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Wednesday, December 29, 2010

BILLING: Page 3

Those who have tried to 'persuade' billing personnel to circimvent the legal line-up as payments might be made faster; have often found themselves caught in a convoluted processed that has only caused a prolonged problem, underpayments in the amount paid and overpayment liablities when Medicare has paid primary. Lest one forget: Medicare officials don't make decisions on workers comp claims. One, documnted filing, shows that a high level CMS official told a billing party to ignore the OWCP claims that had just been filed on a new secondary issue.My attorney has always advised me that if a doctor refers to a condition as related to the accepted case; file a claim on any new diagnosis or related condition. Too many billing personnel have been badly 'led astray'  on whom to bill. Even the Medicare computer is only accurate @ 10 minutes every 2 weeks and then is illegally altered by the contractor that maintains it and get the official posting form US Dept of Labor. "Everyone has had it altered"  including Federal Blues, Vangent ( 1-800-Medicare), OPM, and CMS officials. None of whom has access to the official records. Too often, billing personnel have been erroneously advised to use a phony claim number to circumvent the Medicare billing computer. SSA and the FTC have tried to get them to shut the use of phony claim numbers down for years as its: misuse of ssn for 'theft.' Yes, high level officials have actually advocated 'theft.' And  criminal investigators are currently assigned as in 8/08, the 'local' claims processors started turning each claim into 17 and I have no evidence that any provider got and cashed the extra checks, yet the offline, hidden computer system shows they did. A System they ae not to be using and is hidden from even the contract auditors. The initial pays were for every bill back at least to 1/06 and the total by stealing my cliams and ID are @$4 million. I'm asking every large provider for assisstance on a false claims act as 500 witnesses state this is not just on my records and a large

Date of Injury: 1/10/1989

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