Health care providers to Iowa: Go slow on Medicaid plan With all the states trying to get President Lynn Blodgett of Xerox management services and his many partners out of their states with regard to the Medicaid program.. Iowa is ignoring all the info out there from their sister states who know what they let themselves get duped into already and now can't get out of it.
I name him as he has been named by several high level officials as he one in charge and full authority with total access to data and records and control of what occurs with them THE GOVERNMENT IS NOT IN CHARGE OF MUCH OF ANYTHING ANY MORE, and its the government officials that are still accountable to audits controls and arrests for crimes. Congress has permitted itself to be gagged from mentioning this and cannot help if they cannot contact the contractors directly as none I the government knows much and if they did , maybe they should be criminally investigated. It was 17 years, ago , I found what was already corrupt turn into something even worse. where none inside the government had any way to help even if they wished to. I find real fear by many of their own bosses in the agencies. fear to even stand up for their own rights let alone any one else, And FEAR TO EVEN FACE WHAT IS GOING ON THEY ARE IN THE MIDDLE OF.
We face the uphill battle of those inside facing the fact that there is a problem. and that includes members of Congress who have allowed themselves to be 'duped' and that has political ramifications they find hard to admit and then correct what they allowed to be done. IS THERE ANY BUDGET IN THIS LATEST BILL FOR INTERNAL AUDIT CONTROL OF THOSE IN CHARGE, THE CONTRACTORS AND BUDGET TO INVESTIGATE AND PROSECUTE THOSE BREAKING LAWS.?
I personally, know of too many medical horror stories of how Medicaid has become a rip off for the patients and its no wonder doctors will not take the patients as its imposable to get the most basic treatment approved. for them. It can be the bare bones care, but there is limit of how bare bones it can be until the bones break and cannot be repaired.
When the states managed the care, there was some over sight as long as local legislators saw too it was done. But even if OK, money had disappeared for lab tests for several years, and none were aware that law tests that were part of this basic care and medically required were being billed and never processed. Many labs and doctors in the state still have unprocessed claims and then fictitious employees were discovered drawing salaries and a high level official went to jail for it.
At that time a loved one on my fed Blues had that primary and Medicaid secondary and I was asked for a co pay for the lab tests knew was mandatory medially to even get one med. and I asked to see the Medicaid manual and they showed it to me and saw that the doctor should have only had list the med prescribed and paid for several years, and should have been paid. to get the claim processed one had to go to the county and ask for a denial letter. MY LOVED ONE IS STILL WAITING AND THE DOCTOR IS STILL OWED MONEY waiting all these years for a claim to be processed..
I THEN CONTACTED THE REGIONAL CMS OFFICE AND LEARNED OF THE MONEY GIVEN TO THE STATE OF OK FOR LAB TESTS. At least the ones more crucial to have. and the state had had that money for 4 years, already to spend. WHERE WAS THE MONEY? After the high official went to jail, the state began paying for lab tests. BUT THE CLAIMS ARE STILL NOT DENIED OR PAID. for 22 years. for the years before.... a political scandal too awful to face? TO STEAL FROM THE POOR?
Claims legally filed and not processed means they are still legally pending.
What had occurred is that patients were not getting the tests run and health care got stolen. But the system worked when someone cared enough to stand up and say , THIS IS NOT RIGHT. and others picked up the ball and rolled it forward. This process of making government work , CANNOT WORK NOW. AS THE SYSTEM DOES NOT INCLUDE THE ONES WHO GET OUR MONEY TO SPEND AND NO ONE KNOWS WHAT IS GOING ON WITH SYSTEMS BEING HACKED. by them to cover up their illegal deeds.
Contracting out does not solve corruption, it makes it more hidden and it festers into a sore more horrendous. One does need to check things out and find out WHERE IS OUR MONEY?
Why does there need more layers of red tape to deliver the minimal basic care to the poor.?
RED TAPE THAT IS CREATED BY PRIVATE PARTIES WANTING BIG SALARIES TO DO THE WORK THAT GOVERNMENT IS TO DO ANY WAY . and will do if prodded a bit by our elected officials to do it.
Its time to take a hard look at the lobbying money being spent at state and local areas. I all phases of government and one may find real bribery going on. Investigations are on going in places now of such form traffic cams contracts for this cabal and in other areas too. Just more areas for real theft to go on and steal from the poor and the few doctors that will still try and care for them.
There are better ways to do this. And Medicaid itself is an medical health plan that seems to violate the 14th amendment of equal protection , for it does not give the same protection for life and health as regular plans do. ALTHOUGH THEY HAVE HAD ALL THE PRIVATE MANAGEMENT OF THIS CABAL INTERSPERSES IN IT AND many do not even get the PREVENTATIVE CARE PAID FOR IN ONES POLICIES AS WE FEDS HAVE WELL FOUND OUT FOR YEARS. 100% paid for = co pays due. SOME KIND OF NEW MATH FOR THIEVES?
There is no government health plans at all. We have taxpayer funded or subsidized health plans and run by unaccountable contractors of this international cabal that Congress has said cannot be audited for work or processes and THEY ARE NO INTERNAL AUDITS DONE FOR 17 YEARS + and there is no money to investigate crimes and arrest and prosecute any one of them.
Most state medical schools and clinics and hospitals are now under the management of one of Pres Blodgett's over 100 companies and one person has been permitted to break every law to prevent conflicts of interests that would never be permitted in regular business with just two companies wishing to merge.
And there is no bigger business than health care now. We all need it and we all want it and our elected leaders must not shirk their duties to over see that good care is delivered with a minimal amount of waste and the basics of stopping the partners of the government involved in fraud and theft have to be dealt with first. the new rules for our doctors etc. who treat Medicaid patients just got published for next year and any one can read them online. I NEVER SAW SUCH A MAZE AND IT MAKES THE TAX CODE SIMPLE AND THEY HAVE TO DEAL WITH THAT MAZE ALSO.
Wouldn't be better use of money to spend the money on health care and have a more simple method of paying for the care , as there use do be? Layers of red tape for the government to have to contract out reviewers of all of the layers is going on. and guess who has many of them/ Same entity!
It the national border not being closed in heath care just as our physical borders of our nation have not been allowing trespassers in whom we did not ask to be here. And doing nothing to make things more fair for all if quotas were not fair, or rules to come in lawfully changed as times changed to be fair and humane to others of our human family in this world, but not forgetting we have those among us who are in need also and stealing from the poor is horrendous.
Its one thing that Christ said would send one straight to hell if one did not provide basic human rights.
Its often not a need for more money , but wise use of what we do have. one does not have to be a Christian to understand the wisdom of this for those desperate to stay alive are a human tragedy and creates more social problems when one has no safety net to become independent of continued help.
Sometimes these is a need for a little extra money up front, but it the end is breaking a cycle of generations of poverty, than the 'extra mile' taken at the beginning is much cheaper in the long run and lives are saved for generations from it.
The biggest asset the USA has is its people. And when the system becomes so stagnant and riddled with those stealing form it at the highest levels for their partnered 'friends; then there is a mountain of corruption to climb over to initiate programs and ideas that empower all to a better world and all have meaningful work. and a home and maybe even grow some of their own food. and medical care if one gets sick or injured and wellness check ups to maintain good health. A government that has done many things o be allowed that create illness that common sense of the ages teaches us is not healthy. The people are being starved for nutrients even if they have money to buy food. What is bought is chemicals and puffed up air that contains no more real food then what one might get to eat in a third world country. they might even eat better if they grow their own food and have their own milk cow and chickens. And many of the chemicals in the food in the USA is considered dangerous to heath by scientists all around the world and banned by many nations form being used. the end result of any social program should be FREEDOM OF THE INDIVIDUAL.
FDA even says ozone is good to breathe for those with respiratory illnesses in direct conflict with the EPA who is trying to convince us to clean up our air to have better health for humans as well as the planet.
DO YOU HAVE A HEALTH INSURANCE CARD? AND PAY YOUR PREMIUMS/?
We do and it was cancelled to day by OPM's own contractor hacking into the system and removing our Federal Blue Cross Blue shield so NO MEDIC AL PROVIDER KNOWS WE HAVE IT AND NO BILLS CAN BE PROCESSED THROUGH IT FIRST.
And taxpayer you paid $1600 this month for myself and family to have it.
I talked to one person at OPM this week that said I have a health plan and said what it was. I said does not matter for if its not on the system it does not exist. And your medical care is going to be affected by what is or is not on it. Doctors do not prescribe treatments one can not pay for , as they will not get it. They will try to figure out some way to get the needed care that ones plan will pay for.
It was hard for this person to even grasp how the real world works with this unaccountable bunch in charge of every facet of our lives. ITS WHAT THE COMPUTER SAYS AND NOTHING ELSE. All should not wait until one is laying in a hospital ER to find out how badly broken the whole health care system is first hand with NO ONE OVERSEEING THE BASICS of theft and corruption from inside the system itself. with too many ripping off the system from among its own 'partners of the government.' The few medical providers stealing are few, but they usually get caught and legal system applied . but many of those had to have had inside collusion and they never got 'outed' as they are immune from the system when no budget allowed to spend to find out, I have been an 'insider' and something was badly wrong for any of the thieves to get to millions of dollars stolen undetected. If just that there was not over sight controls inside to know. that's part of any internal audit is the process and oversights, internally. to stop anything amiss, even if its just a training need and no bad intent to steal.
Doyle is having a heck of a time with Humana saying for years he does not have Federal Blues. We have sent all kind of evidence. But even confirmation from them EOB's etc. does NO GOOD. IS IT HUMANA SAYING THIS OR WHO IS DOING THOSE APPEALS, FOR THEM? One said it was: President Blodgett's company? but HUMANA GETS BLAMED? Most refuse to say the name of the company? OUR HEALTH CARE RIGHTS ARE TOP SECRET, MORE SECRET THAN A CIA BLACK OPS?
When OPM's information giver takes the info and posts to the COMMON WORKING FILE which already got the official posting from my employing jurisdiction at FECA, saying he has it and its primary to Medicare , the OPM posting is being hacked. AND ITS DELETED AS PRESIDENT BLODGETT DOES NOT WANT US TO HAVE IT? . And the same is happening with another on my policy, too. How come they take the money for the premium then? The 1/4th I pay for self and family? Why is the taxpayer then still paying 1/2 of any of the claims and not Blues paying it from the premiums what they pay ? as one inside OPM said was going on? Which is of the co pays, as its President Blodgett's management firm there that ordered the system should be hacked as he is OPM's information giver? and delete it to make sure the bills got paid by Medicare first? and since my FECA is to pay 100% why is the million dollars for that, his own employees said was there and said he had sent it to me? I DID NOT GET IT AND NO ONE ELSE DID EITHER I HAVE HEARD OF?
SO where is the money and why won't you post my file and let things get processed as the judges even ordered you to do President Blodgett who has total control of FECA and rapidly ever ones workers comp in the USA?
I am one of the 84.000 that did not get one of the OPM hack letters he sent out months ago, either. so another of his partners to get paid to monitor my credit for the hacking. I can monitor my credit myself as its free. but if other employees and retirees and family members get it paid for , why can't mine? Are we the 84000 that are being hacked on the inside on some sort of 'hack list" so credit monitoring may not be what we really need. WE NEED PROTECTION OF OUR VERY GOVERNMENT DATA AND PROPERTY FROM INSIDE HACKING.
WHY HACK? SECRET DEALS!? And he said to do it to his companies who control all three of my health plans and also the state MEDICAID PROGRAM that is third payer for one who has seen some bills illegally dumped on to that program when there were 2 health plans ahead of it to pay. Fed Blues and Medicare.
THIS IS THE PRIVATIZED HEALTH CARE FOR THE POOR under the Medicaid program. No government official has anything they can do about it. Nor does any law enforcement nor does the SEC whom some states have already begged for help. CONGRESS PASSED THE THEFT OF THE USA when they give no funding for real internal audit controls of what is going on inside the government contractors and can do nothing is real crimes are documented and some need to go to jail as any other thief would be sent to by the legal system.
So when a major health insurer says one does not have Federal Blues, despite all the evidence to show bills are being paid, even if paid secondary illegally, how can they do this?
Then with part D Medicare, which he pays the claims on. CONFLICTS OF INTEREST ALL AROUND?
For 9 years, we have been trying to get co pays paid for prescription drugs under part D Medicare, When Medicare is legally not the primary. but even when it does pay primary , what is Blues to pay? But we keep filing and OPM HAS YET TO GIVE ANY ONE A WRITTEN POLICY OF COVERAGE THAT WAS PROMISED BACK IN 2005. We have a lot of money owed a lot of us.
There is no seller of any part D plan that can be sold per state licensing laws?, if the seller of the policy can not tell you what the coverage is.? And that's not saying what drug is or is not covered. but what does it pay when another health plan pays first, or vice versa. For medical and hospital parts, we have clear info as to how it pays and what. WE HAVE HAD NOTHING FOR 9 YEARS ON PART D AND ITS COORDINATION WITH FEHB ( federal health insurance plans) All any one has is the same written statement THERE IS A WRITTEN PLANS.
Then why has it been a secret for 9 years.? And resistance is one writes or calls and asks for it as IF I WAS THE BAD PERSON WANT TO FIND OUT?
When health insurance policies cannot legally be secret.
Remember who pays the claims to the pharmacist? yep President Blodgett and THAT WAS AN EVEN BIGGER DEEP DARK SECRET THAT EVEN MANY AT THE TOP OF CMS DID NOT KNOW OF UNTIL LAST YEAR, AND I DID NOT KNOW UNTIL THEN TO TRYING TO FIND OUT WHY THE ISSUE WITH MINE.
Have a card, pay the premiums and even have evidence to show bills are getting paid by that plan IS NOT PROOF YOU HAVE IT AS ITS NOT ON THE COMMON WORKING FILE WHEN ITS LOOKED AT. Evidence that would be sufficient I any court, is NO GOOD FOR THIS CABAL.
The Common Working File is the Medicare billing system that is privately owned since 1999 by Group Health, now Emblem Health International as the whole world is coming under one health care system? And no government of the people have any control of it at all, any more. as the world is run by a cabal that is its own law as they wish it to be?\
And the poorest among us are having their precious few tax dollars for them siphoned off worse than the rest of us, with run around to not provide even the most basic of care without so much layers of red tape that one might give up trying , if the will to live is not there to plead for or none care to stand up for the 'least among us." And in this world any one of us could be in that place in a short time.
No ethical doctor can function in this and have any kind of 'job satisfaction/' As I said to some today, "YOU WON'T EVEN SUPPORT YOUR OWN DOCTOR WHO TAKES CARE OF YOU WHEN YOU ARE SICK OR HELPS YOU STAY HEALTHY AS POSSIBLE? I said this to the provider call center , I got through to as they are the key misinformation giver to the billing person? I have sat in ones office and heard her go through all that was going on with system saying one thing and me having health cards, etc. that are not on there and around and around.
THE FIRST PROBLEM WAS ALL SHOULD KNOW FULL WELL TO SAY STOP? We do not need the story of your journey through hell. . ANY ISSUE CANNOT BE RESOLVED NOW, or here at the claims processor. BILL MEDICARE AS A CONDITIONAL PAYMENT AND HERE IS WHAT YOU NEED TO DO. There is to be a field to code it and that is the end of the matter. the doctor will get some payment and then the 1980 is to see to it that someone else resolves this with the primary payers. The patient and the medical provider , supplier or pharmacy is protected from any over payments and or fraud charges. If more money is due, then it will be paid when the government straighten out the mess, they allowed to go on. No wonder our good doctors etc. have to hire expensive billing services when the law makes it so simple. All any one has to know, there IS A PROBLEM AND MEDICARE CAN LEGALLY BE PAID IF ITS CODED TO GO TO RECOVERY AND GET IT RESOLVED. Are the billing people getting treated in an illegal manner if they do ask for conditional payments? THAT IS A CRIME TO THREATEN ONE LEGALLY DOING THEIR JOB FOR THEIR EMPLOYER. .Is it that bad? I have suspicions that its silent intimidation. that may be going on.
No one at this call center knew what they were to do. they are going though coordination questionnaires, and everything else, trying to make final decisions that they have no authority to make. THE GOVERNMENT HAS TO STOP THE INSIDER HACKING IS THE ISSUE.
but until then follow the conditional payment rules.
Fewer call centers may be needed? Less employee time spent by the billing service? More money to be spent on the treatment itself?
OBEY THE LAW, ITS BEEN A GOOD ONE UNTIL THE ENFORCEMENT OF IT STOPPED IN 1994. BUT ITS STILL THE LAW AND a call center for a claims payer for Medicare is not the one to be trying to solve it, for they can't stop the hacking, if they may even be one of President Blodgett's companies , can they? THEY ARE NOT ONLY ON THE INSIDE BUT CAUGHT IN THE MIDDLE OF real' muddy corruption'.
The disconnect in all of this by those "inside" the corrupted system seem to have lost any understanding that this is their Nation, their health care, their own doctors and hospitals, etc. that their actions or non actions are hurting. That the money taken out of their own pay checks is being too often blatantly stolen and there is no one to stop the burglars and murderers. And that these contracts have the signed agreements with President Blodgett to take money out of their own bank accounts first then appeal later if there is an over payment he says is an over payment, and no judge's order is obeyed if he does not wish to obey it.? As 38 of them have said this or that on me and they often are not posted so any in the government can even know what the judges said. is to be done and used to be the ones who did it. as judge said..
If a burglar was breading into ones home and threatening ones very life, and you called 911, you would have the operator tell you, that NO ONE CAN COME FOR THE POLICE HAVE NO MONEY TO PUT GAS IN THE SQUAD CAR SO DOCUMENT THE CRIME AND TAKE A SELFIE AS YOU ARE BEING PHYSICALLY HARMED IN CASE SOME DAY, THERE WILL BE MONEY FOR GAS FOR THE POLICE TO COME or MAYBE NO CAR EVEN TO DRIVE AS ITS IN NEED OF REPAIR, TOO... "BECAUSE" the suspect is A GOVERNMENT CONTRACTOR and immune from our laws and that is what the real world has been like for 17 years and well known by those already directly affected by this. Others may have been affect3ed, but so far, basic rights have not been, OR ONE DID NOT KNOW? As others struggled to provide the care and said nothing about what they were going through to help you .
That is where we are. NO money can be spent , says Congress to make sure the precious tax dollars that are to be there to help each other help themselves in our society are being used as the law makers and the people wish and NOT STOLEN And/or MISUSED. Did any get inserted into this latest budget bill? have not seen anything about that? Since President Blodgett is the snooper? NSA?
SUPPORT YOUR LOCAL DOCTOR, for this one is being crushed under the heel of this international cabal that has already put them at the bottom of authority of ones health care.
VOTE! And when you do think about each candidate and ask ones self, will this person care if the one fighting for very survival is me? Will this one or that one say "let her die" and care less as they squander the money of the nation for death and destruction and loss of human rights of life liberty and the pursuit of happiness(property) and things that do not promote life for any one, not even for themselves.
From one of the 84,000 'disappeared' Feds hacked into non existence. by OPM's paid information giver?
Linda Joy Adams 11/4/15
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