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    • Thanks to everyone that responded, or lack therof  The C&P examiner did read the notes that I had which was good because from the looks of the examiners face sometimes looked the examiner couldn't keep up with me.
    • Craig Bash M.D., dba /Veterans Medical Advisor, has an F rating with the Better Business Bureau based upon failure to deliver services.  Two complaints have been filed against the business since 2013, and the business failed to respond to either. I was promised I'd have my IMO in a month by Bash over the phone. Didn't happen.   Won't respond to letters, emails, etc. Doesn't seem to have a problem cashing my monthly payment checks though.. That's $2350 dollars for nothing that I've thrown away unless the IMO just so happens to fall out of the freaking sky one day.. I could have used that money and flown to Oklahoma City and had the Ellis Clinic do four IME's for $500.00 dollars and still had money in my pocket. Feeling really bummed out.  
    • Update 21, So, today I see a second addendum to my C&P exam in myHealthyvet. Looks like they wanted an explanation for my right foot Achilles problem.  I think the examiner did good by me. Anyway, now wait for eBenifits update, Hamslice  
    • Wow.. got my decision last Friday from BVA and was awarded EED from 2009.haven't received retro in bank yet! Also, part of my appeal was remanded for further development of TDIU.. I submitted a waiver at BVA hearing to have everything decided at DC. If anybody on this forum has gone through this experience please tell me if AMC would handle this Remand? why I haven't received retro?
    • Well here is more towards the original post and paramiding, This is what was referred, along with my left ankle.  Really need my left ankle rated at at least 10% so I can get the bilateral math help to get to 90. Anyway, "Please provide the following clarification: VA examination findings from VA Medical Center Iron Mountain, dated June 22, 2016 show that the examiner noted diagnosis of left Achilles tendinitis on foot and ankle examination. Also, imaging studies involving the right ankle indicate findings of right calcaneal spur with calcification of insertion of Achilles tendon. However, no diagnosis of the veteran's right ankle is shown. A review of ankle examination findings show that the examiner noted range of motion of the veteran's to demonstrate full range of motion. However, the examiner made no comment or assessment with regard to objective pain on motion with range of motion findings on examination. VA examination addendum from VA Medical Center Iron Mountain, dated August 1, 2016 show that the examiner provided a medical opinion stating that the veteran's right ankle condition is at least as likely as not the result of or aggravated by the veteran's service connected right foot plantar fasciitis. However, a review of the aforementioned examination findings note no current clinical right ankle diagnosis. Please review the aforementioned VA examination. Please clarify as to whether evidence supports a current diagnosis of a right ankle disorder. If so, please provide a diagnosis. If the evidence does not support a current diagnosis of a right ankle disorder, please so state. Please clarify as to whether there is objective pain on motion with regard to range of motion of the veteran's ankles. Also, please clarify as to whether the veteran's right Achilles tendon condition is a condition separate and distinct disability apart from right plantar fasciitis." RESPONSE: However, no diagnosis of the veteran's right ankle is shown. 1. Diagnosis is right achilles tendonitis M76.61 A review of ankle examination findings show that the examiner noted range of motion of the veteran's to demonstrate full range of motion. However, the examiner made no comment or assessment with regard to objective pain on motion with range of motion findings on examination. 2. Right ankle examination was normal, as was stated. ----------- [X] All Normal [ ] Abnormal or outside of normal range [ ] Unable to test (please explain) [ ] Not indicated (please explain) Dorsiflexion (0-20): 0 to 20 degrees Plantar Flexion (0-45): 0 to 45 degrees Is there evidence of pain with weight bearing? [ ] Yes [X] No Is there objective evidence of localized tenderness or pain on palpation of the joint or associated soft tissue? [ ] Yes [X] No Is there objective evidence of crepitus? [ ] Yes [X] No Also, please clarify as to whether the veteran's right Achilles tendon condition is a condition separate and distinct disability apart from right plantar fasciitis. Also, please clarify as to whether the veteran's right Achilles tendon condition is a condition separate and distinct disability apart from right plantar fasciitis. 3.Plantar fasciitis, a foot condition, is swelling and inflammation of the band of tissue that connects the heel bone to the toes, and can cause heel and sole pain. The Achilles tendon attaches the calf muscles to the heel. Achilles tendinitis, or tendinopathy, is an ankle conditon, caused by degenerative changes of the Achilles tendon that can manifest as swelling and inflammation, and can cause ankle and heel pain. They are separate conditions that may have similar symptoms. So, from what I see, they examiner was to opine the difference between plantar fasciitis and Achilles tendinitis. And I believe she did it. Now, well see if they are rated separate or together, plantar vs Achilles, Hamslice  





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Lady

Va Won't Pay My Husbands Hospital Bills

4 posts in this topic

Hello all, just wanted to know why the Va. will not pay the entire amount to the hospital my husband was in for last year after he had his heart attack. I called the number and told them in the right time frame. And he was 100% in threat for his life. I made sure I did everything they say you need to do to inform them, our doctor even told them he had to have this done now or he would not make it. I found the progress note in the many I have collected over the last 2years. It was a phone call from our doctor to the VA. and it says he would be approved and singed by chief medical officer of Fee services. And here is my question, the va has only paid a few thousand on a 65,000.00 medical bill. My husband had to go back the day he was discharged because of problems so he had a longer stay than normal, but the MILL/Bill , is only paying the hospital a small amount on the totlal cost, they (VA) told me the hospital has to take it and thats all they get. But the hospital says that s not true and of course want us to pay the rest of the amount off, over 45,000.00. My husband at the time of service at the hospital was 70%I.U. Is this right? Never heard of this before. Any one know the answer on this one. Thanks for all the information & help . Mary & Greg Ps. I wonder if they can put a lien on my home? I hope not. They want the money asap. HAHAHA, I have to laugh about because It is crazy!

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Hello all, just wanted to know why the Va. will not pay the entire amount to the hospital my husband was in for last year after he had his heart attack. I called the number and told them in the right time frame. And he was 100% in threat for his life. I made sure I did everything they say you need to do to inform them, our doctor even told them he had to have this done now or he would not make it. I found the progress note in the many I have collected over the last 2years. It was a phone call from our doctor to the VA. and it says he would be approved and singed by chief medical officer of Fee services. And here is my question, the va has only paid a few thousand on a 65,000.00 medical bill. My husband had to go back the day he was discharged because of problems so he had a longer stay than normal, but the MILL/Bill , is only paying the hospital a small amount on the totlal cost, they (VA) told me the hospital has to take it and thats all they get. But the hospital says that s not true and of course want us to pay the rest of the amount off, over 45,000.00. My husband at the time of service at the hospital was 70%I.U. Is this right? Never heard of this before. Any one know the answer on this one. Thanks for all the information & help . Mary & Greg Ps. I wonder if they can put a lien on my home? I hope not. They want the money asap. HAHAHA, I have to laugh about because It is crazy!

Lady,

The VA paid about 15% of the amount the hospital charged for my husband's emergency hospitilization, but we didn't get a bill for the remainder. Billing clerks sometimes don't realize how it works with a veteran, so you might have to explain that he is totally disabled and he was admitted for a service-connected condition, so you have no copays. Tell them it works just the same as it does with Medicare allowables, (except with Medicare you would have co-pays.)

Carrie

Edited by Morgan

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Lady,

The VA paid about 15% of the amount the hospital charged for my husband's emergency hospitilization, but we didn't get a bill for the remainder. Billing clerks sometimes don't realize how it works with a veteran, so you might have to explain that he is totally disabled and he was admitted for a service-connected condition, so you have no copays. Tell them it works just the same as it does with Medicare allowables, (except with Medicare you would have co-pays.)

Carrie

Dear Lady,

I as well have had to go to a local ER 2 times. I am 100% T&P. I ran into some of the same issues you are dealing with. I was told by the VA's nurse advice line to get to my nearest ER (I live over an hour away from the nearest VA medical Center). It is manidated by federal law (I do not know which law) that the hospital must write off all charges when dealing with a T&P disabled veteran. This will only happen if the vA ok's the ER or hospital. It sounds like you have a strong case in that respects. I always made copies of all bills I received from the hospital and sent them to the VA medical center. I hope this helps you. God bless you & Merry Christmas.

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I think I've seen a regulation in Part 17 of 38 code of federal regulations pertaining to payment of outside medical services.

Hello all, just wanted to know why the Va. will not pay the entire amount to the hospital my husband was in for last year after he had his heart attack. I called the number and told them in the right time frame. And he was 100% in threat for his life. I made sure I did everything they say you need to do to inform them, our doctor even told them he had to have this done now or he would not make it. I found the progress note in the many I have collected over the last 2years. It was a phone call from our doctor to the VA. and it says he would be approved and singed by chief medical officer of Fee services. And here is my question, the va has only paid a few thousand on a 65,000.00 medical bill. My husband had to go back the day he was discharged because of problems so he had a longer stay than normal, but the MILL/Bill , is only paying the hospital a small amount on the totlal cost, they (VA) told me the hospital has to take it and thats all they get. But the hospital says that s not true and of course want us to pay the rest of the amount off, over 45,000.00. My husband at the time of service at the hospital was 70%I.U. Is this right? Never heard of this before. Any one know the answer on this one. Thanks for all the information & help . Mary & Greg Ps. I wonder if they can put a lien on my home? I hope not. They want the money asap. HAHAHA, I have to laugh about because It is crazy!

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