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Friday, September 25, 2015

DAILY RECAP 9/25/15 PRAYERS FOR CONGRESS FOR US: President Obama born in Topeka Ks son of Jim T Parks

‘Why not today?’: How John Boehner decided to leave Congress 

All I wish is for all to pray and / or have good thoughts for our congress as they grapple with so many serious issues as has been raised in my blogs for the last few years. And why I got into using the Internet to share what I  and my family are going through in a system where those we elected to take care of business for us, have not served us well at all.

 I wish Speaker Beohner a future where he is able to serve the people in ways he has not been able to as Speaker of the House. May his soul be freed to do things outside of Congress for  good.  I knew him as a child, but not since and he rose to great heights in our nation and has faced huge money interests that we are in grave conflict with the teachings I know he received in church and Sunday School with teachers and pastors that were mine also. and  were the same as Pope Francis has been sharing in his visit even though I am not a member of his world wide flock, I am a member  of the universal church of Christ and a member of the human family as all of us are, even if our faiths differ or some have no faith. led by the common wisdom that in also in Christ's teachings.



                           CHANGING LEADERS IS NOT GOING TO MAKE SERIOUS ISSUES GO AWAY and not all there are going to agree with each other. Some will be managed from our side big money  that does not seem to care much for the constitutional mandate of " for the general welfare of the people and the security of the nation." We need to all start thinking ; outside the box' for solutions and not dis some who may suggest some things that seem far out or not.

For example the Saudi 'shiek'  who offered to by an island for all the Muslim refugees  from Syria, etc. to go to, is now seeming to have not been a bad idea. Supplies could have been given and taken there and they could have formed "a new nation." if they chose to do so. The USA has built electric grids and given so much only  to have it bombed and destroyed out of existence while our own infrastructure  crumbles and we lost power in the middle of the night again in our area. and there was no storm either.  That included the  only big truck stop for miles  only a few miles from here on the highway that is a main North- South route for big semis and so much is going South now in many ways to be put on ships to go to arm the Middle East just as in the Bible it says the whole world will be gathering arms and soldiers around Israel , but first against Damascus.

 Yahusha, whom we Christians call Christ Jesus, and through Him the world was created is my belief created us with free will and that HE does not change , we are the ones to choose what actions we take. It does seem that more of us who choose the wrong paths of death and destruction, may well need more and more of us to  help each other stand up against those that choose the bad, to choose the paths of life and   caring for one another.

At times it see that the revelations and warnings  of the Bible are a glimpse into the master plan of Satan and we are all being warned to not let it happen. and given guidance as to how to stop it.

I do believe there is a common wisdom that humans have  innately known from the beginning.  We have become  a diverse cultural human family and our faith paths have changed form one single truth of who we are  that  those here at the beginning knew and understood,. according to my faith book.

      So my prayers for Congress that  as they grapple over many issues of life and death,  they should not forget that we still have those among us who will do criminal and bad things and we, as a society  through them have to make sure we have people in place to stop thefts and worse from occurring. PLEASE GIVE OUR GOOD PEOPLE IN SIDE THE OFFICE OF INSPECTOR GENERALS FROM BUDGET TO STOP CRIMINAL AND UNETHICAL BEHAVIOR IN SIDE SOME OF THE GOVERNMENT CONTRACTORS .    Give them there constitutional rights of due process and  if they do not stop, cancel the government contracts they are violating. and either bring the duties back into the govt for govt employees to handle who are under civil and criminal over sight  or find another company who will uphold the laws  of the land as all contractors sign they will do and too many have not.


From J at Celerian Group partner of Medicare to day, I learned that my Federal blues is deleted off the system again. so where is my due process letter of appeal from Emblem Health International  that they cancelled my federal blues policy for self and family and my appeal rights. and why am I and the taxpayer still paying the premiums and  getting some pays from them, even if as secondary, when they are  a primary?. I thank them for agreeing to work for me and for all us.  when they were Cigna Government Services were   the only ones who ever paid the claims and sent them to recovery on their own and the recovery letters were ;disappeared; by Pres Blodogett of ACs et al who never showed them to any govt official.  at the US dept of labor. And those were the oxygen claims they paid and approved me for life. Sp even through they are now a subsidiary of SC Blues, will they again be the ones  who help carry out the 'laws of the land.?"
   But for some reason my initial invoices sent for over a year  ago and appeals have not been processed and she did not even show them entered in either. (another hacking deletion?)She did show my diabetic strips paid as primary  and did not know Medicare was secondary and of course FECA is on the system using the injury date of the first date of entitlement  to part A hospital Medicare and its not the same for nearly every single one who  has a job injury. and the security protocols were never programmed into  the system as the govt officials asked for to show the real injury date., But without any access to check it, they did not know that workers Comp has been being illegally dumped on to Medicare for way to long in this nation. Its been a MEDICARE FREE FOR ALL with illegal dump deals struck all over and this has to end.  and press releases going out that workers comp costs are down  under Pres Blodgett throughout the nation as all  are under him  AS MEDICARE IS PAYING THE BILLS NOW. If we are to have one health care plan  for all then CONGRESS HAS TO PASS THAT. but its not what we have had for decades..


    As I have reported here Celerian Group has had appeals and initial claims not processed for over a year.  I got another letter (EOB) from fed Blues to day that listed the oxygen claims for a period of time for last year, again and said they needed , again a letter from Medicare first. They  get their managed info from ACS et al and President Lynn Blodgett who  decides what   the  official facts should be and has had the Common Working File ( privately owned Medicare billing system) hacked into soon after the bi weekly posting from ones employer or agency  and my federal Blues deleted. most job injury cases will learn this has been done to them also, if they check, i have been under the US dept of labor jurisdiction since 10/11/94 when I went out on workers comp the last time. and my request for permanent disability  was pending when Pres Blodgett took over. with a hearing officers remand to process it.
    And he refuses to post my files in defiance of appellate Judges who have ordered him to do so and all are ask me for the  facts.  as "rumor an gossip has run amok" My letters  and follow ups used these with additional comments are posted with the  ' Linda Joy Adams" + "VIOLATIONS OF CIVIL RIGHTS page" there are now 53 filings called pages but each is more than one. there  are  three not posted and number 38 has two .  Prodigally  I go in and line them up in order on the side to access on this web site.

 I called Celerian to day to follow up since I had the letter. My employer group health plan  Fed Blues  can pay  some if the other plans do not.  They are told by Pres Blodgett there is no FECA and they have no access to the Common working file nor the official records,, as they get what Pres Blodgett wants them to have through his companies  over at OPM who also do not have access to the real official records  at OPM , either. to use. CONGRESS WHERE HAVE YOU BEEN FOR DECADES?> I had been getting about 60% reimbursement on my family hauling  200 lb oxygen tanks to the gas company to fill with liquid medical oxygen. which is approved or life for by all three plans as cannot tolerate safely the concentrator, (inflames the lungs and is not a therapeutic dose.). even injury cases can't get those either over this)

 But since 1/1/2014, Blues wants a response from Medicare. who does have me approved for life for liquid oxygen , but will not pay if there is no supplier and the Medicare Judges all said that this is Federal Employees Compensation Act bill. as they put me on it for life. Celerian also inherited from Cigna Govt Services has a Medicare judge remand to process /  and pay Rhema and Lincare's  and collect back from ACS et al for FECA.  on  the pending claims and that has been pending since  before 2008.
     So when the laws of the land are not obeyed then we suffer and some lose their lives and livelihoods over it. In fact its part of M09-1406 where the judgee did not change that remand order of the lower judges orders  on this. This blocks  us from going forward on this.  and I have heard of too many lives lost that maybe if my case had not been blocked like this, they might be alive. our system is basset on what one gets all get. In the Bible Christ calls  it "doing unto the least of these", but in our legal system its call 'precedent cases and all in the same group get equal rights and right now its denial of rights and life itself  for too many.

I did have issues talking to any one at first as they are not permitted to talk to a beneficiary . But I, the beneficiary  have to file the 1490 S and attach the invoices . and they are to legally process them. They will given me a summary notice that lists the oxygen refills and then says they cannot pay because there is no supplier. I currently have a request for hearing at Medicare and have not had such since 2010 to get a ruling that to not pay is unconstitutional when one has a monopoly supplier in ones area and they can still refuse service even if approved for life as I am with all three plans. Like M09-1406,
    A judicial ruling is needed  , even if that  judge cannot overturn an unfair executive order or a bad law or regulation. This gives congress, a federal judge saying it. And clearly showing it with all the legal citations so they will have to face that people are dying over what they have allowed to be done in the nation. And change some laws to correct it if the Sec of HHS does not. She can with new regulations that brings oxygen use in to the 21st century as its still in the dark ages medially. and even  though its one continuous bill, its still much cheaper than many hospitalizations and  certainly cheaper than many prescriptions to day. if filled tanks are just exchanged.

       OXYGEN SUPPLIERS HAVE BEEN REFUSING SERVICE TO ALL WITH A JOB INJURY AS THEY CANNOT GET PAID FOR OVER A YEAR, ETC. i called all in 100 mile radius and hear reports, etc.  not just me, its no workers comp for any form of oxygen as they cannot do what the govt refuses to do let them be paid timely by someone

 Oxygen is a big issue under labor law. getting it approved by workers comp of any kind gives  one permanent and 100% medical coverage for all bills, not just oxygen or lungs etc.   One can not heal with out it.  For some reason its been kept a BIG SECRET from even some attorneys in the field who do not understand the total implications of such a treatment being approved for life. and real skulduggery can go on to stop one getting the treatment to stay alive as its total health care for the rest of ones. life.  And one can now be on it for decades and some may even be able to do some kinds of non exertional  work early in a progressive diseases.  ANY ONE WITH A TOXIC INHALATION INJURY SHOULD FIND OUT WHY THEY DO NOT HAVE HOME LIQUID OXYGEN PRESCRIBED FROM DAY ONE. IT MAY BE THIS UNDERHANDED EVIL THAT IS GOING ON AS OCCURRED IN MY CASE  And why I have only been on it 21_ years and not since 1/10/89. do not forget , your doctor works for the govt or workers comp carrier. and even a second opinion will not help since all are under Pres Blodgett's management control. now. thinks to Congresses. past and present.

        HR 1063  does not give authority for the govt to interfere  with the merits of a workers comp case,, but IT CAN FORCE TIMELY ANSWERS TO A CLAIM FOR OXYGEN  so if its not paid, then other health plans can be asked to pay and the patient has appeal rights from all. An oxygen supplier can then get some kind of pay within a few months, not a few years,  as they get blocked until workers comp answers.

What has been going on is that Pres Blodgett and ACS et al has refused to process any of mine since they took over FECA in 2002. Until  within the last few weeks.  Now they do acknowledge they got the claims, but  they are using some find of dummy file and using 9999's etc for codes  and have done a few, and we have resent all from the back years again , also even for Lincare and Rhema who are their 'partners' and were denied the right to submit the claims  but I did  to protect the filing dates. and have persistently  followed up. letters to them are also in the "violations of civil rights"

         HR 1063   revives the  RIGHT OF THE GOVT TO ENFORCE THE MEDICARE CONDITIONAL PAY LAWS.that were suspended in 1994.saying that the insurance industry could 'police itself.' and the health care industry began to disintegrate into a collapse as this is an underpinning law that makes all behave. throughout the system.

 But first all have to have  our claims labeled as a conditional payment and sent to the recovery unit which is under management info of ACS et al. but it is the process an they must obey the law or  CONGRESS NEEDS SOME MONEY GIVEN TO OUR OIG'S TO STOP A REAL SILENT HOLOCAUST GOING ON RIGHT NOW   where people's lives are being threatened to end before the time appointed by our Creator.   None are to die at the hands of others. 

Congress you have lots to do  to make things right for all of US/ We pray for your success for your success is ours.

Linda Joy Adams 9/25/15

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