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Wednesday, October 28, 2015

DAILY RECAP 10/28/15 PART 2: CORRECTION TO ALL WHO HAVE FILINGS OR SUBMISSIONS OR READ ANYTHING OF OURS

Linda Joy Adams: Search results for hr1063  Link to postings where this non existent law is mentioned.



STRIKE OUT THE WORDS HR 1063 AND INSERT THE WORDS:

CONDITIONAL PAYMENT LAW OF 1980  for MEDICARE

This law still exists and is the law of the land and is to be obeyed.

however the government is not allowed to enforce it without an act of Congress per appellate case M09-1406. at Medicare( my case) Congressman Thomas did introduce a bill but all mistakenly thought it was the Medicare bill passed by the US Senate in 12/12 and signed into law 1/11/13 by President Obama.



          Appeals are not being done even when answered is what all this lengthy time to undo the mix up. Novatis,  is the only partner of Medicare in over two years to actually  take their responsibility seriously and check out our request to  enforce the laws. But the law is still there and  all the rules of how to proceed to pay as a conditional payment an then send on to recovery to send out a letter to the primary payer to ask for the money back. if that request goes to another government contractor, the money request can still be ignored  and never answered. AS THERE IS NO BIDGET TO ENFORCE THE LAW. HR 1063 had penalties and ifnes to use to spend to collect the money back to Medicare on behalf of the people of the USA.

I have repeatedly asked for enforcement by the government on our cases of  what even those at CMS had thought was the law signed and media covered it as if it was.. But it was not passed. by the US Senate and signed in to law. Another bill was HR1045 that became Civil Code 112-242  that does pertain  to us was the one  passed and signed in to law. but not on that date?  My source is the Clerk of US Congress whom I called myself after being informed of the shocking news by Novatis who had also checked it out.  I THANK THEM FOR DOING THEIR JOB THAT FEW OTHERS HAVE DONE IN ALL OF THIS FOR 17 YEARS AND EVEN THOUGH THEY HAVE DELAYED AT LEAST THEY ARE  NOW READING THE APPEALS AND TAKING THINGS SERIOUSLY. but they still have years of paid claims to send to recovery. to get letters sent out and will they now follow through and do their jobs there and let the ripple effect  wave on through? WE SHOULD NEED LAW ENFORCERS UNDER THE US JUSTICE LEGAL SYSTEM  have to be used  for all those inside the government and their contractors to do what is the law. And STOP THE HACKING OF THE COMMON WORKING FILE EMBLEM HEALTH INTERNATIONAL  and make it easily known so all the medial billing people can know how easy it is to label something a conditional payment and wend it to your component the recovery and coordination unit to send out the recovery letters and without the system hacked you will know who that is. If you do not collude to steal, then your leadership will be a breakthrough for all us to have more dollars for our medical are now or in the future when we need it for us to be made as healthy as possible or stay healthy maybe enough can be saved  by just stopping the illegal dumping so that you can spend some money correcting errors, etc on the NATIONAL MEDICAL data base you own of every ones claims and medical data  and its a onerous responsibility to hold the life of every one of us in your care. Even though its not under HIPPAA.  privacy and protection act protection; it should not have to be do what can save health and life of so many  who may or as in my case is aware  have wrong info or other patients records co mingled into theirs.;. now with the new coding system and only using the last 4 digits of ones SSN and its may be anothers one gets SSA  benefits under. A TYPO COULD BE DEADLY. if the info is used to treat or used for any kind of legal use and is not the right patient or is not correct info.
.. Let the doctors who treated the patients help. And from my vantage point the  'entire' health care industry is not happy about only the last 4 digits of an SSN used to identify now. when it may not even be the patients for the Medicare claim number. maybe it makes sense not to put it on the card that cam be seen all over. but the records themselves? used for medical care and medical research? Real harm for one and all can occur and has been for some time..

 SOME WERE SO CONCERNED WITH ID THEFT AND THE FEW INSTANCES IT HAS OCCURRED, TO PUT EVERYONES VERY LIFE AT RISK   BY MAKING IT HARDER FOR ALL TO MAKE SURE THEY HAD THE RIGHT MEDICAL RECORDS FOR THE RIGHT PATIENT?
 ID  theft is a horrible crime and we do need to do some things to help prevent it by those few among us that would steal. But our medical records are internal documents seen by a much smaller group  with legal access and life  should not be put at risk  as those among that  smaller group should be even  more rare for blatant thieves to be among them.. We cannot say every one is a thief  as few are. But what is needed a process as we do have under HIPPPA to correct mistakes and errors and  co mingling. and that should be a given without question and we have not had that since 1999 in my case and am told no one else has the right to have correct info that  does not agrees with what ones doctor  etc. entered on their records. It should be simple to correct with all using digital now and all those that the national data base sent on to so many other systems would automatically get corrected also. AS ONE WHO HAS AND AM  BEEN ADVERSELY AND NEAR  DEADLY AFTER EFFECTS  THAT STILL EXIST,  its a human right that some means be allowed to occur to get things corrected.
 Congress has studies that show the harm going back at least 9 years that indicate the cause of malpractice caused by this misinformation being used as all are asked to use now/..  And many harmed  did not file any malpractice suit so the numbers are far under the number being harmed in any way from this.

                            WHAT IS HR1045 now US CIVIL CODE 112-242?

It  is only a pilot project to enforce only one part of  a narrow issue  type  for when  there is a need to enforce collecting monies due back  to Medicare and is for liability cases where there is already a money settlement for damages.. and is more directed to private industry insurers and not the partners of the government that  is hacking and making secret deals and doing far more in illegally sending out precious Medicare dollars by colluding all over to force our good medical providers and suppliers to bill Medicare and have them pay the bill and never sending on to be recovered from the primary payer. The patients and those who provide our medial care are at legal risk for over payments and not those whom we cannot stop. from dong this. SO CLEARING HOUSES THAT ARE BEING PAID AND HAVE BEEN PAID BILLIONS TO PROVIDE ACCESS AND FORMATS FOR ALL TO SEND IN CLAIMS, YOU  HOLD THE ULTIMATE RESPONSIBILITY IN ALL OF THIS TO MAKE SURE THAT ALL  YOUR CLIENTS HAVE INFO OF HOW TO CODE OR LABEL AS A CONDITIONAL PAYMENT SO NONE OF US ARE AT LEGAL RISK AS THAT SIMPLE ACT MAKES NONE OF US LIABLE.

I HAVE HAD NO SETTLEMENT MONEY AND DO NOT EXPECT TO FOR MEDICAL BILLS DIRECT FROM FECA as the law does not currently work that way. AS BILLS PAID BY WORKERS COMP WOULD NOT BE SENT TO ME TO PAY UNLESS I HAD ALREADY PAID THE BILL.  AND WAS ASKING FOR A REFUND FOR MYSELF.

 ENFORCEMENT IS STILL SUSPENDED AND HAS BEEN SINCE 1994. It is the law, but there is no budget to enforce it. Unless all stop illegally dumping onto Medicare, WE NEED IT BADLY CONGRESS. Just  pass a law to lift the suspension of the law  and allow the current budget to be used for enforcing the law and internal audits that would stop most criminal acts early on and prevent any temptation to even begin them.

 Of course if you do not allow some means to pay for enforcing the laws of the land against its own partners and internal audits of  them. We are in continual trouble at the mercy of a few bad apples who have gained total control of much of our programs and tax dollars. until this basic need is addressed

 CONGRESS DECIDED WE NEED TO STUDY ENFORCEMENT OF ITS OWN LAWS WHEN OUR PUBLIC MONIES ARE BLATANTLY BEING STOLEN? By its own unaccountable partners? YES!

Speaker Ryan we pray you pass the original law HR1063 from Congressman Thomas of a few years ago as a new bills as I understand it would have to be reintroduced. And do it  as soon as possible so we have any idea of what monies we have and then decide what budget cuts must be made. We should not have to cut budget to make up for thefts the government is doing nothing to stop.  And make sure the appeals process is being done as it is needed to be done addressing the legal issues that the griever says is unfair or law misapplied.
 My cases alone  WELL PROVE THE APPEALS PROCESS IS A SHAM OR IT WOULD NOT TAKE OVER TWO YEARS FOR ONE OUT OF MANY TO CHECK IT OUT.  Its not how I did them and was trained to do them since 6/68 when I became a federal civil servant and wish the process  to legally retire .was  not being blocked  by a contractor and or whomever is feeding him false info to spew out.
 A valid appeals process should  lesson  the back log of our agency judges all over when one can get a fair and satisfactory answer  in a pre hearing appeal . ITS BEEN A SHAM AS  ALL THEY DO IS LOOK AT A HACKED IN SYSTMES RECORD. 
One mediocre Reconsideration contractor admitted  said so in the decision that had to be filed and is waiting for years to have a hearing  They were not permitted to  address the concerns or legal issues in the appeal. .
Congressman Thomas wrote a simple but good law that none misunderstood, and all of us thought had become law. Payments to care for our medical needs should not have to be cut because the government cannot stop the thieves who have  gotten inside access and decided to help themselves illegally to our public treasury.
Linda Joy Adams 10/29/15

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