It does not say what the diagnosis was, or if it involved the shoulder, the elbow, etc. But, even if it was BOTH the shoulder and the elbow, I find it hard to believe that 100% would be awarded absent an x ray or mri documentation, without some major hankey pankey at the Regional Office:
Here is an example of a joint disorder rating:
5003 Arthritis, degenerative (hypertrophic or osteoarthritis):
Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In the absence of limitation of motion, rate as below:
With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations
With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups
Note (1): The 20 pct and 10 pct ratings based on X-ray findings, above, will not be combined with ratings based on limitation of motion.
Note (2): The 20 pct and 10 pct ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic codes 5013 to 5024, inclusive.
Based on this, absent x ray evidence, I dont see how she could possbly be rated above 20 percent.
Thats only 6 yrs at 100% with house bound (based on the current rate, obviously some adjustment would need to be made going back a few years for COLAs) I don't think she GOT that in retro, I think it was for the number of years over time she had collected
Hello fellow Vets, I am rated at 90% service connected disabled. I am also scheduled for surgery in February 2017, for a service-connected injury. I will have a joint corrected and bone surgery. I will also be in a cast or other therapeutic device for at least 12 weeks. I know that I will not be able to return to work, due to pain and other medical conditions. How do I go about getting my Doctor to give me a letter of unemployability in my behalf ? Thank You all in advance .
Something does not smell right here. They discussed a C and P exam in 2015, and that is not consitent with a 300,000 retro, since VA awards benefits on the later of the date applied or "facts found", often the C and P exam date.
Of course I dont know, but, based purely on this report, the Vetaran admitted to being a faker.
Its been my experience that if you do have some sort of disability like this, VA insists on documentation. In other words X rays or MRI's. I cant get even zero percent for my knee arthritis, even tho it DOES show up on the x ray.
This leads me to believe that its an inside job. In other words, one of her friends who worked at VA was a rater. I have not seen VA hand out ratings that generate 300 grand in retro without EXTENSIVE documentation, above and beyond the Veterans own testimony.
I think the VA should look at who rated this. The VA never trusts us on anything, so why did they trust this Veteran's statement??? Something smells very fishy.
If this gal is a faker..and she apparently admitted the same, then she deserves to be punished.
BUt, I have no idea how she got rated for a 300k retro on purely her statement to the doctor alone. The doctors take x rays, MRI's, etc., etc. If you look at the rating schedules, you will see that a joint problem that does not show up on x ray will be given a very minimal rating, if any. Probably 10 percent or less, and that wont generate 300 grand in retro.