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1454th Solider

Second Class Petty Officers
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Posts posted by 1454th Solider

  1. 2 hours ago, brokensoldier244th said:

    Did you account for the difference in awarded percentages for each year as you calculated? You'll only get payment for the difference between your original total rating and the new percentage, then you need to look at what X percent rating is in each of the years prior. Its something that catches a lot of people when they are trying to calculate retro payments. They may have done it incorrectly, and you do have the right to request an audit also. 

    Thanks, for your explanation I was only 10% back in 06/18/2018 and the new BVA award for lower lumbar was also 10% with effective date 06/18/2018. How can I request an audit form the RO.

  2. I recently received my retro pay for an issue that was granted by the BVA. My backpay should have started at my effective date 6/18/2020, which is around 41 months of back pay. The RO only paid for 30 months according to my calculation. What can I do to get the RO to correct the error?

     

  3. I have a question about the Fenderson staged rating.

    My VSO was able to show me what the VA initially rated my granted back issue at, of course they low balled me.

    It states:

    MECHANICAL BACK PAIN (PREVIUOSLY CLAIMED AS BACK CONDITION)

    Service Connected, Gulf War, Incurred

    Static Disability

    10% from 06/18/2018, Deferred Evaluation

    They also added RADICULOPATHY, SCIATIC NERVE, RIGHT LOWER EXTREMITY as secondary condition at 0% from 06/18/2018, Deferred Evaluation.

    What is meant by Deferred Evaluation? Does it mean they need a new C&P medical opinion? Is the low rating a Fenderson staged rating?

    My VSO was able to see this after my BVA grant and before the RO scheduled any of my C&P examines.

    I have not received any of this from the RO only my VSO. Thanks in advance.

    I'm hoping the Deferred evaluation means they just wanted a new C&P so they can change the initial rating (increase). 

     

     

     

     

     

  4. 1 hour ago, pacmanx1 said:

    Congratulations on your win. The problem is that the local VA is not supposed to hold your benefits for the granted portion of your BVA decision, but they normally always do. Once the local VA determine your remand decision, they will send you a new rating decision. Even if they deny your remand, they will still have to send you a decision based on the granted claim and the new remanded claim granted or denied. My guess within three to six months, a little longer if it is a higher retro payment

    Thanks pacmanx1 for your expeditious response, I wish the VA could follow suit. I've heard of the RO sending remands back to the BVA, what does that mean? It seems like it could delay the outcome if a judge has to look at the evidence again. I may be jumping the gun because it has only been a little over two months since the remand process started. On a side note, the BVA judge also directed the RO to give me another C&P on the granted issue (back; lumbar spine lower) to access my current level of disability. Thanks in advance for any input.

  5. 7 hours ago, brokensoldier244th said:

    I don't understand what you mean by verifying that "they cancelled and not  you...." and "because I have a claim in...". 

     

    You wouldn't have an exam request unless you had a claim in, unless this one was a Request for Re-examination. 

    In any case it's not that unusual- we've been doing this for the last year  and some because depending on the location of the VAMC or Vendor, and local conditions, they become available or unavailable. Maybe they had an MH provider quit or get sick, maybe the VAMC is shutting down exams (again) due to a covid spike. Without looking I couldn't give you much more than that, and officially I can't look at a file that isn't assigned to me because of privacy laws protecting you.

     Heck, sometimes if someone's exam has been dragging on for a few months I cancel it myself- and then I reschedule it with another vender or a VAMC because its faster for you. We've been shuffling exams like this for the last year as a location closes due to covid, or opens up somewhere else, or setting them up for video if that capability exists for that provider. 

    If they are going to reschedule it then they will reschedule it. In any case, you should be asking them, not us- we don't know why it was cancelled, they, or the vendor (depending on who it was with) do. You should have a phone number for the exam location, call it and see what they say. 

     you should be asking them, not us- we don't know why it was cancelled, they, or the vendor (depending on who it was with) do. You should have a phone number for the exam location, call it and see what they say. 

    I agree thanks for the feed back.

  6. 5 hours ago, john999 said:

    If you are trying to get 100% for a mental condition be prepared for an exam via VA.  Have you looked at the criteria for 100% for any mental condition?  If VA goes by their own criteria you have to be a basket case.  You must be psychotic and needing to be institutionalized.  I got 70% for bipolar disorder and my doctors were very supportive, but not to the extent I was psychotic and drooling.  You can get TDIU with 70% and not have to roll around on the floor and bark like a dog.

    Thanks for the input, I know a few Vets that have a 100% PT rating for Mental health disorders.

  7. 5 hours ago, broncovet said:

    The VA has discretion on whether or not to order a c and p exam.  Two example of when one isnt needed:

    1.  If you already have sufficient evidence for an award, that is, diagnosis, in service event, and nexus, as well as your symptoms documented.  

    2.  If a C and P exam wont make any difference..such as if you dont have the requisite service, or lack an in service event.  

    Thanks Broncovet I'll be ready either way..

  8. 27 minutes ago, brokensoldier244th said:

    Who filled out the IMO and DBQ? If you are already SC you don’t need an opinion for an increase. You just need the dbq and your treatment to show that you have profound difficulties in pretty much all function areas. 
     

    have you looked at the criteria?

    My private PHD Pyshc. doctor filled out the DBQ and he opinion on my anxiety disorder because the VA C&P examiner gave me or added Unspecified Anxiety Disorder to my award on my initial MDD  secondary to tinnitus claim. 

  9. 6 hours ago, pacmanx1 said:

    I have a claim in appeal for well over two decades going from BVA to the CAVC then back to the BVA to be granted, to increased, to reduced, to restored and back to BVA for the final rating percentage. While all this has been going on, I was granted 100% scheduler P & T and the BVA still have not completed my appeal. 

     

    Thanks for the input, it looks like I need to go forward with my claim for increase. Thanks 

  10. I want ask if anyone has information or knowledge of a BVA appeal that is out of the 90 day evidence phase, holding up a decision on a claim for an increase on another SC issue? I would like know if I should just wait for the BVA to make it's decision first on the appeal, before I put in for the increase for the separate issue? Forgive me if this is not the right platform for this question. All information is welcome, Thanks.

  11. I have put on a lot of weight the past two years because I don't like to get out and leave the house much and I don't feel like doing much of anything. I'm thinking this has caused me to develop OSA. Can my psych doctor or doctor opinion my excessive weigh gain is due to my depression?

  12. I am secondary serviced connected 70% percent for MDD and Anxiety (Tinnitus can't sleep). I was recently diagnosed with OSA sleep apnea by a VA doctor (sleep monitor test) and my question is, if I were in the future to file for an increase for my MDD and Anxiety, could the VA reduce or terminate my compensation because of the Sleep Apnea diagnosis (OSA)?

  13. You should go see a PHD mental Health doctor tell him your symptoms and how your Tinnitus keeps you up all night. Your lack of sleep has to cause a depressive mood and anxiety, trust me my anxiety is terrifying and I know your tinnitus is preventing you from falling asleep and staying asleep if it is bad as mine. I was able to service connect anxiety and major depression disorder secondary to my 10% Tinnitus at 70%, so it can be done you just have to get an opinion from a Independent physiatrist and be very honest (don’t hold back) during your C&P exam.

  14. What can be done about a mental health social worker writing misleading information in your medical records? Questions you were never asked but they answered for you, statements you never made and contextual factors to your mental health that are the result (family problems, marital discord, lack of social support) of your conditions but it looks like they are saying this is what is causing it?

  15. Due to my tinnitus being very bad, I was awarded a 70% rating from the VA for anxiety and depression secondary to my tinnitus due to it keeping me from sleeping. I have started my counseling with VA social workers and psych doctors from the VA. I ask my VA primary care doctor does the VA offer any treatment for tinnitus and the answer was, "There is no treatment the VA offers for tinnitus, just wear ear plugs and stay away from loud noises". My question is why would a PA want to test me for sleep apnea to see if that is causing my sleep problems but I can't get treatment for what I know keeps me up at night. I'm just curious if the VA doc is trying create a scenario that if I do have sleep apnea, then that is what is causing my anxiety and depression not my service connected tinnitus. I know sleep apnea is serious and I'm going to get the test but can the VA reduce or take my compensation if the PA opinions that she thinks my depression is due to sleep apnea? 

    Can she override two PHD Psychiatric doctors opinions? One IMO and the other a VA psychiatrist?

    Thanks for your responses in advance. Elders please chime in.

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