Claim Status Codes link to.
TO WHOM IT MAY CONCERN
HR 1063 Enforcement needed as this is the typical situation why the law is needed to revive the original 1981 law:
HISTORY AND REASON FOR FILE RECONSTRUCTION OF FELONY DISAPPEARANCES OF PENDING FILES
For over 12 years we have begged, filed all the right papers, for the law to be obeyed and so my claims sent to Medicare and then later those of my two family members on my Federal Blue Cross Blues Shield who have since gotten Medicare cards to have their claims coded as a conditional pay since Medicare has never been a primary payer for any of us and the Medicare judges agreed and so does the real records at Office of Personnel management when their general counsel checked my real records and also the real records at US Dept of Labor which posts bi- weekly to the COMMON WORKING FILE which is owned by Emblem Health international formerly Group health and is the Medicare system that ones doctor, hospital etc has to pay thousands of dollars a year to access to find out which health plan is ones primary, secondary etc. SSA, my employer's head was lied to by ACS as OPM contractor and told I had gotten an owcp settlement and retired and they have no record of me nor my personnel file which went missing into the depths of ACS when they took over there with signed agreements in it with them for full cooperation with suits and workers comp, etc, and nothing of the sort has occurred. Is this that missing million dollars that keeps coming up and t where did it go or bribes to Congressmen or agency heads? Or was this supposed to be a 90 million dollar embezzlement from the beginning on all of us in 1/89s,? under the 1988 law that provided for permanent medical given to save life on established cases where permanent disability had not yet been determined Workers comp placing me on liquid oxygen for life triggered it automatically...years ago, and someone thought we would not ask to live and fight for health care and no one expected me to get through in the hospital and get the tests run and actually get payments and bills paid for a horrific toxic fume exposure? While the others got turned away with none done? in real 'DEATH PANELS. and no ho-e for workers comp in most cases.I have a lot of questions and no answers as to motivation except this is just pure entrenched evil inside the federal govt that needs to be ferreted out-Time for some real law enforcement to get in on this and find out and send some to jail for what has been done, and let decent folk run things.
For years this CWF has been illegally altered without due process in violation of the Federal contracts hailed by Medicare Coordination of Benefits a subsidiary of Emblem health now combined with the recovery unit, . As they illegally facilitate the theft of Medicare as asked by the insurance industry et al to delete my employer group Health plan off the records which became AUTOMATED IN 4 /09 AND BEFORE THAT FLIPPED IT SECONDARY AS THE WORKERS COMP WAS ORDERED IGNORED as its secured and can't be altered.by the US Dept of labor when posted, WHICH IS PERMANENT AND MOST OF MY BILLS ARE EITHER FOR ALREADY ACCEPTED CONDITIONS OR THERE ARE SECONDARY AND TERTIARY ISSUES PENDING THAT CAN'T BE RESOLVED AS WELL AS OTHER OUTSTANDING MATTERS LIKE A PERMANENT DISABILITY. I spoke to the IT at US Dept of Labor many years ago and they were proud of the security they have on this so no one can obstruct life and yet its been done by unaccountable govt contractors now and the game is STEAL FROM MEDICARE IN A FREE FOR ALL LOOTING FOR 20 YEARS IN SOME AREAS OF THE NATION; since 1999 in collusion with Group Health and no one speaks of the theft a they beg for more money to be sunk into an endless pit of theft at Medicare where the money is to go for paying bills for those who have it as the primary payer legally,
The Blues is not so secured as I can change plans each year. It also shows me active duty and they alter the records of my two family members also. MCOB said they were ignoring the Medicare judges rulings as they didn't care what they said nor the law or contract terms where they are not to alter the postings from employers and agencies at all as the first entity they are beholden to was their deals with insurance companies and that includes the liability ones so the third party law suit becomes deadly and CNA? et al needs to be held accountable for this for 25 years and any others parties, too who did the deeds and those who covered up the felonies as we struggle for life and some have lost the battle.
AFFILIATED COMPUTER SERVICES A FRONT? COMPANY OF XEROX HAS TOTAL CONTROL OF ALL OUR HEALTH PLANS ITS A CONVOLUTED CONTROL) AND ALSO THE FRAUD LINES AS WELL AS THEIR CEO PERSONALLY INVOLVED AND LYING ABOUT THE FACTS OF THE CASE EVEN THOUGH IN 2/09 I GOT APPELLATE JUDGES TO ORDER MY FILE BE POSTED FROM MY OWN RECORDS AND WORKED/PAID AND HE HAS REFUSED TO DO SO. EVEN WITHHOLDING THE JUDGES ORDERS FROM THE AGENCY OFFICIALS WHO CANNOT ACT ON THEM UNLESS HE POSTS THEM FIRST,. IN FACT HE HAS OVER A DECADE OF OXYGEN CLAIMS NOT INPUT AS THEY WOULD BE PAID ACCORDING TO SEVERAL IN HIS OWN COMPANY AND FORMER EMPLOYEE OF THE US DEPT OF LABOR WHO IS NOW CONVICTED CRIMINAL IN THE JACK ABRAMOFF BRIBERY SCANDAL THAT HAS NEVER BEEN FULLY INVESTIGATED IN MANY GOVT AGENCIES INCLUDING SSA, US DEPT OF LABOR HHS AGENCIES. who have given nearly total control to ACS. in a very convoluted interlocked financial entity cabal.
A BRIEF OF INFORMATION ON THIS IS ATTACHED AND SIGNED BY US AND IS A LEGAL FILING BUT IS ALSO POSTED ON LINE TOO. PAST JUDGES HAVE RUED THAT ANYTHING DOWNLOADED FOR THE INTERNET AND SIGNED IS A LEGAL FILING AND THIS IS FROM MY OWN WEB SITES ETC, I HAVE SEVERE DISABILITIES TRYING TO GET THIS DONE TO SAVE OUR LIVES AND HAVE NO MONIES FOR TYPISTS ETC;
APPEALS ARE PENDING ON SOME ITEMS AND THOSE SECONDARY AND TERTIARY CLAIMS ALSO NEVER ANSWERED at federal workers comp so no settlement can take place as its done on body parts and its not known what all they are yet, . so lies are swirling around fast and furious and why? LAWS. REGULATIONS and case history is ignored that something can be pending since 1989 on some items and its a new item now as they were legally and timely filed and never reviewed for a decision as mine have never been even though disappeared in a repeated pattern of illegal behavior for 25+ years and its in multiple agencies and the evidence of this has been submitted many times over at great personal expense . I get chastised for others felonies causing this chaos in what has and has not yet been done,
Before ACS took over, the file eventually got reconstructed and ordered back to being worked and items paid and processed until the next felony? disappearance.
Now my claims examiner is not able to do anything as no one at US Dept of Labor has any authority any more to counter ACS- a coup d'état and judges orders are meaningless now.
Throwing away a file is not rendering a decision, at all.
AND THE CLAIMS THEY DO PROCESS REFER TO THIS MISSING MILLION DOLLARS AND MY REQUESTS FOR INFO ON THAT GOES UNANSWERED FOR YEARS DESPITE FOLLOW UPS. OPM'S OIG HAS SUSPECTED WIDESPREAD EMBEZZLEMENT RING FOR YEARS BUT HE IS REFUSED THE RIGHT TO INVESTIGATE BY HIS BOSSES, AND IS NOT ALLOWED TO SPEND ANY MONEY TO FIND IT AND ARREST ANYONE.
CURRENTLY DUE TO SEVERE EXACERBATION OF ACCEPTED CONDITIONS I HAVE NEEDED EXTRA TIME TO PREPARE AND FILE THE YEARLY SET OF BILLS AND MY REQUEST HAS GONE UNANSWERED ON THAT TOO AS MY CLAIMS EXAMINER IS NEVER SHOWN SUCH THINGS AT ALL AS CEO BLODGETT SAYS THERE IS NOTHING TO DO ON MY CASE IN DEFIANCE OF 15 JUDGES AND TWO HEARING OFFICERS ORDERS UN FOLLOWED TO DATE RULES STATE THAT THIS IS A APPROVAL BY NO ANSWER FOR TIME AND IN LIGHT OF WHAT HAS BEEN GOING ON FOR 25 YEARS I NEED THE TIME AS AM HAVING TROUBLE BREATHING RIGHT NOW SITTING HERE GETTING THIS WRITTEN AD NOT KNOWN IF IT WILL RESULT IN ANY KIND OF FAIRNESS AND JUSTICE AT ALL , AS FEW HAVE SINCE ACS TOOK OVER. Why are they doing this?
This means that my workers compensation claims examiner is not allowed to see even judges orders to carry then out nor any of my file, which has been shredded according to an employee of ACS. on the orders of now retired US Dept of Labor regional managers in defiance of their superiors who found some of the file and ordered it worked apart from ACS.. that means process, pay and if not paid issue appeal rights etc,
HR 1063 ENFORCED ENDS THIS CORRUPTION
If Medicare pays and its not the primary then the patient is overpaid and since HR 1063 signed into law last 1/11/13 ones doctor, hospital etc can be fined and penalized for not coding the claims as conditional which causes then to be sent over to the Recovery Unit which is also part of Emblem Health International and is partnered with ACS, too, A vicious circle of corruption and theft of Medicare that out does any isolated scam artist medical provider cheating the system.
None inside agencies have any idea what is going on unless they are in on the theft as there are NO real internal audit controls at all., Part of any govt audit is making sure rules, laws and constitutional rights of all are upheld. Our civil rights complaints also disappeared and never allowed to be read and answered would have on themselves stopped any automatic renewal of these contracts of those who have violated basic human rights,
To cause a patent's estate to get overpaid due to stolen monies and to cause ones good doctors to be subject to fines and penalties because the ones assessing the fines gave them fraudulent info to base their billing on is grossly unconstitutional if not down right criminal. if they were not an immune? govt contractor?
Attached to this list and to the weekly MLN MATTERS from Medicare is a 28 page list of codes + to be used. And not one covers the issue like mine which the witnesses inside who helped document all of this (good enough for prosecutions) according to the us attorney's office is well over a trillion dollars owed back and never coded for letters to be sent etc.
Patients can't get a waiver as CMS ignores the legal liability of them even though the judges say we are and SSA agreed to process this kind of form SSA 632 in 2005 and has yet to be allowed to do so YOU DO NOT GIVE ANY PERSONAL FINANCIAL info AS IT AGAINST EQUITY AND GOOD CONSCIENCE AND MINE IS STILL PENDING FOR YEARS UNANSWERED. Will this be the last 'land grab' of estates against those who may have no idea there is an overpayment on their records at all.
Until there is a waiver or recovery done. its there. The govt seems to have no intention of following the new law which only revives the original Conditional pay law of of 1981 that was suspended for enforcement actions in 1994 by former Sec of HHS Donna Shalala which in doing collapsed the entire health care system into a morass of corruption making it more difficult each year for ethical entities to survive in among the blatant thieves and resulting injury and deaths. AND DO TO ALTERATION OF DIAGNOSIS CODES ONES DOCTOR PUT DOWN TO CIRCUMVENT LIABILITY CASES SO AS TO DOWN PLAY SEVERITY SO THOSE DON'T GET PAID FAIRLY AND OSHA GETS LIED TO; ANOTHER FELONY, deaths have occurred according to a congressional study that Sen Sanders referred to today in non VA programs, done 8 years ago and apparently repeated more recently re wrongful death malpractice cases. Will something be done this time around or will more die until the study is repeated in a few years again? Its a felony Congress and law enforcement must be allowed to intervene and stop it,
Yes the ER doctor or others get sued because THEY WERE GIVEN CRIMINALLY ALTERED RECORDS. from another govt contract of Emblem Health Intern as the National Health insurance data base which is going to be used by all kinds of entities and not just health care treatment on patients from rights to get a gun ( NRA WHY DON'T YOU STEP UP AND HELP ON THIS?) I don't want one but its a right under our current laws etc. Then also used to process an SSA disability case. and medical research will be skewed to wrong conclusions if not accurate, Its not what is in ones records at ones doctors'. Its after it leaves a treating doctor you and ends up in entities not under HIPPA laws, CONGRESS THIS IS A SIMPLE ONE; JUST PUT ALL GOVT OFFICIALS AND GOVT CONTRACTORS UNDER THE HIPPA LAW SO ERRORS, ETC. CAN GET CORRECTED.
In my case even errors and mingling of other patients records can't get corrected as its not under the law. BUT one was doe intentionally and is a crime and reported a long time ago and why terrible rumors have been spun as its not really that private any more, its why the appellate judges said ask me as they do know as they have seen my files and others? too often and then see nothing they ordered was done.
'getting rid of us 90 who were on duty on 1/10/89 is a deadly game/ to these entities and its a CRIME to order our deaths as was done. THAT'S WHAT A BLACK LISTING THAT INCLUDES MEDICAL CARE IS, and that is according to witnesses who told us of the order, and took courage for them to say so in most instances.
I almost died twice from it being used since 2007 and why I found out and began to try to bring attn. to this and get some way errors could be corrected. GOVT CONTRACTS AND GOVT OFFICIALS ARE NOT UNDER THE hippaa LAW THAT ONES DOCTOR HAS TO SPEND MORE THOUSANDS OF DOLLARS TO OBEY AND THEN HAVE NO PROTECTION OF RECORDS ONCE A CLAIM IS FILED AND ANYTHING CAN OCCUR, At University of Texas which turned their control over to ACS several years ago it started after it left the doctor; an impossible situation to get medical care for him and for me He did well for me until they came, DOCTORS ARE NOT IN CHARGE; NOT EVEN FOR DIAGNOSING WHEN THEY TAKE OVER, THIS IS WHAT A REAL DEATH PANEL LOOKS LIKE.
COVER UP CONTINUES AS A PRESS RELEASE FOR THE WEEK refers to the CODES AS IF SOMETHING IS BEING DONE AND A BILLING CLERK HAS TO GO THROUGH DOZENS OF PAGES AND STILL NOT FIND THE SIMPLE CODE OF ;
PRIMARY PAYERS WON'T PAY,PLEASE RECOVER AMOUNTS PAID.
Of course the offender now is in charge to recover from who? themselves? ACS THREW AWAY? THE ONES THAT WERE SENT BEFORE AND ORDERED THEM NOT TO BOTHER THEN ANY MORE. EVEN LIED AND SAID I HAD RETIRED AFTER GOT A WORKERS COMP SETTLEMENT ON 2/28/10 WHICH DID NOT OCCUR AS AN ATTEMPT TO TRY AND NEGATE THE APPELLATE MEDICARE JUDGES RULING M09-1406 THAT THE POSTING FROM THE US DEPT OF LABOR IS ACCURATE AS TH LOWER JUDGES SAID FROM INTERNAL DOCUMENTS THEY GOT AND COULD NOT OVER TURN AN EXECUTIVE ORDER AND MUST SUE ACS, ETC, BUT THAT CONTRIBUTED TO HR 1063 BEING PASSED WHICH PUTS THE ONEROUS BACK ONTO THE GOVT TO TAKE THE ACTION INSTEAD ? and still has not done so.
This attempt did result in Medicare approving me for life at all the levels for liquid oxygen for life, as Cigna Govt Services has been the only entity in 12 years to pay the claims legally and send to recovery and now they are no longer in existence and yet I now have no supplier as it would take almost a year for one to get through the different plans to get to Medicare to pay the bill and then not have the codes to bill it legally as conditionally , yet. ACS's has ordered them not to file the claims and I got medically abandoned to die and nearly did until we leaned how to do some repairs on this tank and get the prescribed level of oxygen into my body. especially heart.
Some corrupted contractors are in charge because they have a clean record. since there is no criminal or civil investigations allowed of a govt contractor. Documented fraud reports filed by over 500 insiders have yet to be investigated as deaths, physical and financial harms go on and public monies are stolen I have done govt fraud investigations and do know a little bit of what kind of evidence is needed and what a crime is, The criteria is all met..
Also buried in the attachment to the Medicare weekly press training and info release is a list of who is on the committee to create the codes and there is also a way to ask for a code to be added; which I did.
Will they do it?
Along with a few HHS officials is also some names of some I have dealt with over these 12 years and who have done nothing to stop this. This seems to be a SMOKE SCREEN TO MAKE IT LOOK AS IF SOMETHING IS BEING DONE AND REALLY ISN'T FOR THE HARD ISSUES OF PLAIN THEFT AND ABUSE OF THE GOOD AND LIBERAL CONDITIONAL PAYMENT LAW A SAFETY NET SO ALL CAN GET MEDICAL CARE PAID FOR WHILE THEY EITHER WAITING FOR A CLAIMS TO BE APPROVED OR AS IN MY CASE WHERE THE ABUSE IS REALLY GOING ON ALREADY HAVE. This is not a new committee at all but one already in place for some time. FOR SOME REASON, ITS COME DOWN TO DOCTORS ETC BECOMING AWARE THEY ARE SUBJECT TO FINES AND THEY WANT TO CODE THESE CLAIMS SO THEIR BANK ACCOUNTS ARE NOT FROZEN WHICH THEY HAVE AGREED TO LET MEDICARE TAKE BACK OVER PAYMENTS FIRST AND FIGHT BACK LATER IN MANY CASES,. With the offenders in charge, whom do you think they are coming after? Our good doctors who have cared for us and healed us and kept us as healthy as possible and whom many of us owe our very lives,
On the List are Xerox employees,(That's ACS) Illinois Blues and others are ones who have castigated me and deified Judges orders and so forth over the years. They are the very ones who will not put out one simple code that covers over a trillion dollars of repayment needed
So billing personnel will now have to link through dozens of pages and waste precious time on the doctors, etc expense then still have to call the provider call center where they only look on the criminally altered CWF and says its all right to bill Medicare ( stealing they well know it is)and are they still saying use a phony medicare claims number to get around the security? I ardently got 4 notices from Mymedicare.gov as to what preventative tests, etc I could have this years and no mention of it being secondary payer, and the main one is still set up under a phony claims number that does not exist at SSA AND IS AGAINST ALL SECURITY AND THE LAW TO BE USED. BUT THIS HAS BEEN GOING ON FOR YEARS, TOO and crashing OBAMACARE'S COMPUTERS AS I WARNED THEM THIS ILLEGAL OFFLINE MESS WOULD DO.
Here's why LIFE ENDANGERED OVER THIS
Before Medicare can be billed conditionally all the primaries have to be billed first to prove they will not pay their legally obligated and proven liable bills and in the case of my oxygen they will never get an answer as they would be paid and the Ofelia system at Federal workers comp contractor ACS would then talk to the real one at US Dept of Labor and that million dollars missing to post and pay bills is where CEO LYNN Blodgett? Your staff initially said I had and never got and know of no law that says I WOULD GET IT DIRECTLY? Did ACS steal from a medical fund for us injured workers and use it to pay the bribes in many agencies and the cover up continues? as these delays obstruct care and have caused deaths? and the charges should be homicide and not just theft?
TO WHOM IT MAY CONCERN
attached IS A RECONSTRUCTION OF CLAIMS REQUIRED TO BE RECOVERED FROM THE PRIMARIES FOR US. And remember the US Dept of Labor judges said not to listen to rumors and lies, but ask me for the facts of the case as no one has access to files in multiple agencies to have a clue what is or has been done. not on paper and not digital on line. At the appellate Judges is the only place one can reconstruct the files and then they disappear along with the orders when sent to ACS first I all the agencies where I have pending matters and bills need to be paid to sustain life. SO Lincare and Rhema the two liquid oxygen suppliers in my area who are sub contractors of ACS have been refused the right to submit the claims and then wait four months to go onto Fed blues and have them wait some more to get their response based on info form ACS to send them to Medicare AND ALL OF THEM GET THEIR FALSE INFO From ACS, CEO Lynn Blodgett.
Few seem to know of their employees at Medicare that no one is allowed to alter that official posting and asking me a myriad of questions is not needed and useless as even I can't alter it as its official. Nothing is going to change until ACS complies with the judges orders and get things processed. NO ONE IS ALLOWED TO KNOW ANYTHING TO DO THEIR JOB AND MY LIFE IS HELD TOGETHER WITH GLUE AND GORILLA TAPE ON A DEFECTIVE TANK AND OUR SON HAULS THE TANKS TO THE GAS COMPANY TO KEEP ME ALIVE AS ACS has orders to 'LET HER DIE" AS ALL 90 OF US HHS WORKERS WERE PUT UNDER BACK IN 1/89 WHEN A TOXIC DISASTER HIT AND A THIRD PARTY LAW SUIT IS STILL PENDING BACK IN NJ REQUIRED TO BE FILED BY Federal WORKERS COMP AND CAN'T GO FORWARD AS ACS WILL NOT PERMIT DAMAGES TO BE COMPUTED BY US Dept of Labor, ad the connection to CNA is I there somewhere also the liability insure for the building owner who had the gas detectors shut off to prevent eh Jersey city fire dept from condemning a NEW BUILDING THAT COULD NOT HAVE LEGALLY PASSED CITY, STATE OR FEDERAL INSPECTION FOR US TO BE IN OUR OFFICE AT 2 JOURNAL SQUARE 9TH FLOOR Too many have died of their injures there too and few got any help for workers comp as they were turned away from the hospitals under order of HHS etc So unethical behavior has been rampant a log time for too many victims and its time to STOP COVERING UP EVIL AND FACE IT AND CHANGE FOR LIFE, LIBERTY AND PURSUIT OF HAPPINESS FOR ALL OF US,
Its a coup d'etat for a govt to not be able to stop criminal behavior even inside their own ranks at the highest levels.
I was told by the newly combined RECOVERY COORDINATION unit owned by Emblem health international that CEO Blodgett had them throw away all the recovery letters sent to ACS and not to recover from ACS or any one else. Why? so this is a humongous process to reconstruct all the file illegally destroyed there. as well as everywhere else. A lot of hard and diligent work did get done by the rank and file workers on this in the Detroit office then to have ACS say don't do their job?
BLOCKING FAX LINES OBSTRUCTS JUSTICE AND LIFE AND DON;T BLAME US FOR WHY YOU DON'T HAVE THESE RECORDS AND HAVE COLLECTED THE MONIES BACK already, so I can retire.But which the law prevents when injured on the job until all this gets done,
7 US attorneys have said the destruction of all the records in multiple agencies is a felony and a second felony when the theft was not reported by the one in charge of their office to law enforcement and few have ever been. Most times I am treated with derision when I beg for my life as if its all right to throw always files or hack into systems and delete which has occurred at SSA and no one does anything as the over all policy according to multiple directors of OIG in this nations' agencies is to never investigate missing files whether paper or digital even a 25 pattern of behavior. So no ones records are safe from destruction hacking or alterations and lives get lost from these kinds of felonies and other harms as well as has occurred against myself and loved ones.
Lawlessness has led to a real coup d'etat by the international cabal that has done this in nation after nation as lives re lost and govt monies disappear to where?
Pray that those with ethics and regard for each of our rights are put in charge and others dealt with as our legal system says should be done. WE CHOOSE TO LIVE
Linda Joy Adams 5/29/14
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment