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Friday, February 13, 2015

VIOLATIONS OF CIVIL RIGHTS PAGE 52: NOTICE TO MEDICAL PROVIDER/SUPPLIER

                           





         NOTICE TO MEDICAL PROVIDER/SUPPLIER
 This is titled Violations of Civil Rights but is rarely meant to include any medical provider or supplier as the offenders in this are now not subject to any civil liabilities as they have not been under any criminal liability for over a decade  as the following informs as to how vulnerable patients and those providing medical care have become in the current situation and our situation is not unusual. Its  just that we have  had to document and pursue all avenues to correct  an on going illegal situation in side the partners of the government that insiders say is trillions of dollars of blatant on going theft and other unethical tactics  by those the government has turned  programs over to with no oversight done in over a decade..
    Linda has previously conducted Medicare and Social Security criminal investigations and  been involved in the civil enforcement processes that are no longer being followed and could never say SHE DID NOT KNOW and  this has put her and her family in the endless rounds of appeals and requests and pleadings that the laws be obeyed as over payment liabilities grow against the patients and their estates. Now  the patients and  our medical providers and suppliers are  the only ones in legal jeopardy if they do not annotate claims that they are forced to ask Medicare to pay first on as one to be recovered from a primary payer and  you are  being misinformed not to do so.
  Doyle, Linda and _____________ have a Medicare card and are also on Linda's  Federal Blue Cross Blue Shield policy.
Linda  also has permanent medical benefits with Federal Workers compensation. but not yet put on permanent disability.
Medicare is secondary payer for all of us and Federal Blue Cross Blue Shield is primary  plus Linda also have another primary Federal Workers compensation.
______________ also has Oklahoma Sooner Care Medicaid as a third payer which would rarely be used for payment. ALL OF THESE HEALTH PLANS HAS A MANAGEMENT INFORMATION PROVIDER AT THE HIGHEST LEVEL THAT IS THE SAME ENTITY: AFFILIATED COMPUTER SERVICES WHICH HAS OVER A 100 COMPANIES  AS PART OF THE WHOLE.
Plus many medical providers and suppliers also have them  as a management firm , too and some even have them as a billing service information giver  which is known to be erroneous as they have the official records altered on the COMMON WORKING FILE ALSO THAT ALL ARE FORCED TO USE TO BILL ILLEGALLY FROM AS ILLEGALLY  altered and the government cannot do anything until Congress permits it to  be done is the official word from those  in the government who used to be able to stop such from going on. AND THE OFFICIAL JUDICIAL RULING AFFIRMS THIS HORRIFIC SITUATION THAT HAS GOTTEN INCREASINGLY WORSE OVER THE LAST COUPLE OF DECADES.
       There is an official bi weekly posting to the COMMON WORKING FILE  that
 posts showing none of us has Medicare as a primary and also shows Linda's  active duty status from The US Department of Labor official secured system and will not change until Federal Workers Compensation processes her  pending request for permanent disability. All those on her employer group health plan have her status used to determine who pays first. ITS THE LAW.
The Medicare judges reviewed this and the unaltered  internal documents the lower judges got  from the US Dept of Labor and ruled that its accurate Medicare is not a primary payer.   Plus any claim that is paid primary by Medicare and in Linda's case  paid primary or secondary by Medicare must be sent to the Recovery/Coordination Unit at Medicare's partner  so they can request a refund from the appropriate  primary payer No medical provider or supplier can get any cooperation from ACS in total control of federal workers comp  as  they have refused to allow a claim to even by filed..
  If the bill processing person for the medical provider does not  annotate that this is a conditional payment when requesting payment form Medicare the medical provider/supplier is committing  a fraudulent billing. EVEN  AS THEY ARE BEING LIED TO BY THE FIRM THEY  MAY HAVE HIRED TO PROVIDE  DIRECTION.
And the patient and estate is  being burdened with an overpayment liability to Medicare.
                           CASE NUMBER OF THAT RULING IS M09-1406
       Linda had taken the liquid oxygen claims that were properly billed to Medicare as a conditional payment and a recovery letter sent to Federal workers compensation's contractor, ACS, which ignored the request and continued to not share any filings from any source with the US Dept of labor officials. which also includes their own agency judges orders.
       Since 1994 there had been no enforcement of the conditional payment law as the Secretary of Health and Human Services Donna Shalala mad an executive order that suspended it and said that the health insurance industry could 'police itself' and employer's and agencies would sign agreements and contracts with  CMS  AND IN 1999   with  the newly formed Coordination of Medicare Benefits office to make official postings to the Common Working File that providers and suppliers pay big money to access through clearing houses to be able to get the official insurance info and data on patients with a Medicare card and then be able to send in claims by using it.  THOSE AGREEMENTS STATE THAT NO ONE IS TO BE ALTERING THESE POSTINGS. If any one thinks they are wrong then litigation with due process must take place with the originator and posting would then change from that party,
. MEDICARE'S HIGHEST LEGAL AUTHORITY OF INTERPRETER OF LAW RULED IT WAS ACCURATE AND LINDA AGREED SHE HAS NOT YET BEEN PUT ON PERMANENT DISABILITY AT FEDERAL WORKERS COMP THAT WOULD THEN CHANGE HER TO RETIRED AND ANY ISSUE OF NO WORK RELATED CLAIMS FOR HERSELF AND ALL THOSE FOR HER FAMILY ON HER BLUES CROSS BLUE SHIELD WOULD THEN HAVE MEDICARE AS A PRIMARY.
    CEO Lynn Blodgett has refused  to post her files as ordered   and part of his government contract  is to post all filings and not to with hold any from the officials at the US Department of Labor as they are to be the decider of facts  with  constitutional due process appeal rights not ACS et al.and they have twice disappeared plus not one oxygen claim has ever been processed as they hid the fact that I have been on workers compensation  approved for life liquid oxygen for 20 years now and its the very  treatment that triggered the permanent medical benefits under the 1988 law to prevent abuses of power by high level officials and putting those with established cases in jeopardy of dying due to obstruction of medical care.  Now, with an unaccountable  government  contractor in charge of every one's workers comp now in the USA, that law to protect our right to live has been turned in to  real perfected DEATH PANELS AND I HAVE HEARD OF DEATHS ALREADY FROM  these horrendous tactics  by those who can't even be charged with some form of negligent homicide as they have 'immunity.'.
 THE SICK AND INJURED HAVE BECOME THE NEW LYNCHING VICTIMS OF OUR TIME. AND STILL NOTHING IS DONE TO STOP THOSE DOING THESE ILLEGAL DEEDS AS WE PRAY THOSE DOING THIS WILL CHANGE THEIR WAYS..
   Now, CEO Blodgett  is in defiance of 17 appellate agency judges in multiple agencies over this including the direct order form the US Dept of Labor and he will not permit a process to be set up to reconstruct from Linda's records, again, post process and pay  as ordered and that includes prior orders to process pending matters that includes the request for permanent disability and they are well aware of what they are doing at ACS. There are some items timely filed and legally pending since 1989 that have yet to be reviewed for payment. One can read more about all of this in the first 51 Violations of Civil rights. as to what can occur when ones case sets some legal precedents and security gets breached over and over. on a non controverted accepted case. AND THE GOVERNMENT HAS NO POLICY TO PROVIDE ANY KIND OF 'HOMELAND SECURITY' LONG BEFORE 2002 AND NONE SINCE THEN EITHER OF OUR OFFICIAL RECORDS AND MONIES.
        Gradually over the years, since 1994, an increased illegal dumping onto the Medicare fund began and the conditional payment coding was ignored as overpayment liabilities piled up against patients and medical providers/suppliers allowed themselves to be put in legal jeopardy by not doing one simple act of making sure the recovery unit at Medicare got the claim to recover the monies from the primary payer...
      When Affiliated Computer Services, which has over a hundred companies and more partners than any one seems to know of including the Security and Exchange Commission  which is now investigating  them due to even states begging for relief from unethical tactics in the Medicaid programs  and other areas of the government including they have become the 'big brother snooper' on us and not the government itself. which many do not understand that. And the documented blatant theft of our precious health care dollars which  is what this illegal dumping is. BUT ITS NOT ILLEGAL IF ITS CODED AND SENT TO BE RECOVERED. .
          Until 1/11.13, when a new law, HR-1063  was passed and signed in to law by President Obama, the patient was forced to be the collector for the government and to do so was impossible as our family has  well documented in our attempts to get any one to cooperate  to do so.
           Now the onerous is back on the federal government to collect its money back and makes it that more imperative that  when medical providers and suppliers are forced to ask Medicare to pay because the primaries will not pay; to be sure its annotated properly as a conditional payment and sent to the recovery unit and that the billing person DOCUMENT THAT THEY HAVE DONE SO. TO PROTECT THEIR PROVIDER OR SUPPLIER FROM THE FINES AND PENALTIES THAT CAN BE ASSESSED AGAINST THEM. for an illegal claim which become a legally paid claim if its annotated for recovery.
 Its time for the liberal Medicare policy of allowing some kind of payment to be made so patients can get medical care even if their primary payers do not obey the laws not be put in jeopardy  as the trust fund dwindles by  paying bills that are not Medicare's.
             ALL PARTNERS OF  THE CENTERS OF MEDICARE AND MEDICAID SERVICES
HAVE NOT BEEN INTERNALLY AUDITED FOR ILLEGAL AND UNETHICAL BEHAVIORS FOR OVER A DECADE AND CONGRESS HAS NOT DONE THEIR DUE DILIGENCE TO FIND OUT WHAT IS ACTUALLY GOING ON  EITHER.
       PLUS NO MONIES WERE NOR ARE ALLOWED TO BE SPENT TO CRIMINALLY INVESTIGATE OR PROSECUTE ANY GOVERNMENT CONTRACTOR EITHER SINCE THEN TO THIS VERY DATE. The only ones that have been are when some other law enforcement uncovers something in tandem with their cases as the Naval Ship Yard shooting discovered that back ground checks getting falsified  by this cabal that let the shooter get in there in the first place.
          This  in ability to investigate crimes by a government contractor was verified by the US Justice Department when the Medicare Intermediary  Trailblazer and the other subsidiaries of South Carolina  Blue Cross Blue Shield.. stole Linda's  claims and id and  using an offline nation wide system of unknown numbers of other patients this was done on; created a total of 17 Medicare numbers and debited the Medicare trust fund 17 times from 1/1/2006 through the ending of their contract in 12/12.  We only know where one payment went to sent by the Federal Reserve, the other 16. Linda  and the 500 named witnesses who helped document this at General Dynamics, ( 1-800-Medicare) could not find out where the money was diverted to by the Federal Reserve.   The initial authorization  was each medical provider  was to get 17 payments for each claim but none ever acknowledged getting them but the witnesses with access to the first hand information  said the money left the trust fund.
AUDITING THE FEDERAL RESERVE IS CRUCIAL TO STOP ILLEGAL DIVERSIONS OF OUR PRECIOUS TAX DOLLARS.
And over two years, when this began 8/08 with the initial theft back to 1/1/06 we documented all of this and they began finding it to be pervasive  in this region and others, but the US Justice department could not act as Congress would not permit any money to be spent to shut down what insiders said was over a trillion dollar theft. facilitated by the owner of the COMMON WORKING FILE, EMBLEM HEALTH INTERNATIONAL aka Group Health Inc. under their information giver the CEO of Affiliated Computer Services also an immune CMS partner  CEO Lynn Blodgett. who has become the most powerful person in the USA to be able to wield such power and not be accountable except to any 'boss' he might have which is difficult to ascertain. Maybe the SEC can? but after almost a year, nothing has changed. as to what is still going on..
His companies also are often the management firms and or information providers for all the billing services in the nation as well as being involved in almost all other aspects of government from local , state to federal in the USA now.  Their process is now world wide in many nations.  All part of those many 'trade agreements'  few have any idea what the details are in them.
THE HIPPAA LAW never applied to government contractors (partners) nor government officials and since 2009 when 4 appellate judges in multiple agencies ruled directly against  his and and ACS's tactics this became personal and wide spread false information , illegal deletion of data from government files in systems and other  records deleted as he went from one to another lying and saying I had gotten a workers compensation settlement and retired and no such has ever occurred and cannot until he posts my file.  Even my employer SSA, was told this and I got deleted off the rolls so none can verify my employment and its been over 8 years, I have been unable to get a copy of my personnel file as he has taken it to digitize it and never posted or returned it?   That includes  their signed copy with pen and ink changes of a signed agreement that did not included any workers compensation settlement as US Department of Labor would have to sign off on that one. I mention the one with changes where not all the parties agreed and initialed the changes as being the official one as later one some one attached another agreement to the signature page and its not the real one  and judges said it was not and imposed the original and its not been followed to this day as CEO Lynn Blodgett's verbal word became the 'law'.
 And since 2009 he will not let me get near another Administrative law judge in any agency as files disappear as  the first thing needed is a subpoena request for it from SSA and even my hearing with SSA  claims and entitlement factors to benefits there has been pending since 8/09 as ACS et al took it from  the  hearing office to digitize it and deleted the hearing pending there off the system  and it disappeared since then and SSA claims Master Beneficiary Records system has been hacked in to multiple times and appeals deleted since 2000   and that has been affirmed by the Deputy Commissioner of SSA  to be in charge of systems   and he  can not get the OIG to act as again an 'immune' contractor is in control, not the official person.
      In 2009, again,the US Department of Labor appellate Judges gave an order for all to ask me for the facts, use my records to reconstruct my files and process/ pay as the process and law requires for an accepted case from 1/10/89 with permanent medical benefits due to approval for life by federal workers compensation  for home oxygen over 20 years ago. And since 2002 when ACS TOOK OVER VIRTUAL CONTROL ,ACS HAS NOT PROCESSED ONE AS THEY SAY THEY WOULD BE PAID AND THEY HAVE AN ORDER TO "LET HER DIE" IN REGARDS TO ME SAYING  IF THE CLAIMS ARE INPUT, THE OFFICIAL SYSTEM WILL MERGE IN TO THEIR OFFLINE ONE AND ALL OF MY BILLS WOULD  HAVE TO BE PAID AND  THE 'GIG' WOULD BE UP.
     This is an exact quote from multiple sources and TO ORDER MY DEATH IS A REAL DEATH PANEL AND IS NOT ONLY ILLEGAL BUT CRIMINAL .AND THE TRACKING OF THIS ORDER LEADS BACK TO THE OPM CONTRACTOR OVER RULER, ACS.? ALTHOUGH THEY HAVE TRIED TO SAY IT WAS A FORMER DIRECTOR OF OPM.
    Why would all those since then follow such.  OPM DIRECTOR, Linda Springer did start to make some phone calls back in 2008 for me and then she abruptly resigned to go work for  one of the two government contractors that would be getting and spending the TARP MONEY WITH NO OVER SIGHT AND NO AUDIT CONTROLS AS IT GOT PASSED THAT WAY BY CONGRESS WHICH STILL HAS NO IDEA WHERE   NEARLY A TRILLION DOLLARS OF THE PEOPLE'S MONEY  WENT TO?
                Now we have a new law to oversee the abuses by those trying to get out of paying their legally obligated bills and make Medicare pay.
                 The initial fines and penalties assessed under HR 1063  was four times the amount billed to Medicare that was not Medicare/s bill  and ones insurer or health plan is now not  liable either to any civil action one might bring either. due to the new contracts   all health plans and insurers are signing with CMS..

                Just posted  this week is copy of the contract all partners of Medicare sign with CMS and there is a list of those partners which include the major insurance companies parent companies
Our Blue Cross Blue Shield is now a partner and  THE CONTRACT SAYS THEY HAVE CIVIL IMMUNITY NOW AS WELL AS THE CRIMINAL IMMUNITY. SO HR 1063 HAS BEEN VOIDED AS HELPING TO ENFORCE THE LAW AGAINST THEM  AS THEY ARE NO LONGER  SUBJECT TO THESE CIVIL PENALTIES TO BE ASSESSED AGAINST THEM FRO NOT PAYING CLAIMS AS PRIMARY AND NEITHER ARE THE OTHERS WHICH IS BASICALLY ALL OF THE COMPANIES.  Much of the Affordable Care Act involved the restructuring of the entire health care system and includes the government health care programs of Medicare and the state's Medicaid programs which have not been under any control of the government for over a decade any way.
     HR 1063 ENFORCEMENT IS NOW UNDER THE  CONTRACTOR, WHICH IS ALSO THE RECOVERY AND COORDINATION UNIT AS A CONTRACT OF EMBLEM HEALTH INTERNATIONAL OR GROUP HEALTH  which could well end up being the only health insurer to survive in all of this if public pressure is not brought to bear to persuade Congress to  amend and change some laws. So far, Congressional rules have not permitted them to do much with government contractors for over a decade either? as we have found ourselves in an OVERTHROWN GOVERNMENT WHERE THE GOVERNMENT  CANNOT ENFORCE OUR LAWS AND  PROTECT OUR MONIES AND OUR VERY HEALTH AND LIVES ARE PUT  IN JEOPARDY AND TOO OFTEN LOST ALONG WITH ALL OF OUR CONSTITUTIONAL AND CIVIL RIGHTS .
        Yet, when we try to get many to do this legally so that the amount of money is not a liability against the patient or medical provider /supplier we too often are met with horrendous resistance as we are only old, disabled and two of us women and our constitutional rights have been overthrown as well AS THE CONSTITUTIONAL RIGHTS OF ALL OF THE MEDICAL PROVIDERS ND SUPPLIERS IN  THE USA HAVE BEEN ALSO.
                    PATIENTS AND OUR GOOD MEDICAL PROVIDERS AND SUPPLIERS ARE NOW THE ONLY ONES WHO CAN HAVE PENALTIES AND FINES IMPOSED ON THEM AND/ OR BE CRIMINALLY INVESTIGATED, ARRESTED AND CONVICTED.
         If you cannot fathom what has occurred then please have legal counsel review this.  THE SOLUTION IS VERY SIMPLE. GO AHEAD AND TRY TO BILL THE PRIMARY PAYERS, DOCUMENT YOUR ATTEMPTS AND THEM BILL MEDICARE AND ANNOTATE IT FOR RECOVERY AND DOCUMENT  THAT YOU SENT IT THERE.
 Yes the patient  can report also, but CEO BLODGETT HAS HAD THE RECOVERY UNIT DESTROY ALL THE GOOD HARD WORK THEY HAD DONE IN THE PAST AND NOTICES THEY WENT OUT TO FEDERAL WORKERS COMPENSATIONS CONTRACTOR ACS 'S CEO LYNN BLODGETT. WORD BECOMES THE 'LAW"   AND THE PATIENT DID NOT GET ANY NOTICE AND NEITHER DID ANY MEDICAL PROVIDER OR SUPPLIER AS THEY ALL ARE TO AS ALL HAVE RIGHTS TO KNOW WHAT IS GOING ON AS MONIES ARE INVOLVED TO BE PAID OR RECOVERED. AND THE MEDICAL ENTITIES HAVE BEEN UNDERPAID WHEN MEDICARE RATES ARE USED AS THE ACTIVE DUTY RATE FOR FEDERAL BLUE CROSS BLUE SHIELD IS THE  HIGHEST PAYMENT THE TOTAL AMOUNT PAID SHOULD BE FROM ONE OR A COMBINATION OF PAYERS.  PLUS ALL HAVE APPEAL RIGHTS UNDER THE US CONSTITUTION IN THE MATTER.
         NOW THAT ACS HAS CREATED ANOTHER COMPANY AND TAKEN/TAKING  CONTROL OF EVERY ONES WORKERS COMPENSATION IN THE USA, YOUR OWN RIGHTS TO MEDICAL CARE AND BENEFITS SHOULD  YOU BE INJURED ON THE JOB ARE AFFECTED.
         AND THE OVER PAYMENT LIABILITIES AGAINST ESTATES OF THOSE OVER PAID AND WAIVER REQUESTS  NEVER PROCESSED AFFECTS ANY ONE WHO MIGHT INHERIT A REAL LEGAL MESS TO STRAIGHTEN  OUT BEFORE ONE CAN RECEIVE ANY INHERITANCE.  In one region the letters went out to estates  few years ago but the up roar and exposure by some estate attorneys  stopped the notices, , but those monies still sit in the systems as an overpayment against patients and their heirs. even after estates have been settled for this  international cabal has been well shown they can do what ever the please and no one in the government can stop them.
        And everyone that just goes along and does nothing, not even the simple act of annotating a claim to go to recovery , is hurting your own rights to life, liberty and the pursuit of happiness.
    If you do not annotate this as a claims to be recovered from a primary payer, then our reporting turns out to be a report against you doing fraudulent billing and that is  not going to do any good in the long run as you are the only ones they can come after now.  and to disrupt patient and provider relationship is not good for medical  care at all when its clear that  providers and suppliers are caught in a 'beast system' that has ended up in control of much of the world now and our own governments at all levels in the USA   WE SHOULD NOT LET PATIENTS AND PROVIDERS/SUPPLIERS BE AT ODDS IN THIS AS BEST HEALTH CARE SHOULD BE THE GOAL AND EACH BE COMPENSATED TO THE HIGHEST PAYMENT THEY ARE OWED.
   Since the health plans and insurers have no liability and can do as they please to not pay their bills as all continue to pay premiums for the coverage they think they are getting if they need it. We need to work together instead and professional groups need to address this crucial issue that affects all.
     Today, one large billing service out of apparent ignorance of the current laws and situation said the patient could  file with the recovery unit. not realizing that  THEY WERE PUTTING THEIR OWN MEDICAL PROVIDER CLIENT IN SERIOUS LEGAL JEOPARDY as it reflects directly against their client doctors and will be used as the patient complaining about the doctor as they misconstrue it and they will. s the report is going to the offender who is not going to admit they altered the COMMON WORKING FILE AND TRICKED THE MEDICAL BILLERS IN TO INCORRECT  AND ILLEGAL FILINGS...
 This large national chain  had a phone message to listen to while one waited to talk to someone that said one should try and work things out with their insurer , first. IMPOSSIBLE AS WE HAVE WELL DOCUMENTED OVER THE LAST NEARLY 15 YEARS NOW IN THIS AREA AS THEY TAKE THEIR ORDERS FROM CEO LYNN BLODGETT AND WHAT EVER WE OR ANY  FEDERAL JUDGE SAYS IS SHREDDED ALONG WITH OUR CONSTITUTIONAL AND CIVIL RIGHTS IN THE MATTER.
        There is still a third party law suit pending since 1/9/1991 that federal workers compensation required me to file to try and get monies recovered for the taxpayers. Its sits languishing in a court house in Jersey City waiting for the US Department of Labor to figure up the monetary damages to ask for and CEO BLODGETT  AND ACS ET AL SEEM TOO CLOSE TO THE LIABILITY INSURER OF THE PRIMARY  NAMED PARTY OF SEVERAL ENTITIES ON THAT.??? That in itself means that all  of Linda's claims paid by Medicare should be annotated as a conditional payment and notices go out to federal workers compensation for under HR 1063 THIS GIVES THE GOVERNMENT THE RIGHT TO PROD ACS ET AL IN TO ACTION ESPECIALLY WHEN  US DEPARTMENT OF LABOR JUDGES HAVE ALSO GIVEN IGNORED ORDERS.
 This is an onerous responsibility for an injured worker to find an attorney , to file the lawsuit on behalf of the government for the people  and then have the government act against  the worker and the people  when their legal responsibility is to work with the injured worker to get the people back their money. The acceptance of a worker compensation claim  is a contract to work for the worker and people and not  for the  party(s) sued and that is exactly what has  occurred.
      Social Security has not processed one SSA632  waiver  of over payment request on these either since they signed an agreement back in 2005 to process these which are the kind  where one gives no personal financial information as ' its against equity and good conscience' to ask the patients to  enforce the laws the government is no longer allowed  to enforce by those breaking it.
           PLEASE DO THE SIMPLE THING AS ITS LEGAL TO BILL MEDICARE IN THESE KINDS OF SITUATIONS AS LONG AS YOU ANNOTATE IT AND SEND IT TO THE RECOVERY UNIT WHICH IS TO TAKE PROPER ACTION AND NOTIFY ALL PARTIES WITH DUE PROCESS RIGHTS IN THE MATTER.
IF THEY DO NOT DO THEIR JOB AND THE  INSIDERS SAY IS AN ESTIMATED TRILLIONS HAD BEEN  ESTIMATED AS DOCUMENTED AS THEY SHOULD THEN CONGRESS WILL BE 'POLITICALLY PERSUADED ; TO ACT AS THE THEFT OF THE USA IS EXPOSED AND THE PEOPLE WILL KNOW AND VOTE THOSE WHO DO NOT TEND TO THE PEOPLE'S BUSINESS OUT OF OFFICE. AND HIRE SOME WHO WILL. IF THE PEOPLE DO NOT ACT THEN WE DO NOT SURVIVE  AS WE WILL HAVE NO MONEY AND NO ASSETS LEFT AND OUR LIVES LOST LONG WITH OUR LIBERTIES.
    SOME STATES AND GOVERNORS AND OTHERS ARE WAKING UP TO WHAT HAS GONE ON AND FACING REAL BUDGETS CRUNCHES TO HELP THOSE  NEEDING HEALTH CARE TO GET IT ARE HAVING TO FACE WHAT HAS GONE ON AND DO SOMETHING TO END  THE CRIMES AND WE NEED TO APPLAUD THOSE IN THEIR ATTEMPTS THAT THEY SUCCEED OR THERE WILL BE NO MONEY FOR ANY ONE'S HEALTH CARE LEFT IF THIS GOES ON MUCH LONGER.
                       
                                         A MISLEADING CHART
 
  IS BEING USED IN MANY HEALTH INSURANCE POLICIES WHICH IS TECHNICALLY CORRECT AS FAR AS THE WORDING GOES BUT THE WORDING IS NOT THE TOTAL PHRASE.
     The chart is about who pays first when one has a Medicare card and also incorporates when workers compensation is involved.
Training is going on around  the country led by ACS et al? that after  6 months after one gets their workers comp disability then MEDICARE BECOMES THE PRIMARY PAYER.
The chart mentions disability  benefits  and implies they mean workers comp. any other program does not affect  the legal definition of employment as benefits can be paid  by other programs and entities and one sill be employed .,
    AS THE GENERAL COUNSEL FOR OFFICE OF PERSONNEL MANAGEMENT TOLD ME WHILE REVIEWING MY OFFICIAL RECORDS THERE:  'DO NOT FORGET THAT THE WORKERS COMPENSATION LAW OVERRIDES ALL OTHERS " THEIR IS NO INACTIVE FEDERAL EMPLOYMENT AND UNTIL  THE INJURED WORKER IS PUT ON PERMANENT DISABILITY BY FEDERAL WORKERS COMPENSATION  THEN ONE IS ACTIVE DUTY.:
AND THIS APPLIES TO EVEN IF ONE IS TRYING TO REGAIN THEIR BENEFITS AND HAS APPEALS PENDING, ETC. AND RECEIVING ESTIMATED TEMPORARY CIVIL SERVICE PAYMENTS OF ANY KIND AS LONG AS  THE QUESTIONS ON THAT APPLICATION SAY THERE IS APPEALS TO REINSTATE PENDING.  THESE ARE LAWS TO ENSURE NO SKULDUGGERY OCCURS TO GET RID OF AN INJURED WORKER.
 TO LOSE THESE RIGHTS IN THE USA IS TANTAMOUNT TO LOSING EXPOSURE OF UNSAFE WORK CONDITIONS AND MAKE CORRECTIVE ACTIONS TO BE TAKEN TO PREVENT ANY ONE ELSE FROM INJURY..
    SHE HAS PRACTICED IN FRONT OF THE  TO US SUPREME COURT  FOR THE GOVERNMENT AND ALSO WAS ACTING DIRECTOR  OF OPM FOR AWHILE IN 2009 AND WHAT SHE SAID  SO CLEARLY AGREES WITH THE WRITTEN LAWS IN THE MATTER.  SHE ALSO HAD A COPY OF MY SIGNED AGREEMENT WITH SSA, MY EMPLOYING AGENCY TOO. 
   THERE IS TEMPORARY  WORKERS COMPENSATION DISABILITY PAYMENTS AND PERMANENT DISABILITY PAYMENTS WHICH OCCUR IF ONE GETS A MONTHLY CHECK AFTER A SETTLEMENT FOR LOSS OF BODY PARTS, ETC IS DONE, CALLED A SCHEDULE AWARD AND WHEN THIS OCCURS ONE IS THEN ISSUED A CHECK FOR ANY LEAVE NOT YET PAID AND THE BUY BACK OF SICK AND ANNUAL LEAVE USED IS THEN FIGURED SO THAT IT CAN BE REINSTATED SHOULD ONE DECIDE TO TAKE A LUMP SUM BUY OUT AND COLLECT A PERMANENT RETIREMENT PENSION. INSTEAD.
I WONDER IF ANY ONE KNOWS THE LAWS AND RIGHTS IN THIS AT ALL ANY MORE?  s the current training seems to be very misleading and leaving one word of the chart to decide who gets billed first has led to the massive confusion, by some that have intentionally been doing so for years already.
 There is often difficulty trying to put complex laws into a simple chart for our laws just are not that simple in an effort to be fair to all affected.
One has to use some common sense in all of this, too The chart does not refer to those n a temporary disability as they have job retention rights under workers compensation and may do return to work or some kind of work they are able to do with whatever handicap they may be left with.
 THE CHART IS REFERRING TO THE PERMANENT DISABILITY AS THAT ONE ALLOWS ONE TO BE RETIRED AND THAT IS THE CRITERIA FOR Medicare to then become the primary payer to ones employer group health plan.
We kept being referred to this chart by many from many sources and since we understood the law as interpreted by general counsels for Medicare and OPM, etc. as well as the official judicial ruling, we did not catch that others were not aware that the word  permanent  is missing  preceding disability  word for the kind it is. Temporary  means ones is still employed or as in the government one is till active duty  and the other is what one receives if they choose a monthly check or a 'buy out;  of all future checks at once.AFTER ITS DECIDED BY WORKERS COMPENSATION   AND SIGNED BY THE WORKER, THE WORKER'S LEGAL COUNSEL., THE EMPLOYING AGENCY AND THE US DEPARTMENT  OF LABOR OFFICIALS AND THIS IS INDEPENDENT OF ANY OTHER DISABILITY PROGRAM OR PLAN THAT ONE  MAY BE FOUND PERMANENTLY DISABLED AND UNABLE TO WORK. BY.
 Linda Joy Adams filed for   a schedule award and permanent disability in 1996  when her pulmonogist,  George Ciechanowski,, MD said she could no longer return to work as  the average two years to reach maximum healing did not return her to an ability to work . Even the US Department of education found her permanently disabled and waived student loans for her workers compensation  injuries in 1997  but that does not mean federal workers compensation has, and it has not yet been allowed to occur.
 SSA's process is still pending and at the hearing level  and one can read more of what has occurred there in others of these violations pages as its been gross interference of the process to not let it occur., what is on the MBR system is fraud and criminal activity by the highest official in the agency at the time and done so that Federal workers compensation could not take and review their decision and adopt it if they chose to. Even the board certified pulmonologist Social Security's state disability unit  sent her to in 1999 disappeared from the files and  none of us got a copy, but he did run the right tests, including the ones for pulmonary hypertension and Linda had copied down the numbers from the machines and they seemed to be consistent with other teats run by other doctors, Her SSA file has been destroyed 'disappeared' 8 times and if one looks at the total its now over 25 years old as no file of hers in any agency has been left intact.
   Always before  government  officials obeyed the Judges when orders came down after a disappearance or rifling to skew decisions but this time ACS HAD TAKEN OVER  and they do not listen or follow federal Judges orders at all. LAWLESSNESS HAS BEEN GONG ON FOR ALONG TIME, BUT SOME OBEYED THE LAWS AND EVENTUALLY THINGS GOT BACK ON TRACK TO BE PAID AND PROCESSED. NOW THE ONLY LAW IS WHAT ACS'S CEO SAYS IT IS.?
 So my pending matters at Federal workers compensation  are yet to be processed even though 15 US Dept of Labor Judges have ordered it processed. in their remand orders.  Just before one of Linda's claims examiners at the US Dept of Labor retired she sent a reminder letter out about getting information in to process the requests affirming its an open case and that no permanent disability has yet been done although its pending and the claims examiner needs those files CEO Blodgett in order to retire Linda  on permanent disability  from federal workers compensation. as the judges have so ordered ,
, But THE US DEPARTMENT  OF LABOR IS FORBIDDEN TO HAVE ANY FILES IN THEIR OFFICES AND MUST SEND ANYTHING WE GIVE THEM DIRECTLY TO ACS AND ACS IS INDEFIANCE OF 17 APPELLATE AGENCY JUDGES IN MULTIPLE  AGENCIES AS THEY ARE NOT UNDER THE LAWS OF THIS LAND ANY MORE AND NEITHER IS OUR HEALTH INSURERS EITHER AS SOON AS THEY BECOME PARTNERS OF CMS.ACCORDING THE CONTRACT THEY ALL SIGN. EVEN THOUGH LAWS EXIST, WHEN THEY CANNOT BE ENFORCED THEN THE LAWS  ARE NON EXISTENT. UNTIL THEY ARE.
PATIENTS AND MEDICAL PROVIDERS AND SUPPLIERS MUST NOT LET OURSELVES BE DIVIDED AGAINST EACH OTHER. Just annotate as a conditional payment for recovery and let the total amount build up to so much that our elected officials have to start taking care of the business of the people in this matter,
Although the US Justice Department  and general counsel for Medicare  thought if we filed   civil rights complaints with HHS they could get inside these offending government contractors only to have none ever been docketed in or answered by the Office of Civil rights for HHS as Linda and her co worker were HHS employees up until the time she was transferred to Federal works compensation jurisdiction  the last time., either and  that would be under a civil liability for damages and none of these offenders  who are non medical providers and or suppliers  would  be subject to those either so they can DISCRIMINTE AS THEY WISH AND NO ONE WILL ENFORCE THOSE LAWS EITHER..
                     LINDA JOY ADAMS PERSONAL COMMENT
     I am on the side of all of my good doctors and other medical personnel who have kept me alive and provided care and treatment over the years since injured on 1/10.89 and done so under circumstances that has had  all kinds of outside interference to what should have just been providing the best care for the patient with out hassle. or interference or obstruction of it. The health care industry should be studying what has been done right that I am still alive from injuries that most used to die from in a few years but unfortunately with what is now occurring by those in charge, we well may have reversed this back to when many do again die far too soon from what modern medicine can do for us and our good doctors be blocked from providing. ..
Life is a right and health care  is part of that right, but we do not have the best system in place for the best outcome now. No plan is going to work until every ones rights are upheld and the few that gave grabbed control do not seem to have life and best heath outcomes as the  primary objective at all.  As a person of faith I pray to Yahusha whom we Christians call Christ Jesus that the hearts of those causing so much pain and suffering be changed so we can truly have life liberty and the pursuit of happiness for each and every one,. For those of other faiths  or no faith may you also join in that wish in your own way.

Linda Joy Adams 
Doyle E Adams
________________________
             
cc: all parties.          

2 comments:

Linda Joy Adams said...

update: for about the last month CMS systems contractors have apparently stopped the hacking of the COmmon working file so the primary is no longer showing Medicare incorrectly. And nothing is getting paid and bills going in circle. THIS IS WHEN YOU UTILIZE THE CONDITIONAL PAYMENT LAW OF 1980. SEND THE BILL TO MEDICARE AS CONDITIONAL PAYMENT FOR PRIMARY WILL NOT PAY AND PATIENT AND PROVIDER HAS NO FINANCIAL RISK. ITS UP TO THE RECOVERY CONTRACTOR TO LET THE GOVT ENFORCE ITS LAWS. some day when they do , you will get an additional payment to bring you up to the employed rate as my employer posts I am and that makes any on my policy their primary payer to medicare also. But Lynn Bblodgett who pays the Part D Medicare claims does not use the Common working file and his people who pay those has no CMS training and is still paying every ones claims under Medicare. and since there is no negotiated prices as most other plans have many are unable to collect co pays as the full price is so much higher etc? All due to the COUP of 2002 when the real govt funding to know what was going on was removed by act of COngress. And their self imposed gag order makes them unable to find out either as we all get robbed and it's not just in health care 3 Medicare judges have ruled and ignored M09-1406. Lynn Blodgett in defiance of 38 federal judges in multiple agencies on my cases alone. He is the dictator of the USA of an international cabal and who is his boss? George Soros is saying he is he mastermind of the biggest organized crime ring in the USA. (RICCO) Real Government allowed to stop it as Congress defunded to do so in the COUP OF 2002. Linda Joy Adams 9/18/16

mtom said...

I do trust all the ideas you’ve introduced on your post. They’re really convincing and will definitely work. Nonetheless, the posts are very quick for starters. May just you please extend them a bit from subsequent time? Thanks for the post. Process audits
I do trust all the ideas you’ve introduced on your post. They’re really convincing and will definitely work. Nonetheless, the posts are very quick for starters. May just you please extend them a bit from subsequent time? Thanks for the post. Process audits