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Service Connected Disability

  1. My appeal to have my OSA service connected rating back dated to my original claim was completed in December. I've waited for the letter, but nothing. Just today I noticed that my effective date for the service connection on the OSA has actually been changed to 2004. I'm still waiting for the letter, but does that mean I'll receive back pay? I filed my initial claim two months after leaving active duty in 2004. The VA denied service connection because they did not have all of the information. I re-submitted for the OSA service connection, which they agreed was service connected but the effective date was 2014. I filed the appeal/NOD back in 2015 and it just now finished. Old effective date was 2014. New effective date is 2004. Will I get retro pay?
  2. i see a lot of things on line regarding time frame. most start with the word NOD,,,, well im trying to get a real conversation on time frame. im not asking about returns to bva or when your appeal started,, i know that info.... MY QUESTION IS,,, ONCE YOU MET THE JUDGE IN DC AND DISCUSSED YOUR CASE AND HE SAID THATS THAT,, NOW WAIT FOR MY DECISION,,,,,, HOW LONG IS NORMAL..... HOW LONG IS NORMAL TO WAIT FOR A JUDGE TO MAKE A DECISION ON A CASE HE HAS PRECIDED OVER?
  3. OK So I filed a NOD for an earlier effective date on the claim of my service related claim of Asthma. I received a rating decision dated May 5, 2016, of established service connection for asthma from September 9. 2014. That was the date the VA received my claim. This was a reopened claim. Now they knew this. I had forgotten that back in 1984 soon after I was discharged I had filed a claim for Bronchial Asthma and was denied in 1985. I never appealed it, and there are far too many reason why to get into them at this point in time. But this rating decision in May gave me 60% right after I had a C&P exam done. I was rather surprised at the time how fast the claim was processed and approved which all the news about appeals and denials. Before this approval reached me I was told to go on line and join ebenefits because it was the best way to communicate with the VA and if my claim was approve I would be able to enter my banking information thereby making it possible to receive my benefits electronically. I did join ebenefits eventually found out that back in 1984 I had filed an initial claim for Bronchial Asthma it was denied in 1985. I had also signed the form for the DAV to represent me back then. SO this is where my claim starts to get really screwed up. In September of 2014 of course the VA didn’t know I had previously filed a claim for SR Bronchial Asthma, however by the time I was sent for the C&P exam they did know. Yet at that time they still were not referring to this claim as my reopened claim. Whenever I spoke with anyone regarding this claim it was always as if it was a new claim. It wasn’t referred to as a reopened claim until my memory was refreshed when they FINALLY decided to grant me the privilege (what was actually my right and I to have to demand) of providing me with a copy of all my military files!! And at that point the Gig was up!!! Whereas the individual at the Boston VA office when I finally got through to someone there told me I should speak with my representative (For several weeks I had left messages at a number which stated it was the DAV Boston) I told Nicole, who also happen to have been the person who had scheduled that HORRIBLE PTSD/MST C&P exam and so conveniently did not send or provide all the statements in support of my claim to the examiner. (NICE? Huh?) Anyway she told me I should be speaking with the DAV. I told her that I had been trying to reach them for several weeks, that I had left messages everyday but never got a call back. Nicole said she would make sure someone from the DAV called me. Funny how within an hour I did hear from the DAV. (Found out the Boston DAV is not only in the same building but on one of the same floors of the Boston Veterans Administration.) (Anyone thinking conflict of interest here??? Because that is what I have begun to think) Anyway if I don’t watch it I will go off subject and never get out the questions I have. So eventually I pushed for a 2nd PTSD C&P exam that was granted and in July I was awarded compensation at 100% which was a combined rating with the Asthma and the PTSD and the UE rating. But I had also filed the NOD for a EED on the Asthma. SO here is my first question. I know when I filed my NOD that I asked for a person to person hearing. I remember that being a choice and one that I did mark off. So I was rather curious why I wouln’d be granted one? I got the SOC on my NOD around the same time as the approval came and I called the DAV representative because there was a problem with the SOC and her attitude was really shocking to me and it really pissed me off to. I mean she got pissed at me because I asked if there was anyway to talk to the individual who had done the review and written up the SOC, because it was wrong!! At first she said don’t make waves that I should just let it be!?? But as I read it over again I was like NO WAY!!! This is WRONG!! SO I called her back and out right asked about speaking to the reviewer or possibly his supervisor? That is when she got all pissy with me!!! SO I sent her an email that basicly let her know that she hadn’t done any thing for me any way so what the hell I’ll come in to the Boston VA and ask to speak to someone there, myself. She sent me an email back that basically indicated she was no longer going to represent me. So I sent an email to the DAV main Boston Office asking them for the forms that I needed to get rid of them and find someone that actually wanted to represent me in this matter. I ended up getting an email from the 2nd in charge who said they were still my reps and that he would handle my case. Sounds good right??? NOPE it’s not. He is every bit as evasive as the last person was. The only reason the Boston VA issues a SSOC is because when it seemed after I was approved for the 100 percent the local VA was Fing with my case and no mater how many forms I gave them they kept pushing back the date that they would settle and send out the notification letter then start at least paying me the 100% monthly amount. The first date was the end of June then July some time, then the end of July then August, until it got moved all the way back to January 2017. So I had enough and wrote an email to Secretary McDonald. And believe it or not I got a response back from so one in Washington out of his office who said someone would contact me. A week later the 2nd in charge of the Boston VA called me and we had a long talk. He got the problem with the benefit taken care of like he said he would and I got the retroactive and pay by July. He also said he would talk to the people in the review office about what I saw as an error and he would have them take care of it. Unfortunately he was transferred before they took care of the whole issue so only part of that was taken care of. Hence the SSOC was issued. But it was issued on the same date that my appeal was certified and sent to the BVA. So my 2nd question I have is this. Does anyone know if my case could have been settled on a local level had I not filed the Form 9 if I have officially reopened the case instead of continuing on with what appears to be a new case filed in 2014? And my 3rd Question is, what exactly is a medical Nexus??? See I thought that was a connection between the in service condition and the current disability??? So below is a statement made by the VA Doctor who performed the last C&P exam that was requested by the individual who did the review and this Doctor I believe absolutely creates this so called Nexus!! SO if he has why didn’t they settle it and why would they deny their own Nexus??? Oh and part of this is the problem I found where there is a typo that the person who transcribed the Doctors notes left out ONE word in a sentence. However it is a vital word for the sentence and the whole paragraph to make sense. To date it still is NOT fixed!!! Tell me if you catch it. The word that is left out is “NOT”. SO the following is the VA doctors report PLEASE give an opinion or suggestion!! I think I am about to go MAD!!! Aileen M Dodge ACE and Evidence Review ----------------------- Indicate method used to obtain medical information to complete this document: [X] Review of available records (without in-person or video telehealth examination) using the Acceptable Clinical Evidence (ACE) process because the existing medical evidence provided sufficient information on which to prepare the DBQ and such an examination will likely provide no additional relevant evidence. Evidence Review Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) MEDICAL OPINION SUMMARY RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Active duty service dates: Branch: Navy EOD: 03/30/1980 RAD: 03/30/1984 Branch: Marine Corps EOD: 03/07/1978 RAD: 03/24/1978 OPINION: Direct service connection Does the Veteran have a diagnosis of (a) asthma that is at least as likely as not (50 percent or greater probability) incurred in or caused by (the) respiratory complaints during service? POTENTIALLY RELEVANT EVIDENCE: Tab TAB A (Veteran's statement in VBMS): Veteran's application for service connection dated 09/09/2014 Tab TAB E (STRs in VBMS): service treatment records show respiratory complaints to include bronchitis and asthma dated 01/16/2015 Tab TAB B (Outpatient treatment records in VBMS): VA respiratory DBQ dated 04/18/2015 Tab TABS F-K (Private treatment record in VBMS): Multiple records from Beverly Hospital showing treatment for respiratory condition dated 04/25/2015 Tab TAB C (Outpatient treatment records in VBMS): VA pulmonary function test dated 05/04/2015 Tab TAB D (Veteran's statement in VBMS): Veteran's statement dated 06/10/2016 b. Indicate type of exam for which opinion has been requested: respiratory TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. c. Rationale: I have reviewed all relevant documentation in the claims file, with particular attention to the documents cited in the 2507 and tabbed. The period of service that seems relevant to this opinion is that of the veteran's second enlistment, from 1980 to 1984. Her enlistment examination dated 11JAN1980 makes no note of respiratory disease. In her separation examination dated 20MAR1984, veteran reports having asthma and shortness of breath. In the interval, the veteran compiled a substantial record of respiaratory signs and symptoms, beginning May 1980 and intensifying during June 1980. She was variously given diagnoses of asthma or bronchitis, and treated for both. Wheezing was heard on physical examination more than once. Chest radiographs were non-diagnostic, and were normal at time of separation. Pulmonary function testing was abnormal as early as 06/26/1980, with marked reductions of FEV1 and peak flow, both minimally responsive or unresponsive to inhaled bronchodilator. By 2013, her pulmonary function had deteriorated even farther, and chest imaging showed transient ground-glass opacities. Pulmonary function testing at VA Boston in 2015 showed additional deterioration, with no response to inhaled bronchodilator (I cannot determine whether she was already maximally bronchodilated from medication). This veteran has a pulmonary disorder characterized by asthma-like symptoms and by moderately severe airflow limitation with inconsistent response to bronchodilator. The correct diagnosis may not be asthma, but as a working diagnosis asthma is adequate. It is clear that the veteran's condition began shortly after her re-enlistment in 1980, and has worsened since then. The condition was noted on her entrance examination. In my opinion, this veteran has asthma or a similar chronic respiratory disorder that more likely than not was incurred in her military service from 1980 to 1984. *************************************************************************
  4. Good day all, quick question. May be a little confusing but I will do my best. My comp is currently under review for NOD. However, I recently admitted myself to a walk in VA clinic for MH. It is not one of the issues contested in my NOD. Do I have to file a new claim, or do I assume that all of this will work itself out. I'm not proud of the reason I went to the walk in, and I don't want to ask the question as if I'm trying to pull a bigger percentage, but after reading threads, I feel safer asking here than there. Thanks all.
  5. So on Monday I had my C&P exams for my feet/ankles/toe and scars. I think it went rather well and the doctor was thorough. These C&P exams were ordered on September 8th, 2016 by the DRO in WACO after she over turned the other DRO's decision. She ordered the C&P exams so I could get a proper rating on my contentions. She over turned the DRO's decision due to his egregious errors in my decision that I brought to the attention of Mr. Robert McDonald's office and my local Congressman. After getting the representative from McDonald's office to contact me and then to get the WACO office to contact me, I sit here today awaiting the decision I should have had years ago. I am grateful the new DRO reviewed the decision that the previous DRO made and over turned it. The DRO that made the egregious errors in my decision has apparently done this to other Veterans. I hope they investigate this DRO. I am thankful I did not have to go another 2-4 years to the BVA to appeal a decision due to the egregious errors by one DRO. I am grateful the new DRO assigned saw the egregious error and reversed the decision at the RO level. I did talk to the DRO on Wednesday and she said she received the scar C&P exam but not yet received the Foot/Ankle/Toe C&P exam. She said it shouldn't be too long and then she can rate me. I am so anxious right now!
  6. Q1 - I am trying to get a general idea how long it is generally takes to be scheduled a DRO Hearing date for a NOD claim. My hearing happens to be in Waco. Q2 - Does anyone know the current rate of delay for receiving a CFile from whoever does the actual processing? I read somewhere awhile back that it is running around 8-9 months......wondering if that still sounds about right - or perhaps longer? Thanks for any replies to any of these questions individually, or answered together if possible. WayneTX.
  7. I posted this in my other ongoing thread but I want this brought to the forefront. I was recently denied by WACO DRO Steve Wilbur and I believe I was retaliated because I simply asked Robert McDonald in an email to step in after 6 months of waiting for a decision when the DRO told me in the informal hearing to give him 60 days. My hearing was 45 minutes long and I was well prepared. The DRO Steve Wilbur has a very bad reputation at WACO for denials. I received a call from DRO Wilbur on August 18th, 2016 stating he received my request for a decision. He told me he would be deciding it within the week but in fact he had already decided it that day! Now I have yet to received the SOC but I have a Women's Outreach Coordinator in St. Petersburg VBA who is a very close friend of mine and happened to see the denial in my records. This idiot DRO failed to put a cover letter with my SOC and no date on my SOC. He simply submitted it to Evidence Intake and never mailed it to me! If it wasn't for my connection I would still not know and would not be within the 60 days to file the Form 9. I emailed Robert McDonald earlier this week, firing off my distaste for this DRO and my local congressman. I plan to further put him on front street when I do file the Form 9. As for my NOD, I filed it back in 2014 for right foot (5th metatarsal fracture), right ankle condition, and left toe condition. I am attaching a lot of documents and I know we all have busy lives and I have helped a lot on here and now I need help please! I need your opinions on this situation. Original denial for toe condition was on decision letter in June 2014. They put the denial of the toe condition on the wrong foot! It was noted on the right foot when it should have been the left foot. I pointed this out since my right ankle and right fracture had yet to be decided on. November 2014 received denial for right foot/right ankle and toe condition noted on left toe continued to be denied. This was after I had a C&P exam July 2013 where I provided TWO DBQ's from my current outside podiatrist stating my injuries to my feet/ankles/toe was all in-service injuries and I was still affected by them to this day. That was 2013. I was s/c in June 2014 and was able to start getting treatment by the VA. My primary had X-rays completed and in 2014 it showed an old fracture to my right foot, the 5th metatarsal. The C&P examiner made a rationale that stated he noted diagnoses in the C&P exam. He felt comfortable with the DBQ's from what I gathered. November 2014, a medical opinion by some doctor I never saw but supposedly reviewed my records determined either I was healed and no further treatment or that I had in-service injuries but no loner had issues. So I filed NOD November 2014 citing the errors and why I felt the denial was incorrect. Fast forward to February 2016, I had my informal hearing with DRO Wilbur. I had submitted a Nexus letter dated February 12th, 2016 from my podiatrist indicating he reviewed all my SMR's and my current conditions were all related to in-service injuries. During the hearing, DRO Wilbur even stated that a fracture in s/c with no further residuals is at least 0%. He further went on to review the Nexus letter noting that my Podiatrist stated all three contentions were in fact in-service, continuity continued. DRO Wilbur told me 60 days to decided. DAV rep was present. I felt good......WELL, then I was denied last week. Here is the evidence I submitted to the DRO for review. I am just lost for words on this! DBQ ankle conditions_Redacted.pdf DBQ foot conditions_Redacted.pdf medical opinion w-o exam_Redacted.pdf Timeline for NOD hearing.pdf Nexus letter-redacted .pdf NOD - Denial Letter .pdf NOD evidence notes.pdf
  8. Well good afternoon my fellow Vet's!!! I am really deflated right now....It's going on 3 months since I had my DRO review hearing with no end in sight. I was told that it could be weeks to months to up to a year for the decision. What erk's me is the fact that I had my hearing why can't the DRO take the time to review and come to a ruling? It's so frustrating! I am going on 3 years since my initial claim and almost 2 years since I filed my NOD. I understand there are others in the same boat or worse boat and I do sympathize with all my fellow Vet's! Now on top of this, most of you know my story.....I broke my right foot in two places on Christmas Eve. I had surgery on January 6th, 2016 and I filed an FDC January 12th, 2016. I filed that my left ankle was the cause of my right foot injury. I was granted 100% temporary convalescence for 4 months due to my left ankle giving out on me and causing my right foot injury. Now if you all remember, I have my NOD since 2014 trying to get my right foot/ankle and left toe S/C which was denied in 2014. My medical records back up my s/c as well as my doctor's letters (IMO) that state my injuries are directly related to my active duty. But here I sit awaiting the NOD decision. Well yesterday I took a bad tumble and fell down the stairs causing sever bruising and swelling to my left ankle and left leg. I am sitting here at the West Palm VA as we speak awaiting to see my Podiatrist for the results of the X-rays BUT while I had my visit with him today, he had another doctor come in and look at my X-rays for my right foot and both of the doctor's state I need revision surgery to my right foot because the bone graft is not "uniting" the bone together. The Podiatrist I had do my surgery in January put pins/screws/plate in the one fracture but only bone graft in the other. Since then the bone is separating and the doctor feels the surgery is necessary and will require me to be out about 2-3 months once again! It's my right foot so I can't drive and it's frustrating! On top of this, my left foot/2nd metatarsal toe has two screws in it that are "coming up to the skin" and they feel that at the same time they do the right foot surgery they need to look into that! I literally just got back on my feet and was feeling okay! My feet/ankles SUCK! I feel so depressed! I just want to cry! I will update you with my X-ray findings but I needed to VENT!!!
  9. I came across this blog and it really helped me understand my NOD process.... http://www.blogs.va.gov/VAntage/25738/the-appeals-process-appeals-at-the-regional-office-level/
  10. I sent in my NOD application asking for a DRO HEARING but attached no new evidence (have plenty). My question is will RO ask me to send in my new evidence at some time prior to my actual scheduled-to-be DRO HEARING? I have read you should send new evidence immediately, then some say wait and show it to them in person. Do I even have either of these options, or not? Hope someone can offer their experiences ........(1) sent new evidence with NOD form.....and (2) anyone who waited till the Hearing to provide all new evidence. Wayne
  11. Vets: I submitted and am processing an NOD for my first claim. Also, can I file a new claim for a new contention while I have an NOD Pending or does everything stop while the NOD is being processed for the DRO that I asked for ? I know that the DRO review is going to take one to two years? Also. If I file multiple NODs, for multiple claims will the VA consolidate the NODs into one single NOD? Thanks in Advance, Rootbeer22
  12. QUESTION 1 - Is there normally a point in time after I send in my NOD that RO will ask me to send in my new evidence prior to my actual DRO HEARING. QUESTION 2 - Am I legally required to submit any "new" evidence prior to my DRO HEARING as standard protocol. I'd rather do all my "new evidence" in person than send ahead of DRO Hearing to be able explain in more detail and point out every nook and cranny? I'd like to build additional evidence and get additional IMO's done to make my Appeal even stronger while waiting to hear back on RO's next move before DRO HEARING gives a date. QUESTION 3 -- Can I hold back ALL "New" evidence until my actual DRO HEARING interview? Thanks, Wayne
  13. I have a rating for Scheuermann's Kyphosis, which is basically curvature of my spine. My total ROM is very close to the next highest rating. I have a C-shapped spine, meaning I already lean forward xyz degrees. So of course, it already looks like my Flexion when I bend forward is more than it really is, because of my C-shapped spine. My question is this. How does one get around the Total ROM testing, when the shape of one's back is already curved forward? Has anyone else had experience with alternative measurements in the ROM test? Below is similar to how my current curvature looks, which increases how my forward flexion looks on the goniometer. Basically my back is screwing me out of a higher rating. LOL Thanks in advance... P.S. No physicians have made any reference to already having a forward stance, so that may be an approach?
  14. Vets: Recently, I read where someone filed an NOD and their TBI was reduced from 10% to 0% but they got an increase in their PTSD? So, I'm wondering if this happens a lot where a Vet's claims contentions are actually reduced after their NOD/DRO reviews? I worked very hard to get to 90% that I'm at now. I'm trying to get pushed over to 100% but am concerned about it actually being cut? However, maybe that was just a rare occasion....and I should not be concerned? Does anyone know if this happens very often where a reduction occurs or not? Godspeed Rootbeer22
  15. Hello I am new here. The question I have is Last year I finally got my V.A. rating of 90% 70% PTSD/TBI SC Sleep apnea secondary 0% not service connected 50% migraines SC 30% for total knee replacement SC Midline scar patella SC 0% 20% neck SC 10% Arthritis SC So I filed a NOD with a DRO to review it has been 10 months since I filed, last month the va called a set up a c&p for the following items Knee , sleep apnea, and the ptsd/TBI. the exams where done so what I was wondering will I have to meet with the dro or will they just make a decision. I am rated at 90% now and also should I file for IU.
  16. I know some of you have had your NOD reviews through WACO, TX. What are your thoughts as I sit here anxiously waiting the DRO hearing officer to finalize his review. I had my hearing on February 26th, 2014 and so far nothing..... Buck, I know you were pretty quick on you getting a response but any others here????
  17. Vets: Well, I'm running out of time to finish my NOD, was unable to get the IMO/IME's from Dr. Ellis. after arguing with my wife (who is already spending my retro) about the money to go which is short-sighted, I ran out of time and my C-File never showed up? The good news is that my earlier exhaustive efforts got me to 90% but the push to 100% has been difficult -at best. Now, I'm going to have to take what I already have SC for and work to get a change or increase to 20% more. Several of my contentions are at the 0% and 10% SC range and there may be room to move up to the next level on several. So, now, I need to pull everything out again to review what it takes to get to some of these or at least 2 contentions moved up to the next level. The good news is that although I don't have IMOs/IMEs, I do have some new evidence that would help me. Unfortunately, I have a lot of contentions that were low-balled and think, I can support an increase with new evidence. At this point, I was lowballed on my TBI at 10% because the TBI examiner said that there was not enough evidence beyond my own descriptions or indications that my work has suffered due to my TBI? So, I was thinking that I would go back and get statements from my former and current supervisor about my work memory and concentration issues that they have noted? I had several incidents at work over the years where it was difficult for me to complete projects on time due to my cognitive and memory issues. Also, although I was SC for Hypertensive Heart Disease, again they only gave me 10% because they said that I did not have chest pain, angina, and shortness of breath. Although, I reported this all during my CP exam, the clerk put just the opposite in the report anyway, even though I wrote those conditions plainly on the pre-exam form, it was not entered into the system...properly... So in terms of overall advice ...should I just ask for a DRO review or just submit a NOD package...? Godspeed ..Rootbeer22
  18. Well most here know my situation.....It's now going on two months since I had my DRO review hearing. I talked to my DAV rep today and she said "this rater" takes his time and not to expect anything for at least 90 days if not more. There is a "completion" date in the system of 9/28/16 so it's just the waiting game at this point.... Hope everyone has a great weekend!
  19. When I filed my NOD in 2014, I specifically asked for a DRO review hearing on the NOD VA21-0958 form. I never received anything in the mail. After searching this site in January and the internet I found the following: "After the VA receives a NOD from a veteran, it will prepare the Statement of the Case (SOC) for all issues that were not granted service connection or the maximum rating. The SOC is an explanation of the decision, including a cover letter that gives instructions about the appeal process. Also included in the SOC is a list of the issues being decided in the claim, a summary of evidence, the pertinent laws and VA regulations that relate to the claim, and the decision and reasoning behind each issue. The SOC may include helpful information in order for the veteran to prepare his or her appeal, but the most important thing to remember about the SOC is that the veteran has 60 days from the date of the SOC cover letter to send in VA Form 9, which is the substantive appeal. Failure to respond to the SOC within 60 days by filing VA Form 9 may result in the appeal being closed and the decision becoming final." Fast forward to January 2016 when I inquired about my NOD, I found out that it sat "dormant" and that it "missed a step" in the processing of the NOD. I wound up having my DRO review hearing in February. My questions are: 1. Wasn't I supposed to receive the SOC? 2. Will I receive an SOC regardless of the outcome of my DRO hearing? 3. When I filed out the VA21-0958 one of the questions specifically asks the Veteran to list the service connection and % the Veteran feels warrants the service connection. Obvisously this is what I feel I deserve but is this actually something the DRO reviews and considers? 4. Since I never received the SOC is that any violation of my rights? Thank you
  20. Well most know my DRO hearing was in February and now I am in the decision phase with a due date of 9/28/16. I sure hope they decide it before then!!! But at least I am making progress! I sure hope I get the decision soon!!!
  21. So most know on here my situation. I filed an FDC back in January for several issues to include 100% temporary convalescence for right foot due to left ankle. Right foot is NOT S/C so since my left ankle caused the fracture I put in the FDC. After filing the FDC, my NOD finally processed and I had my DRO review hearing last month. I noticed after receiving my C-file my FDC was "RTR" ready to rate but I assumed that it was going to wait until AFTER my DRO hearing and all those issues were resolved. My NOD included all my feet issues. Ebennies showed Preparation for Decision back in February and so it sat. Well today I checked Ebennies regarding my FDC claim and I notice that the date has now changed to 4/4/16-4/9/16 from an out date of August 2016. I am wondering if this means they are working on both my FDC and my NOD? Wouldn't that be nice???? I know I know I know that Ebennies timeline is UNRELIABLE but I find it interesting it bumped up to next week. Wish me good luck please!!!!
  22. Well yesterday marked one month since my DRO review hearing. I was told that it could be months. So I am prepared to sit this out. I do have a question though, is it true that they have to wait at least 60 days to ensure I do not submit any other evidence? If that is the case, can I let them know by submitting a VA21-4138 stating I have nothing further to submit? My DRO hearing went well and I provided everything at the hearing that I need to provide.
  23. I received a letter dated February 19, 2016 informing me that my NOD had been received. Included with the letter was a generic “Appeal Process Election” form which they want me to fill out and return within 60 days. This seems odd since the new NOD VA FORM 21-0958, which I used, asks that very same question in Part III Sec. 9 entitled: “Appeal Process Election.” My election of Traditional Appellate Review Process was clearly marked. Also, there is a third option on this attached “Appeal Process Election” form which does not appear on the VA FORM 21-0958: “[] I have reconsidered and wish to withdraw my appeal.” This just seems like another crude attempt at getting veterans to abandon their appeals. The letter also included this statement verbatim: “An agent or attorney may also represent you. However, an agent or attorney can charge you only for service performed on or after the date of a final decision by the Board of Veterans’ Appeals.” It has been my understanding that since June 20, 2007, a veteran can be represented by a paid attorney anytime after filing a NOD an initial RO denial. Has my RO gone completely off the rails or is this the way it is done now?
  24. My prior topic, "Seeking Advice on my CUE," brought me a wealth of information from some very informed people. I remain grateful. But I have been doing more and more research based on what I learned from them and just ran across this: j. Approval of Ratings Prepared Under 38 CFR 3.105(a) All rating decisions prepared by RVSRs under 38 CFR 3.105(a) require the approval of the VSCM or designee at the Coach level or higher. Ratings prepared by DROs would require the approval of the VSCM or Assistant VSCM if they would effect · severance of service connection, or · a reduction in evaluation of an SC disability(ies). Exception: Approval of the VSCM or designee is not necessary if the rating is the result of a Board of Veterans’ Appeals or U.S. Court of Appeals for Veterans Claims decision. Important: A rating decision must be reviewed and approved by the Compensation and Pension (C&P) Service prior to promulgation if the decision · initially grants service connection with an effective date retroactive eight or more years, and/or · results in a lump-sum payment of $250,000 or more. (See M21-1MR, Part III, Subpart vi, 1.A.5 (TBD) or Fast Letter 07-19.) Reference: For more information on CUEs involving rating issues, see M21-1MR, Part I, 5.C.13.f. The CUE in my case is obvious. It took the help of an attorney who does medical insurance claims to help me read my Service Medical Record, but the denial based upon "no evidence of complaint, treatment or diagnosis" is just plain wrong. So is the conclusion that there is no service connection, as it is also in the record. Problem is, VA repoened my 2002 claim, denied it based upon "no new evidence" and that led to the NOD. Anyway, as I read this, even if the DRO acknowledges the CUE, my claim then has to go to this C&P Service. Who are these people and how many more years can I anticipate waiting? Anyone have any experience with the C&P Service? Thank you. Vinsky
  25. Okay so most of you know my situation... I have my NOD this Friday and I got my C-File in the mail today! Nothing like getting it at the last minute but I am sure glad I did!!!! Here is my issues and I need help please for my hearing on Friday! My NOD hearing is for right ankle sprain DENIED; right 5th metatarsal fracture DENIED; and left foot/toe condition. The issues surrounding this are the following: June 2014 Award Letter stated Morton's Neuroma w/status post avulsion fracture, 5th metatarsal, right foot - THAT WAS WRONG - it was actually for my left foot/2nd toe My November 2014 Award Letter - stated my status post avulsion fracture, 5th metatarsal, right foot as DENIED; right ankle sprain DENIED; left toe condition DENIED. Now fast forward to this mess on my floor - my C-File! I see this in my C-File which pertains to my current FDC claim that is in Preparation For Decision. Notice the "temporary convalescence for right broken foot secondary to left ankle comment. What does "Issue is RTR"????rater letter 1_Redacted.pdf - Do you think they are holding off on my FDC until after the NOD???? Next is the Ankle DBQ from July 2013.ankle _Redacted.pdf - I uploaded the two pages of concern. Look at question #1 Diagnosis and tell me if you see the error for Diagnosis #2 - This the issue I am stressing about! The doctor notes ICD code for right 5th metatarsal with date of 1993. He notes it affects left side? Is this not a direct diagnosis for me? I also have right ankle sprain diagnosis and left ankle synovitis diagnosis yet I was only S/C for Left ankle synovitis????? Is this not sufficient enough to have had me S/C for right ankle sprain and right foot fracture? Next is the Foot DBQ from July 2013.foot 1_Redacted.pdf - Again look at #1 Diagnosis - Morton's Neuroma ICD 355.6 as of 1992. Look at the foot injury and see the date of diagnosis for fracture of 6/23/13. That is wrong! That is the date of an MRI I had of that foot but the fracture was already noted on Ankle DBQ How did I not get rated? So many screw ups with this! This is already evidence but should I bring it and POINT out the CUE's???????? Here is the picture of my entire C-File!!!! Gotta love it! It still doesn't have my medical records from the 90's but I think I have enough ammo just need advice!!!
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