Jump to content

Ask Your VA   Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
 Search | View All Forums | Donate | Blogs | New Users | Rules 

  • homepage-banner-2024.png

  • donate-be-a-hero.png

  • 0

What Is Cue "on Its Face"?

Rate this question


Angela

Question

I keep reading these BVA decisions on CUE, and they keep repeating the rules for CUE.

They say "To reasonably raise CUE, there must be some degree of specificity as to what the alleged error is and UNLESS IT IS CUE ON ITS FACE, persuasive reasons must be given as to why the result would have been manifestly different but for the error."

But I can't find a single decision that says what CUE ON ITS FACE actually is.

Does anyone else know??

Link to comment
Share on other sites

  • Answers 8
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

Obvious error.

I have had 2 vets who-for some reason- got the date of their C & P exam as date of their EED retro payment.

In each case I prepared NODs that stated that they did not incur their service connected disability during a C & P exam, as their med recs indicated.

These are not CUES-

But say- the vets accepted those dates and never appealed them- a year goes by---and then they find out they should have appealed-

This would be valid and obvious basis for a CUE claim.

'On it's face 'it is an obvious and undebatable error.

Or say- my kid never filed a NOD on her Chap 35 denial-

over a year goes by and then it hits her that the award letter was all wrong.

She files a CUE and immediatley the VA sees that her 7 years mil service extended her eligibility for Chap 35-

an obvious error-basis on its face for CUE-

(She did file NOD and three weeks later got the proper award letter.)

Another example -the VA sent me an offset overpayment some time back. VA District Counsel had CUed a past VA decision that I had appealed but then never pursued.(LIKE A DOPE)

I actually seemed to think their denial made sense at the time.They were wrong.

I figured out their figures and the award seemed to be short $11,000. Meantime my DIC check had been odd amount for months-

I sent them a letter on the offset statement and the DIC .

Within a few weeks I got the $11,000 and also the DIC that they owed me.

If a year had gone by after the District counsel cued them-and I never had appealed -it would take a CUE from me to get the amount changed.

On it's face- it would be a clear and undebatable and obvious CUE-

Because it failed to fulfill prior CUE of district counsel.

Does that help?

Link to comment
Share on other sites

Does VA's failure to consider most recent (and most complete) examination of record meet the 'ON ITS FACE' criteria? I can prove it.

No- that is the kind of evidence that a claimant can appeal a denial with-

I guess I am not successfully explaining CUE-

a CUE goes back in time- to the medical evidence available at time of alleged CUE-and the regs in place at time of CUE.

Those regs would be found within the past denied decision.

It is not a medical error- it isnt really even a medical issue -it is a legal one-

within:

http://www.va.gov/vetapp02/files02/0205680.txt

"FINDINGS OF FACT

1. In December 1960, service connection was granted for the

residuals of a shrapnel wound of the right buttock; a

noncompensable evaluation was assigned, effective the date of

the appellant's claim for service connection.

2. The appellant received written notice of the December

1960 rating decision in January 1961; however, he failed to

file a timely appeal therefrom and that decision is final.

3. The December 1960 rating decision failed to apply

relevant regulatory provisions extant at the time pertaining

to the assignment of a 10 percent rating under Diagnostic

Code 7804 for the appellant's shrapnel wound scar of the

right buttock; the result of that decision would have been

manifestly different but for this error.

The RO's December 1960 decision which denied a

compensable rating for the appellant's residuals of shrapnel

wound of the right buttock is clearly and unmistakably

erroneous; a 10 percent rating was warranted under Diagnostic

Code 7804. 38 U.S.C.A. § 5107, 5109A, 7105 (West 1991 &

Supp. 2001); 38 C.F.R. §§ 3.104, 3.105, 20.1403(a) (2001);

38 C.F.R. Part 4, Diagnostic Code 7804 (1960)."

The medical evidence was- at the time of this CUE- Dec 1960-

undebatable- the veteran had schrapnel wound and scar - which should have been rated under DC 7804.

The veteran , in 2002, date of this BVA decision got 42 years of retro at 10% due to this successful CUE.

I agree with Terry - a good CUE isnt a difficult claim-

it is an obvious case of prior VA error in application of regs -based on undebatable medical evidence in the VA's possession at time of alleged CUE.

I feel this is much like your CUE situation.

If the VA had medical evidence that warranted a higher percentage for your disability (such as above vet did) when they awarded it , and the appeal period has passed-you have a valid CUE claim.

Link to comment
Share on other sites

CUE is mostly about the rule of law...where most people go wrong is attempting CUE based on mistakes by the RO in adjudication rather then clearly broken regulations. Basically, if you can directly establish a link between your claim and a regulation that was violated AND the violation is not open to interpretation, then you have a chance at a valid CUE.....if you feel they didn't give some evidence enough weight and/or merit, you really don't have a shot at a CUE.

A CUE must be very black and white...either the RO clearly broke a regulation or they didn't, if you can't come up with the evidence to support a regulations violation then you really have an uphill battle. With that said, it never hurts to write a CUE up and submit it (if all else fails)...the worst they can do is reject it, which puts you in the same position you would have been had you not filed CUE. The only downside is that you can only open a CUE once for a specific action, so it is best to wait until you have a solid case for CUE before filing (make sure your CUE is as good as you can get it, then you won't have to worry).

Edited by Jay Johnson
Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • RICHKAY earned a badge
      One Month Later
    • pacmanx1 earned a badge
      Great Content
    • czqiang1079 earned a badge
      First Post
    • Vicdamon12 earned a badge
      Week One Done
    • Panther8151 earned a badge
      One Year In
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use