This is a link from the post from yesterday of the on going crisis on the Medicare system that all in the USA use to verify patients info and to use to file a claim for payment of claims by our good doctors and others medical professionals.
The system is in meltdown as my employer posting is in the Cole and the system that has been used to hack in and alter that by the contractor that owns it which has been run soon after the post is now in cyber warfare trying to change what each has for info.
I have had nothing to do with the post from my employer which is the assigned personnel office for those under federal workers comp jurisdiction and its come from the REAL US DEPARTMENT OF LABOR IN HOUSE SYSTEM THAT IS MAINTAINED BY REAL GOVERNMENT EMPLOYER AND found out a few years ago it even existed ... Few knew then how the whole process works and EVEN FEWER SEEM TO KNOW NOW. The insiders in the contractors do not seem to want even the real government to know and they do not , according to what is going on and me being blamed. for finding out.
After the melt down results when I went to check out at a doctor o 10/25 and found out what was on the system that was only railroad Medicare and made up 9 digit number and a prefix that is nothing like a ssn or a valid prefix.. Railroad has a prefix and the rest have a suffix to the worker SSN wither one is the workers or entitled to SSA another person's ssn such as a spouse, child, etc. The system was 'off line of the real one which cross checks with Social security and a GAO report linked to the site recently has the same thing occurring on the Health Insurance Exchange also under Centers for Medicare and Medicare contractors
Am I being blamed for the billion dollar loss on that as their cloud has the cyber war between the illegal software hacking programs and my employer posting trying to repost against each others differing info.???.THE CYBER CLOUD IS AN ALL KNOWING ENTITY AND THIS CONFLICT DOES NOT ADD UP AND IT CRASHES logic says it will. And nearly a another billion dollars wasted over there from this constant illegal hacking by altering info to let health and liability insurers get out of paying their bills by the contractors with illegal secret deals. now offline and those not even legally allowed to sign up are able to do so ... and how many are signed up that are not even a real human being??? I am only sharing about what has already been stolen and pray someone will get it stopped as I have no way to do so .
Since the COUP of 2002 no one in the real government knows what is really going on as there is no budget from congress to do a real internal audit which is the modern era is a systems audit as there is no visible way to know that the info has even been changed. as occurred when a change is may and there is an update. The info changes and all think it occurred when as of the data change and it happened within minutes or hours before .. .
TIME TRAVEL?
has been going on since 10/18/16 when my clearly marked system at Coordination and Recovery contractor, a subsidiary of Emblem health International formerly Group Health of NY that has had the contract since 1999 to own the data and system and insiders estimate that nearly 3 trillion dollars has been illegally paid out and never coded to go to recovery which would make the payments legal as long as they are identified as ones to be gotten back from a current or future primary payers. PAYMENTS GET CUT TO MEDICAL PROVIDERS TO MAKE UP FOR THE THEFT LOSSES SO ITS NOT A HARMLESS CRIME
Many inside ARE UNHAPPY THAT I AM ALREADY TRYING TO 'DRAIN THE SWAMP'
OF CORRUPTION for many years, and I am suspicious of the motives of some real government officials that have to know better or should be finding out if they do not.
Today a Ms. Skulcap ?from the Dallas Regional office at CMS called me and began to 'chastise me 'as the melt down of the system was all my fault.. And said I was changing the system ... from me... I have not called them for years. as there is nothing I could do ... just file appeals and waiver requests. on each claim and get ignored for self and those on my Employer Group health plan who also now have Medicare cards. I am not up in the wee hours of every other Tues am and hacking the system?? or telling some one to do so .. She first had left a message that and I have a copy asking me who is my employer so she could make a decision on who should be primary The slander was horrific.. and the more I tried to explain things to here and said US DOL the worse it got.. finally I called back and left details info as to how things work. My efforts and what I and Doyle have done is here in this blog since 12/08. when many of us in the real government learned of the COU P OF 2002 and its was this Dallas regional office that IS IMPLICATED AS OBSTRUCTING THE INVESTIGATION AT THAT TIME... OR CONGRESS WOULD HABE BEEN ASKED TO INTERVENE BY THOSE AT THE TOP IS MY SURMISE?? We would not have a meltdown of the whole health care system as Congress would have had to address the crisis then... long before the whole nation got dumped into the 'swamp' of corruption.
My personnel file has been missing for over a decades. form my employing agency .. and was it sent to US Department of Labor??? no one knew.. But the system has been up and has had my official info that is legally correct all along. and their judges can access it when no one else can ... and when I do retire; in it is all the needed paper work done to pay me a big sum of restored annual leave and then additional wage loss owed by FECA. Its far less than if I had not been injured .. and able to have worked full time until retirement.. Nothing can replace good health , which I had back on 1/10/89. restore sick leave used for pension rights should I decided to choose that option when I am able to retire and that depends on Lynn Blodgett posting my file so it can even be seem by my claims examiner. and there are other matters unprocessed of out of pocket expenses that are not paid and already paid for at other times of the same medications. etc..
Numerous judges have notated all the unprocessed matters in file in the remand orders.. Its why there is a recovery process that has letters etc. and No one in the regional office is involved in that.. as it is with the contractor until all the letters have gone in and out and to all and if the primary will not pay , then appeal rights would be going to the Medicare judges, AND I have already been there and gotten three rulings that agree. . I went another route using paid oxygen claims and asked for the enforcement already and CMS IS NOT COOPERATING WITH THE JUDGES.
These are real benefits with life sustaining medical care are risk and all have appeal rights. THE REGIONAL OFFICE HAS NO SUCH PROCESSES IN Place and not their job to be involved.. What they were to have done is find out how to get a claims processed as a conditional payment and that they have not bothered to do for over a decade.
It was the persistent requests from Scott Wilson in that office as if he being there for years, had no idea how the process works, and where is he getting his info from .. LYNN BLODGETT??? as every one else has been lied to by him when he has all the judges orders and will not let him have them either?? Why is he listening to him??? ... that led to the compete melt down of the system as no one had touched it as it was clearly identified as an employer post and most thought is was secure and no input would take. ITS ALWAYS SUPPOSE TO HAVE BEEN WHEN AN EMPLOYER POSTS. . The executive orders. regulation from 1994 was done to get CMS out of any employment disputes. etc and messy workers comp where there might be criminal charges for negligence. and if one goes to this Daily recap 9/11/16 one knows this is the worse of the worse and I ended up with my medical records proving why other have died before their appointed time at the hand of human criminal deeds. I am naming these two as they have had no desire to find out for years. what the process is and its their job to known.. WORSE IS MEDICAL PROVIDERS ARE UNABLE TO GET PAID AS THEY WOULD NOT TELL THEM OR FIND OUT HOW THEY CAN SUBMIT A CONDITIONAL PAYMENTS CLAIMS TO MEDICARE WHEN THE PRIMARY PAYERS WILL NOT PAY.. Its not been able to be done electronically since 1/1/06 and this clearly has been done plus others things to facilitate the theft of mediocre by secret deals with insurers to get our of paying what is already approved for. like me with 100% permanent FECA coverage from when they put me on home liquid oxygen 23 years ago which is standard accepted medical treatment ... from my 1/10/89 that opened the gates of heal too 9/11/01/ and a path of cover up and corruption in the SWAMP OF CORRUPTION NEVER GOT DRAINED AND GOT WORSE AND WORSE .
Since 1994, the regulation , has been and its a good one. that ones employer makes the post of one status and what ones health benefits are and mine is very secure and very accurate and comes from the US Department of Labor. The former Acing Director of OPM, affirmed this as she had my real file, and the contractors do not have access to that either.. and should not be giving out official info on me either when they do not know. THE FEDERAL WORKERS COMP LAW OVERRIDES EVERYTHING ON ME SHE SAID AND NOT TO FORGET THAT. NO MATTER WHAT GOES ON OR WHO DOES WHAT THERE ARE BASIC RIGHTS AND AWARDS OF BENEFITS THAT DO NOT CHANGE NO MATTER WHAT. .
but we have no real government to enforce these laws when a contractor decides to overthrow them and the USA. She had been the General Counsel there for years... .
But Ms. Skulcap? back at the Dallas Regional office has been in and around my case for over a decade and I understand she is Scott Wilson's boss" or higher up than he. so has he only been sending it what he has been told to ?/and melted down the system?. and I told her you have it directly from my employer.. And I also have three Medicare judges who got the real info . I do not think she even has legal access to my personnel records without my signature. as NO ONE AT CMS HAS LEGAL ACCESS TO THIS INFO AS WHAT THEY HAVE IS THE INFO THAT POSTS. She has no legal authority to make the contractors violate their contract with CMS and alter what my employer puts down.. If she thinks its wonrg then she is to turn in the US DOL to the Justice department for a criminal investigation. My last official jurisdiction as a federal employee is with them
But that might result in a criminal investigation of why CMS will not inform Congress of major problems that are on going so they can deal with this. WE CANNOT FIX HEALTH CARE FOR ANY OF US IN THE USA UNTIL WE STOP THIS ILLEGAL DUMP GOING ON BY HEALTH PLANS AND LIABILITY INSURER BEING ABLE TO GET OUT OF PAYING THEIR BILLS ALREADY APPROVED.
Every diagnosis has years of accepted treatments attached to it and there is little dispute what should be getting paid .. In my case home liquid Oxygen approved for life by Federal workers comp is locked in on that system that posts and why claims have to be paid there at Lynn Blodgett who has refused to input them to the real system since he took over control in THE COUP OF 2002. No one at FECA knows as no audits he has 15 years of unprocessed claims., Lynn Blodgett's manager said her orders were on me "Let her die" and not to input the claims as they would be paid and the 'gig; would be up and they would have to pay all of my bills. ITS THEIR JOB TO DO SO AS ITS BEEN APPROVED AND I WOULD GLADLY HAVE NEVER BEEN INJURED ... BUT I WAS AND OTHERS CORRUPTION CAUSED IT TO OCCUR.
MY TWO PRIMARY PAYERS, MY ACTIVE DUTY STATUS AND THE FAMILY MEMBERS ON MY EMPLOYER GROUP HEALTH PLAN AS WELL AS
She could have gotten on a conference call with me to call the contractors and found out what I do ... and had over a decade of opportunities to do so and other in the Dallas regional office also.
and to find out how thousands of medical providers and supplier could legally get a claim filed as a conditional payments. Which would have solved all the issues and let the due processes go forward by the recovery unit and all the letters that would have to be answered or CMS would be filing false claims or work with the patients to get the money back, as EACH BILL PAID BY Medicare that is not Medicare's bills is an overpayment against the patient and heirs forever.... and the doctor, can be fined and penalized also for filing an illegal claim.. Many patients in the USA have no idea they have these liens on their assets.. and their heirs inherit them as this corruption has been so bad for years.
INSTEAD THEY HAVE ENTRAPPED ALL THE DOCTORS. ETC INTO AN ILLEGAL ACT AND THEY HAVE BEEN INSTIGATING THIS.
Its the CONDITIONAL PAYMENT LAW OF 1980 AND ITS THE UNDERPINNING LAW THAT MAKES THE WHOLE HEALTH INSURANCE INDUSTRY BEHAVE ITSELF. AND STOPS ALL THE HASSLES OF A DOCTOR, ETC GETTING SOME KIND OF TIMELY PAYMENT.
A BIG HEALTH CARE COST IS THE EFFORT OF GETTING PAID AND THIS LAW REMOVES THAT. IF THE PRIMARY PAYER WILL NOT PAY , THEN SEND IT TO MEDICARE AND LABEL AS A CONDITIONAL PAYMENT AND LET THE ONLY ENTITY BIG ENOUGH TO MAKE THEM BEHAVE THE REAL US GOVERNMENT. NO PATIENT OR DOCTOR, ETC. IS ABLE TO COME UP AGAINST SUCH A GIANT. 'SWAMP OF CORRUPTION. ' I have tried as my own life is on the line.. but its beyond what one can do ..
And the agency that is to be in charge of 'DRAINING THE SWAMP' HAS CONSISTENTLY BEEN FILLING IT UP WITH MORE CORRUPTION AND THEFTS OF THE PUBLIC TREASURY by a few?? who?? .
Congress immediately needs to do two things and its not any more money to be found to spend.
1. get rid of the unconstitutional gag order rule they have on themselves to not mention, contact or have a contractor testify .. since they ARE THE ONLY ONES THAT KNOW WHAT IS GOING ON Obviously the real government does not know and SEEMS TO NOT WANT TO KNOW FOR SOME REASON FOR YEARS. SINCE THE COUP OF 2002?
2. end the COUP OF 2002 that most of Congress has no idea then or now they passed that removed any budget for an internal audit of a government contractor nor any budget be spent for a criminal investigation when that is indicated as being needed. Plus allow the Securities and Exchange to investigate government contractors to make sure the same entity is not setting up shell companies and illegal secret deal partnerships that ends with horrific conflicts of interest and the people's rights an monies stolen. ..
As we now have one entity of an international cabal running the government at all levels and no fairness at all when there is no check and balances as the US Constitution demands to make sure all are being fair and legal. To have the same entity and under the same ones control to pay the claims, do the audits , manage the insurer and pay claims for them as well as for Medicare.. and then be the systems person info giver to all.....and partner of the fraud contractor.. . same man in charge of the USA , since the real government has no ownership or control of its our our records held in trust anymore since the COUP OF 2002.
SO THE MELT DOWN OF THE MEDICARE SYSTEM IS NOW BEING BLAMED ON ME AS I AM THE ONE BEING LIED ABOUT AS GIVING THE INFO .. TO IT. I HAVE NO KNOWLEDGE OF ACCESS TO THAT.. I AM NOT THE US DEPT OF LABOR I AM NOT THE CLOUD TRYING TO POST AND GET PAST THE HACKING SOFT WARE PROGRAM THE CONTRACTOR FOR CMS HAS BEEN COMPLICIT IN ALLOWING TO BE USED AND PARTICIPATING IN THE HACKING AS OCCURRED ON 10/18/16 KNOWING FULL WELL THEY WERE VIOLATING TH LAW, THEIR CONTRACT WITH CMS AND FACILITATING THE THEFT OF MEDICARE .. I am only naming a few as they are in position of leadership in the real government and responsibility for years to find out and solve this and instead I am being slandered and life at risk .. instead. Sometimes one has to 'blow the whistle' to save their eternal souls. rather than slander some one who is trying to do the job they are to be doing
Instead of slandering me for only trying to get medical care and stay alive and not be overpaid and obey the law.
Conditional payment is not theft as its legal to pay and only takes a few more days to get paid.. maybe a couple of weeks more at most.. and no one is at legal risk when its done ... AND IT STARTS THE PROCESS TO STOP ALL THE ONGOING HASSLES.. WITH THAT INSURER OR HEALTH PLAN.. A FEW MONTHS RATHER THAN YEARS OF HASSLES... BY LETTING THE DUE PROCESS GO FORWARD... WHO DOES NOT WISH THIS??/ THE ONES STEALING?? and its not the patients and doctors, is it?? why aren't our good medical professionals and the patients being put under the burden of over payments . THE PROCESS IS A GOOD ONE AND MUCH DUE PROCESS.. BUT IT EXPOSES THOSE WHO ARE ILLEGALLY GETTING OUR OF PAYING THEIR LEGALLY APPROVED BILLS.
Oxygen is FECA's bills.. if its not even able to be accessed by a supplier , they would have no idea who is the primary when the claims will not get paid and says primary payer as its what gave me the permanent 100% coverage and too many do not want inured workers to have that coverage. Then lets have more safe work environments as mine was not and we did not know that the fire department had already said the new building was to be condemned for being unsafe if the ventilation system was not fixed, etc. and instead of fixing it they turned off the gas detectors so the fire department. would not be called by the system and told no one and a toxic cloud enveloped us today.
AND ITS NOW ALL MY FAULT THAT THE WHOLE SYSTEM IS CRASHING?? BEING SPEWING OUT Defamation and slander FOR WHAT ? GOING TO WORK ONE DAY ON 1/10/89? AND DOING MY JOB... AND STILL AM DOING IT AS THE ONES THAT ARE TO BE DOING IT NOW CERTAINLY ARE NOT DOING SO .
Linda Joy Adams 11/11/16
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