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pwrslm last won the day on January 30 2019
pwrslm had the most liked content!
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372 ExcellentAbout pwrslm

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Rank
E-8 Senior Chief Petty Officer
Previous Fields
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Branch of Service
Army
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Medicare Part B (Medical Insurance) The eligibility rules for Part B depend on whether a person is eligible for premium-free Part A or whether the individual has to pay a premium for Part A coverage. Individuals who are eligible for premium-free Part A are also eligible for enroll in Part B once they are entitled to Part A. Enrollment in Part B can only happen at certain times. Individuals who must pay a premium for Part A must meet the following requirements to enroll in Part B: Be age 65 or older; Be a U.S. resident; AND Be either a U.S. citizen, OR
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PTSD claim accepted. MST deferred. What does this mean
pwrslm replied to LadyMC's question in MST - Military Sexual Trauma
PTSD requires a stressor to get approved. Unless you submitted more info on a different stressor, then it had do have been approved based on your evidence of MST. MST is not a rating, it is a stressor, the event that caused the condition. Wait till you get your decision letter to unravel this. Lots of mistakes in communications can happen, so as soon as you got it in writing, you can validate what the VSO told you. -
DMII
pwrslm replied to john999's question in Appealing Your Veterans Compensation Disability Claims NOD, DRO, BVA, USCAVC
My PCP sent me to physical therapy for a Functional Capacity Evaluation (FCE). They yanked and pulled and stretched me out in every conceivable way to figure out if I was capable of working. If you can get one of these that shows the effects of DMII on your upper/lower extremities, which restrict your ability to function, it may go a long way in persuading a Dr. to give you a positive report for the claim. If the rating official did not have an answer because the C&P examiner omitted that, the FCE would document the omission. -
Fighting a bad C&P medical opinion.
pwrslm replied to pwrslm's question in VA Disability Compensation Benefits Claims Research Forum
So far, I have used this in all initial claims since my first one. I think it persuades the C&P examiner more than the RO. -
CUE turned into an Appeal now SOC
pwrslm replied to paulstrgn's question in CUE Clear and Unmistakable Error
If you have a VSO on file, you can get them to give you the answer to this. I have Legion as representative (they never helped me file a claim). They are allowed to get into the system and find these details for you. -
Received VA disability in error?
pwrslm replied to glashutte's question in VA Disability Compensation Benefits Claims Research Forum
Check Ebenefits. Disabilities will tell you what they approved. This sounds like back pay for a 100% 12-14 months give or take dependents etc. If you dont think its right, call peggy....800-827-1000 -
When you get a C&P exam with a bad opinion you can challenge that with peer reviewed medical literature. Most of the time, these opinions fail to identify any source proving the basis for the opinion. This can be challenged with medical literature from valid sources. I can access college library with links to professional journals, as well as Google Scholar that also provides links to professional journal articles. These are peer reviewed, and considered equal in weight to any opinion that a medical professional can provide. Anyone can use web sites as well that help find article
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SOmething to pay attention to. When you get a C&P exam with a bad opinion you can challenge that with peer reviewed medical literature. Most of the time, these opinions fail to identify any source proving the basis for the opinion. This can be challenged with medical literature from valid sources. I can access college library with links to professional journals, as well as Google Scholar that also provides links to professional journal articles. These are peer reviewed, and considered equal in weight to any opinion that a medical professional can provide. Anyone can use web
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- bva appeal
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Many time, nerve issue cause additional disabilities and are able to be rated separately. The CFR notes that. Typically, nerve problems like this are rated on how they affect the ability of the limb to ambulate. If the nerve is totally severed, for example, the muscles downline are paralyzed, and that would be the highest rating. Explore this issue here
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Old decision riddled with errors?
pwrslm replied to Vync's question in CUE Clear and Unmistakable Error
That's a CUE. Undebatable, the examiner noted the pain, and then said it was not there. This was C&P, a govt paid exam with an error. Reopen is gone. That's how we used to do EED for this kind of stuff. Only thing left is CUE, No? -
Caluza, Caluza, Caluza
pwrslm replied to broncovet's question in VA Disability Compensation Benefits Claims Research Forum
"then 6 months after released diagnosed with same inservice hip strain from C & P. the Cand P did not give an opinion on it though described how it happened in service just 6 months prior." Isnt there a rule where conditions that are ID'd and diagnosed w/in 1 year post discharge is SC? As long as the condition is noted in medical records, they should roll over on the SC. C&P exam stated in happened in service, should have records linking the two then, which is a nexus. https://www.va.gov/disability/eligibility/illnesses-within-one-year-of-discharge/ Disabilities tha -
Caluza and The Credibility Trap
pwrslm replied to Vync's question in VA Disability Compensation Benefits Claims Research Forum
"I wish someone on here who is also active member of the Veterans Benefits Network (VBN) forum would post the above excellent article on that forum as the people who run it are ex VA raters, DROs and VSO. Thank you." I gave up on VBN long ago when they told me that I could not beat an appeal by submitting a request for a higher level review. I then submitted the request, and less than 30 days later, won the claim. They deleted my post after I presented the approved claim to the forum. -
For you benefit, work up the timeline of everything from the time you got the TBI. Use the records that are listed in your denial (evidence) and go date by date, line by line, every event that has transpired. You do this with reference to the evidence of record. If there are two TBI incidents that need to be documented, refer to both by date and incident every time you refer to a TBI. Every medical record, every RO statement in every denial that contains an error should be logged. The rebuttal of the error should be referred to by footnote, you can include an attachment to the timeline to d
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- bva appeal
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It depends on what chapter you used to qualify. I just finished CH31, they bought a laptop, books, pencils, pens, literally everything I needed. Ch35 for dependents only gets a set amount of $$, not supplies. VR&E (Chapter 31) benefits: Current State: Will not change unless Veteran is also eligible for Post-9/11 GI Bill. · Full tuition, fees, books, supplies, and any necessary special equipment. · Veterans training at foreign schools receive same allowance as above. · Veterans training solely in-home or on-line receive same