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    • Case manager's job us to assist the rating specialist with delaying your claim as long as possible, especially if the rating specialist can not think of a valid delay tactic.    Sometimes rookie raters can not think of a reason in the world to delay, and need help from CM.   In the event both can not figure out a valid dely method, the next best is to figure out an excuse to deny.   With Social Security, the CM is on the employee (social security) if the claim is delayed over 90 days, with VA, the CM complains to the VA employee if he gets too many claims done timely, and recommends retraining in the fine art of shredding Veterans evidence, then lying about it. 
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    • What role do case managers play in VA claims? I had a meeting with one about a month ago and they just asked simple questions about where I live and where I worked. Afterwards I began wondering exactly what they do in the process because I had never met with one until I filed for an increase in a claim.
    • Okay first off congrats on the 30%.  What was that for?  Secondly, the grinding of the teeth is going to be next to impossible since the VA rarely s/c teeth.  I filed s/c for my teeth due to my eating disorder and was denied.  Unless you have concrete evidence in your SMR's indicating the grinding of the teeth it's a crap shoot.  As far as the PTSD/MST since it is says "deferred" that simply means they are still working on it but they went ahead and at least s/c you for the 30%.  That is exactly what happened to me.  I was awarded 40% in June 2014 with my MH deferred and then in November 2014 they decided my MH and I went to 60%.  You will get the PTSD/MST I am sure....they are at least doing what I think they should be doing and getting the DBQ for the bladder issue associated to the MST.  Keep us updated!
    • I have a question and need some advice. I put in a claim for OSA in 2014 and per the award letter received in April 2015 I was denied. After the denial for OSA, I initiated a NOD to keep the claim open. On 18 August 2016, I looked in ebenefits and noticed they had given me a non-service connected (NSC) (pension) rating of 50% for OSA as a secondary to my service connected (SC) Sarcoidosis and Asthma. This rating didn’t appear until 18 August. Check ebenefits weekly. I called the regional office (RO) in Montgomery Alabama on the next day and I was informed that I had received the award in April 2015. The RO then explained that the VA says in their notes that they agree that I have OSA, but not due to my SC disability of Sarcoidosis and Asthma. I am SC for 3 disabilities, Sarcoidosis with Asthma, PTSD, and GERD. I have conducted research in the Board of Veteran Appeals (BVA) and found appeals g showing that other veterans had been granted SC for OSA for each of the disabilities that I have. In my opinion VA has acknowledged that I have OSA by giving it a rating of 50%. My goal now is to have it changed from NSC to SC. Is there anyone with experience in do so? If so, please lend me some advice.





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mjofdagame

Ankle Surgery

8 posts in this topic

if you never had anything but and ankle sprang in service. And now you have to have surgery on your right foot.Because of arthritis.But had surgery on right knee.Can you make it or get service connected? And what would be the percentage?

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so you had a spranged ankle in service and you had surgery on your right knee and now you have arthirits in your foot and they are going to operate on your right foot for arthritis and you want to get your right foot service connected and want to know what percentage it would be?or you want to get your spranged ankle service connected and want to know what the percentage would be?or you had surgery on your right knee and want to get it service connected and want to know what the percentage would be?

right?

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If you can show that the knee problem has contributed to the ankle problem you might get there. I don't think a sprained ankle will get you there unless you broke the ankle. I could be wrong.

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I see that you are showing 50% disability. Is this 50% for your knee? Is your knee Service Connected?

C'mon guy, we're fishin' here.

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so you had a spranged ankle in service and you had surgery on your right knee and now you have arthirits in your foot and they are going to operate on your right foot for arthritis and you want to get your right foot service connected and want to know what percentage it would be?or you want to get your spranged ankle service connected and want to know what the percentage would be?or you had surgery on your right knee and want to get it service connected and want to know what the percentage would be?

right?

Sorry so vague.Well i had surgery on my right knee s/c 10%.asthma 30% & flat feet 10%. So i guess my question is that the Va s/c me for djd 0% and now i have been diagnosed with arthritis in my right foot(the top of the foot) by the v. a. The V.A wants me to take surgery to fuse the bone together.For as the sprang ankle goes i have it my records but i broke my ankle before i got in the service.And i guess i meant would it be s/c for the surgery by the v.a and what percentage?

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The foot bone is connected to the shin bone. The shin bone is connected to the knee bone. the knee bone is connected to the...you get my point :o

If you have sc'd knee problems, then you most likely have a altered gate. There is mucho medical research out there that concludes that if a person has knee problems that have led to a altered gait, that will in turn lead to inflammatory foot diseases. Arthritis is a inflammatory foot disease.

I found this for ya, too! Plenty more of it to be found on the net.

Also, a sudden and traumatic injury such as a broken bone, torn ligament, or moderate ankle sprain can cause the injured joint to become arthritic in the future. Sometimes a traumatic injury will result in arthritis in the injured joint even though the joint received proper medical care at the time of injury.

Go for it! The first thing you need to do is get your VA doc to sign a "nexus" form linking the ankle sprain and the altered gait from the knee to the foot arthritis. This will be THE key peice of evidence (along with your SMR's showing the ankle sprain) in winning this claim. It will most likely be granted under dx code 5284 Foot Injuries, other, but may be granted under dx code 5003 Arthritis, degenerative. Either way I wouldn't expect more than a 10% rating, You might qualify for a convalescent rating after the surgery, which would be 100% percent for the duration of the necessary convalescence.

I had a plantar faciitis claim granted on this basis last summer.

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