US Department of Labor
525 S Griffin St. Room 100
Dallas, TX 75202
Attn: Christina Stark Regional office manager:
Received your letter and you seem unaware of the volume that was faxed to your office over the last few weeks since one of your employees said it was OK to do so. The first letter was the reconsideration that stated your office had not done anything judges and hearing officers ordered. sending files to ACS-Xerox in London has been done and redone and you never get the files set up as other claimants files. I need the money to keep on spending money on ink and postage that only results in the files not set up so they can be worked. That's why I filed the civil rights non compliance contract against ACS-Xerox and also listed Medicare coordination of Benefits that routinely breaks their contract agreement and alters the official posting from the US DEPT OF LABOR that shows PERMANENT MEDICAL BENEFITS. there has been a decade old glitch that posts as of the first date of entitlement to Part A Medicare which was in 97, since I tried to work at great physical harm and only made the injures more permanent according to the latest research that has just been published by researchers. I wasn't the one that riffled my file back in '98 so that my owcp and life could be done away with and a billionaire could renew a lease on the work site at 2 journal Square 9TH floor, jersey City NJ SSA-Teleservice center where I was initially injured and OWCP signed me out of in late '89; a lease that did not meet basic fire safety codes for a federal employee or anyone else to be in since there was no stairway to walk down in case of fires since they were locked at all times and one relied on a few members of management to be able to get to them to unlock a door for escape. Lies, gossip, rumor have been floated at great physical and financial expense to me. many of the documents that I've faxed recently had to do with damages and retaliation for what has occurred.
In 2/09, the ECAB judges set aside the wrong info that i hadn't returned to work in 1990 for SSA region II when I did. its not my fault that HHS-SSA refused to complete the necessary paperwork and didn't seem to know I was out getting OWCP wage loss. These are crimes against me and my files. The written, promised reasonable accommodation wasn't complied with either and put me in a continual life-threatening situation. That's what the 'missing' medicals' show. When the file is finally put together so it can be worked, the civil damages are greater from what the continual and felony disappearance of my files since 1990 shows. That's the first time, a claims examiner in Philadelphia's office noticed part of the file had disappeared.
I was informed a few years ago by paralegals in the US attorney's office that my blood and skin samples are key evidence against a ' John Doe" which would be a multiple murder charge now. No witness protection for an injured Federal worker either, when high level people wouldn't ant me to live to testify.
Testimony in Congress was that ACS-XErox is responsible to set up all claims files in a manner so they can be worked. This has never occurred. they have set up some kind of a ' dummy' offline file but it seems to not be available for anyone to read. If a reconstruction is posted for date of reconstruction then a CA-1 file in 2004 would post at the date of reconstruction even though a certified mail proof was attached to show the date received. Also, they are offline of the official US Dept of labor computer file that the judges have had access to and you don't. That's why, as ACS managers have said: they aren't inputting any oxygen claims that have been submitted from suppliers or me over the years as they would be paid as approved under the emergency medical law passed in the 1980's to prevent abuses of power and intentional obstruction of medical care that can be and was life threatening to multiple federal employees then. Dr. Sabangan knew this and argued on my behalf back in 2002; only to be lied to and told it meant I had no medical coverage at all from any source( even Medicare and Federal Blue Cross/Blue Shield ) and could only be treated in an emergency room. At the time, I didn't know ACS had taken over and he seemed to not be aware that he wasn't talking with any US Dept of Labor employees. This is so common for contractors to ' impersonate' federal employees and should stop it. Even, one gentleman that answered you phone in your office was unaware that London Ky address personnel was a private contractor and was shocked when I had to inform him they weren't.
A few months after receiving the 2/09 judges remand order: ( they acknowledged my attorney and sent him a copy; which you should be doing also-more evidence that you don't have my file set up as that would be clearly shown) -I sent you a certified letter at the London Ky address to make arrangements to get my file reconstructed to carry out the judges' orders. there are item back to 1989 that have been remanded and remanded to be done plus the ca1's and ca2's ca2a's that many judges have sent back to have initial processing and these have to be addressed before any permanent disability can be discussed.
When permanent disability involved internal organs, a full assessment can't be addressed separately as all are affected. Future medical care is dependent on each one doing its job in conjugation with the others.
For example, injured and weakened lungs affect the amount of cortisone steroids that's needed and not enough can raise uric acid levels that affect kidneys and fluid back up in the heart, etc.... Took a year to get a nebulizer over everyone needing to know who will pay and its not paid for yet. Dr. Stocks prescribed a saline solution and using a cortisone steroid in it which is a method those receiving chemotherapy often use as I'm on the last Azmacort and the substitute inhalants on the market have caused life threatening reactions. They are not for the kind of asthma, that has been accepted and I have.
This has been an impossible situation. Because there is an active owcp case, my part b premiums on Medicare disappeared out of cyber escrow when some new software was used to pay the $250 stimulus payment a couple of years ago. They didn't code active owcp case. And now I'm caught in the 6 year ' fight' between SSA and medicare as who can work somthing out, when reinstatement of temporary wage loss and withdrawal and repayment of temporary csr payments would solve it all as spousal SSA would be paid and premiums withheld from that back pay. Federal Blues is starting to pay but they should be sending reimbursement requests to owcp which they did and was ignored a few years ago.
ECAB had the civil service papers and knew that they were properly filed for future withdrawal/revocation up on reinstatement. Fed blues is not 'tied to' the US Dept of Labor computer file, why not?
I've lost doctors over the exasperation of their billing people getting sent in circles and I'm filing appeals to get out from under overpayment liabilities and its all happening because of the felony destruction of my paper file in the Dallas federal workers compensation office before ACS took over. My file was at ECAB then and the file had been further destroyed and the first decision wasn't favorable as every letter every document sent in by my attorney had ' disappeared' out of the file. The case was reopened and my attorney recognized, but you aren't. The file was reconstructed and ended up in London Ky ( 35000 pages) with judges clear instructions to work the case and items in file going back to 1989 that had never been processed. I've filed everything, timely and documented fully. yet that file ' left' the office never set up by ACS. The secretary of Labor's associate OK'd faxing to acs in Tallahassee on their 1-800 number to help ally costs of long distance charges. they boxed up the files and sent them to London Ky, and ACS still refused to set up the file.
In 12/06 the Director of OWCP, Mr. Fitzgerald ' found some of the boxes' It was the 4 boxes I spent hundreds of dollars faxing the basic documents and proofs of timely filing to London Ky and they weren't posted but ended up in the custody of Mr Fitzgerald. I don't know where he found them? He sent the paper files to Dallas And Helen Robinson was able to locate more of the files out of the ' federal records center?" and started to work the case; only to have another claims examiner and Francis Mimelo the manager intervene and wrongly say; you didn't return to work in 1990 and back to ECAB we had to go and wait until 2/09 for another remand setting that aside and orders for you' all to ask me for the facts of the case. you won't accept them verbally and that means another file reconstruction. I have not sent the items you should already have; only the recent that was also sent to the 2 civil rights offices. I sent you multiple certified letters asking to make arrangements for a file reconstruction and what order you wanted it in, etc. Any contract would surely have set some parameter for this to be done.
I consider this retaliation for civil rights compliant filings to not make some kind of arrangement. And questions by a recent Congressional committee wanting answers about the process. I don't have thousands of dollars to keep sending files that never get worked and never set up so they can be worked. I'm the victim of multiple crimes on this. And I'm pleading for my life and having to pay monies for medical care that is supposed to be paid for without question. If this isn't the original DEATH PANEL, what is and a manager of Arkansas Blues, when they were our Fed Blues said that a past director of OPM ordered my death. Why me? I went to work one day, as I'd done for 20 years at SSA to do my job and ended up injured for life. The law is clear as to my rights in the matter, the claim was not controverted and one felony after another has been committed against me and my files. isn't it time to stop making me the 'precedent case' for ' how to get rid of an injured federal worker?'
I left phone messages for you and Theresa Davis. Please do not infer anything from them then a plea for my life and begging you to make some kind of arrangements to get this file systematically worked. You have prescriptions and medical bills that have never been paid back to 1989 and other expenses that aren't on the ACS bill portal, either.
How much does it cost to set up one person's file. Any more than setting up dummy files and ' losing' file reconstructions over and over. My suggestion is for ACS to set up some kind of phone number so that faxes can go direct to an email or print out in paper. I called the 850-558-1818 number and was told my file wasn't set up yet and that US Dept of Labor was now setting up computer files. obviously conflicting info is floating around as who, does what? My physical life is being used as a ' footbal' being kicked around and I choose to live and want to get this settled per the judges' orders.
As stated in multiple certified letters since 2/09: where can the files be faxed and in what order do you want them. Start with 1989 as was done in 2005 and mover forward by year which seems to be the most logical as my the disease progressed and discoveries were made or: some other method? I hope some day you will get to see this letter as the others weren't even though the post office verified they were received in London Ky at ACS but never seen nor answered.
Proof of what happens to files is what has occurred recently. You say 2000 pages were received and forwarded to aACS to be scanned in. yet its much more than that. Can you now pull up my file and see all the items I've referred to? Apparently not! i never sent anything during office hours and only did so after being told it was OK by an employee in your office. who should I write or talk with at ACS to make arrangements for the file reconstruction via fax which is the only method I can afford unless Acs wishes to send me money to have files copied and mailed. My family and I don't enjoy spending our evenings faxing files that have already been faxed twice before and thousands of dollars spent over and over reconstructing the same items: bills, out of pocket expenses, judges' orders, hearing officers orders; CA1's, CA2's C2a's. voluminous medical records and other itemss that reflect pain , suffereing and punitive damages against parties causing the problems. If I was to guess what has recently occurred ( from 22+ years of this; I'd surmise that the CA1, CA2 that I sent to your office in early 3/11 on the secondary/tertiary issue finally got to someone at ACS-Xerox and they started making inquires/ obstructions? Who are they talking with-apparently not with you nor with the Director of federal workers compensation who seem to know very little as to what is occurring at ACS?
I'm sending a copy of this to my attorney whom I've already called, the civil rights offices at US Dept of labor who is allowed to investigate impediments to processing which this clearly is and not the merits; and to HHS civil rights to associate with pending civil rights complaints as OwCP is one of my health plans and according to the appellate judge at medicare, which has final authority with multiple plans, should be getting all my bills first, then fed blues. All my bills should either be paid for accepted conditions and those issues pending should be associated with the appropriate claim and paid when accepted and a letter sent to the medical providers/supplier that issue is pending so they can go bill Fed Blues first and Medicare last and they can place in medical subrogation for payment at some future date when the secondary/tertiary issues are approved. Many of these are textbook issues and have been accepted at other federal agencies which is logical that they would be at owcp. A copy of this letter is also being sent to the Secretary of Labor to see if something can be done so that this never happens again to anyone and to the Attorney general of the USA as his staff has asked for a letter. ACS has an obligation to me to set up my files in a reasonable order and give accurate info to providers/ suppliers from the official records and not from gossip and rumor.
Ms. Stark, you said that when Lynn Blodgett the President of ACS came to you last year you could only access an office computer that had not been updated since 1998. when we spoke you had no records of multiple judges' orders, hearing orders, and subsequent voluminous filings available. Didn't he tell you, that the file was never set up when they took over? Did he explain why and who didn't do it? I was told it was the Chief at Employment standards that pled guilty in the Jack Abramoff bribery scandals that said he wouldn't pay to have my files set up when the remand orders listed items back to 1989 to be worked and weren't. ACS got the contract to assure these kind of abuses would never again occur on an injured workers files. ACS treated me disparately in not setting my file up. Can you write me a check that would cover past, present and future medical care, wage loss and leave buy back and loss of use of several internal organs including part of hand, etc and the medically expected losses without the files complete to show why such a large sum is being paid. If your agency is anything like mine, the amount would be require the signature of someone higher than a regional office manager. The third party law suit has been sabotaged that owcp required me to file and the hopes of the taxpayer being reimbursed are dismal. My attorney can do nothing until owcp figures up the damage's and after 22+ years have not done so. Linda Joy Adams-pleading for life and justice.
Showing posts with label fed blue cross.blue shield. Show all posts
Showing posts with label fed blue cross.blue shield. Show all posts
Tuesday, April 26, 2011
Wednesday, April 13, 2011
violations of civil rights page 34; msprc missing my records
Medicare Secondary Recovery Contractor
P.O. Box 138832
Oklahoma City, OK. 73113
( a subsidiary of Group Health, in international conglomerate)
On 9/29/10 the first of bills paid by medicare were ruled on by the Medicare Appellate judge who said the few claims in front of her for 2006 paid oxygen claims were the legal responsibility of Federal Workers Compensation. she did not overturn two Administrative law judge rulings that both Federal workers compensations and federal Blue cross blue shield were primary to Medicare. Its the legal responsibility of medicare to collect monies due back from ones primary payers that were paid due to shenanigans by ones primary payers and end the on going abuses by the primaries.
I had provided a copy of the ruling case: M09-1406 to your office by fax and had heard nothing from you on it. The recovery letters were sent in 2008 on the bills and they went to Affiliated Computer Systems, the US Dept of Labor contractor, who promptly ' threw it away ' as they did the letters from you in 2005, and 2007 when your employees tried their best to find the bills paid by Medicare from the the national health insurance data base as trailblazers, the cms contractor had illegally manipulated the claims and even had Medicare coordination of Benefits delete my federal Blue cross off the records to bypass both of my primary payers and have Medicare pay and committed " theft of the Medicare trust fund" by creating a phony Medicare number and bypassing all the legal checks on theft. Congress said they can't be prosecuted for theft but they can for violations of civil rights. And the recent action reopens their on-going civil rights violations. every Medicare claim paid was either for a permanently accepted medical conditions at federal workers comp ( OWCP) or its a secondary/ tertiary issue that has yet to be reviewed for acceptance and should be listed for medical subrogation.
Affiliated Computer Systems has never set up my computer case file as they have others, and have spewed out incorrect and misleading information from a ' dummy' offline file that indicates case closed with a third party ( unknown) should pay from a settlement. None of this has occurred and the official records and 6 appellate judges at the US dept of Labor knows it and remanded the case back indicating ' everyone' is to ask me for the facts of the case as I seem to be the only one who has the case file and currently I am faxing 50,000+ pages to Christina Stark the regional office manager who is forwarding it on to Affiliated computer systems as they are not allowed to have paper in the regional office as security can't be assured on files? So the case still won't get worked. Ones claims examiner has no access to my files as they do on other claimants from this disparate treatment. Theresa Davis tried to decide a wage loss issue without the file and has caused more chaos. That is under appeal and reconstruction being done, but its unknown if ACS will still set up the claims file as their contract terms state and return monies to Medicare. Civil rights complaints have been filed and amended with the US Dept of Labor against Medicare coordination of benefits , your parent company's other CMS contractor, and there are civil rights complaints pending at HHS office of civil rights on the three health plans/ contractors.Sabotage of life sustaining medical care is on- going. Having to reconstruct files aggravates my accepted medical injury conditions due to exposure to inks and exertions, etc.
Today, I received a letter from you that was a copy of a collection letter sent to Federal WC US Dept Of Labor. Address it was sent to was not shown. Incident date was still being listed as date of entitlement to Medicare instead of date of injury of 1/10/1989. My attorney did not get a copy although MSPRC has had the information and other documents. They are now missing' in your move from Detroit MI, to Oklahoma City? He is the attorney of record even though most of filings, etc are done by me with him as 'monitor' after 22+ years. Case is established and I'm just trying to get medical care and reconstruct files that keep disappearing out of the custody of the contractors which are violations of my civil rights that this is happening.
Instead of the claims the Medicare judge ordered were OWCP's, I got some bills for the year of 2001 from one pulmonologist, One I would still be seeing if OPM"/OWCP officials had not ' persuaded him in 2002 that I could not receive any medical care except in emergency rooms. "They don't want me to be seen by any board certified pulmonolgist or receive any treatment to sustain life?" So they convince him no insurance was going to pay anything to any doctor if they treat my accepted medical conditions!No coverage on Medicare or Fed Blues either. This was at the time that Illinois Blues " took over" from Arkansas Blues in TX, NM and OK and Affiliated computer systems took over control and custody of all paper and claims processing for OWCP and never set up my computer file. The civil rights abuses began More in earnest and one Blues manger said the Director of OPM was behind it all and ordered : Let her die! A DEATH Panel decision.
After waiting on the line, for forty minutes,at your call center ;I talked with a nice lady who was a temporary employee and sent a message to " Special projects" unit. My previous call, before sending in the Medicare judge's ruling was sent to the Federal workers compensation unit. "I'm SPECIAL?"
GOOD NEWS! within 2 weeks, MSPRC"S computer system will be able to show the injury date. which is 8 years prior to my date of entailment to Medicare.( I tried my best to work on multiple occasions under conditions that did not meet work restrictions placed on my by Federal workers compensations and promised by HHS to be done which resulted in enenforceable sanctions from EEOC on a federal agency) ( There is a 22+ year claim still pending at Social security for an earlier entitlement date to Medicare that has ' disappeared 6 times and resulted in loss of part B Medicare premiums form Cyber escrow because the software program for the $250 stimulus payment didn't have a field to check active federal workers compensation case.) ( Didn't have a cross check with the offiical us dept of labor computer?)More civil rights damages. So there are no recent Medicare paid bills.
You also have had a copy of the third party law suit that US dept of labor required me to file and has been obstructed due to ACS not getting all issues and claims processed and paid so the actual monetary damages is even known to reimburse the taxpayer.
The nice lady I talked to said that ' you' decided to not pursue any collections from the primary payers, yet one letter of one doctor in 2001 was sent out to ACS for collection. I was a patient of theis doctor from 5/00 through 8/2002 when OWCP/OPM/ACS 'went after' my doctor for providing medical care that met all acceptable treatment standards. I assumed that letters would arrive on one year of bills from each medical provider / supplier and was shocked that this was not anticipated.
Part of the civil rights damages is that when the Medicare claims processor either left off the diagnosis code or altered or only listed the most generic to illegally bypass sending the claim to you for collections, it is more difficult to determine what is or is not related. Basically all bills from a pulmonologist, cardiologist and ear nose and throat doctor are for accepted medical conditions. That has been legally well grounded, except the file has not been made available from ACS to the claims examiner. Oxygen is the reason I have the permanent medical benefits that will only end on my death, which is not anticipated for many more years. There is a buy - out option. If this should occur then a line of credit is given to my employer group health plan to pay the claims at 100% reimbursement rate and Medicare wouldn't be asked to pay them.
The rest of my medical claims may or may not be for accepted conditions. But they have been filed as secondary/ tertiary claims that have yet to receive a review by my claims examiner for approval.
The highest authorities at both Medicare and at US Dept of Labor have ruled. and no subordinates are permitted to defy them. Nor are govt contractors.
I'm looking forward to having 22+ years of judges and laws defied to end by a few abusing powers that have personal reasons for not wanting me to live or have medical care. What has been on-going is abuse of power, illegal and violations of my civil rights as well as the rights of my medical providers/ suppliers to be able to provide medical care that meets acceptable treatment standards without interference and to be paid timely by the appropriate health plan in the correct amount without their claims being altered from what was placed in my medical records.
There are parties whose ' persona; reasons' are staying out of jail with charges related to deaths of my co-workers or actions done after the fact.
If you do not have all the records that were compiled and forwarded to you in 2006 and 2007, then this is one more federal file in the custody of a govt contractor that needs to be reconstructed. Please send me a letter and a fax number to use so the person in charge of working the collections on my case have them.
You are not the decider of fact on my workers compensation case. The judges have set aside the last excuse for full reinstatement of wage loss in 2/09 which was caused by a felony destruction of my claims file in the Dallas regional office back in the late '90's. and the disappearance of the reconstructed file the judges sent to ACS in London KY in 2004 causing the Sec of Labor's to make arrangement for a reconstruction in 2005 and subsequent ' disappearance at ACS, again. The judges said in 2/09, accept my records and ask me for the facts of the case. The medical is permanent, and you are not involved in wage loss vs. work issues. I did return to work in 1990 and EEOC sanctions against HHS-SSA well proves it in those case files.
The lack of security on case files in OWCP offices, led to a contractor hired to assure security and not allow any paper files to be kept or seen in a us dept of labor owcp office. ALL papers filed, faxed, hand delivered have to be mailed direct to ACS at PO. Box 8300 London KY and then they are NOT to be a decider of fact nor which bills to process. All submissions are to be posted to a organized claims file so that the case can be worked. Whether the submissions are from the claimant or the highest appellate judges at US Dept of Labor, all are to be treated equally and processed equally. My case has had gross discrimination and violations of my civil rights resulting is a life and death struggle for life sustaining medical care as rumor and gossip gets strewn about as facts. Judges said: ask me for the facts.
Your highest authority is the Medicare judge who ruled: owcp gets the claims first, then Fed Blues an last Medicare. Not one party to this appealed. not my employer, nor me. OPM is NOT a party. Collections are in order. Since I and my estate have an overpayment liability that would not have existed if the Medicare intermediaries had labeled all the claims as conditional; I am pleading that you fulfill your legal obligation to me and to the taxpayer by sending out recovery letters on the accepted medical conditions and list the others for recovery should additional medical conditions be accepted. With the claims having been 'manipulated' by the Medicare claims processing contractors, it is reasonable to send all claims to ACS and let them use the reconstructed file to determine if its for accepted medical conditions or goes with which pending ca1 and ca2 on secondary/tertiary issues. That is the terms of your contract. Phone calls from govt officials is not 'OFFICIAL". 'They 'have the same official info and judges' rulings or should have before trying to influence your non-compliance with your contract, the law, judges and to me the injured worker whose life and livelihood are at stake. Linda Joy Adams
P.O. Box 138832
Oklahoma City, OK. 73113
( a subsidiary of Group Health, in international conglomerate)
On 9/29/10 the first of bills paid by medicare were ruled on by the Medicare Appellate judge who said the few claims in front of her for 2006 paid oxygen claims were the legal responsibility of Federal Workers Compensation. she did not overturn two Administrative law judge rulings that both Federal workers compensations and federal Blue cross blue shield were primary to Medicare. Its the legal responsibility of medicare to collect monies due back from ones primary payers that were paid due to shenanigans by ones primary payers and end the on going abuses by the primaries.
I had provided a copy of the ruling case: M09-1406 to your office by fax and had heard nothing from you on it. The recovery letters were sent in 2008 on the bills and they went to Affiliated Computer Systems, the US Dept of Labor contractor, who promptly ' threw it away ' as they did the letters from you in 2005, and 2007 when your employees tried their best to find the bills paid by Medicare from the the national health insurance data base as trailblazers, the cms contractor had illegally manipulated the claims and even had Medicare coordination of Benefits delete my federal Blue cross off the records to bypass both of my primary payers and have Medicare pay and committed " theft of the Medicare trust fund" by creating a phony Medicare number and bypassing all the legal checks on theft. Congress said they can't be prosecuted for theft but they can for violations of civil rights. And the recent action reopens their on-going civil rights violations. every Medicare claim paid was either for a permanently accepted medical conditions at federal workers comp ( OWCP) or its a secondary/ tertiary issue that has yet to be reviewed for acceptance and should be listed for medical subrogation.
Affiliated Computer Systems has never set up my computer case file as they have others, and have spewed out incorrect and misleading information from a ' dummy' offline file that indicates case closed with a third party ( unknown) should pay from a settlement. None of this has occurred and the official records and 6 appellate judges at the US dept of Labor knows it and remanded the case back indicating ' everyone' is to ask me for the facts of the case as I seem to be the only one who has the case file and currently I am faxing 50,000+ pages to Christina Stark the regional office manager who is forwarding it on to Affiliated computer systems as they are not allowed to have paper in the regional office as security can't be assured on files? So the case still won't get worked. Ones claims examiner has no access to my files as they do on other claimants from this disparate treatment. Theresa Davis tried to decide a wage loss issue without the file and has caused more chaos. That is under appeal and reconstruction being done, but its unknown if ACS will still set up the claims file as their contract terms state and return monies to Medicare. Civil rights complaints have been filed and amended with the US Dept of Labor against Medicare coordination of benefits , your parent company's other CMS contractor, and there are civil rights complaints pending at HHS office of civil rights on the three health plans/ contractors.Sabotage of life sustaining medical care is on- going. Having to reconstruct files aggravates my accepted medical injury conditions due to exposure to inks and exertions, etc.
Today, I received a letter from you that was a copy of a collection letter sent to Federal WC US Dept Of Labor. Address it was sent to was not shown. Incident date was still being listed as date of entitlement to Medicare instead of date of injury of 1/10/1989. My attorney did not get a copy although MSPRC has had the information and other documents. They are now missing' in your move from Detroit MI, to Oklahoma City? He is the attorney of record even though most of filings, etc are done by me with him as 'monitor' after 22+ years. Case is established and I'm just trying to get medical care and reconstruct files that keep disappearing out of the custody of the contractors which are violations of my civil rights that this is happening.
Instead of the claims the Medicare judge ordered were OWCP's, I got some bills for the year of 2001 from one pulmonologist, One I would still be seeing if OPM"/OWCP officials had not ' persuaded him in 2002 that I could not receive any medical care except in emergency rooms. "They don't want me to be seen by any board certified pulmonolgist or receive any treatment to sustain life?" So they convince him no insurance was going to pay anything to any doctor if they treat my accepted medical conditions!No coverage on Medicare or Fed Blues either. This was at the time that Illinois Blues " took over" from Arkansas Blues in TX, NM and OK and Affiliated computer systems took over control and custody of all paper and claims processing for OWCP and never set up my computer file. The civil rights abuses began More in earnest and one Blues manger said the Director of OPM was behind it all and ordered : Let her die! A DEATH Panel decision.
After waiting on the line, for forty minutes,at your call center ;I talked with a nice lady who was a temporary employee and sent a message to " Special projects" unit. My previous call, before sending in the Medicare judge's ruling was sent to the Federal workers compensation unit. "I'm SPECIAL?"
GOOD NEWS! within 2 weeks, MSPRC"S computer system will be able to show the injury date. which is 8 years prior to my date of entailment to Medicare.( I tried my best to work on multiple occasions under conditions that did not meet work restrictions placed on my by Federal workers compensations and promised by HHS to be done which resulted in enenforceable sanctions from EEOC on a federal agency) ( There is a 22+ year claim still pending at Social security for an earlier entitlement date to Medicare that has ' disappeared 6 times and resulted in loss of part B Medicare premiums form Cyber escrow because the software program for the $250 stimulus payment didn't have a field to check active federal workers compensation case.) ( Didn't have a cross check with the offiical us dept of labor computer?)More civil rights damages. So there are no recent Medicare paid bills.
You also have had a copy of the third party law suit that US dept of labor required me to file and has been obstructed due to ACS not getting all issues and claims processed and paid so the actual monetary damages is even known to reimburse the taxpayer.
The nice lady I talked to said that ' you' decided to not pursue any collections from the primary payers, yet one letter of one doctor in 2001 was sent out to ACS for collection. I was a patient of theis doctor from 5/00 through 8/2002 when OWCP/OPM/ACS 'went after' my doctor for providing medical care that met all acceptable treatment standards. I assumed that letters would arrive on one year of bills from each medical provider / supplier and was shocked that this was not anticipated.
Part of the civil rights damages is that when the Medicare claims processor either left off the diagnosis code or altered or only listed the most generic to illegally bypass sending the claim to you for collections, it is more difficult to determine what is or is not related. Basically all bills from a pulmonologist, cardiologist and ear nose and throat doctor are for accepted medical conditions. That has been legally well grounded, except the file has not been made available from ACS to the claims examiner. Oxygen is the reason I have the permanent medical benefits that will only end on my death, which is not anticipated for many more years. There is a buy - out option. If this should occur then a line of credit is given to my employer group health plan to pay the claims at 100% reimbursement rate and Medicare wouldn't be asked to pay them.
The rest of my medical claims may or may not be for accepted conditions. But they have been filed as secondary/ tertiary claims that have yet to receive a review by my claims examiner for approval.
The highest authorities at both Medicare and at US Dept of Labor have ruled. and no subordinates are permitted to defy them. Nor are govt contractors.
I'm looking forward to having 22+ years of judges and laws defied to end by a few abusing powers that have personal reasons for not wanting me to live or have medical care. What has been on-going is abuse of power, illegal and violations of my civil rights as well as the rights of my medical providers/ suppliers to be able to provide medical care that meets acceptable treatment standards without interference and to be paid timely by the appropriate health plan in the correct amount without their claims being altered from what was placed in my medical records.
There are parties whose ' persona; reasons' are staying out of jail with charges related to deaths of my co-workers or actions done after the fact.
If you do not have all the records that were compiled and forwarded to you in 2006 and 2007, then this is one more federal file in the custody of a govt contractor that needs to be reconstructed. Please send me a letter and a fax number to use so the person in charge of working the collections on my case have them.
You are not the decider of fact on my workers compensation case. The judges have set aside the last excuse for full reinstatement of wage loss in 2/09 which was caused by a felony destruction of my claims file in the Dallas regional office back in the late '90's. and the disappearance of the reconstructed file the judges sent to ACS in London KY in 2004 causing the Sec of Labor's to make arrangement for a reconstruction in 2005 and subsequent ' disappearance at ACS, again. The judges said in 2/09, accept my records and ask me for the facts of the case. The medical is permanent, and you are not involved in wage loss vs. work issues. I did return to work in 1990 and EEOC sanctions against HHS-SSA well proves it in those case files.
The lack of security on case files in OWCP offices, led to a contractor hired to assure security and not allow any paper files to be kept or seen in a us dept of labor owcp office. ALL papers filed, faxed, hand delivered have to be mailed direct to ACS at PO. Box 8300 London KY and then they are NOT to be a decider of fact nor which bills to process. All submissions are to be posted to a organized claims file so that the case can be worked. Whether the submissions are from the claimant or the highest appellate judges at US Dept of Labor, all are to be treated equally and processed equally. My case has had gross discrimination and violations of my civil rights resulting is a life and death struggle for life sustaining medical care as rumor and gossip gets strewn about as facts. Judges said: ask me for the facts.
Your highest authority is the Medicare judge who ruled: owcp gets the claims first, then Fed Blues an last Medicare. Not one party to this appealed. not my employer, nor me. OPM is NOT a party. Collections are in order. Since I and my estate have an overpayment liability that would not have existed if the Medicare intermediaries had labeled all the claims as conditional; I am pleading that you fulfill your legal obligation to me and to the taxpayer by sending out recovery letters on the accepted medical conditions and list the others for recovery should additional medical conditions be accepted. With the claims having been 'manipulated' by the Medicare claims processing contractors, it is reasonable to send all claims to ACS and let them use the reconstructed file to determine if its for accepted medical conditions or goes with which pending ca1 and ca2 on secondary/tertiary issues. That is the terms of your contract. Phone calls from govt officials is not 'OFFICIAL". 'They 'have the same official info and judges' rulings or should have before trying to influence your non-compliance with your contract, the law, judges and to me the injured worker whose life and livelihood are at stake. Linda Joy Adams
Thursday, March 31, 2011
Violations of civil rights page 31: owcp reconsideration on schedule award issue and request to make ACS give you the files
Office of Federal Workers Compensation
525 Griffin St.
Dallas, TX 75202
Attn: Christina Stark regional office manager
Teresa Davis, Claims Examiner
I received a ' ludicrous' response to a 1996 request for a schedule award. Its not funny, but life threatening to take what seems to be a few pages from Medicare's collection unit contractor attempting to collect monies back to them for bills approved by federal workers compensation that you seem oblivious to because you don't have my file available?.You have numerous reconsiderations that have gone unanswered and also many ca1'. ca2's and ca2a's n file that have never had an initial decision even with 9 judges and 2 hearing officers pointing out they can't review something with no initial decision. In 2/09, if you had read the last 3 appellate judges remand, you would know, if you had the entire file available to understand the context as they do, that when they set aside the misinformation that I didn't return to work in 1990 even when documented with 240 EEOC complaints and EEOC sanctions for the tortuous and painful and physically harming ordeal I went through trying to work without the promised reasonable accommodation s that HHS said they should provide. HHS was the employing Dept over SSA and EEOC matters are still pending against them that have never been settled. When monies were sent me in mailto:'09@'05 from your offline office system, which raises a grave security issue, the claims examiner did not make decision on the ca1'. ca2's , ca2a' in file so that Social security, my agency in conjunction with HHS's personnel office could go ahead and do the leave buy back. This takes a formal decision from OWCP, even if SSA and I are in agreement.
Are you saying that US dept of Labor judges and claims examiners have no control over filings, or what you can see to render decision, that Affiliated computer systems is allowed to pick and choose what they want you to see and that includes judges' remand orders? ACS, who has not processed over 3/4THS of my bills and not input 11 years of oxygen bills because: the computer will pay them as their manger said and would result in the offline ' dummy ' file they set up being brought on line with the official US dept of labor secured file on me in Washington that shows permanent medical benefits for my accepted conditions. Which the Medicare judges were able to obtain, but not my claims examiner nor the bill paying unit at Affiliated computer systems.
I'm in this life threatening situation due to felony destruction of my files in the Dallas regional office before Affiliated computer services took over as a result of the criminal investigation of the regional office and laxity of security on multiple claimants files. 4 years of my life were taken out' of the file so that my file could be overturned as it made it look like I didn't return to work in 1990. The hearing office remanded the case and neglected to make the needed statement to ' set aside that erroneous decision.' Finally the last three judges at ECAB did say the ' magic words' so that wage loss can be reinstated. They had the CSR applications and statements, all the other pertinent info and again reminded OWCP of the many issues in file needing initial decisions.
Nothing that the judges ordered have been done. especially for you to ask ME for the " fact of the case' as they knew no one knew what was going on and was only getting bits and pieces from ACS.
Why do I, the claimant have to make the US dept of labors contractor obey the terms of a govt contract which would not be legal if all persons weren't treated equally. Their job is to post the various pieces of the file that come from all directions, whether, me or the highest judges in the agency. They are not to refuse to set up my basic file and make it disappear as what happened in 6/2004 when 35000 pages of the reconstructed file arrived from the appellate judges at ECAB and ' walked out the door to be worked but not before, as few misleading pieces were posted to manipulate the outcome.
With permission from the Secretary of Labor, I was permitted to use the 1-800 number at the ACS Tallahassee Fl office and we put claim numbers on every piece, and redid all the out of pocket bills and travel vouchers back to 1989 on the new forms so they could be paid, only to have the boxes they sent up to the London Ky ACS office, again disappear. Since then multiple times, documents have been sent in only to have them never reach the claims examiners to review and make decisions based on the ' facts of the case'
Remember ACS has ' decided to lie to every medical provider and supplier and other parties with interest in the case and say the case is closed when it obviously isn't or you wouldn't be trying to decide a permanent disability without the extensive documentations in the file. Exactly what schedule award is being done? The entire list of accepted conditions has not yet been determined as no ca1or ca2 has had an initial decision since the 1990's. This is a progressive disease with long term side effects of approved medications, etc.
HOW CAN THE FILINGS GET TO THE CLAIMS EXAMINER? Can't you ' control' your contractor and order them to treat every claimant equally and stop discriminating against me, an elderly, disabled woman, whose religion is to value all life, including mine.
After years of this, I wrote numerous certified letters that were never answered and left messages. how can i get the facts of the case, i. e the file you should already have in front of you so the various items can get worked,.
A few weeks ago, i discovered on your web site, I could now file a CA1 , and ca2 with your office. I have a injury that was secondary, tertiary to the original accepted conditions and sent them to you and they were received by your office. However, you never got them and probably never will as is the usual situation. They were immediately set to ACS in London Ky to add to a non existent computer claims file. If one saw only the filing, out of context of the entire file, it may make little sense to some not familiar with the medical consequences of 22+ yeas on cortisone steroids and the prior similar type claims never answered either.
There is nothing to file with ECAB as you haven't reviewed the filings yet and The judges will just send you another remand to work the case. I fell with unfilled prescription as suppliers have to know who will be paying out of my three health plans and the diagnosis listed is the accepted one at owcp. They have called ACS and gotten lied to. ACS is the ' third party?' Once, they were promised the file was being set up up a few years ago and it never was. Some of the call center ACS employees are aware they don't know what is going on, others have not been informed to tell the truth, that the file isn't set up so medical care will continue to be obstructed. That's not the terms of ACS's contract at all to discriminate and manipulate outcomes of claims decisions. Contract wouldn't be legal if it did.
I have suggested in the certified letters, to pay current wage loss since the reason for suspension was now officially set aside by your highest judges, that no other interested party, my agency nor you appealed. Then call Lincare and make it right for the lies to them that I'd received some humongous settlement that included the monies to pay them causing the monopoly oxygen supplier in my areas to cease service: another death panel decision. They of course want paid and the invoices are in the file and never processed. They bought out Health Connections and now have the contract with you and payments are not being made since the buy out.Arkansas Blues did pay, duplicate, for some of the months and continued to do so until Ill Blues took over in my area and decided to post erroneous info that no owcp exists and dumped the bills on to Medicare's contractor, Palmetta GBAwho balked at paying owcp's bills until Cigna took over and paid the invoices they had ( many were destroyed by palmetto gba whose parent company has just bought cigna govt services out. ) They sent them to the recovery unit who had sent out some collection letters to owcp in ' 05 and 07 and these were sent to you in '08 and ignored on other obvious bills. I filed an appeal for an enforcement of the collection and the Medicare judges got the internal documents you can't seen to be able to access. Its posted bi-weekly to the Medicare computer and no one is to alter it per Medicare's coordination of benefits a subsidiary of Group health , who maintains it for the entire country and all who have a Medicare card. They are in violation continually of their US Dept of labor contract which adds to the obstruction and is engaged in a theft of the Medicare trust fund when all claims should be coded conditional payments and sent to owcp to collect the monies back and stop this on -going discrimination.
On 9/29.,2010, Judge Gilda Morrison, appellate judge on case m09.1406 upheld the two Administrative law Judges ruling that owcp and fed blues were primary to Medicare ; but ruled that owcp is to pay the oxygen bills, i.e. owcp needs to review all my bills first and either pay if for accepted conditions and then notify providers on others that the medical issues are pending for acceptance and to let fed blues and Medicare pay but code for a future decision and repayment to them should they be accepted. None of the constitutional and logical processes are occurring which puts my life at great risk and me paying out of pocket for life sustaining medical care with approval for life by owcp. and spending monies to file and refile papers that never get reviewed in defiance of judges remand after judges remand.
Ms. Davis and Ms. Stark are new to this case and when Lynn Blodgett, President and CEO of ACS came over to you with the letter I had sent him and published at washingtonpost.com to him in early '09; he ' neglected to inform you that his London Ky office was and had been refusing to set up my computer file. This is a real he said, she said but the result is my claims examiner is still being giving bits and pieces of a file and a manipulated result. No one should infer your letter of 3/28/2010 that this concerns any other issue but the 1996 schedule award, on which condition? and since you apparently never read the 2/09 judges remand nor the many letters I' d sent requesting some system to reconstruct the facts of the case,i.e. the file; you obviously had everything withheld from you by ACS so that they now control judges and claims examiners and what they can do. This company could set up a $0 balance ATM card and ask the state of OK to maintain it for 2 years when no welfare benefits were due, but can't set up my life sustaining computer file for the US dept of labor.
As a result of a recent speech by Secretary of labor Hilda Solis, I filed a contract compliance complaint with the US dept of labor in Washington d.c and a civil rights complaint's against them and Medicare coordination of benefits for altering the official records continuously for a decade, both of which are the US dept of labor's contractors that have gravely discriminated against me and my right to live. Then, your letter arrives as a result of the filing? is this to be construed as a retaliations by ACS, for ' feeding you a few pages, again? Medicare coordination of benefits doesn't remove the owcp, they just got involved in a ' ricco' situation (US atty's words) where Trailblazers and others used phony Medicare claim numbers and altered diagnosis codes to circumvent the security, from the us dept of labor, on my real claim number that kicks back the bills as owcp's required they be processed as conditional payments and collection letters sent to owcp for repayment. Routinely ignored by ACS, this time passed on to you?
This is a reconsideration request AND a request for a system to be set up to present to you the documentation, etc and other matters that are pending before you , but withheld by your contractor which I now consider a retaliation as well as on -going discrimination.
ARE YOU REQUIRING ME TO SUE AFFILIATED COMPUTER SYSTEMS ON BEHALF OF THE US DEPT OF LABOR? If so, will your legal counsel fully cooperate and will you be fully cooperative in providing documentation and testimony and finances to do so so that the discrimination and retaliation will cease and my approved bills will be paid and other benefits paid as approved and receive fairness and justice in the deciding of any other items before you and anything that may need to be presented in the future?
Linda Joy Adams
22+ year struggle for life on a non- controverted accepted, established case with permanent medical benefits under a laws that was past to prevent deaths when these kinds of abuses of power and discrimination's occur. REMEMBER: my file was feloniously ' riffled ' in the Dallas regional office that started this last 11 + year old life and death struggle.
ACCIDENT REPORT:
The phone calls today to verify the on-going discrimination has had a terrible toil on my accepted medical conditions and rest is badly needed, but this request had to be filed as there is no assurance that anyone will take their responsibility to my life and files to assist. I can't go to London Ky and post the files myself having nether the skills or authority to do so without further physical injury and exacerbation's of my accepted conditions. The physical theraphy has made a new discovery of a related injury; the atrophy? of muscles surrounding the diapraham. Since 1/10/89, I can only breathe from the ' stomach' as 'chest breathing' is no longer possible due to the extensive damage from the orignal injury. Recently read that the method of breathing I use, along with 24/7 Oxygen, is being widely accepted for this kind of injury. We no longer die in 5 years as my case proves. But every exacerbation reduces my longevity and its not fair and just for what is occurring to be happeinng, its illegal and discriminatory and unconstitutional.
525 Griffin St.
Dallas, TX 75202
Attn: Christina Stark regional office manager
Teresa Davis, Claims Examiner
I received a ' ludicrous' response to a 1996 request for a schedule award. Its not funny, but life threatening to take what seems to be a few pages from Medicare's collection unit contractor attempting to collect monies back to them for bills approved by federal workers compensation that you seem oblivious to because you don't have my file available?.You have numerous reconsiderations that have gone unanswered and also many ca1'. ca2's and ca2a's n file that have never had an initial decision even with 9 judges and 2 hearing officers pointing out they can't review something with no initial decision. In 2/09, if you had read the last 3 appellate judges remand, you would know, if you had the entire file available to understand the context as they do, that when they set aside the misinformation that I didn't return to work in 1990 even when documented with 240 EEOC complaints and EEOC sanctions for the tortuous and painful and physically harming ordeal I went through trying to work without the promised reasonable accommodation s that HHS said they should provide. HHS was the employing Dept over SSA and EEOC matters are still pending against them that have never been settled. When monies were sent me in mailto:'09@'05 from your offline office system, which raises a grave security issue, the claims examiner did not make decision on the ca1'. ca2's , ca2a' in file so that Social security, my agency in conjunction with HHS's personnel office could go ahead and do the leave buy back. This takes a formal decision from OWCP, even if SSA and I are in agreement.
Are you saying that US dept of Labor judges and claims examiners have no control over filings, or what you can see to render decision, that Affiliated computer systems is allowed to pick and choose what they want you to see and that includes judges' remand orders? ACS, who has not processed over 3/4THS of my bills and not input 11 years of oxygen bills because: the computer will pay them as their manger said and would result in the offline ' dummy ' file they set up being brought on line with the official US dept of labor secured file on me in Washington that shows permanent medical benefits for my accepted conditions. Which the Medicare judges were able to obtain, but not my claims examiner nor the bill paying unit at Affiliated computer systems.
I'm in this life threatening situation due to felony destruction of my files in the Dallas regional office before Affiliated computer services took over as a result of the criminal investigation of the regional office and laxity of security on multiple claimants files. 4 years of my life were taken out' of the file so that my file could be overturned as it made it look like I didn't return to work in 1990. The hearing office remanded the case and neglected to make the needed statement to ' set aside that erroneous decision.' Finally the last three judges at ECAB did say the ' magic words' so that wage loss can be reinstated. They had the CSR applications and statements, all the other pertinent info and again reminded OWCP of the many issues in file needing initial decisions.
Nothing that the judges ordered have been done. especially for you to ask ME for the " fact of the case' as they knew no one knew what was going on and was only getting bits and pieces from ACS.
Why do I, the claimant have to make the US dept of labors contractor obey the terms of a govt contract which would not be legal if all persons weren't treated equally. Their job is to post the various pieces of the file that come from all directions, whether, me or the highest judges in the agency. They are not to refuse to set up my basic file and make it disappear as what happened in 6/2004 when 35000 pages of the reconstructed file arrived from the appellate judges at ECAB and ' walked out the door to be worked but not before, as few misleading pieces were posted to manipulate the outcome.
With permission from the Secretary of Labor, I was permitted to use the 1-800 number at the ACS Tallahassee Fl office and we put claim numbers on every piece, and redid all the out of pocket bills and travel vouchers back to 1989 on the new forms so they could be paid, only to have the boxes they sent up to the London Ky ACS office, again disappear. Since then multiple times, documents have been sent in only to have them never reach the claims examiners to review and make decisions based on the ' facts of the case'
Remember ACS has ' decided to lie to every medical provider and supplier and other parties with interest in the case and say the case is closed when it obviously isn't or you wouldn't be trying to decide a permanent disability without the extensive documentations in the file. Exactly what schedule award is being done? The entire list of accepted conditions has not yet been determined as no ca1or ca2 has had an initial decision since the 1990's. This is a progressive disease with long term side effects of approved medications, etc.
HOW CAN THE FILINGS GET TO THE CLAIMS EXAMINER? Can't you ' control' your contractor and order them to treat every claimant equally and stop discriminating against me, an elderly, disabled woman, whose religion is to value all life, including mine.
After years of this, I wrote numerous certified letters that were never answered and left messages. how can i get the facts of the case, i. e the file you should already have in front of you so the various items can get worked,.
A few weeks ago, i discovered on your web site, I could now file a CA1 , and ca2 with your office. I have a injury that was secondary, tertiary to the original accepted conditions and sent them to you and they were received by your office. However, you never got them and probably never will as is the usual situation. They were immediately set to ACS in London Ky to add to a non existent computer claims file. If one saw only the filing, out of context of the entire file, it may make little sense to some not familiar with the medical consequences of 22+ yeas on cortisone steroids and the prior similar type claims never answered either.
There is nothing to file with ECAB as you haven't reviewed the filings yet and The judges will just send you another remand to work the case. I fell with unfilled prescription as suppliers have to know who will be paying out of my three health plans and the diagnosis listed is the accepted one at owcp. They have called ACS and gotten lied to. ACS is the ' third party?' Once, they were promised the file was being set up up a few years ago and it never was. Some of the call center ACS employees are aware they don't know what is going on, others have not been informed to tell the truth, that the file isn't set up so medical care will continue to be obstructed. That's not the terms of ACS's contract at all to discriminate and manipulate outcomes of claims decisions. Contract wouldn't be legal if it did.
I have suggested in the certified letters, to pay current wage loss since the reason for suspension was now officially set aside by your highest judges, that no other interested party, my agency nor you appealed. Then call Lincare and make it right for the lies to them that I'd received some humongous settlement that included the monies to pay them causing the monopoly oxygen supplier in my areas to cease service: another death panel decision. They of course want paid and the invoices are in the file and never processed. They bought out Health Connections and now have the contract with you and payments are not being made since the buy out.Arkansas Blues did pay, duplicate, for some of the months and continued to do so until Ill Blues took over in my area and decided to post erroneous info that no owcp exists and dumped the bills on to Medicare's contractor, Palmetta GBAwho balked at paying owcp's bills until Cigna took over and paid the invoices they had ( many were destroyed by palmetto gba whose parent company has just bought cigna govt services out. ) They sent them to the recovery unit who had sent out some collection letters to owcp in ' 05 and 07 and these were sent to you in '08 and ignored on other obvious bills. I filed an appeal for an enforcement of the collection and the Medicare judges got the internal documents you can't seen to be able to access. Its posted bi-weekly to the Medicare computer and no one is to alter it per Medicare's coordination of benefits a subsidiary of Group health , who maintains it for the entire country and all who have a Medicare card. They are in violation continually of their US Dept of labor contract which adds to the obstruction and is engaged in a theft of the Medicare trust fund when all claims should be coded conditional payments and sent to owcp to collect the monies back and stop this on -going discrimination.
On 9/29.,2010, Judge Gilda Morrison, appellate judge on case m09.1406 upheld the two Administrative law Judges ruling that owcp and fed blues were primary to Medicare ; but ruled that owcp is to pay the oxygen bills, i.e. owcp needs to review all my bills first and either pay if for accepted conditions and then notify providers on others that the medical issues are pending for acceptance and to let fed blues and Medicare pay but code for a future decision and repayment to them should they be accepted. None of the constitutional and logical processes are occurring which puts my life at great risk and me paying out of pocket for life sustaining medical care with approval for life by owcp. and spending monies to file and refile papers that never get reviewed in defiance of judges remand after judges remand.
Ms. Davis and Ms. Stark are new to this case and when Lynn Blodgett, President and CEO of ACS came over to you with the letter I had sent him and published at washingtonpost.com to him in early '09; he ' neglected to inform you that his London Ky office was and had been refusing to set up my computer file. This is a real he said, she said but the result is my claims examiner is still being giving bits and pieces of a file and a manipulated result. No one should infer your letter of 3/28/2010 that this concerns any other issue but the 1996 schedule award, on which condition? and since you apparently never read the 2/09 judges remand nor the many letters I' d sent requesting some system to reconstruct the facts of the case,i.e. the file; you obviously had everything withheld from you by ACS so that they now control judges and claims examiners and what they can do. This company could set up a $0 balance ATM card and ask the state of OK to maintain it for 2 years when no welfare benefits were due, but can't set up my life sustaining computer file for the US dept of labor.
As a result of a recent speech by Secretary of labor Hilda Solis, I filed a contract compliance complaint with the US dept of labor in Washington d.c and a civil rights complaint's against them and Medicare coordination of benefits for altering the official records continuously for a decade, both of which are the US dept of labor's contractors that have gravely discriminated against me and my right to live. Then, your letter arrives as a result of the filing? is this to be construed as a retaliations by ACS, for ' feeding you a few pages, again? Medicare coordination of benefits doesn't remove the owcp, they just got involved in a ' ricco' situation (US atty's words) where Trailblazers and others used phony Medicare claim numbers and altered diagnosis codes to circumvent the security, from the us dept of labor, on my real claim number that kicks back the bills as owcp's required they be processed as conditional payments and collection letters sent to owcp for repayment. Routinely ignored by ACS, this time passed on to you?
This is a reconsideration request AND a request for a system to be set up to present to you the documentation, etc and other matters that are pending before you , but withheld by your contractor which I now consider a retaliation as well as on -going discrimination.
ARE YOU REQUIRING ME TO SUE AFFILIATED COMPUTER SYSTEMS ON BEHALF OF THE US DEPT OF LABOR? If so, will your legal counsel fully cooperate and will you be fully cooperative in providing documentation and testimony and finances to do so so that the discrimination and retaliation will cease and my approved bills will be paid and other benefits paid as approved and receive fairness and justice in the deciding of any other items before you and anything that may need to be presented in the future?
Linda Joy Adams
22+ year struggle for life on a non- controverted accepted, established case with permanent medical benefits under a laws that was past to prevent deaths when these kinds of abuses of power and discrimination's occur. REMEMBER: my file was feloniously ' riffled ' in the Dallas regional office that started this last 11 + year old life and death struggle.
ACCIDENT REPORT:
The phone calls today to verify the on-going discrimination has had a terrible toil on my accepted medical conditions and rest is badly needed, but this request had to be filed as there is no assurance that anyone will take their responsibility to my life and files to assist. I can't go to London Ky and post the files myself having nether the skills or authority to do so without further physical injury and exacerbation's of my accepted conditions. The physical theraphy has made a new discovery of a related injury; the atrophy? of muscles surrounding the diapraham. Since 1/10/89, I can only breathe from the ' stomach' as 'chest breathing' is no longer possible due to the extensive damage from the orignal injury. Recently read that the method of breathing I use, along with 24/7 Oxygen, is being widely accepted for this kind of injury. We no longer die in 5 years as my case proves. But every exacerbation reduces my longevity and its not fair and just for what is occurring to be happeinng, its illegal and discriminatory and unconstitutional.
Wednesday, March 23, 2011
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.
Saturday, March 12, 2011
violations of civil rights page 15 @ HIPPAA to Billing
Received attached bills and primaries not billed according to these? ACS-shows no record of claims, Fed Blues has been paying claims recently since ILL State AG and US atty went after them and got $25 million for illegal "dumping" onto medciare which is what they did as soon as Ill Blues took over in TX and ACS took over for Federal workers comp. I advised in writing for you to call Regional office manager in Dallas for OWCP as she called me recently unaware of the continual problems that ACS had never set up my computer file and bring it on line with the Medicare computer that shows ( correctly) according to 7 federal judges that I have permanent owcp medical and should always be billed first. Also past claims all have to be reworked. I'd written and asked your legal dept about a false claims against Trailblazers that paid ever claim k to 1/06,17 times.*Nee your exact claims as billed and what you got back( many got it back on a phony claim #). This is on past written HIPPAA requests and is amended to include these claims. I've e-mailed info to Ms Mabrey on this recently. Civil rights and contract compliance complaints are pending on the contractors. * you have access to other patients whom similar has occurred according to witnesses.
Thursday, March 10, 2011
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.
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