Inside Medicare Fraud Investigations and the Federal Strike Force - AARP see my comments including the new one in response to one trying to get oxygen for a loved one.
THIS IS ANOTHER IN SERIES ADDRESSING HOW LAWS ARE BEING IGNORED AND WE, THE PEOPLE ARE BEING BLOCKED FROM JUDICIAL REVIEW TO GET TO ORIGINAL INTENT AND STILL NO WAY TO ENFORCE THEM IN AN OVERTHROWN GOVERNMENT.
If your read medical journals where reputable and respected doctors have written about the need for oxygen , you will be surprised to learn that below 94% oxygen saturation rate bad things start causing harm to the body. I m not a doctor, but a patient of many good ones who have written in these publications. The regulations that refer to used to be about 91% to qualify for home oxygen and then got lowered to 88% in the mid 90's which is into an area that is medical malpractice to pull oxygen and let the patient de saturate down to that level as one is inducing a type of heart attack and other internal organs start to fail also,
I am not a doctor , but questions asked of my own good doctors who trusted me with this candid information. You re not going to find any ethical doctor that will do this. IF YOU ARE IN RESPIRATORY DISTRESS AND BEEN WITHOUT OXYGEN , DO GET TO A DOCTOR AND PRAYERFULLY YOUR DOCTOR WILL IMMEDIATELY RUN THE NEEDED TESTS TO DOCUMENT THE NEED FOR OXYGEN . Most do understand this and I thank my cardiologist back in 7/13, when my liquid oxygen tank stopped working and we had not learned how to do some repairs, etc, yet and I was in real medical trouble and could have died without some kind of medical intervention. He ran the test and we got recent documentation. ONLY TO HAVE THIS CABAL SPREAD AROUND A LIE THAT HE DID NOT DO IT ALTHOUGH MULTIPLE MEDICAL PERSONNEL WERE PRESENT AND HE WROTE HE DID IT ON THE DATE IT WAS DONE,
This is the kind of criminal behavior that this cabal does and for what purpose and then we allow them to decide what CONGRESS AND EVEN THE DIRECTOR OF MEDICARE MEANT FOR COVERAGE OF CARE ISSUES. THEY HAVE THE LAWS MEAN WHATEVER THEY WANT THEM TO MEAN AS THEY BLOCK AND STALL ANY CHANCE OF AGENCY JUDICIAL REVIEW AS THEY HAVE CONTROL OF EVEN WHAT HAPPENS TO THE FILES THE JUDGES GET. ND HAVE BLOCKED OURS SINCE 2009 WHEN 4 RULED DIRECTLY AGAINST THIS CABAL AND THEIR DIRTY DEEDS.. OF COURSE THEY IGNORE THE JUDGES TOO AS THEY DID ON MY CASES BUT CONGRESS DID GET THE RULINGS AND PASSED ANOTHER LAW AND THAT HAS NOW BEEN LOST INSIDE THIS CABAL AND CHANGED IN TO SOMETHING ELSE AS THE STEALING BY THIS CABAL OF OUR PUBLIC MONIES GOES ON WITH THEIR PARTNERS OF WHO PAYS FIRST AND MAKING THE PRIMARY PAYERS PAY UP AND PAY MEDICARE BACK AND STOP THEIR DEADLY DATA GAMES.. ( HR 1063 is to enforce the conditional payment laws and no one even knows what they are since its not been fully used or enforced since 1994.
I am already approved for home oxygen by three health plans for life and can get no supplier. WHY? Its due to FEDERAL WORKERS COMPENSATION BEING UNDER THE TOTAL CONTROL OF AFFILIATED COMPUTER SERVICES THAT PUT ME ON OXYGEN 20 YEARS AND WHEN ACS TOOK OVER THEY WERE SAID TO HAVE GOT A HUGE SUM OF MONEY FOR SOME KIND OF FUND FOR MANY OF US OLDER , COMPLEX CASES FOR OUR MEDICAL BILLS TO BE PAID FROM AND ACS JUST REFUSED TO POST OUR FILES AND PAY OUR BILLS AND LIED SAYING I had workers comp settlement and a million dollars to pay for my care myself and others have reported similar. I GOT NO MONEY FOR SUCH . I GOT MEDICALLY ABANDONED TO REAL DEATH PANELS. AND AM TOLD, WE GOT MEDICALLY DUMPED ILLEGALLY ONTO MEDICARE AND since they have control of nearly all of health care from one end to the other now in the USA and most of the world too, in one cabal of over a hundred companies plus many partners, they can just do as they please and even ignore agency appellate judges, and shred any attempt by Medicare to get their money back
. Even worse is that RECOVERY company , Group health now EMBLEM HEALTH INTERNATIONAL they are partnered with takes their orders from ACS et al and proceeded to destroy all records of attempts to collect on all bills and even took down my self reporting web site which I had set up with them with diagnose codes, etc. I spent a lot of time posting it and its gone under the orders of this cabal and in defiance of 17 real federal Judges who have remanded so much be done and they do not have to obey them as real government employees did. since I was injured along with others at the SOCIAL SECURITY TELESERVICE Center in Jersey City 1/10/89 which was part of HHS at the time.
HOW HAS THE LAWS BEEN CHANGED BY THIS CABAL?
Often , Congress will pass a law and leave the details up to the agency to hold regulatory hearings and come up with policies and guidelines for all to follow. In Medicine , this is better, as medical science changes. What is best and acceptable treatment standards change must faster than CONGRESS can act.
Having an advisory board of those in the specialized medical fields is not a bad thing if it is includes those whose interests are good health care and the most efficient and least expensive way to deliver it without affecting the quality of the care..
IT BAD IF SUCH BOARDS ARE PEOPLED FOR PROFIT ENTITIES ' PUPPETS.'
But we have not even had that for much of what has gone so wrong and yet the money is spent anyway.for what?
PERHAPS THE NEW DIRECTOR OF MEDICARE COULD LISTEN TO THE DOCTORS WHO CARE FOR US AND PATIENTS AND NOT THIS CABAL SO MUCH.
This article explains how up until 2005, there was no on going advisory board to keep things up to date and what had gone on was real death panels already existing FEW EVEN KNOW THAT FROM THE BEGINNING OF MEDICARE 50 YEARS AGO THERE THERE WAS NO MANDATORY OXYGEN SATURATION RATE OF CERTAIN LOWNESS TO BE THE ONLY WAY TO QUALIFY FOR HOME OXYGEN .
AND THAT WHAT HAD BEEN IN THE RULES WAS HIGHER AND NOT IN SUCH A DANGEROUSLY LOW LEVEL TO QUALIFY IF THAT WAS WHAT WAS TO BE USED.
If a patient has a low 02 sat rate, then a simple check with an oxymeter can quickly get one qualified and eventually approved for life. There is a point where nothing can be done to create new lungs, yet. SO THE WHOLE MATTER OF RETESTING IS AN EXPENSIVE SCAM.
The only need for any part of the testing is for on going medical treatment by ones own doctor. to adjust meds or other procedures that might need to be done.
I know well how cumbersome it was for the rules to be so vague as to say o2 sat rate or medical records long before I got injured on 1/10/89. SSA USED TO BE MUCH MORE INVOLVED WITH MEDICARE AND ORIGINALLY WAS OVER IT.
Doctors would provide hand written medical notes and often hard to read ones. Some did better and most insurers and Medicare claims processors would end up having to pay their doctor to get on the phone with the patients doctor to find out about the medical condition of the patient. Over the years there became a ;library of precedent cases of who got approved and yet no one put this in to any kind of guidelines for all to follow until 2005.
The guidelines came out, use for awhile and most suppliers never got notified to follow them as ACS ET AL does not obey the govt any more.? More recently they have resurfaced. they re still the OFFICIAL GUIDELINES BUT THIS CABAL IGNORES THEM.
It takes most a doctor to understand all the different info in them and know what medical tests one has to have done to diagnose the many medical conditions that do qualify. other than an oxymeter reading. for those in these fields of medicine its as common knowledge as to who needs oxygen as it is for a bone doctor to know when and what kind of cast is needed.
EVERY ONE IN THE FIELD OF MEDICINE THAT TREATS THOSE WHO NEED OXYGEN DO KNOW AND HAVE BEEN IGNORED FOR TOO MANY YEARS NOW AND THE OATH TO 'DO NOW HARM' HS BEEN TRASHED ALONG WITH THE US CONSTITUTIONAL RIGHTS OF ALL S WELL.
But the 2005 guidelines are more technical and by the time this cabal had its influence it became more murky than are needed. My board certified pulmonologist at the time, had no problem understanding them and also informed me that no doctor would ever induce an 88% oxygen saturation rate as it was MEDICAL MALPRACTICE AND NO HOSPITAL WOULD DO IT.
When I had first seen this doctor, I had been going through a lot keeping oxygen coming and he ran ONE OF THE KEY TESTS FOR MY DIAGNOSIS THE CARDIO PULMONARY STRESS TEST THAT GETS AN EKG, OXYGEN SATURATION RATE AND PULMONARY BREATHING TESTS ALL AT ONCE I pushed my self to the low levels . In TEXAS A DOCTOR DOES NOT HAVE TO BE IN THE ROOM WHEN THE TEST IS RUN AND BY THE TIME I HAD GONE WELL BELOW THAT LOW 88% RATE I SAW THE TECH NOTICE THE CARDIAC DISTRESS AND STOPPED THE TEST. It took me two weeks of bed rest to recover but never entirely. it also took me over two years to get he full test results and I UNDERSTOOD WHY . , but it ended with my finally being approved for life by Medicare although other health plans had already approved me and had permanent medical at federal workers comp from them approving me 20 years ago. (they machine broke and ACS ET AL NEVER FIXED IT AND HIDES THT THIS TEST IS EVEN BEING RUN . AN PPEAL FOR PAYMNET HAS NOW BEEN EPDNING FOR OVER 5 YEARS WITH THEM . AND THE FIRST ONE TOOK SEVERAL YEARS TO DIALLY GET PAID. It clearly shows what happens to he heart when one is desaturated in to a malpractice low level of oxygen to the heart and is a very real world illustration of just why home oxygen is needed for patients whose lungs do not work.
ACS HAD TAKEN OVER FEDERAL WORKERS COMP AND DUMPED ME ON MEDICARE AS THEY HAVE MANAGEMENT CONTROL OF EVEN MY EMPLOYER GROUP HEALTH PLAN FEDERAL BLUE CROSS BLUE SHIELD AND THE OTHER FEHB PLANS. Even the University of Texas is managed by them , now, and it became a horrendous conflict to be treated there for my self and the good doctors that practice there still in situation where the doctor are no longer in control of much that is going on. Its ACS ET AL WHICH HAS MADE NEARLY EVERY PULMONARY PATIENT IN TO JUST A COPD PATIENT. WHEN THAT IS ONLY ONE SYMPTOM OF MANY OF US WITH BAD TOXIC AND CHEMICAL INJURES. My doctor there , had diagnosed me also with Occupational asthma, my accepted condition which is also known as t one of the diseases one gets for traumatic injury of this kind REACTIVE DYSFUNCTION SYNDROME. My initial 1/10/89 diagnosis as Inhalation of toxic fumes with bronchiospasms and also Chemically induced pneumonitis which is one of the reason I must have liquid oxygen at the full medical level of 99+ % pure oxygen as the lungs just do not function. I once asked if it was like creating a 'hyperbaric' condition in the lungs and one of my doctors said in a way it was a good analogy for what it does.
ACS ET AL AND FDA THAT SEEMS TO BE UNDER THEIR CONTROL , TOO NOW, KEEP PUSHING OXYGEN CONCENTRATORS ON EVERY ONE AS THEY WANT TO DO AWAY WITH ANY ONE EVER GETTING INJURED FROM CHEMICALS AND TOXINS AS THOSE ARE THE CONDITIONS WHERE LAW SUITS AND WORKERS COMP CLAIMS LEAD TO BIGGER COSTS. And this cabal really does not want to pay for injuries their partners in the liability insurance industry should have helped more in preventing.
Their propaganda machine is going well as to how much better they are making every ones workers comp and save costs. MEDICAL CARE COSTS THE SAME NO MATTER WHO PAYS. AND TO REDUCE COSTS THERE, IS TO REDUCE THE MEDICAL CARE ITSELF.
ITS A FULL BODY INJURY WITH MUCOUS MEMBRANE DAMAGE THROUGHOUT BODY AND WHEN ONE IS APPROVED FOR OXYGEN THEN ALL MEDICAL BILLS ARE WORKERS COMPENSATION AS NO HEALING CAN OCCUR WITH OUT OXYGEN . Not even a cut finger heals.
The incentive is to illegally dump everything they can onto Medicare or even Medicaid and since they are in charge , they can get by with this and stall even those programs having to pay as they hide the fact that ACS HAS NOT PROCESSED ONE OF MY OXYGEN CLAIMS SINCE THEY TOOK OVER IN 2002. TRYING THEIR BEST TO COVER UP AND HIDE THEIR EVIL DEEDS IN THE MATTER?
I have grave concerns of this cabal now taking over all state regulated workers comp, too with the push to build pipe lines to be filled with toxic oil and the push to frack with chemicals and and the real push to get energy and NOT WANT TO BE RESPONSIBLE FOR WORKER SAFETY in the rush to make money and keep down costs in doing so.
THE RIGHT TO LIFE IS GETTING PUSHED ASIDE.
BACK TO THE MEDICARE OXYGEN GUIDELINES OF 2005.
My pulmonogist pointed out to me, how they had merged 2 paragraphs in to one and two separate diagnosis were merged into one.. IF ONE HAS PULMONARY HYPERTENSION , AS I DO, ONE GETS OXYGEN NO MATTER WHAT THE OXYGEN RATE IS. ONLY ISSUE IS WHAT LITER FLOW.
Right next to it and missing the grammatically correct change to a new paragraph was info about some types of sleep apnea patients. For most folks and even oxygen supplier clerks, we get easily fooled. To a trained doctor, not so as its obvious to them what the medical meaning is with or with out a new paragraph created. add to this intentionally trained -wrong call center employees the medical supply clerks call, they can get focused on something that has no bearing on the patient they are calling abut.
And this is going on all over the place and even in to the HALLS OF CONGRESS WHEN ONE MEMBER REALLY IS LYING TO ALL ABOUT WHAT SOME LAW INSERTED AT THE LAST MOMENT IN TO A HUGE BILL NO ONE IS GIVEN TIME TO READ REALLY MEANS, AND WITH NO ACCESS TO EVEN THE FIRST LEVEL OF JUDICIAL REVIEW ANY MORE AS ACS ET AL IS IN CHARGE OF WHAT GETS THROUGH , REAL DEATH PANELS AND SCAMS TO STEAL OUR TAX DOLLARS GO ON AND CONGRESS GETS UNPOPULAR AND OUR PUBLIC MONIES DISAPPEAR.
Were the guidelines written by a non doctor? Or was it written to confuse medical suppliers billing clerks who get their information from ACS ET AL AS TO WHAT TO DO .
ALL NON MEDICAL PERSONNEL WHO COULD EASILY BE TRICKED IN TO NOT KNOWING WHAT DOCTORS KNOW TO EVEN BE BOARD CERTIFIED IN THE FIELD.
Its why my medical conditions are not a mystery to any board certified pulmonologist and most others who treat us in connected areas. THE GOOD NEWS IS WE DO NOT DIE IN 1 TO 5 YEARS ANY MORE. The BAD NEWS IS THIS INTENTIONAL CABAL DOES NOT WANT TO KEEP US ALIVE FOR DECADES AND PAY FOR OUR CARE. AS WE ARE LIVING PROOF THAT IN A WORLD OF TOXINS AND CHEMICALS ACCIDENTS CAN OCCUR AND DUE DILIGENCE IS NEEDED TO NOT ALLOW THESE INVESTIGATING INJURIES TO OCCUR.
Life is precious and safety concerns must be addressed and as human rights abuses are exposed , those who have caused so much of these kinds of injuries by intentional polluting and knowing full well they are going to do harm do not want their evil deeds to be known.
REAL ACCIDENTS CAN OCCUR EVEN WHEN CARE FOR LIFE IS A CONCERN. I DO NOT CALL THESE EVIL INTENT. But every one needs to be more aware of the dangers around us as there is few in the government in charge to make sure real safety standards are being met in he world around us now. PROFITS NOT LIFE IS THE BOTTOM LINE WHEN THE CONSTITUTIONAL MANDATE OF 'FOR THE GENERAL WELFARE OF THE PEOPLE AND THE SECURITY OF THE NATION ' IS IGNORED.
The Internet makes it easier to find out the dangers and try to prevent them now, then back in 1/10/89 when we did not even know that the Jersey City fire dept had cited the owner of the building, Hartz Mountain Industries and would have condemned a new building as unsafe . But they turned off the gas detectors a so they would not come again? and never fixed the construction issues.. We were in a real DEATH TRAP and got trapped when the worse happened and a series of events over a few hours and still the owners did not tell us, trapped on the top floor diligently working at our federal jobs helping the public via phone with their needs to do business with SSA.
And at the time, we were able to solve problems and had access to all kinds of information to help do that, unlike what has been going on in more recent years with govt contractors in charge and many govt call centers staffed with non govt employees who have no authority or ability to solve issues and afford all the due process rights by letter if we changed something on ones official records. and did it wrong, They had appeal rights. And even that is not going on any more. NO ONE IN THE GOVT IS DOING ANY REAL INTERNAL AUDITS OF THE PROCESS ANY MORE AND FEW OF THIS CABAL SEEM TO CARE LESS IF ONES CONSTITUTIONAL RIGHTS ARE BEING UPHELD.
With initial appeals being done by this cabal and not any real govt official , not much can be done to solve real issues, nor even address real legal issues where the laws and official regulations may mean one thing to those in Congress and have been turned in to something entirely different by this cabal who can now make the laws and rules mean what ever they want them to mean. This Congressional intent is something we were trained to incorporate in to our decisions on appeals and rulings.
Back in the mid 90' before I was transferred to Federal Workers comp the last time after multiple attempts to work, etc. with no oxygen as that needed care was not to be seen by any for one working? I helped with an appeal for oxygen and had the manuals and rules and it was still MEDICAL RECORDS and found the saturation rate lowered at that time to a dangerously low level. The family was being told then their loved one would not be able to get oxygen and helped to get info together to take to the doctor. I understand it ended with the Medicare claims processing doctor calling the patient's doctor and oxygen was gotten. At the time, I did not even know I was also supposed to be on oxygen as without a list of diagnoses , how would I know. AND I HAVE WORKED WITH THE DISABILITY PROGRAM SINCE 1968 TAKING AND PROCESSING CLAIMS, but in an area of the nation that did not have much heavy industry. to have those with this kind of injury . Plus medical science was just learning more about them. ONE DID GET OXYGEN FOR ABOUT THREE YEARS AND THEN DIED. On 1/10.89 , we did not even have the cortisone or other inhalers yet, Those came in 3/89 and I got them only to have their success ended in recent years to save the environment . So we have no safe substitutes for over 10 million of us as some studies now say , THE DARK AGES OF MODERN MEDICINE IS ONLY 26 YEARS AGO. So a flexible method to change coverage issues under health plans is badly needed and allowing appeals to be heard as once they were to add in something for payment is one way. Another is advisory boards that work for the people and not financial interests and then all need to have input,.
When ones own medical personnel have to be 'managed; by this cabal now its hard to get real input voluntarily of medical matters any more. This is one area a board could be helpful for our own doctors to contact. as they learn of new and better ways to do things and get approvals for coverage. MEDICARE WILL NOT PAY FOR COMPOUNDING OF THE INGREDIENTS NEEDED THAT ARE NOT IN THESE INHALERS MADE UNSAFE BY OTHER THINGS NOW ADDED. I M DOING VERY WELL USING DROPS IN THE BUBBLE CUP OF DISTILLED WATER ATTACHED TO MY LIQUID OXYGEN AND THE REDUCTION IN COST WOULD WELL PAY FOR THE OXYGEN ITSELF.
ONE CAN FEELS AS IF THEY ARE COPERNICUS IN THE MIDDLE AGES TRYING TO CONVINCE OTHERS THAT THE WORLD DOES NOT REVOLVE AROUND THE EARTH BUT THAT ALL OF OUR PLANETS IN THIS SOLAR SYSTEM REVOLVE AROUND THE SUN.
Its how things get so well controlled and covered up as those who maybe should know, don't and no one is going to make it clear to them either. Much of that time was before we put office workers in sir tight buildings along with 'low levels?" of halogen ( toxic) gases to keep hue mainframe computers cool.. Thankfully we now have some more concerned with EMF waves in the air and no need for the former. concerns. NEW TECHNOLOGIES CAN MAKE OUR WORLD SAFER IF WE USE COMMON SENSE AND CONCERN FOR OTHERS OUR INTERESTS.
I have been on both sides of this. . And know full well that vague laws and rules can cause real harm to many.
The 2005 guidelines for Oxygen also end with OTHER MEDICAL RECORDS AND CONDITIONS SUBJECT TO REVIEW AND APPROVAL.
Its open to new understandings in medicine and new technologies,
BUT THE PAYMENT SCHEDULE IS STILL IN THE DARK AGES OF MODERN MEDICINE AND DESIGNED FOR ONE TO GET HOME OXYGEN 3 YEARS AND DIE.
We do not die for decades now , if we get the good care medically available. The most cost effective way to provide is to exchange filled tanks and allow the free market system to work and any medical supplier get the equipment and hire a part time person to deliver and do the billing etc. It worked well for me for the years I had a small company that eventually had 6 patients. I had the cell phone number of a retired gentleman and called him within a day of running out and he came. Among us, he had about 18 trips a month in our local area and the gas company filled the tanks.so they had some ready . If one needs oxygen more than 6 months, then its pretty well understood its going to be a life time need and the rent for the tanks needs to change to purchase and payment and if one changes suppliers the tank stays with the patients and the next one uses the one they have.
I do not know all that is needed on this and its why we need a comprehensive hearing on the matter for oxygen and I am sure its needed through out medicine on matters also. Almost all health plans follow what Medicare oks. Some of our insurers do have additional things covered.
And workers compensation can ok experimental treatments easier as the liability is theirs to see its safe enough to try and if something goes wrong the coverage for that is theirs.,,,,,, Having this cabal take over all workers comp now in the USA STOPS INNOVATION. maybe some day there can be stem cell treatments soon after injury for us and the out come would be much different. WOULDN'T THAT BE CHEAPER ALTOGETHER?
There are stem cell treatments going on for heat failure and I have read and have been stopped from submission of medical records and getting an ok from WORKERS COMP TO TRY THIS BY CEO LYNN BLODGETT OF AFFILIATED COMPUTER SERVICES WHO WOULD NEED TO OK IT AND WON;; EVEN OBEY THE JUDGES TO POST MY FILES, ASK ME FOR THE FACTS OF THE CASE AND PAY MY BILLS SUBMITTED AND PENDING, SOME OF THEM SINCE 1989 IN A REALLY CHAOTIC MESS THAT HAS BEEN CREATED BY CONSTANT DISAPPEARANCE OF FILES OVER THE YEARS, ETC. YOU want to get out of paying injury claims them stop blocking new treatments that might help and maybe even cure. By controlling medical care from all parts, has really halted innovations badly needed.
If I could get shot of stem cells every 5 years in to the left ventricle part of the heart that has weakened over the years, wouldn't that help a lot, even if the lungs cannot yet be renewed.? would the need for diuretics be reduced as fluid would not build up so much for every breath I take.
It angers me that I m not able to be a test subject to see if it works. I do not see any real harm, that could occur. It would work or not work , and this has been used on humans already.
RESEARCH THAT HELPS EVERYONE FOR BETTER HEALTH AND REDUCED COSTS FOR HEALTH CARE IS BEING BLOCKED BY AN INTERNATIONAL CABAL TRYING TO GET OUT OF PAYING SOME BILLS, NOW AS THEY DO NOT WANT THEIR NEGLIGENCE KNOWN?
My prayers to Yahusha whom we Christians call Christ Jesus that his warning of taking care of the sick or being doomed to hell be followed.
Even if one is not a person of faith the common wisdom of HIS teaching in the matter is worthy to be considered. just to preserve life itself.
Linda Joy Adams 1/16/15
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