Tuesday, November 30, 2010
Claim Editing for Ordering/Referring Providers
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Google nears deal to buy Groupon: reports | Reuters
Google nears deal to buy Groupon: reports | Reuters: "- Sent using Google Toolbar"
Louisiana to Vote on Science Textbooks – Creation Revolution
Louisiana to Vote on Science Textbooks – Creation Revolution: "- Sent using Google Toolbar"see my typo correction on Fike not File
Louisiana to Vote on Science Textbooks – Creation Revolution
Louisiana to Vote on Science Textbooks – Creation Revolution: "- Sent using Google Toolbar" see my comment
Jeb Bush: I'm Siding With Mom Over Palin
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Politics, Political News - POLITICO.com
Politics, Political News - POLITICO.com: "- Sent using Google Toolbar"
Judge blocks amendment banning use of Islamic law in Oklahoma courts | News for Dallas, Texas | Dallas Morning News | Texas Regional News
Food Safety Bill Passed - Patriotic Resistance
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Jeb Bush: Obama Should Take 'A Three-Month Vacation'
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TSA's Nude Scans Would Miss Taped-on Bombs
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USDOL/OALJ: Notices of Appeal Rights in Whistleblower Cases
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USDOL/OALJ Reporter: ARB Decision Caselist -- October 2010
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Feds recoup $3 billion in false claims in fiscal 2010 (11/23/10) -- GovExec.com
Feds recoup $3 billion in false claims in fiscal 2010 (11/23/10) -- GovExec.com: "- Sent using Google Toolbar" see my comment
Event: Socks for Iowa Soldiers Campaign | desmoinesregister.com | The Des Moines Register
Event: Socks for Iowa Soldiers Campaign | desmoinesregister.com | The Des Moines Register: "- Sent using Google Toolbar" I do not sell products or services or solicit monies!
The New York Times - Breaking News, World News & Multimedia
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Obama announces two-year federal pay freeze - Nextgov
Obama announces two-year federal pay freeze - Nextgov: "- Sent using Google Toolbar"History lesson of unions see my comment
Report Questions Need for 2 Diet Supplements - Readers' Comments - NYTimes.com
Report Questions Need for 2 Diet Supplements - Readers' Comments - NYTimes.com: "- Sent using Google Toolbar" see my comment on drink your milk!
Bombings Hit Atomic Experts in Iran Streets - NYTimes.com
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U.S. says foreign ties can withstand leaks
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NASA - What's Up for December 2010?
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Monday, November 29, 2010
Justice Department Requires GrafTech International to Make Key Changes to Supply Contracts in Order to Proceed with its Acquisition of Seadrift LP
Wamego has 'best small hospital' | CJOnline.com
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Jon Henley's diary | Politics | The Guardian
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Welcome to the United States Department of Justice
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Agencies said to be processing open government data faster than FOIA -- Federal Computer Week
Agencies said to be processing open government data faster than FOIA -- Federal Computer Week: "- Sent using Google Toolbar" Doesn't work when the officials have something to hide because they've done wrong!
Oregon Muslim: "I want whoever is attending that [Christmas Tree Lighting] event to leave, to leave either dead or injured" "Explode on the 'Infidels'" - Atlas Shrugs
Israel army presence in West Bank 'lowest in 20 years'
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WikiLeaks unleashes flood of confidential US cables
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Iran obtained missiles from North Korea: leaked US documents
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Saudi king urged US to attack Iran: leaked US documents
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Sunday, November 28, 2010
Can We Grow Crops On Other Planets
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What’s That Pain in Your Gut?
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The New York Times - Breaking News, World News & Multimedia
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Saturday, November 27, 2010
Facebook (296) | Messages - URGENT PRAYER REQUEST!!~
Facebook (296) | Messages - URGENT PRAYER REQUEST!!~: "- Sent using Google Toolbar"
Facebook (297) | BE A BLESSING TO OTHERS
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Colorado car forced off I-70 | CJOnline.com
Colorado car forced off I-70 | CJOnline.com: "- Sent using Google Toolbar"
Google Docs Infiltrates Microsoft Office -- InformationWeek
Google Docs Infiltrates Microsoft Office -- InformationWeek: "- Sent using Google Toolbar"
Friday, November 26, 2010
Confused About Dates | GraceThruFaith
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The Rapture In Acts 15? | GraceThruFaith
The Rapture In Acts 15? | GraceThruFaith: "- Sent using Google Toolbar"
Investigation: Obama Likely Not Eligible
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Obama Gets 12 Stitches in Lip - NYTimes.com
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EU to ban Bisphenol A in baby bottles in 2011 | Reuters
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KKR-led group to buy Del Monte for $4 billion | Reuters
KKR-led group to buy Del Monte for $4 billion | Reuters: "- Sent using Google Toolbar" see my comment
KKR-led group to buy Del Monte for $4 billion | Reuters
KKR-led group to buy Del Monte for $4 billion | Reuters: "- Sent using Google Toolbar"
Modern kitchen is a foodie's dream come true | News for Dallas, Texas | Dallas Morning News | Home and Gardening | Dallas Morning News
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How You Can Change FDA Policy on Mercury Fillings
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Thursday, November 25, 2010
Russia, NATO agree on armoured vehicles transfers: Lavrov
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Russian 'arms king' and Moscow's secrets
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Martian Fossils? – Creation Revolution
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'Where's the Birth Certificate?' hits breadbasket
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Finally Huge Victory Against Monsanto Milk
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Wednesday, November 24, 2010
TOPEKA, KS-- Children from Randolph Elementary School in Topeka, Kansas crowd around First Lady Laura Bush after she read aloud "Picky Mrs. Pickle" by Kansas author Christine M. Schneider Wednesday, J - KRT Photos | HighBeam Research - FREE trial
Articles about Oracle Openworld - SFGate
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FBI raids send warning to hedge funds | Reuters
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Astronomers Probe 'Sandbar' Between Islands Of Galaxies
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Massive Galaxies Formed When Universe Was Young
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Stripes Are Back In Season On Jupiter
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La Conferencia de Iglesias Históricas de Paz -- Historic Peace Churches Conference -- Americas -- DR 2010 | Bethany Theological Seminary
Church of the Brethren: Continuing the work of Jesus
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Sebelius sets Landon Lecture | CJOnline.com
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Mark Bear's Fight To Decode Autism - Forbes.com
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exemption3-april-2010.pdf (application/pdf Object)
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FOIA Post (2010): Summaries of New Decisions -- October 2010
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Church's tradition of Thanksgiving meals for the needy is interrupted | News for Dallas, Texas | Dallas Morning News | Breaking News for Dallas-Fort Worth | Dallas Morning News
Church's tradition of Thanksgiving meals for the needy is interrupted | News for Dallas, Texas | Dallas Morning News | Breaking News for Dallas-Fort Worth | Dallas Morning News: "- Sent using Google Toolbar" and washington wants to give $5 million to a mosque that's not even built.
Xanodyne agrees to withdraw propoxyphene from the U.S. market
Xanodyne agrees to withdraw propoxyphene from the U.S. market: "- Sent using Google Toolbar" bravo! I had a doctor prescribe this pain killer and since i have many adverse reactions to especially the inert ingredients; i called the phamaceutical company who refused to allow me access even to the the required prescription insert. i did complain! And chose to use an alternative pain killer, cayenne pepper in hot milk which has often been more effective for me.
Missouri town turns out to keep Phelps clan away from soldier’s funeral | McClatchy
Missouri town turns out to keep Phelps clan away from soldier’s funeral | McClatchy: "- Sent using Google Toolbar" see my comment
Iran denies problem with uranium enrichment
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PeeWee PC Unveils Laptop For Children -- InformationWeek
PeeWee PC Unveils Laptop For Children -- InformationWeek: "- Sent using Google Toolbar" sounds like the perfect unit for someone like me who's wanted a liquid proof unit that is small but not so small that one with less than perfect eyesight can still read the screen. Definitely will check it out! however, the price is still a little high for my budget.
7 Hidden Dangers in Your Home | Lifescript.com
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Scientists Learn Nutrition Secrets From Cavemen Diet
Scientists Learn Nutrition Secrets From Cavemen Diet: "- Sent using Google Toolbar" ( I sell no products or services)
City correcting EPA violations | CJOnline.com
City correcting EPA violations | CJOnline.com: "- Sent using Google Toolbar"
Tenn. Town Restores Bible Readings at Christmas Celebration | Christianpost.com
Tenn. Town Restores Bible Readings at Christmas Celebration | Christianpost.com: "- Sent using Google Toolbar" see my comment
Tuesday, November 23, 2010
Texans Move to Nullify Federal Education?
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Will Chrislam Visit Your Church? | Bible Prophecy Blog
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Is North Korea Mentioned in Prophecy? | Bible Prophecy Blog
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Man's love saves horse's sight | CJOnline.com
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NASA - NASA Study Finds Earth's Lakes Are Warming
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TTC - Everything old is new again | KETK
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Computers on the Ark? – Creation Revolution
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CCS_ad_-_Oct_2010.pdf (application/pdf Object)
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Church of the Brethren: Christian Citizenship Seminar (CCS)
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My Discussions - Patriotic Resistance
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Federal courthouse security could be at risk, report says
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Google Docs Infiltrates Microsoft Office -- InformationWeek
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Federal Judge Agrees: CAIR Tied to Hamas - Atlas Shrugs
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Monday, November 22, 2010
Astaxanthin – A More Powerful Eye Antioxidant
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Poland to host U.S. jets and C-130s
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Medvedev wants missile defence carve-up of Europe: reports
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Israeli MPs pass Golan, east Jerusalem referendum bill
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Raytheon Awarded US Navy Bomb Rack Contract
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Drivers of nuclear weapons got drunk on duty: US probe
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Brazil unveils massive navy buildup plans
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Shallow Groundwater Reservoirs May Have Been Common On Mars
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Doctor to forfeit $1.27 million | CJOnline.com
Doctor to forfeit $1.27 million | CJOnline.com: "- Sent using Google Toolbar"
Attachmate Corporation To Buy Novell For $2.2 Billion
Attachmate Corporation To Buy Novell For $2.2 Billion: "- Sent using Google Toolbar"
constance b tobias 202-565-0200 - Google Search
constance b tobias 202-565-0200 - Google Search: "- Sent using Google Toolbar"
Feds Announce IT Management Overhaul -- InformationWeek
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Google Sued Over Gmail Content Scanning -- InformationWeek
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Scientists say they have solution to TSA scanner objections
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Gene Patents Controversy and the Future of GM Seeds
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Hamas-Linked CAIR Tweets Pro-Sharia Push in Oklahoma SIOA CALL TO ACTION: Support Sharia Ban 10 am Today US District Court 200 4th Street - Atlas Shrugs
Sunday, November 21, 2010
Dick Armey is not the tea party - Patriotic Resistance
Dick Armey is not the tea party - Patriotic Resistance: "- Sent using Google Toolbar" Dick A. doesn't speak for me comment
The Enigma Of The Missing Stars In Space May Be Solved
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Consumer Risks - NYTimes.com My Death Panel Comment
Consumer Risks Feared as Health Law Spurs Mergers - Readers' Comments - NYTimes.com: "- Sent using Google Toolbar" see my comment
DEFINE: Anacetrapib raises HDL, lowers LDL
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Houston Street bridge engineer's photo archive offers window into Dallas' past | News for Dallas, Texas | Dallas Morning News | Breaking News for Dallas-Fort Worth | Dallas Morning News
Houston Street bridge engineer's photo archive offers window into Dallas' past | News for Dallas, Texas | Dallas Morning News | Breaking News for Dallas-Fort Worth | Dallas Morning News
DREAM Act Will Equal Nightmare For American Taxpayers | Homeland Security Right Side News
DREAM Act Will Equal Nightmare For American Taxpayers | Homeland Security Right Side News: "- Sent using Google Toolbar" see my comment
Consumer Risks Feared as Health Law Spurs Mergers - Readers' Comments - NYTimes.com
Consumer Risks Feared as Health Law Spurs Mergers - Readers' Comments - NYTimes.com: "- Sent using Google Toolbar" see my comment
Mozilla Plans Open App Store -- InformationWeek
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Palin Power: Changing the dialogue, one word at a time. :) 'Refudiate' Named Word of the Year by Oxford University Press - Atlas Shrugs
Saturday, November 20, 2010
Man's meds stolen in parking lot | CJOnline.com
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Dallas to honor man whose 'officer down' report led police to Lee Harvey Oswald | News for Dallas, Texas | Dallas Morning News | Breaking News for Dallas-Fort Worth | Dallas Morning News
Experts: Mystery contrail was from Chinese missile
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Pastor on trial for witnessing to Muslims
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Google Sued Over Gmail Content Scanning -- InformationWeek
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The Placebo Effect and the Fatally Flawed Medical Studies
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Dr. Ronald Hunninghake on Vitamin C
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USDA cites zoo for violations | CJOnline.com
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Manhattan begins ORD service | CJOnline.com
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Kinder-Morgan settlement OK'd | CJOnline.com
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Friday, November 19, 2010
senateamicus.pdf (application/pdf Object)
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The top news headlines on current events from Yahoo! News
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The top news headlines on current events from Yahoo! News
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Adjudication of OWCP.pdf (application/pdf Object)
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Benefits.gov - Dairy Indemnity Program
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Benefits.gov - Oklahoma Children's Health Insurance Program
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Benefits.gov - Oklahoma Summer Food Service
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Builder Ron Slovacek guilty on all counts in Dallas City Hall bribery case | News for Dallas, Texas | Dallas Morning News | Latest News
FederalDaily.com > House Passes Final Telework Bill
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The Hottest Cars Of 2011 - Forbes.com
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Chilyan.pdf (application/pdf Object)
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Bypass FOIA and seek data from agencies, says Obama official - Nextgov
Bypass FOIA and seek data from agencies, says Obama official - Nextgov: "- Sent using Google Toolbar" see my comment
The British Health Care Invasion - Forbes.com
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WBC met with fence, police | CJOnline.com
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Thursday, November 18, 2010
Iran 'successfully' test fires upgraded Soviet-era missile
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Change to Redetermination Acknowledgement Letters
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Oral Appliances for Obstructive Sleep Apnea
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Church of the Brethren Annual Conference
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Microsoft, Verizon Announce Bundled UC&C -- InformationWeek
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FOIA Post (2010): Summaries of New Decisions -- October 2010
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CMS: FOIA REQUST C09FOI)281(KS) AMENDED
Yes: I do need the information, nor only for pending appeals but to stop on going civil rights abuses that is reflected in the files requested. Since this involved federal workers compensation and EEO any fees are being requested as waived. What I've requested are the actual claims processing files from the intermediaries as well as a copy of the National health insurance data base. Secondary evidence from other sources who have had direct knowledge of what is contained in my records is that is it filled with illegally altered information from that submitted from my medical providers and involves multiple thefts of my id and claims by one of the major contractors, Trailblazers, who has used 17 claim numbers to turn each claim into 17 pays with only one incorrect pay to the provider who can only be paid if the claim is labeled as a conditional payment and forwarded onto Medicare Secondary Recovery which has only had claims paid for my home oxygen referred by Cigna Govt Services when all should have been. claims processing Records for all 17 Medicare numbers which are housed on the internal offline computer systems at the intermediaries is requested. Trying to send summary notices will not get the requested info as system 'hides' this from patient and provider.There are 17 checks for each claim as part of the request. I want to know who signed them! As all my providers state its not them! Cigna Govt Services used 3 claim numbers, but only one pay each. Wisconsin Physicians used 3 with only one pay. Palmetto GBA has claims and appeals unprocessed since 8/00 and all these claims are under appeal. Cigna Govt Services claims records were never transferred in 2007 when they took over in my area but were destroyed. This FOIA request was filed before the 17 numbers and $4 million theft was discovered a few weeks later. You have other FOIA's pending on that as an amendment. The National health insurance data base was discovered as filled with altered info after I was denied treatment at a Hospital Emergency room with serious medical problems including a 'super bug ' infection that had 'pressed on optic nerve, shattering the lens in an eye which was weakened from being on inhaled steroids since 1989. and untreated hypoglycemia that had developed as a resulted as part of the progressive disease accepted by Federal workers compensation. which had led to a fall and rotator cuff injuries. All ignored as the 'altered' data base was used for medical history. A congressional study on wrongful death malpractice suits indicates just how 'flawed' the data base is as a result of manipulation of claims to get Medicare to pay the bills and not label as conditional payments. Some CMS insiders estimate there is upwards of a trillion dollars owed back to Medicare over this.The data base also includes claims from Federal Blue cross/Blue shield and OWCP. I'm not after EOB's; The actual filings are needed to compare to what ended up on the national data base that has almost cost me my life twice. ( another doctor used it to prescribe a medication that caused terrible adverse reactions) Many of my providers state that claims were clearly marked for owcp medical subrogation and/ or conditional pays at Medicare and that was removed, also.
One would think that the OIG s would investigate but: Congress passed laws that gave all govt business associates and contractors full immunity from criminal investigations. And the office of Civil rights has refused to even docket in 25 complaints filed covering all of this including the assertion of retaliation for pending EEOC complaints against HHS who was my employer prior to transferring to OWCP in '94.
Attached is a list of the 17 Medicare numbers as well as OWCP and Fed Blues claims numbers. Fed. Blues was ordered by a prior Director of Office of Personnel management to 'ignore' owcp and 'dump the bills onto Medicare. The national health insurance data base is maintained for the insurance industry by Group Health ( now an international company) as a CMS 'business associate. There are also requests pending for a copy of the contracts between CMS and Medicare Coordination of benefits, Medicare Secondary Payer recovery Unit, and also needed is the contracts with trailblazers, Vangent ( 1800 medicare who is in violation of not forwarding 500 fraud reports to CMS directly as part of their contract on my records.) Those @ 500 fraud reports are also being requested that Mel Curtis the president and CEO refuses to send me as i asked for them under HIPPAA not realizing that CMS's business associates and contractors were not covered under HIPPAA, yet. Its time for all of us to get this information together to assist the hew Director of stopping on-going abuses against medicare. Vangent has the 'best' evidence of the 17 payments made on each claim under the 17 numbers. I'm also asking for any internal memos, documents, or recap of contacts to determine why and how the Medicare computer files as to insurance info and status keeps getting altered after the bi-weekly posting form the US dept of Labor. The contract/agreement between CMS, Medicare Coordination of benefits and Us Department of Labor is requested. THIS REQUEST IS A "MICROCOSIM " of almost everything 'wrong' at MEDICARE. that is causing so much physical and financial harm to me and indications are to many others including the taxpayers whose monies are not getting used for medical care for those it was intended for. There is a 1696 on file to discuss any and all matters with my non-attorney spouse, Doyle E. Adams
Linda Joy Adams
One would think that the OIG s would investigate but: Congress passed laws that gave all govt business associates and contractors full immunity from criminal investigations. And the office of Civil rights has refused to even docket in 25 complaints filed covering all of this including the assertion of retaliation for pending EEOC complaints against HHS who was my employer prior to transferring to OWCP in '94.
Attached is a list of the 17 Medicare numbers as well as OWCP and Fed Blues claims numbers. Fed. Blues was ordered by a prior Director of Office of Personnel management to 'ignore' owcp and 'dump the bills onto Medicare. The national health insurance data base is maintained for the insurance industry by Group Health ( now an international company) as a CMS 'business associate. There are also requests pending for a copy of the contracts between CMS and Medicare Coordination of benefits, Medicare Secondary Payer recovery Unit, and also needed is the contracts with trailblazers, Vangent ( 1800 medicare who is in violation of not forwarding 500 fraud reports to CMS directly as part of their contract on my records.) Those @ 500 fraud reports are also being requested that Mel Curtis the president and CEO refuses to send me as i asked for them under HIPPAA not realizing that CMS's business associates and contractors were not covered under HIPPAA, yet. Its time for all of us to get this information together to assist the hew Director of stopping on-going abuses against medicare. Vangent has the 'best' evidence of the 17 payments made on each claim under the 17 numbers. I'm also asking for any internal memos, documents, or recap of contacts to determine why and how the Medicare computer files as to insurance info and status keeps getting altered after the bi-weekly posting form the US dept of Labor. The contract/agreement between CMS, Medicare Coordination of benefits and Us Department of Labor is requested. THIS REQUEST IS A "MICROCOSIM " of almost everything 'wrong' at MEDICARE. that is causing so much physical and financial harm to me and indications are to many others including the taxpayers whose monies are not getting used for medical care for those it was intended for. There is a 1696 on file to discuss any and all matters with my non-attorney spouse, Doyle E. Adams
Linda Joy Adams
Amendment toDepartmental Appeals Board Medicare #09-1406: Request for Time and Clarification and Possible reoponing to revise decision
Amendment to Request for additional time: case M09-1406
Dear Judge: since your decision 9/29/2010 there has been some positive indications that your honor's ruling may be upheld by those inside the government and their business associates ( constractors). In my filing that was maled to yo this week, I mentioned that Reg office CMS official who tried to ''obstruct' your ruling. Today the Univsity of TX billing office called still not knowing whom to bill. This is the result of the letter sent to the intermediary at Medicare and the on-going intentional altering of the official records. I had to explain all this to the billing clerk and asked her to contact Greg Abbott the atty general of TX for assistance. My letter to him is in the claims files The Director of federal Workers Compensation office at the US Department of Labor in Washington, D.C has assigned one of his personal staff to see what can be done so that my bills can get paid as they have been made aware that Medicare is refusing to pay OWCP's bills that are obviously for accepted medical conditions. In my case, approved and paid many times since date of injury on 1/10/1989.
Today, via mail, I received the attached response from the CMS FOIA office which was an attempt to obtain info for the second hearing held in 1/09 on this case after I had evidence that the few claims you reviewed ( all since 8/1/00 were part of every level of appeal.) But: NO BILLS PAID YET BY OWCP. Your acknowledgment that there is an active, open, OWCP case is crucial as only the appellate judges at OWCP @ the official computer files at OPM @ US Dept of Labor that few seem to have access to; seem to be of the same opinion as 'gossip and rumor' seem to be spewn about as facts. There last remand of 2/09 was to ask me, the claimant, for the "facts of the case." Every pending file in multiple agencies is 'missing'. The FOIA request attached is even more crucial for other files pending at DAB.
Sincerely,
Linda Joy Adams
CC: to all the parties on original request)
.
Dear Judge: since your decision 9/29/2010 there has been some positive indications that your honor's ruling may be upheld by those inside the government and their business associates ( constractors). In my filing that was maled to yo this week, I mentioned that Reg office CMS official who tried to ''obstruct' your ruling. Today the Univsity of TX billing office called still not knowing whom to bill. This is the result of the letter sent to the intermediary at Medicare and the on-going intentional altering of the official records. I had to explain all this to the billing clerk and asked her to contact Greg Abbott the atty general of TX for assistance. My letter to him is in the claims files The Director of federal Workers Compensation office at the US Department of Labor in Washington, D.C has assigned one of his personal staff to see what can be done so that my bills can get paid as they have been made aware that Medicare is refusing to pay OWCP's bills that are obviously for accepted medical conditions. In my case, approved and paid many times since date of injury on 1/10/1989.
Today, via mail, I received the attached response from the CMS FOIA office which was an attempt to obtain info for the second hearing held in 1/09 on this case after I had evidence that the few claims you reviewed ( all since 8/1/00 were part of every level of appeal.) But: NO BILLS PAID YET BY OWCP. Your acknowledgment that there is an active, open, OWCP case is crucial as only the appellate judges at OWCP @ the official computer files at OPM @ US Dept of Labor that few seem to have access to; seem to be of the same opinion as 'gossip and rumor' seem to be spewn about as facts. There last remand of 2/09 was to ask me, the claimant, for the "facts of the case." Every pending file in multiple agencies is 'missing'. The FOIA request attached is even more crucial for other files pending at DAB.
Sincerely,
Linda Joy Adams
CC: to all the parties on original request)
.
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Tuesday, November 16, 2010
Departmental Appeals Board Medicare #09-1406: Request for Time and Clarification and Possible reopining to revise decision
Linda Joy Adams
__________________
__________________
M09-1406 dated 9/29/2010
November 16,2010
________________TA
________________
certified mail
__________________
Departmental Appeals Board MS 6126
Medicare Appeals Council
330 Independence Ave.
Cohen Building, Room G644
Washington, DC 20201
Attn: Gilde Morrison
Administrative Appeals Judge:
Your Honor:
I was surprised and dismayed when I received your decision. There were two hearing s on this and two ALJ case numbers. Only one is listed. Also there are three suppliers and a decade of claims that were legally filed, protected and appeals done timely and were always part of this appeals case.I'd expected you to remand for another hearing so all the claims would be addressed and all the issues raised. Only all a few of the claim for '1996 and 1997 are listed. Before this went to our honor, I reviewed the file with your staff to make sure that all the issues and documents and 'briefs' were in the file and I was assured that they were.
I am currently being denied life sustaining medical care by Lincare who is now the monopoly supplier in my area as they have not been paid for a decade despite the unprocessed claims pending with Federal workers compensation. Also in the file was extensive documentation to show my attempts to get OWCP judge's remand orders obeyed and claims processed by their Contract bill payer, ACS-Xerox.
Judges orders at the US dept of labor and with Medicare have been brazenly defied.
I agree these are bill approved for life by Federal workers compensation. But they have been pending unprocessed for years. Allegedly by an ' abuse of power' order from a prior Director of Personnel Management for some 'personal reason' not covered by law. Their general counsel had my complete and accurate records a few years ago and they agreed with the bi-weekly posting from the US Dept of Labor to the Medicare computer file. Judge Carter affirmed this in '08 and in '09 but he did not address the three suppliers nor order a basic problem to be corrected. There is supposed to be an initial start date. It was erroneously set for 7/06 rather than 8/1/00. This is blocking current processing at Cigna govt Services who took over as intermidary in '07 and waited until 4/08 for OWCP to input and process the claims which are still unprocessed. Federal Blue Cross Blue shield had started to pay in '99 through '5/02 not aware ( and nether was I that Lincare was actually getting checks for OWCP paid to Health Connections which they bought and Fed Blues paid to Lincare. When Illinois Blues took over in my area they proceeded to want Medicare to pay the bills and even refused to turn over the Medical necessity file to them and my HIPPAA requests go unanswered.
NO More Conditional Payments under Medicare
Did you intend to overturn the Conditional payment law under Medicare which is a 'safety net' that allows Medicare to pay in cases like mine and then collect the monies back from primary payers. Cigna Got services did process this as a 'conditional payment' and Medicare secondary payment recovery services did send a letter out to Federal workers Compensation. If this was a private insurance carrier then they could file with IRS. But how does one 'force' another Federal agency to pay their bills when officials in the agency have thrown away files and are creating 'facts' out f fiction in defiance of their own appellate judges. In my case, in 2/09 they actually remanded the case and ordered the US Dept of labor to ask Me for the 'facts of the case after years of them finding every excuse in the book to not reinstate my monthly wage loss. But, i already had permanent medical benefits but the contractor is still 'offline of the real system and when medical providers and suppliers call they are falsely told the case is closed and some 'third party should pay ' and no one knows anything as they are being told to say something that is not true. I've had 22+ years of no security on my files in any agency since I was injured on 1/10/89. Conditional payments is not medical subrogation. There are some new guidelines to aid MSPRC in collections, but I was told today that they can't be used against a federal agency. How does one file an IRS lien against the US Dept of labor. I was assured by your staff that all this documentation was in the file given to you. its voluminous as its a decade of trying every possible filing to get compliance with judges and the law. ACS personnel even told Lincare in '06 false info that I'd gotten a large settlement that included monies to pay them and they refused service. Rhema came for 2 months and was denied the right to file claims, but extensive proof shows the dates are protected filings. This was with Palmetto GBA. They wanted doctors to leave the diagnosis code off to circumvent OWCP, rather than threat as a conditional payment. Cigna Govt services also made the same requirement and I submitted copies of both Certificates of Medical necessity, completed by my doctor, the one with and the one they had him sign. CMS has chastised doctors for doing this, but they are being required to do so by the intermediaries. It seemed unconsceineable that doctors are being asked to 'police' the CMS business associates ( intermediaries) For a decade no provider or supplier has been allowed to know whom to bill as Medicare Coordination Of Benefits alters the posting in violation of their contract with the US Dept of labor. The system is unsecured and even 1-800- Medicare agents can alter the line up and Fed Blues has called and had it altered as well as CMS Regional office officials. None has access to the official paper files or the facts of the case. When Judge Carter ruled in '08 after River Trust produced the internal documents that are in the file on this appeal, I sent a copy to Medicare Coordination of Benefits thinking that the constant alterations of the official postings would cease. They retaliated even more saying : WE DON'T CARE WHAT A MEDICARE JUDGE SAYS. Currently, CMS regional office officials have done the same thing with your decision on this case and proceeded to send a letter to the Medical provider call center claiming that there is no workers comp case in defiance of OWCP's judges and the file and facts, etc. There are documented 'thefts' from Trailblazers which is before you also. The reconsideration decision disappeared from the Miami Hearing office and the judge didn't know one was done. I've had 22+ years of files going missing in multiple agencies. And only a few office managers have filed the required law enforcement reports.
Director of Federal Workers Compensation
In 2007, I talked with the Director of OWCP in Washington D.C. he located some of the file and the 2004 remand orders from the appellate board. He forewarned those to Dallas and a claims examiner was assigned to work through the back log which would have been the paying of the claims in this appeal case. She also 'found' more files that were supposedly sent to the Federal records center in Fort worth. The next thing, i knew, another examiner in the office was directed to say I'd never returned to work in '90 and thus wage loss should not be reinstated and another appeal went back to their appellate judges in Washington, D.C. Without files, 'gossip' came be devastating. The file was obvious that I had tried to work to the point of certain medical death according to the hospital intensive care records. I received a call from a gentleman who said that he worked for ACS and was flown in to shred files of many injured workers. Orders came from the manager who is no longer in the office. Someone had spent a long time blacking out names and numbers. I sent him to US Dept of OIG, and their staff said that their manager refused to stop what was obvious illegal activity. It took until 2/09 for the file to be remanded out and yet there has been defiance of the judges' orders. The new manager, who has no access current system records or paper file ( needs to be reconstructed again) didn't even know there was a 2/09 remand. The President and CEO of ACS took my letter to him and discussed the case with the new manager and 'gossip' got sent out, again. Today, I talked to a gentleman in the Director of OWCP's office and they have the 2/09 remand orders. It could take past the time to appeal this decision before i know if they are going to be able to do anything with ACS in getting claims processed and paid. Medicare Secondary recovery unit had had to work from the national health insurance claims data base to find claims in '05 and '07 that pertain to the Trailblazer cases and other Palmetto GBA cases that are in the pipeline headed to you office or still at the Mimi Medicre hearing office. Their recovery letters were ignored!
General Counsel for Medicare says that what is occurring in a civil rights violations. In 1/08, I filed the first one with the Dallas HHS office of civil rights and was called and 'threatened ' by the manager for filing. Every few months the new incidences are filed and none of the 25 complaints have ever been given a reference number nor assigned to any staff to review and/ or investigate. About a year ago, the reg office manager actually put my complaints and extensive investigations that we've done and mailed them back to me forbidding me to never file another complaint. Washington, DC state that he couldn't do that, but not even the HIPPAA complaints attachment are allowed to be given to the investigator. Most of the parties named as violators are not covered under HIPPAA although the new Director of Medicare is writing regulations to put them under HIPPAA for the future. How does one file a False Claims against an agency? I have legal opinons from two prominent attorneys in the field. Without a through appeals process with rulings on all the issues and discovery that should be done by the Office of Civil right sin those cases the cost is estimated at 2 1/2 million to bring a suit. Few Medicare beneficiaries have enough bills. Even the 17 pays for claim by trailblazers with only one going to the medical provider is only about $4 million.
I was chagrined at the potential loss of lives of beneficiaries if there are no more conditional payments under medicare. I've signed enforcement orders against insurance companies when the intermediary asked me to review the case before sending on over to the US attorney's office. i know just how deadly the 'games' that can be played with patient's lives and now that includes mine. Your staff indicated that no ' side' memo was sent on this case. However, the Director of federal workers comp was aware that Medicare was getting ' unhappy' about paying OWCP's bills. But they didn't realize that this case was involved?
REQUEST FOR TIME
I'm requesting a 6 month extension of time to see if the Director of Federal workers Compensation will be able to carry out their appellate boards orders. We have a @50, 000 page file to reconstruct so the claims in this case can be processed and paid.
REQUEST TO REOPEN AND REVISE
If there is no progress with OWCP's contractor or the regional office to comply then I'm asking you to reopen and revise and process the claims from all three suppliers that go back to 8/1/00 and pay them as conditional payments and ask the Director of Medicare to enforce the repayment by the US Dept of Labor. Reconstruction may need to be made. Lincare and Rhema need to be notified by CMS or intermediary.
OFFICES OF INSPECTOR GENERALS
OIG's are not permitted , by act of Congress , to investigate or refer govt contractors (business associates) for crimes. Also, CMS, has not docketed in one of my numerous complaints according to a deputy sec of HHS that went and checked in 4/09. There are many filed over the years by fax and mail. Also, US Dept of Labor's oig investigation of the Dallas office years ago, resulted in ACS getting the contract and things getting even worse as no one can even get judges' orders to them without ACS deciding if they should post it first. Before I was transferred to OWCP jurisdiction on 10/11/94 for the last time, The Sec of HHS sent out a memo that basically suspended the enforcement of conditional payments under Medicare by placing the insurance liability industry on the 'honor system. I knew from personal experience it wouldn't work. little did I realize that in 2010 I'd be asking your office to reinstate it for injured federal workers and also against Federal employee health benefits. As the general counsel for OPM stated a few years ago before I learned how intentional the alteration of the legal line up was and I thought it was poorly trained agents who didn't know that working and employment are two different legal terms. ( not going to work= retired); there is no inactive employment for a federal employee. She pulled up my records and I verified she had them, including my agreement with SSA, you are an active federal worker until Federal workers comp gets you on their permanent disabilty. DON'T FORGET FEDERAL WORKERS COMP LAW OVERRIDES all other laws on you. I filed for permanent disability ( schedule award) in 1996, many doctors have signed and submitted documentations, etc. only to routinely have the filings 'disappear.' There is a 22+ year back log of various items that have never had an initial decision and they have all been kept currently pending by me and my family at great personal and financial expense.
WAIVER
In file was a request to hold me and my suppliers harmless from any liability. That was not addressed. Judge carter had indicated that I could be held liable. My life is at stake and I have done every thing humanly possible to the point of filing bankruptcy over this. I'd hoped the bankruptcy court would help and not discharge immediately , but they did so even though they had the decisions form Judge Carter as well as The appellate board's decision from US Dept of Labor. We fully informed the court of what was due and payable. Our attorney had us list CMS and the millions of dollars involved. Thus all liability against us from Medicare or medicaid has been discharged. Lincare was paid double for a period of time. But Federal blues took back thousands of dollars in 2002, claiming Medicare should pay first and ignoring any workers comp involvement. It's a convoluted 'legal night mare ' created by the defiance of judges' orders, over and over, and constantly altering official records in violation of companies contracts and agreement with various federal agencies.
Now, my husband's and daughter medical treatment are being sabatogued as they are on my federal Blue Cross/Blue Shield and my status determines who pays first on them and we are having to file appeals on their claims now.
All, I did was go to work one day and do my federal job and a toxic cloud enveloped me and the 'fight to stay alive began from the first day when my own govt ordered hospitals to turn us all way and deny treatment. I was the last one registered in at one of the hospitals, and so badly injured that someone else gave info . My AFGE Union Health insurance card was pulled out and mistakenly I was listed as A Port Authority employee and getting required tests run and treatment started and being prepared for admission until a doctor came to fill out the required toxic exposure report for the New Jersey state health department, When it was discovered that I worked for HHS-Social security, I was sent 'home to die' as ordered by my govt along with my co-workers. Rushed back by ambulance and a fight ensued at another hospital among doctors and the peer review as more tests showed my extensive injuries, given a shot of anabolic steoroid and sent home again because the govt didn't want us treated at all. Third time to the hospital found me in critical condition fighting infection and I was there for 2 weeks while back at the office, OSHA was getting lied to and accidents reports on all of us were being destroyed and the owner of the building was destroying evidence. I'm told that there is a grand jury sealed indictment with my blood and skin samples in them as evidence against the 'named' party. When, my co -workers began to die from their injuries, I caught even more retaliation as 'witness' against those who ' contributed to the deaths of HHS employees. Until '95, our paychecks and w-2's listed Health And Human Services as employer.
In 4/09, I appealed to your office for assistance in enforcing the law as I used to do for other patients years ago. Cigna Govt Services is the only intermedary that has allowed a timely process of the appeals. Wisconsin Physicians doesn't even have a reconsideration contractor and they have refused since '07 to answer redeterminations. Trailblazers, blatantly ignore and defy the constitutional appeals process also. Monies have to be spent putting appeals together and asking the claims to be coded as conditional payments and collections done from the appropriate primary payer. All of my Medicare claims that have been paid are either for accepted conditions at OWCP or secondary and/ or tertiary claims have been filed that have gone unreviewed for years in defiance of the appellate judges who cmentin them and sate they can't review something that has never had a decision.
______________________
________________________
CC: Cigna Govt Services
CC: Palmetto GBA
CC: Lincare
CC: Rhema
CC: All About Mobility
CC: OIG CMS
CC: OIG US Dept of Labor
CC: OIG HHS
CC: Alan Porwich ESQ.
CC: Director Of Federal Workers Compensation
__________________
__________________
M09-1406 dated 9/29/2010
November 16,2010
________________TA
________________
certified mail
__________________
Departmental Appeals Board MS 6126
Medicare Appeals Council
330 Independence Ave.
Cohen Building, Room G644
Washington, DC 20201
Attn: Gilde Morrison
Administrative Appeals Judge:
Your Honor:
I was surprised and dismayed when I received your decision. There were two hearing s on this and two ALJ case numbers. Only one is listed. Also there are three suppliers and a decade of claims that were legally filed, protected and appeals done timely and were always part of this appeals case.I'd expected you to remand for another hearing so all the claims would be addressed and all the issues raised. Only all a few of the claim for '1996 and 1997 are listed. Before this went to our honor, I reviewed the file with your staff to make sure that all the issues and documents and 'briefs' were in the file and I was assured that they were.
I am currently being denied life sustaining medical care by Lincare who is now the monopoly supplier in my area as they have not been paid for a decade despite the unprocessed claims pending with Federal workers compensation. Also in the file was extensive documentation to show my attempts to get OWCP judge's remand orders obeyed and claims processed by their Contract bill payer, ACS-Xerox.
Judges orders at the US dept of labor and with Medicare have been brazenly defied.
I agree these are bill approved for life by Federal workers compensation. But they have been pending unprocessed for years. Allegedly by an ' abuse of power' order from a prior Director of Personnel Management for some 'personal reason' not covered by law. Their general counsel had my complete and accurate records a few years ago and they agreed with the bi-weekly posting from the US Dept of Labor to the Medicare computer file. Judge Carter affirmed this in '08 and in '09 but he did not address the three suppliers nor order a basic problem to be corrected. There is supposed to be an initial start date. It was erroneously set for 7/06 rather than 8/1/00. This is blocking current processing at Cigna govt Services who took over as intermidary in '07 and waited until 4/08 for OWCP to input and process the claims which are still unprocessed. Federal Blue Cross Blue shield had started to pay in '99 through '5/02 not aware ( and nether was I that Lincare was actually getting checks for OWCP paid to Health Connections which they bought and Fed Blues paid to Lincare. When Illinois Blues took over in my area they proceeded to want Medicare to pay the bills and even refused to turn over the Medical necessity file to them and my HIPPAA requests go unanswered.
NO More Conditional Payments under Medicare
Did you intend to overturn the Conditional payment law under Medicare which is a 'safety net' that allows Medicare to pay in cases like mine and then collect the monies back from primary payers. Cigna Got services did process this as a 'conditional payment' and Medicare secondary payment recovery services did send a letter out to Federal workers Compensation. If this was a private insurance carrier then they could file with IRS. But how does one 'force' another Federal agency to pay their bills when officials in the agency have thrown away files and are creating 'facts' out f fiction in defiance of their own appellate judges. In my case, in 2/09 they actually remanded the case and ordered the US Dept of labor to ask Me for the 'facts of the case after years of them finding every excuse in the book to not reinstate my monthly wage loss. But, i already had permanent medical benefits but the contractor is still 'offline of the real system and when medical providers and suppliers call they are falsely told the case is closed and some 'third party should pay ' and no one knows anything as they are being told to say something that is not true. I've had 22+ years of no security on my files in any agency since I was injured on 1/10/89. Conditional payments is not medical subrogation. There are some new guidelines to aid MSPRC in collections, but I was told today that they can't be used against a federal agency. How does one file an IRS lien against the US Dept of labor. I was assured by your staff that all this documentation was in the file given to you. its voluminous as its a decade of trying every possible filing to get compliance with judges and the law. ACS personnel even told Lincare in '06 false info that I'd gotten a large settlement that included monies to pay them and they refused service. Rhema came for 2 months and was denied the right to file claims, but extensive proof shows the dates are protected filings. This was with Palmetto GBA. They wanted doctors to leave the diagnosis code off to circumvent OWCP, rather than threat as a conditional payment. Cigna Govt services also made the same requirement and I submitted copies of both Certificates of Medical necessity, completed by my doctor, the one with and the one they had him sign. CMS has chastised doctors for doing this, but they are being required to do so by the intermediaries. It seemed unconsceineable that doctors are being asked to 'police' the CMS business associates ( intermediaries) For a decade no provider or supplier has been allowed to know whom to bill as Medicare Coordination Of Benefits alters the posting in violation of their contract with the US Dept of labor. The system is unsecured and even 1-800- Medicare agents can alter the line up and Fed Blues has called and had it altered as well as CMS Regional office officials. None has access to the official paper files or the facts of the case. When Judge Carter ruled in '08 after River Trust produced the internal documents that are in the file on this appeal, I sent a copy to Medicare Coordination of Benefits thinking that the constant alterations of the official postings would cease. They retaliated even more saying : WE DON'T CARE WHAT A MEDICARE JUDGE SAYS. Currently, CMS regional office officials have done the same thing with your decision on this case and proceeded to send a letter to the Medical provider call center claiming that there is no workers comp case in defiance of OWCP's judges and the file and facts, etc. There are documented 'thefts' from Trailblazers which is before you also. The reconsideration decision disappeared from the Miami Hearing office and the judge didn't know one was done. I've had 22+ years of files going missing in multiple agencies. And only a few office managers have filed the required law enforcement reports.
Director of Federal Workers Compensation
In 2007, I talked with the Director of OWCP in Washington D.C. he located some of the file and the 2004 remand orders from the appellate board. He forewarned those to Dallas and a claims examiner was assigned to work through the back log which would have been the paying of the claims in this appeal case. She also 'found' more files that were supposedly sent to the Federal records center in Fort worth. The next thing, i knew, another examiner in the office was directed to say I'd never returned to work in '90 and thus wage loss should not be reinstated and another appeal went back to their appellate judges in Washington, D.C. Without files, 'gossip' came be devastating. The file was obvious that I had tried to work to the point of certain medical death according to the hospital intensive care records. I received a call from a gentleman who said that he worked for ACS and was flown in to shred files of many injured workers. Orders came from the manager who is no longer in the office. Someone had spent a long time blacking out names and numbers. I sent him to US Dept of OIG, and their staff said that their manager refused to stop what was obvious illegal activity. It took until 2/09 for the file to be remanded out and yet there has been defiance of the judges' orders. The new manager, who has no access current system records or paper file ( needs to be reconstructed again) didn't even know there was a 2/09 remand. The President and CEO of ACS took my letter to him and discussed the case with the new manager and 'gossip' got sent out, again. Today, I talked to a gentleman in the Director of OWCP's office and they have the 2/09 remand orders. It could take past the time to appeal this decision before i know if they are going to be able to do anything with ACS in getting claims processed and paid. Medicare Secondary recovery unit had had to work from the national health insurance claims data base to find claims in '05 and '07 that pertain to the Trailblazer cases and other Palmetto GBA cases that are in the pipeline headed to you office or still at the Mimi Medicre hearing office. Their recovery letters were ignored!
General Counsel for Medicare says that what is occurring in a civil rights violations. In 1/08, I filed the first one with the Dallas HHS office of civil rights and was called and 'threatened ' by the manager for filing. Every few months the new incidences are filed and none of the 25 complaints have ever been given a reference number nor assigned to any staff to review and/ or investigate. About a year ago, the reg office manager actually put my complaints and extensive investigations that we've done and mailed them back to me forbidding me to never file another complaint. Washington, DC state that he couldn't do that, but not even the HIPPAA complaints attachment are allowed to be given to the investigator. Most of the parties named as violators are not covered under HIPPAA although the new Director of Medicare is writing regulations to put them under HIPPAA for the future. How does one file a False Claims against an agency? I have legal opinons from two prominent attorneys in the field. Without a through appeals process with rulings on all the issues and discovery that should be done by the Office of Civil right sin those cases the cost is estimated at 2 1/2 million to bring a suit. Few Medicare beneficiaries have enough bills. Even the 17 pays for claim by trailblazers with only one going to the medical provider is only about $4 million.
I was chagrined at the potential loss of lives of beneficiaries if there are no more conditional payments under medicare. I've signed enforcement orders against insurance companies when the intermediary asked me to review the case before sending on over to the US attorney's office. i know just how deadly the 'games' that can be played with patient's lives and now that includes mine. Your staff indicated that no ' side' memo was sent on this case. However, the Director of federal workers comp was aware that Medicare was getting ' unhappy' about paying OWCP's bills. But they didn't realize that this case was involved?
REQUEST FOR TIME
I'm requesting a 6 month extension of time to see if the Director of Federal workers Compensation will be able to carry out their appellate boards orders. We have a @50, 000 page file to reconstruct so the claims in this case can be processed and paid.
REQUEST TO REOPEN AND REVISE
If there is no progress with OWCP's contractor or the regional office to comply then I'm asking you to reopen and revise and process the claims from all three suppliers that go back to 8/1/00 and pay them as conditional payments and ask the Director of Medicare to enforce the repayment by the US Dept of Labor. Reconstruction may need to be made. Lincare and Rhema need to be notified by CMS or intermediary.
OFFICES OF INSPECTOR GENERALS
OIG's are not permitted , by act of Congress , to investigate or refer govt contractors (business associates) for crimes. Also, CMS, has not docketed in one of my numerous complaints according to a deputy sec of HHS that went and checked in 4/09. There are many filed over the years by fax and mail. Also, US Dept of Labor's oig investigation of the Dallas office years ago, resulted in ACS getting the contract and things getting even worse as no one can even get judges' orders to them without ACS deciding if they should post it first. Before I was transferred to OWCP jurisdiction on 10/11/94 for the last time, The Sec of HHS sent out a memo that basically suspended the enforcement of conditional payments under Medicare by placing the insurance liability industry on the 'honor system. I knew from personal experience it wouldn't work. little did I realize that in 2010 I'd be asking your office to reinstate it for injured federal workers and also against Federal employee health benefits. As the general counsel for OPM stated a few years ago before I learned how intentional the alteration of the legal line up was and I thought it was poorly trained agents who didn't know that working and employment are two different legal terms. ( not going to work= retired); there is no inactive employment for a federal employee. She pulled up my records and I verified she had them, including my agreement with SSA, you are an active federal worker until Federal workers comp gets you on their permanent disabilty. DON'T FORGET FEDERAL WORKERS COMP LAW OVERRIDES all other laws on you. I filed for permanent disability ( schedule award) in 1996, many doctors have signed and submitted documentations, etc. only to routinely have the filings 'disappear.' There is a 22+ year back log of various items that have never had an initial decision and they have all been kept currently pending by me and my family at great personal and financial expense.
WAIVER
In file was a request to hold me and my suppliers harmless from any liability. That was not addressed. Judge carter had indicated that I could be held liable. My life is at stake and I have done every thing humanly possible to the point of filing bankruptcy over this. I'd hoped the bankruptcy court would help and not discharge immediately , but they did so even though they had the decisions form Judge Carter as well as The appellate board's decision from US Dept of Labor. We fully informed the court of what was due and payable. Our attorney had us list CMS and the millions of dollars involved. Thus all liability against us from Medicare or medicaid has been discharged. Lincare was paid double for a period of time. But Federal blues took back thousands of dollars in 2002, claiming Medicare should pay first and ignoring any workers comp involvement. It's a convoluted 'legal night mare ' created by the defiance of judges' orders, over and over, and constantly altering official records in violation of companies contracts and agreement with various federal agencies.
Now, my husband's and daughter medical treatment are being sabatogued as they are on my federal Blue Cross/Blue Shield and my status determines who pays first on them and we are having to file appeals on their claims now.
All, I did was go to work one day and do my federal job and a toxic cloud enveloped me and the 'fight to stay alive began from the first day when my own govt ordered hospitals to turn us all way and deny treatment. I was the last one registered in at one of the hospitals, and so badly injured that someone else gave info . My AFGE Union Health insurance card was pulled out and mistakenly I was listed as A Port Authority employee and getting required tests run and treatment started and being prepared for admission until a doctor came to fill out the required toxic exposure report for the New Jersey state health department, When it was discovered that I worked for HHS-Social security, I was sent 'home to die' as ordered by my govt along with my co-workers. Rushed back by ambulance and a fight ensued at another hospital among doctors and the peer review as more tests showed my extensive injuries, given a shot of anabolic steoroid and sent home again because the govt didn't want us treated at all. Third time to the hospital found me in critical condition fighting infection and I was there for 2 weeks while back at the office, OSHA was getting lied to and accidents reports on all of us were being destroyed and the owner of the building was destroying evidence. I'm told that there is a grand jury sealed indictment with my blood and skin samples in them as evidence against the 'named' party. When, my co -workers began to die from their injuries, I caught even more retaliation as 'witness' against those who ' contributed to the deaths of HHS employees. Until '95, our paychecks and w-2's listed Health And Human Services as employer.
In 4/09, I appealed to your office for assistance in enforcing the law as I used to do for other patients years ago. Cigna Govt Services is the only intermedary that has allowed a timely process of the appeals. Wisconsin Physicians doesn't even have a reconsideration contractor and they have refused since '07 to answer redeterminations. Trailblazers, blatantly ignore and defy the constitutional appeals process also. Monies have to be spent putting appeals together and asking the claims to be coded as conditional payments and collections done from the appropriate primary payer. All of my Medicare claims that have been paid are either for accepted conditions at OWCP or secondary and/ or tertiary claims have been filed that have gone unreviewed for years in defiance of the appellate judges who cmentin them and sate they can't review something that has never had a decision.
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CC: Cigna Govt Services
CC: Palmetto GBA
CC: Lincare
CC: Rhema
CC: All About Mobility
CC: OIG CMS
CC: OIG US Dept of Labor
CC: OIG HHS
CC: Alan Porwich ESQ.
CC: Director Of Federal Workers Compensation
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