About GD | General Dynamics this is a link to their web site.
From: Linda Joy Adams
TO: Phoebe N Novakovic
Chairman and Chief Executive Office of
General Dynamics
Owner of Vangent
1-800- Medicare , a Centers for Medicare and Medicaid Services Contractor
2941 Fairview Park Drive
St 100
Falls Church, VA 22042
703-876-3125
PHONE 703-876-3000
On 10/16/15 I received a call from one of your employees that this person had a letter from me. I had sent you no letter. It appears, your people were again sent either medical claims to be processed and paid or an appeal to be answered with all the appeals rights that one has to have under the law and the US Constitution. by a company that chose not to do their contracted job. I have not received a call back and am concerned that this paper work could be lost and in grave evidence how your company has been pulled into something that is not your job to do. PROCESS CLAIMS AND APPEALS UNDER MEDICARE at your call centers. And I am appealing to you to ask those Medicare contractors that are sending this to you , to do their job and process what was legally filed with them as an appeal or claims invoices attached to a 1490S. Plus your people should be aware that the system is being hacked bi weekly to trick all claims filers into billing Medicare when its not the first payer of the claims on my claims and info is,its done on all. with a primary employer group health plan.. YOUR COMPANY IS KEY WITNESS TO ALL THAT IS GOING ON. And can greatly help stop it.
We are in a horrific situation throughout the health care system now with the system being hacked and claims getting paid by the wrong party, and over payments, and what is called hacking by its owner of a system that violates the terms of their own contracts to not alter postings that come form an employer to the system. Plus there is good evidence of an 'alleged 'embezzlement ring of a million dollars a head for a type of workers compensation set aside fund at an OPM contractor for many like me that disappeared before we got an illegal dump onto the Medicare system to pay our bills. So when you get 'dumped on' to harass me, there is a lot of levels of corruptions that many OIGS need budget to investigate and had none for over 17 years in many cases with reported real harms and deaths reported. .
Unless appeals get done at the lower levels we are denied our rights to get up to judges to rule on matters. The legal option is an easy one, Medicare can process and pay a claim legally when Medicare is not the primary payer, if its labeled as a conditional pay and this its up to the government to enforce its laws against primary payers that will not pay their bills. (currently got contracted back out to the hacker?)
You may do an online search to read more of what all has been going on that General Dynamics holds the key pivotal position to do what they already have done in the past, document on going major thefts and cyber hacking from inside contractors at Medicare's contractors. Your people are one of the very few that could even see and documents when every claim of mine was being debited out of the Medicare Trust fund from 1/1/06 through 11/12 when the contract held by Trailblazers was given to another company, who now seems to think you should do their work and process claims and appeals for them. and not finish up what they inherited?
A few weeks ago you were sent legally filed claims and appeals for you to process by Novatis., Obviously you are not in that business, yet. I consider that this was an ultimate form of harassment to ask your people to call me and engage in what? You have no job in the matter? Most of the legally filed appeals and even Medicare judges orders are not posted, and obviously they never posted the appeals they had sent you to try and avoid doing them for some reason.
Patients can legally file when a supplier or medical providers does not do what they need to do so that claims get legally paid. In my case Medicare is not the primary payer and although Medicare can legally pay claims, when the primaries do not pay their legally obligated bills but, the claim is then to be labeled as a 'conditional payment' and sent to the Recovery Unit contractor to send out and now collect the money back from the primary. payer. (their info partner?/)
Conflicts of interest do exist all through this and the owner of the billing system all in the USA use, the COMMON WORKING FILE is hacked into by its own owner bi weekly to illegally alter the posting that come in from the patients ' employer. NO ONE GETS ANY DUE PROCESS NOTICE THAT THEIR HEALTH INSURANCE IS BEING CANCELLED OFF THE SYSTEM AND EMPLOYMENT TERMINATED BY CMS CONTRACTOR? whom I do not or ever worked for, Until two weeks hence.??And mine come from the US Department of Labor and shows me as active duty under Federal workers comp jurisdiction and that another primary is Federal Blue Cross Blue Shield. Family members on my policy who also have Medicare cards have this hacking done to them with resultant over payments also. AND WE GOT RULINGS FROM MEDICARE JUDGES THAT THIS IS ILLEGAL All we got was, " we don't care what a judge says" even when its Medicare's judges. President Lynn Blodgett is now in defiance of 38 judges on my case alone in multiple agencies so LOOKS LIKE AN OVER THROWN GOVERNMENT?
The blues is deleted off the system, or at times is added back in as if its a Medigap policy and its not so the claims often get passed around like those appeals, etc. you got sent and all rights and proper pay denied to all parties. All this has been facilitated by an illegal soft ware program run soon after the owners get to work bi weekly and have been informed its being done on all, like me in the USA on those who have situations where secret deals made with insurers who do not wish to pay their bills, then do what is caused an illegal dump on to Medicare. These insurers, like mine are actually managed by one of over a 100 companies by President Lynn Blodgett of Xerox Management Services and is also the information giver throughout the health care system, that often does not agree with the real official info. High level government officials name him to me as the one who has my data and files they can not even access to do what is needed to do their job.
Even getting and appellate Judges affirmation of the lower judges who got the official documents and affirmed on case M09-1406 that Medicare is secondary to my two primaries was met with blatant disregard . after affirming I was approved for life for liquid oxygen. but that does not get one an oxygen supplier.
I already have 100% total coverage that is permanent at Federal Workers comp, but President Lynn Blodgett has refused to set up my file since we took control of that program and now most of the workers com pin the USA is under one of his companies by contract also.
So recovery letters went to him as he says he is the US Department of Labor and is a contractor.
And no one in the government responded in any way. And all parties have rights and the government knows nothing of what has been going on as there is no budget for any real internal audits , either. Much of your government contracts are defense and I spoke to one there last week and they seem to still be doing their over sight and have budget to go after those who break laws and do unethical things. You may not be aware of this, now you are into areas that are not in the defense branch of government. President Blodgett was reported to have given the order to destroy all of the recovery letters sent to him and even ordered my self report web site altered and left only a muscular skeletal knee injury as my only injury which was a tertiary and more recent event at best then my 1/10/89 injury with total care covered as that is what occurs when workers comp puts one on home oxygen and the fight for survival begins for too many over the total care vs. living.. FECA has not been able to process my request for permanent disability without the file that is being withheld by Affiliated Computer services one of Lynn Blodgett's companies, from them and so I cannot legally retire until that is done. . More judges defied over at US Labor, too.
I cannot call 1-800 Medicare since 4/09 when none of the fraud reports and hard copies your people diligently filled out daily since 2/1/08 and continued doing so when I could get to a phone not in home until 11/12/ and was told by many they were filling out thousands on many they discovered had been given multiple phony Medicare claim numbers to by pass security and get additional claims paid. It was suggested by some, that maybe the TARP money had came out of Medicare and the over payments sit on patients records, unknown to them that they exist and summary notices were suppressed. Debts to the government that do not go away.
Your company was the only one , other than the claims payer that could access all this info. and made Vangent now General Dynamics a key witness to stopping what the US attys' called the biggest RICCO case in the history of the USA. Even my evidence was good enough to get a search warrant if we only had law enforcement allowed to ask for one And congress has not allowed this for 17 years.
SSA, US DOJ FTC, HHS and FBI cyber crimes could not do anything as we all learned that past Congresses and present ones, have given $0 budget to investigate crimes alleged inside a contractor. I was told that my evidence, which is not as good as what your now owned company has, was still good enough to get search warrants and get in and shut it down and let the legal system go forward as our system is to do. I have overpayment liabilities that currently no one in the govt can even give a waiver for. SSA agreed to do these with their form for CMS in 2005 where one files form SSA 632 and gives no financial info as its "against equity and good conscience" Patient cannot arrest anyone, cancel a government contract, etc.
Also all the medical providers are being tricked in to billing Medicare and not labelling as a conditional payment which opens them up to over payments and fines and penalties under the new law HR1063 that revives the enforcement of the conditional payment law that had not been enforced since 1994. as "the insurance industry could police itself" was the quote from Sec of HHS Donna Shalala who suspended the enforcement of the laws and in my opinion, the collapsing of our health care system began as a free for all looting Medicare and has only gotten worse over the years, by its own claims processing companies. with secret deals as Emblem Health International that owns the system, employees said they could not obey the judges, the law, or even contract terms as the secret deals over rode all. What ethical company can even compete in an unfair system like this to even get the contract?
This affirmation that there was no legal system over government contractors, led me to begin serious blogging on legal opinion of counsel and also led to passage of the law, which is now been handed to the chief offender to enforce. But there is the process and the first thing is to get the claims processing companies to label as a conditional payment and file a REDETERMINATION AND FOR SOME REASON THEY WILL NOT DO THIS AT ALL.
The President of Vangent had ordered my phone blocked at home for all and ordered your people to never file any fraud reports ever again on anyone. this and it has not been rescinded which is a horrible inconvenience for one who is mostly house confined. and disabled on oxygen 24/7. your people are the ones who will detect any wrong doing first. and are to report it which is now going to go to Your ethics contractor Global Navex, formerly Global Compliance? at HHS.
When this discovery was made, in 4/09 that the 500 against those who did this to my records and thousands reported as done throughout the USA on others. by a Deputy Secretary of HHS, I got the retaliation for the work done. And none of all the hard work done by your people was ever received by HHS which is to go their since it was a fraud report allegation against a partner of the govt. and not a doctor, etc.
I did file a report to night with your ethics contractor Global Navex who also has President Blodgett, Oklahoma and TEXAS Blues federal divisions, Affiliated computer services that pays the FECA claims and does the whistle blower intake as well as the fraud reports for HHS now. and and monay others involved in all of this, too. They are a subsidiary of Goldman[ Sachs and used to be called Global Compliance?.
The case number for the report is________________________. and the call was taken by _________.
As you can see, the employee, who took the report is in a serous conflict of interest in the matter since all of these offenders, according to the law, the Judges, etc, and unaccountable to no one until Congress acts. You are the key witness for HHS against some of your contracting ethics company contractor against all of what is going on. But, I have mentioned to them in years past, you could get all the parties to the 'same table' to mediate an outcome which seems to be the intended purpose for calling it an ETHICS AND NOT A FRAUD LINE. THROUGH OUT THE NATION NOW./
All hire good people, our neighbors, but the training is too often full of major omissions that CMS says is to be done and shared. And much of this has been shared on line as its beyond comprehends that our elected leaders for years and years have let this go on and get so bad I CANNOT GET A LIQUID OXYGEN SUPPLIER AND THE FINANCIAL HARDSHIP IS BANKRUPTING AND I AM APPROVED FOR LIFE BY ALL THREE OF MY HEALTH PLANS FOR IT AND YET nothing and that is also explained in detail online. I have published this letter as part of my sharing of how horrific it is for every one now. as all of us are under this and all are. And I DO BELIEVE THAT ALL SHOULD HAVE THE RIGHT TO GOOD HEALTH CARE AND LIFE ,
It does not matter what the plan is, if no one is over seeing its being done as it should and our precious tax dollars and rights are not being stolen form us along with our right to live. Our good doctors who take care of us when we are sick or injured and keep us as healthy as possible the rest of the time, are being squashed by this international cabal that has over thrown our basic rights and I encourage all to vote and try to find out who is trying to do what is right in the matter of over sight etc. and support their efforts but to not keep reelecting those who have sold out our rights to even life years ago.
When you took over 1-800 Medicare your employees had been ordered to not see any fraud and to not complete reports on anyone. I pray that has changed and CMS has said it is to be done.. And we have three in my household who have Medicare cards and we need to be able to call you to check things out to enable our to pursue our rights, etc.
If I could have called you Monday, I am sure that one of your people would have gotten the message to whomever tried to reach me on 10/16/15. But we do not need any hassle over this. YOU SHOULD NOT BE USED TO HARASS ME AT ALL .Even though your people are nice, for the most part, they get put in an untenable position. And do not know what to do as I beg them to get the matters back to the ones whom it was sent to take care of. Your people just do not have access to the laws and rules , etc. and when our appeals and filings are not even posted??? The law is clear, and those claims unprocessed CELERIAN group is blocking me from getting any more pay for my liquid oxygen we get direct from the gas company until they are. And a hearing is pending on the earlier ones already to get Medicare to pay when one cannot get a supplier when one will die as ones with a job injury is being blocked now from getting an oxygen supplier as claims will never be processed by Pres Blodgerr. A dummy offline form with phony codes and no appeal rights is not processing. as that is starting to occur on a few for the first time in 17 years and the process s going on all over now as suppliers cannot wait for a year or two to get any pay eventually from Medicare or even Medicaid. as its under that 1988 labor law to save lives from abuses and not end them with no processing being done. FECA out me on home liquid oxygen over 21 years ago and its the accepted treatment for tis kind of injury. and far less expensive than hospitalizations and ling transplants, or even some prescription drugs now some other types of illnesses need for life, etc. which I would probably not be able to tolerate. etc. .
HR 1063 does give enforcement right to a timely processing. 17 years is not one. with all timely filed and pending and Lincare and Rhema not even filing as blocked by him?. I filed to protect the filing dates and there is a pending judge's remand to get them from them, too.
All this is explained many times online here. One can do a word search above and find all the places I have mentioned this..And pray that maybe something can be done for all claims and appeals to be timely processed by those who were contracted to do so. as to not do so is UNETHICAL and you hold evidence of violation of my civil rights by the ones who sent the matters to you. what ever it is. But I have not sent you any letters for years. when I did a FOIA request that the prior owner never responded to, either.
Attached is a copy of the transcript message. PLEASE DO NOT DISCARD THE PAPERS SENT YOU BY THE ONES WHO ARE CONTRACTED TO DO THE WORK ON THE MATTERS. That is not you. If you are still able to retrieve all of the fraud reports that were not sent to HHS in DC prior to 12/12/ please do forward them on, and I would still like to have a hard copy of the records on claims paid on the 17 claims numbers. You cannot input to send a summary notice on each as that is suppressed. Otherwise every one would have gotten them and the news media forced to address it long ago. I did get some of this, but not all from another source. Novatis has been sent it again.
MEDICARE SYSTEM IS NOT SECURE, AND THE COMMON WORKING FILE CANNOT BE RELIED ON. The simple and legal answer to give all, is treat as a conditional payment and that will result in protection for the patients and medical providers and suppliers and afford due process rights for all parties. ITS THE US CONSTITUTION THAT IS BEING TRASHED IN ALL OF THIS AS ITS AFFORDS US RIGHTS THAT ARE BEING DISREGARDED AND THE SECURITY OF THE NATION IS NOT JUST WEAPONS AND MILITARY AND PLANES. BUT ITS PUBLIC MONIES IN OUR SOCIAL AND HEALTH PROGRAMS TO BE USED ONLY FOR THOSE WHO LEGALLY ARE TO HAVE IT AND NOT ALLOW OTHERS TO DIP INTO IT TO GET OUT OF PAYING THEIR OWN BILLS.
Its our system as passed by our elected officials and pray that we get some budget soon for our federal agency law enforcers to check things out and stop insecurities in our data and system from those on the inside, as well as from the outside hackers. I understand all are now trying to handle things as 'ethics' issues, but three comes issues that are go far beyond that and are considered crimes. And if there is to be no fraud, then many of the phone numbers Global Navex now answers for various government agencies and contractors, should stop calling them selves fraud lines.
Thank You for your consideration in this matter as GENERAL DYNAMICS IS A KEY WITNESS IN ALL OF THIS. The Nation needs you and so do I to help.
Linda Joy Adams 10/21/15.
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