Workshops A couple of days ago, I commented on the summary recap of a webinar with oxygen suppliers in the USA. No govt official conducted it and the information given out as to how to get one qualified for home oxygen was greatly twisted into real death panels.
The 2005 guidelines which make common sense to my board certified pulmonologists and did not require a heart attack or organ failure be induced if one was already diagnosed with certain medical conditions would suffice and once approved for life, repeated testing did not need to be done.
The summation really misled what the real guidelines are and always have been except years ago the oxygen saturation rate was lowered from 91% to 88 % which puts any doctor into a malpractice situation to intentionally lower it to that.
I did fax my Daily Recap to several entities at HHS and elsewhere.
Since my Yahoo address book was hacked into some time back , I have never been able to get it back so I can easily send a copy out to several govt officials, etc. So any who wonder where it is, you can set up a Google alert "Linda Joy Adams" and an alert would be sent,
There are some things I could add to this blog, but they cost money and at this point this is a free web site for all who wish to read it. Or if you wish to identify yourself , you can become a follower on Google +. I am willing to be a friend to any one as long as they do not advocate anything illegal or send out pornographic material.
If I disagree with you, I may comment with my own disagreeing opinion, but that is the beauty of the right to exercise ones free speech and beliefs. We can disagree and both have our say.
SO the link is to some workshops to be held this Fall by some from the partners of Medicare and it was CGS , formerly Cigna Govt Services now called Celerian Group and now owned by South Carolina Blue Cross Blues shield, the parent company of Palmetto GBA and Trailblazers who its said is to hold the work shops. It was on their press releases that the 2005 guidelines and other press releases last year kept repeating retesting is not needed if one is approved for life. And if there is a break in claims, one only needed to prove they had been on oxygen all along even if Medicare was not the one paying the claims.
Which I have done and even have a hearing requested to over come the regulation that Medicare will not reimburse if there is no oxygen supplier in ones area, as has occurred for many who have a Medicare card and some form of workers comp and have been medically abandoned as the oxygen is really workers comp bill as was ruled on M09=1406 and if one is to live and cannot use the ozone emitting canister, then one has to by pass the supplier and get tanks filled at the gas company directly.
ACS runs Federal workers comp and will not process an oxygen claims and most states are hiring them to take over the state workers comp so any suppler could wait up to a year before Medicare is able to pay the claims and then ask for the money to be repaid by the workers comp and ACS JUST SHREDDED MEDICARE'S REQUEST ALONG WITH THE US CONSTITUTION AND ONES INALIENABLE RIGHT TO LIFE. AND WHY I AM NOW BEGGING CELERIAN TO PROCESS ALL THE OXYGEN CLAIMS THEY HAVE GOING BACK SEVERAL YEARS SO WE CAN GET THEM ALL TOEGETHER TO ASK FOR HR 1063 ENFORCMENT ON ALL. AS THE SUPPLIERS NEED TO BE FULLY PAID AND THEY HAVE A RIGHT TO BE WHEN ONE HAS THE COVERGAGE.
Cigna govt services was more cooperative than the new owners and I have am having difficulty getting them to process all the claims, I had to submit on behalf of Lincare and Rhema and was pending at the time of the hearing and upheld on M09-1406 on the issue of who paid first and it was ruled the posting from the US Dept of Labor that Federal workers comp and federal Blues is primary and Medicare secondary. The life time approval for liquid home oxygen was affirmed all the way , too. So All need to be pulled together and they just won't work with the patients at all when we are financially and its my life at stake in the matter. What party in business can afford to wait that long to be paid. HR 1063 is to make them make a decisions and that has not been implemented yet and I am begging it be done. I PLEAD FR CELERIAN GROUP TO COOPERATE IN THIS MATTER.
Regulations got passed that forced all the small suppliers who just exchanged filled tanks and could take care of patients cheaper by passing a regulation that said that in order to deliver liquid oxygen, one has to hire a respiraory technician and locally in our rural area, it was an initial cost of over $20,000 to do so and most small suppliers only had a few patients and could hire someone part time to make the deliveries. I had a retired gentlemen whom I called on his cell phone when the tank got low and he came and exchanged out the tanks and the gas company filled the tanks.
Now the big companies who had lots of patients and higher costs that is only lowered by sheer numbers and now owning their own gas companies, etc, have the expense of respiratory technicians on duty. How will they be paid if they are not running these tests in ones home yearly?
Most oxygen patients, today, are not near death. and do not require home nursing care until closer to end of lifee. Employees hove been hired and what jobs will they have? When the real regulations say they are not needed. And Medicare is coming out trying to reduce home health care rather than increasing it, which again, makes no common sense as keeping one in their home is always the cheaper way to go.
CIVIL WARS GO ON BETWEEN SMALL SUPPLIERS AND LARGE ONES, BETWEEN THE NURSING HOME AND HOME CARE INDUSTRIES AND THE PATIENTS AND THOSE WHO REALLY DO WANT TO CARE FOR OTHERS SEEM TO BE LEFT OUT OF ANY KIND OF COMMON SENSE PLANNING. And NO HEARINGS BEING HELD EITHER IN CONGRESS OR INSIDE HHS WHERE THOSE AFFECTED COULD HAVE SOME INPUT.
So I will be hoping that by Fall the massive confusion of conflicting information coming out to the suppliers will be stopped.
IN 2005 a similar type work shop was held in OKC AND NONE OF THE SUPPLIERS GOT ANY TRAINING ON THE NEW GUIDELINES. IN FACT PALMETTO GBA ACCORDING TO MORE THAN ONE WITNESS TOLD THE SUPPLIERS TO IGNORE THEM AND THEY WERE GOING TO DO SATURATION RATES ONLY AND DEFY THE GOVT. PATIENTS WERE LEFT IN THE DEATH PANELS WHERE IF ONE SURVIVED THE TEST, THEN ONE GOT OXYGEN.
My Board certified pulmonoogists have informed me that the tests are not even being conducted properly. As I have written about. One is often being tested for pulmonary Hypertension when one has had a lung injury like mine. And for the patient to suffer angina during the test is being covered up and even lied about as has occurred in my case when the angina is horrific and why conducting such a tests in the home with out an EKG is not safe and why doctors will not cooperate to run it as each time, its been done on me or I had a situation without sufficient oxygen like occurred last summer, my heart has not recovered back to where it was before. ITS A HEART ATTACK, JUST NOT THE KIND WHERE ONE HAS A BLOCKAGE. ITS ONE WHERE THE HEART MUSCLE IS OXYGEN DEPRIVED.
The tests is for one to go off of oxygen and at that pint the angina starts, then one exercises up to 6 minutes and then one lies down as the saturation rate goes on down. And all along the way the angina gets excruciatingly worse as ones heart over works trying to pull the oxygen out of the lungs is how one of my pulmonologists explained it to me years ago.
If one is healthy with a good heart and gets a lung injury, then ones heart can really try and get the oxygen to it. But it weakens it. And over the years, one gets left ventricle heart failure or diastolic heart failure as I am diagnose with. ITS WHY DOCTORS NEED TO BE IN CHARGE AND THE 2005 GUIDELINES WAS A COMPILATION OF PRECEDENT CASES OF WHO HAD GOTTEN OXYGEN USING ONES MEDICAL RECORDS INSTEAD OF THE OXYGEN SATURATION RATE WHICH HAS NEVER BEEN THE ONLY QUALIIFYING SINCE 1966 WHEN CLAIMS WERE FRST PAID.
Our system of precedent case law is based on the principle of "when its done to the least of these its done to our Savior" or in the secular sense it can be paraphrased as if one gets some right than all in the same situation gets it too as its being equal before the law.
Then to have a report come out that the patients had no chest pains, etc. or angina, just shows how for profit motivations has led to unethical situations occurring in the medical profession. And doctors have little say as to what is going on today.
If the patients complains then, the patient can be dissed and lied about and medically abandoned at the least whim. When the only complaining is those a typical chest pains that all info says ones must go to the hospital if one has them.
NO ETHICAL DOCTOR IS GOING TO GO ALONG WITH SUCH. AND MEDICARE HAS NEVER REQUIRED THIS TO BE DONE. IN many states, its still required that a doctor, even if an intern, be in the room when any kind of an exercise test is run as I have had stress tests ( with EKG)stopped in recent years long before the 6 minutes is up due to the over stressing of the heart. If one goes until the heart is stressed too much, don't expect to get the results for two years as their insurers will stone wall it just in case, some one might sue. One does sign a waiver to do the test and most oxygen patients know it must be done if one is to live even if damage is done.
SO if one is an oxygen patients and ends up with out oxygen in such a situation, then the doctor can run the tests to document it and get the data as mine did last summer, Then it got spread around he had not really done the test and only put down what was already on my chart. LIES ON LIES AND THE PATIENT GETS LOST IN A CIVIL WAR OF FOR PROFIT MEDICAL CARE AND LIABILITY INSURERS WANTING THE PATIENTS DEAD SOONER THAN LATER SO THEY DO NOT HAVE TO PAY FOR DECADES OF OXYGEN AND OTHER CARE. And the doctors get trampled under the whole mountain. When one gets an injury as I did on 1/10/89, one does not die in 1 to 5 years as they used to as the doctors do know what medical is needed for us to live a long time. BUT EACH TIME THEY ARE IGNORED, LIFE IS SHORTENED. WE HAVE RESORTED TO THE MEDCIAL DARK AGES IN TOO MANY WAYS WHEN REAL CURES AND BETTER AND CHEAPER TREATMENTS COULD BE FOUND. AND THAT IS THE REAL COST REDUCER, NOT A DEATH PANEL.
Doctors need to be running health care and not for profit managers and I HAVE LEARNED FIRST HAND THAT THE BEST CARE IS OFTEN THE CHEAPER WAY. Life is precious and each of us must have the right of life otherwise, no one really does and no one is valued as in individual I this world of humanity.
I CHOOSE TO LIVE AND WILL KEEP CLIMBING THAT MOUNTAIN OF PAPER WORK REQUIRED TO WORK THROUGH TO SAY SO AND TRY AND HELP OTHERS UNDERSTAND THAT ANY ONE CAN GO TO WORK ONE DAY AND A TOXIC CLOUD ENVELOPE THEM AND THEY WILL BE JUST WHERE I AM, FIGHTING FOR THE RIGHT TO BREATHE. In the name of YAHUSHA whom Christians call Christ Jesus, each life is precious and each is loved by our Creator. I PRAT FOR THOSE WHO WOULD DO EACH OTHER SUCH HARM AND SEEM TO HAVE NO SENSE OF VALUE FOR THEIR OWN LIFE. WHAT A SAD STATE OF EXISTENCE FOR ONE TO BE LIKE THAT.
Linda Joy Adams 8/13/14
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment