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Saturday, September 5, 2015

Linda Joy Adams: Daily Recap 9/5/15: 38 Judges defied by ACS et al Exhibits 10-14 Medicare Hearing Case 1-3225833488: President Obama born in Topeka Ks son of Jim T Parks

Linda Joy Adams: Linda Joy Adams: Daily Recap 9/4/15: 38 Judges defied by A This is a series linked backwards of an actual brief filed with a recent Medicare hearing where the judge was only permitted to rule on an issue already resolved but not on any of the other issues and hearings that had been pending for years and disappeared and systems hacked and deleted. No clear guidelines as to who is to do reconsiderations or even hearings at SSA and Medicare and the chaos has put my life and our livelihood at grave risk over it for we are dealing with an unaccountable government contracting entity  ad apparently even doing SSA;s reconsiderations when they have no authority to make these kinds of decisions but use the letterhead of SSA  This makes a mockery of any ones constitutional rights  for this to be going on. But since Congress years ago gave given authority without budget for over sight of rights  and laws and processes and policies be obeyed  nor for outright criminal  acts going on inside some of the contractors, we are all with lives and livelihoods at risk form this 'OVERTHROWN GOVERNMENT WE ARE UNDER RIGHT NOW where those we elected to take care of business for us have not done so for at least a couple of decades in some areas but especially in health care  since 2002. congress is not popular as the people know they are somehow not taking care of things as we ask them to do and the US Constitution mandates they do through the phrase I it that says" for the general welfare do the people and the security of the nation." Budgets get cut to make up for the on going blatant huge thefts inside the contractors with their secret illegal deals that over ride the law, constitutional rights and even judges orders and rulings which numbers 38 lower and appellate Judges in my case alone.
 I CHOOSE TO LIVE AND HAVE NO CHOICE BUT TO PLEAD FOR JUSTICE TO DE DONE WITH THOSE WHOM WE SUBMIT THESE FILINGS TO. FOR THERE IS CURRENTLY AND HAS NOT BEEN FOR MANY YEARS ANY SECURITY OF MY FILES OR SYSTEMS DATA IN THE CUSTODY OF ANY GOVT OFFICE OR THEIR CONTRACTOR. AND A REAL DEATH PANELS CREATED WITH A REPEATED ORDER ON ME: LET HER DIE"  which   seems to be a rampant one on any others who have already lost the battle for life , let alone livelihood.  Good health can not be medically replaced at this time in medical history,
     Until then,  we have laws and systems in place to help out when one is injured on the job and its to be administered fairly and ethically and based o merits of cases and issues. I HAVE AN ESTABLISHED NON CONTROVERTED  CASE WITH SOLID MERITS AND  YET ILLEGAL THEFTS AND DISAPPEARANCES AND RIFLING OF FILES LED ME OVER AND OVER TO WHERE I AM NOW.
   Before Affiliated Computer Services took over total control of Federal workers comp and now every one's;   govt employees would eventually get judges remand orders and obeyed them. This last time ACS ignored and continues to ignore more and more of  the judges and laws and my rights to live and will not even input and process  any oxygen claims since 2002 as 'THEY WOULD BE PAID AND THE GIG WOULD BE UP AND THEY WOULD HAVE TO PAY FOR ALL MY MEDICAL BILLS" is the exact quote from  CEO Lynn Blodgett's own manager In TALLAHASSEE as stated from him.. This is  where all the bills are paid for injured federal workers. And repeated the order Let her die: with regard to me.
      Since the 1988 labor law was put on the books to protect the rights of injured workers with life threatening medial needs, oxygen seems to be a major treatment that automatically triggers this law into effect and such was done over 21 years ago when FECA put me on home liquid or compressed air oxygen. The minute ozone emissions from concentrators still cause life threatening inflammation  and  pneumonitis etc.  and are not therapeutic levels
. BUT THERE IS NO SUPPLER FOUND THAT WILL TAKE A WORKERS  COMP CASE , EVEN FOR AN OXYGEN  CONCENTRATOR AS IT WOULD BE  OVER A YEAR BEFORE THEY COULD GET PAID. as the oxygen claims, unlike other medial bill,s is on  this 'security lock' and the bills have to go to workers cop first. And sine they never process them they are neither paid or released for an appeal and then other health plans or Medicare or Medicaid? can pay and ask for the money back. as  is suppose to be occurring with other bills. BUT SINCE THE SYSTEMS HAVE BEEN PROGRAMMED TO NOT SHOW THE DATE OF INJURY BUT AN ENTITLEMENT DATE TO THAT PLAN OR MEDICARE; COVERAGE it is rare that the system will capture the need to treat as a conditional payment and after claims is paid sent it on to recovery back from workers comp.

            THIS LAW TO SAVE LIVES HAS BEEN TURNED IN TO THE MOST EGREGIOUS OF 'DEATH PANELS'  led by one man, CEO LYNN BLODGETT WHOSE VERBAL ORDERS HAS BECOME THE Law of the land .   i name him as he has been named i writing and verbally by high level govt officials as the only one with access to my files or data AND HE IS THE ONLY WORD THEY HAVE ON ME AS THEY CANT EVEN GET THE JUDGES ORDERS UNTIL HE LETS THEM HAVE THEM.
    Until Congress acts to restore civil and criminal oversight of government contractors, we are all at risk for our very lives an livelihoods as this cabal of over 100 companies has control of nearly every state and local program now especially those where federal monies are involved.  WHERE ARE THEY AND WHY WON;T THEY ACT TO GIVE EVEN A MINIMAL BUDGET TO THOSE LAW ENFORCEMENT ENTITIES THAT ARE TO BE THERE FOR ALL OF US AND TO PROTECT THIS NATION AND ASSETS OF THE PEOPLE. AND OUR RIGHTS WHEN THINGS GO WRONG  INSIDE THE PARTNERS OF THE GOVT AS THEY ARE NOW CALLED AND NOT GOVERNMENT CONTRACTORS. Contracting implies there will be oversight to see the job is done to get the pay..And one may not realize that their own private companies they work for often have to hire his management company to 'ASSIST THEM'.  Signing up with them may soon be the only way to get any kind of job. especially  one where any kind of bonding or background check is needed.  ACS et al gets to decide. which means nearly all I kinds of insurance companies are gradually coming under this entity, also. as they contract out the work to them. Why do we keep sending the same ones back to office at all levels who have not even tried to act to restore our  constitutional rights at all levels.

THIS IS NOT A FAIR FREE MARKET SYSTEM WITH HEALTHY COMPETITION.



All need to vote. but do check out the candidates at all levels and what they propose to be do about this over throw. and then when elected keep the contacts coming to see they do their best. At least submit  a bill for a law to be passed. at all levels..

     It does little good to debate what to do with the public treasury  if its being stolen daily as it is now by real corruption that exceeds anything I have ever seen in my 70 years of life and being inside the government since 6/68 and outside as patient and consumer and family member/. Pretty soon we will not have the money to by the ink and paper to print any more. or computer to create digitized money which is already under the control of an international company since 1984, per a meeting of this cabal in Dallas in 1983. George Orwell's prophetic  book "1984" did occur. The  step by step events were kept well hidden from the public until more recently and I got dissed badly for finding out 15 years ago  how bad it already was just trying to save my own life and provide for my family. and the more is leaned is the worse it is found to be.

recently , in going though all the  filings  we have done over the last 15 years to stay alive, I discovered some very naïve things we did..  As others, did not know who should have due to position to know  and advise  and had me filing HIPPAA requests from government contractors, who are still not under that law  so we can get all of our medical records and then ask for help form ones own doctor, etc. to create. any errors or straighten out co mingled patients records, typos and access to intentionally do alterations to cause harm can occur;that are in the national data base owned by Emblem Health International., formerly Group Health since 1999 that has cost so many lives through medical errors and so many doctors and hospitals sued for what CONGRESS has refused to take care of with a simple law.

     All those candidates  spouting about gun rights, etc. do not  seem to know that with  a few inputs everyone could be made medically ineligible to buy a gun.  Personally I do not like guns since my Dad took me out to the pasture  to learn how to shoot one when young as I have no desire to take a life. And Pray would I'll never  be in a situation where a physical fight ensues to resort to anything like that.. Threats to my life  and others are more often  being done vying the  well 'hidden' systems and paper files. And what other way is there to fight for survival than inform others and  plead for them to also join the struggle for life as what has and is occurring  on me can happen to any one now and has.

      The checks ad balances to prevent it are not in place right now and CONGRESS HOLDS THE MAJOR BLAME AND SO DO ALL OTHERS IN POSITIONS OF  AUTHORITY WHO ARE NOT JOINING THE PLEADINGS FOR CONSTITUTIONAL MANDATES TO BE RESTORED. Do what you an in whatever way you are led to help.

       Congress has been aware of this  through studies done 9 years ago. of the simple need for the HIPPAA law to cover all those who hold our  medical records to be used for many and varying  purposes.  ALL GOVT OFFICIALS AND GOVT CONTRACTORS WHO HAVE CUSTODY OF PATIENTS MEDICAL RECORDS BE UNDER THE HIPPAA LAW. AS THESE ARE USUALLY ACCESSED FOR EMERGENCY MEDICAL TREATMENT ESPECIALLY IN EMERGENCY ROOMS.  Ones own doctor, etc.  spends bog money to protect the records, yet all ends when the claim is filed for payment and goes into systems all over..

     I personally had two close calls that affect life from it being used instead of own records at same hospital or doctor.  That is how I found out as I  sought the answers as to how the doctors got bad info. Remember hour own health insurer has contracted out to one of this cabal's companies to 'manage' now. and  its cover up on high speed now. All tried out and perfected  with success on we federals employees and families first as we have no where to turn for help as state and local officials have no jurisdiction and now they have less and lees as all go under the 'federal plan."



                                       EXHIBIT 10 (index)* CASE 1-3225833488 (items in parentheses added for clarification since actual documents are not posted and personal identifiers omitted then asterick(ed.)*



Hearing request dates 10/9/10. *Reconsiderations request clearly showed on) Form clearly asked for  Reconsideration request  (but) treated  as an inquiry  ( and never answered. )



( This was not on the Disability Insurance filing entirely but does cover it also. as any appeal filed with SSA covers all matters before them, But if its then farmed out to a Medicare contractor we lose all rights to anything and this is illegal . But SSA has to take care of the Non Medicare parts. is the legal assumption.. .SSA cannot shirk its duty by sending every thing off to another agency when they have full jurisdiction of programs covered by the appeal.  The appeals  about the other matters on Retirement and Medicare premiums issues covered under it and still no answer.

AND NOT BOTH AGENCIES HAVE JURISDICTION OF THE SAME THING AND ON GOING TO THE CONTRACTOR WHO HAS NO AUTHORITY OR TRAINING OR ACCESS TO DO AN APPEAL AS  SSA DOES  SO NO ONE CAN GET THEIR CONSTITUTIONAL RIGHTS OF REDRESS.

 Its why Judges need to get all the files together as they used to do. But that means ACS et al has to  cooperate and give them up to the judges and agencies  need to support the judges so they an do the jobs we need them to do under out legal  system .  I SHOULD NOT HAVE RECEIVED A FILE FROM THE JUDGE, THAT HE GOT FROM ? and have several hearings in it unheard and then he be under some sort of order I have yet to  receive that he could only hear the issue of the enhanced IRA which was resolved already by  IRS from the bogus tax return filed saying I had a 6 figure income and would have to pay a higher premium. I already am paying one that is illegal as the  reconsiderations were not done by any one at SSA or it would have been resolved and much more come to light that has been hidden. is my contention. The whole chose seems created more to allow some real thievery to take place in the systems ? while leaving all the rank and file workers in the dark without what is needed to process things. legally and constitutionally. And knowing all I have learned in recent years we may have had  decades of embezzlement going on  with systems programmed to over charge all those with military and government pensions. No where can I locate any charts or anything like we had back  when the law was passed and we had our initial training on thus. EVERYONE ASSUMES THE SYSTEM IS PROGRAMMED TO DO IT RIGHT. NO ONE EVEN HAS ACCESS TO FIND OUT FOR SURE ON MUCH OF ANYTHING ELSE ANYMORE IS WHAT I HAVE DISCOVERED AND THAT IS NOT THE GOVERNMENT I WENT TO WORK FOR IN 6/68 WHEN WE WERE REQUIRED TO KNOW AND INFORM THE PUBLIC. TO PROTECT THEIR RIGHTS AND THE PUBLIC MONIES.)*



Unconstitutional action where a determination is made on money paid or not and rights to medical are affected.



                                           EXHIBIT 11



Another appeal never answered 10/25/11. There is no constitutional process at SSA with regard to Medicare premiums nor at Medicare either. No one knows what to do as no guidelines and "

gossip and rumor have run amok."

                                          

                                           EXHIBIT 12



6/9/11, 2/24/11, 3/6/11, appeals (  on same issues listed already and no one stops to ask any judge for permission to keep on as usual without  permission to  do so as they are not even on the system for any to know and will nor read the request to know . and these are only the ones that pertain in any way with the Medicare Part B premiums as the amount grows to over ten thousand dollars know at issue creating  great financial hardship. as the submission to the judge clearly showed the amount  in the appeal was well over $100, even over $1000 which some attorney some where may eventually take the GPO  misapplied math section as a possible class action at some point if not resolved before that level. I know of  no judicial review on this issue as was done on whether there could be a GPO (Government Pension Offset where that was upheld  that there could be..)



                                            EXHIBIT 13



4/8/2010 Letter to SSA (follow up)  (one of many plus phone calls, etc.)



                                            EXHIBIT 14

7/09-9/09 Recap contacts with SSA

 ( when learned that the 10/2006 reconsiderations only response was to be an over payment with out SSA involved? as we now suspect. from what has occurred with regard to the 8/5/2015 hearing revelations. NO ONE AT SSA EVER HAD THE RETIREMENT RECONSIDERATION TO ANSWER IT EXCEPT FOR THE 12/06   LETTER FROM THE SHERMAN TEXAS OFFICE MANAGER  WHERE HE WAS ASKING  THE REGIONAL OFFICE FOR CLARIFICATION AND NO ONE EVER GOT BACK TO ME OR RESPONDED TO WHAT HE FOUND OUT AND NO DECISION EVER ON THAT TO DATE. "Rumor and gossip run amok" rather than facts and law. AND I BEG THEM TO HELP AND THE REGIONAL OFFICE WILL NOT.

  "The black listing of the entire roster of those on  duty on 1?10/89 at the Jersey  City Teleservice SSA center- then under HHS- must still be in effect for those of us who have not succumbed to our injuries and left this earthly life already."

We have a 2/11   dismissal from a judge  on the DISABILITY INSURANCE ONLY THAT HAS NEVER BEEN DONE AND THAT INCLUDES  A LEGALLY DONE MEDICAL DECISION WITHOUT ILLEGAL INFLUENCE FROM PARTIES  NOT ALLOWED TO BE INVOLVED. And was already o a remand from the appellate judge in 2/2000 to get it done and went straight to the state OK who did not do it. either as ordered  but allowed outside illegal influence and my medical records were still not reviewed and none of my doctors nor the consulting pulmonologist doctor  reports and extensive and consistent to previous numbers on  pulmonary function studies  done. WHY?.



TO BLOCK ADOPTION BY FECA AND TO  HIDE THE FACT I AM AND HAVE BEEN AN OXYGEN PATIENT APPROVED FOR LIFE BY FECA AND LATER FEDERAL  BLUE CROSS AND  BLUE SHIELD AND MEDICARE FOR LIFE  FOR LIQUID OXYGEN .  AND  STILL AM AND WILL BE UNTIL I GO ON TO THE NEXT DIMENSION OF ETERNITY  WHERE OUR  NEED FOR LUNGS AND OXYGEN MAY NOT BE NEEDED OR  I AM GIVEN NEW ONES FROM THE CREATOR AS MY  OWN FAITH BELIEVES...

As well as the  SGA decision not done correctly is my contention as I would know something about these has have done many and one on subsidized wages is now in the POMS as policy if any one is following much of anything any more and if not, many are losing rights the law afforded them and no judge or Congress has eliminated. or over turned.

The judge in 2011  who sent the disability portion back to SSA which has still been ignored.. The judge had no system or paper other than a few pages I had sent in to associate with the case is what all witnesses said and it clearly would be that

  Clearly a hearing should have been held so all the issues could be addressed and appropriate actions ad rulings made.. for that being the only thing addressed.  but referring to the   8/05/09 hearing file . I  thank Judge Bennett Engleman for holding the phone hearing  on 8/5/2015 even though he was restrained from ruling on any other hearing or issue or many other hearings pending filed directly with the Miami Medicare  hearing office and a couple  at DAB to be remanded back for hearings to be held as they were not.. Most of these are on the continued over payment created against myself and those on my federal Blues policy that have a Medicare card  for not coding as conditional payments and  legally defined actions taken.to recover the monies to the taxpayer's Medicare  trust fund.

    This done in defiance of the Medicare judges and the appellate  one who ruled  on CASE M09-1406  that Medicare is not primary  and the oxygen bills are Federal workers compensation;s but am approved for life by Medicare also. was affirmed at the highest level first before the judge could rule on my request to set aside the suspension of the enforcement of the conditional pay law that had been put in place in 1994  stating that the "insurance industry could police itself" and the judges could not over come an executive branch of government  order and took an act of Congress which occurred on HE1063  and signed in to law on 1/11/13 by President Obama.

 So why am I having issues getting one of the two suppliers in my area from coming? OR PAID? for past  or future? CEO LYNN BLODGETT 'S ORDERS I AM TOLD.

.And the posting from US Dept of Labor to the COMMON WORKING FILE (Medicare billing system  is accurate and  its illegal to keep on hacking in and altering it bi weekly, Emblem  Health International, its owner, WITH SECRET DEALS WITH INSURERS ET AL. TO DO SO. and management there said in 2008  when I got the first lower judge ruling who got the actual documents said: WE DON'T CARE WHAT A JUDGE SAYS." nor what  the law  says  or terms of their government contract where they are not to alter anything when there is a posting from ones employer. as I am from the official records which few  even in the government have access to who need it to process things.

    I am under US Dept of of Labor jurisdiction  due to worker comp in charge of me and that law overrides all others on me but ACS and CEO BLODGETT ARE NOT DOING WELL BY ME AT ALL.

   Then there is the Medicare Part D for Doyle where he was not grandfathered in for extra help and there are a couple of bills miscoded and not correctly paid o me that cost me a lot of trouble and blamed for not being able to straighten out the whole government and lost two good doctors over it with ACS directly obstructing the whole as they are management sources for   most of the entire  health care system now fro every conflicting end to the other/

  And medical providers and suppliers sign up with him to accept Medicare as well as   info managing nearly every other health plan  and insurer in the USA and nearly all workers comp carriers now and pays the Medicare part d claims where nothing gone to recovery from a primary for 9 years now until last year when I and CMS Director  found out now of their people knew of the process at all. and still are not doing it.. in a real Medicare free for all there.   His company Prime Therapeutics manages the Fed Blues and is the ones with the 'secret deal'?  to hack and alter.. the COMMON WORKING FILE. with CMS although the forms say they are and many I the medical filed and even attorneys  do not even realize they have no contact with any real government employees anymore.. . it been that well hidden until it got so life threatening for me I had to find out who and how to straighten out the government in order to stay alive and get medical care and oxygen to live. ALL THIS CABAL WERE REAL UNHAPPY WHEN I FOUND OUT THE PROCESS AND BEGAN TO ADDRESS IT AND TRY TO MAKE IT WORK FOR LIFE AND NOT AGAINST IT.

 PLUS REMAND TO DME CONTRACTOR TO PROCESS ALL THE PENDING OXYGEN CLAIMS I HAD FILED FOR LINCARE AND RHEMA AND THEY BY LAW WERE REQUIRED TO COOPERATE AND FILE AND GET PAID, ALSO AS MY LATER SUPPLIER WAS. AND LEGALLY TREATED AS A CONDITIONAL PAYMENT BY CIGNA GOVERNMENT SERVICES.
    AND IF DONE AS JUDGE GEOFFREY CARTER ORDERED,  I  HAVE NO DOUBT  I WOULD BE GETTING SERVICE NOW AND FULLY PAID OXYGEN BILLS. by at least Medicare and the impetus to enforce HR 1063 IS NEEDED AND THAT IS PART OF THE PREPARATION FOR IT. Don;t those defying all this know they could be in the same situation as I am in a matter of moments as occurred to me and others and need this process in place to protect their own rights to early and prompt medical care and maybe even the right to breathe. if they need home oxygen. which medical sources say is common with toxic and chemical injures as so far modern medicine has no cures an done is left with a progressive disease that engulfs the whole body as the entire body need oxygen to function . Oxygen only slows down the progression and the current rules being used are not even the 2005 guidelines that incorporate many more modern uses and needs.    Suppliers go to training sessions with this cabal and have no idea what the real coverage criteria are. I meet the current one in use as well as others in the criteria and  all three plans assure me I am covered for life so//
     WHY THE DENIAL OF CARE BUT FOR THE ACTIONS OF WILL SAYING ITS ONE MAN WITH A DEADLY VENDETTA and I do not know if we have ever met or have any connection and still do not know why....
    WHO IS HIS REAL BOSS AS REPORTED IS THAT  HE MAKES MORE MONEY THAN THE CEO OF XEROX WHICH SEEMS HIS COMPANY ALWAYS WAS PART OF  FROM  THE BEGINNING BACK IN 1988. Theories are all around. I just know who is giving the direct order and named on me.  Those of faith pray for this man for what he is doing and pray he will change and do what is right and lawful and ordered to do legally for me as I CHOOSE TO LIVE. Process those oxygen claims Mr. Blodgett even if you have to sit down and input them yourself., please! Then call the oxygen suppler to delver some liquid oxygen as they used to and be paid by workers comp without any hassle.)* (This is a long addendum to this exhibit)*.

 Another exhausting day. Got some sinus infection, but cayenne and ginger tea  and rest helped alleviate the need for antibiotics so far.



Linda Joy Adams 9/5/15.





                        

                         

                                       



  

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