Linda Joy Adams: DAILY RECAP 10/22/15: General Dynamics,Medicare Bill Collector?: President Obama Born in Topeka KS, son of Jim T Parks

Linda Joy Adams: DAILY RECAP 10/20/15-10/21/15;Letter to General Dynamics: President Obama Born in Topeka KS, son of Jim T Parks This is a link to  the letter.

                      ADDENDUM TO LETTER TO CHAIR OF GENERAL DYNAMICS.1-800-Medicare

which includes an appeal to  Humana  to give the proper redetermination decision with appeal rights.



       Today we received three more letters about all the work General Dynamics is to do. for all the other CMS contractors who seem unable to handle their own duties?  Besides paying claims, processing appeals, the latest is now you are  apparently to collect monies back from primary payers doing an illegal dump onto Medicare?.

      One letter came from you; and had my name on it. Linda Adams. dated 10/16/15. No signature and no name to know who sent it. The envelope return address was CMS (services) at PO Box 8065 Little Rock, Ar 72203-5065 and this is not a CMS office at all. but your call back center?  It again refers to my letter of 9/2/15 which I nor Doyle sent you anything. what you have is either a claim for a medical service to be processed, and paid, etc. or an appeal to process and its unknown which or from what CMS contractor?  There is an apology for any inconveniences and infers if we do not call you, the gravest of deeds will be done and what was legally filed with someone else per CMS guidelines is now gong to be destroyed along with all civil and constitutional rights.  Its signed 1-800 Medicare, your company.
   As previously stated  in the linked letter; we cannot call your company. after documenting that the previous owner had disappeared thousands of fraud reports that never got docketed in at HHS headquarters per their contract concerning fraud detected by a partner of CMS, These  are what were stated to me by the 500 named witnesses documented the fraud committed against us and the COMMON Working file and theft of Medicare that cannot be stopped until Congress allows some budget to go after Medicare fraud inside its own partners and even to do internal audits to even know if laws and policies are being followed. Obviously they are not throughout much of the nation, or you would not be getting all this work to do  that other contractors are well paid to do..?

        The second letter was from the Grievance and Appeals person at Human Part D on Doyle Adams  and sent to him and was not properly processed per the new 3/15 CMS guidelines as to how to enforce HR1063 against CMS contractors and others doing the illegal dumping on to Medicare since for over 22 years, the govt has not enforced its own laws and allowed this to get worse and worse as Medicare paid  other companies bills and got by with it as patients incurred over payment liabilities  and medical providers, suppliers and pharmacies also got overpaid and in grave legal risk over what has been going on and  none can do anything about, except do the civil appeal process to document all and this is being met with grave resistance throughout. Most patients and even medical providers are unaware of the over payments being amassed against them that do not go away, and at present there is no one to process a waiver for them as SSA agreed to do this kind in 2005 and has not processed one. to date.
The COMMON WORKING FILE OWNED AS CONTRACT IS HACKED INTO BY THEMSELVES IN VIOLATION OF THEIR OWN CMS CONTRACT FORBIDDING ALTERATIONS OR DELETIONS OF INFO  re employment statues or what health plan is the primary insurer.
 I became  aware of this illegal hacking  17 years ago. And the process became an automated illegal software program in 4/09 about the time that 4 appellate judges, one of which was at Medicare came down hard on President Lynn Blodgett  now of Xerox Management Services and his over 100 companies and more with controlling interests and secret  info giving deals  that basically said CMS  and other agencies need to stop the unethical and illegal actions going on. and legally  implied all should change contractors?. M09-1406 is the appellate decision based on the lower judges who got the official documentation form the Us Department of Labor that posts bi weekly to the  COMMON WORKING FILE. under threat of subpoena. THAT IS NOT WHAT ANY ONE SEES, UNLESS THEY ARE UP IN THE WEE HOURS OF EVERY OTHER TUESDAY AM.
Nothing can change on my system  until he posts my file and allows my claims examiner there to process my claim for permanent disability  as they have no right, like many government offices, now to have access or control of their own data which is our data. Not even their own judges orders can be had to work. and obey.

He is in defiance of 38 agency judges now at lower and appellate levels and the THEFT OF MEDICARE GOES ON  along with risk of life and livelihoods.

    We get no due process notice biweekly that a primary payer health insurer is being cancelled and my employment statues changed, either. for 2 weeks until reinstated for a couple of hours until the next hacking occurs.  Govt It people call it hacking when the security protocols in the system should prevent this when ones employer makes a posting. But even if not there, no one is to alter it. AND ITS OPEN TO ANY TO GO IN AND ALTER IT EVEN IF WELL INTENTIONED AND IGNORANT OF THE LAWS AND RULES.

        So Doyle gets a letter from Human reference Number_______________ and  A_________ _____________ from the grievance and appeals department seems completely ignorant of what the conditional pay law is and apparently read nothing we sent them. Worse than this is there   is still insistence that Doyle does not even have Federal Blues High option coverage under me as soon after Doyle signed up for Part D with them, they were told by some unknown party that he had cancelled his Blue Cross Blue shield.  Doyle had no idea this had occurred until more recently and then we sent appeals to them with copies of Explanation of Benefits from Blues showing them he indeed still had the coverage, which includes { a comparable prescription drug plan  but no one chose to read or look at anything we have sent.  MUST USE AN ILLEGALLY HACKED SYSTEM?

Another reconsideration processor for Medicares did send us an explanation, that appears to be the same through out that THOSE PROCESSING ANYTHING MUST USE THE COMMON WORKING FILE AS IT IS WHEN THE WORK IS PROCESSED WHATEVER IT IS. Even if its been illegally hacked.  "aid and abet ongoing theft of Medicare.?"

            One of the main reasons the Conditional pay law was passed 35 years ago  is so that if any allegation of Medicare not being the primary for any reason or from any source, the claim can be legally paid by Medicare IF its labeled or coded as a conditional payment and that goes then to the recovery unit to investigate and get the money back from the primary APPEAL RIGHTS APPLY.
But since 1994, the employer's word is to be taken for the matter and any disagreements is dealt with employer. The official FECA file is accurate. The program has just by HIJACKED BY AFFILIATED COMPUTER SERVICES  and none can do anything to save lives and health and stop the illegal  dump on to Medicare, except now HR1063 can be used against them, for civil recovery But that means all at Medicare need to fully cooperate and that is hard to do when all think you are to do it all for them?
.And why under the original law, the Office of Inspector General for CMS would review for possible fraud charges against any party that contributed to the need for the conditional coding.. at present there is no budget to prosecute nor even investigate the contractor, but HR1063 does permit fines and penalties and the party causing all of this is the owner of the COMMON WORKING FILE  who allows its system to be hacked bi weekly with full knowledge and blacking any attempt to add the primary employer group health plan back in they deleted with no due process.

  According to this party at Humana or in the name of Human as I doubt if this is not from another of President Lynn Blodgett's companies who is the claims payer for Part D for Aetna and told for all Part D. insurers? But unlike other Medicare claims payers, who identify themselves by corporate name and heading on all letters clearly saying they are a contractor, etc.. Part D says its all coming from and being done by the health insurers which may be why this conflict of interests and control  and nothing every sent for recovery on any one for 9 years, not even for drugs prescribed for an auto accident to be reimbursed later? as President Blodgett has been allowed to impersonate government offices and government offices and he is neither and what they can legally do is very different that the real govt. many in the government do not even realize he is neither, its been that well hidden from all. for all these years. ITS PUBLIC INFO WHO IS BEING PAID BY THE TAXPAYER TO DO THE WORK

         So, Doyle got a letter , without appeal rights from Human that only referred to we answered you already and said we had escalated the matter. We cannot escalate the matters until they give appeals, rights, a time limit and say whom to file the appeal with. And every month a new list of meds comes they paid as primary and a new overpayment exists against us until this matter gets stopped and the laws and judges and terms of CMS contractors obeyed by all. And if they process as a conditional pay and send on to recovery unit, there is nothing we need to do further.

 So the letter to Doyle dated 10/19/15 sates you are getting the more recent appeals from Humana now , when the process is to send it to the RECOVERY unit to notify the primary and ask for the money back and if not repaid, fines and penalties can be assessed.  That unit is now contracted out to the owner of the Common working files, billing system and whom do they fine, themselves? BUT ITS THE CURRENT PROCESS  and we  all need to follow  it to prove to CONGRESS TO SEE IF  Emblem Health International , formerly Grip health ( GHI) will obey the law, etc. Its called due process. They have to be given a chance to do what is legal and right in the matter. Our legal system in the USA is based on the 'repentant sinner' policy  inherent in our laws.

SO GENERAL DYNAMICS GETS THE MATTER TO COLLECT THE MONEY AND DECIDE WHO GETS FINES AND PENALTIES AND COLLECTS IT?  You got sent what the RECOVERY UNIT  was to get.....per the rules and regulations., and law and judges and terms of contracts.

      So if you wish to train all of your people how to do these, then maybe you could put in a bid for the contracts and get them to do and get paid for doing them.

There is little you can do , if you cannot stop the hacking, and its harassment for me to have been on the phone for over 4 hours today   verifying the horrible broken system with their call center. who had no knowledge either of theses provisions of the laws. THERE IS NO APPEAL SYSTEM IS NO ONE CAN LOOK OR READ OR ACCESS INFO OTHER THAN THE HACKED IN SYSTEM DONE SO UNDER ORDERS OF PRESIDENT BLODGETT WE ARE TOLD ON OUR DATA. I pray for him daily.

I am disabled and this is a horrible physical ordeal to deal with such defiance of the laws. in this matter. under  a real dictatorship and pray that  Congress will again take back control of government those matters that must be if we are to stop the robbing of the USA and rights of all lost in the matters, also. Every time we have done things right and judges ruled based on evidence and laws, etc. it ends up with proof of an over thrown government where no one has rights, and no govt is in charge of running anything.

      Please do try to see that whatever you are being sent is not destroyed as that is our rights to life and livelihood and all were legally filed with various CMS contractors. If you have a different instruction on how to handle these appeals on issues of the conditional payments , please send a copy as it must be very different from what is being used directly from CMS.
You are now getting a second matter dated 10/19/15?
      The third letter received today was the summary notice of prescription drugs paid illegally in  HUMANA's name  for the month of 9/15 for Doyle and the Medicare judges say we are overpaid as there is no mention of these being processed as a conditional payment and sent on to the recovery unit.
  Please note that reports are that  Walmart is not doing as well financially and part of that is   having to double bill and that is unnecessary employee time to get pay from Humana and then do a separate billing to Blues and wait when all should be done input with  Blues first and Medicare second and pay received  more timely.
HUMANA HAS TO HAVE A NEW APPEAL TO ANSWER  ON NEW OVER PAYMENTS AND ITS NOT GOING AWAY JUST AS THE OVER[PAYMENTS ARE NOT GOING AWAY FOR THE ROBBING OF THE USA TAXPAYERS UNTIL ALL DECIDE THAT ALL NEED TO COOPERATE AND do what can be done  through the civil process, UNTIL CONGRESS DECIDES TO ALLOW SOME TO BE STOPPED CRIMINALLY  THAT IS CAUSING ALL OF US SUCH GRIEF.   And it is the whole medical industry and all the companies caught in all of the maze of chaos created when the systems get illegally hacked and no one has a common system to use and rely on
And you get dumped on to do all the work of the contractors who did not do their jobs or find out how to do them?

  This first appeal, with the claims payer is THEIR DUE PROCESS RIGHTS TO MAKE THINGS RIGHT. and show they are not colluding to steal from Medicare. yet all seem unable to do anything??? And  on part D its being done in the name of health insurer who seems to have little to do with anything that is going on , yet  its done in their name and all  the insurers who sell Part D Medicare plans and others, need to cooperate with each other some and stop  this illegal hacking  before Group Health is the only health insurer left for any one to choose from? That is not a FREE MARKET SYSTEM where all must obey some ethics and laws to  not allow a few to take unfair advantage and get others in real trouble. leaving all the medical providers, suppliers and pharmacists at risk along with the patients.

signed by Doyle and Linda Joy Adams

Linda Joy Adams, 10/22/15