France Catches Terror Cell involved in Paris Attack! | Alternative This is info out there/ I am not a first hand source of any of the current info. But I have reported here how for 2 years I tried to stop 9/11/01 so I am well aware of how a few at the top know many things most of us have never heard of. and we all try to find out who care about this world and people on it.
So much of the history of the 20th century is unknown to most and how many decades or another hundred years will it remain hidden is the question to ponder . FOR INTENTIONAL IGNORANCE leads all of this world down a horrible path of death and destruction.
LETTER TO OUR DOCTORS, LABS, ETC
OUR DOCTORS ETC ARE GETTING UNUSUAL LETTERS NOW, THAT SHOW IGNORANCE? OF THE CONDITIONAL PAYMENT LAW OF 1980 by the senders These are letters you should have been getting soon after the claims were first paid by Medicare but the law was ignored since 1994.. on this for the most part by most. of CMS partners.
We have had appeals pending on every claim paid in part by Medicare since I first got the card in 2000 and others got them later that have Fed Blues as primary. As patients are liable if they do not report and clams processed as conditional under Medicare.
More letters are to come. and YOU NOR US ARE TO REPAY ANYTHING AS WE ARE NOT LIABLE AS THESE APPEALS PROTECTED ALL OF US. This is is where you were tricked and told to bill Medicare by the entity that has near total control from every conflicting end We are here as your witnesses and with documentation to show you were tricked and I say coerced with implied threat of no payment at all in some cases. A few dropped me as a patient over this as the coercion was too great dealing with ACS, et al as management firm.
Most have gone through a lot trying to get paid. anything and the law says it should never have occurred. But the law has not been enforced since 1994 and we all got and are getting robbed, but a few laws are now beginning to be enforced, even though those who facilitated the breaking of the laws, is still in charge of enforcing it.
WHAT IS A CONDITIONAL PAYMENT UNDER MEDICARE?
This is a basic underpinning law that saves lives and keeps the whole health care industry honest. But the 1980 law and some amendments and court rulings over the years, has not taken away the basics of that law. Medicare will pay when the health plan or health insurances that is legally to pay first, refuses to honor its obligations to the patients and pay for the care. that is legally covered. BUT those who pay claims and those who ask for Medicare to go ahead and pay, MUST label the payment as a CONDITIONAL payment and send it to the RECOVERY UNIT contractor to collect the money back from the one that was to have paid the bill or paid it first.
Otherwise all involved have committed MEDICARE FRAUD. Its theft of one of the most basic social safety net programs we have. for those who are aged or disabled to rely on.
The law has not been enforced since 1994, but that does not mean its not the law. Its been a voluntary one since then , but the overpayment liabilities against the patient and the medical provider or supplier is STILL OVERPAID if its not been labeled or coded as a CONDITIONAL PAYMENT.
For 17 years, I have been trying to explain this to all. As even the Medicare judges in my cases, have stated its an overpayment against the patient if its not labeled or coded as a CONDITIONAL PAYMENT.
But the over a 100 companies under the control of Lynn Blodgett, President of Xerox Management Services has been promoting the ignoring of this law. "let Medicare pay" has become a mantra that few seem to understand is theft, a federal crime with consequences for all. I've told many to call the ACS call center ask and get the id number for the call to document what you were misinformed about before going on to other health plans or Medicare to pay the claim,
All most know of is one part of the law; to get back future money that might repay Medicare, such as a car accident or job injury case that has just occurred and some day the approval will result in money approved for paying the bills and then that money has to be used to repay any government health plan first, Medicare. Nothing illogical about it. Be thankful for the easy to get safety net under Medicare. but its been taken advantage of
AND ITS UP TO THE RECOVERY UNIT TO MAKE SURE THAT THE MONEY IS RECOVERED BACK TO MEDICARE. By sending out letters so every tone knows what is to be done.
PATIENT AND DOCTOR, ETC PAY BACK NOTHING
under this to Medicare. as LONG AS ITS CODED A CONDITIONAL PAYMENT. We have done our part and over the last 17 years, and shared here, its IMPOSSIBLE for either the patient nor even the doctor, etc. to enforce the laws, when the government is not even doing it. Letters being sent to on all bill paid under Medicare either first or in my case even secondary clearly show near complete ignorance of the law.
We have notified the RECOVERY UNIT OURSELVES OVER THE YEARS AND MANY RECOVERY LETTERS DID GO OUT, But they had the address of President Lynn Blodgett's company in London KY. and NO ONE IN THE GOVERNMENT EVER SAW THE LETTERS. nor were they legally answered . part of this is a conditional due process . Where if a health plan or insurer or party liable I asked to repay then they have rights to say no and I and others have the right to counter, etc. Its the usual legal process we have in all matters in this nation, OR USED TO HAVE.
NO GOVERNMENT RECORDS EXIST PRIOR TO 5 YEARS AGO. on the systems so much of this has gone on over 5 years when in 2009 or before when President Blodgett went around and lied and said that " SHE HAD GOT A WORKERS COMPENSATION PAYMENT AND RETIRED AND THEIR IS NOTHING TO DO ON MY CASE." and he said this from agency to agency heads in 2009 after 4 appellate agency judges in multiple agencies said just the opposite and ordered all to ask me for the facts and get files reconstructed using my records as "gossip and rumor had rum amok and no one knows what is going on." MEDICARE RECOVERY UNIT CONTRACTOR DESTROYED ALL THEIR HARD WORK UNDER VERBAL ORDERS OF PRES BLODGETT. I have no idea what they have for what is even accepted conditionals from FECA, except oxygen under the 1988 Labor law makes it 100% go to recovery. something I did not know until recent years and President Blodgett's own manager said so l. Plus others since. then.
Throughout the government,, the government has no access or ownership of their own records or data and President Blodgett's verbal word is all they have to know anything. US Department of labor has not access to my files to even process my pending request for permanent disability and due to the 1988 labor law , when I was put on liquid home oxygen by federal workers comp over 22 years, ago, it locked me in for permanent medical coverage with them that was not just for some bills but for ALL BILLS.
So no one has to figure out if this bill or that one is under them or it Federal Blue Cross Blue Shield is to pay first as my primary employer group health plan. prior to President Blodgett's companies taking over control at Blues? Their medical subrogation unit was keeping track of all the claims and doing recovery actions. That all changed with President Blodgett who stopped the law from being carried out. He found out they were doing it?I name him as he is named by high level officials and head of contractors, But who does he work for? It is an international cabal of interlocked and owned companies at least. which has ended the sovereignty of many nations with what governments have allowed to occur world wide in many areas. as a person of faith I pray for President Lynn Blodgett to be the biggest witness and whistle blower of all time and tell all.
One cannot retire under FECA until that permanent disability is approved and there is no way to even get started if the files cannot be had by my claims examiner. to make the initial decision which will go in to negotiations involving at least 4 parties , of which I am only one for a schedule award for loss of body part use. For internal organs , like lungs, heart, etc. its a negotiated one. Then one chooses to do a buy out or just continue to receive monthly checks. This is separate from the medical bills being paid. Which are to be right now and very timely and at the employed fed Blues rate.
All this info came form President Blodgett's own management as well as its in the laws, etc. and official at US Department of labor explaining it. I got a follow up letter on this in 2009 from a claims examiner of mines who then retired. to get all for the pending request BUT LOCAL OFFICIALS ARE NOT ALLOWED TO HAVE ME SEND THEM ANYTHING IT HAS TO GO TO PRESIDENT BLODGETT AND HIS CONTRACT DOES NOT GIVE HIM THE RIGHT TO DECIDE WHAT IS TO BE POSTED AND become the decider of facts at all, , HE IS TO POST TO MY FILE, HE has yet to set up for me since the took over in 2002. So even judges orders remanded to post my file are not allowed to be seen by those in the government. If I showed them my copy, they cannot 'officially' see it.
BUT when ACS, took over in 2002 , President Blodgett's call center was accessing info on their own system that I and others with older established cases had gotten a million dollars each to pay for our medical care and were saying I AND OTHERS HAD RECEIVED IT AND WE DID NOT.
However many have said it was to have been put in some form of fund and we would show our Federal Employees health Benefits card, or choose a plan to pay the bills at 100% . That would be fed Blues for me which is 'managed' by another company of Pres. Lynn Blodgett. there. I was told by an OPM official that 50% of what co pays Fed Blues is paying ion me come out of some kind of fund. not from the company form premiums paid by me and 3/4th ? by the taxpayers. many inside the government know how bad it is , but with no support from congress, little can be done.
The money disappeared and no one know where it went? OIG for OPM suspects an embezzlement ring in operation, but they have never been allowed to investigate and NP BUDGET FROM CONGRESS FOR ANY AGENCY TO INVESTIGATE CRIMES INSIDE OF GOVERNMENT CONTRACTORS FOR at least 17 years, when we found out and began to document what has gone on with our records and bills. This bunch was very unhappy , we were finding out the secret over thrown of the government had been done and getting worse with blatant thefts going on now. and the patients and our good doctors etc. the only ones with legal risk with no government being in charge.
So the OVER THROW of the USA is very real when from agency to agency and at all levels , the business of government in ll areas is contracted out and there is no one allowed to police or even over see what is being done. There are no internal audits either to make sure the constitutional and civil rights of all are being upheld. Its not just the people's money that has disappeared in area after areas but OUR VERY RIGHTS HAVE ALSO And that is every one's including out good doctors, etc.
Intentional poor and seemingly intentionally wrong training has led to IGNORANCE STEALING OUR RIGHTS AND PUBLIC MONIES.. Good people work in all of these areas and few understand that what they are doing is criminal. as its been going on for over 2 decades now in many areas. The quote form former Sec of HHS Donna Shalala was "THE INSURANCE INDUSTRY COULD POLICE ITSELF. " as she suspended the government from enforcing its own basic underpinning law that has led in many ways to the collapse of our health care system in this nation. how can any budget be made by a government or health insurer? How can ones doctor know what treatment plan to prescribe when he or she has no idea which is the primary payer.
Years ago doctors learned that prescribing the best option will not result in care if the patients cannot pay for it. So they work with ones health plan to find the best options for the patients. WHY DON'T WE HAVE EQUAL BEST CARE FOR ALL? A real 14th amendment right? if those precious health car dollars were not being stolen by those inside the contractors etc. maybe we could have enough for all and fair pay for those treating us, also.
The good part of the 1994 order in the memo was for employers to post to the system of employment status and what insurance they had that was to be the primary for them. AND ALL FORBIDDEN TO ALTER IT, BUT WITH THAT HACKED IN TO MANY TIMES AND ALTERED its been degraded in violation of their CMS contracts. If one disagrees they take it up with the employer. Mine saying I am active duty and Medicare is secondary to two primaries is accurate by law and three Medicare judges says it is accurate also who got the internal documents from the official records. Which is something my claims examiner at the FECA office in Dallas cannot access.
Most are getting the hacked version unless one gets up in thee wee hours of the AM on a bi weekly Tues to see the posting before its illegally hacked from inside. This hacking may have ended last week as I had called mid day and found it intact as posted That does not mean all will pay as they should for the three of us. with Medicare cards on my Fed Blues policy. ACS and Ill Blues etc. are not going to be willing to pay fines and penalties with out a fuss and there seem to be some bad things going on with the letters all are being sent that have lo logical basis in facts or the law of the process on this.
CELERIAN GROUP AND NOVATIS TO REOPEN AND SET ASIDE AND CONSIDER ALL THE FACTS. AS submitted and not with the files when decisions made.
There is time to ask both Celerian Group and Novatis to set aside and redo the decisions and send them to recovery which is all we had asked them to do to protect us and our good doctors, etc. from any liability risk. and ALL THEY ARE AUTHORIZED TO DO. IS JUST THAT. based on any semblance of things not being as they should on systems or as said by the parties. They are not the decider of what belongs to FECA and what to Federal Blues. When Novatis said it was not FECA, why did they not say them Fed Blues to pay first???? They act as if they do not even know their own job duties under the CMS contract which is to pay and send to recovery .The recovery letters and all the due process rights with them is where all these decisions are made as what is or is not FECA's bills. And wih no file posted at ACS for my workers comp person to see, even she does not know .... its why the SMART law of 1/11/13is crucial to make this file get posted and my records will be needed if they cannot find several sets somewhere. And lots of due process rights on all of this.
BUT THE COVERAGE IS CURRENTLY THERE NOW, NOT IN SOME FUTURE TIME. its only impeded by those in control not setting up systems file, and processing with appeals rights, etc. as the law requires them to do. And that is President Blodgett and his companies throughout all of this form every conflicting end to another. And even doctors, etc. have them as managing firms, too. its a real horrible nightmarish mess of real corrupted chaos created and those in charge stealing form all of us at risk in all of this.
And that includes patients as well as our good doctors, etc. caught in this and being crushed at the bottom of a hierarchy that is not a legal one at all. All who work for this cabal , remember this is your own doctor, etc. being crushed under this. SUPPORT YOU OWN DOCTOR ETC. you count on to be there when you are sick or to keep you healthy.
All Novatis and Celerian Group etc. saw was the hacked in file and have no idea what in the world they were looking at as I cannot call them etc. and could not set up a self reporting site the last time at Coordination and Recovery contractor Emblem Health International formerly Group Health which has owned all of our medical data and the billing system since 1999.. and not under the HIPPAA law, either as contractors and government officials still are not under that.? They do not want their people adding the Blues back in as it counters the order from President Blodgett,? and all ignoring the terms of their CMS contracts forbidding the hacking in the first place. I tried wither. All has been faxed to them over the years and more recently over and over also. And ignored by orders of President Blodgett. in the over thrown government of his verbal word is the law of the land now?
HUMANA IS STILL WRITING THAT DOYLE DOES NOT EVEN HAVE FEDERAL BLUES PRIMARY OR SECONDARY AS ITS NOT ON THE COMMON WORKING FILE AND ALL THE EVIDENCE SENT MEANS NOTHING TO THEM.? THIS HAS ENTERED INTO A WORLD OF SURREALISM? Friday one of their grievance people called and HAD NO IDEA WHAT A CONDITIONAL PAYMENT EVEN WAS. So what in the world are they being trained to do???Ignore CMS rules, the laws and the US Constitution? he seemed like a nice person, but IGNORANCE OF THEIR JOB HURTS ALL OF US. when Medicare is paying bills not owed and all workers paying taxes in to the program so they might have the coverage some day when they need it. why doesn't he know? Humana is no different than all in this has been our experience. There is even AARP in trouble for some years on me. They took no responsibility to pay things legally either, except we now know President Lynn Blodgett was and has been mispaying? all the Part D prescription drug claims for all the insuring companies? And they do not know what a conditional payment is either. yet! Good people kept ignorant of their job duties.
The IT people at US Department of Labor told me several years ago, there have been attempts to delete my FECA coverage with out success, but the FEHB Blues can be deleted after posting and why it seems the hacking is coming through President Lynn Blodgett who is the systems info giver from OPM to the Common Working File which could be another posting of info. It is hacked to deleted the Blues. , apparently since it cam be changed to another plan each year if I choose. to This year there is nearly no other choices in my area. as there used to be and not few for any fed anymore or their family members on their policies.
The CMS intermediaries are the ones who pay the claims under Medicare for the government as a contract and their mistraining in recent years is down right criminal and most seem to have no idea they are involved in ' organized crime' against the taxpayer. as they do what they are told they are to do. But few know anything about CONDITIONAL PAYMENT LAW And they are key to making sure claims get paid then sent on to the RECOVERY unit.
we know the Common Working File has been hacked into illegally alter which plan is to pay first for all these years. Its a contract, and no one known in the government what is going on even if we share our documentation. THEY NEED TO SEE IT. And no budget form congresses to do so.
All we hear is Medicare is going broke and more money needed from congress, BUT STOP THE THEFTS FIRST and recover the money due back and then see what is really needed. I do not think the government's actuaries who did the math years ago,, bot it that far off that it would be so out of money that payments o doctors, etc. have had to be cut. WE HAVE BEEN ROBBED and WE HAVE NO POLICE TO STOP THEM Is the real world of how we have got the USA in so much debt and thee THIEVES ARE ON THE INSIDE. not a few scam artists doctors, etc. who also have been allowed to steal far more than they would have been in the past when those contractors on the inside helped identity the few stealing early on and helped stop it. I suspect inside collusion has gone on for some of these theft totals to have reached 100 million dollars, etc. That shows someone in the claims paying contractor was not over seeing even their internal process let alone having a real internal audit from the government be involved in reviewing processes, etc.
CONDITIONAL PAYMENT LAW of 1980 was passed for a big reason that few understand at all. Its to stop 'ILLEGAL DUMPING" onto Medicare is the term still used. This is when there is collusion and conspiracy to defraud. by health insurers and liability insurers in collusion with even government contractors, to get out of paying the medical bills. AND ITS BEEN PERFECTED to the nth degree in many subtle ways over the last 22 years so that much of what is due back is not even being labeled as a conditional payment to get the money recovered.
This is not future money to be granted to repay at all. ITS THE CURRENT ONES WHO ARE TO PAY ARE NOT PAYING And being allowed to get by with not paying.
In my case, if it were not FECA's bills, then it would be Fed Blues and bi weekly an official posting comes from the US Department of Labor official system , which the local regional office of FECA can't even see. to know. Part of this contracting out of systems has meant that its been 'handled' to keep even government officials IGNORANT of the facts of what is going on. I miscarriage of justice to do this to intelligent capable and basically honest rank and file civil servants as I have known nearly every one to be since I went to work for the Federal government in 6/68 after graduating from college.
BUT the patient and doctor, etc. are still getting overpaid and why its crucial that all billing people understand the law. NONE are being asked to make a formal decision of what is covered by a workers comp plan. OR BY which plan to pay first IF THERE IS ANY INDICATION OT SOMETHING NOT RIGHT OR ANOTHER TO PAY FIRST, THEN BILL MEDICARE AND LABEL IT AS A CONDITIONAL PAYMENT. That is all any are to do. No one has to repay anything from a doctor, etc, nor patient is over paid either. Only the government has the authority under the law to make the one which was to pay to pay the money back. Our good doctors, etc. are due more than what they have been paid so some day more should be coming.
This has gotten so mixed up with the other type of Conditional payment where one may get some kind of future settlement or approval. And then the patient might get some money to pay all back from. But very few of these kinds of settlements ever end up with the patients being given the money to pay the back bills.. All of this is part of extensive negotiations with all kinds of parties signing etc. and the one granting the settlement then pays .
Its crucial that Medicare keep track of what they say is due even in those future cases, , as they end up being part of the total of all of this settlement process to make sure the taxpayer gets their money back. SO THAT PROCESS , IN THE PAST WAS NOT THE MAJOR ISSUE FOR A RECOVERY UNIT.
The reason needed for the law, was, not just keeping records and sending out notices to make sure a future sum of money is, repaid to the government, BUT THE BIGGER THEFT was like mine where I have the current primary 100% coverage and PRESIDENT Lynn BLDOGETT WILL not post my files and pay the claims right now on an ongoing basis. either through ACS as FECA contractor, or if there was a congressional appropriation of 100 million or more put in some form of fund, that his company at Blues would pay from that fund 100% of all of my medical bills.
And the two on my Federal Blues who have Medicare cards, would have Fed Blues pay first on their bills. Until I am put on permanent disability from FECA and can retire then Medicare gets to pay their bills first.
WHEN THIS DOES NOT OCCUR AND LIES AND SECRET DEALS AND HACKING INTO THE COMMON WORKING FILE GOES ON , THEN its the reason for the law being passed in the first place. Medicare can legally pay first, but only if its labeled or coded as a conditional payment and THE PATIENT AND MEDICAL PROVIDER AND OR SUPPLIER HAS no more responsibility in the matter. ITS up to the government of the USA to take care of the matter to make sure the primary pays and all will be getting letters etc. to know and or agree or disagree on what the government has done.
The fact that the government has not taken any responsibility to enforce its laws on this since 1994, does not mean the overpayment does not exist if the coding of a conditional payment has not occurred.
ALL WE HAVE ASKED FOR 17 YEARS IS THAT IT BE LABELED AS A CONDITIONAL PAYMENT SO WE AND OUR MEDICAL PROVIDERS, SUPPLIERS ARE NOT OVERPAID.
When the primary coverage already exists that is all we have to do. And we are not asked to pay back any money. For in our case Medicare pays less that than the primaries. So our good doctors etc. are due more money and that should be recovered someday and we have kept all appeals alive and pending for years. For me this all goes back to 8/1/00 and as one can see there have already been answers sent on bills back to 2002, when Illinois Blues took over in TX and OK . Arkansas Blues had never shirked their duty to pay primary., but IGNORANCE led then to not label ALL THE bills as FECA"S either. but from 8-1-00 to 2002, there were few not always already covered by FECA any way directly linked to the accepted conditions before FECA put me on liquid oxygen for life.
This is a provision of the 1988 labor law that has been kept well hidden even from the injured workers and most attorneys who represent them are not aware of this either.. some things have not been right at the top of some government agencies either for years.
"EVERY ONE'S AN EXPERT"
is reflected in many of the letters as the claims payers for Medicare have decided they are my claims examiner at FECA. Problem is when they decide what is or is not covered under FECA, there is no due process letters sent out. IGNORANCE OF THE LAW, MEANS THEY ARE GETTING INVOLVED IN MATTERS THEY ARE NOT TO BE IN. Whether its the patient, the doctor, or any one else who says its this or that all one is to do is bill Medicare when its the only one agreeing to pay first and label it as a conditional payment, then THAT IS ALL ANY NEED TO DO. Its up to the government to decide. You cannot add to the charge to the government for making decisions that are not part of your CMS contract, intermediaries. YOU DO NOT SPEND TIME AND MONEY ON THIS EITHER AT ANY LEVEL. just make it a conditional payment and that is the easiest thing to be done.
RECOVERY has been contracted out, but there is still a process of appeals rights and notices, that is to go on, which Group Health , now Emblem Health International has not obeyed the law. But new rules are coming 1/1/16 that this rush to make it seem as if all are obeying the laws , still not enforced are being complied with. All of these contractors, could lose their contacts as Trailblazers did in the Dallas region if they do not obey the laws as they have agreed to do in their CMS contracts.?
Emblem Health International owns the Common Working File and have colluded with health insurers to do ILLEGAL DUMPING onto Medicare. and many are in potential serious trouble over this.
In years past, during OPEN ENROLLMENT FOR FEHB, we feds had dozens or more plans to pick from , but this year we have only about a 1/2 dozen. New laws and rulings seem to be coming into being enforced in some area? OPM Hacking is being looked at an that seems to be where the hack comes in to the CWF with that posting.
Many of the letters going out are blatantly ignoring facts, and really' combobbling' all as if they just need to get something out to cover what has illegally been going on inside the CMS contractors.?
Celerian Group is trying to say that getting liquid oxygen tanks filled at the gas company is paying rent on a concentrator from a local supplier who does not sell liquid oxygen. And I have no oxygen supplier as the approval for life for liquid oxygen only exists on the computer system for 5 years, and then LIFE ENDS IN FIVE YEARS? All I was trying to get was a letter that Medicare does not pay when one goes direct to the manufacturer to continue to get the partial payment form Federal Blues as they had been paying about 60% and no supplier as there is none in my area due to the obstructions going on, even though approved for life by three health plans, and its FECA's bills. as the Medicare judges ruled and appellate one affirmed on M09-1406. All of them affirmed my lifetime approval for liquid oxygen , but THAT IS NOT ON THE SYSTEM SO THAT I CAN EASILY GET A SUPPLIER, even though they have a long wait to bill President Lynn Blodgett and have them not process any bills for 17 years as they would be paid. and they would have to pay all of my bills , as his own manger affirmed by approval for total coverage.
THIS IS WHERE THE GOVERNMENT HAS TO ENFORCE THE LAWS AGAINST THE ONE WHO IS NOW RUNNING MOST OF THE GOVERNMENT WITH NO OVERSIGHT AND NO ONE TO ARREST HIM FOR ANY CRIME.
All the more reason for the billing people to code our bills as conditional payments. So none of us are in trouble or owe any money back. You all know how much I have tried and tried to get this protection for all of us. as most of you got lied to and told I was the 'ignorant ' one and worse...
I, who have actually taken and signed actions to enforce this law for the government , back when the claims paying company worked with the government for the people and not themselves involved in stealing from the public treasury under the management controls of President Blodgett and his companies and more than that partners.
Its an international cabal and even the SEC has not unraveled all of it as states beg them for help to get them off the Medicaid programs.
And this has nothing to do with all the other areas they are in with traffic cams, and county programs such as CPS and ADS and who do you think Snowden worked for? NSA? NO! GUESS WHO? NSA contractor is snooping on us and that entity is not accountable as the real NSA employees are! Student Loans and banks and ones own non government employer may have had to hire their 'management company(s)' to help them do business in the USA.?
And Congress says no over sight it to be done an they gag themselves to not mention that they have been elected to over see AN OVERTHROWN GOVERNMENT THAT THEY ALLOW TO CONTINUE AND DO NO OVERSIGHT OF?? Inside the government, we have good people who have not received training of what their job duties really are for a couple of decades either. I began to see it occur when we put all of our manuals, procedures, laws and regulations and policies on web sites and many went missing/ as the computers were now going to do it all for us, there is little more than we can get by accessing the public sites and that is not much we used to have.
BUT THE GOVERNMENT DID NOT OWN THE SYSTEMS NOR OUR DATA ANYMORE, AND EVERY DIGIT OR FIELD MEANS A HIGHER AMOUNT TO PAY THE CONTRACTOR. AS A RESULT WE THE PEOPLE LOST CONTROL OF OUR OWN GOVERNMENT . And the amounts stolen far exceed the info being made available for all to know and follow.
And we lost ownership of our constitutional rights with regard to our own personal government records. This is the bigger picture on all the snooping by the contractors. NO WAY TO ACCESS IT BY THE ONE THE INFO IS ON AND NO WAY TO CORRECT ERRORS OR STOP HACKING IF ITS FROM THE INSIDE AS MOST OF THIS HAS BEEN. to steal from the taxpayer using our data and files to do so. Such as illegally altering the primary payers by deleting our Fed Blues as primary as it posts so all get tricked into billing Medicare.
And all of those clearing houses and management firms have their info coming from President Blodgetts' companies et al and all are paying for bad info ; being passed on and no instructions of how to do a conditional payment. These clearing houses, and ACS et all owns some of them, is being paid to see all billing people get legally correct info and THEY ARE NOT GIVING WHAT ALL OF THEM HAVE BEEN WELL PAID For. All they have been doing is passing on the illegally hacked Common Working File causing havoc and chaos and IGNORANCE ABOUNDS. TO CAUSE Medicare to get billed.
Even the date of injury is wrong for nearly all injury cases. as the system was not programmed as ordered by the specs from the government officials, at all. Its still using the date of entitlement to Part A Medicare and they nearly all injury related bills will be missed by the system which would have caught them even if the billing persons put down the real date of injury.
I have no idea what is on the system for accepted conditions, as even a pulmologist bill got sent back in a letter from Novatis as if that was not covered. REMEMBER THE RECOVERY UNIT HAD ALREADY SENT OUT MANY RECOVERY LETTERS THAT INCLUDED that bill, and/or similar ones. They have no access to know what the Recovery unit has already done on my bills, but no response from the US Department of labor as they were never given them by President Blodgett.
Oxygen means all bills go to recovery from ACS et al. And they need to be made to respond in their usual time which is only about 10 business days and do so with appeal rights. We have appeals on all the bills they did process referring to this million dollars? and occasionally did pay then reversed themselves as their system says they are to be paid and some did so.
THIS IS EXACTLY WHY THE 1980 CONDITIONAL PAYMENT LAW WAS PASSED IN THE FIRST PLACE TO STOP THIS KIND OF SKULDUGGERY AND PART OF THE PROCESS WAS FOR THE OFFICE OF INSPECTOR GENERAL TO REVIEW THESE CASES TO SEE IF CRIMINAL CHARGES SHOULD BE BROUGHT AGAINST A HEALTH INSURER OR HEALTH PLAN OR EVEN A GOVERNMENT CONTRACTOR.
In no way should the patient nor any medical provider or supplier be subject to any of this. and if any such is intimated please, let us help as we are key witnesses to our own medical treaters as well as any one else caught in this. WE KNOW HOW HORRIBLE THE COERCION BY THIS BUNCH HAS BEEN. against us and against the taxpayer who is owed a lot of money back on many patients. but NOT FROM US.
There is a third party law suit filed in Hudson County NJ against the owner of the building et al. This was required by FECA law and any money for health care would be repaid to FECA and why its imperative all of this get coded as a conditional payment and recovery letters of the past resurrected and new ones be sent. noting pending can legally be deleted and too much has including permanent approval for life time liquid oxygen that has had to my life threatening situation. .
that suit is waiting for FECA to figure up the damages first, then the government asks for the money back I would not get the money for bills paid by Medicare or any other plan first and then pay to Medicare directly. CNA et al would be doing that.
But currently all of us have primary coverage before Medicare, and I have two of them.
Nor would any doctor, etc., on me and Blues be asked to repay for the others on my policy as my employed status has never changed re US Department of Labor that has official jurisdiction of me. And its will not until FECA gets me on permanent disability but is being obstructed by President Lynn Blodgett defying their judges to post my file using my records, etc. I am do a lot of out of pocket expenses yet to be processed and pending for years. We live in poverty over this and need to be made as whole as possible when the law says we are to be.
he is in defiance of 38 federal agency judges in multiple agencies as controller of data and files and one who pays If that is not proof of an OVERTHROWN GOVERNMENT INTO THE CONTROL OF AN INTERNATIONAL CABAL? what is? in the past agency judges were obeyed by those rank and file workers who got the cases to work and do as ordered as their audits of work product would be affected if they deified them like this.
Vote and try to find out who is wanting the government to again do its job. And we pray that we do not have our health care affected by all of what is going on. The day of reckoning has come, when the government is broke and is looking to now, get back what is owed and the fines and penalties and monies to be recovered are not from our good doctors, etc. nor from us. But form the ones who were to have paid the claims in the first place as awarded and the laws said was to occur.
Date of Injury for Linda Joy Adams is 1/10/89 at HHS-SSA Jersey City SSA Teleservice Center.in a Hartz Mountain building , 2 Journal Square, 9th floor Jersey City NJ
with an established non controverted FECA case.
Yesterday I linked a lot of online articles to this site. Some by law firms. MOST SAY LITTLE ABOUT PRIMARY EMPLOYER GROUP HEALTH PLANS NOT PAYING BUT ITS JUST ONE THAT HAS ENGAGED ON AN ILLEGAL DUMP UNDER THE ACS ET AL MANAGEMENT FIRMS OUT OF OPM WHERE THEY ARE THE INFO MIS INFORMATION GIVER. They are the prime suspects of all of the internal hacking.
I am one of the 84,000 'disappeared feds who did not get an OPM hack letter from President Lynn Blodgett to have one of his partnered companies monitor my credit for me. The hack victims from 'inside' do not get protection from the hackers?
Linda Joy Adams 11/17/15
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2 comments:
I've received hundreds of letters to respond to and this was written fast and its not the most well written and there are typos. One can do the word search at the top of this article and find more and better written articles on conditional payments. we have had a basic law ignored for over 22 years now and we have seen the devastation form the government not over seeing a major program. 1. none of them admit these appeals have not been ending for years. 2. none are even acknowledging Fed Blues even exists. 3. the CMS intermediaries which pay the claims are not to try and decide if something is FECAs are not and are wasting their time and taxpayers money trying to.4. The owner of the Common working file is also the Recovery unit and there is a major conflict of interests in that, but there are rules and laws to follow now and they are to do it or?5. No patient has any way to get a waiver of overpayment and none of the SSA 632's have been answered either at SSA who agreed to do this kind in 2005. I pray none of us lose our doctors, etc. over this as we are on our side and know very well how difficult it has been for all. Most patients and others do not even know they are overpaid and collections are being contracted out and are laws going to be obeyed? When they already have not been. Some who have inherited monies form one overpaid patients may find collection actions take. I got caught in this from day one, as I could never say I did not know the laws on this. Congress needs to get into this and grant a blanket wavier to patients and their good doctors, et.c then recover the monies owed. And if some insurers have no money to pay claims, then maybe with another form of health care plan created a long time ago rather than this 22 + years of an 'under cover, under handed' bail out of them.. now we have no way to really know who was solvent 22+ years ago to survive as they got pushed out with this unfair corruption as competition and that is NOT FAIR MARKET AT ALL. Linda Joy Adams.
I do not know how this comment above got posted under Prince Michael as its from me Linda Joy Adams
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