Linda Joy Adams
Doyle E. Adams
M____ . Adams
This is intended to protect all filing dates for appeals, new claims.
It is also a request to reopen and revise all decisions based on new information obtained by Congress in the last few weeks that pertains directly to the decisions pending or have been made as to which health plan is to be paying first, second, third all all three of us.
1. Federal Blue Cross Blue Shield of Ill, OK, TX and NM
1215 south Boulder, Tulsa, OK
Attached is a claims form for payment of Oxygen claims for 2010 and 2011. Due to your prior actions, Lincare, the only supplier in the area is refusing service. You also have not paid or processed claims for 8/2000 through 12/31/2009. All About mobility was ordered to send the claims to Medicare first due to faulty info you received from the party whose investors actually stole the million dollars that yo are to access to pay all my claims from. This is an on going embezzlement by the Federal reserve who never sent the million dollars on to OPM to set up in a fund for you to access. This has been on-going since 1988. In my case the monies went through the US dept of Labor and got input on the secured system showing permanent medical benefits in 1995. But many affected parties did not know this had occurred. This embezzlement may be in the billions.I mentioned a possible embezzlement in prior appeals you have ending now and the source is OIG at OPM. Your wrong info comes form the their contractor an affiliate of Affiliated computer services that has hijacked federal workers comp. Recently, and OIG at SSA, HHS, and Us dept of Labor have copies. We ran a sting operation to prove the case of them not processing oxygen claims since they took over a decade ago. I mailed the yearly expenses to US dept of labor contractor's office in London, Ky ( copies included) they are to post all submissions. But a convicted criminal in the Jack Abramoff bribery scandal said I was ' old' and mine was not to be posted. i did not fax a separate copy to ACS in Tallahassee, Fla where they process and pay claims and also have their call center for medical providers and federal workers, etc. They processed all but the oxygen claims. The ones they process refer to this ' million dollars' and did not pay and I filed a reconsideration which is never given to any OWCP official to answer as they are not allowed to have any paper or files unless ACS posts them. In 2009, three appellate judges ordered them to accept my records plus set aside any excuse for full reinstatement of all benefits. Due to theft of 4 years of records form my files, all but the medical had been suspended forcing me to file appeals because they thought I had not returned to work in 1990. This is documented by 240 eeoc complaints and grievances and arbitration case and Sanctions from EEOC for torture to the point of death against HHS and sec of HHS Donna Shalala. The govt's policy is not to investigate thefts from federal work sites and for 23 years there has been no security on any file of mine and as each co-worker dies of injuries retaliations against me and my files increase. Murder and attempted murders of federal employees aren't investigated either. See prior appeals for details. remember i am the only employee that got any crucial tests run on 1/10/1989. as orders were to turn them all away and don't run tests, etc. and the wrong emplyer got put on my chart and only after it was corrected was I 'sent home to die.' I sent the oxygen claims back to you over and over and you wont process them either thus blocking my civil right of appeal to OPm and on. You took back money from Lincare when you were suppose to be paying at 100% and accessing the million. There are other appeals pending and attached on husband and child as my whole family is caught in this morass of govt not doing what they are supposed to legally take care of. There are also complaints filed with US dept of labor and HHS over violations of their contracts with medicare coordination of benefits which is not permitted to alter the he biweekly posting of the legal line up they receive bi-weekly of who pays first, second... and even your company has had it altered. so Medicare can be stolen. This is theft and MCOB is not to facilitate it when conditional payment law mandates they collect the monies back and correct these on-going problems. To do so would have exposed the on-going embezzlement and stop the fight for survival of seriously injured federal workers with established workers comp claims.
2. Cigna Govt Services. You have oxygen claims pending since 8/2000 that must be paid as conditional. You paid some but not all have been processed since then. Due to past actions by Medicare, Lincare , who is now the monopoly supplier in my area is refusing service until I, an old, disabled woman from rural OK straighten out the whole govt in order to live. I have filed, papers and appeals, etc. and have the bleeding sinuses an exacerbation of my n medical problems in the attempt to save my own life. Attached ore the claims for 2010-2011 for our son who hauls tanks and we pay the manufacturer. You have a pending appeal that has not been answered that is stating that the 1/08 regulation that allows a monopoly supplier to deny service on claims that are approved for life as i am. we are told by employees of Lincare that over a 100 patients have been ' left to die' over an unconstitutional regulation that forced smaller suppliers out of business who can't afford to hire respiratory technician for a few patients but are not required to have one for those who have concentrators which give off life threatening ozone for those with chemically induced and easily irritated tissues. Including chemically induced pneumonitis for me. There are also appeals that are to be considered as reopening of initial claims as the proper payer for family is federal Blues and Medicare needs to pay conditionally and collect the monies back. For me, Federal Blues gets the claims and they pay 100% form the missing million which is still at the federal reserve and stolen by the investors who also own the contractors involved in a major coup d'etat that began in 1983 in Dallas with the obtaining of all personal bank data first , then the rest of the state and federal govt's data and files and also getting laws passe that made them immune from criminal prosecutions including theft and murder which is what this would be called in the private sector. note: all three of us have signed this appeal.
3.Trailblazers: each claim was paid 17 times and all must be collected back by Medicare. it the law. All claims back to 8/00 on Linda and back to entitlement on the family are to to be reopened refiled and processed as conditional pays. All but one pay each is at the federal reserve and the numbers and info on this are in appeals. Recent federal audit shows 7.7 trillion and more is missing from our govt. and those who were to have received monies. Your complicit authorization to create 17 claims out of each one ended up in a $ 4million theft on Linda's claims alone. There is also over $5000 missing of part B Medicare premiums and the hearing files are missing that subpoenas would have shown that ACS neglected to code my payment of the $250 stimulus check in 2009 as OWCP involved. There is also monies misisng on unknown number s of federal employees over this issue and all monies trails lead to the federal reserve. Several laws were passed in the late 80's that set up transfers of monies from agency to agency and few know that those go back through the federal reserve first.
4. Wisconsin Physicians you have appeals pending since 1007 to reopen and revise however you have never answered the reconsideration's as you have yet to have any contractor to do this for OK. so all civil rights of appeals are voided illegally
5, Miami Medicare hearing office. you have hearings pending for several years on us now and ACS is obstructing these. You also have not issued decisions on each of the 17 payments on each number and subpoenas need to be let to the Federal reserve for monies sent there and kept on 16 pays each and collections done my medicare need to be enforced as required . not from OWCP, but federal blues through OPM must pay at 100% from the million dollars that shows on the internal documents Judge carter received in hearing in 2008 and 2009. And other voluminous documents shows this, too and the 500 witness reports form the agents at Vangent need to be subpoenaed. You say do false claims but that requires some discovery and decisions on your judges' part that each of the 17 pays should not have been made. Otherwie this on- going trillion dollars plus theft of Medicare can't be stopped unless Congress changes laws retroactively. But the conditional payment law makes this Medicare's responsibility and not mine and the conflict between the two laws has to be addressed by judges. you have hearings pending on all three of us and new hearings needs to be reopened and heard on these issues and subpoenas sent.
6. Departmental Appeals Board medicare. same as in item 5. Appeals are pending and those heard need to be reopened and revised on each of the 17 numbers. only one pay was addressed and not all the payments were addressed. I have not had a response from the last follow- up and the pattern with you r contractor, ACS is to not let you have files as it would expose their internal corruption on behalf of the thieves and cause cancellation of their contracts with CMS.
CC: Alan Porwich ESq
cc: Sec of Labor
cc; Social Security Adm Commissioner
cc: Sec of HHS
cc; Director of OPM
cc: US dept of labor contract compliance and civil rights office
cc: US dept of HHS civil rights and contract compliance office
Showing posts with label appellalte board overturns Federal law. Show all posts
Showing posts with label appellalte board overturns Federal law. Show all posts
Wednesday, December 28, 2011
Sunday, April 3, 2011
Violations of civil rights page 32: dear doctor/ recap of why ACS was given the contract
Thank you for seeing me and getting me into a specialist so fast. i started physical therapy as surgery didn't seem to be the best option. My knee is much better. I have exercises to do which the exertion isn't good, but its better than not having use of my left knee. By last Friday different events had occurred that left me sinus problems which went into an infection with a low 99.2 fever at first. Its been a long time since I've had this and didn't recognize the symptoms at first. ( The sinus surgery that I had has greatly helped along with using a very small dab of generic Bactorban ointment 2X's daily, nasally, which I'm getting about out of. too.)I had some generic Ceftin on hand and began taking them Saturday. I don't have a 7 day supply. Would you be able to phone and order a refill.of the generic ceftin? to the Durant walmart? The generic they carry has been tolerated. I have been taking 250 mg 2 x's a day. Within hours of the initial dosage, fever broke and the sinus pressure began to subside. I am taking it easy and keeping away from exposures as much as can be done in this modern world. I was unable to go to physical therapy Friday due to chest pains which rest didn't ease as usually does with a nitro pill which I rarely use. Hopefully, I can get Physical therapy rescheduled to complete and have continued the exercises at home. I do appreciate those at the physical therapy center who have used perfume free products as much as possible; but its still has caused sensitivity problems as its nearly impossible to accommodate someone like me and be open to the general public. Which is exactly why Federal workers compensation sent me home twice since 1/10/1989; the last time in 10/94. ( With file still missing' my claims examiner doesn't know that and I have recontacted Lynn Blodgett, President and CEO of ACS to seen what can be done to get it reconstructed as the last three appellate judges ordered done so the mass chaos and misinformation that has been spewn about by those who either ' don't know' or ' don't want to know" can do as the law and judges have said. A system was set in motion a decade ago that should have left the medical providers out of any pressures in providing good medical care regardless of the ' cause'. ACS was given the contract to post all submissions whether coming from the injured worker or the highest appellate agency judges' panel. no one was to interfere in that being done. The bill was to be sent to DOL for payment and ACS has plenty of lawyers to collect their fees. Too often, in the past, mysteriously claims files would ' disappear' or parts of them in agency offices causing obstructions of rights and medical care and doctors were ' harrassed' or what they should or should not do.
Contracting with ACS was to have stopped all this as long as the patient had some health plan to pay the bills that the doctor accepted such as federal Blue Cross/ Blue shield. Either the doctor could bill ACS direct, or federal blues or other health plan could then ask fro reimbursement from them. There has been a recent memo posted on their site to make sure id9 codes are an the submission. There are 3 primary ones already accepted permanently for occupational asthma, pneumonitis and inhalation of toxic fumes with bronchiospams all related to toxic chemical exposures. My claims examiner Teresa Davis and her manager, Christina Stark don't even know this as the info is in the missing file which was sent once by the appellate judges in 6/04 to set up initially and again by me with the permission of the Sec of Labor's office officials in 2005. Both complete sets have disappeared and I was forced to go back to the appellate judges because , the local OWCP office, again, ( without the file) "mistakenly?" thought I Hadn'tt returned to work in 1990, when I did and resulted in 240 EEOC complaints, and over a dozen union grievances and plus a whistle blower complaints because the very strict reasonable accommodation that had been agreed to , in writing , by my agency Social Security , a Health and Human Services agency at the time; because nothing was done and I was even denied the required right to work with the disability coordinator for the region as is for any handicapped employee to assure reasonable accommodations were provided. The end result was EEOC sanctions, and an admission, in writing, by SSA , that they couldn't provide the accommodations as: they couldn't build a building just for my chemically induced asthma. Claims are still pounding for other body parts that get inflamed too and the rapid progression of harm to other internal organs/ All the while parts of my owcp files were ' going missing' in the Phailadelphia regional office.
After the ' beefed' up security, and a remand order from the appellate judges, progress began to slowly occur to get me out of the increasingly life threatening situation.
At that time, your treating physician was also an agent of the govt. That has been changed which allows doctors to freely treat without having to justify where an injury or occurred. Its a ' protection' for doctors that should have opened up a greater number of doctors willing to treat an injured federal worker.
When I moved to the Dallas region, my owcp file followed me from the security the Philadelphia office had begun to provide on my files, to one with rampant insecurity on files. Soon my file fell victim and four years of my life from 1990 to 1994 were ' gone' in a felony destruction of official govt files and soon I was ' dumped' out with misinformation scattered. Some of my co-workers have died that were also healthy and even younger than me. This is a progressive, debilitating disease, but one can live many years with it if the progression can be slowed as modern medical treatments have been ale to do and compressed air oxygen is a big help in slowing the destruction of other internal organs such as heart, kidneys, etc.
I still contend, that if these treatments had not been denied me and non-exposures to minute chemicals that now inflame and didn't before I might have been able to have sustained some kind of employment for the federal govt. I even took and got an A on a test for a job where i could have reviewed files at home and little additional training would have been needed with my 20+ years with the agency. The agency cited "security' reasons and still does for anyone wishing to work from home. Currently there is a big political debate that's on going in Federal agencies on this. some agencies did do this, but then ones home had to be inspected by OSHA, etc. I would have agreed in order to sustain employment without injury. Granted some exposures would have occurred with some injury, but none like the high level in a modern office environment. A TV series even featured a chemically sensitive lawyer that had his books and files in a clear ' bubble' as he reviewed them. But the physical toil was too great and medically my doctor could not sign for permanent disability until 1996 as it took that long to decide maximum improvement which wasn't enough to return to work. The medical documentation that ACS has withheld from my clams examiner is extensive. and tests rerun in 1999 and 2004 and scince then show that my recovery was not sufficient to send me back to any kind of employment. The US dept of education even waived student loans based on my occupational asthma and extensive records and ruled that not only was employment not an option but so was education and trainig were not physically possible. I had entered seminary as, not being told the truth that this was a progressive disease, had attempted to obtain a different kind of employment away from the modern office environment. I was to have had another semester where I would have had to work as a hospital chaplain. This was the last obstacle to graduation and would have resulted in chemical exposures and injury exacerbations. The seminary accommodated my disability and allowed me to write a report and used my years of experience with the public at SSA and in my church visitations to the sick and hospitalized, in the past; to allow me to fulfill the requirements in 1996. And my diploma in the Spring of '97. They used the medical reports in my workers comp file ( that are missing) to justify this. This is a major, fully accredited, east coast seminary.
Although, I;m not able to accept any paid positions, I can be a prayer warrior, which is an unpaid position.
I'm praying now for the few that have done such terrible wrongs and the others that have been misled and misguided into discrimination, but the physcial and monetary damages can't be prayed away.
Contracting with ACS should have ended the on-going discriminations.
Every Federal employee has the legal right to file for Federal workers compensation and have their files left intact as the merits of their case is reviewed and decided based on law, submissions and the constitution.
Only the US dept of labor, the worker's agency, the workers and representative are to have any say as to what happens with the case, and all parties are to know everything the other parties have before them. No other party or agency is to be interjecting into the process and deciding judges, or hearing officers or claims examiner, etc. decisions should be ignored or usurped. The highest level is the decision. There is a legal process for this and my agency has never controverted the case, nor chose to interject in appealing any decision. There was a couple of times that continuation of pay was started form 1990- 94 and the employer HHS decided that I shouldn't receive cop but wait for owcp to decide on regular wage loss. SSA has agreed to do the leave buy back. To date the formal decision from owcp on the periods of time I tried to work since the first 45 days of continuation of pay ended in 3/89 has yet to be done by owcp, despite multiple appellate orders to do so. For even this, the file is needed that contains the medical documentation, doctors orders, test results, and CA1's, CA2's and CA2a'a in the file. Without the file Ms. Graham, claims examiner tried to do this and has caused more chaos. The file contained these and the judges say them in '04 and mentioned them as never having an initial decision. Agency judges don't have ' contempt of court' powers as do regular courtroom judges. Its expected they be obeyed if not appealed.
If the Continuation of Pay of 6/92 is to stand, then HHS owes me money back. It has yet to arrive.and nether has any amended w-2's forms so amended tax returns can be filed to recoup income taxes paid that were not due. OWCP law overrides everything! What other employer would be allowed to not issue w-2 forms that reflect accurate income?
This is why the judges in 2/09, the highest in the agency said; ask me for the facts of the case. That has not occurred. I wish to present the facts that are clearly defined already in the file and were submitted within the required timely filing dates. The judges, also, said: accept my records that I did return to work in 1990, the ones that went ' missing, over and over' and which sets aside the reason for cessation of wage loss after 1990. The hearing officer did not make me liable for any overpayemtn of the wage loss in 1999. Indications are that what I'd submitted had ' disppaeared' before the hearing officer got the file. As one can see this kind of felony destruction of records when a workers is being discriminated against is horrible. I already had permanent medical benefits awarded as of 1/10/89 that could not be overturned due to felony destruction of records. Remember, in 1994, my records were accepted to start my wage loss and benefits then and that is a precedent. In both 1994 and in 9/89, HHS-SSA refused to complete CA-7's so wage loss could start. In '89, my claims examiner Ms. Rivas, in the New York regional office for the US dept of labor, called and got the info over the phone from my agency that was needed only to have the proper paperwork not completed when I returned to work in 1990 and they started taking out double insurance premiums, as if I was just out on a voluntary leave of absence for personal reasons and I had to submitt info from owcp to show they had withheld it from my wage loss checks. When ones agency disregards ones rights ad refuses to obey the law, then the worker has the right to provide the documentation. I submitted every pay stub, leave slip, and even the EEOC documentations trying to get my agency to complete the CA-7 to certify my leave records over to OWCP. They say they did and OWCP 'lost them.' but didn't send me a copy except for some isolated periods of time. The claims examiners in '09 and Ms. Davis, recently admit they don't have any of the records except for some isolated pages, that are more misleading then helpful; and the proof is they should have them supplied by ACS not discriminating and posting my file, even if it was 35 000 pages the first time in 6/04 when it arrived from the judges with instructions to do things that dated back to 1989 in some instances. That means the entire file is needed.
When Christina Stark called me after Medicare started collections for pay back of the bills they paid ; that their judge ruled were owcp's and are according to the internal dept of labor documents that my claims examiner can't have due to ACS not posting my file- seems incredulous, but Ms. Stark, Graham and Davis admits its not available until ACS sets my file up and inputs the 11 years of oxygen bills which I was recently told would bring my file on line with the official US Dept of labor computer file that posts bi weekly to the the Medicare computer at Medicare's contractor under owcp contract for that never to be altered. There is a ' glitch' as the start date for the injury can only go back as far as my date of entitlement to Medicare which is 2 years and 6 months after the last time I tried to work in 1994 when my family doctor said I would ' die' on the job if I tried to return. That's how bad my physical suffering had become from accommodations not provided in any way and resulted in EEOC sanctions against HHS-SSA. SSA became an independent agency at the time I went out on OWCP the last time. I did settle with SSA, but the complaints against HHS are still legally pending and the new violations by their agency officials and contractors has resulted in 25 new civil rights complaints that include current happenings as retaliations for the EEOC matters against me and family members whose health care plan status is tied to my status on my Federal employee health benefits, which does not receive an official posting form the us dept of labor and has chosen to post whatever they please from whatever unofficial source to ' dump' the bills on to Medicare and even medicaid creating overpayment liabilities that we have to constantly appeal at great physical and financial expense. And most are throwing away.
The ideal of stopping abuses of power by a few individuals who have whatever personal or material reasons to discriminate have not been fully stopped. After years of appeals and discoveries since ACS took over possession of the squirt on my owcp files, there seems to be less security than before.
If 2 US dept of labor contractors had legally and constitutionally complied with the terms of their contracts, the discrimination could not have have occurred as they have and are occurring. ACS is not the decider of fact. They are to process all submissions into an organized computer file that can reasonably be accessed and worked by those with authority to do so.
Their bill payer unit is to be on line and not decide which bills to submit but submit all and use all the diagnosis codes submitted. My current pulmonologist as has the others. have listed the accepted conditions and have run the tests ( missing) to substantiate them and have them listed in their medical records that I have submitted and so have they. In my case, pulmonologists, cardiologists and ear nose and throat doctors are treating the accepted conditions as they and others have done so in the past and been approved. That is a major problem with the file not being set up. Over 3/4ths of bills approved and treatment approved is not on their system, that I first had access to in 1/10 and promptly filed a reconsideration that has yet to be given to my claim examiner and answered. There are multiple ones in file that go unanswered including the repeated certified mail requests for arrangements to be made to get the my file ( facts) submitted so the case can be worked and my life sustianing medical care not be in constant jeopardy which is occurring now. With three health plans approved for life, Lincare , the monopoly supplier, in my area of compressed oxygen is denying service as you all pulled up an offline computer file and told them that some ' third party had given me lots of money including the money to pay them for the 6 years they carried me without pay; after Ill blues took over from Ark blues and decided Medicare should pay my bills based on ' unofficial info' even taking back monies paid to them that should have been recouped from ACS for owcp. It took me until 9/29/2010 to get the appellate judge's order from Medicare that this is owcp's bills.
Medicare Coordination of Benefits has been violating their contract with owcp and although they left the owcp info ( with wrong injury date on system and not expain why its wrong to everyone( injury predates entitlement to Medciare) they proceeded to change my employment status continuously by moving fed blues to secondary so Medicare could pay primary. When Lincare dropped me. Medicare did pay my new supplier, who was forced out of business in 1/08 due to new Medicare regulations that forced small home health agencies out of compressed air service. ( They are now required to hire a respiratory technician for compressed air patients but not concentrator patients) Few can afford to do so for a few patients.) And my HHS civil rights complaints have named this discriminatory regulations. ( Concentrators give off low level ozone fumes that are life threatening to one with my conditions and all three health plans, Medicare, Fed Blues, and OWCP have approorved me for life for the compressed air. My son is hauling tanks from the manufacturer and paying out of pocket for me to live for three years as Iwait for ACS to stop discriminating against me. Until the file is in tact and in front of the cliams examiner , we can't even discuss or point out pages or issues. The local office is forbidden to have any paper due to lack of security. Even the most recent CA1 @CA2 filed on the secondary/tertiary issue this month was receipted in their mailroom and sent on to ACS. ( Found out when mail receipt came back from 525 Griffin St, Dallas, TX and i called to see if mailings could now be seen by cliams examiner. ) No change: faxes, mail, even hand deliveries go to ACS before the claims examiner can do anything about them. (One new employee that ansered the phone last week didn't even know it was going to a contractor. The letterheads indicate that they are the US Dept of Labor and they aren't. ) My claims examiner is not allowed to see it until its posted with the rest of the file. yets bits and peices get through. it would be better for nothing to be posted and then eveyone would know the file wasn't being made avialble at all. ACS doesn't decide what is pertinent for the cliams examiner to see. This is why I stated in my initial reconsideration on the 3/28/11 that it appears the source of what Ms Davis had was from Medicare's collections contractor, a subsidiary of Group Health as is Medicare Coordination of Benefits, also. There is no inactive federal employment under owcp. One is actively employed under owcp jurisdiction until owcp puts one on permanent diability through them Permanet disaibit is done with a schedule award for loss of body parts ( us) and can't reasonably even be decided until all the other issues of what is or is not accepted conditions are finally determined and the treatment meeded. That's why the jump to schedule award is ludicrous and harrassing in context unless the settlement from owcp allows for so much monies to be paid so that all past presentt and future medical care is provided. The current law doesn't provide for this to be done as might occur in a personal injury suit.This is taxpayer monies and bills need to be itemized. There is a buy out option, but it entails a line of credit go to ones Employer group health plan to use to pay bills with, more contracts for all parties to agree to. That's why the processing of all my bills, and issues are so important to my continuing life sustaining medical care. The future amout is predicated on the past expenditures and they are not part of the computer file yet.
When Medicare Coordination of benefits alters the official info from us dept of labor, they allow the legal processes of conditional payments to be circumvented and the us atty's call this misuse of ssn for theft and so do the respective office of inspector generals that have no authority anymore over their contractors. At present, due to current laws nothing can be done criminally, and one patients bills are not enough for attys to take a Case on a contigency basis. Civil rights is the solutions as I am being discriminated against because I am an elderly woman over 40, with documented physical disabilities and whose religious belief is that all life is valuable.
Why is that a religious belief? Its becoming a minority view! Society and those who discrimiate seem to have the belief that when one is old and disabled and no longer able to ' physically work then, like primitive societies, we are to be ' left at the side of the road to die as our life has no value. Our wisdom of years of living have no value. and our ability to pray for others has no meaning since those abilities can't be equated into a paycheck. I personally believe is started with ROE v WADE when the issue of medical necessity for the precdure of abortion to occur was cast aside for freedom to ingnore the issues of life having value itself. .Most of us who believe in all life has value, recognized the choice and medical safety issues and initially didn't realize that it would become so rampant a choice with the societal consequences of the degradation of the value of life.
Too many injured federal workers have lost their lives prematurely over the obstruction of their medical care that hiring ACS to prevent. and having decsions about the liegal staus and legal line up of who pays first in healh care taken out of the hands of the other contractor, Medicare Coordination of Benenfits so that alterations had to be based on official decisions, not phone calls, gossip, rumors or wishful thinking by anyone.
I have tried to obtain a copy of ACS's contract with the us dept of labor for several years with a run around.
I do know that all govt contracts, to be legal, have to include a clause that all laws and the constitution have to be upheld and that includes not discriminating against any person due to their protected status..
There can be no ' secret' deals that usurp this, no can any individual threaten them with loss of contract if they choose to abide by the law, etc. They are to to do the work contracted for all, equallly; and send the bill to the contracting agency. With judges's orders posted clearly for all to see on the computer file, the bill couldn't have gone unpaid. And the ACS employees thought this would occur when they had me redo all the bills back to 1989 on the new forms they were using back in 2005, when the first 35000 pages ' walked out' of their London Ky office unposted in 2004. When the Tallahassee Fla office read the jduges' remand order, I'd provided they had no problem clearly understanding that theirwas work to do back to 1989. Neiter did the US dept of labor employees that agreed to this reconsturction process. Agian London Ky ACS didn't post the file. My extensive and physically exhausting phone calls led me to Horace M. Cooper chief of staff of employement standards who had ordered them to discriminate saying he wouldn't pay them. Last year, he pled guilty in the Jack Abramoff bribery scandal after I had sent my publicly posted letter ( washingtonpost.com) to Lynn Blodgett, President and CEO of ACS. Aftertheir ethics compliants dept did nothing to help many times I begged. He promptly went to the new regional office manager, Christina Stark, who proceeded to check only an office computer file that had not been updated since 1998 when actual pages of a file and letters form judges, etc were not posted. (Its pretty sketchy) doesn't even show reasons for actions. She proceeded to send out a letter based on that and not the 2/09 jduges' orders which caused more confusion and chaos with regard to my medical care. Mr Blodgett didn't inform her that the file wasn't available due to his company, ACS, refusing to post it, according to her.
When she called me in recent months she admitted she had no idea anything had occurred since 1998 on my case and wasn't even aware that Ms. Graham had made a ' chaotic' attempt to send me some monies without the file. That in itself raises a security issue that this could occur off their in -office offline system? What else has been paid? Ms Stark did not see that in 2005, after Sen Inhofe contacted their office, almost $10,000 in travel voucher monies were paid that had been ready for payment since 1998 but were never sent when the four years of my life in the file went missing to justify stopping monies from being paid. ( included the travel money for 1/10/89)was not itemized and more chaos as no one knows what trips were or were not paid or why. The Philadelphia office always itemized expenses, but Dallas had no system in place to do so and the hearing office said they had to get it done.
This illustrates why ACS was hired and MCOB was hired to assure civil rights for the workers and the end of abuses of power by anyone. If Congress wants to replace owcp with something else they can pass the law' but workers compensation laws are a big 'check and balance' item that was passed to insure that employers, even the federal govt take the responsibility to provide a safe work place where the worker should not be injured due to someones negligence or due prudence of care.
Our laws are such that other health plans can pay for medical care until benefits are awarded by workers compensation ; then they are not in the business of just paying for bills that aren't legally the plans.Legally aren't allowed to on govt funded plans. Few of my bills should have to ever been paid by My employer group health plan nor Medicare because of discrimination. I'm an old disabled woman with religious views that values life even if I can no longer work. No one should be able to ' walk all over me because of it and the laws says you can't.
Contracting with ACS was to have stopped all this as long as the patient had some health plan to pay the bills that the doctor accepted such as federal Blue Cross/ Blue shield. Either the doctor could bill ACS direct, or federal blues or other health plan could then ask fro reimbursement from them. There has been a recent memo posted on their site to make sure id9 codes are an the submission. There are 3 primary ones already accepted permanently for occupational asthma, pneumonitis and inhalation of toxic fumes with bronchiospams all related to toxic chemical exposures. My claims examiner Teresa Davis and her manager, Christina Stark don't even know this as the info is in the missing file which was sent once by the appellate judges in 6/04 to set up initially and again by me with the permission of the Sec of Labor's office officials in 2005. Both complete sets have disappeared and I was forced to go back to the appellate judges because , the local OWCP office, again, ( without the file) "mistakenly?" thought I Hadn'tt returned to work in 1990, when I did and resulted in 240 EEOC complaints, and over a dozen union grievances and plus a whistle blower complaints because the very strict reasonable accommodation that had been agreed to , in writing , by my agency Social Security , a Health and Human Services agency at the time; because nothing was done and I was even denied the required right to work with the disability coordinator for the region as is for any handicapped employee to assure reasonable accommodations were provided. The end result was EEOC sanctions, and an admission, in writing, by SSA , that they couldn't provide the accommodations as: they couldn't build a building just for my chemically induced asthma. Claims are still pounding for other body parts that get inflamed too and the rapid progression of harm to other internal organs/ All the while parts of my owcp files were ' going missing' in the Phailadelphia regional office.
After the ' beefed' up security, and a remand order from the appellate judges, progress began to slowly occur to get me out of the increasingly life threatening situation.
At that time, your treating physician was also an agent of the govt. That has been changed which allows doctors to freely treat without having to justify where an injury or occurred. Its a ' protection' for doctors that should have opened up a greater number of doctors willing to treat an injured federal worker.
When I moved to the Dallas region, my owcp file followed me from the security the Philadelphia office had begun to provide on my files, to one with rampant insecurity on files. Soon my file fell victim and four years of my life from 1990 to 1994 were ' gone' in a felony destruction of official govt files and soon I was ' dumped' out with misinformation scattered. Some of my co-workers have died that were also healthy and even younger than me. This is a progressive, debilitating disease, but one can live many years with it if the progression can be slowed as modern medical treatments have been ale to do and compressed air oxygen is a big help in slowing the destruction of other internal organs such as heart, kidneys, etc.
I still contend, that if these treatments had not been denied me and non-exposures to minute chemicals that now inflame and didn't before I might have been able to have sustained some kind of employment for the federal govt. I even took and got an A on a test for a job where i could have reviewed files at home and little additional training would have been needed with my 20+ years with the agency. The agency cited "security' reasons and still does for anyone wishing to work from home. Currently there is a big political debate that's on going in Federal agencies on this. some agencies did do this, but then ones home had to be inspected by OSHA, etc. I would have agreed in order to sustain employment without injury. Granted some exposures would have occurred with some injury, but none like the high level in a modern office environment. A TV series even featured a chemically sensitive lawyer that had his books and files in a clear ' bubble' as he reviewed them. But the physical toil was too great and medically my doctor could not sign for permanent disability until 1996 as it took that long to decide maximum improvement which wasn't enough to return to work. The medical documentation that ACS has withheld from my clams examiner is extensive. and tests rerun in 1999 and 2004 and scince then show that my recovery was not sufficient to send me back to any kind of employment. The US dept of education even waived student loans based on my occupational asthma and extensive records and ruled that not only was employment not an option but so was education and trainig were not physically possible. I had entered seminary as, not being told the truth that this was a progressive disease, had attempted to obtain a different kind of employment away from the modern office environment. I was to have had another semester where I would have had to work as a hospital chaplain. This was the last obstacle to graduation and would have resulted in chemical exposures and injury exacerbations. The seminary accommodated my disability and allowed me to write a report and used my years of experience with the public at SSA and in my church visitations to the sick and hospitalized, in the past; to allow me to fulfill the requirements in 1996. And my diploma in the Spring of '97. They used the medical reports in my workers comp file ( that are missing) to justify this. This is a major, fully accredited, east coast seminary.
Although, I;m not able to accept any paid positions, I can be a prayer warrior, which is an unpaid position.
I'm praying now for the few that have done such terrible wrongs and the others that have been misled and misguided into discrimination, but the physcial and monetary damages can't be prayed away.
Contracting with ACS should have ended the on-going discriminations.
Every Federal employee has the legal right to file for Federal workers compensation and have their files left intact as the merits of their case is reviewed and decided based on law, submissions and the constitution.
Only the US dept of labor, the worker's agency, the workers and representative are to have any say as to what happens with the case, and all parties are to know everything the other parties have before them. No other party or agency is to be interjecting into the process and deciding judges, or hearing officers or claims examiner, etc. decisions should be ignored or usurped. The highest level is the decision. There is a legal process for this and my agency has never controverted the case, nor chose to interject in appealing any decision. There was a couple of times that continuation of pay was started form 1990- 94 and the employer HHS decided that I shouldn't receive cop but wait for owcp to decide on regular wage loss. SSA has agreed to do the leave buy back. To date the formal decision from owcp on the periods of time I tried to work since the first 45 days of continuation of pay ended in 3/89 has yet to be done by owcp, despite multiple appellate orders to do so. For even this, the file is needed that contains the medical documentation, doctors orders, test results, and CA1's, CA2's and CA2a'a in the file. Without the file Ms. Graham, claims examiner tried to do this and has caused more chaos. The file contained these and the judges say them in '04 and mentioned them as never having an initial decision. Agency judges don't have ' contempt of court' powers as do regular courtroom judges. Its expected they be obeyed if not appealed.
If the Continuation of Pay of 6/92 is to stand, then HHS owes me money back. It has yet to arrive.and nether has any amended w-2's forms so amended tax returns can be filed to recoup income taxes paid that were not due. OWCP law overrides everything! What other employer would be allowed to not issue w-2 forms that reflect accurate income?
This is why the judges in 2/09, the highest in the agency said; ask me for the facts of the case. That has not occurred. I wish to present the facts that are clearly defined already in the file and were submitted within the required timely filing dates. The judges, also, said: accept my records that I did return to work in 1990, the ones that went ' missing, over and over' and which sets aside the reason for cessation of wage loss after 1990. The hearing officer did not make me liable for any overpayemtn of the wage loss in 1999. Indications are that what I'd submitted had ' disppaeared' before the hearing officer got the file. As one can see this kind of felony destruction of records when a workers is being discriminated against is horrible. I already had permanent medical benefits awarded as of 1/10/89 that could not be overturned due to felony destruction of records. Remember, in 1994, my records were accepted to start my wage loss and benefits then and that is a precedent. In both 1994 and in 9/89, HHS-SSA refused to complete CA-7's so wage loss could start. In '89, my claims examiner Ms. Rivas, in the New York regional office for the US dept of labor, called and got the info over the phone from my agency that was needed only to have the proper paperwork not completed when I returned to work in 1990 and they started taking out double insurance premiums, as if I was just out on a voluntary leave of absence for personal reasons and I had to submitt info from owcp to show they had withheld it from my wage loss checks. When ones agency disregards ones rights ad refuses to obey the law, then the worker has the right to provide the documentation. I submitted every pay stub, leave slip, and even the EEOC documentations trying to get my agency to complete the CA-7 to certify my leave records over to OWCP. They say they did and OWCP 'lost them.' but didn't send me a copy except for some isolated periods of time. The claims examiners in '09 and Ms. Davis, recently admit they don't have any of the records except for some isolated pages, that are more misleading then helpful; and the proof is they should have them supplied by ACS not discriminating and posting my file, even if it was 35 000 pages the first time in 6/04 when it arrived from the judges with instructions to do things that dated back to 1989 in some instances. That means the entire file is needed.
When Christina Stark called me after Medicare started collections for pay back of the bills they paid ; that their judge ruled were owcp's and are according to the internal dept of labor documents that my claims examiner can't have due to ACS not posting my file- seems incredulous, but Ms. Stark, Graham and Davis admits its not available until ACS sets my file up and inputs the 11 years of oxygen bills which I was recently told would bring my file on line with the official US Dept of labor computer file that posts bi weekly to the the Medicare computer at Medicare's contractor under owcp contract for that never to be altered. There is a ' glitch' as the start date for the injury can only go back as far as my date of entitlement to Medicare which is 2 years and 6 months after the last time I tried to work in 1994 when my family doctor said I would ' die' on the job if I tried to return. That's how bad my physical suffering had become from accommodations not provided in any way and resulted in EEOC sanctions against HHS-SSA. SSA became an independent agency at the time I went out on OWCP the last time. I did settle with SSA, but the complaints against HHS are still legally pending and the new violations by their agency officials and contractors has resulted in 25 new civil rights complaints that include current happenings as retaliations for the EEOC matters against me and family members whose health care plan status is tied to my status on my Federal employee health benefits, which does not receive an official posting form the us dept of labor and has chosen to post whatever they please from whatever unofficial source to ' dump' the bills on to Medicare and even medicaid creating overpayment liabilities that we have to constantly appeal at great physical and financial expense. And most are throwing away.
The ideal of stopping abuses of power by a few individuals who have whatever personal or material reasons to discriminate have not been fully stopped. After years of appeals and discoveries since ACS took over possession of the squirt on my owcp files, there seems to be less security than before.
If 2 US dept of labor contractors had legally and constitutionally complied with the terms of their contracts, the discrimination could not have have occurred as they have and are occurring. ACS is not the decider of fact. They are to process all submissions into an organized computer file that can reasonably be accessed and worked by those with authority to do so.
Their bill payer unit is to be on line and not decide which bills to submit but submit all and use all the diagnosis codes submitted. My current pulmonologist as has the others. have listed the accepted conditions and have run the tests ( missing) to substantiate them and have them listed in their medical records that I have submitted and so have they. In my case, pulmonologists, cardiologists and ear nose and throat doctors are treating the accepted conditions as they and others have done so in the past and been approved. That is a major problem with the file not being set up. Over 3/4ths of bills approved and treatment approved is not on their system, that I first had access to in 1/10 and promptly filed a reconsideration that has yet to be given to my claim examiner and answered. There are multiple ones in file that go unanswered including the repeated certified mail requests for arrangements to be made to get the my file ( facts) submitted so the case can be worked and my life sustianing medical care not be in constant jeopardy which is occurring now. With three health plans approved for life, Lincare , the monopoly supplier, in my area of compressed oxygen is denying service as you all pulled up an offline computer file and told them that some ' third party had given me lots of money including the money to pay them for the 6 years they carried me without pay; after Ill blues took over from Ark blues and decided Medicare should pay my bills based on ' unofficial info' even taking back monies paid to them that should have been recouped from ACS for owcp. It took me until 9/29/2010 to get the appellate judge's order from Medicare that this is owcp's bills.
Medicare Coordination of Benefits has been violating their contract with owcp and although they left the owcp info ( with wrong injury date on system and not expain why its wrong to everyone( injury predates entitlement to Medciare) they proceeded to change my employment status continuously by moving fed blues to secondary so Medicare could pay primary. When Lincare dropped me. Medicare did pay my new supplier, who was forced out of business in 1/08 due to new Medicare regulations that forced small home health agencies out of compressed air service. ( They are now required to hire a respiratory technician for compressed air patients but not concentrator patients) Few can afford to do so for a few patients.) And my HHS civil rights complaints have named this discriminatory regulations. ( Concentrators give off low level ozone fumes that are life threatening to one with my conditions and all three health plans, Medicare, Fed Blues, and OWCP have approorved me for life for the compressed air. My son is hauling tanks from the manufacturer and paying out of pocket for me to live for three years as Iwait for ACS to stop discriminating against me. Until the file is in tact and in front of the cliams examiner , we can't even discuss or point out pages or issues. The local office is forbidden to have any paper due to lack of security. Even the most recent CA1 @CA2 filed on the secondary/tertiary issue this month was receipted in their mailroom and sent on to ACS. ( Found out when mail receipt came back from 525 Griffin St, Dallas, TX and i called to see if mailings could now be seen by cliams examiner. ) No change: faxes, mail, even hand deliveries go to ACS before the claims examiner can do anything about them. (One new employee that ansered the phone last week didn't even know it was going to a contractor. The letterheads indicate that they are the US Dept of Labor and they aren't. ) My claims examiner is not allowed to see it until its posted with the rest of the file. yets bits and peices get through. it would be better for nothing to be posted and then eveyone would know the file wasn't being made avialble at all. ACS doesn't decide what is pertinent for the cliams examiner to see. This is why I stated in my initial reconsideration on the 3/28/11 that it appears the source of what Ms Davis had was from Medicare's collections contractor, a subsidiary of Group Health as is Medicare Coordination of Benefits, also. There is no inactive federal employment under owcp. One is actively employed under owcp jurisdiction until owcp puts one on permanent diability through them Permanet disaibit is done with a schedule award for loss of body parts ( us) and can't reasonably even be decided until all the other issues of what is or is not accepted conditions are finally determined and the treatment meeded. That's why the jump to schedule award is ludicrous and harrassing in context unless the settlement from owcp allows for so much monies to be paid so that all past presentt and future medical care is provided. The current law doesn't provide for this to be done as might occur in a personal injury suit.This is taxpayer monies and bills need to be itemized. There is a buy out option, but it entails a line of credit go to ones Employer group health plan to use to pay bills with, more contracts for all parties to agree to. That's why the processing of all my bills, and issues are so important to my continuing life sustaining medical care. The future amout is predicated on the past expenditures and they are not part of the computer file yet.
When Medicare Coordination of benefits alters the official info from us dept of labor, they allow the legal processes of conditional payments to be circumvented and the us atty's call this misuse of ssn for theft and so do the respective office of inspector generals that have no authority anymore over their contractors. At present, due to current laws nothing can be done criminally, and one patients bills are not enough for attys to take a Case on a contigency basis. Civil rights is the solutions as I am being discriminated against because I am an elderly woman over 40, with documented physical disabilities and whose religious belief is that all life is valuable.
Why is that a religious belief? Its becoming a minority view! Society and those who discrimiate seem to have the belief that when one is old and disabled and no longer able to ' physically work then, like primitive societies, we are to be ' left at the side of the road to die as our life has no value. Our wisdom of years of living have no value. and our ability to pray for others has no meaning since those abilities can't be equated into a paycheck. I personally believe is started with ROE v WADE when the issue of medical necessity for the precdure of abortion to occur was cast aside for freedom to ingnore the issues of life having value itself. .Most of us who believe in all life has value, recognized the choice and medical safety issues and initially didn't realize that it would become so rampant a choice with the societal consequences of the degradation of the value of life.
Too many injured federal workers have lost their lives prematurely over the obstruction of their medical care that hiring ACS to prevent. and having decsions about the liegal staus and legal line up of who pays first in healh care taken out of the hands of the other contractor, Medicare Coordination of Benenfits so that alterations had to be based on official decisions, not phone calls, gossip, rumors or wishful thinking by anyone.
I have tried to obtain a copy of ACS's contract with the us dept of labor for several years with a run around.
I do know that all govt contracts, to be legal, have to include a clause that all laws and the constitution have to be upheld and that includes not discriminating against any person due to their protected status..
There can be no ' secret' deals that usurp this, no can any individual threaten them with loss of contract if they choose to abide by the law, etc. They are to to do the work contracted for all, equallly; and send the bill to the contracting agency. With judges's orders posted clearly for all to see on the computer file, the bill couldn't have gone unpaid. And the ACS employees thought this would occur when they had me redo all the bills back to 1989 on the new forms they were using back in 2005, when the first 35000 pages ' walked out' of their London Ky office unposted in 2004. When the Tallahassee Fla office read the jduges' remand order, I'd provided they had no problem clearly understanding that theirwas work to do back to 1989. Neiter did the US dept of labor employees that agreed to this reconsturction process. Agian London Ky ACS didn't post the file. My extensive and physically exhausting phone calls led me to Horace M. Cooper chief of staff of employement standards who had ordered them to discriminate saying he wouldn't pay them. Last year, he pled guilty in the Jack Abramoff bribery scandal after I had sent my publicly posted letter ( washingtonpost.com) to Lynn Blodgett, President and CEO of ACS. Aftertheir ethics compliants dept did nothing to help many times I begged. He promptly went to the new regional office manager, Christina Stark, who proceeded to check only an office computer file that had not been updated since 1998 when actual pages of a file and letters form judges, etc were not posted. (Its pretty sketchy) doesn't even show reasons for actions. She proceeded to send out a letter based on that and not the 2/09 jduges' orders which caused more confusion and chaos with regard to my medical care. Mr Blodgett didn't inform her that the file wasn't available due to his company, ACS, refusing to post it, according to her.
When she called me in recent months she admitted she had no idea anything had occurred since 1998 on my case and wasn't even aware that Ms. Graham had made a ' chaotic' attempt to send me some monies without the file. That in itself raises a security issue that this could occur off their in -office offline system? What else has been paid? Ms Stark did not see that in 2005, after Sen Inhofe contacted their office, almost $10,000 in travel voucher monies were paid that had been ready for payment since 1998 but were never sent when the four years of my life in the file went missing to justify stopping monies from being paid. ( included the travel money for 1/10/89)was not itemized and more chaos as no one knows what trips were or were not paid or why. The Philadelphia office always itemized expenses, but Dallas had no system in place to do so and the hearing office said they had to get it done.
This illustrates why ACS was hired and MCOB was hired to assure civil rights for the workers and the end of abuses of power by anyone. If Congress wants to replace owcp with something else they can pass the law' but workers compensation laws are a big 'check and balance' item that was passed to insure that employers, even the federal govt take the responsibility to provide a safe work place where the worker should not be injured due to someones negligence or due prudence of care.
Our laws are such that other health plans can pay for medical care until benefits are awarded by workers compensation ; then they are not in the business of just paying for bills that aren't legally the plans.Legally aren't allowed to on govt funded plans. Few of my bills should have to ever been paid by My employer group health plan nor Medicare because of discrimination. I'm an old disabled woman with religious views that values life even if I can no longer work. No one should be able to ' walk all over me because of it and the laws says you can't.
Wednesday, March 23, 2011
violations of civil rights page 29: Standing request to Lincare for services
John P. Byrnes CEO
Lincare Holdings, Inc.
19387 U.S. 19 North
Clearwater, Fl. 33764
Dear Sir: the treatment we both have endured at the hands of got officials and their contractors has been unconscionable. However, it got worse when you wouldn't believe what I was trying to tell you. The judges do and on 2/09 said everyone is to ask me for the facts of the case as rumor and gossip is still being strewn around as facts. I'm approved for life by three health plans: Federal workers compensation, who paid the company you bought, health connections and the contract with OWCP should be in my files. Then federal blue Cross, Blue Shield who paid you until Illinois Blues took over in OK, TX and NM and posted false info on their computer that owcp was settled and I had retired years earlier. at the same time Affiliated Computer Services, now a Xerox company, took over processing of paper and bills for Federal workers compensation and refused to set up my computer file to this very date. They have 11 years of oxygen invoices that have never been processed because: the computer will pay them and bring them on line with the official US dept of Labor computer that posts my active employment status and permanent medical benefits bi weekly, by contract with Medicare Coordination of benefits, a Group health subsidiary, and The Us dept of Labor. three Medicare judges, including an appellate judge upheld this as accurate on 9/29/2010 case # M09-1406. The 2 ALJ decisions were ignored by MCOB saying: we don't care what a judge says, nor the law nor their contract. There is a 1980's federal workers compensation law that was passed to insure that when life sustaining medical care is in jeopardy, permanent medical could be approved before work issues are resolved. That pertinent info was not shared with my attorney nor I except for a letter received in mid 90's that oxygen tanks they had paid for was to be included in my estate instruction to return them to US Dept of Labor upon my death.
When Cigna Govt services took over in my area for medicare, they said all your claims and our appeals were thrown away by Palmetto GBA. They have yet to process them. They did approve me for life, paid the claims from the suppler I had for '06-1/08 when you became the monopoly supplier in my area. Rhema said you refused to turn over the contract with US Dept of labor with health Connections that you'd bought out.They were the only intermediary that sent claims on to Medicare secondary payer recovery to recover from ACS who ignored them and i filed an appeal to try and get enforcement of the laws which medicare has the responsibility to do by law except it was suspended by former Sec of HHS back in the '90's. Illinois blues, has still not processed the co-pays on those claims, although the initial filing was ' dumped onto Medicare.
I have a standing request to your for services. I have tanks and one stop per month should suffice.
Currently, in order to live, my family has had to haul tanks and pay out of pocket. This is truly a ' death panel ' decision and the public should be aware anyone could get injured and have such disparate treatment.
Compounding the problem in '06 was when your manager called ACS and got lied to about my case and told that I'd gotten some big settlement that included your back pay for services. other defamation and slander got spewed around even more. ACS had the appellate judge's orders and files' disappear.' out of London , Ky where their contract is to post all paper from any source and definitely not be the decider of cases. Nor are they to set up a ' dummy' offline computer file to charge the US dept of labor to process bills and items and respond that some unknown third party is to pay, yet disparately decide the only type of claim not to input is oxygen; knowing full well the ' gig' would be up. it took some ' nice' persons in the Fl call center to tell me the truth claiming the Director of opm 'made them do it' yet she had no contract with them and was not paying them? This is the entity that when Arkansas blues was our blues here their manager called me and said OPM asked them to murder me and they paid you. Your local manager seemed unaware of that in 1/06. the terrible thing that was done was that Ill blues took back all payments back to 8/1/00 when I became entitled to part B Medicare when they should have gotten the monies back from ACS. Lying and abuse of power has been rampant.
Compounding the problem was that medicare was not following oxygen guidelines. Sec Tommy Tompkins got them clarified in 2005 and when i discovered in 2006 that you had never contacted my pulmonologist nor cardiologist to get the medical necessity forms, i had to get them and take them to my doctor who promptly filled them out and said he would have had no problem completing them at the time I first saw him in 1/2004 except each year your employees took the name of my cardiologist and I thought he was completing them. I see that finally Cigna govt services is having training on the guidelines. The are basically no different than in the past except they are more medcially specific. the old ones just said O2 sat rate Or send in medcial records which could be a clerical nightmare in a company as I have witnessed in obtaining doctors records for SSA disability claims. Some have excellent, organized records and others are barely legible which basically required Palmetto GBA to have a doctor on staff to call every doctor that chose to submit records instead of just using a sat rate. In 1/2004 at a cardiopulmonary stress test the technician had me at 70% sat rate before he stopped and then it took the 2 years to get ahold of the tests from the hospital. In this day and age, they didn"t realize that I was not a patient to fear for going too far. Usually doctors stop the tests when the heart starts getting overworked. yes it took a week to recover, but the results were there that you needed and communications were being thwarted every which way. in TX, technicians are allowed to run the tests.
Palmetto Gba wanted you to leave the diagnosis code off as that triggered owcp paying the bill. when Cigna first try to pay using my secured Medicare number it kicked it out for having primary payers due to the diagnosis code and being oxygen and the official secured records at the US Dept of Labor. This is a very strong and good law that was passed after a scandal of lives lost at the abuse of power by OPM. now contractors have resumed those ' dirty deeds and lives are in jeopardy. They used a phony Medicare widow claim number, declaring my husband dead to pay the claims to by pass the security, but did send over to MSPRC who did send out the ignored recovery letter. ( OPM is the entity in charge of all health care plans in USA in 2014.)
My fax number is my phone number. I plan on living a good many more years if medical care is not obstructed.
The new regional office manager at the Dallas federal workers compensation office is aware now that she has not had access to my actual records, etc. their phone number is 214-850-2300_. I suggest you call here for clarification as to what to do. Any problems, please keep me informed.No patient should be treated in such a manner. The Sec of Labor has asked for complaints and civil rights to be filed against the contractors when they treat one badly. Its not easy to ' fire' a govt contractor. The state of Mn tried to fire ACS and they counter sued and the state had to pay ACS 7.6 million and they still have the contract. Proof is needed. Ill Blues was 'gotten' by state of Ill medicaid recently for their dumping onto them for $25 million. Finally the govt is waking up that for profit companies will ' get by' with shenanigans and take more money then is due if they can. Any one harmed needs to file and present evidence so the contractors will either ' straighten up or have their contracts cancelled and get someone else or go back to hiring civil servants to process and pay claims, etc. Linda Joy Adams
Lincare Holdings, Inc.
19387 U.S. 19 North
Clearwater, Fl. 33764
Dear Sir: the treatment we both have endured at the hands of got officials and their contractors has been unconscionable. However, it got worse when you wouldn't believe what I was trying to tell you. The judges do and on 2/09 said everyone is to ask me for the facts of the case as rumor and gossip is still being strewn around as facts. I'm approved for life by three health plans: Federal workers compensation, who paid the company you bought, health connections and the contract with OWCP should be in my files. Then federal blue Cross, Blue Shield who paid you until Illinois Blues took over in OK, TX and NM and posted false info on their computer that owcp was settled and I had retired years earlier. at the same time Affiliated Computer Services, now a Xerox company, took over processing of paper and bills for Federal workers compensation and refused to set up my computer file to this very date. They have 11 years of oxygen invoices that have never been processed because: the computer will pay them and bring them on line with the official US dept of Labor computer that posts my active employment status and permanent medical benefits bi weekly, by contract with Medicare Coordination of benefits, a Group health subsidiary, and The Us dept of Labor. three Medicare judges, including an appellate judge upheld this as accurate on 9/29/2010 case # M09-1406. The 2 ALJ decisions were ignored by MCOB saying: we don't care what a judge says, nor the law nor their contract. There is a 1980's federal workers compensation law that was passed to insure that when life sustaining medical care is in jeopardy, permanent medical could be approved before work issues are resolved. That pertinent info was not shared with my attorney nor I except for a letter received in mid 90's that oxygen tanks they had paid for was to be included in my estate instruction to return them to US Dept of Labor upon my death.
When Cigna Govt services took over in my area for medicare, they said all your claims and our appeals were thrown away by Palmetto GBA. They have yet to process them. They did approve me for life, paid the claims from the suppler I had for '06-1/08 when you became the monopoly supplier in my area. Rhema said you refused to turn over the contract with US Dept of labor with health Connections that you'd bought out.They were the only intermediary that sent claims on to Medicare secondary payer recovery to recover from ACS who ignored them and i filed an appeal to try and get enforcement of the laws which medicare has the responsibility to do by law except it was suspended by former Sec of HHS back in the '90's. Illinois blues, has still not processed the co-pays on those claims, although the initial filing was ' dumped onto Medicare.
I have a standing request to your for services. I have tanks and one stop per month should suffice.
Currently, in order to live, my family has had to haul tanks and pay out of pocket. This is truly a ' death panel ' decision and the public should be aware anyone could get injured and have such disparate treatment.
Compounding the problem in '06 was when your manager called ACS and got lied to about my case and told that I'd gotten some big settlement that included your back pay for services. other defamation and slander got spewed around even more. ACS had the appellate judge's orders and files' disappear.' out of London , Ky where their contract is to post all paper from any source and definitely not be the decider of cases. Nor are they to set up a ' dummy' offline computer file to charge the US dept of labor to process bills and items and respond that some unknown third party is to pay, yet disparately decide the only type of claim not to input is oxygen; knowing full well the ' gig' would be up. it took some ' nice' persons in the Fl call center to tell me the truth claiming the Director of opm 'made them do it' yet she had no contract with them and was not paying them? This is the entity that when Arkansas blues was our blues here their manager called me and said OPM asked them to murder me and they paid you. Your local manager seemed unaware of that in 1/06. the terrible thing that was done was that Ill blues took back all payments back to 8/1/00 when I became entitled to part B Medicare when they should have gotten the monies back from ACS. Lying and abuse of power has been rampant.
Compounding the problem was that medicare was not following oxygen guidelines. Sec Tommy Tompkins got them clarified in 2005 and when i discovered in 2006 that you had never contacted my pulmonologist nor cardiologist to get the medical necessity forms, i had to get them and take them to my doctor who promptly filled them out and said he would have had no problem completing them at the time I first saw him in 1/2004 except each year your employees took the name of my cardiologist and I thought he was completing them. I see that finally Cigna govt services is having training on the guidelines. The are basically no different than in the past except they are more medcially specific. the old ones just said O2 sat rate Or send in medcial records which could be a clerical nightmare in a company as I have witnessed in obtaining doctors records for SSA disability claims. Some have excellent, organized records and others are barely legible which basically required Palmetto GBA to have a doctor on staff to call every doctor that chose to submit records instead of just using a sat rate. In 1/2004 at a cardiopulmonary stress test the technician had me at 70% sat rate before he stopped and then it took the 2 years to get ahold of the tests from the hospital. In this day and age, they didn"t realize that I was not a patient to fear for going too far. Usually doctors stop the tests when the heart starts getting overworked. yes it took a week to recover, but the results were there that you needed and communications were being thwarted every which way. in TX, technicians are allowed to run the tests.
Palmetto Gba wanted you to leave the diagnosis code off as that triggered owcp paying the bill. when Cigna first try to pay using my secured Medicare number it kicked it out for having primary payers due to the diagnosis code and being oxygen and the official secured records at the US Dept of Labor. This is a very strong and good law that was passed after a scandal of lives lost at the abuse of power by OPM. now contractors have resumed those ' dirty deeds and lives are in jeopardy. They used a phony Medicare widow claim number, declaring my husband dead to pay the claims to by pass the security, but did send over to MSPRC who did send out the ignored recovery letter. ( OPM is the entity in charge of all health care plans in USA in 2014.)
My fax number is my phone number. I plan on living a good many more years if medical care is not obstructed.
The new regional office manager at the Dallas federal workers compensation office is aware now that she has not had access to my actual records, etc. their phone number is 214-850-2300_. I suggest you call here for clarification as to what to do. Any problems, please keep me informed.No patient should be treated in such a manner. The Sec of Labor has asked for complaints and civil rights to be filed against the contractors when they treat one badly. Its not easy to ' fire' a govt contractor. The state of Mn tried to fire ACS and they counter sued and the state had to pay ACS 7.6 million and they still have the contract. Proof is needed. Ill Blues was 'gotten' by state of Ill medicaid recently for their dumping onto them for $25 million. Finally the govt is waking up that for profit companies will ' get by' with shenanigans and take more money then is due if they can. Any one harmed needs to file and present evidence so the contractors will either ' straighten up or have their contracts cancelled and get someone else or go back to hiring civil servants to process and pay claims, etc. Linda Joy Adams
violations of civil rights page 29:
Lincare: you are the monopoly supplier in my area. I'm well aware of the shoddy treatment we both have received by govt officials lying and then govt contractors doing the same. Attached are some pages that have been filed. Please understand that i have a standing request or services form your company. with three health plans approved for life for compressed air oxygen, this should never have occurred. We are having to haul tanks and pay out of pocket at present because of the discriminantory reugaltion that gave you the monopoly in my area. When your employee beleived ACS's lies years ago that I'd received monies to pay you and couldn't get you or anyone to follow medciare guidelines until Sec Tommy Thompkins had them clairfied in 2005. I notice that recently, there is to be traiing on them for the first time with Cigna Govt services. This has been a death panel deicsion for too many including me. Medcial science makes it clear that those injured such as i can live decdes if oxygen is part of the treatment form day one of injury. Unfortunalty this did not occur on 1/10/89 and some organ damage occurred before it coudl bget slowed. When can service be resumed? ACS-Xerox, the US dept of labor contractor has all your bills and has refused to input one of them as the computer willl pay them and bring them o line with the official US dept of labor computer whichshpws perment medcial benfits because of the oxygen due to a 1980's federal workers comp law that was passed becasue of intentiaonl obsturtions by some in hih authoirty abusing powers. I have tanks, just need one stop a month. Ilinois bLues, ttok over when ACS did and they proceeded to dup onto medciare. then they wanted a medcial necessity form completed without the diagnosis code which makde it owcp's bills. Ill Blues has all your claims too and has never answered them either as i filed a rotective fioing as well as all the other taypes of compliants. My phone number is the same as the fax number. I plan to live a lot more years and you are the only supplier in the area. Currently my family is hauling tanks and we are paying out of pocket at great finaincial hardship with three health plans approved for life.
violations of civil rights page 26:redeterminations pending and reopen all and send to msprc
Wisconsin Physicians, part b intermediary, OK: ON 9/29/2009, the Deptmental appeals board issued a final decision; case M09-1406 that affirmed that, for Linda, OWCP gets claims first then, Fed blues is primary as the two ALJ decisions in '08 and 09 affirmed for any claims related to a pending secondary //tertiary issues with federal workers compensation. You have yet to answer any of the redeterminations that have been filed with you , the first was for the '07 physical therapies and your notes indicated that you were intentially mis lead by govt officials and govt contractors and used a phony Medicare number to by pass the security on the system. All of our medical providers. suppliers have been treated such in violation of civil rights, and laws and entrapment into violations over my persistent protests and filings. Some of the claims are now listed on MSPRC's on my Medicare .gov, which i was able to access for the first time yesterday , but won't say which of the 17 claims numbers it was posted under. I'm not aware that your company every did multiple thefts. ACS-Xerox still won't set up my computer file for OWCP so even initial items can be reviewed, etc. and bring it online with the official us dept of labor computer that shows the permanent medical benefits. However, Medicare coordination of benefits keeps posting the injury date wrong adding to more mass chaos . Ir 1/10/89. No bills for my accepted conditions are listed that Medicare and fed Blues have paid. ACS and ILL Blues took over in our area at the same time and immediately all claims got ' dumped ' onto Medicare in a very illegal manner. Any claims from my husband and daughter are fed blues primary and Medicare secondary. Please reprocess and send ALL the claims you paid on me to MSPRC to list; as only a few are there. Please send me a response to my redeterminations requests that this has been done. Do you have a reconsideration contractor yet for OK? My request to your Vice Pres has never been answered. name and address please for future use, if needed.
Wednesday, March 16, 2011
violations of civil rights page 17: ACS-Xerox contract non compliance and civil rights and Medicare Coordiantion of Beneifts and Miami Medicare Hearing office contractor and HHS Civil rights and HIPPAA complaint and attachment to CA1 and CA2
Research Suggests How Steroids Cause Diabetes And Hypertension; Liver Plays Critical Role see my comment. wasn't a torn alc, joints are being destroyed from 22+ years on inhaled cortisone steroids along with other problems associated. Claims have been filed on all these issues and CS-Xerox won't set up my computer file for federal workers compensation for 10 years to bring it on line with the official US dept of labor computer file. i will be filing this to add it in. part of my problem is that I'm supposed to have a ' managed care' from OWCP and obstruction has been horrendous. Have file civil rights and no compliance contracts with the US dept of labor against ACS-Xerox and also against Medicare coordination of benefits another contractor who has routinely altered my insurance line up as that no doctor knows whom to bill and then they along with trailblazers have lied about my official status and even Illinois blues which is TX , OK. and NM Blues have gone along with dumping onto Medicare. treatment for occupational asthma and toxic exposure is opposite than for those with allergies, etc. I have carried a prescription to replace my power chair for 6 years and no supplier will assist me. as ACS lies and says case closed, Blues lies and says owcp case claosed and Medciare should pay and the diagnosis is for my work relatlted condition . there is no predeterminations anymore for chairs and a supppier could get caught with me having the chair no not get paid until the whole govt gets strianghtened out.I fell and my family doctor though i might have torn ACl in left knee. The mri showed severe problems in joint and a cartilage tear. the cortisone shot resulted in dangerous spiking of glucose levels higher than I've ever been and insides of eyes hurt. I wasn't aware that this would occur as when I had a shoulder tear a few years ago, that cortisone shot did not have such a severe reaction. its possible there was a preservative in the shot like formaldehyde which is used in some as a wash. I consider this damages because judges ordered are even ignored in multiple agencies and i have an established case with permanent medical at federal workers comp. They are sitting on 11 years of oxygen bill s they won't input because the computer will pay them and bring my computer file on line with the official one. I was approved for life by them in 1995. ACS-Xerox claims the Director of OPM made us do it. Death panels are real. and in 2014, that party will ocntrol everyone's health care plans in the USA.
Friday, October 8, 2010
Death Panel laws reinstated:Medicare Appeals Board overturns conditional payment safety net on workers compensation cases
No workers comp benefits for widow of murdered employee: Court Business Insurance see my posted comment on the death panel decision from Medicare on Case #MA09-1406. Workers comp can delay and play games and not pay on approved care and medicare will no longer provide the safety net and go collect the mones back from the workers comp plan.
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