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    • Craig Bash M.D., dba /Veteran's Medical Advisor, has an F rating with the Better Business Bureau based upon failure to deliver services.  Two complaints filed against the business since 2013, and failure 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. 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.  
    • 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  
    • cliff, I believe I was rated for pain. In myHealthyvet it is under  ICD-9-CM 719.47 In my August 2009 decision, REASONS FOR DECISION, it states; "An evaluation of 10 percent is assigned for findings of plantar fasciitis with complaints of foot pain with ambulation." FWIW, I had a LOD from when the injury occurred while running up hills during PT.  And treatment records while on active duty.  Both civilian and military. Anyway, thats how I got it, Hamslice, If I can help more, let me know..  





PapaJahn

Award Letter Received...confused

6 posts in this topic

Well, it finally happened.....

I received my rating letter and I can't complain! I do have a question that the VA (800#) refuses to clarify.

Background info:

17 April 09: Filed claim

May-Aug 09: Butt-load of CP exams

30 June 09: Retired USAF

24 Sep 09: Received check from US treasury...no annotation as to reason (assumed it was VA Comp)

25 Sep 09: Called VA 800# and confirmed check was first VA comp. Woman stated decision letter would soon follow.

28 Sept 09: Received decision letter...100% with SMC added, effective 1 July 09

Here's where I am confused...called 800# a couple of times and have gotten conflicting anwers.

The first page has my monthly entitlement amount- $$$$$, followed by the payment start date - Aug 1 2009.

The following page states: "Your payment begins the first day of the month following your effective date. You will received a payment covering the intial amount due under this award, minus any withholdings, in approximately 15 days. Payments will then be made at the begining of each month for the prior month. For example, benefits due for May are paid on or about June 1."

If logic prevails.....I was entitled to benefits for July, August and now September. Since the first check wasn't cut until 23 Sept it should have been for July and August entitlements....correct???

Well, my first check was equal to one months' benefit....which month it was for wasn't annotated on the check. So, I call the infamous 800# to seek clarification. Woman stated that check cut was for Aug and I wasn't entitled to July because of the "payment start date" wasn't until 1 Aug. After discussing MY interpretation of the letter, she backtracked, agreed, and stated another check had been cut and was in the mail. She stated Oct 1st payments hadn't been processed for anyone yet, so this check must be the other month of retro pay and I that I would receive another check on/about Oct 1st...3 months, 3 checks.

Great...issue solved...so I thought.

Got another check in the mail today...just as she promised. One small glitch....the check is dated for 1 Oct and is annotated with "09 Va Comp for Sep".

So, back to the 800# again, different representative. I repeat the process from the previous conversation.

The young man I spoke with didn't have a clue. At first he disagreed with me...then he agreed...then contradicted himself by saying the check received today was both back pay AND October's payment...A complete idiot. I asked if I could have his name and speak to his supervisor he said NO to both and I could just call back to get another representative. I repeated my position and he says "OH!" and agrees, once again. He places me on hold to double check and then someone else gets on the phone and "tells me how it is". I was stunned at her rudeness. She stated the check received today, dated 1 Oct is for my September entitlement. The previous check (dated 23 Sept) was for Augusts' entitlement and that I am not entitled to anything for the month of July, because my payment start date wasn't until Aug 1st. She refused to speak any further and hung up on me.

So, i guess their final position is that the start date of Aug 1st IS the same as the effective date and than I am not entitled to any comp for the month of July.

Soooo, for any of you patient enough to read through my ramblings...are my assumptions correct or are these VA reps correct? If I am correct what do I have to do to get the rest of my retro pay?

I really hope I made myself clear and thank anyone for their input on this issue.

PapaJahn

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Well, it finally happened.....

I received my rating letter and I can't complain! I do have a question that the VA (800#) refuses to clarify.

Background info:

17 April 09: Filed claim

May-Aug 09: Butt-load of CP exams

30 June 09: Retired USAF

24 Sep 09: Received check from US treasury...no annotation as to reason (assumed it was VA Comp)

25 Sep 09: Called VA 800# and confirmed check was first VA comp. Woman stated decision letter would soon follow.

28 Sept 09: Received decision letter...100% with SMC added, effective 1 July 09

Here's where I am confused...called 800# a couple of times and have gotten conflicting anwers.

The first page has my monthly entitlement amount- $$$$$, followed by the payment start date - Aug 1 2009.

The following page states: "Your payment begins the first day of the month following your effective date. You will received a payment covering the intial amount due under this award, minus any withholdings, in approximately 15 days. Payments will then be made at the begining of each month for the prior month. For example, benefits due for May are paid on or about June 1."

If logic prevails.....I was entitled to benefits for July, August and now September. Since the first check wasn't cut until 23 Sept it should have been for July and August entitlements....correct???

Well, my first check was equal to one months' benefit....which month it was for wasn't annotated on the check. So, I call the infamous 800# to seek clarification. Woman stated that check cut was for Aug and I wasn't entitled to July because of the "payment start date" wasn't until 1 Aug. After discussing MY interpretation of the letter, she backtracked, agreed, and stated another check had been cut and was in the mail. She stated Oct 1st payments hadn't been processed for anyone yet, so this check must be the other month of retro pay and I that I would receive another check on/about Oct 1st...3 months, 3 checks.

Great...issue solved...so I thought.

Got another check in the mail today...just as she promised. One small glitch....the check is dated for 1 Oct and is annotated with "09 Va Comp for Sep".

So, back to the 800# again, different representative. I repeat the process from the previous conversation.

The young man I spoke with didn't have a clue. At first he disagreed with me...then he agreed...then contradicted himself by saying the check received today was both back pay AND October's payment...A complete idiot. I asked if I could have his name and speak to his supervisor he said NO to both and I could just call back to get another representative. I repeated my position and he says "OH!" and agrees, once again. He places me on hold to double check and then someone else gets on the phone and "tells me how it is". I was stunned at her rudeness. She stated the check received today, dated 1 Oct is for my September entitlement. The previous check (dated 23 Sept) was for Augusts' entitlement and that I am not entitled to anything for the month of July, because my payment start date wasn't until Aug 1st. She refused to speak any further and hung up on me.

So, i guess their final position is that the start date of Aug 1st IS the same as the effective date and than I am not entitled to any comp for the month of July.

Soooo, for any of you patient enough to read through my ramblings...are my assumptions correct or are these VA reps correct? If I am correct what do I have to do to get the rest of my retro pay?

I really hope I made myself clear and thank anyone for their input on this issue.

PapaJahn

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Papa,

I'll try to explain this and I think when done, you'll be able to understand. I was somewhat perplexed, not unlike yourself, when I received my first check. My confusion was for the same reason as yours. However, after reading this letter a few times, the light bulb finally went on, to borrow the famous analogy.

"Your payment begins the first day of the month following your effective date. You will received a payment covering the intial amount due under this award, minus any withholdings, in approximately 15 days. Payments will then be made at the begining of each month for the prior month. For example, benefits due for May are paid on or about June 1."

This can be confusing as Hell. Your effective date is July, and payment, as stated above, will begin in August, the first day of the month. Your confusion, as it appears to me is that you believe you should be paid for July also, inasmuch as this is listed as the effective date. However, such is not the case. If you would have received your first payment in September, instead of August,you would have a legitimate claim for Sep and Aug, because payment was scheduled to begin in August, first month after the effective date. So, in essence, you have to think of July as merely a date for establishing all further payments and that July itself is not a month in which you will be paid for.

Still confusing, I'm aware, but I hope this helps somewhat anyway.

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I have been on SMC for the past 6 yrs been a 100% now I have recievd a 70% rating I have a appeal in for housebound should I do a new claim on the 100 and 70 or let it ride? Also in my award letter it stated they made a unmistakable era and they changed the statis to 38 usc 1114 subsection p and 38 cfr 3 350 f3 at intermediate between subsection 1 and subsection m what does this mean please

Edited by Lenkl

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Lenkl asked:

“I have been on SMC for the past 6 yrs been a 100% now I have recievd a 70% rating I have a appeal in for housebound should I do a new claim on the 100 and 70 or let it ride? Also in my award letter it stated they made a unmistakable era and they changed the statis to 38 usc 1114 subsection p and 38 cfr 3 350 f3 at intermediate between subsection 1 and subsection m what does this mean please”

The regulations for SMC should have been enclosed with the decision. There is more info if you google M21-1MR Part IV, Subpartii, Chapter 2, Section H.

I am confused too by your question. It looks to me like you sure do get a higher level of SMC than the “S:” award but did the VA's Clear and unmistakable error you said they referred to, give you more SMC comp

under SMC 'P 'or less under the intermediate level l, to M?

If their CUE on themselves didn't favor you, that might well be something to disagree with and include in any appeal.

Have they awarded you Aid and Attendance already?

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My appeal was for a higher level aid and attendance it has been in for three years I had a severe nervous break down being stuck in this bed and the pain I am in I am rated 100%post tramatic brain injury with complex siezure disorder 40% right and left loss of use of legs 50% loss of use of right upper body shoulder arm and hand 40%for broken pelvic I fell and they had to put a plate and screws in also 40%ddd for my back and 40% ddd in my neck I was given a increase of 70% for my mental depression What I need to know is do I make a new claim on the grounds of a 100% plus 70% or let the appeal go thru 2 or 3 more years. As I wrote I think I am a M the way they said it is the way I wrote it I also do not know how to ask or get to level N. Thank you for writing back.PS I have several 10 and 20% ratings I feel they do not matter so I did not break them down. Yes I have aid and attendance.

Edited by Lenkl
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