Health care premiums and would there be any public Treasury left for emergencies or anything else as we struggle for life and health against odds that are out of control worse than we even have now with our monies being skimmed and scammed in ways few  are aware of and CONGRESS DOESN'T WISH TO ADDRESS WHEN EVIDENCE IS GIVEN TO THEM?  THIS CABAL AND EMBLME HEALTH  NOW  HAVE THE POWER AND AUTHORITY GIVEN TO THEM  TO GET RID OF ALL THE OTHER HEALTH INSURANCE COMPANIES AND THERE IS NO ONE TO STOP THEM IN THE WHOLE GOVT. WAKE UP!  MEDICARE HAS NOT BEEN A GOVT RUN PROGRAM FOR 20 YEARS NOW,  BUT IT  IS ONE. DO WE ALL WANT TO HAVE  ONLY GROUP HEALTH  OR EMBLME HEALTH CARE FOR ALL?

 They seem to still be running  after a few scam artist providers who used to be stopped sooner than they are now as the patient is respected when they try to report something does not look right on a notice or bill, etc

        Instead of getting this  Daily Recap  written or that mountain pf paper work climbed to try our best to stop this in our small way, I spent time on the phone begging for the law to be obeyed as summary notices arrived from various insurers and Medicare claims processors and nothing was coded as a conditional payment or sent to the recovery unit.  A couple of medical providers and one billing service is starting to wake up that they are in legal jeopardy if they do not start obeying the law. by simply sending the paid claims to recovery unit.
    So maybe a few cases here and there enforced under HR 1063 will help It has not helped us at all yet. I would not be alive if that local person had not fixed a tank we had stored that did not work so I could get oxygen DEATH PANELS LOOK LIKE THIS AND TO MANY HAVE DIED IN THEM . AND NO ONE GOES TO JAIL. NO ONE EVEN IS INVESTIGATED.... STOP BLAING ONE ELELCTED PERSON OR ANOTHER. ALL HAVE SOME GUILT IN THIS..

Three of us have a Medicare card that are on my Federal Blues and we still can not confirm that the unit that handles all of this at Blues is really ACS or one of their many companies that are either partners or subsidiaries.

One person this week mentioned  that the Frank-Dodd finance bill may have now allowed the SEC et al to investigate. What has been going on is illegal.  Its when one company buys into another and then that company goes and buys in to the third and along the way sets up joint venture type partner ships where conflicting companies who seemed to be in competition are actually working together.and soon there is a web of deceit and lies  and no one knows who owns who and through it all ACS seems to rise to the top even when they supposedly are owned by Xerox but appear to have always been a Xerox creation in the first place back in 1988? These  are major international companies doing this.

Now Oracle is partnered and IBM is back in the mix and with the new cloud computer systems all kinds of mergers and acquisitions are going on and if one read the business news online from many reputable sites who do report on these things a lot is going on and who will rise to the top?  Seems to not be changing much. A  CEO is only the appointed or elected head and if that person hes not do the deeds expected by those who hold the power behind the scenes, they are expendable. THEY ARE THE RICH YOUNG RULERS THAT WILL HAVE TO GIVE IT ALL UP TO SAVE THEIR SOULS AS  YAHUSHA whom we Christians call Christ Jesus said to the  one who came in the dead of night to ask how he could be saved.

 Christ never asked  everyone  to give it ALL up, just him. With great wealth and power comes even more temptation to do wrong  and abuse power. But can come with great good done by one with the blessings that comes from helping others help themselves. JUST GIVING MAY SAVE A LIFE TEMPORARILY, BUT IN THE LONG RUN  DOES NOT HELP,. ITS HELPING OTHERS BE ABLE TO BE INDEPENDENT AND DO FOR THEMSELVES.  That is the greater Blessing of giving.

                             SIMPLE AND LEGAL SOLUTION?

Insurers and claims processors and billing services for all medical providers and suppliers and pharmacies, etc.  who were forced to get bill paid only by Medicare first. when you were told Medicare was not the primary:

Take all the claims paid primary by Medicare and sent them to the coordination and recovery unit for the monies to be recovered from the primary payer which is Federal Blues for the two others on my Federal Blues and for me its federal workers comp first and them Federal Blues the other primary payer.  As one doctor indicated,  since I have permanent medical due to homo oxygen , CEO Lynn Blodgett needs to get all claims first. Of course he is in defiance of the Appellate Judges at US Dept of Labor and is withholding their orders and my files, etc. from any one to get me  on permanent disability so I can  really retire. So he is the first one to be fined for al that has occurred since he took over in 2002 and was with ACS THEN  just not CEO. ACS OWES THE FINES AND EMBLEM HEALTH INT, WHICH IS THE RECOVERY  NEEDS  TO STOP ADDRESSING MAIL TO US DEPT OF LABOR FOR COLLECTION ACTIONS  TO  CEO BLODGETT AND SEND TO THE SEC OF LABOR IN WASHINGTON , DC AS CEO BLODGETT HAS NEVER LET ANY OF THEM SEE ANYTHING, ETC. HE JUST TOLD EVERY ONE A LIE AND WERE FORCED TO BELIEVE HIM. AS ALL THE DATA AND RECORDS HE HAS CONTROL OF .\ I did not get a  workers comp settlement and retire as he keeps lying to all about.. If I did, Medicare would have been paid back wouldn't they? At the federal level, the set aside monies is the permanent medical benefits CEO BLODGETT CONTROLS AND PAYS THE MEDICAL BILLS FROM..  right now.

That is an over throw of a govt with out a hot war. But with real DEATH PANELS instead and deaths and delays in medical care that cause earlier deaths.

Gather up printouts of all claims paid and send them to the recovery unit and ask the legal counsel for your companies to assist ageist any flack. We are your witnesses as to what has been gong on.

But to dis us for trying to get out from under the overpayment caused  is not making us very happy to be your witness and  if asked to testify about what has gone on. We have to be truthful, even if we do understand you are under great duress from this cabal , also.

From what has been written here you understand that we discovered there is no code to use since Lock Heed Martin programmed the systems? at Medicare and SSA? back in 1/06 In the process to finally do away with all workers compensation in the nations through controlling what each sate regulated plan has through various self insurers or insurance carriers. You will soon know what the Federal plan is. Its no rights and real DEATH PANELS and judges and laws and govt contract terms ignored and nowhere to ask for help from the govt 'WHICH HAS GIVEN AUTHORITY TO THE BEAST" is how its said in the Revelation in the Bible, my faith book.

Vote, we still hold that power in this world and ask those elected to take back authority into our accountable govts that  you can still revert to. Hillary Clinton is wrong when she said in an interview linked here by INFORMATION WEEK  that govt partnerships are good. NO THEY ARE NOT . YOU CAN NOT TURN OVER THE AUTHORITY OF THE GOVT TO GOVT CONTRACTORS. The govt has to have over sight and controls so when things go wrong the govt has  to   have the authority to intervene to correct the wrongs  through  civil or criminal legal systems.

How could those, like he,r not understand the basic constitutional principles that are there to stop abuses of power? Pray for all those who hold great power and authority that they be motivated by love and freedom and justice for all.

All those with submissions from us, please obey the law and send the claims to the recovery unit for Medicare and have them DO THEIR JOB,  even if they are the ones who did us all wrong. WE HAVE TO ASK THEM TO DO WHAT IS RIGHT AND LEGAL NOW.   Conditional payments protects every one legally.  As  we have all done our part and we have proven that the patients cannot  as we  cannot arrest any one or cancel a govt contract or assess penalties. HR 1063 gives  THE POWER BACK TO THE GOVT AND THEY NEED TO TAKE THE LEGAL ACTION AND GET  that trillion dollars or so the 500 named witnesses say is owed back in to the public coffers to use for OUR MEDICAL CARE.

 We are trying to do what is legal and right on this and trying to stay alive.

Linda Joy Adams 10/24/14



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