DAILY PRECAP 4/29/13: Letter to Tenet Health Care and Director Jeb Bush et al: President Obama Born In Topeka Ks:
Linda Joy Adams: DAILY PRECAP; 4/29/13: PROPHETIC SCRIPTURES JOB CHAPTER 5: PRESIDENT OBAMA BORN IN TOPEKA KS click the link for earlier posting.
TENET Health Care et al
Conifer Billing (interlocked with Affiliated Computer Services,- Xerox CEO Lynn Blodgett, et al. etc?)
Navex aka Goldman Sachs Ethics Division
Directors Jeb Bush, Trevor Potter, Brenda J Gaines, Karen M Garrison,
Sen. J Robert Kerry, Floyd D Loop M.D.,Richard R. Pettingill, Roland A Rittenmeyer,
James A, Unruh:
TEXAS HEALTH PRESBYTERIAN WNJ
BOX 830913
Birmingham, Al 35283-0913
Today I received a summary bill which did not itemize charges and did not reflect which of the three health plans was billed and what monies received and wanting me to pay a copay for services that contracts with all three on Federal employees says are to be paid at 100% and on all three there is a constitutional and civil right of appeal and no way to know what the issue(s) were in the bill not being paid at 100%. All the information was given to the admissions clerk at the time , and at all times plus I also signed over my signature that I'm not liable for bills which are not billed to the insurances/Health plans and appealed as too often the pattern has been to ignore the laws, govt contracts and even terms of individual policies and agreements which agencies and entities and myself and family and this has to be pointed out in the appeal to get the bill paid.)
There are appeals pending on all claims at present , plus I've never received a response to any certified or other letters sent asking and in phone calls repeatedly asking for you to sign that you did not get 17 payment s on each claim back to 1/06 on the 17 differing medicare Numbers which had been created by the partners of medicare and monies debited from the medicare trust fund showing the payee as you and your predecessor whom you bought out as well a 200 other medical providers in the Dallas Region.) all documented by 500 named witnesses at Vangent, now General Dynamics of Dallas and who estimated the total theft on all patients claims by the thief( thieves) as upwards of a trillion dollars+ and facilitated by Emblem Health's subsidiary Medicare coordination of Benefits.)
HR 1063 signed by President Obama on 1/11/13 means fines of $1000 a day per claim for these kinds of collisions against any and all entities that should never be asking any medial provider to go along wiht such illegal activities. ever again. Especially at the expense of the taxpayer and their precious public monies for health care by those covered under the various plans,.Next year, many of the 300 million under these entities will be getting subsidized premiums and hat money is not being over seen internally to prevent theft either. according to existing law.
I called and asked for an itemized bill and got the phone hung up on me 4 times at 1-877-851-4017.
Under the HIPPAA Law I have a right to this and one should be sent any way .
Also, at another facility there are the charges and payments made by me cedited to another Linda Adams bill and our bills are co mingled and have been for several months through your billing service.
In exasperation I began calling other Linda Adams in the North Texas area to see if I could find the other patient and one called me back and said the medical provider was calling too to find out who that patient was whose records are in with mine. I've yet to get a corrected bill and credit for payments made on my charges.
And please review and resend the corrected claims to Affiliated computer services for Federal workers compensations, date of injury 1/10/89 at the Jersey City TeleService center for Social Security 9th floor 2 Journal Square Jersey City NJ 07306 with established case( You have the claim number) and permanent medical benefits already. If they tell you I have a million dollars to pay for my care. please document this as well (please send me a copy )as I do not and OIG for OPM investigator said 7 years ago there was a on going suspected embezzlement ring and no OPM Director has permitted an investigation to date on this at a million dollars a head on seriously injured federal workers for life sustaining medical care and does this go back continually to 1988 when the law was passed?
Also when OPM pays the claims at 50% are they only accessing part of the money and is someone 'pocketing ' the rest inside OPM or at one of their contractors which seems to be financially interlocked and interrelated to Conifer, the billing service for Tenet Health in one big international 'cabal' which has' taken control' of the govts throughout the world. with the elected officials and peoples seemingly powerless to stop it and in part because one patient like me and others can't get the basic information needed to go forward with their appeals to highlight and expose it and have laws like HR 1063, also passed.
With deaths having occurred that can be allegedly attributed to this obstruction of medical care, this has caused, any statute of limitations should not prevent an investigation now!
Please do resend my claims to ACS and UN co mingle the other Linda Adams medical records from the one sent previously as you said you were doing My diagnosis listed on my bill for my charges are more clearly related than hers to the accepted medical conditions at Federal workers comp.. and surely would not be given the exact same medications and treatment.Her bill indicates a hospitalization and I have not been in a hospital as a patient for several years, as home oxygen and doctor visits, etc have prevented anything becoming that acutely serious which following treatments and medications at home has sufficed. Being chemically sensitive, Occupational asthma, chemically induced pneumonitis, etc. maybe better so as hospitals often can't avoid using chemicals that irritate and inflame in cleaning, etc.
The claims you had from a years and ago and more are still under prolonged appeal needing the information previously requested from and have had no answer from you.
An itemized and detailed info are needed from you as to whom you billed and who said what on any phone call, etc. This can't be resolved until all parties cooperate in seeing the bills are paid in the highest legal amount and by the proper and primary health plan or insurance..
Remember the appellate judges said in 2/09 at US dept of Labor, ask me for the facts of the case and reconstruct records from mine as no one else seems to have a clue as to what is going on and records an have gone missing in digital and paper form in multiple agencies allegedly under the control of Lynn Blodgett according to all involved. Lot of finger pointing going on and its need govt enforcement as Hr 1063 is supposed to enhance what was always to be happening..
Its unconscionable that our good doctors and medical personnel work so hard to provide us with the best medical care possible and then have these kinds of obstructions on- going and having some management firm telling them to do something not learned in years of medical training and practice in much longer time.
Not getting paid properly would seem to hurt the profit line and certainly the time spent on letter and phone calls reduces the profit line, too.
If the summary is only about the 3/28/13 visit, then I have contracts which say 100% coverage and there would be no outstanding amount. I need a copy of the contract0s) you are following.
Be reminded that HCS Blue Cross Blue Shield s of Illinois has been and Trailblazers and others have colluded with Medicare coordination of benefits subsidiary of Emblem Health to facilitate the theft of the medicare trust fund by altering the info posted or deleting info from the medicare computer posted by employers and agencies which these contracts say nothing is to be altered at all by them or any one else as a conditional payment is to be done. And the govt is to collect the money back from the primary payer.
First an itemized bill is needed and a copy of the internal agreement with any and all parties on this that indicates why this was not paid at 100% as my contract with Federal Blues says would be.
Then I need copies of the claims to verify what was actually sent in to determine what might have caused the less than 100% payment. to the three health plans which were provided to you at the time of registration and the claim numbers.
Then I'm requesting answers to prior unanswered correspondence and phone requests for information. as A couple of months ago I was informed tha Federal workers comp was being billed. and have received no reposes to date from that. And no bill reflects they were, in fact billed.
HR 1063: please read one of the most powerful laws in health care passed that builds on and enforces the 1981 law that was suspended by Sec of HHS Donna Shalala in 1994 as she said the Health insurance and liability insuring industry didn't need laws enforced as all would obey the laws without supervision. The collapse of the health care system over the last 20 years, indicates that the govt does have to provide the basics of regulation and enforcement of the laws , even of the govt;s own 'partners' to prevent some from down right theft and abuse and when its health care, that can turn out deadly if diagnosis codes are altered to by pass the primary payers as the info ends up on the national health insurance data base to be used for medical history more and more and if altered one too many have died and dying or been/being physically harmed from it being used as ones medical history, especially in busy emergency rooms and sometime by others.
This get worse when two parties with the same common name get jumbled in the same entity which Tenet Health is a large and complex net work and I've been mixed up with another Linda Adams and even got her mammogram results in the past. Or was there not another Linda Adams and some kind of outright and blatant embezzlement going on inside the huge and complex billing service for this large network of medical facilities? Corporate Directors need to do some 'directing' if things are this out of control and occurring.
The reluctance to straighten all of this out for the last several months, and the other matters over the last several Iyar's, is not good service to the doctors and others providing the best care possible under the circumstances of budget gutted payments, which are being undercut from what is legally due by the non cooperation of the billing personnel in this matter at the mega billing company or wherever this is happening as its not in just one 'segment' of the total at Tenet Health Care.? Date of injury was 1/10/89.
Sincerely, Linda Joy Adams
CC: FEHB OIG OPM
CC: OIG DOL
CC: ATTORNEY: Alan Porwich
CC: Doyle Adams
CC: Goldman Sachs Subsidiary Naves formerly Global Compliance; Dallas Texas
CC: OIG HHS Medicare
CC: OIG SSA
cc: Elaine Kaplin Acting Director of Office of Personnel Management
CC: Mike Stapleton HHS
CC: Robert Feldt SSA
CC: Lynn Blodgett CEO Affiliated Computer Services -A Xerox Company
CC: Christina Starke US Dept of Labor, Dallas TX
CC: US Dept of Labor Contract Compliance and civil rights ending complaints against Medicare coordination of benefits and Affiliated computer services for non facilitation of claims. Consider this as a new item being reported by all covered in my family.
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