Linda Joy Adams: Linda Joy Adams: DAILY RECA Thus us a series of links backward of a brief without identifiers such as SSN's that was submitted a to recent Medicare judge for a hearing and the judge was only allowed to rule on one issue that had been resolved although miraculously other hearings on similar issues surfaced that had disappeared for years without a hearing and the Medicare and SSA systems hacked to deleted them as has been going on for 15 years re our documentation at SSA and Medicare as an 'inside' job inside the contractors which there is no budget from Congress to over see civilly or criminally what is going on within inn contractor. And congress has not acted as our very lives and livelihoods and public Treasury is looted. an my personal life endangered over what is going on up against the CEO of this cabal named by many high level govt officials with no access to my records to do their jobs and process things to do on my cases. and my families.
HOW CAN THIS INTERNATIONAL CABAL BE ALLOWED TO DEFY APPELLATE FEDERAL AGENCY JUDGES? AND AN ADDITIONAL LOWER JUDGE DISCOVERED SINCE 2010
In going through 26 years of records, we located another Medicare judge who remanded a case of Doyle's to do a reconsideration and SSA has yet to do this as Doyle has had to pay for Part D premiums when I do not and there is a provision for grandfathering in on that program. BUT THERE IS LITTLE DETAIL INSTRUCTIONS AND RULES ON THIS PROGRAM SINCE IT BEGAN IN 2006 AND WHAT WE HAVE ON LINE FOR PUBLIC VIEW IS ABOUT ALL THE SSA EMPLOYEES OR CONTRACTORS HAVE . AND MEDICARE IS ENTIRELY HANDLED BY THESE CONTRACTORS AND LITTLE TRAINING DONE AS THEY JUST SEEM TO PASS ALL THROUGH WITH OUT REGARD FOR RIGHTS FOR THAT ANY ONE HAD QUESTIONED FORMALLY AND WANTED AN APPEAL ANSWERED. THAT REMAND WAS DONE IN 2010 AND WE HAVE FOLLOWED UP PERIODICALLY AND GET NO WHERE WITH THAT ALSO,
We hear a lot about part d medicare for prescription drugs paying full price as the pharmaceutical companies desire. BUT LITTLE IS KNOWN THAT THE ENTIRE PROGRAM HAS BEEN AND ILLEGAL DUMP ONTO MEDICARE PAYING ALL BILLS ON ALL PATIENTS THAT ARE NOT EVEN MEDICARE'S BUT BELONG TO OTHER INSURERS OR WORKER COMP OR EVEN AUTO ACCIDENTS, INSURERS ON SOME. ETC. There is still no written coordination plan with FEHB insurers and Medicare Part D, so we still have no idea what the coverage is, but several large pharmacies have us pay $0 now, which is what occurs with part A and B of Medicare is one has dual coverage. No agent could legally sell any other kind of policy when its not known what is the coverage and i am not speaking of this or that drug.
And the appeals process to afford constitutional rights is pretty non existent as the cabal contractors of the insurer does them and to get to a real judge has to be within a narrow scope of entitlement which is what we area trying to get done. And Somehow no one at SSA or their contractor seems to have know or do know what to do. This is not the SSA I went to work for in 6.68 out of college where Congress was very concerned we upheld the rights of all and our training was extensive so we could carry out that constitutional mandate of fairness for all. Good people with little training and no real access to know what to do has gotten worse and worse over the years. to the point of those like Doyle and I suffer real financial hardship when the laws and budget were put in place to help us out.
Of course the while issue should not be as die to a felony rifling of my file, I've had to fight a lengthy battle of judges being defied and still are to get federal workers comp CHECKS back and CEO LYNN BLODGETT OF ACS ET AL OF OVER 100 COMPANIES WHO HOLDS DICTATORIAL POWERS IN THE USA AND TOTAL CONTROL OF HEALTH CARE FOR ALL IS IN DEFIANCE OF THESE 18 FEDERAL AGENCY JUDGES PLUS ONE MORE OF THE AS MANY LOWER JUDGES. THAT IS 37 JUDGES DEFIED BY HIM AND THAT IS REAL POWER HE HOLDS .
THERE IS NO WAY FOR THEM TO ENFORCE THEIR RULINGS. AND THERE USED TO NOT BE ANY NEED FOR THIS AS GOVT EMPLOYEES OBEYED HE JUDGES AND WORKED THE CASES AS ORDERED TO DO SO. But now they have no access to data or files if he does not wish it and with his orders to hacked into systems and alters and delete info. as has been said he is the orderer, through his companies, then no one has any idea what is really going an and why in 2/2009 three US Dept of Labor Judges ordered my file posted using my records and to ask me for the facts as 'GOSSIP AND RUMOR HAD RUN AMOK" AND NO ONE KNOWS WHAT IS GOING ON. BUT ME AND I AM TO BE ASKED FOR THE FACTS OF THE CASE.
None have done so yet..... Federal workers comp claims examiner has not been allowed to have the orders from the judge as ACS et al controls who gets to see and Judges rulings against him are not to be known of Esther are up for contract renewals again and pray its not renewed and a company hired that will uphold the law and obey judges and be fair.? OR GIVE IT BACK TO REAL GOVT EMPLOYEES WHO ARE ACCOUNTABLE TO AUDITS OF THEIR WORK AND CAN BE ARRESTED FOR WHAT HAS OCCURRED. IF THEY DO IT.
Since I already have permanent medical and they will not input any oxygen claims since 2002 when they took total control and now control of all? workers comp in the USA. Injured workers are being denied access to even breathe. And family hauls 200 lb tanks to gas company for me to live when approved by three health plans for life, for liquid oxygen as can not tolerate the ozone off the concentrators and its not a therapeutic level.
Oxygen is under the 1988 labor law that makes it workers comp and on a security lock so they have to be billed first and there is never an answer so any supplier will not take an injured workers and it could be over a year for any pay for services. Even if one can tolerate the concentrator. SUPPLIERS ARE NOT TOLD THE TRUTH AND THEY THINK THERE IS SOME OTHER ISSUE. It took a lot for me to find all of this out and I have years of experience in and around Medicare and its info held very secret and should not legally be so secretive. as its not and lives are endangered and lost over the games played.
LETTER TO HUMANA PART D MEDICARE.
REQUEST FOR HR 1063 ENFORCEMENT OF RECOVERY OF ALL CLAIMS PAID FOR DOYLE E ADAMS. FROM FEDERAL BLUE CROSS BLUE SHIELD UNDER THE MANAGEMENT CONTROL OF PRIME THERAPEUTICS ONE OF CEO LYNN BLODGETT'S COMPANY WITH SECRET DEAL PARTNERSHIP OF EMBLEM HEALTH INTERNATIONAL WHOM THEY HAVE ORDERED FED BLUES DELETED OFF THE SYSTEM THEY OWN, THE COMMON WORKING FILE ALL USE FOR BILLING AFTER POSTING FROM THE US DEPT OF LABOR THAT SHOWS DOYLE ON MY FED BLUES AS EMPLOYER GROUP HEALTH PLAN AS HIS PRIMARY. AND THEIR CMS CONTRACT FORBIDS THIS HACKING TO OCCUR. AND MEDICARE JUDGES AND APPELLATE JUDGE RULED IS ACCURATE AS THE LOWER JUDGE GOT THE INTERNAL OFFICIAL DOCUMENTS THAT CEO BLODGETT WILL NOT SHARE.
THIS IS CONSIDERED AN INSIDE JOB ILLEGAL HACKING BY FEDERAL IT PERSONNEL.AND JUST ONE OF THE ON GOING OPM HACKS GOING ON FOR YEARS. AND ITS NOT JUST US FEDS HACKED.
Medicare appellate case M09-1406 affirmed the lower judges that I am active duty under US dept of labor jurisdiction. an they are considered the only official records on me. SSA was illegally told by ACS et al to delete me off the SSA employee rolls by lying and saying I had got a workers comp settlement and retired and nothing of the sort has occurred and the US Dept of Labor Judges said so. and ordered my files posted and worked, and paid and processed and that is the order mentioned above that has been defied and sent CEO Blodgett from agency head to agency head and contractor to contractor lying and saying the false info , when the Judges said ALL ARE TO ASK ME AND AND HE HAD NOT RETURNED MY CERTIFIED LETTERS OR PHONE CALL TO SET UP A LOGICAL SYSTEMATIC PROCESS TO GET ALL OF THIS DONE AS THERE ARE SOME ITEMS THAT GO BACK TO 1989 STILL LEGALLY PENDING TO BE PROCESSED EVEN THOUGH DISAPPEARED MANY TIMES OVER. There has been no security on any of my records since injured 1/10/89 and it got worse over the years as my case was said to have set many precedents, for toxic and chemical injures etc. and as deaths of co workers occurred when turned away for the hospitals ,my medical records show the reason. for them..
I have written about this extensively on line since 2008. when I learned that there was no law enforcement available in the USA over its govt contractors. as no budget from Congress to do the job.
Case M09-1406 was my request to set aside the suspension of enforcement of the conditional payment law which had been done in 1994 and the looting of Medicare got worse over the years. since as its the law that makes every one in the health care system obey the rules. and laws. and uphold every ones rights. This led to a law, HR 1063 that resurrects the enforcement and Humana and all the other insurers, too have had and are having claims being illegally paid in your name and theirs by ACS whose management were never told what a conditional payment was or how to process one and to make sure the recovery unit gets the info to send out and recover the monies form the primary payer. THIS IS ENFORCEMENT ACTION WAS GIVEN TO EMBLEM HEALTH INTERNATIONAL WHICH IS FACILITATING THE ON GOING HACKING AND THEFT IN THE FIRST PLACE. BUT ITS THE RULES IN PLACE AND MUST BE DONE SO THAT PATIENT IS NOT OVER PAID AND YOU AND PHARMACY ARE NOT SUBJECT TO FINES AND PENALTIES FOR USING THE HACKED INTO COMMON WORKING FILE WHEN THE PATIENTS MEDICAL COVERAGE DIFFERS FROM WHAT IS ON THE SYSTEM
There is also a third party law suit Doyle and I have filed as required to do so by Federal Workers comp and all of this is damages in that. But nothing can be done to repay the taxpayer on that until CEO Blodgett allows my case to be worked and processed and a retirement request processed which was pending when he took total control in 2002..
The procedure is for a Redetermination to be filed on the issues. AND THEIR IS NO TIME LIMIT TO MEET AS WE HAVE BEEN WRITING AND TELLING YOU AS WE HAVE WITH ALL THE OTHERS AND YOU KEEP LISTENING TO CEO BLODGETT AND HIS COMPANIES AND NOT TO THE JUDGES AND US AS TOLD TO DO SO BY JUDGES. WE GET OUR REPUTATIONS DEFAMED SO THEY CAN KEEP ON STEALING?. AND OVER PAID AS SSA HAS YET TO PROCESS ONE SSA 632 Waiver on this as they agreed to do in 2005 for Medicare . its one where one gives no personal financial info as its "against equity and good conscience "to ask the patient to cancel govt contracts and arrest people when the govt cannot do so and we are not legally able to . please look up the rules available on line and send over the items for recovery and them send us a copy so we know you have done so and continue to do so with future bills you pay.
WE THANK YOU FOR YOUR CONTINUED SUPPORT TO SUSTAIN LIFE. AND HOPE YOUR MERGER GOES FORWARD TO HELP ALL OF US. I DO NOT WISH TO SEE ONLY GROUP HEALTH SURVIVING AS THE ONLY HEALTH INSURANCE COMPANY IN THE USA. WHICH THEY NOW HAVE THE GREATER POWER OWNING ALL THE RECORDS AND DEALS STRUCK. FOR THE GOVT. AND FEW OTHERS HAVE MUCH OF THIS ACCESS ANYMORE.
Page 17: Medicare Hearing brief case 1-32258355488
which was filed (6) years ago. If your honor wishes to consolidate all Medicare hearing(s) which are currently pending, then I request 60 days for you can order from Miami Medicare hearing office --some do not have docket numbers. Also, elevate all lower pending appeals up to your level .Every claim since 8/1/2000 is a conditional payment under Medicare rules.
When label as a conditional payment there is no over payment liability risk to the patient nor the medical provider or supplier.
There are two bills that were improperly paid. one a cardio pulmonary stress test and the other is an $18,000 surgery bill. I lost an excellent ear eyes and nose doctor because of what the Medicare contractor did in changing the codes for the procedure. Linda got blamed because she could not straighten out the whole government.
Page 18
Every claim on Linda from Jan of 06 to Nov of 2012 processed by the subsidiary of South Carolina Blues was paid (17) times under (17) Medicare numbers created by the contractor. All are separate orders on every claim and must be separately recovered. All of this is covered in the Violation of Civil Rights packet which is being submitted as it summarizes things and separate pages has been used as follow ups.
The subsidiaries of S Carolina Blues were Palmetto GBA and Trailblazers. As far as we know only one claim payment per claim has been made before Jan of 06 and since the termination of their contract in our area, the "500" named witnesses stated the money was deleted from the Medicare trust fund and the authorization given to the Federal reserve to spend the money -that all we know.-
Page 19
There has been no audit of the Federal Reserve as to where the money was sent.
Because a mix up in two hearings so they never got (heard) because their own staff did not realize they were setting up the hearing (s) with the wrong judge(s) We were willing to go forward and hear the case assigned to the judge-but he did not. Instead, of rescheduling each separate hearing they ended up dismissed both--which there is appeal pending at DAB to be remanded back and allow hearing to be heard.
One hearing they accepted the Teri Schiavo law to hold the hearing immediately. We are (were) asking Medicare to pay for Linda ('s) Ox(ygen) although she did not have a supplier since Jan of 08.
_______________________
I am very tired and getting in to all the old records has my sinuses bleeding and trying to stave off infection taking hold. Its a terrible ordeal we are going through due to the government not taking care of over seeing and stopping all these illegal things do not go on. Don't those inside realize that this affects them to and their medical care and monies being there to pay for the care if they should need it to?. I pray to Yahusha whom we Christians call Christ Jesus for those who can help in any way , to do so. Just getting thing s to gather and moving them and doing the job you are to do inside the govt and contractor can help even in the smallest way. For those of other faiths or no faith pray for a good outcome for all of us or think good thoughts. AS THIS AFFECTS EVERY ONE. VOTE AND SHOW YOUR PRESENCE THAT THE PEOPLE ARE STILL THE FINAL BOSS IN THIS NATION.
Linda Joy Adams 8/21/15
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