The American Spectator : The Fraud in Our Entitlement see my comment
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Showing posts with label Medicare Fraud. Show all posts
Showing posts with label Medicare Fraud. Show all posts
Thursday, February 2, 2012
Friday, October 21, 2011
Sunday, October 9, 2011
Survey: Half of Texas doctors may drop Medicare if cuts enacted | McClatchy
Survey: Half of Texas doctors may drop Medicare if cuts enacted McClatchy You wouldn't help me or anyone else and now we all suffer? We can still do something! See my comment!
Tuesday, September 6, 2011
Wednesday, July 20, 2011
Wednesday, May 25, 2011
Survey Suggests Census Undercounted New York City - NYTimes.com
Survey Suggests Census Undercounted New York City - NYTimes.com The contractor in charge of the 210 US Census got a bi feeral award for his ' good job' Mac Curtis is the President and CEO of Vangent, which operates 1-800 medicare and violated the terms of that contract by not sending over 500 fraud reprots his call scneter empllyees have documented to turn into HHS CMS office of Instpector general on Trailblazors ( $4 million theft of my claims and id by that CMS contractor alon, oand they said I'm not the only one.) Medciare is not broke its been robbed, just as the people of NYC will be robbed of their share of tax dollars based on number of residents. This company also grades most of those standardized tests so much value iscplaced on to learn how well kids are doing in school.
Wednesday, April 13, 2011
violations of civil rights page 34; msprc missing my records
Medicare Secondary Recovery Contractor
P.O. Box 138832
Oklahoma City, OK. 73113
( a subsidiary of Group Health, in international conglomerate)
On 9/29/10 the first of bills paid by medicare were ruled on by the Medicare Appellate judge who said the few claims in front of her for 2006 paid oxygen claims were the legal responsibility of Federal Workers Compensation. she did not overturn two Administrative law judge rulings that both Federal workers compensations and federal Blue cross blue shield were primary to Medicare. Its the legal responsibility of medicare to collect monies due back from ones primary payers that were paid due to shenanigans by ones primary payers and end the on going abuses by the primaries.
I had provided a copy of the ruling case: M09-1406 to your office by fax and had heard nothing from you on it. The recovery letters were sent in 2008 on the bills and they went to Affiliated Computer Systems, the US Dept of Labor contractor, who promptly ' threw it away ' as they did the letters from you in 2005, and 2007 when your employees tried their best to find the bills paid by Medicare from the the national health insurance data base as trailblazers, the cms contractor had illegally manipulated the claims and even had Medicare coordination of Benefits delete my federal Blue cross off the records to bypass both of my primary payers and have Medicare pay and committed " theft of the Medicare trust fund" by creating a phony Medicare number and bypassing all the legal checks on theft. Congress said they can't be prosecuted for theft but they can for violations of civil rights. And the recent action reopens their on-going civil rights violations. every Medicare claim paid was either for a permanently accepted medical conditions at federal workers comp ( OWCP) or its a secondary/ tertiary issue that has yet to be reviewed for acceptance and should be listed for medical subrogation.
Affiliated Computer Systems has never set up my computer case file as they have others, and have spewed out incorrect and misleading information from a ' dummy' offline file that indicates case closed with a third party ( unknown) should pay from a settlement. None of this has occurred and the official records and 6 appellate judges at the US dept of Labor knows it and remanded the case back indicating ' everyone' is to ask me for the facts of the case as I seem to be the only one who has the case file and currently I am faxing 50,000+ pages to Christina Stark the regional office manager who is forwarding it on to Affiliated computer systems as they are not allowed to have paper in the regional office as security can't be assured on files? So the case still won't get worked. Ones claims examiner has no access to my files as they do on other claimants from this disparate treatment. Theresa Davis tried to decide a wage loss issue without the file and has caused more chaos. That is under appeal and reconstruction being done, but its unknown if ACS will still set up the claims file as their contract terms state and return monies to Medicare. Civil rights complaints have been filed and amended with the US Dept of Labor against Medicare coordination of benefits , your parent company's other CMS contractor, and there are civil rights complaints pending at HHS office of civil rights on the three health plans/ contractors.Sabotage of life sustaining medical care is on- going. Having to reconstruct files aggravates my accepted medical injury conditions due to exposure to inks and exertions, etc.
Today, I received a letter from you that was a copy of a collection letter sent to Federal WC US Dept Of Labor. Address it was sent to was not shown. Incident date was still being listed as date of entitlement to Medicare instead of date of injury of 1/10/1989. My attorney did not get a copy although MSPRC has had the information and other documents. They are now missing' in your move from Detroit MI, to Oklahoma City? He is the attorney of record even though most of filings, etc are done by me with him as 'monitor' after 22+ years. Case is established and I'm just trying to get medical care and reconstruct files that keep disappearing out of the custody of the contractors which are violations of my civil rights that this is happening.
Instead of the claims the Medicare judge ordered were OWCP's, I got some bills for the year of 2001 from one pulmonologist, One I would still be seeing if OPM"/OWCP officials had not ' persuaded him in 2002 that I could not receive any medical care except in emergency rooms. "They don't want me to be seen by any board certified pulmonolgist or receive any treatment to sustain life?" So they convince him no insurance was going to pay anything to any doctor if they treat my accepted medical conditions!No coverage on Medicare or Fed Blues either. This was at the time that Illinois Blues " took over" from Arkansas Blues in TX, NM and OK and Affiliated computer systems took over control and custody of all paper and claims processing for OWCP and never set up my computer file. The civil rights abuses began More in earnest and one Blues manger said the Director of OPM was behind it all and ordered : Let her die! A DEATH Panel decision.
After waiting on the line, for forty minutes,at your call center ;I talked with a nice lady who was a temporary employee and sent a message to " Special projects" unit. My previous call, before sending in the Medicare judge's ruling was sent to the Federal workers compensation unit. "I'm SPECIAL?"
GOOD NEWS! within 2 weeks, MSPRC"S computer system will be able to show the injury date. which is 8 years prior to my date of entailment to Medicare.( I tried my best to work on multiple occasions under conditions that did not meet work restrictions placed on my by Federal workers compensations and promised by HHS to be done which resulted in enenforceable sanctions from EEOC on a federal agency) ( There is a 22+ year claim still pending at Social security for an earlier entitlement date to Medicare that has ' disappeared 6 times and resulted in loss of part B Medicare premiums form Cyber escrow because the software program for the $250 stimulus payment didn't have a field to check active federal workers compensation case.) ( Didn't have a cross check with the offiical us dept of labor computer?)More civil rights damages. So there are no recent Medicare paid bills.
You also have had a copy of the third party law suit that US dept of labor required me to file and has been obstructed due to ACS not getting all issues and claims processed and paid so the actual monetary damages is even known to reimburse the taxpayer.
The nice lady I talked to said that ' you' decided to not pursue any collections from the primary payers, yet one letter of one doctor in 2001 was sent out to ACS for collection. I was a patient of theis doctor from 5/00 through 8/2002 when OWCP/OPM/ACS 'went after' my doctor for providing medical care that met all acceptable treatment standards. I assumed that letters would arrive on one year of bills from each medical provider / supplier and was shocked that this was not anticipated.
Part of the civil rights damages is that when the Medicare claims processor either left off the diagnosis code or altered or only listed the most generic to illegally bypass sending the claim to you for collections, it is more difficult to determine what is or is not related. Basically all bills from a pulmonologist, cardiologist and ear nose and throat doctor are for accepted medical conditions. That has been legally well grounded, except the file has not been made available from ACS to the claims examiner. Oxygen is the reason I have the permanent medical benefits that will only end on my death, which is not anticipated for many more years. There is a buy - out option. If this should occur then a line of credit is given to my employer group health plan to pay the claims at 100% reimbursement rate and Medicare wouldn't be asked to pay them.
The rest of my medical claims may or may not be for accepted conditions. But they have been filed as secondary/ tertiary claims that have yet to receive a review by my claims examiner for approval.
The highest authorities at both Medicare and at US Dept of Labor have ruled. and no subordinates are permitted to defy them. Nor are govt contractors.
I'm looking forward to having 22+ years of judges and laws defied to end by a few abusing powers that have personal reasons for not wanting me to live or have medical care. What has been on-going is abuse of power, illegal and violations of my civil rights as well as the rights of my medical providers/ suppliers to be able to provide medical care that meets acceptable treatment standards without interference and to be paid timely by the appropriate health plan in the correct amount without their claims being altered from what was placed in my medical records.
There are parties whose ' persona; reasons' are staying out of jail with charges related to deaths of my co-workers or actions done after the fact.
If you do not have all the records that were compiled and forwarded to you in 2006 and 2007, then this is one more federal file in the custody of a govt contractor that needs to be reconstructed. Please send me a letter and a fax number to use so the person in charge of working the collections on my case have them.
You are not the decider of fact on my workers compensation case. The judges have set aside the last excuse for full reinstatement of wage loss in 2/09 which was caused by a felony destruction of my claims file in the Dallas regional office back in the late '90's. and the disappearance of the reconstructed file the judges sent to ACS in London KY in 2004 causing the Sec of Labor's to make arrangement for a reconstruction in 2005 and subsequent ' disappearance at ACS, again. The judges said in 2/09, accept my records and ask me for the facts of the case. The medical is permanent, and you are not involved in wage loss vs. work issues. I did return to work in 1990 and EEOC sanctions against HHS-SSA well proves it in those case files.
The lack of security on case files in OWCP offices, led to a contractor hired to assure security and not allow any paper files to be kept or seen in a us dept of labor owcp office. ALL papers filed, faxed, hand delivered have to be mailed direct to ACS at PO. Box 8300 London KY and then they are NOT to be a decider of fact nor which bills to process. All submissions are to be posted to a organized claims file so that the case can be worked. Whether the submissions are from the claimant or the highest appellate judges at US Dept of Labor, all are to be treated equally and processed equally. My case has had gross discrimination and violations of my civil rights resulting is a life and death struggle for life sustaining medical care as rumor and gossip gets strewn about as facts. Judges said: ask me for the facts.
Your highest authority is the Medicare judge who ruled: owcp gets the claims first, then Fed Blues an last Medicare. Not one party to this appealed. not my employer, nor me. OPM is NOT a party. Collections are in order. Since I and my estate have an overpayment liability that would not have existed if the Medicare intermediaries had labeled all the claims as conditional; I am pleading that you fulfill your legal obligation to me and to the taxpayer by sending out recovery letters on the accepted medical conditions and list the others for recovery should additional medical conditions be accepted. With the claims having been 'manipulated' by the Medicare claims processing contractors, it is reasonable to send all claims to ACS and let them use the reconstructed file to determine if its for accepted medical conditions or goes with which pending ca1 and ca2 on secondary/tertiary issues. That is the terms of your contract. Phone calls from govt officials is not 'OFFICIAL". 'They 'have the same official info and judges' rulings or should have before trying to influence your non-compliance with your contract, the law, judges and to me the injured worker whose life and livelihood are at stake. Linda Joy Adams
P.O. Box 138832
Oklahoma City, OK. 73113
( a subsidiary of Group Health, in international conglomerate)
On 9/29/10 the first of bills paid by medicare were ruled on by the Medicare Appellate judge who said the few claims in front of her for 2006 paid oxygen claims were the legal responsibility of Federal Workers Compensation. she did not overturn two Administrative law judge rulings that both Federal workers compensations and federal Blue cross blue shield were primary to Medicare. Its the legal responsibility of medicare to collect monies due back from ones primary payers that were paid due to shenanigans by ones primary payers and end the on going abuses by the primaries.
I had provided a copy of the ruling case: M09-1406 to your office by fax and had heard nothing from you on it. The recovery letters were sent in 2008 on the bills and they went to Affiliated Computer Systems, the US Dept of Labor contractor, who promptly ' threw it away ' as they did the letters from you in 2005, and 2007 when your employees tried their best to find the bills paid by Medicare from the the national health insurance data base as trailblazers, the cms contractor had illegally manipulated the claims and even had Medicare coordination of Benefits delete my federal Blue cross off the records to bypass both of my primary payers and have Medicare pay and committed " theft of the Medicare trust fund" by creating a phony Medicare number and bypassing all the legal checks on theft. Congress said they can't be prosecuted for theft but they can for violations of civil rights. And the recent action reopens their on-going civil rights violations. every Medicare claim paid was either for a permanently accepted medical conditions at federal workers comp ( OWCP) or its a secondary/ tertiary issue that has yet to be reviewed for acceptance and should be listed for medical subrogation.
Affiliated Computer Systems has never set up my computer case file as they have others, and have spewed out incorrect and misleading information from a ' dummy' offline file that indicates case closed with a third party ( unknown) should pay from a settlement. None of this has occurred and the official records and 6 appellate judges at the US dept of Labor knows it and remanded the case back indicating ' everyone' is to ask me for the facts of the case as I seem to be the only one who has the case file and currently I am faxing 50,000+ pages to Christina Stark the regional office manager who is forwarding it on to Affiliated computer systems as they are not allowed to have paper in the regional office as security can't be assured on files? So the case still won't get worked. Ones claims examiner has no access to my files as they do on other claimants from this disparate treatment. Theresa Davis tried to decide a wage loss issue without the file and has caused more chaos. That is under appeal and reconstruction being done, but its unknown if ACS will still set up the claims file as their contract terms state and return monies to Medicare. Civil rights complaints have been filed and amended with the US Dept of Labor against Medicare coordination of benefits , your parent company's other CMS contractor, and there are civil rights complaints pending at HHS office of civil rights on the three health plans/ contractors.Sabotage of life sustaining medical care is on- going. Having to reconstruct files aggravates my accepted medical injury conditions due to exposure to inks and exertions, etc.
Today, I received a letter from you that was a copy of a collection letter sent to Federal WC US Dept Of Labor. Address it was sent to was not shown. Incident date was still being listed as date of entitlement to Medicare instead of date of injury of 1/10/1989. My attorney did not get a copy although MSPRC has had the information and other documents. They are now missing' in your move from Detroit MI, to Oklahoma City? He is the attorney of record even though most of filings, etc are done by me with him as 'monitor' after 22+ years. Case is established and I'm just trying to get medical care and reconstruct files that keep disappearing out of the custody of the contractors which are violations of my civil rights that this is happening.
Instead of the claims the Medicare judge ordered were OWCP's, I got some bills for the year of 2001 from one pulmonologist, One I would still be seeing if OPM"/OWCP officials had not ' persuaded him in 2002 that I could not receive any medical care except in emergency rooms. "They don't want me to be seen by any board certified pulmonolgist or receive any treatment to sustain life?" So they convince him no insurance was going to pay anything to any doctor if they treat my accepted medical conditions!No coverage on Medicare or Fed Blues either. This was at the time that Illinois Blues " took over" from Arkansas Blues in TX, NM and OK and Affiliated computer systems took over control and custody of all paper and claims processing for OWCP and never set up my computer file. The civil rights abuses began More in earnest and one Blues manger said the Director of OPM was behind it all and ordered : Let her die! A DEATH Panel decision.
After waiting on the line, for forty minutes,at your call center ;I talked with a nice lady who was a temporary employee and sent a message to " Special projects" unit. My previous call, before sending in the Medicare judge's ruling was sent to the Federal workers compensation unit. "I'm SPECIAL?"
GOOD NEWS! within 2 weeks, MSPRC"S computer system will be able to show the injury date. which is 8 years prior to my date of entailment to Medicare.( I tried my best to work on multiple occasions under conditions that did not meet work restrictions placed on my by Federal workers compensations and promised by HHS to be done which resulted in enenforceable sanctions from EEOC on a federal agency) ( There is a 22+ year claim still pending at Social security for an earlier entitlement date to Medicare that has ' disappeared 6 times and resulted in loss of part B Medicare premiums form Cyber escrow because the software program for the $250 stimulus payment didn't have a field to check active federal workers compensation case.) ( Didn't have a cross check with the offiical us dept of labor computer?)More civil rights damages. So there are no recent Medicare paid bills.
You also have had a copy of the third party law suit that US dept of labor required me to file and has been obstructed due to ACS not getting all issues and claims processed and paid so the actual monetary damages is even known to reimburse the taxpayer.
The nice lady I talked to said that ' you' decided to not pursue any collections from the primary payers, yet one letter of one doctor in 2001 was sent out to ACS for collection. I was a patient of theis doctor from 5/00 through 8/2002 when OWCP/OPM/ACS 'went after' my doctor for providing medical care that met all acceptable treatment standards. I assumed that letters would arrive on one year of bills from each medical provider / supplier and was shocked that this was not anticipated.
Part of the civil rights damages is that when the Medicare claims processor either left off the diagnosis code or altered or only listed the most generic to illegally bypass sending the claim to you for collections, it is more difficult to determine what is or is not related. Basically all bills from a pulmonologist, cardiologist and ear nose and throat doctor are for accepted medical conditions. That has been legally well grounded, except the file has not been made available from ACS to the claims examiner. Oxygen is the reason I have the permanent medical benefits that will only end on my death, which is not anticipated for many more years. There is a buy - out option. If this should occur then a line of credit is given to my employer group health plan to pay the claims at 100% reimbursement rate and Medicare wouldn't be asked to pay them.
The rest of my medical claims may or may not be for accepted conditions. But they have been filed as secondary/ tertiary claims that have yet to receive a review by my claims examiner for approval.
The highest authorities at both Medicare and at US Dept of Labor have ruled. and no subordinates are permitted to defy them. Nor are govt contractors.
I'm looking forward to having 22+ years of judges and laws defied to end by a few abusing powers that have personal reasons for not wanting me to live or have medical care. What has been on-going is abuse of power, illegal and violations of my civil rights as well as the rights of my medical providers/ suppliers to be able to provide medical care that meets acceptable treatment standards without interference and to be paid timely by the appropriate health plan in the correct amount without their claims being altered from what was placed in my medical records.
There are parties whose ' persona; reasons' are staying out of jail with charges related to deaths of my co-workers or actions done after the fact.
If you do not have all the records that were compiled and forwarded to you in 2006 and 2007, then this is one more federal file in the custody of a govt contractor that needs to be reconstructed. Please send me a letter and a fax number to use so the person in charge of working the collections on my case have them.
You are not the decider of fact on my workers compensation case. The judges have set aside the last excuse for full reinstatement of wage loss in 2/09 which was caused by a felony destruction of my claims file in the Dallas regional office back in the late '90's. and the disappearance of the reconstructed file the judges sent to ACS in London KY in 2004 causing the Sec of Labor's to make arrangement for a reconstruction in 2005 and subsequent ' disappearance at ACS, again. The judges said in 2/09, accept my records and ask me for the facts of the case. The medical is permanent, and you are not involved in wage loss vs. work issues. I did return to work in 1990 and EEOC sanctions against HHS-SSA well proves it in those case files.
The lack of security on case files in OWCP offices, led to a contractor hired to assure security and not allow any paper files to be kept or seen in a us dept of labor owcp office. ALL papers filed, faxed, hand delivered have to be mailed direct to ACS at PO. Box 8300 London KY and then they are NOT to be a decider of fact nor which bills to process. All submissions are to be posted to a organized claims file so that the case can be worked. Whether the submissions are from the claimant or the highest appellate judges at US Dept of Labor, all are to be treated equally and processed equally. My case has had gross discrimination and violations of my civil rights resulting is a life and death struggle for life sustaining medical care as rumor and gossip gets strewn about as facts. Judges said: ask me for the facts.
Your highest authority is the Medicare judge who ruled: owcp gets the claims first, then Fed Blues an last Medicare. Not one party to this appealed. not my employer, nor me. OPM is NOT a party. Collections are in order. Since I and my estate have an overpayment liability that would not have existed if the Medicare intermediaries had labeled all the claims as conditional; I am pleading that you fulfill your legal obligation to me and to the taxpayer by sending out recovery letters on the accepted medical conditions and list the others for recovery should additional medical conditions be accepted. With the claims having been 'manipulated' by the Medicare claims processing contractors, it is reasonable to send all claims to ACS and let them use the reconstructed file to determine if its for accepted medical conditions or goes with which pending ca1 and ca2 on secondary/tertiary issues. That is the terms of your contract. Phone calls from govt officials is not 'OFFICIAL". 'They 'have the same official info and judges' rulings or should have before trying to influence your non-compliance with your contract, the law, judges and to me the injured worker whose life and livelihood are at stake. Linda Joy Adams
Thursday, April 7, 2011
violations of civil rights page 33: Request to reopen based on facilitation and lack of access to Federal Workers compensation?obstruction of cliams process by Affiliated Computer Systems,ACS and acceptance of Medicare Coordination of Benefits
Office of the Assistant Secretary
for Administration and Management
Washington, DC.
11-EM-071
Julia Mankata- Tamakloe
Chief office of External enforcement
Civil Rights Director
CC: Lorraine Dawson:
REQUEST TO REOPEN AND REVISE AND NEW VIOLATIONS SINCE FILING
Thanks for recognizing that Medicare Coordination of Benefits, a US Dept of Labor contractor has violated my civil rights in obstructing the process of my Health care claims and causing physical and financial harm as that is what has occurred .
As for Affiliated Computer Systems; not being an attorney I didn't say the "magic words" of my civil right to present and have access to the federal workers compensation process has been denied.
It is easy to get ' bogged down in the merits of the case.' I did state that my complaint to you has nothing to do with the merits of the case. The meirits can't even be discussed or decided because of the obstruction of facilitation and lack of access to the process by Affiliated computer systems who has abused their control of the flow of all 'paper and filings' on a federal workers compensation case. Whether i have a submission I wish to have a decision made on , or a medical providers or supplier, or the highest appellate judges in the agency.
On 3/28/2011, I received a decision from my claims examiner Teresa Davis that proves the case. She was allowed to have bits and pieces of my file that is in the custody of Affiliated computer services in order to 'manipulate the decision" She didn't even have the original filing and documents witch the violator, ACS, Affiliated computer systems has had submitted to them many times and are part of the original file before they took over. was there in 6/04 in boxes that arrived from the appellate judges and disappeared before posted, They were resent and never processed per their contract and SEC of Labor's office giving permission to resubmit to ACS and ACS deciding not post again. BUT deciding to post bits and pieces instead to mislead and cause physical and financial problems.
I have had access only to the appellate judges, as one can submit documents directly to them and by pass ACS; however, in order for their orders to be carried out, ACS has to get their submissions and post my file so that my claims examiner and others that implement those orders can do so.
That has been then continual violations by ACS since they got the contract.
Also, ACS receives and is to process all claims for payment of medical bills, and other out of pocket expenses. They have decided , to pick and choose which ones they want to process. They currently have 11 yeas of oxygen invoices that were filed timely over the years and have chosen to NOT process those. Their employees, including office manager in Tallahassee, FLA that its because: they will be paid and bring the disparate offline system they have set up to charge OWCP for processing paper, on line with the official department of labor computer system and have claims processed based on what has been decided in the past and in my case permanent medical coverage. I have been denied the right to have even a doctor bill processed. Many times, the ACS call center intentionally lies to medical providers and suppliers and claims never get submitted. That is denial of access to the process. and causes us to have to file appeals and beg Medicare or FEHB insurer to collect the money back due to creating overpayment liablities against me and my estate and familiy's bills are obstructed and unfacilitated over this
I've had 22+ years of periodically my files disappearing inside the US dept of labor offices. ACS was contracted with to prevent ' someone' from interfering with the process of a civil right to have security on ones submissions and submissions by others to the file so that decisions can be made on the merits of the case and the case flings. Now The US dept of labor offices, except for the judges, who can't implement their orders, from having the files, or submissions nor even the judges orders set up in a computer file that is in a reasonable order that is uniform for every claimant so that decisions can be made and judges orders carried. out. ACS has refused to do so in my case and has decided I should have disparate treatment. They are not the decider of fact, they are to treat my file like all others, secure it and process the medical claims in a reasonable time and in accordance with their contract. its a violation of my civil rights for them to decide to hold back the ones they discriminately choose not to process and then ' throw it in my face saying: because they will be paid.
Please reopen the case against Affiliated Computer services A Xerox company because I am being denied the right of access to the claims process and the facility to file a claim.
Since I filed the initial complaints with the Civil rights office at US dept of labor and the contract compliance civil rights complaint, I had a medical incident that required a filing of new CA1's an CA'2' claims with the US dept of labor. and presented evidence to support that these were secondary/Tertiary issues to the original injury case. It states on line that I could mail them directly to the local regional office in Dallas. However, when I called to verify that the claims examiner had them. -They are not allowed to keep files in the us dept of labor offices, whether arriving by fax, mail or hand delivery. They can take no action on the claims until they are sent to ACS and they process them into a computer file. No one was allowed to make any decision on them until ACS got them first. Since ACS has never set up my original claims file , my clams examiner has no idea what medical conditions in the new claims are secondary or a Tertitary issue in the original. This is denial of access to the process. My claims exaimner never knew any claims had arrived before 3/28/2011 as the mail room forwards them on immediately to ACS in London KY.
Likewise, on 3/28/11, the claims examiner made a decision without my entire claims file available, based on individuals wanting and wishing certain things would happen on my case that are not the deciderer of fact. My claims examiner, according to the ACS contract, shouldn't have even had access to the collections letter from Medicare secondary payer recovery nor the bits and pieces she had that weren't relevant to the issue she was deciding. She wasn't even aware anything else was pending and has been for years. One reconstructs the file for the judges as they can get submissions direct, then the files disappear except for what ACS wants the cliams examiner to see and then nothing gets processed and there is in essence no facilitation of right to the claims process. She had nether the original filing nor the medical documentations and letters from doctors that pertained tot eh issue. The appellate judges knew there was an on- going civil rights problem with ACS and my files and individuals had a personal interest in the outcome of my case that they should not have and definitely should not be allowed to make files disappear, etc. to cause what they wanted to occur. That is why ACS has the contract, to ensure security and equal treatment. Even the file reconstructions coming to ACS to be posted for the case to be worked are not posted per the contract and Teresa Davis was given bits and pieces to manipulate the outcome rather than the file being available in the order and completeness that the Judges had available and then the claims examiner and even the ACS bill paying call center and processing unit in Fl can have to process claims. they have decided to create, an overt act of disparity, an offline computer file and post wrong info that some third party should pay, when none exists and the file shows it. This is retaliation to mislead every medical provider/ supplier and cause on- going obstruction of medical care and creating havoc in trying to obtain life= sustaining medical care. Medicare was able to obtain the internal document form the us dept of labor, that ACS has withheld from the local regional office. And Lynn Blodgett, president and CEO conviently ' neglecting' to inform Christina Stark , the new reigonal manager last year that what he was accessing had not been updated since before ACS took over so she didn't have a clue what had transpired in submissions from me, the judges or anyone to the case. The US Dept of labor can't control their own contractor? and my rights are violated over it. they decided that they want their money back for paying bills that were already approved by owcp. Prior requests sent to ACS in ' 05, 07 and '08 were disregarded and never posted to a computer file so that those who would respond could do so. I've asked for a copy of the contract, but any contract that violaties ones civil rights would not be legal. If anything, judges remand orders would be the highest agency authoririty to set up my computer file as others are. In essence it denies me the right of process to even have appeal rights when those orders ' disppear' so they can't be carried out.
The claims process can't be accessed when ACS won;t let it occur As recent actions clearly demonstrate.
No government contract would be legal that allows any individual to coerce the contractor into treating anyone disparately and discriminating against them. My rights to have my file processed and faciliate my access to those rights have been usurped by ACS.
I and designated representative should be able to discuss this page or that page of my file when discussing or having decisions made. ACS has prevented this from occurring. This is not about a claims examiner making an erroneous decision or allowing herself to be ' duped/'. If ACS was not discriminating then the claims examiner would have had access to the file and any decision would have been based on the submissions and judges orders in the file. At present, gossip and rumor is rampant BECAUSE the file has been withheld form the parties that need to carry out the judges orders. I have sent repeated requests to ACS and even to Lynn Blodgett to make arrangements for my file to be reconstructed, per the judges, orders, so that the claims process can be accessed and any decisions rendered by the US dept of labor office of federal workers compensations would be based on the file. Resubitting a 50, 000 page file with issues needing initial deicison back to 1989(judges refer to this) and many reconsiderations unawswered that should be posted and worked since ACS got the contract is meaningless and money spent I don;'t have it if will still not be posted and recent actions show the behavior won't change and has gotten more retaliatory./If the claims examiner missed reading a report or there is a disagreement on interpretation of a doctors report or medical test then she wold have the report or test to refer to when I filed a reconsideration. I have had to file such and am referring to reports and tests that she can't look at because ACS has not allowed her to have access in a manner equal to others. I should be able to refer to Dr Ciechanowski's report of 12/06 and discuss what he said. I should be able for her to see the positive methacholine challenge tests of '92, '94,'99, '04 and the attached doctor reports in discussing a permanent disability as well as the published medial journal articles that discuss what the reports mean. This access to the claims process has been denied me repeatedly since ACS took over and is doing so now. My claims examiner doesn't even know why my wage loss was ceased because that part of the file is not available to her of a noncontroverted, accepted, established case with permanent medcial benefits aready established. When the judges set aside, the reason for my wage loss being stopped:, saying I did return to work in 1990 and to accept my records showing this ( includes EEOC sanctions against my agency); the local officials had no idea the importance of those few words when they ruled in 2/09. Form 521 should have been filed with OPM and wage loss reinstated. How could they know, when the claims process was denied by ACS not getting the file set up and I waited a few months, heard nothing and proceeded to send a certified letter to ACS's office in London Ky and it was never posted to a regular file so that the local officials could answer it. I asked to have some kind of stem or process set up to reconstruct the files. Even faxing to the us dept of labor local office will not be seen until ACS gets them and psots the file. The Judges said ask me for the facts of the case: the facts are humongous and includes why a medical bill from 1989 should be paid, and never looked at yet and why certain medical conditions should also be accepted on secondary/tertiary issues filed, one of which goes back to 1991 and has became permanent and medically related. But until ACS allows me to proceed with the claims process, no discussion written or verbal can occur as the claims examiner has to be able to see the same page or report or test that I am referring to. How can one do a permanent disability when the accepted medical conditions aren't even allowed to be known by the claims examiner because the file is withheld that lists them on the page one she had been denied access to, to process the case. The claims process isn't just being allowed to put a claim in the mail and be received. its the allowance of that being made availble to the party that has the authority to make a decision on a claims or any other filing or even judges remand orders.
ACS has continuosly and consistently violated my rights in the obstruction of the process of my claims so that the claims process is continually obstructed. Since ACS has to receive all submissions from me or even the judges, I ' ve had no access to facilitation of my case with ACS. Even more blatant retaliation is for them to give bits and pieces or decide what bills to input to a ' dummy' offline disparate file. It would be More honest to have created no computer file at all and tell all who ask? we have decided not to set up her file because we wish to discriminate and control the outcome of her case. instead they are paid to ' pretend' to process the submissions in a disparate manner which is not legal. ACS is not the decider of even payment of a medical bill, as a recent memo to doctors states: make sure the ICD-9 code is on the form. If it matches as one of diagnosis put on the form, then the bills are paid, if not it isn't. This seems to be a way to justify what has occurred on my case because of the access to the claims process over with medicare. often diagnosis codes have been manipulated to circumvent a collection letter back to ACS which is where it is sent by medicare and other health plan cliams processors. This mean every claim has to be seen by the claims examiner due to the violations of my civil rights by Medicare coordination of benefits facilitating discrimination over at their company. And each bill processed must receive appeal rights and noen have been issued to me for the bills they did input. I did appeal and no answer. My claims exaiminer hasn't even seen them as Christina Stark said she had nothing but a file of some transactionsn( not copies of the pages, etc.) after 1998 availble to her when Lynn Blodgett contacted her after my repeated attempts to contract him led me to publish a letter to him in the washingtonpost.com on blog page comments page.
The history of why Affiliated computer Systems was given the contract was to ensure violations of civil rights did not occur and that all claimants would be treated equally and not have files go missing in order to manipulate outcomes. In a Federal office this is a felony. And the felony investigation of disappearance of my fles in the us dept of labor office in Dallas, TX on my case ( others I'm not privy to)by the US dept of labor's Office of inspector general resulted in ACS getting the contract as they could not ensure security of my claims files which had repeatedly ' gone missing' since 1/10/89 at opportune times for someone wanting to alter the outcome on my case.And that is withon other federal offices and agencies. ACS 's contract should have ended that illegal activity and as sson as a submission arrives be scanned in on a computer file that's on line and set up so anyone needed to work or discuss the case knows where to access info. Other agencies and companies can do this in a systematic order. Medical report from 1996, reqeust for schedule award filed in 1996, particualar test from this provider or that one, should be able to be accessed in a reasonable and efficient manner.And the ICD-9 codes of the multiple accepted conditions which were on page one ,left side of the paper file and submitted by me from copies I'd received should be avialable first and foremost. along with award letters and even the file trasfer letter in '97 for the Philadelphia office clearly explained what needed to be done in the case and that a occupational asthma was establinhed that none seems to know since ACS took over. The judges have now ordered that my reconstruction of the file be accepted.
They have violated my right to have my claims processed and have blocked the facilitation of my claims process.
for Administration and Management
Washington, DC.
11-EM-071
Julia Mankata- Tamakloe
Chief office of External enforcement
Civil Rights Director
CC: Lorraine Dawson:
REQUEST TO REOPEN AND REVISE AND NEW VIOLATIONS SINCE FILING
Thanks for recognizing that Medicare Coordination of Benefits, a US Dept of Labor contractor has violated my civil rights in obstructing the process of my Health care claims and causing physical and financial harm as that is what has occurred .
As for Affiliated Computer Systems; not being an attorney I didn't say the "magic words" of my civil right to present and have access to the federal workers compensation process has been denied.
It is easy to get ' bogged down in the merits of the case.' I did state that my complaint to you has nothing to do with the merits of the case. The meirits can't even be discussed or decided because of the obstruction of facilitation and lack of access to the process by Affiliated computer systems who has abused their control of the flow of all 'paper and filings' on a federal workers compensation case. Whether i have a submission I wish to have a decision made on , or a medical providers or supplier, or the highest appellate judges in the agency.
On 3/28/2011, I received a decision from my claims examiner Teresa Davis that proves the case. She was allowed to have bits and pieces of my file that is in the custody of Affiliated computer services in order to 'manipulate the decision" She didn't even have the original filing and documents witch the violator, ACS, Affiliated computer systems has had submitted to them many times and are part of the original file before they took over. was there in 6/04 in boxes that arrived from the appellate judges and disappeared before posted, They were resent and never processed per their contract and SEC of Labor's office giving permission to resubmit to ACS and ACS deciding not post again. BUT deciding to post bits and pieces instead to mislead and cause physical and financial problems.
I have had access only to the appellate judges, as one can submit documents directly to them and by pass ACS; however, in order for their orders to be carried out, ACS has to get their submissions and post my file so that my claims examiner and others that implement those orders can do so.
That has been then continual violations by ACS since they got the contract.
Also, ACS receives and is to process all claims for payment of medical bills, and other out of pocket expenses. They have decided , to pick and choose which ones they want to process. They currently have 11 yeas of oxygen invoices that were filed timely over the years and have chosen to NOT process those. Their employees, including office manager in Tallahassee, FLA that its because: they will be paid and bring the disparate offline system they have set up to charge OWCP for processing paper, on line with the official department of labor computer system and have claims processed based on what has been decided in the past and in my case permanent medical coverage. I have been denied the right to have even a doctor bill processed. Many times, the ACS call center intentionally lies to medical providers and suppliers and claims never get submitted. That is denial of access to the process. and causes us to have to file appeals and beg Medicare or FEHB insurer to collect the money back due to creating overpayment liablities against me and my estate and familiy's bills are obstructed and unfacilitated over this
I've had 22+ years of periodically my files disappearing inside the US dept of labor offices. ACS was contracted with to prevent ' someone' from interfering with the process of a civil right to have security on ones submissions and submissions by others to the file so that decisions can be made on the merits of the case and the case flings. Now The US dept of labor offices, except for the judges, who can't implement their orders, from having the files, or submissions nor even the judges orders set up in a computer file that is in a reasonable order that is uniform for every claimant so that decisions can be made and judges orders carried. out. ACS has refused to do so in my case and has decided I should have disparate treatment. They are not the decider of fact, they are to treat my file like all others, secure it and process the medical claims in a reasonable time and in accordance with their contract. its a violation of my civil rights for them to decide to hold back the ones they discriminately choose not to process and then ' throw it in my face saying: because they will be paid.
Please reopen the case against Affiliated Computer services A Xerox company because I am being denied the right of access to the claims process and the facility to file a claim.
Since I filed the initial complaints with the Civil rights office at US dept of labor and the contract compliance civil rights complaint, I had a medical incident that required a filing of new CA1's an CA'2' claims with the US dept of labor. and presented evidence to support that these were secondary/Tertiary issues to the original injury case. It states on line that I could mail them directly to the local regional office in Dallas. However, when I called to verify that the claims examiner had them. -They are not allowed to keep files in the us dept of labor offices, whether arriving by fax, mail or hand delivery. They can take no action on the claims until they are sent to ACS and they process them into a computer file. No one was allowed to make any decision on them until ACS got them first. Since ACS has never set up my original claims file , my clams examiner has no idea what medical conditions in the new claims are secondary or a Tertitary issue in the original. This is denial of access to the process. My claims exaimner never knew any claims had arrived before 3/28/2011 as the mail room forwards them on immediately to ACS in London KY.
Likewise, on 3/28/11, the claims examiner made a decision without my entire claims file available, based on individuals wanting and wishing certain things would happen on my case that are not the deciderer of fact. My claims examiner, according to the ACS contract, shouldn't have even had access to the collections letter from Medicare secondary payer recovery nor the bits and pieces she had that weren't relevant to the issue she was deciding. She wasn't even aware anything else was pending and has been for years. One reconstructs the file for the judges as they can get submissions direct, then the files disappear except for what ACS wants the cliams examiner to see and then nothing gets processed and there is in essence no facilitation of right to the claims process. She had nether the original filing nor the medical documentations and letters from doctors that pertained tot eh issue. The appellate judges knew there was an on- going civil rights problem with ACS and my files and individuals had a personal interest in the outcome of my case that they should not have and definitely should not be allowed to make files disappear, etc. to cause what they wanted to occur. That is why ACS has the contract, to ensure security and equal treatment. Even the file reconstructions coming to ACS to be posted for the case to be worked are not posted per the contract and Teresa Davis was given bits and pieces to manipulate the outcome rather than the file being available in the order and completeness that the Judges had available and then the claims examiner and even the ACS bill paying call center and processing unit in Fl can have to process claims. they have decided to create, an overt act of disparity, an offline computer file and post wrong info that some third party should pay, when none exists and the file shows it. This is retaliation to mislead every medical provider/ supplier and cause on- going obstruction of medical care and creating havoc in trying to obtain life= sustaining medical care. Medicare was able to obtain the internal document form the us dept of labor, that ACS has withheld from the local regional office. And Lynn Blodgett, president and CEO conviently ' neglecting' to inform Christina Stark , the new reigonal manager last year that what he was accessing had not been updated since before ACS took over so she didn't have a clue what had transpired in submissions from me, the judges or anyone to the case. The US Dept of labor can't control their own contractor? and my rights are violated over it. they decided that they want their money back for paying bills that were already approved by owcp. Prior requests sent to ACS in ' 05, 07 and '08 were disregarded and never posted to a computer file so that those who would respond could do so. I've asked for a copy of the contract, but any contract that violaties ones civil rights would not be legal. If anything, judges remand orders would be the highest agency authoririty to set up my computer file as others are. In essence it denies me the right of process to even have appeal rights when those orders ' disppear' so they can't be carried out.
The claims process can't be accessed when ACS won;t let it occur As recent actions clearly demonstrate.
No government contract would be legal that allows any individual to coerce the contractor into treating anyone disparately and discriminating against them. My rights to have my file processed and faciliate my access to those rights have been usurped by ACS.
I and designated representative should be able to discuss this page or that page of my file when discussing or having decisions made. ACS has prevented this from occurring. This is not about a claims examiner making an erroneous decision or allowing herself to be ' duped/'. If ACS was not discriminating then the claims examiner would have had access to the file and any decision would have been based on the submissions and judges orders in the file. At present, gossip and rumor is rampant BECAUSE the file has been withheld form the parties that need to carry out the judges orders. I have sent repeated requests to ACS and even to Lynn Blodgett to make arrangements for my file to be reconstructed, per the judges, orders, so that the claims process can be accessed and any decisions rendered by the US dept of labor office of federal workers compensations would be based on the file. Resubitting a 50, 000 page file with issues needing initial deicison back to 1989(judges refer to this) and many reconsiderations unawswered that should be posted and worked since ACS got the contract is meaningless and money spent I don;'t have it if will still not be posted and recent actions show the behavior won't change and has gotten more retaliatory./If the claims examiner missed reading a report or there is a disagreement on interpretation of a doctors report or medical test then she wold have the report or test to refer to when I filed a reconsideration. I have had to file such and am referring to reports and tests that she can't look at because ACS has not allowed her to have access in a manner equal to others. I should be able to refer to Dr Ciechanowski's report of 12/06 and discuss what he said. I should be able for her to see the positive methacholine challenge tests of '92, '94,'99, '04 and the attached doctor reports in discussing a permanent disability as well as the published medial journal articles that discuss what the reports mean. This access to the claims process has been denied me repeatedly since ACS took over and is doing so now. My claims examiner doesn't even know why my wage loss was ceased because that part of the file is not available to her of a noncontroverted, accepted, established case with permanent medcial benefits aready established. When the judges set aside, the reason for my wage loss being stopped:, saying I did return to work in 1990 and to accept my records showing this ( includes EEOC sanctions against my agency); the local officials had no idea the importance of those few words when they ruled in 2/09. Form 521 should have been filed with OPM and wage loss reinstated. How could they know, when the claims process was denied by ACS not getting the file set up and I waited a few months, heard nothing and proceeded to send a certified letter to ACS's office in London Ky and it was never posted to a regular file so that the local officials could answer it. I asked to have some kind of stem or process set up to reconstruct the files. Even faxing to the us dept of labor local office will not be seen until ACS gets them and psots the file. The Judges said ask me for the facts of the case: the facts are humongous and includes why a medical bill from 1989 should be paid, and never looked at yet and why certain medical conditions should also be accepted on secondary/tertiary issues filed, one of which goes back to 1991 and has became permanent and medically related. But until ACS allows me to proceed with the claims process, no discussion written or verbal can occur as the claims examiner has to be able to see the same page or report or test that I am referring to. How can one do a permanent disability when the accepted medical conditions aren't even allowed to be known by the claims examiner because the file is withheld that lists them on the page one she had been denied access to, to process the case. The claims process isn't just being allowed to put a claim in the mail and be received. its the allowance of that being made availble to the party that has the authority to make a decision on a claims or any other filing or even judges remand orders.
ACS has continuosly and consistently violated my rights in the obstruction of the process of my claims so that the claims process is continually obstructed. Since ACS has to receive all submissions from me or even the judges, I ' ve had no access to facilitation of my case with ACS. Even more blatant retaliation is for them to give bits and pieces or decide what bills to input to a ' dummy' offline disparate file. It would be More honest to have created no computer file at all and tell all who ask? we have decided not to set up her file because we wish to discriminate and control the outcome of her case. instead they are paid to ' pretend' to process the submissions in a disparate manner which is not legal. ACS is not the decider of even payment of a medical bill, as a recent memo to doctors states: make sure the ICD-9 code is on the form. If it matches as one of diagnosis put on the form, then the bills are paid, if not it isn't. This seems to be a way to justify what has occurred on my case because of the access to the claims process over with medicare. often diagnosis codes have been manipulated to circumvent a collection letter back to ACS which is where it is sent by medicare and other health plan cliams processors. This mean every claim has to be seen by the claims examiner due to the violations of my civil rights by Medicare coordination of benefits facilitating discrimination over at their company. And each bill processed must receive appeal rights and noen have been issued to me for the bills they did input. I did appeal and no answer. My claims exaiminer hasn't even seen them as Christina Stark said she had nothing but a file of some transactionsn( not copies of the pages, etc.) after 1998 availble to her when Lynn Blodgett contacted her after my repeated attempts to contract him led me to publish a letter to him in the washingtonpost.com on blog page comments page.
The history of why Affiliated computer Systems was given the contract was to ensure violations of civil rights did not occur and that all claimants would be treated equally and not have files go missing in order to manipulate outcomes. In a Federal office this is a felony. And the felony investigation of disappearance of my fles in the us dept of labor office in Dallas, TX on my case ( others I'm not privy to)by the US dept of labor's Office of inspector general resulted in ACS getting the contract as they could not ensure security of my claims files which had repeatedly ' gone missing' since 1/10/89 at opportune times for someone wanting to alter the outcome on my case.And that is withon other federal offices and agencies. ACS 's contract should have ended that illegal activity and as sson as a submission arrives be scanned in on a computer file that's on line and set up so anyone needed to work or discuss the case knows where to access info. Other agencies and companies can do this in a systematic order. Medical report from 1996, reqeust for schedule award filed in 1996, particualar test from this provider or that one, should be able to be accessed in a reasonable and efficient manner.And the ICD-9 codes of the multiple accepted conditions which were on page one ,left side of the paper file and submitted by me from copies I'd received should be avialable first and foremost. along with award letters and even the file trasfer letter in '97 for the Philadelphia office clearly explained what needed to be done in the case and that a occupational asthma was establinhed that none seems to know since ACS took over. The judges have now ordered that my reconstruction of the file be accepted.
They have violated my right to have my claims processed and have blocked the facilitation of my claims process.
Tuesday, April 5, 2011
What's New | Office of Inspector General
What's New Office of Inspector General see the testimony of deputy oig praising the biggest thieves!
Tuesday, March 29, 2011
CIGNA Government Services Home
CIGNA Government Services Home South carolina Blues, parent company of trailblazwers the biggest thieves has just acquired them. Don't expect any civil right at all. At least Cigna allowed appeals.
Wednesday, March 23, 2011
violations of civil rights page 28: Departmental appeals board and Miami Medicare hearing office.
Departmental Appeals Board, HHS for medicare and personnel matters: Miami Medicare hearing office.
Attached are pages that explain what is on going since 9-29-2010 since the only final, formal decision has been rendered on a few claims paid by Cigna Govt services: Case M09-1406. It appears, the next case on the Trailblazers claims ended up in front to the judge with none of the file and none of the previous decisions) from the Miami medciare hearing office. There was no final decision as no appeal rights, etc. Also, what was re caped would be theft of the medciare trust fund if carried out. surely the judge would not be advocating that. After the first two ALJ decisions on it seems files increasingly disappeared out of both the Appellate office and especially the Miami hearing office where the govt contractor ( ACS?) doesn't even docket in arrivals and attorneys all over the country are complaining to the staff about files not left intact. I'm doing the best i physically can to meet filing dates on a : death panel decision that has put my life in jeopardy and caused great physical and financial hardship in filing papers and appeals and intermediaries ignoring them. I've asked for an against equity and good conscience waiver of any overpayment liability but its never answered at any level. There are several hearing requests pending in the Miami Hearing office and no formal answers to any appeals other than the first one. It seems that the letter sent from the Dallas CMS office by a high level official who has been instrumental in on-going violations was the source of the next letter, the only source. its documented she has; asked me to withdraw my federal workers comp claims so medciare could pay my bills, and has had the official line - up changed at medciare coordination of benefits in violation of their contract agreements to have security on an official records which three judges at CMS have affirmed and 9 judges at the US dept of labor. No one explains o medical billing personnel of the legal option of conditional payments which medciare is required by law to enforce even though a former Sec of HHS suspended enforcements and set up ' contracts.' We've seen, according to some inside experts, over a trillion dollars of medciare truest fund used to pay bills that were never coded for recovery from the primary payers. MSPRC still doesn't seem to understand that they are to enforce the laws against existing primary payers and stop their shenanigans to get out of paying when the law, judges, and entitlements are approved for them to be the primary payers. The last three US dept of labor judges said in 2/09 : ask me for the facts of the case as they were well aware of the ongoing problems with their contractors and CMS's as gossip and rumors got passed around as facts. Most of my bills should be getting paid by OWCP, secondary /tertiary issues should be getting their initial review and appeals if needed to clarify issues. The request for scheduled award and permanent disability field in 1996 should have been approved long ago, but the substantial medical evidence is ' missing ' along with the entire case file at ACS and MSPRC doesn't even seem to know what my accepted medical conditions are listing a few musculoskeletal secondary claims only even after sending a detailed ( including the accepted occ asthma and other related accepted conditons) and lengthy recovery letters in '05, 07 and 08 which were ignored. My official personnel file is missing and rank and file employees can't seem to figure out my status which has not officially changed since going from HHS to owcp jurisdiction in 10/94. This was before any w-2' s were issued by SSA as an independent agency. I went to work1/10/89 and something terrible happened beyond by ability to control or stop.( others could have) I have an established , non- controverted case on my 1/10/89 and why all the violations? Three times I tried to work at great physical peril to my life with EEOC sanctions against HHS-SSA for violations that are not enforceable against another federal agency. Now, for profit contractors have taken over control of our govt programs and our civil rights have ' disappeared' along with all my files.
Attached are pages that explain what is on going since 9-29-2010 since the only final, formal decision has been rendered on a few claims paid by Cigna Govt services: Case M09-1406. It appears, the next case on the Trailblazers claims ended up in front to the judge with none of the file and none of the previous decisions) from the Miami medciare hearing office. There was no final decision as no appeal rights, etc. Also, what was re caped would be theft of the medciare trust fund if carried out. surely the judge would not be advocating that. After the first two ALJ decisions on it seems files increasingly disappeared out of both the Appellate office and especially the Miami hearing office where the govt contractor ( ACS?) doesn't even docket in arrivals and attorneys all over the country are complaining to the staff about files not left intact. I'm doing the best i physically can to meet filing dates on a : death panel decision that has put my life in jeopardy and caused great physical and financial hardship in filing papers and appeals and intermediaries ignoring them. I've asked for an against equity and good conscience waiver of any overpayment liability but its never answered at any level. There are several hearing requests pending in the Miami Hearing office and no formal answers to any appeals other than the first one. It seems that the letter sent from the Dallas CMS office by a high level official who has been instrumental in on-going violations was the source of the next letter, the only source. its documented she has; asked me to withdraw my federal workers comp claims so medciare could pay my bills, and has had the official line - up changed at medciare coordination of benefits in violation of their contract agreements to have security on an official records which three judges at CMS have affirmed and 9 judges at the US dept of labor. No one explains o medical billing personnel of the legal option of conditional payments which medciare is required by law to enforce even though a former Sec of HHS suspended enforcements and set up ' contracts.' We've seen, according to some inside experts, over a trillion dollars of medciare truest fund used to pay bills that were never coded for recovery from the primary payers. MSPRC still doesn't seem to understand that they are to enforce the laws against existing primary payers and stop their shenanigans to get out of paying when the law, judges, and entitlements are approved for them to be the primary payers. The last three US dept of labor judges said in 2/09 : ask me for the facts of the case as they were well aware of the ongoing problems with their contractors and CMS's as gossip and rumors got passed around as facts. Most of my bills should be getting paid by OWCP, secondary /tertiary issues should be getting their initial review and appeals if needed to clarify issues. The request for scheduled award and permanent disability field in 1996 should have been approved long ago, but the substantial medical evidence is ' missing ' along with the entire case file at ACS and MSPRC doesn't even seem to know what my accepted medical conditions are listing a few musculoskeletal secondary claims only even after sending a detailed ( including the accepted occ asthma and other related accepted conditons) and lengthy recovery letters in '05, 07 and 08 which were ignored. My official personnel file is missing and rank and file employees can't seem to figure out my status which has not officially changed since going from HHS to owcp jurisdiction in 10/94. This was before any w-2' s were issued by SSA as an independent agency. I went to work1/10/89 and something terrible happened beyond by ability to control or stop.( others could have) I have an established , non- controverted case on my 1/10/89 and why all the violations? Three times I tried to work at great physical peril to my life with EEOC sanctions against HHS-SSA for violations that are not enforceable against another federal agency. Now, for profit contractors have taken over control of our govt programs and our civil rights have ' disappeared' along with all my files.
violations of civil rights page 27: medicare coordination of benefits. damages
Medicare Coordination of Benefits: On 9/29/2010, Departmental appeals board ruled that OWCP needs to get Linda's claims first and affirmed the two lower judges ruling that fed Blues is also a primary to Medicare. yesterday, i was able to access mymedcaire.gov for the first time, unknown what claim number all the claims are under) and say only a few muscular skeletal claims listed as conditional under he Medicare secondary payer recovery unit. There are secondary/tertiary claims pending with owcp but until ACS set up my computer file and bring it on line with the official us dept of labor computer, nothing is happening and hasn't for a decade since Ill Blues took over in TX, NM, OK and ACS-Xerox took over for the us dept of labor is a real ' death panel ' decision against me. ( ACS-Xerox has 11 year a of oxygen invoices they won't input as the computer will pay them and bring the file on line as I was approved for life.) Hopefully you know understand that your contract violations with CMS and Us dept of labor in allowing any one and everyone to alter the official bi-weekly posting has almost cost me my life and and extreme physical and financial hardship and reataliations. You still show the wrong date of injury and this has led to mass chaos for billing personnel and obstructs medical care. ALL my claims are for either accepted conditions at owcp or for claims pending, sometimes for years in defiance of 6 appellate Judges and hearing officers who have remanded the case pointing out they have never been reviewed. only to have ACS ' disppear' the judges orders. Even their CEO misled the new Reg office manger when he contacted her over a year ago and led to more hardship. You have had a duty to hold fast to your contract and secure the official bi-weekly posting. Your protestations that you didn't alter them is defied by hundreds of witnesses an has led to claims not getting sent on to MSPRC and both your parent companies stopping in recovery back to Medicare which the US atty called a ricco situation.
Now the same thing is happening with Doyle's and our daughter's claims, one of which ended up dumped onto medicaid her third, payer. For them, Fed blues is primary per the same appellate decision and Medicare secondnary until the 1996 request that is still pending unanswered at federal workers compensation for permanent disability is approved. ( not even been seen)
All this because the 10 year lease needed to be signed on my injury work site in 1998 and I had to ' disappear' along with the 4 years I tried to work in considerably pain and with health declining as promised accommodations not done, yet receiving awards for what I was able to do. You were the first one I sent an appeal to years ago, as crucial to the underpinning integrity of the health care system as the former Sec of HHS set it up in the '90's. My son is hauling tanks and paying our of pocket over this as Lincare is now a monoopy supplier in this area and is refusing service until the ' govt programs' are again in compliance with the law? Congress gave this authority to the govt and it passed this responsibility on to you. Please never alter official records again. For the last 2 years, there has only been @10 min every two weeks that its been accurate before you deelted my Fed Blues. off our records. a decade of such ' death panel' decisions has to stop. This has put my life in jeopardy and obstructed medcial care.Now for my family. Explain to billing personnel who beg you to alter the records how to process a conditional payment which is the legal option. That's what conditional payments were passed by Congress to do: stop these shenanighans. Medical subrogation is something entirely diifferent and doesn't pertain except for those pending medical issues. not yet seen at owcp. Why aren't all the cliams listed until OWCP pays?
Now the same thing is happening with Doyle's and our daughter's claims, one of which ended up dumped onto medicaid her third, payer. For them, Fed blues is primary per the same appellate decision and Medicare secondnary until the 1996 request that is still pending unanswered at federal workers compensation for permanent disability is approved. ( not even been seen)
All this because the 10 year lease needed to be signed on my injury work site in 1998 and I had to ' disappear' along with the 4 years I tried to work in considerably pain and with health declining as promised accommodations not done, yet receiving awards for what I was able to do. You were the first one I sent an appeal to years ago, as crucial to the underpinning integrity of the health care system as the former Sec of HHS set it up in the '90's. My son is hauling tanks and paying our of pocket over this as Lincare is now a monoopy supplier in this area and is refusing service until the ' govt programs' are again in compliance with the law? Congress gave this authority to the govt and it passed this responsibility on to you. Please never alter official records again. For the last 2 years, there has only been @10 min every two weeks that its been accurate before you deelted my Fed Blues. off our records. a decade of such ' death panel' decisions has to stop. This has put my life in jeopardy and obstructed medcial care.Now for my family. Explain to billing personnel who beg you to alter the records how to process a conditional payment which is the legal option. That's what conditional payments were passed by Congress to do: stop these shenanighans. Medical subrogation is something entirely diifferent and doesn't pertain except for those pending medical issues. not yet seen at owcp. Why aren't all the cliams listed until OWCP pays?
violations of civil rights page 23: Trailblazers redt and reopen- refuses to acknoweldge owcp and muliptle thefts
Trailblazers, Medicare intermediary for Doyle, Linda and Doyle for M appeals:
PO. Box: 650714; PO Box;660155; PO Bx: 660156 Dallas, TX. 75266
These are redetermination requests and to treat as anything else is a violation of our civil rights. This is also a request to reopen all claims back to 8/1/00 to pay as conditional and get them over to Medicare secondary payer recovery so they can list them for recovery from Federal workers compensation on Linda and Federal Blues for Doyle and Martha. based on the Dept Appeals Board decision of 9/29/2010 case: M09-1406 that makes OWCP primary for Linda and upheld that Fed Blues is also a primary. not one claim has ever been sent to MSPRC and that is considered A ricco theft of medicare. All but one appeal has ever been answered and no hearing have yet been held on any of the issues. Q2 administrators after getting a hearing remand admitted that you had paid these claims 17 times on 17 claim number ( 15 you created) starting 8/08 and retro on all Linda's claims back to 1/1/06. My letters and phone call to your reg. CEO never stopped this. Linda's FEHB dependents status is determined by her OWCP status. And medicare is secondary for them. you have not forwarded one of their claims for recovery from Federal Blues ( Ill Blues of TX and OK) in violation of judges, contracts and the law. No final determination has been made by DAB as yet on your claims, but if you had coded these as conditional payments, no appeals would have been necessary except for the specific claims where the test run or the specific surgery or procedure was miscoded such as the cardiopulmonary stress test on Linda in '05 and the sinus surgery and hospitalization on Linda to save her life and part was inoperable due to so much damage from her work injuries. This got coded like a simple office procedure to down play the severity of her injures which has become an all too common practice. the office manager for the doctor got lied to by every contractor and then ' blamed' Linda for not being able to straighten out the whole health care violations that have been on-going for over a decade. Linda lost a good doctor and this is part of what real ' death panels' are: obstruction of life sustianing medical care. More recently Doyle received a summary notice for our daughter and the ricco situation has ' dumped' an office visit with her family doctor onto the State medicaid which the state of ill had to get stopped in the tune of $25 million. A medicaid fraud report has been filed and this needs to be paid as secondary and Fed Blues as primary. There is also a situation where even though MH is not a participating provider with Fed blues, they need to be paid under the equity provision and then medicare. There have been no medical service dates there were no medically necessary and all should be paid conditionally if Medicare ends up having to pay primary to stop the ' death panel decisions.' On Mymedciare .gov, Linda could not find any claims in the last 15 months yet Part B cliams should have been sent in conditionally on all dates of service to protect the filing dates so when SSA ' finds' the missing part B premiums. Where all govt contractors ( partners) giving out so much false info continuously all medical providers should not be held to any filing dates. Your collusion with Medicare coordination of benefits to alter the official records in violation of their contract with the US dept of labor and CMS is death panel violations of our civil rights and the physical and financial hardships have been overwhelming. If you want to turn each claim in 17 and pay your self and bill for all, then send us each letters of waiver that we are not liable for any overpayments nor our estates. This is not a hardship waiver , this is one against equity and good conscience because of the violations by you. You should never listen to any corrupt or misguided federal official at CMS who tries to stop you from doing your job legally. This has occurred and been docmumented in 9/2010 when a letter was sent from Stephanie Gammon Head of fee for services in Dallas to Ms de-Coq head of the call center for the medical providers with the obvious intent to obstruct the DAB decision that affirmed you had engaged in violations by not treating all claims as conditional when medicare had to use the safety net provision in Medicare when the primary payers were and are still in violations. Then an attempt was done to block any final appeals from DAB on any subsequent appeal decisions. SO far no final ones have been done over it. More civil rights violations. Cigna Govt services has been the only intermediary that has cooperated in any way with the civil rights of allowing appeals and on their own sending the paid oxygen claims on over to MSPRC who sent out a letter to ACS as they had done on their own with claims you had paid since 8/1/00 with recovery letters to ACS in '05 and '07 with no response and their parent company group health, which is the parent company for Medicare coordination of benefits whom you have successfully gotten to facilitate bypassing owcp and fed Blues for years; ordered them not to collect. Now they show only muscular skeletal injuries, which are secondary/tertiary claims on the original accepted diagnoses- as my job injuries. This has intentionally mislead medical providers along with the date of injury being listed as 3/1/97 instead of 1/10/89. Even my pulmonoologist asked questions trying to figure out what was going on. yesterday was the first time I was able to access any pertinent info of of my Medicare .gov but no claims for last 15 months are listed. Now I understand why he asked questions that seemed to not ' correlate' as he knows and seen documents on my original accepted conditions and pulomonolgists, cardiologists, ear,nose and throat; and any other doctor who treats is under owcp. Plus there is a myriad of seocndary and tertiary claims filed and ACS won't let have an initial review as they have not processed 11 years of oxygen invoices because they will be paid as before and bring the offline incorrect file online with the official US Dept of Labor file. Claiming some long - gone federal OPM director official ' made them do it' in violaiton of any legal govt contract to uphold the laws of our soverign nation.
THIS IS A REDETERMINATION ON ALL CLAIMS BACK TO 8/1/00 on Linda and 11/1/08 on our daughter and 11/1/08 on Doyle as well as all processed ones be reopened based on the two ALJ decisions of 08 and 09 and the affirming DAB dicision of 9/29/10 ( only final one so far) which clarified that owcp gets Linda's claims first. ALSO a WIAVER of liabiity against us of any overpayments for your actions and our futile attempts to get your compliance with laws and judges decisions. This is filed timely. Due to hardship other documents will be faxed separately. This filing goes to three different PO BOXES: - more finanical hardship.
PO. Box: 650714; PO Box;660155; PO Bx: 660156 Dallas, TX. 75266
These are redetermination requests and to treat as anything else is a violation of our civil rights. This is also a request to reopen all claims back to 8/1/00 to pay as conditional and get them over to Medicare secondary payer recovery so they can list them for recovery from Federal workers compensation on Linda and Federal Blues for Doyle and Martha. based on the Dept Appeals Board decision of 9/29/2010 case: M09-1406 that makes OWCP primary for Linda and upheld that Fed Blues is also a primary. not one claim has ever been sent to MSPRC and that is considered A ricco theft of medicare. All but one appeal has ever been answered and no hearing have yet been held on any of the issues. Q2 administrators after getting a hearing remand admitted that you had paid these claims 17 times on 17 claim number ( 15 you created) starting 8/08 and retro on all Linda's claims back to 1/1/06. My letters and phone call to your reg. CEO never stopped this. Linda's FEHB dependents status is determined by her OWCP status. And medicare is secondary for them. you have not forwarded one of their claims for recovery from Federal Blues ( Ill Blues of TX and OK) in violation of judges, contracts and the law. No final determination has been made by DAB as yet on your claims, but if you had coded these as conditional payments, no appeals would have been necessary except for the specific claims where the test run or the specific surgery or procedure was miscoded such as the cardiopulmonary stress test on Linda in '05 and the sinus surgery and hospitalization on Linda to save her life and part was inoperable due to so much damage from her work injuries. This got coded like a simple office procedure to down play the severity of her injures which has become an all too common practice. the office manager for the doctor got lied to by every contractor and then ' blamed' Linda for not being able to straighten out the whole health care violations that have been on-going for over a decade. Linda lost a good doctor and this is part of what real ' death panels' are: obstruction of life sustianing medical care. More recently Doyle received a summary notice for our daughter and the ricco situation has ' dumped' an office visit with her family doctor onto the State medicaid which the state of ill had to get stopped in the tune of $25 million. A medicaid fraud report has been filed and this needs to be paid as secondary and Fed Blues as primary. There is also a situation where even though MH is not a participating provider with Fed blues, they need to be paid under the equity provision and then medicare. There have been no medical service dates there were no medically necessary and all should be paid conditionally if Medicare ends up having to pay primary to stop the ' death panel decisions.' On Mymedciare .gov, Linda could not find any claims in the last 15 months yet Part B cliams should have been sent in conditionally on all dates of service to protect the filing dates so when SSA ' finds' the missing part B premiums. Where all govt contractors ( partners) giving out so much false info continuously all medical providers should not be held to any filing dates. Your collusion with Medicare coordination of benefits to alter the official records in violation of their contract with the US dept of labor and CMS is death panel violations of our civil rights and the physical and financial hardships have been overwhelming. If you want to turn each claim in 17 and pay your self and bill for all, then send us each letters of waiver that we are not liable for any overpayments nor our estates. This is not a hardship waiver , this is one against equity and good conscience because of the violations by you. You should never listen to any corrupt or misguided federal official at CMS who tries to stop you from doing your job legally. This has occurred and been docmumented in 9/2010 when a letter was sent from Stephanie Gammon Head of fee for services in Dallas to Ms de-Coq head of the call center for the medical providers with the obvious intent to obstruct the DAB decision that affirmed you had engaged in violations by not treating all claims as conditional when medicare had to use the safety net provision in Medicare when the primary payers were and are still in violations. Then an attempt was done to block any final appeals from DAB on any subsequent appeal decisions. SO far no final ones have been done over it. More civil rights violations. Cigna Govt services has been the only intermediary that has cooperated in any way with the civil rights of allowing appeals and on their own sending the paid oxygen claims on over to MSPRC who sent out a letter to ACS as they had done on their own with claims you had paid since 8/1/00 with recovery letters to ACS in '05 and '07 with no response and their parent company group health, which is the parent company for Medicare coordination of benefits whom you have successfully gotten to facilitate bypassing owcp and fed Blues for years; ordered them not to collect. Now they show only muscular skeletal injuries, which are secondary/tertiary claims on the original accepted diagnoses- as my job injuries. This has intentionally mislead medical providers along with the date of injury being listed as 3/1/97 instead of 1/10/89. Even my pulmonoologist asked questions trying to figure out what was going on. yesterday was the first time I was able to access any pertinent info of of my Medicare .gov but no claims for last 15 months are listed. Now I understand why he asked questions that seemed to not ' correlate' as he knows and seen documents on my original accepted conditions and pulomonolgists, cardiologists, ear,nose and throat; and any other doctor who treats is under owcp. Plus there is a myriad of seocndary and tertiary claims filed and ACS won't let have an initial review as they have not processed 11 years of oxygen invoices because they will be paid as before and bring the offline incorrect file online with the official US Dept of Labor file. Claiming some long - gone federal OPM director official ' made them do it' in violaiton of any legal govt contract to uphold the laws of our soverign nation.
THIS IS A REDETERMINATION ON ALL CLAIMS BACK TO 8/1/00 on Linda and 11/1/08 on our daughter and 11/1/08 on Doyle as well as all processed ones be reopened based on the two ALJ decisions of 08 and 09 and the affirming DAB dicision of 9/29/10 ( only final one so far) which clarified that owcp gets Linda's claims first. ALSO a WIAVER of liabiity against us of any overpayments for your actions and our futile attempts to get your compliance with laws and judges decisions. This is filed timely. Due to hardship other documents will be faxed separately. This filing goes to three different PO BOXES: - more finanical hardship.
Tuesday, March 22, 2011
Violations of civil rights page 21; msprc only liste secondary/tertiary clims for owcp and wrong injury date.
Medicare secondary recovery unit: Fax: 405-869-3309 Issues on death panel decision from OPM.
Have you been reimbursed by ACS-Xerox, the contractor for the Us dept of Labor for Federal workers compensation for the medical bills related to my accepted medical conditions for my 1/10/89 injury? In '05 and in '07, using the national health insurance data base you located many of my pulmonologists, cardiologists, ear, nose and throat and family doctors that had treated me for those conditions. You also, received as a conditional payment referral from Cigna Govt services, my paid oxygen claims. ACS- Xerox has refused to ever set my file and input 11 years of oxygen invoices which is the reason i was awarded permanent medical benefits over 15 years ago , effective 1/10/89. You don't show the date of injury ans this confuses many medical providers who often call and ACS call center had no info as file off line. There are also pending secondary/tertiary claims, timely filed and never reviewed on kidney disease, cataracts, steroid side effects, gastroenterology, skin, etc. All medical bills are for either accepted conditions as of 1/10/89 or are pending with no initial review in defiance of 6 DOL judges who said ask me for the facts of the case.
Have you been reimbursed by ACS-Xerox, the contractor for the Us dept of Labor for Federal workers compensation for the medical bills related to my accepted medical conditions for my 1/10/89 injury? In '05 and in '07, using the national health insurance data base you located many of my pulmonologists, cardiologists, ear, nose and throat and family doctors that had treated me for those conditions. You also, received as a conditional payment referral from Cigna Govt services, my paid oxygen claims. ACS- Xerox has refused to ever set my file and input 11 years of oxygen invoices which is the reason i was awarded permanent medical benefits over 15 years ago , effective 1/10/89. You don't show the date of injury ans this confuses many medical providers who often call and ACS call center had no info as file off line. There are also pending secondary/tertiary claims, timely filed and never reviewed on kidney disease, cataracts, steroid side effects, gastroenterology, skin, etc. All medical bills are for either accepted conditions as of 1/10/89 or are pending with no initial review in defiance of 6 DOL judges who said ask me for the facts of the case.
Saturday, March 12, 2011
violations of civil rights page 15 @ HIPPAA to Billing
Received attached bills and primaries not billed according to these? ACS-shows no record of claims, Fed Blues has been paying claims recently since ILL State AG and US atty went after them and got $25 million for illegal "dumping" onto medciare which is what they did as soon as Ill Blues took over in TX and ACS took over for Federal workers comp. I advised in writing for you to call Regional office manager in Dallas for OWCP as she called me recently unaware of the continual problems that ACS had never set up my computer file and bring it on line with the Medicare computer that shows ( correctly) according to 7 federal judges that I have permanent owcp medical and should always be billed first. Also past claims all have to be reworked. I'd written and asked your legal dept about a false claims against Trailblazers that paid ever claim k to 1/06,17 times.*Nee your exact claims as billed and what you got back( many got it back on a phony claim #). This is on past written HIPPAA requests and is amended to include these claims. I've e-mailed info to Ms Mabrey on this recently. Civil rights and contract compliance complaints are pending on the contractors. * you have access to other patients whom similar has occurred according to witnesses.
Friday, March 11, 2011
Thursday, March 10, 2011
Monday, March 7, 2011
Violations of Civil Rights page 13 accident report
Took a nasty fall and left lower leg and knee on ice. happened at 10:15pm 3/6/11. I've been power wheelchair confined since 1992 and have none currently. In 2005, my cardiologist wrote prescription and none of the suppliers will even talk to me until I get the problems with insurance straightened out so they know whom to bill. Medicare and others used to allow a predetermination. Now if they provide the chair, they may be caught trying to find out whom will pay. The diagnosis for the chair is my occupational asthma which makes it workers compensation. However ACS-Xerox won't set up my computer file and bring it on line. Ill Blues took over their ' franchise in TX, OK and NM at just about the same time and both are ' dumping onto Medicare which would be considered theft if Congress hadn't given all govt contractors immunity from prosecutions. I'm mostly home confined and have had tables, chairs etc. near where i walk to 'catch' my self. Somehow, some soap had fallen off a shelf, breaking the cap and it had spilled on the floor and I did;t see it and slipped. If not better by AM will need to see if doctor can see me. Last time that doctor's claim got paid 17 times by Trailblazers and him only one overpayment. Still under appeal and DAB won't give final decision. That CA1 @CA2 have yet to be looked at by OWCP and its been over 4 years.
Sunday, March 6, 2011
Violations of Civil Rights page 12 Doyle's doctor
Doyle has also filed civil rights complaints against the health care plans with HHS-Dallas.( not against you)
The letter about Doyle's bill is tied to the issues on my case. Workers comp is not involved with Doyle's claims. Ill Blues has gotten very retaliatory over recent actions by US attys' and state Ag's over their tactics. The legal answer is very simple. Ill Blues is the primary due to my legal status with federal workers compensation who has yet to process numerous doctors who filed for permanent disability since 1996. Then the family members on my Fed Blues would have Medicare as primary. Patient EOB's simply say they want you to get a letter from Medicare. You got that. Then , refile with Blues. If Blues still refuses then the "safety net" in Medicare is to be utilized. A paper claim can't be refused as a conditional payment and filed with Trailblazers, then only Ill Blues has overpayment liability. Any govt porgram can't refuse paper when computers aren't programmed correctly. This has been law for decades. Medicare recovers from Blues. and pays you any extra due. Widespread overpayment have been created since suspension of enforcement in the Clinton Adm + Call center contractors have routinely given wrong info increasingly since then as laws were ' forgotten' and the insurance industry allowed to get by with illegal tactics as doctors struggled for pay.
The letter about Doyle's bill is tied to the issues on my case. Workers comp is not involved with Doyle's claims. Ill Blues has gotten very retaliatory over recent actions by US attys' and state Ag's over their tactics. The legal answer is very simple. Ill Blues is the primary due to my legal status with federal workers compensation who has yet to process numerous doctors who filed for permanent disability since 1996. Then the family members on my Fed Blues would have Medicare as primary. Patient EOB's simply say they want you to get a letter from Medicare. You got that. Then , refile with Blues. If Blues still refuses then the "safety net" in Medicare is to be utilized. A paper claim can't be refused as a conditional payment and filed with Trailblazers, then only Ill Blues has overpayment liability. Any govt porgram can't refuse paper when computers aren't programmed correctly. This has been law for decades. Medicare recovers from Blues. and pays you any extra due. Widespread overpayment have been created since suspension of enforcement in the Clinton Adm + Call center contractors have routinely given wrong info increasingly since then as laws were ' forgotten' and the insurance industry allowed to get by with illegal tactics as doctors struggled for pay.
Violations of Civil Rights page 9( dear Doctor)
Illinois Blues ( our blues in TX, OK and NM) has just had to repay Illinois $25 million for similar tactics on claims there. This is an established case with approved treatments well established since 1/10/89. I have taken you letter and bill and filed them with Federal workers compensation. Two months ago, the new regional office manager called and said that wen she was contacted by Lynn Blodgett President and CEO of Affiliated Computer Services now a Xerox company he did not inform her that her office computer file had not been o=updated since 1998 and at that time actually documents were not scanned in but maintained in paper files. She wasn't even aware of numerous appellate judges' remand orders as ACS had never set the file up properly. In fact , in 2/09, the three judge appellate panels ruled: ask me for the facts of the case as they were well aware, no one at OWCP had a clue what was going on in my case due to routine ' disappearance of files. Theses ' disappearances in multiple agencies has been routine since 1/10/89 since I was injured.
Over 20 years ago, Medicare became the final authority on which health plan is the primary to Medicare. Ill Blues and Medicare's own contractors are in defiance of their own judges. Insiders say there over a trillion dollars owed back to Medicare by primary payers. The more rulings and documentation, the more my medical care gets obstructed by them. Trailblazers began turning your claims into 17 ,started 8/08 on every claim back to 1/06. ( documented by 500 witnesses at 1-800 Medicare) by creating 15 phony Medicare claim numbers and using an illegal offline computer system hidden from the contract auditors. Congress has passed laws giving contractor criminal immunity. The investigators form the Justice dept and Medicare's general counsel can do nothing without Congressional action. Internal audits are also prohibited. Civil rights and contract compliance are available and followed their advice and filed both. OPM has no contract compliance compliant process and they gave contract to Blues. Please don't stop this ' whistleblower's care.
Over 20 years ago, Medicare became the final authority on which health plan is the primary to Medicare. Ill Blues and Medicare's own contractors are in defiance of their own judges. Insiders say there over a trillion dollars owed back to Medicare by primary payers. The more rulings and documentation, the more my medical care gets obstructed by them. Trailblazers began turning your claims into 17 ,started 8/08 on every claim back to 1/06. ( documented by 500 witnesses at 1-800 Medicare) by creating 15 phony Medicare claim numbers and using an illegal offline computer system hidden from the contract auditors. Congress has passed laws giving contractor criminal immunity. The investigators form the Justice dept and Medicare's general counsel can do nothing without Congressional action. Internal audits are also prohibited. Civil rights and contract compliance are available and followed their advice and filed both. OPM has no contract compliance compliant process and they gave contract to Blues. Please don't stop this ' whistleblower's care.
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