Showing posts with label OPM. Show all posts
Showing posts with label OPM. Show all posts
Monday, February 14, 2011
Violations page 5: Dept of Labor Contractor Compliance/Civil Rights
Attached: Before filing with HHS- OHR right as covered also from with 3 Health plans; I got misled as DOL said this wasn't covered by you. DOL Deputy Sec recently spoke to AFGE and indicated that that interpretation has changed along with the Justice dept and CMS. Attached is violations that cover only the last few days as a result of non- compliance with U.S Dept of Labor contractors.More coming. I physically can barely meet filing deadlines but life and livelhood are at stake; no choice if the choice is LIFE. To combat the false info and 'smear' campaign that is spewed out as facts' i'm been advised to blog. There are numerous summaries attached. I made one 'package' to file with numerous parties. The convoluted, interlocking contracts with multiple agencies allows offender(s) to manipulate the system and harm from multiple entities. The highest judges at Medicare and US Dept of Labor have ruled. Until the contractors obey ( they won't and aren't) the merits can't be processed. This is not a complaint about the judges' orders; its the contractors Obstructing the process in defiance. OWCP 's employees don't even know what the judges are ruling on when the file is not in order to refer to the decision they set aside on 2/09( they said to ask me for the facts) and should have resulted in reinstatement of wage loss and bills paid and other items being processed that have never have been as far back as '89 in some items. Current life sustaining medical care being obstructed. No RICCO would have occurred with Medicare's if DOL contracts obeyed.
Wednesday, February 9, 2011
The Truth About Federal Workers' Compensation: Yes, They're Overpaid
The Truth About Federal Workers' Compensation: Yes, They're Overpaid: "- Ssee my comment using Google Toolbar"
Wednesday, October 6, 2010
Justice Dept.'s National Security Division draws mixed reviews 4 years
Justice Dept.'s National Security Division draws mixed reviews 4 years see my comments and thanks for some positive current attempts
Monday, October 4, 2010
Lawlessness Creates Death Panels
Inspector General Slams ACORN Spin-off, But Will it Matter? Politics and Economics Right Side News see my comment. Judicial Watch is an organization that has done a lot to try and keep the constitution alive. They represented Linda Tripp who was smeared terribly when she tried to blow the whistle! My son is the 'cute guy at MacDonald's' trying to help his mother on the tapes and Ken Starr was very selective in who he contacted, didn't want any national security problems surfacing and Osama Bin laden went free to wreak more havoc on the world. When Tom called me, I still didn't know Bin Laden was a terrorist until later and more news was reported. he was just the former CIA employee that got a job at Social Security Teleservice Center, Jersey City claiming his mother was an American citizen and the day after security was breached by Delores Bryant claiming the security office for the New york region said to just log 22 new hires onto the system before they had been check out and cleared and had their own pin number; he quit with his computer left logged on all night. and after stealing the keys to the building to gain access to ADP's wall street investing floors( witnessed and reported in 12/88) then 1/89 comes in to pick up w2 and exits a stairway supposed to be locked for security reasons ( in violations of fire safety codes) and up come the toxic fumes with air intake valve disconnected and build up over net 24 hours disables and deaths later from injuries and hospitals in Jersey city ordered by govt to deny treatment in violation of state health safety laws on toxic exposures. I'm the only one not turned away on 1/10/89 because admission clerk put down port authority as employer and not SSA. after tests run, some treatment and I'm near death ready to be admitted, Dr. comes over to fill out toxic exposure report for State of NJ, finds our I'm SSA and not port authority and I'm sent home to die. later rushed to hospital by ambulance, admitted and high powers overruled several doctors and I was sent home again with a shot of anabolic steroid with my chest burning as if a hot iron was in it. I was in such good health i survived until infection got in with no medical treatment. and then it we imperative to treat and laid near death for 8 days finally getting the treatment supposed to occur on 1/10/89 which shouldn't have occurred as the first victim who sat near the stairwell was admitted to hospital on 1/9/89 and building owners never did a thorough check to even find out no ventilation at all. That took our manager an lady from county health dept to get on roof and find it. and still didn't get fixed until OSHA recommended it and then OSHA lady 'had to retire'- after the first one was lied to that no one was injured and no one filed workers comp.- that's because they wouldn't give us the forms until I contacted an attorney. No problem getting owcp and it wasn't contradicted as a presidential order mad e it national security and all of us were to have the benefit of the doubt on our claims. Just the reverse occurred! Took years to gather all the facts of what happened and the FBI told me after 9/11 that 'everyone knew' but no one was allowed to investigate an attack on Federal employees just trying to do their job and help the public. Homeland security official said in recent years that the death of our personnel; director was reopened as a possible murder when a fingerprint in his apt was matched with that of a known terrorist. he worked at 26 Federal Plaza in our regional office and has some direct knowledge of how my signed agreement with SSA to settle EEOC/ union grievances ended up altered and OPM had to impose the original o the agency and recently learned regional office never forwarded it to Baltimore headquarters and OPM Ombudsman now promising to look into it with every pending file missing. ( My understanding, is I'm the only one that hospitals got initial blood and skin tests on and persons in US attys offices - its in the 503c 'John Doe' indictment as witness evidence against public enemy #1. And that he was here on a student visa and not a citizen. I've been in a life and death struggle for medical treatment for 1/10/89 to the present. Medicare appeals board said federal workers comp must pay for my life sustaining oxygen which I'm approved for and Medicare and even Fed Blues has paid int he past waiting for owcp's contractor ACS ( now ACS-Xerox) to get online with US Dept of Labor computer that shows permanent medical benefits. They won't. ACS was told by Linda Springer, past opm director, to not input my oxygen claims as the computer will pay them. I found this out in 7/07 and within 180 days began filing civil tights and hipaa complaints and Ralph Rouse Mgr of HHS-OHR in Dallas called me and chewed me out royally for filing. Documents have disappeared , no one allowed to docket in civil rights complaints , nor even investigate and there is much more than oxygen issues. which I've written about extensively online and the reason the multiple thefts of id's and claims and @$4 million theft on my records at trailblazers the Medicare contractor got discovered while investigating the constant illegal altering of the legal line up as to who is to pay. Now, if owcp ignores the appeals board at Medicare, no one pays any bills and has done away with the safety net in the Medicare law that when these kinds of 'deadly' games are played by health plans, Medicare is to pay and go collect the monies back which has not been occurring for years. This is a real DEATH PANEL DECISION. If your primary health plan doesn't pay, even when medically approved, no one can be made to pay as there is no viable appeals process and no one can make a govt contractor do anything anymore according to laws passed by Congress. My family is hauling tanks and paying out of pocket to keep me alive now as Lincare , became a monopoly in my area in 1/08 and is refusing service because of past unpaid bills that they have refused to bill three health plans that have me approved for life. Lincare was founded by Union Carbide and my first pulmonologist said: to understand your injuries read about Bhopal, India ;that's what has happened to you. The world community allowed them to leave a 60,000 'to die' as I have been. By the grace of the Almighty and many good doctors and average folk, I'm here to write this. How can govt contractors be allowed to say: we don't care what federal judges say! and ignore my pleas. Administrative judges have no enforcement powers and contractors are now making files disappear before they can even get the case? Our constitution is being and has been trashed!! And 500 witnesses say My case is not unusual. But there bosses refuse to even file the fraud reports with the govt agency as required by their federal contracts.Linda Joy Adams
Thursday, September 9, 2010
Reconsideration- OWCP
In the 1980's when laws were passed putting all Federal employees under Social Security and Medicare, I opted to stay with the Civil service Retirement plan and not go under FERS, but did begin paying Medicare tax. There are some differences in the rules, apparently, with regard to Federal Workers Compensation. When one is injured on the job, there is no way to have a final retirement until Federal workers Comp is finally settled. Laws were also passed that when one has a life sustaining medical needs such as home oxygen, then permanent medical benefits are awarded as soon as the claim is accepted. And before any decision is made as to whether one can work, etc. Many current employees and contractors of the agencies apparently are unaware of the rules that pertain to me. There has been no settlement although a schedule award was filed for in 1996. Extensive medical documentation has been submitted over the years and multiple doctors have signed for permanent disability. With much of the files going missing at times, a claims examiner in the Dallas OWCP office in 2007 mistakenly decided I'd refused to return to work in 7/1990, although the files clearly showed that I did and suffered physically with no reasonable accommodation which had been promised to me.
In 2/09, the Claims Authorization Board set aside that final excuse to not reinstate temporary wage loss and any other benefits being withheld. They also remanded the case and stated that i was to be asked for the facts of the case, since destruction of records by OWCP and contractors meant they didn't have a clue what was occurring in my file. They also stated that they can't review and issue that has never had an initial decision.
I waited and in 10/09 a check was sent me and a letter to start the permanent disability process. The claims examiner admitted that my leave records couldn't quite be understood. Also, there are CA1's & CA 2's in file on secondary and tertiary medical issues that have yet to be reviewed for acceptance along with the extensive medical documentation on those physical conditions. So, neither my claims examiner nor I have any idea exactly what medical issues will be negotiated for a schedule award , yet . Prior remands referred to these pending claims with no decision. Since we are dealing with, for the most part, internal organs that interact and cause harm to each other, these need to be decided as future medical care and who will pay for it should not be left to constant appeals and hassles.
Social Security, my employer, made decision on various Contending of Pay periods of time that i had filed for since 1/10/89, some I agreed with some i didn't. They have agreed to do the leave buy back, but need OWCP to make a formal decision as exactly what different periods of time should be; continuation of pay or wage loss under OWCP. There are numerous CA1's. CA2's and CA2A's filed since 1/10/89 and only most have never been ruled on.
There were numerous claim numbers placed on many of the claims, but in 1995, these were all consolidated under the original claims number by the Philadelphia OWCP office.
I'm aware and so were the Judges in 2/09, that you did not have all the information yet in the files to make the needed decisions. Also, there are out - of pocket expenses that have never had an initial processing and payment going back to 1989 despite numerous remands over the years for this to be done. Many medical providers have not been fully paid. Various insurance and other health plans such as Medicare have not been reimbursed either. Most critical is that Lincare is now the monopoly service provider of home compressed oxygen (liquid) in my area. They bought out health Connections which was being paid monthly by OWCP. No transfer ever took place. Federal Blues and medicare had paid for part of the time, but was stopped, allegedly by a past Director of OPM.
When ACS took over the processing of all paper files and claims for payment in /02, my reconstructed file of @35,000 pages was at the appeals board in Washington, D.C. It arrived in London, KY in 6/04 to be scanned in and worked and the entire file 'disappeared' out of their office and only pieces survived and misled the Dallas OWCP office as to what was occurring on my case. In 1/06, when Lincare called OWCP-they were told case closed and left the impression that I'd received a large settlement that included monies to repay them and other medical providers. Did not occur. When my new oxygen provider billed OWCP, the claims were not input by ACS because: the computer will pay them. I now understand that ACS's computer is still 'offline' of the official US DEPT of Labor computer that posts bi weekly to Medicare showing permanent medical benefits and Federal Blue Cross Blew Shield as my 2 primary payers since no schedule award has yet been done. Currently, our son is hauling tanks and paying out of pocket for me to stay alive and its a terrible financial hardship for the entire family. Lincare's headquarters won't budge without full payment and assurances form OWCP. Due to my occupational asthma, I'm approved for compressed air ( liquid) oxygen due to the ozone emission causing grave inflammation from concentrators. I've submitted all the invoices, etc from Lincare multiple times and those are still not processed.
Bills, and other issues not paid have appeals pending on them some for over a decade. To compound the problem is that prior to ACS taking over, the Dallas OWCP office was not itemizing what was or was not paid on out of pocket expenses. of curse I filed timely appeals and asked for an itemization so that the medical records could be associated with the items not paid. To date none of these appeals have been answered. Apparently, ACS, never forwards them to you either.
Further obstruction of medical care is that providers.suppliers have no idea whom to bill as when they cal ACS, they keep being erroneously told that my case is closed and some 'unknown' third party is to be billed. They wont tell me who that is either as its non-existent.
In 2005, I received permission from the Secretary of labor's office to reconstruct the file which was now @40,000 pages with new expenses and appeals, etc, Due to financial hardship caused by the 'disappearance of my file,' I was given permission to use the 1-800-215-4901 in Tallahassee, Fla. ACS and some very nice ladies boxed up the files and sent them to London, KY to be scanned and they 'disappeared' without being scanned in. Now the file is @ 50,000 pages and all the hard work by my family and I of putting my claim # on every page,etc is missing.
This time we need an agreement as to where the files can be faxed to and that they will be processed, scanned in, etc. and never disappear again. I do have a 'flat rate' long distance carrier now, and so it can be a fax number most convenient for you.
There are probably other legal paper work that needs to be done and this should be worked through also. I've suggested multiple times to start with 1989 and work forward completely each year 'building year by year.' This also resolves some issues of filing dates as it shows when different issues were 'discovered; and doctors made medical reference to the discoveries. Everything has been timely filed and refiled at great personal and financial expense.
OWCP temporary wage loss needs to be reinstated as of 1/3/99 and medical bills related the medical conditions already accepted need to be paid as they come in. Plus reprocessing the back log. In 2005, I'd submitted the medical bills from each provider with receipts and the medicals from each in an organized manner. Due to other matters that have occurred as a result of this not being taken care of , much of these files were pulled apart to submit to other health care appeals, etc. Which can be read about online in many blog comments by me.
Some of the medical conditions in the secondary and tertiary claims are for nerve damage in hands, etc. due to ABG needle sticks, heart, kidney, diabetes, gastrointestonal, etc. 50% vision loss due to cataracts, etc. mucousal membrane damage that never recovered, etc. All medically documented and filed over the last 21 years and claims 'disappeared'. Its physically harmful for me to have to get into all the ink and paper and hopefully, we can work through this to a final conclusion this time with out files constantly going 'missing.' Once all the back log is worked through, then I personally believe a fair and equitable settlement can be reached on the schedule awards and then I'll be in a better position to decide about taking a buy out of future OWCP payments and monies placed in escrow for future medical care to be paid by my FEHB health insurer OR; just receive ongoing monthly wage loss and have the covered medical bills paid by OWCP or my insurance health plan(s) reimbursed if they pay the bills first.
P.S. There has been no settlement of any third party law suits to date as OWCP has not yet determined what the 'damages' are. This has greatly hurt the taxpayer getting reimbursed if an out of court settlement agreement is not agreed to and the US Dept Of Labor and I must go to court after all this time to obtain reimbursement for the taxpayers. Compounding this is CNA 'wanting' to consolidate a 'slip and fall' case with the OWCP case since before I understood and was told the true nature of my injuries and that they were permanent and progressive, I'd gone back to school to train for another career and even though I didn't consider the 'cause' as related, I'm now aware of some other on-going 'shenanigans' that were occurring that may have led to why I was on the stairs at the point in time.
P.S.S. In the paper OWCP file is another accepted condition: pneumonitis; its on your internal cover sheet chart. But there are a lot of various medical problems commonly associated with this kind of traumatic injury. Its a miracle along with the medical of many good doctors that have continued to provide treatment with horrific billing problems that have allowed me to be here today. I've lost good doctors because they just couldn't go through the billing hassles anymore and needed to be paid fully and timely.
Linda Joy Adams
In 2/09, the Claims Authorization Board set aside that final excuse to not reinstate temporary wage loss and any other benefits being withheld. They also remanded the case and stated that i was to be asked for the facts of the case, since destruction of records by OWCP and contractors meant they didn't have a clue what was occurring in my file. They also stated that they can't review and issue that has never had an initial decision.
I waited and in 10/09 a check was sent me and a letter to start the permanent disability process. The claims examiner admitted that my leave records couldn't quite be understood. Also, there are CA1's & CA 2's in file on secondary and tertiary medical issues that have yet to be reviewed for acceptance along with the extensive medical documentation on those physical conditions. So, neither my claims examiner nor I have any idea exactly what medical issues will be negotiated for a schedule award , yet . Prior remands referred to these pending claims with no decision. Since we are dealing with, for the most part, internal organs that interact and cause harm to each other, these need to be decided as future medical care and who will pay for it should not be left to constant appeals and hassles.
Social Security, my employer, made decision on various Contending of Pay periods of time that i had filed for since 1/10/89, some I agreed with some i didn't. They have agreed to do the leave buy back, but need OWCP to make a formal decision as exactly what different periods of time should be; continuation of pay or wage loss under OWCP. There are numerous CA1's. CA2's and CA2A's filed since 1/10/89 and only most have never been ruled on.
There were numerous claim numbers placed on many of the claims, but in 1995, these were all consolidated under the original claims number by the Philadelphia OWCP office.
I'm aware and so were the Judges in 2/09, that you did not have all the information yet in the files to make the needed decisions. Also, there are out - of pocket expenses that have never had an initial processing and payment going back to 1989 despite numerous remands over the years for this to be done. Many medical providers have not been fully paid. Various insurance and other health plans such as Medicare have not been reimbursed either. Most critical is that Lincare is now the monopoly service provider of home compressed oxygen (liquid) in my area. They bought out health Connections which was being paid monthly by OWCP. No transfer ever took place. Federal Blues and medicare had paid for part of the time, but was stopped, allegedly by a past Director of OPM.
When ACS took over the processing of all paper files and claims for payment in /02, my reconstructed file of @35,000 pages was at the appeals board in Washington, D.C. It arrived in London, KY in 6/04 to be scanned in and worked and the entire file 'disappeared' out of their office and only pieces survived and misled the Dallas OWCP office as to what was occurring on my case. In 1/06, when Lincare called OWCP-they were told case closed and left the impression that I'd received a large settlement that included monies to repay them and other medical providers. Did not occur. When my new oxygen provider billed OWCP, the claims were not input by ACS because: the computer will pay them. I now understand that ACS's computer is still 'offline' of the official US DEPT of Labor computer that posts bi weekly to Medicare showing permanent medical benefits and Federal Blue Cross Blew Shield as my 2 primary payers since no schedule award has yet been done. Currently, our son is hauling tanks and paying out of pocket for me to stay alive and its a terrible financial hardship for the entire family. Lincare's headquarters won't budge without full payment and assurances form OWCP. Due to my occupational asthma, I'm approved for compressed air ( liquid) oxygen due to the ozone emission causing grave inflammation from concentrators. I've submitted all the invoices, etc from Lincare multiple times and those are still not processed.
Bills, and other issues not paid have appeals pending on them some for over a decade. To compound the problem is that prior to ACS taking over, the Dallas OWCP office was not itemizing what was or was not paid on out of pocket expenses. of curse I filed timely appeals and asked for an itemization so that the medical records could be associated with the items not paid. To date none of these appeals have been answered. Apparently, ACS, never forwards them to you either.
Further obstruction of medical care is that providers.suppliers have no idea whom to bill as when they cal ACS, they keep being erroneously told that my case is closed and some 'unknown' third party is to be billed. They wont tell me who that is either as its non-existent.
In 2005, I received permission from the Secretary of labor's office to reconstruct the file which was now @40,000 pages with new expenses and appeals, etc, Due to financial hardship caused by the 'disappearance of my file,' I was given permission to use the 1-800-215-4901 in Tallahassee, Fla. ACS and some very nice ladies boxed up the files and sent them to London, KY to be scanned and they 'disappeared' without being scanned in. Now the file is @ 50,000 pages and all the hard work by my family and I of putting my claim # on every page,etc is missing.
This time we need an agreement as to where the files can be faxed to and that they will be processed, scanned in, etc. and never disappear again. I do have a 'flat rate' long distance carrier now, and so it can be a fax number most convenient for you.
There are probably other legal paper work that needs to be done and this should be worked through also. I've suggested multiple times to start with 1989 and work forward completely each year 'building year by year.' This also resolves some issues of filing dates as it shows when different issues were 'discovered; and doctors made medical reference to the discoveries. Everything has been timely filed and refiled at great personal and financial expense.
OWCP temporary wage loss needs to be reinstated as of 1/3/99 and medical bills related the medical conditions already accepted need to be paid as they come in. Plus reprocessing the back log. In 2005, I'd submitted the medical bills from each provider with receipts and the medicals from each in an organized manner. Due to other matters that have occurred as a result of this not being taken care of , much of these files were pulled apart to submit to other health care appeals, etc. Which can be read about online in many blog comments by me.
Some of the medical conditions in the secondary and tertiary claims are for nerve damage in hands, etc. due to ABG needle sticks, heart, kidney, diabetes, gastrointestonal, etc. 50% vision loss due to cataracts, etc. mucousal membrane damage that never recovered, etc. All medically documented and filed over the last 21 years and claims 'disappeared'. Its physically harmful for me to have to get into all the ink and paper and hopefully, we can work through this to a final conclusion this time with out files constantly going 'missing.' Once all the back log is worked through, then I personally believe a fair and equitable settlement can be reached on the schedule awards and then I'll be in a better position to decide about taking a buy out of future OWCP payments and monies placed in escrow for future medical care to be paid by my FEHB health insurer OR; just receive ongoing monthly wage loss and have the covered medical bills paid by OWCP or my insurance health plan(s) reimbursed if they pay the bills first.
P.S. There has been no settlement of any third party law suits to date as OWCP has not yet determined what the 'damages' are. This has greatly hurt the taxpayer getting reimbursed if an out of court settlement agreement is not agreed to and the US Dept Of Labor and I must go to court after all this time to obtain reimbursement for the taxpayers. Compounding this is CNA 'wanting' to consolidate a 'slip and fall' case with the OWCP case since before I understood and was told the true nature of my injuries and that they were permanent and progressive, I'd gone back to school to train for another career and even though I didn't consider the 'cause' as related, I'm now aware of some other on-going 'shenanigans' that were occurring that may have led to why I was on the stairs at the point in time.
P.S.S. In the paper OWCP file is another accepted condition: pneumonitis; its on your internal cover sheet chart. But there are a lot of various medical problems commonly associated with this kind of traumatic injury. Its a miracle along with the medical of many good doctors that have continued to provide treatment with horrific billing problems that have allowed me to be here today. I've lost good doctors because they just couldn't go through the billing hassles anymore and needed to be paid fully and timely.
Linda Joy Adams
Sunday, July 18, 2010
Wednesday, June 30, 2010
Roberts led Supreme Court through assertive term
Roberts led Supreme Court through assertive term See my comments ato the article. Link to my page from facebook Linda Joy Adams
Labels:
health care,
medicare corruption,
OPM,
OWCP
Saturday, April 24, 2010
Arizona governor signs immigration bill, reopening national debate
Arizona governor signs immigration bill, reopening national debate My comments were published at 4:04:05 pm EST 4/24/10. When i published my request to a management official to appear at my Medicare hearings as an expert witness and then emailed her the request through washingtonpost.com; someone complained for the first time in 14 months as i carefully posed official filings from my own attempts to right wrongs inside our govt. Even my web site that i linked the daily postings to Linda Joy Adams posted by churchintheair@gmail.com is now disabled. You will read some awful flagrant things in the comments on this particular article from others but I defend there right to be 'flagrant' I don't do this and have left innocent persons names blank and filed in later when the document was filed. I have name CEOs of major companies when they are in a legal position to correct documented problems. I'm overly fair as anyone can look guilty and be innocent. I've had my character defamed and maligned horrible and now the chief regional law enforcement official looks as if ' in on it? She should testify at the hearings as to how she has tried to correct problems, especially if innocent and being told a batch of misinformation and we can then find out from where! certainly not from any of my official govt files which are all 'missing' right now. I can still post a comment; but my personal blog page at washingtonpost.com is under review by mangement so only I can access it with my own password. This usually means at least one person complained. This makes it very difficult to get legal helo as I;ve been able to direct possible legal counsel for HIPPAA and Civil rights and QUI Tam to the page to read the overall issues which I can later provide names. When one is older and disabled and only has loved ones to help file what would take a small law firm full time to do; sometimes any 'shortcuts' is great help. Linda Joy Adams, Colbert, OK
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