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Sunday, March 26, 2017

DAILY RECAP 3/27/17 MEDICARE MELTDOWN MEDICARE HACKERS 'FRAME' OUR GOOD DOCTORS, LABS, HOSPITALS, ETC...

Linda Joy Adams: DAILY RECAP 3/26/17 MEDICARE MELTDOWN; MEDICARE HACKERS ON THE LOOSE AS VIOLENCERS CAUSE MORE HARM TO ALL OF US
Also go to the reposted link just added next to the blog of Daily Recap Added  for 10/28/16 from my conversation with the manager of Navitas the biggest Medicare claims payer in the Dallas region  of how to pay a claim legally as a conditional payment when ones primary payers refuse to pay their legally obligated bills...
      This is a linked series of Daily Recaps back to 10/25/16 when I found my personal Medicare data records  hacked worse than ever since the COUP of 2002 and began a daily tracking of my records.  the provider call center may only have only the bogus duplicate  screen created  as of 10/6/ 16 to mislead all that use it.  with the call centers. *(since 2002, Congress will not allow any agency to do internal audits or criminal investigations  of contractors  and praying  Congress has now woke up last week and allow them to use existing budget to  do them as once they did.. and have to ...)
      1-800 Medicare is the only one I have access to which has all the info .I have shared .. And its been the responsibility of the Federal government  through CMS to get the money refunded , NOT the medial billing people's hassle... allowing a liberal access to have Medicare pay , if labeled as a Conditional payment   leaving no financial risk to  the medical provider nor overpayments to the patients or his or her heirs in the matter.   the law does not requires a 120 wait to bill Medicare when its REASONABLE TO ASSUME THAT  no payment is gong to be paid in a timely manner.   Unfortunately , on or about 10/7/16 a fake double screen was  and is created on the Medicare hackers system and that is the info that is sold to the medical community and is also what the good people answering  the  various call centers for Medicare are being shown as the real info ...And instructed it been "corrected or updated " from the real bi weekly posting  from most employers since 1994 and illegal for any one to alter it... now posted to  the real secured cyber cloud system ,,,, but that screen is hidden from all and the merged false screen is then created got all who needs the info to bill or who is the primary  payer to be billed. etc.   As of 10/6/16 , no one is getting that one has an active and open workers compensation case..  for example  The owner of the system is BCRC of the former Group Heath Inc of NY since 1999, and they sub contract out to a systems contractor.. Since 2002 they have illegal deals with insurers and other parties which are to pay first or total  to violated their CMS contract and illegally hack the system and make Medicare primary .
    With no internal audits permitted by the COUP of 2002, no one from the real government has any 'official ' idea what is going on and we get health care laws passed, based on false info that has left is in a near collapse of the health care system. as this is the same entity running all of health care now  which many have no idea they are dealing with an unaudited contractor as they say they are CMS or forms indicate one is dealing with the same contractor from various sources, and to often paying extorted sums to ... and not to the government at all. .
      A close call last week when more trillions of dollars may have been sent to this cabal to spend as they please with no official oversight again.. A grave need is needed while most in Congress now seem to understand they have to work together and get something  that works, passed and LISTEN TO OUR GOOD DOCTORS AND OTHER IN THE MEDICAL FIELDS WHO PROVIDE THE DIRECT CARE  AS TO WHAT IS THE BEST WAY TO GET  FAIRLY PAID WHILE CARING FOR PATIENTS   AND GETTING WHAT IS PAID FOR UPDATED BE FOR WHAT IS  CURRENT MEDICAL TREATMENT STANDARDS AS TOO OFTEN THAT IS  DECADES OUT OF DATE.  AND MAKE NO COMMON SENSE TO EVEN NON DOCTORS, LIKE ME .
    The whole health care system needs a review and may need to have inputs that have direct experience.   This could take a year or two to make such a drastic  change from the collapsed past.. where a major issue has been too many of the unaudited contractors blatantly helping themselves to the public treasury .and its been shocking how they have been allowed to get by with some of the schemes and illegal scams including  just paying themselves out of the public treasury that includes the Medicare trust fund  as has occurred again as of or about 10/7/16 activated the multiple phony numbers created on patients with massive thefts before... as well as robbing the poorest among us  of  Medicaid monies where states have been  helpless to stop it relying on  the federal government to 'police' it and have not done so since the COUP of  2002.
    A grave  human rights need exists for current medical care for those uninsured OR SUBPRIMED INSURED  ITS TIME TO TRUST OUR GOOD DOCTORS WITH SOME MONIES TO USE TH BEST WAY POSSIBLE WHILE A CONGRESS THAT APPEARS TO HAVE BEEN WOKE UP APPEARS TO FINALLY  DO WHAT THEY SHOULD HAVE DONE FOR US YEARS AGO.. ASK THOSE ON THE FRONT LINE WHAT IS NEEDED AND WORKS AND AT THE TOP OF THOSE EXPERTS ARE OUR DOCTORS
                                           Suggestion:
 Send every doctor, etc. $10,000 for one time to use for direct care for those unable to pay , uninsured and  under insured. TRUST THEM TO USE IT FAIRLY OR  SEVERAL COME TOGETHER FOR A WEEKEND WALK IN MEDICAL CARE CLINIC ETC IN AN AREA..
               . And all those who work with them providing direct care. or their medical billing services dealing with daily hassles and bogus screen and no one even in the CMS regional offices who have no idea what to do to help as they have no official idea what is really going on inside the contractors. and many now know there is no one allowed to do anything with  rogue contractors. blatantly  stealing and hacking   especially is some real criminal acts   going on and its has been since 2002 at the national level of some of them.  .well documented to the point of getting the search warrants and shutting it down.. years ago.
                         EXAMPLE
When our doctors  figure out some common sense treatment that works,  (and for me works better and cheaper in many ways) , we do not have an way to  get approval for that such as off label use of a medicine.  when no issue exists with FDA etc.    We still do not any advisory panel of doctors to OK such and do it quickly and all be able to get paid for it.  (It once existed through an appeal process that was inside  the real government  with government or state doctors able to have input. for approval for payment )  Contractors doing appeals  now have no such legal authority  to make these kind of decisions and the whole agency adopt them ).
    My suggestion as a non doctor is to trust all of our doctors and others professional medical providers  with a one time $10,000 payment to take care of that group.. for one year..
                                         CONDITIONAL PAYMENTS UNDER MEDICARE.. ( its 120 days or REASONABLE wait for payment )
     IT IS REASONABLE TO ASSUME ONE SHOULD NOT HAVE TO WAIT 120 DAYS TO BILL MEDICARE WHEN THERE IS INDICATION , FROM ANY SOURCE; THAT ANOTHER PARTY SHOULD BE PAYING.  THAT IT IS GOING TO TAKE AN ACT OF CONGRESS TO RETURN AUTHORITY TO THE  NON DOD AGENCIES  TO USE EXISTING BUDGET FOR INTERNAL AUDITS OF A GOVERNMENT CONTRACTOR OR CRIMINAL INVESTIGATIONS OF THESE BAD ACTOR CONTRACTORS// A BASIC AUTHORITY ALL GOVERNMENTS  HAVE TO HAVE WHEN WORK IS CONTRACTED OUT AND  ALLOWS THEM TO ACCESS THE PUBLIC TREASURY AND SEND OUT MONIES. AND  NO ONE PERMITTED TO FIND OUT IF WHAT IS GOING...   AND STOP 'PAYMETS BEING MADE TO THEMSELVES. THOUGH SYSTEMS WHICH CAN DIVERT MONIES TO THEMSELVES..  not hard to do undetected  using antique insecure systems which are no more than a check writing  machine.   And being operated by  the same entity as the Hacker as the entity who owns or' controls'  the bank the payments is going to  made out  a real party or doctor, etc. is also the same one the Medicare hackers owns or has control of also and the payments are diverted to their own...  Banks can do this for those who close one account and open another and divert the monies coming in via direct deposit before one gets the account info changed for incoming federal payment as ones social security , VA or a Medicare payment to a medical provider.      
      THIS BASIC AUTHORITY  WAS REMOVED IN  2002 IN A HUGE BUDGET BILL THAT FEW READ THE CHANGED MADE HOURS BEFORE IT WAS VOTED ON.
    The OIG council went to congress in a hearing , as many have sent public letters in the past several years, asking for the right to have the authority  they always used to have which is now to the point,  is an alleged billion dollars a day being stolen through the contracted out system at  Medicare. 
           About a month ago it was discovered by those at 1-800 Medicare and two supervisors spent extensive time verifying   that on or about 10/7/16    16  additional  payments went out to  the bank accounts listed of the medical providers and monies were received.  of each claim and its been continue to date..(Congress is getting the word!)    FOR ALL DATES OF SERVICE BACK TO 11/12  when CMS got it stopped for 1/06 though 11/12  on a similar off line system and they had documented  it being pervasive in  the  DALLAS AND  ATALANTA REGION..  and shared the info with CMS officials who proceeded to do the one thing they would still legally d,o not renew the contract.. but no one was arrested and those  monies are still missing  with overpayment liabilities still against the patient and their heirs (SSA now under the same 'person of interest entity and an easy  waiver  is not being process as they are to do  good luck with this same at Medicare for our good doctors where the systems records look as I you got 17 pays per claims and monies diverted. .THAT CYBER CLOUD KNOWS ALL. AND IT WAS TOO EASY TO ACTIVATE THOSE MULTIPLE NUMBERS ON ME..WHEN THE BOGUS OFFLINE SYSTEM WAS CREATED ON 10/7/16  and after  the biweekly real post from employers  is soon deleted from view  but NOT FROM THE CLOUD SYSTEM WHICH THEN GOES  INTO A MELTDOWN TRYING TO CORRECT ITSELF  and the bogus screen sent out. ) .
      THE HACKERS CAN SUPPRESS ANY NOTICES ON THESE OFFLINE SYSTEMS I  HAVE USED MY SELF YEARS AGO ..inside the government  .when we humans using them were trained to be aware as we were the security and get word to our in-house programmers .. when anomalies showed up.
     I checked a year ago and these multiple 16 numbers were not active...   and every claim is being appealed. The recovery unit  is unable to get refund and due process  letters our to the primary payers to refund since 10/6/16 as when the real screen is hidden , the letters will not go through the system.  and hey have tubs of mine and those on my primary  employer group health plan with Medicare  cards which indicates that many of the billing services have been faxing in the clams post payment but never processed as the real date of injury for workers comp has not been used   and that also blocks a system generated litter   I was injured on 1/10/89, not the date I got part A Medicare... I am also being docked a penalty for having a period of time with out Part B after age 65 as the contractor used the hacked screen and did not address the legal issues as a real government  employer would do , as
 I WAS TRAINED  TO DO YEARS AGO   AND WOULD HAVE DONE  REAL DISCOVERY   or been derelict in my duty not to do so .. just another way we have a collapse of our whole government into chaos  and not just health care as our constitutional  rights of having  an appeal legal issues addressed and answered and at times policies and even regulations t and even laws got changed when unfairness/unconstitutional practices or interpretations  got  exposed by one individual officially saying SOMETHING IS NOT FAIR.. AND THE GOVERNMENT  LISTENED AND ANSWERED THE  COMPLAINT. LEGALLY..   AND ACTED TO MAKE THINGS RIGHT FOR ALL AND NO ONE HAD TO GO TO THE US SUPREME COURT AT ALL. as the bureaucrats erred in how they decided to carry out laws.  and could change their orders ...
                                  HAVE YOU BEEN ROBBED OF YOUR ID AND CLAIMS INFO AND OVERPAID FOR HEIRS TO INHERIT  OVERPAYMENT  YOU DID NOT CREATE AND  HAVE NO ONE TO GO TO IN THE GOVERNMENT  TO STOP it since the COUP OF 2002.
     One can call get their Medicare card and a date of service of a claim and call 1-800 Medicare and most of the call center menus have an automated system to use or one can speak to a person. there.
 its your id and claims and your tight to know what is happening to your legal rights and liabilities to the government that ones heirs inherit until one can get a waiver process at SSA. we have had them pending for years. now.. and contractor of this entity will not process them.
    One ones own SSN  there are four possible suffixes (prefixes for Railroaders) A,M,T,TA.
   dozens are possible as a spouse and there being alive or gone on to 'heaven' is irrelevant  as this is not connected to SSA in any way we have yet determined  but checking it  out as SSA HAS BEEN DENIED  ACCESS TO CHECK THINGS OUT FOR SEVERAL YEARS  THERE AND ITS BEEN HACKED AND THEIR OIG WENT TO CONGRESS OVER 3 YEARS AGO with a published  LETTER ASKING FOR ACCESS.  as denied it by this same entity, .
    As a spouse I have the following : B,B,.B6,D,D4,D6,E,E1,TB,TD,TE,W,W6,  
(Its letters ad numbers and some for female and others for male)
                                              DAILY TRACKING
       mymedicare.gov only shows the hacked info and 4 fake blues and indicates FECA no changes to day or newly paid clams .
                    BCRC PHONE VERIFICATION DOWN AND CALL CENTERS CLOSED ON THE WEEKEND.
                               1-800 MEDICARE
      Took 10 phone calls to get the info today and few had any idea what was going on .. etc.. and this is more common on the weekends.
                  CALLED ON  REAL NUMBER FIRST
call 1.  bogus screen shows Medicare primary and no more info and hung up on
call 2 . bogus screen shows Medicare primary  and got no more info and got hung up on
call 3. hung up on no info at all
call 4. no info hung up on
call 5.  got  the  bogus screen only  and shows of the identified 24 fake blues supplements the BCBS OF OK EFFECTIVE 8/1/2004 AND THE FAKE ID OF USING MY REAL ONE AND ADDING THREE ZEROES IN  FRONT AND LEAVING OFF THE LAST TWO NUMBERS
call 6. hung up on as to where is the real FECA and primary FEHB Blues
call 7. hung up on me also
call 8. hung up on me
call 9 THANKS FOR YOUR COURTESY AND PROFESSIONALISM
          SAME FOR THE BOGUS SCREEN  and the REAL TWO PRIMARY PAYERS ARE ON THERE OPEN BUT DELETED AS OF 10/6/16 WHEN  THEY ARE DELETED BY WEEKLY  AND STILL OPEN IN CYBER CLOUD AS THE SECURED ONE.  HACKING DOES NOT LEAVE A DATE. 
call 9 .came in on one of the bogus created phony numbers and verified all on a widow suffix  and shocked  her when I said is was not the real one.. and she had resisted giving me the info to start with. which is my info and right to know all. but its still active for the next claims submitted to be paid 17 times. and FRAME OUR GOOD DOCTORS ETC. AS IF THEY FILED FOR AND GOT THE MONIES.  Where did the money go?? ASK THE BANK WHICH MAY BE THE ONE THE HEAD OF THIS BEAST CABAL OWNS NOW???? AND MAY NOT EVEN BE IN THE USA. !!??
     In the name of Yahusha, whom we Christians call Christ  Jesus , may Congress and President Trump find good , fair and just solutions for each and all to save lives and livelihoods. and preserve our rights of freedoms and individual rights. as we care for one another as we humans are meant to be social caring beings   and may evil be bound for ever ..so no one is every tempted do fall to it ever again  Amen!
(common wisdom that is not just for those of my faith or no faith to consider.)
Linda joy Adams 3/27/17
        

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