Showing posts with label OWCP. Show all posts
Showing posts with label OWCP. Show all posts
Saturday, June 25, 2011
Medical News: ADA: Diet Counseling Aids Glycemic Control - in Meeting Coverage, ADA from MedPage Today
Medical News: ADA: Diet Counseling Aids Glycemic Control - in Meeting Coverage, ADA from MedPage Today education in a group was more effective for me and spouses, etc could attend as whoever shops and cooks must be part of the program so they also understand. A pharmaceutical co provided an excellent teacher, but did not over-promote their products. The literature was stamped as from them and we understood this was a service they provided in exchange for us thinking aobut their products if needed. Some us, like me, often learn better in group stuations where questions can be asked, etc. There are CA1's, 2's 2a's pending at owcp and the medical records clearly show a progression in the lab tests, yet ACS-Xerox is ignoring judges and hearing officers remands and violating their contract in not setting my file up so it can be worked all because a convicted criminal in the Jack Abramoff bribery scandal told them to ' lose it' and his order is still being followed by the current older of position when the security of my files is jeopardized which ACS got the contract to stop the abuses from the past of indivudial, corrupt officials deciding to commit felonies against claims files which is what ' thefts' are in a federal office. Pray for Lynn Blodgett that he has the courage to do what is right and obey the terms of his contract and set up my file and obey the law and judges and not a convicted criminal. Linda Joy Adams
Saturday, June 18, 2011
Violations of civil rights page 39: reconsideration to owcp @ documents of pending U.S. Dept of Labor contract compliance complaints
Linda Joy Adams
06/18/2011
Fax:
Sharon H Carter
Senior Claims Examiner
Office of Workers Comp Programs
Federal Division
Room 100
525 Griffin St.
Dallas, TX 75202
Via: Contractor, Affiliated Computer Services-A Xerox Company
P.O. Box 8300,
London, Ky. 40742-8300
Attn: personal to Lynn Blodgett, President and CEO
This is a reconsideration request which document the non-facilitation of my established federal workers compensation claims and permanent medical benefits on my 1/10/89 injury at the social Security Teleservice center in Jersey City N.J. 07306 in the Hartz mountain owned building leased by ADP. at 2 Journal Square, 9th Floor.
A copy of this is going to the investigator on the pending complaints against US Dept of Labor contractor, Affiliated Computer systems for on-going refusal that is getting more blatant and retaliatory, to facilitate the processing of my case and refusing even judges remand orders be made available to the claims examiner. Allegedly on the orders of a convicted criminal in the Jack Abramoff bribery scandal. and the ' illegal deal ' to violate the IT contract between US dept of labor and Medicare coordination of Benefits a group Health subsidiary to alter the secured postings to enable the theft of the Medicare trust fund and crate overpayment liabilities against me, my estate and over 200 medical providers that have consistently been misled and lied to by the contractors and a high level CMS official in the Dallas regional office.
There is also pending civil rights and HIPPAA complaints in the Office Of Civil Rights, health and Human Services, Dallas TX on these two contractors and other named parties which include very few medical providers or suppliers whom we consider as victims of horrendous violations both civil and criminal as well. Also notified is my employing agency, SSA, which was HHS at time of injury and our attorney of record m just one of many complaining about the obstruction of facilitation of federal workers compensation cases when the contractor deems to want to do so. This violates their contract to provide security on files whether coming from appellate judges at the Employment Compensation board at the US Dept of labor or claimant, representative, or medical provider. supplier without discrimination and certainly not usurping the role of the agency to be the decider of fact.
My file has never been made available to those in the regional office and all contents are considered ' new' and pertinent to the matters before the US Dept of Labor. There is also a NJ law that makes all violations and pain and suffering a pertinent matter in any third party law suit brought as a requirement of the US Dept of Labor to reimburse the taxpayer. This has been sabotaged first by felony disappearances of my files before ACS got the contract and continuously since then. A complete file reconstruction arrived in 2004 from ECAB and in violation of contract never got posted. A reconstruction was not posted either, and only bits and pieces of submissions have been made available to the regional office. What is worse is that the bits and pieces are ' out of context' of the total and appears to be done in a manner to retaliate and discredit the established case and punitive damage actions that have occurred.
The intentional obstruction of life sustaining medical care has turned govt contractors named into real " DEATH PANELS" and the their on- going violations have turned their international conglomerate company into a threat to the life of any injured federal workers ACS is involved with the obstruction of flow of filings in multiple agencies. Submissions are being made that illustrate that this is not just an occasional 'clerical error' but a concerted effort to violate my rights as spelled out in the contract terms with various agencies at the federal and state level. ( All govt contract terms include the clause that the parties are to uphold Constitution and laws of the land.) They have not done so.
In the file, as pointed out by 12 US Dept of Labor judges and 2 hearing officers, are items that have never received an initial decision back to 1989. When the remand order of 2/09 set aside the felony-caused decision to suspend my temporary wage loss in 1998 ( disappearance of four years from my paper file) that i did return to work in 1990 and that the agency should accept my records. This should have been reinstated and decisions made on outstanding items which include about 3/4's of prescriptions of approved medical care for 1989-1998 and various health plans that have never been reimbursed for accepted medical care and other items such as dozens of CA1/2, CA2's, CA2A's in the file which Christina Stark said you only have access to 4. This is why the wage loss monies paid for 89-94 is a chaotic and does not conform to the buy back law. ACS refuses to allow you to see the voluminous medical records, doctors, notes, leave slips and pay stubs, etc the go with every 1/4 hour of work missed since 1/10/89 that must be certified by the US dept of labor for such. The terms of the reasonable accommodation promised BY HHS-SSA in 1990 were never met at great physical injury as is documented in the 240 EEOC complaints hearings, and sanctions from the EEOC which resulted in SSA stating that they should never have agreed to reasonable accommodations they couldn't provide which included removal of chemical barriers and a sedentary job. All of this is in file. This is New York regional case, that's been shuffled from their to Kansas City to Philadelphia, to Dallas. Kansas City regional office of US Dept of Labor refused to forward the file to Philadelphia so they could check out if the reasonable accommodations were going to be met.
Due to on-going obstructions and disappearances of my file, I lost all benefits with no decision on the pending CA2 in file and other claims for other affected body parts for four years until ECAB judges remanded the case back and I was sent to board certified pulmonologist, who displayed a GREEN PEACE banner on his office wall. It still took months for the Philadelphia office to approve the disease claim retroactively and then get me on home oxygen which was the proper medical care from 1/10/89 forward to prevent the other internal organ damage from progressing from the damage to the lungs and upper respiratory.The last 2 days I went to work landed me in intensive care and my doctor said: you go back you will come out in body bag. This is all well documented and the last reconsideration decision asked for this extensive documentation which show the precarious situation my life was placed in. A Federal employee has no agency, no law enforcement to go to. All one can do is document extensively both medically and in hearings, etc. exactly what is occurring. SSA has signed an agreement for full cooperation although indivuduals have violated this for their own ' personal agendas?"
Compounding this is that since 1992 there has been discrimination by the FDA against my minority group of occupational asthmatics which is explained in the civil rights complaints filed with HHS. Due to no substituted for CFC"S available to us, accommodations have had to be made for some off label use of medications. The more recent is in the list of medciations attached. i cannot tolerate the ozone/ emitting fumes from a nebulizer but Demex...Cortisone steroid which is out of pocket expense of $25 a month and the albuteral solution ( not much documented help) can be used in the mouth piece for the nebulizer and attached to the liquid oxygen tank minus the water humidifier cup and is working. I still have a supply of Intal and maxair is still being made until 2013 however, the canister has to be placed in the older maxair holder as i am unable to ' suck in ' on the maxair auto inhaler without severe and excruciating lung pain. I have not had a pain free breath since 1/10/89. The prior complete physicals that HHS-SSA used to provide periodically clearly show I had none of these physical problems before. I simply went to work one day and horrible injuries occurred and the rest of the documented facts are in file, which ACS refuses to let you have.
I have attached other recent filings rather than reiterate the ongoing abuses and violations against my files and life and livelihood of myself and my family. You can read these by doing a Google search; " violations of civil rights page" and insert the number after page. This is #39.
You only received a few items of filings sent to US Dept of Labor since the last week of March of 2011. Exact copies have gone to HHS-Civil Rights and US Dept of Labor contract compliance/Civil rights compliant office.
Apparently, you will continue not getting access to the file to work it as ordered y appellate judges, and since there is nothing for ECAB to do until you make the initial decisions on the outstanding items and do as outlined by them, it would do no good to appeal to them as even they send my files to ACS which have never been shared with you except for the few isolated items they choose to let you see and is seen ' out of context' so often isolated pages have little meaning. For example the CA1 @ CA2 in file on the eyes in 1993 and the cataracts in 2007 and subsequent surgeries that did not get approved as ACS lied to the doctors about the status of the case so the requests were never shown to you which also violated their contract terms-never been allowed to be reviewed by you and these are initial decisions, ECAB judges could do nothing but return to you over and over to make the initial decisions. 1989-1/2/99 file includes a multitude of items such as this that have never received initial review. remember from 9/91-3/14/95 nothing was worked on my case due to the ' game playing' of disappearance of a filing again that was never to keep the medical benefits on the first accepted CA1 claim. Many medical providers have never been fully paid as I had no monies for co pays and deductibles. Not all items have had inital processing for 1989-1991 either in defiance of hearing officer'r remand order.
In 2005, the Sec of labor's said to refax entire file that disappeared after tte judges's 35000 pages reconstruction arrived AT ACS in London, Ky. and was never posted, except for a few pages done to mislead the regional office in Dallas) Every filing, every submission, etc. means the file grows exponentially to document the ongoing obstruction of facilitation of this case and the damages and violations that are occurring as a result in other agencies to myself and my family as a result.
I will fax this to Dallas even though you can do nothing with it until its sent to ACS in London Ky and may never be returned as has occurred continuously since 3/11.
Due to the inflammation from ink, My husband, Doyle stamps each page and we then fax to the parties. We've already spent over $10,000 reconstructing files you have never seen to review even though judges have. With a set rate for long distance this all we can now afford as approved by OWCP medical Care is paid for out of pocket. ACS has hijacked OWCP and is now become the decider of fact without any due process. Every item not paid has been reconsidered, yet you don't even have these to answer. There seems to be no misunderstanding that all bills, claims should be paid prior to 1/3/99 and this has yet to occur. In so doing, you will find the 1996 request for permanent disability and all the very relevant and extensive medical documentation Jean Graham could have used and had me on permanent disability with schedule award paid as of 11/09 when her personal memory of the real facts of the case she knew I had permanent medical benefits already and the schedule award was pending. others only have gossip, and guessing and the bits and pieces of isolated documents that ACS wishes you to have and won't even process and pay what no one questions. The whole case would ' fall into place' and subsequent secondary and tertiary medical issues could then be addressed as OWCP's Dallas regional office would know, for the first time since ACS took over, what my accepted medical conditions were and are. I have posted on line for prayers for Lynn Blodgett, that he will do what is right by the terms of his contract, pay the bills now for prior to 1/3/99 that were all filed timely and then redone on the new forms in 2005. With the entire file, for the first time, made available to the current US Dept of labor officials, no one will have to go on guessing and memory. ACS,You can start with paying the approved for life by OWCP oxygen claims that have been timely file and pending with you since you took over for OWCP. This is 11 years worth. Some of these are reimbursements to Federal Blue Cross/Blue Shield and to Medicare as ordered by their appellate judge on 9/29/2010 case # M09-1406. Hopefully, some day, an injured worker can access their file on line and submit documents direct to the file and then no one can make paper disappear anymore. Remember, this horrible scenario started before ACS took over with a felony destruction of four years of my paper file to make it look like I'd never returned to work in 1990. According to my congressman's, common place when a 10 year multi-million dollar lease on a work site is up for renewal and a clean accident record is needed by the owner. SSA TSC Jersiey City has now moved, so that abuse of power is no longer needed. This is a non controverted claim with only a couple of controversions as to whether some days should be covered as wage loss rather than COP after I transferred to the Camden, N.J. HHS-SSA office which has now moved to Cherry Hill , NJ. My work related medical conditions were never accommodated as promised, assuring intentional injury ( well documented in file ACS won't let you see for the first time) by EEOC investigators, etc. I choose to live! I worship the Creator of life and live, not the god of death and destruction. I pray for those who have done us wrong and ask those of faith do likewise. Processing, filings have to continue as medical is being obstructed continuously for my entire family over this and that is in the submitted complaints against the CMS contractors which has direct bearing on what is occurring at ACS who is interlocked with all the various health plans and agencies. Linda Joy Adams " the books shall be opened" Yahusha! May all follow the path of life and live for one another and my personal belief that all life has value. I have listed religious discrimination along with other protected categories in the civil rights compliants, because there is a growing belief today that those who are old or disabled have no value; a belief that is growing among even the rich and pwerful that if they, too, get old or sick; they have no value and this is eroding the foundations our constitution and laws of justice for all that our very goverment was founded to insure.
06/18/2011
Fax:
Sharon H Carter
Senior Claims Examiner
Office of Workers Comp Programs
Federal Division
Room 100
525 Griffin St.
Dallas, TX 75202
Via: Contractor, Affiliated Computer Services-A Xerox Company
P.O. Box 8300,
London, Ky. 40742-8300
Attn: personal to Lynn Blodgett, President and CEO
This is a reconsideration request which document the non-facilitation of my established federal workers compensation claims and permanent medical benefits on my 1/10/89 injury at the social Security Teleservice center in Jersey City N.J. 07306 in the Hartz mountain owned building leased by ADP. at 2 Journal Square, 9th Floor.
A copy of this is going to the investigator on the pending complaints against US Dept of Labor contractor, Affiliated Computer systems for on-going refusal that is getting more blatant and retaliatory, to facilitate the processing of my case and refusing even judges remand orders be made available to the claims examiner. Allegedly on the orders of a convicted criminal in the Jack Abramoff bribery scandal. and the ' illegal deal ' to violate the IT contract between US dept of labor and Medicare coordination of Benefits a group Health subsidiary to alter the secured postings to enable the theft of the Medicare trust fund and crate overpayment liabilities against me, my estate and over 200 medical providers that have consistently been misled and lied to by the contractors and a high level CMS official in the Dallas regional office.
There is also pending civil rights and HIPPAA complaints in the Office Of Civil Rights, health and Human Services, Dallas TX on these two contractors and other named parties which include very few medical providers or suppliers whom we consider as victims of horrendous violations both civil and criminal as well. Also notified is my employing agency, SSA, which was HHS at time of injury and our attorney of record m just one of many complaining about the obstruction of facilitation of federal workers compensation cases when the contractor deems to want to do so. This violates their contract to provide security on files whether coming from appellate judges at the Employment Compensation board at the US Dept of labor or claimant, representative, or medical provider. supplier without discrimination and certainly not usurping the role of the agency to be the decider of fact.
My file has never been made available to those in the regional office and all contents are considered ' new' and pertinent to the matters before the US Dept of Labor. There is also a NJ law that makes all violations and pain and suffering a pertinent matter in any third party law suit brought as a requirement of the US Dept of Labor to reimburse the taxpayer. This has been sabotaged first by felony disappearances of my files before ACS got the contract and continuously since then. A complete file reconstruction arrived in 2004 from ECAB and in violation of contract never got posted. A reconstruction was not posted either, and only bits and pieces of submissions have been made available to the regional office. What is worse is that the bits and pieces are ' out of context' of the total and appears to be done in a manner to retaliate and discredit the established case and punitive damage actions that have occurred.
The intentional obstruction of life sustaining medical care has turned govt contractors named into real " DEATH PANELS" and the their on- going violations have turned their international conglomerate company into a threat to the life of any injured federal workers ACS is involved with the obstruction of flow of filings in multiple agencies. Submissions are being made that illustrate that this is not just an occasional 'clerical error' but a concerted effort to violate my rights as spelled out in the contract terms with various agencies at the federal and state level. ( All govt contract terms include the clause that the parties are to uphold Constitution and laws of the land.) They have not done so.
In the file, as pointed out by 12 US Dept of Labor judges and 2 hearing officers, are items that have never received an initial decision back to 1989. When the remand order of 2/09 set aside the felony-caused decision to suspend my temporary wage loss in 1998 ( disappearance of four years from my paper file) that i did return to work in 1990 and that the agency should accept my records. This should have been reinstated and decisions made on outstanding items which include about 3/4's of prescriptions of approved medical care for 1989-1998 and various health plans that have never been reimbursed for accepted medical care and other items such as dozens of CA1/2, CA2's, CA2A's in the file which Christina Stark said you only have access to 4. This is why the wage loss monies paid for 89-94 is a chaotic and does not conform to the buy back law. ACS refuses to allow you to see the voluminous medical records, doctors, notes, leave slips and pay stubs, etc the go with every 1/4 hour of work missed since 1/10/89 that must be certified by the US dept of labor for such. The terms of the reasonable accommodation promised BY HHS-SSA in 1990 were never met at great physical injury as is documented in the 240 EEOC complaints hearings, and sanctions from the EEOC which resulted in SSA stating that they should never have agreed to reasonable accommodations they couldn't provide which included removal of chemical barriers and a sedentary job. All of this is in file. This is New York regional case, that's been shuffled from their to Kansas City to Philadelphia, to Dallas. Kansas City regional office of US Dept of Labor refused to forward the file to Philadelphia so they could check out if the reasonable accommodations were going to be met.
Due to on-going obstructions and disappearances of my file, I lost all benefits with no decision on the pending CA2 in file and other claims for other affected body parts for four years until ECAB judges remanded the case back and I was sent to board certified pulmonologist, who displayed a GREEN PEACE banner on his office wall. It still took months for the Philadelphia office to approve the disease claim retroactively and then get me on home oxygen which was the proper medical care from 1/10/89 forward to prevent the other internal organ damage from progressing from the damage to the lungs and upper respiratory.The last 2 days I went to work landed me in intensive care and my doctor said: you go back you will come out in body bag. This is all well documented and the last reconsideration decision asked for this extensive documentation which show the precarious situation my life was placed in. A Federal employee has no agency, no law enforcement to go to. All one can do is document extensively both medically and in hearings, etc. exactly what is occurring. SSA has signed an agreement for full cooperation although indivuduals have violated this for their own ' personal agendas?"
Compounding this is that since 1992 there has been discrimination by the FDA against my minority group of occupational asthmatics which is explained in the civil rights complaints filed with HHS. Due to no substituted for CFC"S available to us, accommodations have had to be made for some off label use of medications. The more recent is in the list of medciations attached. i cannot tolerate the ozone/ emitting fumes from a nebulizer but Demex...Cortisone steroid which is out of pocket expense of $25 a month and the albuteral solution ( not much documented help) can be used in the mouth piece for the nebulizer and attached to the liquid oxygen tank minus the water humidifier cup and is working. I still have a supply of Intal and maxair is still being made until 2013 however, the canister has to be placed in the older maxair holder as i am unable to ' suck in ' on the maxair auto inhaler without severe and excruciating lung pain. I have not had a pain free breath since 1/10/89. The prior complete physicals that HHS-SSA used to provide periodically clearly show I had none of these physical problems before. I simply went to work one day and horrible injuries occurred and the rest of the documented facts are in file, which ACS refuses to let you have.
I have attached other recent filings rather than reiterate the ongoing abuses and violations against my files and life and livelihood of myself and my family. You can read these by doing a Google search; " violations of civil rights page" and insert the number after page. This is #39.
You only received a few items of filings sent to US Dept of Labor since the last week of March of 2011. Exact copies have gone to HHS-Civil Rights and US Dept of Labor contract compliance/Civil rights compliant office.
Apparently, you will continue not getting access to the file to work it as ordered y appellate judges, and since there is nothing for ECAB to do until you make the initial decisions on the outstanding items and do as outlined by them, it would do no good to appeal to them as even they send my files to ACS which have never been shared with you except for the few isolated items they choose to let you see and is seen ' out of context' so often isolated pages have little meaning. For example the CA1 @ CA2 in file on the eyes in 1993 and the cataracts in 2007 and subsequent surgeries that did not get approved as ACS lied to the doctors about the status of the case so the requests were never shown to you which also violated their contract terms-never been allowed to be reviewed by you and these are initial decisions, ECAB judges could do nothing but return to you over and over to make the initial decisions. 1989-1/2/99 file includes a multitude of items such as this that have never received initial review. remember from 9/91-3/14/95 nothing was worked on my case due to the ' game playing' of disappearance of a filing again that was never to keep the medical benefits on the first accepted CA1 claim. Many medical providers have never been fully paid as I had no monies for co pays and deductibles. Not all items have had inital processing for 1989-1991 either in defiance of hearing officer'r remand order.
In 2005, the Sec of labor's said to refax entire file that disappeared after tte judges's 35000 pages reconstruction arrived AT ACS in London, Ky. and was never posted, except for a few pages done to mislead the regional office in Dallas) Every filing, every submission, etc. means the file grows exponentially to document the ongoing obstruction of facilitation of this case and the damages and violations that are occurring as a result in other agencies to myself and my family as a result.
I will fax this to Dallas even though you can do nothing with it until its sent to ACS in London Ky and may never be returned as has occurred continuously since 3/11.
Due to the inflammation from ink, My husband, Doyle stamps each page and we then fax to the parties. We've already spent over $10,000 reconstructing files you have never seen to review even though judges have. With a set rate for long distance this all we can now afford as approved by OWCP medical Care is paid for out of pocket. ACS has hijacked OWCP and is now become the decider of fact without any due process. Every item not paid has been reconsidered, yet you don't even have these to answer. There seems to be no misunderstanding that all bills, claims should be paid prior to 1/3/99 and this has yet to occur. In so doing, you will find the 1996 request for permanent disability and all the very relevant and extensive medical documentation Jean Graham could have used and had me on permanent disability with schedule award paid as of 11/09 when her personal memory of the real facts of the case she knew I had permanent medical benefits already and the schedule award was pending. others only have gossip, and guessing and the bits and pieces of isolated documents that ACS wishes you to have and won't even process and pay what no one questions. The whole case would ' fall into place' and subsequent secondary and tertiary medical issues could then be addressed as OWCP's Dallas regional office would know, for the first time since ACS took over, what my accepted medical conditions were and are. I have posted on line for prayers for Lynn Blodgett, that he will do what is right by the terms of his contract, pay the bills now for prior to 1/3/99 that were all filed timely and then redone on the new forms in 2005. With the entire file, for the first time, made available to the current US Dept of labor officials, no one will have to go on guessing and memory. ACS,You can start with paying the approved for life by OWCP oxygen claims that have been timely file and pending with you since you took over for OWCP. This is 11 years worth. Some of these are reimbursements to Federal Blue Cross/Blue Shield and to Medicare as ordered by their appellate judge on 9/29/2010 case # M09-1406. Hopefully, some day, an injured worker can access their file on line and submit documents direct to the file and then no one can make paper disappear anymore. Remember, this horrible scenario started before ACS took over with a felony destruction of four years of my paper file to make it look like I'd never returned to work in 1990. According to my congressman's, common place when a 10 year multi-million dollar lease on a work site is up for renewal and a clean accident record is needed by the owner. SSA TSC Jersiey City has now moved, so that abuse of power is no longer needed. This is a non controverted claim with only a couple of controversions as to whether some days should be covered as wage loss rather than COP after I transferred to the Camden, N.J. HHS-SSA office which has now moved to Cherry Hill , NJ. My work related medical conditions were never accommodated as promised, assuring intentional injury ( well documented in file ACS won't let you see for the first time) by EEOC investigators, etc. I choose to live! I worship the Creator of life and live, not the god of death and destruction. I pray for those who have done us wrong and ask those of faith do likewise. Processing, filings have to continue as medical is being obstructed continuously for my entire family over this and that is in the submitted complaints against the CMS contractors which has direct bearing on what is occurring at ACS who is interlocked with all the various health plans and agencies. Linda Joy Adams " the books shall be opened" Yahusha! May all follow the path of life and live for one another and my personal belief that all life has value. I have listed religious discrimination along with other protected categories in the civil rights compliants, because there is a growing belief today that those who are old or disabled have no value; a belief that is growing among even the rich and pwerful that if they, too, get old or sick; they have no value and this is eroding the foundations our constitution and laws of justice for all that our very goverment was founded to insure.
Monday, March 28, 2011
violations of civil rights page 30: DOL,HHS,DOJ,OPM new documents not mailed or faxed
Various filings against named parties are the same parties in multiple agencies. It seem no agency has any oversight control of their contractors and a handful of abusive high level officials. In some cases, wrong information left behind by prior officials seems to still be passed around as factual information. The appellate judges at the US dept of labor said it best in 2/09: ask me for the facts of the case. So many files are ' missing' and no one seems to have a clue as tho what is occurring. What is happening is my life and livelihood have been and are at constant risk because terms of contracts, the laws and judges are blatantly ignored. And the more time that passes, the bigger the back log of items to be processed so that all my bills are paid by the proper party in the proper amount. ACS won't input 11 years of oxygen claims because they will be paid as they used to be. Politicians are made fun of for mentioning ' death panels.' Isn't this one? When my id and claims info were stolen by a contractor, why wasn't this shut down, or at least some official send me a letter that no liability against me or my estate would exist because the govt itself can't stop thefts by their own contractors , facilitated by Medicare coordination of benefits violating their contracts with CMS, and US Dept of Labor and altering the official filings, which the prior general counsel of OPM and US Dept of Labor officials said was accurate and not to be altered, yet ' everyone' could have it altered to cause harm and theft.
Why has no medical provider/supplier been allowed to know whom to bill for payment in a decade as when they try to find out , the very party that give out the wrong info are stealing, and having the official records altered so they can do so; when there is a legal option that give HHS the authority to straighten this out in a very short time by collections form the primary payers. Instead, HHS officials, ' disappear civil rights complaints, and make fun of me that I want medicare to enforce its own laws and go get the monies back from the responsible parties. How does one 'collect' from another agency's contractor who refuses to carry out the law. Why can't OPM control their own contractors, either?
Where is the protection of my official govt files, and information in the custody of various officials and their contractors? They say, Congress won't let us! But no warnings are given to the contractors to shape up or you lose your contract.
Why the retaliation when I beg and plead for discrimination and disparate treatment to stop so that life and livelihood are in jeopardy.
For 22+ years, since injured, there has been no security on any got file. As soon as the law, judges, hearing officers orders get started to be carried out on a non- controverted, established case; the files disappear. Even EEOC sanctions against HHS were ignored. Now the retaliations are even worse as i beg for justice.
The worse was then trying to wipe out 4 years of my life, when i tried over and over to work at great physical peril to my life which resulted in the EEOC sanctions; so that a billions landlord could renew his lucrative lease on a work site that didn't meet federal firs safety codes from the first day we reported to work in 7/88 and although our life-taking injuries weren't from fire, ho knows what would have happened if locked doors could have been open to provide ventilation? In recent years, more employees have been injured as those responsibility for safety precautions seemed to ignore their duties to oversee those govt contractors. and land lords.
The intentional disappearance of four years of work and medical documentation resulted in loss of wage loss as officials could claims: you never returned to work in 1990, and you shouldn't have any benefits. This has been corrected in appeals numerous times only to have the reviewed documentation- ' disappears ' in the custody of ACS. ACS was given the contract to assure the security of files that wasn't available in the Federal offices. The appellate judges decision of 2/09 affirming that I did return to work in 1990 and setting aside the erroneous decision again, and again made no sense to the dallas regional office who had no idea that was the reason wage loss stopped. Yet the medical benefits never ceased due to a strong law passed in the '90's to prevent this kind of abuse of power putting injured federal workers lives in danger.
over 2 years later, no one has contacted me, except for the new regional office manager, to say her office computer file hadn't been updated since 1998. Why? when ACS is hired to treat everyone equally before the law and post all files, even on the ' older' ones. Others with 'older files' are getting their benefits,aren't they?
ACS , however, could spend OK taxpayers monies to set up $0 balance ATM cards for us when no monthly checks were obviously not due based on an all purpose form filed with our County in order to get a denial letter to prove I couldn't get help to pay part B medicare premiums. and a HIPPAA reaeust to prive that federal official s and contractors had used state monies to cause ' harrassment' based on false reports. As far as I know, they are still getting paid for the last 2 years to maintain them and state monies are still being spent under false pretenses at the behest of the offending parties when the state claims they can do nothing agiastt the fed govt' officials and their contractors.
The same parties, show up in discriminatory and disparate treatment in multiple places. Group Health has the subsidiaries of Medicare coordination of benefits, Medicare secondary payer recovery unit ( they ordered them to not collect after letters were sent to OWCP in '05, 07,08. and none to Fed Blues the other primary for myself and family who are caught up in this in trying to get medical care since qualifying for Medicare. And the fraudulent National Health insurance data base created by offending parties altering what the doctors sent in on claims and used too often for medical histories costing obstruction of even emergency medcial care and placing life in jeopardy more than once as it should be reliable if not for offenses by the parries in charge.
I have gone ' public' and several summaries of events are attached. Every medical service date starts a new round of violations.
My files are as complex and convoluted as the international conglomerates that we have named as offenders.
It appears only Sec of Labor Solis has addressed the issue and publicly encourgaged complaints of civil rights to be filed against their contractors. Medicare's is part of HHS and they don't know where one can file a complaints, although their general counsel has said contractors can be investigated for civil rights violations, then why won't they do so in the Dallas region- which resulted in some high level regional officials being named in the complaints.
No one has gotten back to me and my family is still hauling oxygen tanks to the mfg and we are paying out of pocket so I can live, because of the direct lies and misinformation that has been spewed about and the discriminatory regulations that have created monopoly suppliers. ACS has continually lied to medical providers and inferred that I got some humongous settlement monies to pay everyone and Lincare believed them over me and has created endangerment of life and horrible financiial hardship. Other medcial care is continually thwarted as payment is expected for services supplied within a resonable time.
I have no monies to pay to copy and mail. I've written and met every filing date on time. Only to have files and filings disappear, over and over. I am paying a flat rate for long distance and have a higher speed fax machine. You can't blame me for choosing to live and filing papers everywhere possible for enforcements of laws and jduges' rulings that they can't enforce. If govt contractors are going to run this country then all our elected officials might as well go home along with the civil service and big business will run things for profits and no civil rights will exist for any one of us that find themselves disabled, elderly, or a member of minority group. Only those able to be slaves for profit for the few who amass more and more power and wealth will be allowed to eke out a meager existence at the whim of a few. That's not the Constitutional. rights our forefathers fought so hard to have for all of us. The inalienable right to live has been my foremost goal and that means having the best health care not obstructed and monies awarded paid to provide for myself and family not be constantly interfered with. I tried to work at great peril with promised accommodations ignored and no right to work with the regional disability person to make sure i wasn't at physical risk. The missing medical records how 4 years of one continuous asthma attack with constant derision and ridicule by superiors who only got worse as each co-worker lost their battle for life. In 6/68 I chose to become a civil servant and expected the dignity of the right of life and wages paid as agreed to by law and Congress. This has not occurred.
Why has no medical provider/supplier been allowed to know whom to bill for payment in a decade as when they try to find out , the very party that give out the wrong info are stealing, and having the official records altered so they can do so; when there is a legal option that give HHS the authority to straighten this out in a very short time by collections form the primary payers. Instead, HHS officials, ' disappear civil rights complaints, and make fun of me that I want medicare to enforce its own laws and go get the monies back from the responsible parties. How does one 'collect' from another agency's contractor who refuses to carry out the law. Why can't OPM control their own contractors, either?
Where is the protection of my official govt files, and information in the custody of various officials and their contractors? They say, Congress won't let us! But no warnings are given to the contractors to shape up or you lose your contract.
Why the retaliation when I beg and plead for discrimination and disparate treatment to stop so that life and livelihood are in jeopardy.
For 22+ years, since injured, there has been no security on any got file. As soon as the law, judges, hearing officers orders get started to be carried out on a non- controverted, established case; the files disappear. Even EEOC sanctions against HHS were ignored. Now the retaliations are even worse as i beg for justice.
The worse was then trying to wipe out 4 years of my life, when i tried over and over to work at great physical peril to my life which resulted in the EEOC sanctions; so that a billions landlord could renew his lucrative lease on a work site that didn't meet federal firs safety codes from the first day we reported to work in 7/88 and although our life-taking injuries weren't from fire, ho knows what would have happened if locked doors could have been open to provide ventilation? In recent years, more employees have been injured as those responsibility for safety precautions seemed to ignore their duties to oversee those govt contractors. and land lords.
The intentional disappearance of four years of work and medical documentation resulted in loss of wage loss as officials could claims: you never returned to work in 1990, and you shouldn't have any benefits. This has been corrected in appeals numerous times only to have the reviewed documentation- ' disappears ' in the custody of ACS. ACS was given the contract to assure the security of files that wasn't available in the Federal offices. The appellate judges decision of 2/09 affirming that I did return to work in 1990 and setting aside the erroneous decision again, and again made no sense to the dallas regional office who had no idea that was the reason wage loss stopped. Yet the medical benefits never ceased due to a strong law passed in the '90's to prevent this kind of abuse of power putting injured federal workers lives in danger.
over 2 years later, no one has contacted me, except for the new regional office manager, to say her office computer file hadn't been updated since 1998. Why? when ACS is hired to treat everyone equally before the law and post all files, even on the ' older' ones. Others with 'older files' are getting their benefits,aren't they?
ACS , however, could spend OK taxpayers monies to set up $0 balance ATM cards for us when no monthly checks were obviously not due based on an all purpose form filed with our County in order to get a denial letter to prove I couldn't get help to pay part B medicare premiums. and a HIPPAA reaeust to prive that federal official s and contractors had used state monies to cause ' harrassment' based on false reports. As far as I know, they are still getting paid for the last 2 years to maintain them and state monies are still being spent under false pretenses at the behest of the offending parties when the state claims they can do nothing agiastt the fed govt' officials and their contractors.
The same parties, show up in discriminatory and disparate treatment in multiple places. Group Health has the subsidiaries of Medicare coordination of benefits, Medicare secondary payer recovery unit ( they ordered them to not collect after letters were sent to OWCP in '05, 07,08. and none to Fed Blues the other primary for myself and family who are caught up in this in trying to get medical care since qualifying for Medicare. And the fraudulent National Health insurance data base created by offending parties altering what the doctors sent in on claims and used too often for medical histories costing obstruction of even emergency medcial care and placing life in jeopardy more than once as it should be reliable if not for offenses by the parries in charge.
I have gone ' public' and several summaries of events are attached. Every medical service date starts a new round of violations.
My files are as complex and convoluted as the international conglomerates that we have named as offenders.
It appears only Sec of Labor Solis has addressed the issue and publicly encourgaged complaints of civil rights to be filed against their contractors. Medicare's is part of HHS and they don't know where one can file a complaints, although their general counsel has said contractors can be investigated for civil rights violations, then why won't they do so in the Dallas region- which resulted in some high level regional officials being named in the complaints.
No one has gotten back to me and my family is still hauling oxygen tanks to the mfg and we are paying out of pocket so I can live, because of the direct lies and misinformation that has been spewed about and the discriminatory regulations that have created monopoly suppliers. ACS has continually lied to medical providers and inferred that I got some humongous settlement monies to pay everyone and Lincare believed them over me and has created endangerment of life and horrible financiial hardship. Other medcial care is continually thwarted as payment is expected for services supplied within a resonable time.
I have no monies to pay to copy and mail. I've written and met every filing date on time. Only to have files and filings disappear, over and over. I am paying a flat rate for long distance and have a higher speed fax machine. You can't blame me for choosing to live and filing papers everywhere possible for enforcements of laws and jduges' rulings that they can't enforce. If govt contractors are going to run this country then all our elected officials might as well go home along with the civil service and big business will run things for profits and no civil rights will exist for any one of us that find themselves disabled, elderly, or a member of minority group. Only those able to be slaves for profit for the few who amass more and more power and wealth will be allowed to eke out a meager existence at the whim of a few. That's not the Constitutional. rights our forefathers fought so hard to have for all of us. The inalienable right to live has been my foremost goal and that means having the best health care not obstructed and monies awarded paid to provide for myself and family not be constantly interfered with. I tried to work at great peril with promised accommodations ignored and no right to work with the regional disability person to make sure i wasn't at physical risk. The missing medical records how 4 years of one continuous asthma attack with constant derision and ridicule by superiors who only got worse as each co-worker lost their battle for life. In 6/68 I chose to become a civil servant and expected the dignity of the right of life and wages paid as agreed to by law and Congress. This has not occurred.
Wednesday, March 23, 2011
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.
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 11, addendum to SSA-40B, remanded SSA 561,waiver requests
was to be used for Medicare, I contacted the SSA benefits office in Baltimore, MD Headquarters ( our SSA experts) Many SSA employees currently seem unaware they exist. They immediately said that should not have happened and no policy change had occurred that if taxes paid on own #, that will always be the claim number for Medicare. My ssn with TA as a suffix, is has cyber security as Cigna govt services found out when they tried to pay Medicare claims and it rejected for having primary payers and required a conditional payment override code which thought'd used until 10/08 when A. R. ,1-800- Medicare supervisor found that a widow claim # had been used to bypass security controls. ( my husband is ALIVE!) This is how the multiple thefts by Trailblazers was discovered as he tried to locate the paid claims and on that day 14 phony claim numbers were located. Another agent found the 15Th a few days later. Then everyone found out that Congress had given immunity for their thefts.. Last week, the thieves got ' praised ' in an Congressional hearing for doing such a good job of combating fraud. Priase given by one in charge of fraud who has refused to docket in OIG complaints on ' partners.' for a decade- re Dept Sec of HHS in 4/09.
Violations of Civil Rights page 10, addendum to remanded SSA 561,waiver requests
Saturday, I received a Medicare card that showed only part A Medicare and was issued in one of the 15 phony claim numbers created by the medciare contractors in order to steal the Medicare trust fund. I have never filed for this category of benefits and never received any award letter on this claim number.
SSA policy that no conversion from B2 to B spousal benefits occurs until age 70 as potential entitlement factors would be affected should the unforeseen widowhood occur and the right to deferred retirement credits be preserved. This also affects protection rights of C1.
I never asked for a duplicate card. The 500 witnesses at 1-800 Medicare who diligently documented the multiple thefts by Trailblazer were never able to issue cards on the phony claim numbers which were created by adding various suffixes to my ssn and husband's ssn although medical providers did receive payments using the phonies. I was able to get entitlement letters and immediately forwarded them to both OIG at SSA, and HHS-CMS whose investigators are unable to criminally investigate govt contractors without congress changing laws that have given the ' thieves' immunity from internal audits and criminal investigations and prosecutions. Both SSA and FTC's OIG were unable to obtain assistance from FBI cyber crimes for same reaosn; which was affirmed with Ms. Evans in Dallas FBI last week. When I was first informed that the B2
SSA policy that no conversion from B2 to B spousal benefits occurs until age 70 as potential entitlement factors would be affected should the unforeseen widowhood occur and the right to deferred retirement credits be preserved. This also affects protection rights of C1.
I never asked for a duplicate card. The 500 witnesses at 1-800 Medicare who diligently documented the multiple thefts by Trailblazer were never able to issue cards on the phony claim numbers which were created by adding various suffixes to my ssn and husband's ssn although medical providers did receive payments using the phonies. I was able to get entitlement letters and immediately forwarded them to both OIG at SSA, and HHS-CMS whose investigators are unable to criminally investigate govt contractors without congress changing laws that have given the ' thieves' immunity from internal audits and criminal investigations and prosecutions. Both SSA and FTC's OIG were unable to obtain assistance from FBI cyber crimes for same reaosn; which was affirmed with Ms. Evans in Dallas FBI last week. When I was first informed that the B2
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.
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.
Monday, February 7, 2011
Violations of Civil Rights Page 4 -Federal Blues x-refer MA09-1406 Medicare DAB
Our medical providers are being 'told' that claims are being denied. Yet, Explanation of benefits, we get, say file with Medicare first and send the results to you. Both are incorrect. The only 'final' decision from the the highest Appellate Judge at Medicare dated 9/29/2010 states Federal workers comp needs to get the claim first, then you and lastly Medicare. This will continue to be the legal line- up until OWCP gets me on permanent disability which continues to be obstructed as ACS-Xerox has yet to set up my computer file correctly so that the multiple remand orders from the US Dept of Labor judges, ( last one 2/09) can be carried. out) You claim you got varying dates from OPM, yet their general counsel had the signed agreement with SSA a few years ago and explained that OWCP law overrides all the other laws and no break in employment nor retirement can be finalized until OWCP is finalized. Many doctors and medical research consider my accepted conditions as permanent and progressive and my pulmonologist informed me at my last visit in 1/11 that regrowth of lung tissue may not happen in his lifetime and he's much younger than me. Even though, I've signed to start a retirement, OWCP has to act first, just as they respond to all medical bills first.
Violations of Civil Rights Page 3
480-389-2729 / 4803892729: "- Sent using Google Toolbar" By not setting up the computer file correctly and obstructing the remand orders of judges, this is the result. See the attached response to a collection phone call. because some medical billing agency was persuaded to ignore the law and orders and violate govt contracts by false info spewed around. My husband's medical bills are obstructed as my OWCP status determines who pays first on his bills which is legally my Federal Blue Cross/Blue Shield group health plan. The local office can't work the case properly until ACS set the computer file up properly which has never occurred. When judges rule; they have no idea what the judges are referring to nor the import of the ruling as the file doesn't reflect it as a response to prior decisions. Any other bills its claimed my husband owes could surely be paid from his portion of the back wage loss which the 2/09 remand from the highest appellate judges at US Dept of Labor should have resulted in all back temporary wage loss paid and other expenses reimbursed currently plus negotiations under way if not completed on permanent disability and schedule award. Most important, the constant obstruction of life -sustaining medical treatment would have ceased.
Friday, February 4, 2011
Bush whistle-blower protector faces jail
Bush whistle-blower protector faces jail: "- Sent using Google Toolbar"see my comemnt
Sunday, January 30, 2011
Violations of Civil Rights Page 2
ACCIDENT REPORT
Last Monday and Tuesday i went for medical appts related to my OWCP accepted conditions and conditions pending on unprocessed secondary claims. There is a cumulative effect on inflaming exposures which are barely noticeable by the general public. One of the accepted conditions listed in the OWCP file is pneumonitis which resulted from my initial injury. Wednesday, 1/27/2011, I grabbed some cereal with milk for a quick meal.I didn't realize the brand was different than those we usually have and I can tolerate. Whether i breath in or ingest low levels of certain chemicals, there is an inflammatory reaction which has been called pneumonitis for the respiratory system. After a few bites, sores appeared in my mouth and burning sensation in respiratory and digestive system. The process is; burning sensation, inflammation, swelling and then if the exposure continues bleeding and bacterial infections take hold in some areas. In the lungs, there is fluid build up and blood tests diagnosis of leukopenia have been done in the past when the exposure never ceased as when i tried to work post 1/10/89. I then read Natural Flavoring on outside of TOTAL blueberry cereal.
Last Monday and Tuesday i went for medical appts related to my OWCP accepted conditions and conditions pending on unprocessed secondary claims. There is a cumulative effect on inflaming exposures which are barely noticeable by the general public. One of the accepted conditions listed in the OWCP file is pneumonitis which resulted from my initial injury. Wednesday, 1/27/2011, I grabbed some cereal with milk for a quick meal.I didn't realize the brand was different than those we usually have and I can tolerate. Whether i breath in or ingest low levels of certain chemicals, there is an inflammatory reaction which has been called pneumonitis for the respiratory system. After a few bites, sores appeared in my mouth and burning sensation in respiratory and digestive system. The process is; burning sensation, inflammation, swelling and then if the exposure continues bleeding and bacterial infections take hold in some areas. In the lungs, there is fluid build up and blood tests diagnosis of leukopenia have been done in the past when the exposure never ceased as when i tried to work post 1/10/89. I then read Natural Flavoring on outside of TOTAL blueberry cereal.
Violations of Civil Rights Page 1
The HHS Office of Civil rights has 25 complaints filed by us since 1/08 and none have been docketed in or responded to. All the offending parties are the same now as then and violations have not ceased. The HIPPAA complaints, I found out last year, have little impact as the offenders are not covered under the HIPPAA law as they are either govt entities or their contractors or 'business associates.' My medical providers and suppliers are 'victims' also except for the isolated named entities. There are also overwhelming numbers of filings that have to be made and these seem to grow exponentially as retaliations occur from even trying to stop the violations. These filings are in addition to the growing number of other filings that must occur when one is dealing with a federal workers compensation case.
If judges remand orders were carried out, much of this would cease, but they are also 'ignored.' Also, my e-mail has never 'worked right.' If the parties will e-mail me I can put you on the list to get these back. I also use this web site to collect info from the web for documentation for these filings as well as other personal matters. There is a limited amount of space to post on each page. THEREFORE: To find the full statement one can go to this blog and search for the title Violations of Civil Rights and find the page#. I will attempt to e-mail those I can and fax the rest. Other parties with an interest in the outcome can follow. This also summarizes what some call 'pain and suffering' that has never ceased since 1/10/89 when I was injured at work at the SOCIAL SECURITY TELESERVICE CENTER, 2 Journal Square, Jersey City N.J. 07306 9TH floor. along with others, some of whom have died of their injuries according to reports.
Every day, mail and phone calls and other info and incidents occur that need to have a written response. I thank my good doctors that have provided medical care so that I am still here to write this and ask for prayers that this can all be resolved soon. Any resolution has to provide for continued medical care. There is no way of safely treating my injuries and the secondary and tertiary issues that have resulted by using a 'general medical approach.' Inhalation of Toxic fumes with bronchiospasms, occupational asthma, pnuemonitis ( toxic pneumonia) are treated with medications that are the exact opposite of one with allergic reactions and can be harmful and life -threatening. The medical treatment itself is evidence of the diagnosis. Thus, those who have done wrong, have been involved in an obstruction of that treatment as it proves their 'guilt.' {When comments are posted on others' websites' I do a link back to this one saying: see my comment. These are my attempt to ' get the story out' as so many others are affected by what is occurring.
FILING DEADLINES: The Appellate Medicare Judge , Judge Gilda Morrison, ruled on 9/29/2010 that the bill she had in front of her were Federal Workers Compensation's legal obligation and Medicare Secondary Payer recovery Unit has this ruling to obtain collections back from them. She did not overturn the two administrative judge rulings that affirmed that OWCP and Federal Blue cross. Blue shield were primary to Medicare. This FACT has been thwarted at every point and the official records at Medicare Coordination of Benefits constantly altered to create overpayment liabilities and have Medicare pay the bills. This can only be done legally if they are paid as a 'conditional' payment and then no overpayment liability exists for me or my medical providers or suppliers as it is Medicare's legal obligation , under the law, to collect the monies direct from the primary payer and stop future violations. What has been occurring by the violators is called: misuse of social security number for theft and involves theft of the Medicare trust fund. Since, Congress gave immunity to govt contractors so they can't be criminally investigated; civil rights is the only way to stop the violations. The civil rights complaints pending with no response in the HHS Office of Civil Rights should have stopped this if they had been docketed in, assigned to an investigator and processed as the law requires.
Medicare appeals inside contractors go unanswered except for the few that Cigna Govt services allowed to proceed; but they to have unanswered ones they 'inherited' from Palmetta GBA several years ago along with unprocessed claims that go back years. The 9/29/2010 decision means those oxygen claims are all Federal workers compensation's. ACS-Xerox has 11 years of invoices they have not processed because " the computer will pay them' and the past Director of OPM, told them not to input them for that reason and recently i learned it will also get their offline system online with my official Computer system at The US Dept of Labor and also update the system avaialble inside the Regional Office in Dallas where my claims examiner is who never is notified of anything to process and that includes the ( ECAB ) US department of labor appellate judges remand orders of 2/09 and others prior and CA1/1, CA/2/ abd CA2a's some of which are over a decade old and the judges have referred to these numerous times as needing initial decisions. Reconsiderations on individual items have also gone unanswered for years. The 2/09 remand stated I was to be asked for the facts of the case. Fact; there are items that go back to 1989 that have never received an initial decision. The ECAB also 'set aside' the reson for my wage loss being stopped, yet without the file being posted correctly, that did not seem obvious to most who read the orders. Then the continual problem of ACSs call center lying to medical providers that the case is closed so that claims don;t get sent in timely obstructs medical treatment and the financial hardship for my family is horrific and bankrupting. The 9/29/2010 decision has permitted the reopening of any filing deadlines as medicare is the legal primary decision maker on who is primary when there are multiple health plans. THE lower judge had gotten the 'internal documents from US dept of Labor before he rendered his decision. The general counsel for OPM said a few years ago that Federal workers compensation law overrides all other for me. The Medicare judges and OWCP are in agreement. OWCP is to pay bills related to any accepted condition. I should have a timely answer to any appeal on any isolated bill, etc. The bills related to pending diagnoses should be answered that bills are for a [ending matter that may take more than 4 months to decide so that Federal Blue Cross/Blue Shield would then pay conditionally and forward to their medical subrogation unit. Medicare would pay second and send to their medical subrogation unit to periodically check for approval. I shouldn't have to constantly be trying to get these parties to do their jobs. Then file complaints when they resist my begging for them to do so. let alone the retaliations that so often occur with my character being smeared, etc. when I plead for justice that our civil rights should not be violated.
If judges remand orders were carried out, much of this would cease, but they are also 'ignored.' Also, my e-mail has never 'worked right.' If the parties will e-mail me I can put you on the list to get these back. I also use this web site to collect info from the web for documentation for these filings as well as other personal matters. There is a limited amount of space to post on each page. THEREFORE: To find the full statement one can go to this blog and search for the title Violations of Civil Rights and find the page#. I will attempt to e-mail those I can and fax the rest. Other parties with an interest in the outcome can follow. This also summarizes what some call 'pain and suffering' that has never ceased since 1/10/89 when I was injured at work at the SOCIAL SECURITY TELESERVICE CENTER, 2 Journal Square, Jersey City N.J. 07306 9TH floor. along with others, some of whom have died of their injuries according to reports.
Every day, mail and phone calls and other info and incidents occur that need to have a written response. I thank my good doctors that have provided medical care so that I am still here to write this and ask for prayers that this can all be resolved soon. Any resolution has to provide for continued medical care. There is no way of safely treating my injuries and the secondary and tertiary issues that have resulted by using a 'general medical approach.' Inhalation of Toxic fumes with bronchiospasms, occupational asthma, pnuemonitis ( toxic pneumonia) are treated with medications that are the exact opposite of one with allergic reactions and can be harmful and life -threatening. The medical treatment itself is evidence of the diagnosis. Thus, those who have done wrong, have been involved in an obstruction of that treatment as it proves their 'guilt.' {When comments are posted on others' websites' I do a link back to this one saying: see my comment. These are my attempt to ' get the story out' as so many others are affected by what is occurring.
FILING DEADLINES: The Appellate Medicare Judge , Judge Gilda Morrison, ruled on 9/29/2010 that the bill she had in front of her were Federal Workers Compensation's legal obligation and Medicare Secondary Payer recovery Unit has this ruling to obtain collections back from them. She did not overturn the two administrative judge rulings that affirmed that OWCP and Federal Blue cross. Blue shield were primary to Medicare. This FACT has been thwarted at every point and the official records at Medicare Coordination of Benefits constantly altered to create overpayment liabilities and have Medicare pay the bills. This can only be done legally if they are paid as a 'conditional' payment and then no overpayment liability exists for me or my medical providers or suppliers as it is Medicare's legal obligation , under the law, to collect the monies direct from the primary payer and stop future violations. What has been occurring by the violators is called: misuse of social security number for theft and involves theft of the Medicare trust fund. Since, Congress gave immunity to govt contractors so they can't be criminally investigated; civil rights is the only way to stop the violations. The civil rights complaints pending with no response in the HHS Office of Civil Rights should have stopped this if they had been docketed in, assigned to an investigator and processed as the law requires.
Medicare appeals inside contractors go unanswered except for the few that Cigna Govt services allowed to proceed; but they to have unanswered ones they 'inherited' from Palmetta GBA several years ago along with unprocessed claims that go back years. The 9/29/2010 decision means those oxygen claims are all Federal workers compensation's. ACS-Xerox has 11 years of invoices they have not processed because " the computer will pay them' and the past Director of OPM, told them not to input them for that reason and recently i learned it will also get their offline system online with my official Computer system at The US Dept of Labor and also update the system avaialble inside the Regional Office in Dallas where my claims examiner is who never is notified of anything to process and that includes the ( ECAB ) US department of labor appellate judges remand orders of 2/09 and others prior and CA1/1, CA/2/ abd CA2a's some of which are over a decade old and the judges have referred to these numerous times as needing initial decisions. Reconsiderations on individual items have also gone unanswered for years. The 2/09 remand stated I was to be asked for the facts of the case. Fact; there are items that go back to 1989 that have never received an initial decision. The ECAB also 'set aside' the reson for my wage loss being stopped, yet without the file being posted correctly, that did not seem obvious to most who read the orders. Then the continual problem of ACSs call center lying to medical providers that the case is closed so that claims don;t get sent in timely obstructs medical treatment and the financial hardship for my family is horrific and bankrupting. The 9/29/2010 decision has permitted the reopening of any filing deadlines as medicare is the legal primary decision maker on who is primary when there are multiple health plans. THE lower judge had gotten the 'internal documents from US dept of Labor before he rendered his decision. The general counsel for OPM said a few years ago that Federal workers compensation law overrides all other for me. The Medicare judges and OWCP are in agreement. OWCP is to pay bills related to any accepted condition. I should have a timely answer to any appeal on any isolated bill, etc. The bills related to pending diagnoses should be answered that bills are for a [ending matter that may take more than 4 months to decide so that Federal Blue Cross/Blue Shield would then pay conditionally and forward to their medical subrogation unit. Medicare would pay second and send to their medical subrogation unit to periodically check for approval. I shouldn't have to constantly be trying to get these parties to do their jobs. Then file complaints when they resist my begging for them to do so. let alone the retaliations that so often occur with my character being smeared, etc. when I plead for justice that our civil rights should not be violated.
Wednesday, December 29, 2010
BILLING: Page 4
providers as they would have access to protected info on claims of many beneficiaries and could file more easily.Congress has made contractors immune from any criminal liabilities and internal audits.Often, govt contractors are subsidiaries of international conglomerates and our nation and tax monies are unprotected when thefts and abuses occur. The general counsel for Medicare has researched this, along with the justice dept. False Claims and Civil rights seem to be the only legal vehicles available. Appeals often go unheeded inside the contractors who have been given the authority for the first two levels The Miami Medicare hearing office is the subject of complaints of missing files from a multitude of attorneys and other appellants as a 'contractor' prepares the files and filings are not even logged in on arrival. Several of mine are now missing that had to be appealed as the Independent Reconsideration Contractor has no legal authority to rule on the issues involved. Wisconsin Physicians doesn't even have someone to process a reconsideration for Oklahoma appeals.And won't even respond to the intitial appeals that were filed in 2007. When appeals do proceed upward, their is reluctance to provide the claims processing file as it reflects the wrong doings of the contractor who has violated the terms of contracts to uphold the laws and constitution.
BILLING: Page 3
Those who have tried to 'persuade' billing personnel to circimvent the legal line-up as payments might be made faster; have often found themselves caught in a convoluted processed that has only caused a prolonged problem, underpayments in the amount paid and overpayment liablities when Medicare has paid primary. Lest one forget: Medicare officials don't make decisions on workers comp claims. One, documnted filing, shows that a high level CMS official told a billing party to ignore the OWCP claims that had just been filed on a new secondary issue.My attorney has always advised me that if a doctor refers to a condition as related to the accepted case; file a claim on any new diagnosis or related condition. Too many billing personnel have been badly 'led astray' on whom to bill. Even the Medicare computer is only accurate @ 10 minutes every 2 weeks and then is illegally altered by the contractor that maintains it and get the official posting form US Dept of Labor. "Everyone has had it altered" including Federal Blues, Vangent ( 1-800-Medicare), OPM, and CMS officials. None of whom has access to the official records. Too often, billing personnel have been erroneously advised to use a phony claim number to circumvent the Medicare billing computer. SSA and the FTC have tried to get them to shut the use of phony claim numbers down for years as its: misuse of ssn for 'theft.' Yes, high level officials have actually advocated 'theft.' And criminal investigators are currently assigned as in 8/08, the 'local' claims processors started turning each claim into 17 and I have no evidence that any provider got and cashed the extra checks, yet the offline, hidden computer system shows they did. A System they ae not to be using and is hidden from even the contract auditors. The initial pays were for every bill back at least to 1/06 and the total by stealing my cliams and ID are @$4 million. I'm asking every large provider for assisstance on a false claims act as 500 witnesses state this is not just on my records and a large
Date of Injury: 1/10/1989
Date of Injury: 1/10/1989
BILLING: Page 2
that OWCP should be billed first. She did not overturn Medicare ALJ's 2008 and 2009 decisions that there are two primary payers before Medicare. OWCP and Federal Blue Cross/Blue Shield. Since all my medical bills and either for an accepted condition at OWCP or are for pending secondary/tertiary claims; OWCP should be asked for a formal ruling first. Currently the local manager at OWCP is trying to get problems resolved as their contractor ACS-Xerox has never posted my file and most of subsequent filings and are giving out erroneous info as to whom should be billed as they are off-line of the official US DEPT OF LABOR computer file that shows permanent medical benefits. They were ordered to not input oxygen claims as this is the treatment that automatically awarded permanent medical care under a 1980's law that was passed so that Injured Federal workers would no longer have life -sustaining treatment obstructed on an accepted claim by official 'abusing their power.' Currently, ACS-XEROX has 11 years of oxygen claims that have never been processed since they govt the govt contract. Being offline, some have received erroneous denials that have to be reworked per the appellate judges remand orders of 2/09 when they set aside the false decision that I'd never returned to work in 7/90, which I did. And The three judges ruled: Ask me for the facts of the case since every pending file is either missing or incomplete due to these 'abuses.'
BILLING : Page 1
To Medical providers and Suppliers:
I have three health plans. All need to be sent claims. Misinformation has been spewed about by officials and others that have no direct knowledge of the facts nor the ruling by various agency officials based on the law and the facts. Many have missed filing dates but i have filed papers that protect every party's time limits to file. Compounding the problem is that those you often contact for correct info have themselves given incorrect info and have also had the official computer files either altered or refuse to allow official decisions to be posted. Govt contractors are often off-line of the official systems. Part of the problem is traced to an individual at US Dept of Labor who was convicted in the jack Abramoff bribery scandal last Spring.So, much of what has occurred at high levels has been an intentional abuse of power which is considered a crime as well as civil rights violations. Every claim has had to be appealed when paid by improper party to get rid of overpayment libilities to you and me.On 9/29/10 Medicare Appellate Judge Morrison: case M09-1409 ruled that OWCP
I have three health plans. All need to be sent claims. Misinformation has been spewed about by officials and others that have no direct knowledge of the facts nor the ruling by various agency officials based on the law and the facts. Many have missed filing dates but i have filed papers that protect every party's time limits to file. Compounding the problem is that those you often contact for correct info have themselves given incorrect info and have also had the official computer files either altered or refuse to allow official decisions to be posted. Govt contractors are often off-line of the official systems. Part of the problem is traced to an individual at US Dept of Labor who was convicted in the jack Abramoff bribery scandal last Spring.So, much of what has occurred at high levels has been an intentional abuse of power which is considered a crime as well as civil rights violations. Every claim has had to be appealed when paid by improper party to get rid of overpayment libilities to you and me.On 9/29/10 Medicare Appellate Judge Morrison: case M09-1409 ruled that OWCP
Friday, October 29, 2010
AFGE request for info / and membership matters
Sharon Pennock
Membership and organizing
80 F Street
Washington, D.C. 20001
cc:AFGE local 2369
Today i was told by Membership hot line that the union dropped me from their rolls on 12/22/97. i as asking for any documentation of what the union was told and why this occurred. When i transferred to OWCP jurisdiction 10/11/1994 i inquired about paying union dues and was told the contract and policy was that these were waived when under owcp jurisdiction. I still am, with no offical break in service according to the official personnel file which I recently learned is only accessed by or in personal custody of the Regional Commission for the NY region. I'm well aware that misinformation has been spewed out to many parties and obstructed my medical care and other processing of matters unresolved. I've yet to have a decision on the permanent disability with OWCP that I filed for in 1996 when my pulmonologist and owcp doctor signed for permanent disability for me and we moved since there was no anticipation of ever being able to work again.
I had contacted your office in the past an inquired as to whether any change in paying union dues existed and no answer.
I suspect that local 2369 was misinformed by the Regional commissioner as to my legal status just as SSA headquarters has been misinformed as required paperwork has never been forwarded including an 'imposement' from OPM on my status. The official secured systems at OPM and US Dept of labor ( OWCP) have consistently shown employment( according to official sources including general counsel for opm a few years ago, post 1997) under owcp and no permanent disability by OWCP which is the only way I can retire under CSR unless OWCP is withdrawn and all monies repaid that were paid out under OWCP to and for me. I am not doing any such thing. There is a signed agreement with SSA in 5/95 and it was altered inside NY reg office and OPM imposed the original on the agency and its currently not being complied with and HHS eeoc matters remain unresolved also that AFGE represented me on and I've periodically advised AFGE to not destroy documents from their representation until it is. I talked with Don _______ in SSA headquarters and he informed me there are many personnel matters he should have received notice of, but hasn't and he will be getting the appropriate officials together to see if everything can finally be resolved. if not, I have no choice but to proceed with all the pending matters including the 21 HHS civil rights complaints filed since 1/08 as retaliation against EEOC activity In my case, medical care and benefits provided by law and awarded have to occur. That still won't replace the good health I lost on 1/10/89 and was exacerbated by no reasonable accommodation as promised from 7/90 - 10-11-94 and i thank Local 2369 for trying to obtain this and representing me on grievances, and eeoc matters and even filing 2 unfair labor practices from action by HHS-SSA against us both.
I also need the case number of those 2 labor practices which an ATTY from US Dept of labor came and took my sworn depositions on. As the current misinforming discovery seems to have 'resurrected' and on-going unfair labor practice when a duly authorized union is not allowed to know who is employed in the local.
I need all info as to what AFGE was told and any official documents given to them or shown to them on my official status in 1994 through the present.
What occurred on 12/22/97 to drop me from the rolls without notice, etc?
Was a memorandum of understanding (based on flawed info) signed between AFGE and SSA about or affecting me? I wish a copy(s).
If the policy/contract/ understanding has changed on payment of union dues while under OWCP jurisdiction; please advise amount of dues and how to pay them.
{an erroneous date of 1/18/97 got put on Federal Blue Cross/ Blue Shield, that I had gotten an owcp settlement and retired on that date} It seems 'logical' that perhaps the local 2369 received the same wrong info and they dropped me as of the last pay period of 1997. My mail was still being forwarded from PA at the time.
I consider myself fortunate for having the AFGE Health insurance card in my purse on 1/10/89 for the admissions clerk to 'misread' and think I was a port Authority employee s that tests were run and diagnosis given and some treatment before the hospital learned I was an HHS-SSA employment whom they had received orders were to be denied any and all treatment and testing and hospitals did so under extreme duress from the highest levels. Those that hold positions now, were there then in many cases.
More recently I've become aware of just how bad the 'smear' campaign has been against this whistle blower and Federal employee and injury victim. I became a whistle blower out of great physical pain and injury; not because I wanted to be one. I just chose to live. But there is so many in similar situations that It does give me the resolve to make it a 'cause' that should be everyone's cause. Please advise me of any options I may have available. And information that could be useful.I thank you for your support and representation as I consider owing my still being alive to your efforts in the past. But its not yet over. Those of faith, please pray that it can soon be resolved and when I can retire, please send me a bill to become an associate member as other retirees receive.
Linda Joy Adams
Colbert, OK 74733
Membership and organizing
80 F Street
Washington, D.C. 20001
cc:AFGE local 2369
Today i was told by Membership hot line that the union dropped me from their rolls on 12/22/97. i as asking for any documentation of what the union was told and why this occurred. When i transferred to OWCP jurisdiction 10/11/1994 i inquired about paying union dues and was told the contract and policy was that these were waived when under owcp jurisdiction. I still am, with no offical break in service according to the official personnel file which I recently learned is only accessed by or in personal custody of the Regional Commission for the NY region. I'm well aware that misinformation has been spewed out to many parties and obstructed my medical care and other processing of matters unresolved. I've yet to have a decision on the permanent disability with OWCP that I filed for in 1996 when my pulmonologist and owcp doctor signed for permanent disability for me and we moved since there was no anticipation of ever being able to work again.
I had contacted your office in the past an inquired as to whether any change in paying union dues existed and no answer.
I suspect that local 2369 was misinformed by the Regional commissioner as to my legal status just as SSA headquarters has been misinformed as required paperwork has never been forwarded including an 'imposement' from OPM on my status. The official secured systems at OPM and US Dept of labor ( OWCP) have consistently shown employment( according to official sources including general counsel for opm a few years ago, post 1997) under owcp and no permanent disability by OWCP which is the only way I can retire under CSR unless OWCP is withdrawn and all monies repaid that were paid out under OWCP to and for me. I am not doing any such thing. There is a signed agreement with SSA in 5/95 and it was altered inside NY reg office and OPM imposed the original on the agency and its currently not being complied with and HHS eeoc matters remain unresolved also that AFGE represented me on and I've periodically advised AFGE to not destroy documents from their representation until it is. I talked with Don _______ in SSA headquarters and he informed me there are many personnel matters he should have received notice of, but hasn't and he will be getting the appropriate officials together to see if everything can finally be resolved. if not, I have no choice but to proceed with all the pending matters including the 21 HHS civil rights complaints filed since 1/08 as retaliation against EEOC activity In my case, medical care and benefits provided by law and awarded have to occur. That still won't replace the good health I lost on 1/10/89 and was exacerbated by no reasonable accommodation as promised from 7/90 - 10-11-94 and i thank Local 2369 for trying to obtain this and representing me on grievances, and eeoc matters and even filing 2 unfair labor practices from action by HHS-SSA against us both.
I also need the case number of those 2 labor practices which an ATTY from US Dept of labor came and took my sworn depositions on. As the current misinforming discovery seems to have 'resurrected' and on-going unfair labor practice when a duly authorized union is not allowed to know who is employed in the local.
I need all info as to what AFGE was told and any official documents given to them or shown to them on my official status in 1994 through the present.
What occurred on 12/22/97 to drop me from the rolls without notice, etc?
Was a memorandum of understanding (based on flawed info) signed between AFGE and SSA about or affecting me? I wish a copy(s).
If the policy/contract/ understanding has changed on payment of union dues while under OWCP jurisdiction; please advise amount of dues and how to pay them.
{an erroneous date of 1/18/97 got put on Federal Blue Cross/ Blue Shield, that I had gotten an owcp settlement and retired on that date} It seems 'logical' that perhaps the local 2369 received the same wrong info and they dropped me as of the last pay period of 1997. My mail was still being forwarded from PA at the time.
I consider myself fortunate for having the AFGE Health insurance card in my purse on 1/10/89 for the admissions clerk to 'misread' and think I was a port Authority employee s that tests were run and diagnosis given and some treatment before the hospital learned I was an HHS-SSA employment whom they had received orders were to be denied any and all treatment and testing and hospitals did so under extreme duress from the highest levels. Those that hold positions now, were there then in many cases.
More recently I've become aware of just how bad the 'smear' campaign has been against this whistle blower and Federal employee and injury victim. I became a whistle blower out of great physical pain and injury; not because I wanted to be one. I just chose to live. But there is so many in similar situations that It does give me the resolve to make it a 'cause' that should be everyone's cause. Please advise me of any options I may have available. And information that could be useful.I thank you for your support and representation as I consider owing my still being alive to your efforts in the past. But its not yet over. Those of faith, please pray that it can soon be resolved and when I can retire, please send me a bill to become an associate member as other retirees receive.
Linda Joy Adams
Colbert, OK 74733
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