Contact | NAVEX Global Meet the new company in charge of fraud in the USA. Don't expect much to occur to stop fraud..... is my experience and its not a good one.
Doyle and I are busy trying to plow through this mountain of back log of filings to do to get the right to live and that means stopping govt. corruption and so far Congress will not let it be stopped. and the deadly games with our lives and the theft of the public monies goes on.
Yesterday I did a recap and it ended up as 26 pages and is published on line s Violations of Civil rights Page 48. I have continued using that heading to make it easier to locate by scrolling down the side obviously its more than one literal page.
So much of our recent national history has been touched by what has occurred around our family and the events at work. And the govt corruption is the DEATH PANELS so why isn't it stopped.
Another tragedy occurred out in Pennsylvania and I do not know if we know any of those killed or harmed at Fitzgerald Mercy Hospital where we lived a few blocks from for 7 years. \
They kept referring to it as a psychiatric hospital. I do not think it has become that. There is a psych ward there and the county mental health crisis center was there for any needing help on off hours on a weekend.
When working, I spent a lot of hours in the ER there and in intensive care getting oxygen and my "vitals stabilized." For the most part it was and think still is just a regular hospital that has some other services. Many who worked there lived in the area or would shop in the area before going home. PRAYERS AND CONDOLENCES TO THOSE WHO LOST LOVED ONES OR SUFFERED INJURIES.
Its been almost 18 months now since president Obama cut the 'cooking classes' for the mentally ill. Sir: were you not told that what was being cut was the Partial Hospital program mandated by the US Supreme court in 1985 when they ruled that the mentally ill do not have to be institutionalized any more IF there were these outpatient programs.
These 'cooking classes and living skills programs" are a lot more than that and have been successful in preventing some of the kinds of tragedies that have occurred over the last 18 months, is my humble opinion having had a working relationship with those suffering from such. through work and community, etc..
We, as a society, pay the price, when essential services get cut that do help many and prevent tragedies.
All the more important not to have our precious health care dollars stolen by some of those entities in charge with no oversight and no internal audit controls. Due diligence pays off to prevent govt. corruption from occurring , especially inside some unethical entities. AND OUR CONSTITUTIONAL RIGHTS ARE ADVERSELY AFFECTED ALSO. Part of a real govt. audit is to assure every one's rights are being upheld. THEY ARE NOT. IN MANY WAYS WHEN DECISIONS CAN BE MADE TO ALTER OR CHANGE THINGS AND NO ONE NOTIFIED AND YOUR LIFE OR LIVELIHOOD ARE AFFECTED. Congress used to check on those, even going 'under cover' to make sure every one's rights were being upheld. The 'good old days'?
The Page 48 posting got input twice. I was so tired I left the unedited version on line and sent the edited one linked to other sites.
We are getting all kinds of 'emotional ' reactions to some of our filings and as Doyle told one person who called from one Medicare contractor today , "ask your attorney for your company." If you do not understand what we sent you. We are getting a little tired and physically exhausted going the govt's work they should be doing.
BUT WHO IS IN CHARGE?
WHO MAKES AND INTERPRETS THE LAWS?
Few seem to know this. As govt. contractors, they think they do.
Yet if they can and do read they would know that is not so.
In the Federal Blue Cross Blue shield book ( contract) for 2014 it clearly states on page 138; that if one has Medicare and Federal blues that MEDICARE DECIDES. who pays first.
So all the partners of Medicare seem to think they can do as they please as they think they write the laws as to who pays first? SORRY; ITS THE FEDERAL JUDGES WHO DO AND ON CASE M-09-1406 WE GOT THE OFFICIAL RULING AFFIRMED THAT THE OFFICIAL RECORDS AT OPM AND THE US DEPT OF LABOR AS POSTED TO THE COMMON WORKING FILE OWNED BY EMBLEM HEALTH IS ACCURATE The posting before they alter it shows THAT I AM ACTIVE DUTY AND THAT MEDICARE IS SECONDARY TO EITHER FEDERAL BLUES OR FEDERAL WORKERS COMP FOR ME. And CEO Lynn Blodgett of ACS-Xerox who is the one who is being said is running around saying I got a workers comp settlement and retired. I DID NOT. Was someone given a bunch of money to try and settle cases and then 'stole it'. Why is your company the only one that any record of this? In my case and others saying it was a million dollars a piece for our medical care? Do you have the money? If not, will you please investigate and find out and go forward, but our program doesn't operate that way that I am aware of. We ask you to please help so that I can stop being medically abandoned. And the claims process obstructed.
The reconsideration we filed to day on non oxygen claims which you have never input those, were not paid referring to this missing money we never got. Its a 'dummy ' offline system used according to the forms. How do we get you online with the real info.
Why don't you and Federal Blues get these postings so you can coordinate who pays first and second, etc.? And the REAL LAWS BE UPHELD?
Why is that so hard to understand? Who has such unofficial power that the US Constitution and those who are to have the authority under is to be ignored.
The game playing that is ongoing causes the 'DEATH PANELS.'
Even though approved for life for home liquid oxygen by all three plans, no supplier wants to have a patient like me who has a medicare card and any kind of workers comp plan involved. Why? Because it could be a year or more to get paid. That's a long time for a company to carry one and not get money to operate. And these delays have been told are occurring even for those who have an intact mucous membrane and/ or can tolerate the ozone emitting oxygen concentrator machines. I and about 10 million others. it is now estimated, cannot tolerate these lower levels of fumes or irritant gases like ozone or an ionizer machine.
This unconscionable delay is caused due to real laws having to be followed by the rest of society. Workers compensation has to be billed first and they will never input and process the claim. as demonstrated in my case. So there is a standard time limit of 4 months to wait while a supplier is providing services unpaid. Then they must file with any other primary payer like ones or ones spouses Employer group health plan. And that causes delays as they decide and then collude that since you no longer are going to work , they can now decide you are retired and proceed to ask Emblem Health International to hack into the official govt Medicare system they own and delete your other primary plan's or rename it and go back in an post it as if its a supplement to Medicare as they have done also since 2002 when Health care Services Corporations Inc. (Illinois Blues) took over in our area. Govt contractors can now make up the rules they wish to follow. We have to go by the real ones as we get overpaid if Medicare pays and its not the one to legally pay.
OF COURSE YOU GET NO NOTICE THAT THESE ALTERATIONS OF ONES RECORDS OCCURS AND ARE VERY UNHAPPY AND RETALIATORY IF YOU QUESTION THEIR ACTIONS. AND YOU GET FLACK FROM MEDICAL BILLING PEOPLE, ETC. FOR NOT BEING ABLE TO STRAIGHTEN OUT THE WHOLE GOVT SO YOUR RECORDS WILL BE ACCURATE AND NOT BE MESSED WITH. HOW CAN A PATIENT DO THAT? IF THE GOVT CAN'T OR WON'T?
AFTER ALL, THE GOVT CONTRACTORS, USUALLY FINANCIALLY INTERLOCKED AND MOST UNDER CEO BLODGETT NOW RUN THE GOVT INSTEAD OF CONGRESS, THE PRESIDENT OR THE PEOPLE AND CERTAINLY FEDERAL JUDGES ARE TO BE IGNORED AS OURS HAVE BEEN AS THEY ARE NO LONGER CONSIDERED THE AUTHORITY TO CLARIFY THE MEANING OF THE LAWS OR REGULATIONS ANY MORE. ESPECIALLY THOSE WE ALL SEEM TO UNDERSTAND AND NEED NO CLARIFICATION, EXCEPT TO INFORM THEM WHAT IS WELL UNDERSTOOD BY THE MASSES..
So after a long drawn out process to comply with the real laws and not the ones made up by the govt contractors, one can finally ask Medicare to pay. When Medicare pays, then the patient is overpaid for the bill and has to beg the govt. to go get the money. For 20 years, there was no enforcement of this law to collect the money back. As it is called a 'conditional payment.' Now we have the original law resurrected, but turned over to the main facilitator of the theft, Emblem Health International ( formerly Group Health, Inc.) and they will not stop their illegal actions. I name them as we have well documented their actins and they do not demy they are doing as their manager said when we got the first judge's ruling back in 2008. The exact quoted was "we don't care what a judge says. we have to go by the deals with insurance companies." JUDGES YOU GOT FIRED BY THE GOVT CONTRACTORS.
NO one seems to know of HR 1063, that needs to follow it. The ones at the top in these companies are well aware and why their employees need to give our filings to them? I pray they are not afraid to do so... So GOVT CONTRACTORS HAVE IN REALITY SENT ALL THE FEDERAL JUDGES HOME AND THEY CAN INTERPRET THE LAWS AS THEY PLEASE USING SECRET DEALS MADE TO LET THEM NOT HAVE TO PAY THEIR BILLS.
Workers comp and other injury cases, often involve liability insurance companies who may have a BIG incentive to get out of paying so to down play the severity of injuries. If Medicare does not list them, then they can say " no one was seriously injured."
So far, we do not have 'no fault health care or health insurance' in this country. If we did , then we would need to really add to OSHA and other programs to ensure worker safety as one big incentive that does ensure it occur, is avoiding having to pay workers comp for injuries.
Unfortunately, change often does not come until some one or group is harmed first. I pray some day we will have the foresight as a society to prevent bad tings from happening first. Then there will be no injuries to have to provide medical care of income loss for.
HEALTH IS PRECIOUS AND BEING ABLE TO WORK AND EARN ONES OWN WAY IS PREFERRED TO A DEVASTATING INJURY AND LIFE TIME LIMITATIONS..
So all of you who get filings from us, PLEASE GO ASK YOUR COMPANY'S LAWYER WHAT THEY MEAN. THEY NEED TO HANDLE IT. And see that your company or agency is compliant with the real laws of this land that are under the US Constitution and not what some govt contractors have decided they want them to be.
Linda Joy Adams 7/25/14
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