violations of civil rights page 29: Standing request to Lincare for services

John P. Byrnes CEO
Lincare Holdings, Inc.
19387 U.S. 19 North
Clearwater, Fl. 33764
Dear Sir: the treatment we both have endured at the hands of got officials and their contractors has been unconscionable. However, it got worse when you wouldn't believe what I was trying to tell you. The judges do and on 2/09 said everyone is to ask me for the facts of the case as rumor and gossip is still being strewn  around as facts. I'm approved for life by three health plans: Federal workers compensation, who paid  the company you bought, health connections and the contract with OWCP should be in my files. Then federal blue Cross, Blue Shield who paid you until Illinois Blues took over in OK, TX and NM and posted false info on their computer that owcp was settled and I had retired years earlier. at the same time Affiliated Computer Services, now a Xerox company, took over processing of paper and bills for Federal workers compensation and refused to set up my computer file to this very date. They have 11 years of oxygen invoices that have never been processed because: the computer will pay them and bring them on line with the official US dept of Labor computer that posts my active employment status and permanent medical benefits bi weekly, by contract with Medicare Coordination of benefits, a Group health subsidiary, and The Us dept of Labor. three Medicare judges, including an appellate judge upheld this as accurate on 9/29/2010 case # M09-1406. The 2 ALJ decisions were ignored by MCOB saying: we don't care what a judge says, nor the law nor their contract. There is a 1980's federal workers compensation law that was passed to insure that when life sustaining medical care is in jeopardy, permanent medical could be approved before work issues are resolved. That pertinent info was not shared with my attorney nor I except for a letter received in mid 90's that oxygen tanks they had paid for was to be included in my estate instruction to return them to US Dept of Labor upon my death.
When Cigna Govt services took over  in my area for medicare, they said all your claims and our appeals were thrown away by Palmetto GBA. They have yet to process them. They did approve me for life, paid the claims from the suppler I had for '06-1/08 when you became the monopoly supplier in my area. Rhema said you refused to turn over the contract with US Dept of labor with health Connections that you'd bought out.They  were the only intermediary that sent claims on to Medicare secondary payer recovery to recover from ACS who ignored them and i filed an appeal to try and get enforcement of the laws which medicare has the responsibility to do by law except it was suspended by former Sec of HHS back in the '90's. Illinois blues, has still not processed the co-pays on those claims, although the initial filing was ' dumped onto Medicare.
I have a standing request to your for services. I have tanks and one stop per month should suffice.
Currently, in order to live, my family has had to haul tanks and pay out of pocket. This is truly a ' death panel ' decision and the public should be aware anyone could get injured and have such disparate treatment.
Compounding the problem in '06 was when your manager called ACS and got lied to about my case and told that I'd gotten some big settlement that included your back pay for services. other defamation and slander got spewed around even more. ACS had the appellate judge's orders and files' disappear.'  out of London , Ky where their contract is to post all paper from any source and definitely not be the decider of cases. Nor are they to set up a ' dummy' offline computer file to charge the US dept of labor to process bills and items and respond that some unknown third party is to pay, yet disparately decide the only type of claim not to input is oxygen; knowing full well the ' gig' would be up. it took some ' nice' persons in the Fl call center to tell me the truth claiming the Director of opm 'made  them do it' yet she had no contract with them and was not paying them? This is the entity that  when Arkansas blues was our blues here their manager called me and said OPM asked them to murder me and they paid you. Your local manager seemed unaware of that in 1/06. the terrible thing that was done was that Ill blues took back all payments back to 8/1/00 when I became entitled to part B Medicare when they should have gotten the monies back from ACS. Lying and abuse of power has been rampant.
Compounding the problem was that medicare was not following oxygen guidelines. Sec Tommy Tompkins got them clarified in 2005 and  when i discovered in 2006 that you had never contacted my pulmonologist nor cardiologist to get the medical necessity forms, i had to get them and take them to my doctor who promptly filled them out and said he would have had no problem completing them at the time I first saw him in 1/2004 except each year your employees took the name of my cardiologist and I thought he was completing them. I see that finally Cigna govt services is having training on the guidelines. The are basically no different than in the past except they are more medcially specific. the old ones just said O2 sat rate Or send in medcial records which could be a clerical nightmare in a company as I have witnessed in obtaining doctors records for SSA disability claims. Some have excellent, organized records and others are barely legible which basically required Palmetto GBA to have a doctor on staff to call every doctor that chose to submit records instead of just using a sat rate. In 1/2004 at a cardiopulmonary stress test the technician had me at 70% sat rate before he stopped and then it took the 2 years to get ahold of the tests from the hospital. In this day and age, they didn"t realize that I was not a patient to fear for going too far. Usually doctors stop the tests when the heart starts getting overworked. yes it took a week  to recover, but the results were there that you needed and communications were being thwarted every which way. in TX, technicians are allowed to run the tests.
Palmetto Gba wanted you to leave the diagnosis code off as that triggered owcp paying the bill. when Cigna first try to pay using my secured Medicare number it kicked it out for having primary payers due to the diagnosis code and being oxygen and the official secured records at the US Dept of Labor. This is a very strong and good law that was passed after a scandal of lives lost at the abuse  of power by OPM. now contractors have resumed those ' dirty deeds and lives are in jeopardy.  They used a phony Medicare widow claim number, declaring my husband dead to pay the claims to by pass the security, but did send over to MSPRC who did send out the ignored recovery letter. ( OPM is the entity in charge of all health care plans in USA in 2014.)
My fax number is my phone number. I plan on living a good many more years if medical care is not obstructed.
The new regional office manager at the Dallas  federal workers compensation office is aware  now that she has not had access to my actual records, etc. their phone number is 214-850-2300_. I suggest you call here for clarification as to what to do. Any problems, please keep me informed.No patient should be treated in such a manner. The Sec of Labor has asked for complaints and civil rights to be filed against the contractors when they treat one badly. Its not easy to ' fire' a govt contractor. The state of Mn tried to fire ACS and they counter sued and the state had to pay ACS 7.6 million and they still have the contract. Proof is needed. Ill Blues was 'gotten' by state of Ill medicaid recently for their dumping onto  them for $25 million. Finally the govt is waking up that for profit companies will ' get by' with shenanigans and take more money then is due if they can. Any one harmed needs to file and present evidence so the contractors will either ' straighten up or have their contracts cancelled and get someone else or go back to hiring civil servants to process and pay claims, etc. Linda Joy Adams