Pages

Sunday, August 30, 2015

: Linda Joy Adams: DAILY RECAP 8/30/15: 38 FED JUDGES ORDERS OPENLY DEFIED BY ACS ET AL:Pages 27-29 Medicare Hearing Brief case 1-3225833488: President Obama Born In Topeka 3Ks son of Jim T Parks

Linda Joy Adams: Linda Joy Adams: DAILY RECAP 8/29/15: 37 FED JUDGES OPENLY DEFIED BY ACS ET AL:Pages 24-26 Medicare Hearing Brief case 1-322583488: President Obama Born In Topeka Ks son of Jim T Parks  This is a series of oinks backwards of an actual brief filed with a recent Medicare hearing in which the judge was only allowed to rule on one issue that was already resolved but other issues remain from the same reconsideration and others filed not heard on the same issues over the last several years. that have placed me in a life threatening  situation and after reviewing records, its now 38 Judges rulings and orders openly defied which clearly shows we have no constitutional rights in this nation and judges  might as well go home if everyone is allowed to defy and ignore them and do what the contractors  tell them under Affiliated Services.
 (Affiliated Computer Services and their over 100 companies including ownership of the NSA snooper which on line info say they bought in 1999 at the same time Group Health took ownership of all our medical records in the USA and not under any HIPPAA law protections for privacy or to correct errors to prevent harm done especially in Emergency rooms when used for treatment that may not be ones true medial history. Congress has known of this for 9 years and done nothing  even when asked by presidential o=appointees or members of congress who  seem to allow big money to shush them up.  All got initially put in motion whole Congress was tracking a BLUE DRESS and reading a pornographic Starr Report instead of the laws they were passing?

And Group Health has owned  the Medicare  data and secret deal partnerships exist that are murky  at best to know who really owns who in this nation where the SEC is supposed to have budget to stop anti trust issues and that;s been gravely ignored  in the health care industry.

        Many have done illegal and unethical things with our files and if you have 'followed illegal orders, : I would  consider contacting legal counsel and turning states evidence for often you may be come the 'patsy' as occurred at OPM and falsification of back ground checks when the pattern of behaviors suggests its was from higher up. much higher.... .
     Whistle blower protections may well be not available since a subsidiary of Goldman-Sachs, and 'partner of ACS ET AL  HANDLES THE INTAKE ON THOSE.  And most fraud lines one  may contact are  now 'ethics ' Ines and the info provided goes right back to the one breaking the law.
      Over a year ago we caught them in collusion with Group Health; now Emblem Health International and often my primary payer Fed Blues is now on there as a supplement instead  on the COMMON WORKING FILE ( BILLING SYSTEM) they own and not under any civil or criminal govt oversight as no funding from  Congress. So At times the illegal soft ware run soon after the official posting from the US Dept of labor shows it that way instead of no Blues at all. as was the way it posts at first. Have not had any confirmation on others on my Blues policy, but it appears Blues is deleted altogether yet as Medicaid got dumped on for a bill recently and Medicare was to have paid second and Blues first. for that loved one, ACS ET AL COMPANIES ARE MANAGERS OF THE MEDICAL CARE PARTIES NOW...... CONFLICTS OF INTERESTS COULD NOT BE WORSE IN ALL OF THIS,. OFTEN THE DOCTOR, ETC DOES NOT EVEN UNDERSTAND THIS AT ALL.... AS THEY HAVE BEEN GRADUALLY KEPT SO APART FROM THE FINANCES , BUT ITS ALL DONE IT THEIR NAME AND ACS ET AL IS NOW DOING AUDITS AND COLLECTIONS AND DO YOU THINK THEY WILL BLAME THEMSELVES AND COLLECT FROM THEMSELVES?
 Code or treat any bill there is a question of who is to pay as a CONDITIONAL PAY AS IT REMOVES ALL LEGAL RISK FOR PROVIDER OR SUPPLIER AND PATIENT AND HEIRS. ITS SIMPLE. BILL MEDICARE  LEGALLY IF THAT IS DONE. ITS NOW THE GOVT;S  LEGAL JOB TO GET THE MONEY BACK . ITS TIME FOR THE US JUSTICE DEPT TO BE ON THE SIDE OF THE PATIENTS AND THOSE PROVIDING THE MEDICAL CARE IN ALL OF THIS AND STOP ANY FORMS OF COERCION  AND INTIMIDATION THAT ARE GOING  ON THAT  WE HAVE WITNESSES FIRST HAND.

 But since  basically every one's date of injury for workers comp is  at least over 25 months  later on the  system as it is  programmed to use the date of entitlement to part A Medicare end not the injury date, most workers comp is missed  ( or easily allowed to be missed) then  Medicare illegally pays the bills as they are not coded for a conditional payment and sent on to the recovery unit  AT EMBLEM HEALTH to get the money back from them, either now as in my case with permanent medical for over 21 years when put on liquid oxygen  for life or for a future approval for one just injured
MEDICARE IS BEING ROBBED BY ITS OWN PARTNERS AND NOTHING HAS BEEN DONE FOR OVER 15 YEARS SINCE I DISCOVERED THIS AND EVEN AGENCY IT'S AND OIG'S ARE DENIED ACCESS TO SEE IF THE SYSTEMS WERE PROGRAMMED WITH PROPER SECURITY PROTOCOLS TO STOP ILLEGAL ALTERING WHICH THEY CONSIDER A FORM OF HACKING ;   Does this mean that most of elected officials are committing 'treason; for allowing our nation to be robbed and illegal access given intentionally to those who are not to have it. for legal purposes?

      The  2008  remand order  to proves the rest of  the oxygen claims still pending and followed up on several times at the Medicare contractor has yet to be done and  we just sent them again with no answer. The primary will not pay as they are under CEO Lynn Blodgett of ACS et al for  their misinformation. AND THEY DO WHAT HE VERBALLY SAYS.  But its not the official records that posts and is accurate an the judges said was and nothing has changed. Those who would work my case at Blues and at Federal worker;s comp have no access to the official records on me and that IS INCOMPREHENSIBLE AT BEST AND AT WORSE INTENTIONALLY DONE TO ALLOW THESE ILLEGAL "DUMPING" ON CASES.  Almost every one else has access to do things or look.

  I  AM DOING THIS BECAUSE OF LIFE ON THE LINE WITH NO OXYGEN SUPPLIER AND DO NOT HAVE ONE AS THE TWO IN MY AREA HAVE BEEN DENIED RIGHT TO FILE A CLAIM WITH  FEDERAL WORKERS COMP UNDER TOTAL CONTROL OF CEO BLODGETT AT ACS SINCE 2002 AND ITS THEIR BILL.  FED BLUES IS UNDER CONTROL OF PRIME THERAPEUTICS ONE OF HIS COMPANIES THROUGH OPM ET AL CONTRACTORS AND MEDICARE HAS HAD TO PAY IN THE PAST AND AM APPROVED FOR LIFE.
   But the contractors are under CEO Blodgett also AND SUPPLIERS SIGN UP FOR MEDICARE WITH HIM, ALSO. MEDICARE NOW HAS  BEEN GIVEN THE  AUTHORITY UNDER HR 1063 TO ENFORCE
    ACS ET AL TO INPUT THE OVER 15 YEARS OF OXYGEN CLAIMS  THEY HAVE  FOR WORKERS COMP WHICH   FECA APPROVED ME FOR LIFE 21 YEARS AGO AND THAT IS THE ACCEPTED MEDICAL PROTOCOL FOR  THIS KIND OF TOXIC AND CHEMICAL  LUNG INJURY WHICH  MAKES ALL MEDICAL BILLS THEIRS. NOW.AS ONE NEEDS OXYGEN FOR THE ENTIRE BODY.

       This non processing of workers comp  oxygen claims has led to suppliers all over not accepting any job injury cases leaving injured workers with no right to breathe  and reports of deaths already as ACS ET AL SETS UP MORE COMPANIES AND TAKES OVER CONTROL OF STATE REGULATED WORKERS COMP IN THE USA .. ELECTED STATE OFFICIALS HAVE BEEN DUPED INTO THINKING WORKER COMP REFORM IS GOOD, WHEN REFORM MEANS DOING AWAY WITH ACCESS TO MEDICAL CARE  AND REAL HARM TO ALL.?
    The more powerful the employer the worse it may be for the one injured. And for Feds, we often get pitted up against billionaire landlords and required to file law suits on behalf of the taxpayers and we find ourselves with the govt on the side of the landlord and not the injured workers as we were black listed before we even got to medial care back on 1/10.89 and did not know that what was gong to happen was  more horrendous than the terrible injuries of life long consequences. no  matter what or how much each one get exposed to . Its progressive disease that have no cure but liquid oxygen can slow it down for a long life to be lived, But since 1/10.89 I have survived, but every deep breath is painful.  LIFE IS A BLESSING TO HAVE EVEN WITH THE PAIN. AND PRAY THAT THOSE DOING ALL THESE ILLEGAL THINGS WILL STOP IT AND PROCESS AND WORK THROUGH THE CHAOS CREATED BY THOSE NOT ALLOWING THINGS TO BE DONE ON ALL OF MY CASES IN MULTIPLE AGENCIES AND CONTRACTORS.  



      And its time for agency judges to make very clear orders  and rulings as too often its too easy to misunderstand them by those who do not wish to have the understood.  ITS WHY THE THREE APPELLATE JUDGES AT THE US DEPT OF LABOR SAID IN 2/09 TO ASK ME FOR THE FACTS OF THE CASE AS RUMOR AND GOSSIP HAD RUN AMOK AND LIFE AND LIVELIHOOD IS AT STAKE AND MY CASES ARE NO UNLIKE WHAT IS GONG ON ALL OVER IN ONE WAY OR ANOTHER.
    Prayers and good thoughts that everyone will help in any way you can to just do your jobs and work the cases and answer legal issues raised . Even if you deny some  part, If its what you are instructed to do by the agency then cite that and do it as it allows the case to move forward to  a higher level.  The agency appeal system and hearings are not to be adversarial at all, but help all interpret the laws and policies and see if they are applied fairly and its not to be playing games with lives.
    A judge at any level would not be ruling without the files and data as its been too easy for ACS et al to control the outcome by manipulating the lower judges access. The systems are hacked and in our cases we have submitted the evidence. But when several hearings appeared from other recent files without the documents submitted with it, we tried to get all in before the hearing , not know the judge was under orders not to even look at  what he had. as several of the many hearings never heard were included. The only issue heard was resolved but I am still paying a penalty for being employed and should not be and part B premiums are being collected twice for a matter that has had no judicial review for 30 years that I am aware of. The first issue , should have been resolved at SSA, but apparently

ACS ET AL IS DOING THESE NOW AND HAVE NO ACCESS TO KNOW OR HOW TO DO AN APPEAL AND ARE JUST IGNORING THEM? And this in incomprehensible,  for a judge to be not allowed to use judgement,  but he did say he could not.  And that is a matter of record, even if he did not answer my question of why where does it say that in the file  copy we got.  with the others included with no decisions on the part B matters.







                          Page 27 :Initial brief submitted for Medicare hearing 1-3225833488 (Items in parentheses added for clarification as documents are not posted and some personal  identifiers not posted publicly and starred)*



      The situation had gotten so bad that 'illegal dumping' that by 1980 the conditional payment law was passed. Linda has even signed referral  orders t the US Attorneys against H(ealth) insurers  (some0 would sell employer heath plans (group) to employers who had a significant group to be covered who had Medicare cards. And colluded to do the illegal dumping onto Medicare of the bills.

This got worse after Medicare and SSA split into separate agencies and SSA no longer  had an on site representative inside the claims processing contractors of Medicare so everything went 'to hell.' oversight of huge sum  of public money got  very lax.



                         Page 28



       The unethical health insurers did not like the con(ditional ) pay  law because it made everyone play by the rules again. This is an under pinning law that helps make  the whole (health) care system work and promote GOOD HEALTH CARE at the most reasonable cost.

        In 1994, Linda went to work and pulled a memo  to all employees of HHS from her mail box signed by Donna Shalala, Sec of HHS. She  did (2) things .

       She suspended enforcement of the conditional payment law and stating the insurance (industry)* could "police itself." Linda could not believe what she was reading and publicly stated to her co -workers : "What planet is this lady living on?"



                      Page 29



     Her second order was that HHS would no longer be involved in making decisions as to whether a person was employed or not for purposes of who would be the prim(ary) payer . Employers and agencies would provide the employment status and information about employment directly to the Medicare system.



(insurance and workers comp etc. was included and also for family members on the policies who had Medicare, etc.) as the worker's status decides who is primary for them.)*



   If anyone had a dispute with a posting  take it up with the employer making the post to have the(m)  change it if they did not believe  it was correct.



 (Linda and the judges  say the official posting form the secured system at US Dept. of Labor which has official jurisdiction of her is accurate and contractors have no right to hack and alter it and system should be secure to prevent it and is not.) Two primaries for her, Federal workers comp and Fed Blues and Fed Blues for Doyle and _______ are their primary.)*



              HR 1063 that was signed into law, by Pres(ident Obama ) 1/11/2013  did not change the executive order with regard to the postings.  It only put the onerous back on the Gov(ernment) to  enforce

===============================

Linda Joy Adams 8/30/15

No comments: