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Monday, December 23, 2013

Daily Recap 12/23/1; Register and Vote in All Elections They Matter: : President Obama Born in Topeka

Incumbent Kris Kobach draws unusual attention to sleepy Kansas office of secretary of state - KansasCity.com click the link to a lengthy comment I posted re Sec of State, Kris Kobach, custodian of President Obama real birth record and the generator of all the voter restricion laws which are not needed if States could just check the data base used for e- verify with two fields added since Social Security, a Federal agency, has already established at the Federal level almost everyone's age and citizenship.

Currently, Social Security has been gravely ignored in getting folks signed up for the New Health care plans. For decades, they were the agency and I was part of all of this; to sign up millions of poeple for one program or another and to convert rolls, etc. They are the agency with a historical record of doing it well and getting the job done. And much of it was done without the many Teleersevice call centers that now exist. Why was this all contracted out to the very entities that have not served us well as my writings here have shown and has been documented with all kinds of problems.
Even the Health Insurance companies are complaining as their agents who are trained and bound by ethics and laws to be licensed from their states to do business are ignored in this process. Its their plans, ones are choosing from, isn't it?
But, these agents have to know what the health insuracne options are first, before any policy can be sold. When Part D Medicare came out, they were included but left out, as no one knew how Medicare plans in Part D prescription drugs would be coordinated with the Federal Employees plans and one had to sign up then find out if they wanted it after one found out what they paid or didn't pay for. .
Something we addressed in civil rights complaints with HHS Dallas Regional office whose manager Ralph Rouse has never allowed any of them to be ssen and answered. on this issue or any others raised and has caused a lot of harm to many as these issues need to be addressed and are legally still pending now.
The current coordination can be abysmal and is not happening. And those who have special help from the state should know, and usually don't; that the states' plans is subsidizing the Federal govt and not gettting any recovery under Medicare Secondary Recovery. No wonder statas we were told, but never in writing, that we paid the lower co pay of all the plans. and saw no bills that showed the other primary plan(s) either billed or what occurred re that. States plans already in financial distress are made more so as the federal govt contractors have sucessfuly gotten the stetes to pay bills that are not legally theirs as pharmacies are not equipped with access to soft ware to 'split bill.' and the atates' plans are paying for all of prescriptions at that full price since they are not allowed to negotiate bulk rates; as bills which belong to other primaries. This has been going on since 2006, and my attempts to get attention to it is ignored and causes us lot of filing and appeals to occur, but the plans are not allowed to deal with such appeals. by Congress. So the issue of Medicare going broke is a false one in light of all of this. At first there was no provision to recoer monies from a pprimay payer and now its still not occurring. How did that get left out of the original bill?
STATES: HR 1063 should result in a lot of big bucks getting returned to your plans coffers, and that law does matter in more ways than one thinks iit does. Its an underpining law that makes everything in health care work better and mroe fairly and with truth in healthcare and justice for all and takes the people's money back to help others who should be gettting the help..Problems with govt plans and govt regualted Federal plans has gotten increasingly worse since 1994 when enforcment of the laws ceased and all of health care has gravely suffered. .
Even Mighty Walmart can't straighten this out, and its why we have to have the full powers of the govt to enforce laws so the public monies are not stolen by greed and others allowed to manipulate computer softwares to blcck any proper payment by those legally repsonsible as the primary payer.
Often the patients is aware the wrong party has paid. and patient had liablity for the 'stolen' monies. HR 1063 puts this liability back on the govt as long as one poivides the info for all plans they have. Something still not implemented since suspension of the laws by the Sec of HHS Donna Shalala back in 1994 and started the downward ripple effect of disintegration of our health care system as on one had to 'play by the rules' any more and those wanting to get out of paying their already obligated bills as the primaries and liability insurers were allowed to proceed and loot the public health plans, especially Medicare, and in some case, even Medicaid with often no bills even coded for recovery and few recovery efforts done then and even now. .
Some basic porblems in our publicly regulated health care neede to be addressed before all of the USA comes under these entities who have not served us well so far. It makes a mockery of any health plan if no one has to obey the laws and have constitutional rights to file appeals and have issues addressed to show where additional changes should be made for best healt care outcomes and life sustained for all of us.
CONGRESSMAN ISSA CAME TO DALLAS
Somehow, I did not get the memo, or did not see it, if issued on line that last Monday there was a field Hearing in Dallas, Texas conducted by COngressman D Issa Chair of Gvot reform on some alleged illegal behavior that has come to light in getting folks signed up for the new health care plans. Officials from Medicare and Medicaid services were present according to the report.
All I know is over the last week several reminder memos have been issued by CGS. CGs is the the Partner (govt contractor) of Medicare that processes home oxygen claims for Medicare in my area. And used to be Cigna Govt Serviecs which was sold to South Carolina Blues over a year ago and South Carolina Blues is the parent company of Trailblazers which lost their contrcat with medicare in this region last year and the ones that paid my cliams back to 1/06, 17 times. And the hard evidence shows the medicare trust fund debited 17 times and the money sent to the Federal Reserve, but my medical providers only got one pay which was theft as Trailablazers did not code them as conditional for recovery to be made to the primary payers And they had faxed in requests for over a decade to have the offical posting from the US Dept of Labor altered ( addrssed by medicare judges and the posting from Dept of Labor was determined to be correctffrom, the internal documents which shows me still employed with Federal workers comp and Federal Blues as primaries to Medicare. Trailblazers and others have routinely before the judges appellate ruling on M09-1406 and since in definance of it had Medicare Coordination of Benfits, a subsieiary of Emblme Health International, formerly Group Health altered the legal aline up of who paid first , etc and broke the law, defied judges and violated the terms of their contract with US Dept of Labor in what my US Attornys' office calls a RICCO case, "the largest in the history of the USA and NO FEDERAl Law enforcement allowed to investigate the govt contractors as no money is allowed to be spent on such . So a trillion dollars gone from Medicare over this according to 500 named witnesses who helped document it at General Dynamics,(formerly Vangent) i.e. 1-800 Medicare and all thei hard work. which their contract says they are to do; went to naught and Medicare cut payments to ones doctor and hospital ital to make up the difference for the 'stolen' monies which HR 1063 would stop if implemented.
The Executive branch of govt is to carry out the laws passed by Congress and signed by the President acccrding to the US Constitution. Not done in 1994 and not to this date with a law that resurects the original one of 1981 and adds penalties to it for bad behavior!.
Mediare acan legally pay when these dirty tricksoccur, but it must be codied a condiitonal payment and a reocvoery letter and now coleltion is to occur and fines v can be applied ueven to the govt contractors if they keep it up.
According to the Reminder memos, from CGS, were laws and regualtions which of situations as I am currently going through in a life and death struggle. MEDICAL ABANDONMENT must be getting rampant among the large Medical Suppliers who now have a monopoly 'rights' to territories. I have found the dellvery persons very courteous and I treated them as such to except when they tried to drive off with the oxygen without warning. and leave me to die when cliams had never been filed as already approved then by the medcial documentation they didn't even want. I AM MEDICALLY ABANDONED THROUGH NO FAULT OF MY OWN, more than once do to illegal acts by those inside the govt and in the govts' partners'.
And , on advice of counsel, I called the police who made a large company leave me with oxygen to live and it was my police chief who said, if they take the oxygen he would be arrested for attempted murder. Something more horrendous and devilish is and has been going on in all of this. And the laws , in effect, to stop it have been ignored by all levels , even in the govt.
(I have had repeated some horrendous things rumored and gossiped by some with high authority which were not true and some should have had access to official files to know they weren't when they passed on the wrong info that has caused even more physical and financial harm and loss of rights to address the concerns. and that has caused even more problems for my family and I.)
Thanks for the internet and a way to share my own account of things including the offical filings with the govt. which usually get ignored with as no civil or constitutional rights to have an appeal answered nor a civil rights complaint even allwed to be read and answered. Back in 2006, when Medcially Abandoned the first time, I was able to get a small company to take over and All About Mobility served me well until the Govt decided to force all of the small companies out of business delivering liquid oxygen by the cheaper method of exchanging filled tanks. ( I can't tolerate the oxone emitting severely inflaming conentrators) .
Recalitrant Suppliers was in a memeo, too that addressed such repeat action suppliers as they are to be penalized for ths unethical behavior and viloations of the laws ;civil and if physcial harm occurs as a result, criminal as patients have died over this. The lorgest supplier has very courteous folk in ther lcaloffice, but at the very top they are forbidden to help me nor to send in cliams, and that makes no sense to me nor many others why they woudl do this.
When All About Mobibilty was fully paid, but did have to go through a lot of run around between the three plans for it to happen. But that is behind us and HR 1063 should ease this a lot as Medicare can be billed as a conditional pay and Blues has been the only reimbursement since the change in the regs since 1/08 as Medicare does not pay when no supplier and my request for Hearing on that issue has been pending for 5 years in the control of ACS there.
I file with Blues and get about 60% back which should be a 100% paid bill by Federal workers comp which put me on oxygen for life and when Medicare input the claims orignally they rejected saying primary payer. US Dept of Labor's IT dept said its locked in with a security lock so that no one could abuse authority and mess with it. Its the reason I have the permanent medical at Federal workers comp when the issue of work versus retirement has not baeen allooed to be reviewed since ACS took over and process that request with all documented medical history on accpeted conditions and secondary aand tertiary issues pending. yet. Some for years over this obstuction when no one at the US Dept of Labor is allowed to see the file, not even their own appellate judges many remand orders to process, pay and post t and ask me for the facts of the case as no one there has a clue what is going on since they don't have access to the file.
They don't even now there is a reconsideration pending for over 2 years on issues as CEO Blodgett won't allow them to have it. Nor do they know of the decade plus of oxygen claims pending to be input and process as his own manager and those formerly in charge said they would be paid and the order was to "Let her die" re me.
Implementation of HR 1063 woudl lead to recovery and action and forced processing of the claims and then Medicare will go after CEO Lynn Bolodgett of ACS- Xerox and 'make' him input and process the decade of oxygen claims for reimbursement which are currently legally pending and filed timely over the years, by me and All about Mobility has their cliams, they filed still pending , too. although paid 100% frm the other plans. Why is it the smealler comapnies , who can do it cheaper filed the claims and followed the rules and the large companies with lots of lawyers; legal help can't do this? .
Its why I ask, if the liblity insurer for the building, etc., where we were injured the same entity for them, too? What is really going on here? Do they not like this old, dissbled, woman who went to work one day at my Federal career job and found myself unable to breathe on my own for the rest of my life. due to some real negligence that occurred in too many ways. by those who wer to be loooking out for our safety at all levels.
PLUS a another reminder ( second time this year) Memo that once one is approved for life by Medicre no RETESTING IS NEEDED. In my case and a lot of others one is induced into a type of heart attack to prove one can't subsit with out the precribed oxygen In my case almost a dozen doctors have signed or concurred on the issue of medically needed. .
In order to get that low 88% oxygen saturation rate, one casues a heart attack kind. And NO DOCTOR is permitted by his malpractice insurer to do this if one is already on oxygen and doing as best as possible. In my case, on oxygen Sat rate is in the upper 90'S %. on the prescribed dose. It was only because I was already in physcial and medical distress off of prescribed level of oxygen last 7/13, that my doctors went ahead and ran the tests. And my cardiologist put an oxymeter on my finger along with doing an echo stress of the heart which showed the heart failure taking place from lack of oxygen, etc...
Medicare finally starts to address this dssue and its ignored, why?
SO, the Field Hearing was not about this. But the issue of Home oxygen and out of control companiesis pertinent to any health plan and goes aginnst any kind of medical or legal standards. I WOULD NOT BE ALIVE if Doyle had not found out how to get the oxygen out of defective tanks, etc. And my life is still being held together by Gorilla Tope and Krazy glue, and our son is still hauling tanks to the gas company where the suppliers get the oxygen for ther patients they do serve. as the only supplier Medicare allows to be in our areaaafter being MEDICALLY ABANDONED by them and the prior one a few years ago .
I then found a small medical supply company with 6 patients hwo did well for me and did it cheaper than the large companies could, and they were forced out of business with the second regulation passed 1/08 where they had to hire a respiratory technician in order to deliver a few tanks of oxygen each month. Something that makes no medical sense when they don;t have to do this to provide a concentrator which is less than the therapeutic level of oxygen and causes ozone to be sucked in to the lungs. Something which shuold be covered under a separate order for home health care if ones needs that type of care and not every oxygen patients does until closer to end of life.
In the modern era this can be years of living on home oxygen before that occurs. In my case, I have been on oxygen 18 years since injured 1/10/89 and it took Federal workers comp a lttle too long to get me on it, but when one has files inside govt agencies disapppearing in a felonious pattern of consistent behavior and notigng is done to stop it, ones health and life deteriorates and too many of my co workers have been reported to have have died from such acts. DEATH PANELS have existed for decades inside the federal work force and these issses of illegal abuse of authooity must stop before everyone esle comes under these some regulators and out of control govt contractors.
When Cigna Govt Servcies, paid the claims to my prior suppier, forced out of business to eliminate? competition along with all the other small companies in the USA before competitive bidding came in to create these monopioles; they were fully paid by insurance plans and CGS was the only ciais processor for medicre to send the cliams to Medicare Scondary Payer Recovery to ask for recovery from Fedearl workers comp which is the total primary payer but their contractor, ACS-Xerox refused and still refuses to set up my file. and has hidden from all agency officials that there is over a decade of oxygen claims unprocessed filed by me as the large companies who do contract with ACS, would not file them. . As their manager says, if they are input "they will be paid and the 'gig' will be up and they will have to pay all of my bills" as the Oxygen for life approval years ago automaticallly gave me permanent medical benefits under a 1988 law that is disregarded to stop abuse of power and authority which disregard have caused deaths and harm for injured federal workers with establieshed cases such as mine.
Plus the million dollars a head which ACS's own computers shows? has gone through the agencies and the federal reserve on the way to OPM has disappeared in a major suspected embezzlement ring and OPM's OIG Director Patrick McFarland has never been permitted to investigate and when monies to sustain lives has disappeared and where is it and who is doing it? Where did the Federal reserve send the money after it left the IT dept at US Dept of Labor?? MAKES MEDICAL ABANDONMENT AN EVEN BIGGER ISSUE.
AUDIT THE FED isn't just following the money trail. It mantains the right of life for each of us as too often monies not accounted for that go to them to be sent on to other agencies and other entities outside the govt is only known for sure by them if the intended party had the monies sent on and where they were sent to. No money, no health care is paid for, even when it has been paid for.
So, The election of Sec of Stete of Kansas has become a pivotal one for the nation and for those who still think President Obama is not eligible to be that which he always has been, but had the wrong state on his paper work.When one knows the truth and does nothing, all are denied rights and a grave diservice done to all of us.
One lesson in all of this, is at some point every baby has the right to know where they were born and some details of tiher parentage and studies and experts are available to help those who raise children to know the best way to do this and the right age. But at some point, eveyone has to get ther legal paper work in order in this modern era. If using e- verify and adding a ocuple of fields to it, aids us to easily be able to vote with out hassle, shoudln;' we use it. And then spend our time persuading each other whom to vote for and whether to vote yes or no on some ballot issue rather than trying to figure out how to disenfrise those who may not vote as we would like.
Linda Joy Adams 12/23/13 ( spell check not available again on this site.)

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