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Showing posts with label HHS Civil rights complaints. Show all posts
Showing posts with label HHS Civil rights complaints. Show all posts

Thursday, March 17, 2011

Violations of civil rights page 18:CA-1, CA-2 Supplement to established case and pending on steriod side effects.

US Dept of Labor                                                                                             
                                                                                                                         
Dallas, TX                                                                                                            certified mail:
Federal Employees Workers Compensation
                        There are several secondary and tertiary issues pending that have yet to be reviewed for acceptance on my established case with permanent medical benefits. The approved treatment plan has ha little alteration since 1/89 when I was started on first Prednisone with an initial 40 lb weight gain and then Azmacort. This was later altered to included Nasacort. Little research seemed to be available at the time except to assure us that less side effects occurred with inhaled; forgetting that to get to the respiratory organs the cortisone steroids pass and are absorbed by body tissue. This is a life sustaining drug for one like me, but at that time life expectancies were about 5 years. Its now over 22 and death is not imminent. Since ACS-Xerox has discriminated against me and not brought my file on line with the official US Dept of labor computer, medical has been obstructed and my power chair never replaced adding to physical harm.

Wednesday, March 16, 2011

violations of civil rights page 17: ACS-Xerox contract non compliance and civil rights and Medicare Coordiantion of Beneifts and Miami Medicare Hearing office contractor and HHS Civil rights and HIPPAA complaint and attachment to CA1 and CA2

Research Suggests How Steroids Cause Diabetes And Hypertension; Liver Plays Critical Role see my comment. wasn't a torn alc, joints are being destroyed from 22+ years on inhaled cortisone steroids along with other problems associated. Claims have been filed on all these issues and CS-Xerox won't set up my computer file for federal workers compensation for 10 years to bring it on line with the official US dept of labor computer file. i will be filing this to add it in. part of my problem is that I'm supposed to have a ' managed care' from OWCP and obstruction has been horrendous. Have file civil rights and no compliance contracts with the US dept of labor against ACS-Xerox and also against Medicare coordination of benefits another contractor who has routinely altered my insurance line up as that no doctor knows whom to bill and then they along with trailblazers have lied about my official status and even Illinois blues which is TX , OK. and NM Blues have gone along with dumping onto Medicare. treatment for occupational asthma and toxic exposure is opposite than for those with allergies, etc. I have carried a prescription to replace my power chair for 6 years and no supplier will assist me. as ACS lies and says case closed, Blues lies and says owcp case claosed and Medciare should pay and the diagnosis is for my work relatlted condition . there is no predeterminations anymore for chairs and a supppier could get caught with me having the chair no not get paid until the whole govt gets strianghtened out.I fell and my family doctor though i might have torn ACl in left knee. The mri showed severe problems in joint and a cartilage tear. the cortisone shot resulted in dangerous spiking of glucose levels higher than I've ever been and insides of eyes hurt. I wasn't aware that this would occur as when I had a shoulder tear a few years ago, that cortisone shot did not have such a severe reaction. its possible there was a preservative in the shot like formaldehyde which is used in some as a wash. I consider this damages because judges ordered are even ignored in multiple agencies and i have an established case with permanent medical at federal workers comp. They are sitting on 11 years of oxygen bill s they won't input because the computer will pay them and bring my computer file on line with the official one. I was approved for life by them in 1995. ACS-Xerox claims the Director of OPM made us do it. Death panels are real. and in 2014, that party will ocntrol everyone's health care plans in the USA.

Saturday, March 12, 2011

violations of civil rights page 14 (see attached) 100% coverage HIPPAA request from billing

These are 100% coverage under  my Federal Blue cross Blues shield contract. If you didn't code this that way then it would be federal workers compensations bills as claims are filed as secodnary issues for the permanently accepted conditions. I've advised you to call The Regional office manager in Dallas for federal workers compensation as to her progress in getting Affilitated Computer services to get my coumputer file set up in compliance with my permanet medcial beneftis at owcp that posts bi-weekly to the medciare computer and what to do with current and past claims after she called me recently.
Why is this preventative care?: Even though some injury related problems can ' show up on the tests'; these tests are well known to detect conditions that I don't have and catch them early such as breast cancer, etc. and are the reason that they are part of the preventative care contract with FEHB. Medicare always second.
HIPPAA REQUEST: I want copies of exact claims sent to OWCP, Federal Blues and Medicare and a written recap summary of why these tests were not billed under the preventative care. I don't see the claims listed on the ACS-billing system at owcp at all.  No response to request on  bills paid 17 times each by Medicare back to 1/1/06 and that you did not get the 16 extra pays. Refer to notices and requests to you.

Sunday, January 30, 2011

Violations of Civil Rights Page 1

The HHS Office of Civil rights has 25 complaints filed by us since 1/08 and none have been docketed in or responded to. All the offending parties are the same now as then and violations have not ceased. The HIPPAA complaints, I found out last year, have little impact as the offenders are not covered under the HIPPAA law as they are either govt entities or their contractors or 'business associates.' My medical providers and suppliers are 'victims' also except for the isolated named entities. There are also overwhelming numbers of filings that have to be made and these seem to grow exponentially as retaliations occur from even trying to stop the violations. These filings are in addition to the growing number of other filings that must occur when one is dealing with a federal workers compensation case.
If judges remand orders were carried out, much of this would cease, but they are also 'ignored.' Also, my e-mail has never 'worked right.' If the parties will e-mail me I can put you on the list to get these back. I also use this web site to collect info from the web for documentation for these filings as well as other personal matters. There is a limited amount of space to post on each page. THEREFORE: To find the full statement one can go to this blog and search for the title Violations of Civil Rights and find the page#. I will attempt to e-mail those I can and fax the rest. Other parties with an interest in the outcome can follow. This also summarizes what some call 'pain and suffering' that has never ceased since 1/10/89 when I was injured at work at the SOCIAL SECURITY TELESERVICE CENTER, 2 Journal Square, Jersey City N.J. 07306 9TH floor. along with others, some of whom have died of their injuries according to reports.
Every day, mail and phone calls and other info and incidents occur that need to have a written response. I thank my good doctors that have provided medical care so that I am still here to write this and ask for prayers that this can all be resolved soon. Any resolution has to provide for continued medical care. There is no way of safely treating my injuries and the secondary and tertiary issues that have resulted by using a 'general medical approach.' Inhalation of Toxic fumes with bronchiospasms, occupational asthma, pnuemonitis ( toxic pneumonia) are treated with medications that are the exact opposite of one with allergic reactions and can be harmful and life -threatening. The medical treatment itself is evidence of the diagnosis. Thus, those who have done wrong, have been involved in an obstruction of that treatment as it proves their 'guilt.' {When comments are posted on others' websites' I do a link back to this one saying: see my comment. These are my attempt to ' get the story out' as so many others are affected by what is occurring.
FILING DEADLINES: The Appellate Medicare Judge , Judge Gilda Morrison, ruled on 9/29/2010 that the bill she had in front of her were Federal Workers Compensation's legal obligation and Medicare Secondary Payer recovery Unit has this ruling to obtain collections back from them. She did not overturn the two administrative judge rulings that affirmed that OWCP and Federal Blue cross. Blue shield were primary to Medicare. This FACT has been thwarted at every point and the official records at Medicare Coordination of Benefits constantly altered to create overpayment liabilities and have Medicare pay the bills. This can only be done legally if they are paid as a 'conditional' payment and then no overpayment liability exists for me or my medical providers or suppliers as it is Medicare's legal obligation , under the law, to collect the monies direct from the primary payer and stop future violations. What has been occurring by the violators is called: misuse of social security number for theft and involves theft of the Medicare trust fund. Since, Congress gave immunity to govt contractors so they can't be criminally investigated; civil rights is the only way to stop the violations. The civil rights complaints pending with no response in the HHS Office of Civil Rights should have stopped this if they had been docketed in, assigned to an investigator and processed as the law requires.
Medicare appeals inside contractors go unanswered except for the few that Cigna Govt services allowed to proceed; but they to have unanswered ones they 'inherited' from Palmetta GBA several years ago along with unprocessed claims that go back years. The 9/29/2010 decision means those oxygen claims are all Federal workers compensation's. ACS-Xerox has 11 years of invoices they have not processed because " the computer will pay them' and the past Director of OPM, told them not to input them for that reason and recently i learned it will also get their offline system online with my official Computer system at The US Dept of Labor and also update the system avaialble inside the Regional Office in Dallas where my claims examiner is who never is notified of anything to process and that includes the ( ECAB ) US department of labor appellate judges remand orders of 2/09 and others prior and CA1/1, CA/2/ abd CA2a's some of which are over a decade old and the judges have referred to these numerous times as needing initial decisions. Reconsiderations on individual items have also gone unanswered for years. The 2/09 remand stated I was to be asked for the facts of the case. Fact; there are items that go back to 1989 that have never received an initial decision. The ECAB also 'set aside' the reson for my wage loss being stopped, yet without the file being posted correctly, that did not seem obvious to most who read the orders. Then the continual problem of ACSs call center lying to medical providers that the case is closed so that claims don;t get sent in timely obstructs medical treatment and the financial hardship for my family is horrific and bankrupting. The 9/29/2010 decision has permitted the reopening of any filing deadlines as medicare is the legal primary decision maker on who is primary when there are multiple health plans. THE lower judge had gotten the 'internal documents from US dept of Labor before he rendered his decision. The general counsel for OPM said a few years ago that Federal workers compensation law overrides all other for me. The Medicare judges and OWCP are in agreement. OWCP is to pay bills related to any accepted condition. I should have a timely answer to any appeal on any isolated bill, etc. The bills related to pending diagnoses should be answered that bills are for a [ending matter that may take more than 4 months to decide so that Federal Blue Cross/Blue Shield would then pay conditionally and forward to their medical subrogation unit. Medicare would pay second and send to their medical subrogation unit to periodically check for approval. I shouldn't have to constantly be trying to get these parties to do their jobs. Then file complaints when they resist my begging for them to do so. let alone the retaliations that so often occur with my character being smeared, etc. when I plead for justice that our civil rights should not be violated.