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Articles Posted by usnavy_cop_retired

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  • What is the DOJ up to

    12/02/2017 4:40:59 AM PST · by usnavy_cop_retired · 48 replies
    ME
    What is the DOJ up to? Most FR readers are not into reading court filings. I will admit that most are boring to read if you don’t have a background in LAW. With that said, I like to read Supreme Court arguments and Cert applications. This one, https://www.supremecourt.gov/DocketPDF/17/17-130/21998/20171129155714442_17-130%20Lucia.pdf is what the Session’s DOJ appears to be attempting force all Federal Agencies to require their Administrative Law Judges, (ALJ’S), comply with the Appointments Act of the US Constution. For those that don’t want to read the full filing to the USSC, the basic argument of the Trump DOJ is that the...
  • Where is the LA Times daily poll

    10/31/2016 1:46:10 AM PDT · by usnavy_cop_retired · 51 replies
    self | 10/31/2016 | self
    It's now 2:45 AM in LA and the LA Times poll has not been released. Anyone know what is going on? Is it so bad for Hillary that they have to re tweek it?
  • An open letter to tricare

    11/17/2013 6:48:47 PM PST · by usnavy_cop_retired · 13 replies
    vanity | 18 Nov 2013 | Kenneth J. Fournier
    Gentlemen; It has now been ten days since typhoon Yolanda/Haiyan made landfall in the Philippines causing almost total destruction of Tacloban, Leyte, (and other towns in Leyte), Eastern Samar, (the towns of Guiuan and Basey were severely damaged), Baco City, Oriental Mindoro, towns in the north portion of Cebu, Capiz Province in Panay, and many other areas. On 10 November, 2013 I asked that Tricare provide administrative relief to Tricare beneficiaries residing in the path of typhoon Yolanda/Haiyan. Specifically I asked for a relaxation of rules for providers to be certified, (which is a unique Tricare policy that no other...
  • Tricare leaves thousands of beneficiaries without medical providers

    11/01/2013 9:01:16 PM PDT · by usnavy_cop_retired · 3 replies
    11/2/13 | Kenneth J. Fournier
    Tricare leaves thousands of beneficiaries without medical providers No, that headline is not hyperbole. It is true. In Angeles City, Philippines the two hospitals that beneficiaries are required to use, and the affiliated specialist at these hospitals, have cancelled their participation in the Tricare Demonstration Project, yet the beneficiaries are still required to use only these same medical providers for their medical care or forfeit reimbursement for their out of pocket cost for that care. Here are the details. On 1 January, 2013 Tricare started a Demonstration Project for beneficiaries in the Philippines. Tricare’s contractor, International SOS, (ISOS), was tasked...
  • Tricare mandates substandard hospitals for US Military Retirees in the Philippines

    11/07/2012 4:47:14 PM PST · by usnavy_cop_retired · 8 replies
    vanity | self
    Starting 1 January, 2013 US Military retirees and their families living in the Philippines will be ordered, (mandated), to use only doctors and hospitals that the Tricare Management Activity, (TMA), and their contractor, International SOS, (ISOS), have contracted with to provide medical care to retirees and their families in the Philippines. This is the roll out of the TMA Demonstration Project in the Philippines. The rules state that all retirees must use only the medical providers, (doctors and hospitals), that ISOS was able to beg to agree to be a contracted network provider. If the retiree uses a doctor or...
  • Is this the prelude to ObamaCare (TRICARE in the Philippines)

    10/11/2012 5:16:25 AM PDT · by usnavy_cop_retired · 17 replies
    kenneth J. Fournier | 10-11-2012 | Kenneth J. Fournier
    Is this the prelude to ObamaCare (TRICARE in the Philippines) If you are covered under Medicare and live in the City of Los Angeles you will soon be required to select a doctor from a small list of doctors who have agreed to Medicare’s new list of preferred providers. The list will have only one to three doctors in each of the 18 major specialties. Along with that, you will only be able to be treated at one hospital in the Los Angeles City area, (probably located in mid-town), and you will also be restricted to a small list of...
  • Anybody having this problem

    03/18/2012 5:11:26 AM PDT · by usnavy_cop_retired · 13 replies
    3/18/12 | kenneth J. fournier
    I tried to link to a newsletter from Dick Morris and got this notice every time I tried; 403 Forbidden nginx/0.7.65, anybody else having this problem. My internet in the Philippines is slow, but I have never received this code. This is the site I was trying to access; http://www.dickmorris.com/blog/
  • Tricare scrapping troubled system in Philippines to address fraud, military retiree care

    12/04/2011 12:37:02 AM PST · by usnavy_cop_retired · 20 replies
    Stars & Stripes ^ | 28 november, 2011 | Travis tritten
    The demand for upfront payment -- part of Tricare’s attempt to crack down on rampant fraud -- has led to a dangerous burden for veteran retirees, (snip) “A lot of guys know they’re sick but they won’t go to the hospital because their money is slated for other things,” said Jim Tyler, director of the Subic Bay Retired Activities Office in Olongapo, which supports local veterans. “They won’t find out what’s wrong and they die.” Tricare acknowledges that the Phillipines system is one of its most dysfunctional and troubled — so much so that the agency decided in September to...
  • Tricare’s new “closed network” for Tricare Sub-Standard Philippines;

    05/30/2011 11:14:47 AM PDT · by usnavy_cop_retired · 9 replies
    Kenneth J. Fournier | Kenneth J.Fournier
    Tricare’s new “closed network” for Tricare Sub-Standard Philippines; What we know and how it will accelerate the death of U.S. Military retirees By Kenneth J. Fournier (Kennyfour09@yahoo.com.ph) In an effort to cause more pain and suffering upon the U.S. Military retirees living in the Philippines, Tricare is now poised to implement, a new, extremely restrictive “closed network” for Tricare Sub-Standard in the Philippines. On top of tricare’s current inability to provide the promised, and legally mandated, medical care to retirees including the slow payment of claims, a requirement to use only Tricare certified providers listed on a provider list that...
  • Need help with CPT coding

    04/17/2011 6:19:34 PM PDT · by usnavy_cop_retired · 14 replies
    4/17/2011 | Kenneth J. Fournier
    I am in the process of filing an appeal on a Tricare claim that failed to pay the proper amount. I am in need of someone with medical billing background to tell me what CPT codes are used for a urine electrophor test and a serum electrophor test. I know that the CPT codes 84165 and 84166 are used but I also have read that there are several other sub procedures that are part of the billing for these test. Some that I have identified are; 86335, 86334, 86320 and 86325, but I am not sure if they are routinely...
  • Vanity, need help getting copy of court case

    11/30/2010 10:27:35 PM PST · by usnavy_cop_retired · 8 replies
    I hope I'm doing this correct. I am in need of a copy of a court case filed in the US District Court, Washington, D.C. I don't have the case # and I don't have PACER. The case is BERG v United States of America, et. al. This is not the Berg v. Obama case. This case is a lawsuit against Tricare. If anyone with Pacer would get me a copy, I will be in your debt.
  • Tricare Overseas. Retirees will see more out of pocket cost

    11/26/2010 11:58:36 PM PST · by usnavy_cop_retired · 5 replies
    11-27-2010 | James Houstma
    Open letter to all Military Retirees living overseas Recently in an email conversation with a Tricare Management Activity, TMA, employee she told me that what they have done to us is planned to be implemented around the world, so our plight over the last few years is about to be expanded. We are attempting to get service organizations involved in this and had a petition signature drive. I have the email if anyone wants to see it. When the Tricare Overseas Program was implemented it was done without any thought to local practices or customs and without any safeguards or...
  • Vanity, need lawyer to sue Govt contractor

    11/13/2010 2:00:39 AM PST · by usnavy_cop_retired · 8 replies
    Kenneth J. Fournier | 11-13-2010 | Kenneth J. Fournier
    I am a member of a U.S. Military retiree group in the Philippines. We need to find a lawyer or law firm that can assess a possible class action lawsuit against a government contractor. I can't give details in the open for fear of the facts prematurely becoming known. If anyone can help direct us to a lawyer that will be willing to look at our case, we would be forever appreciative.