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 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

Why Imo "is" Being Rejected?

Rate this question


allan

Question

  • HadIt.com Elder

Why IMO "is" being rejected?

I had a new PCP assigned recently.

According to my records, a pain level of "1" was entered without asking me what level I was experiencing.

"No pain" was also entered, and the Dr stated, "sustained action opoid medication no longer needed".

He said I would have to get "all" my pain meds from the local Dr from now on & pay for it myself. He commented verbally, that's what happens when you go "outside" the VA for medical opinions & pain medication.

He than accused me of trying to double up on two completely different pain prescrptions, in the same month, by going through two different Dr's at the same time.

He accused me of not notifying the VA I was receiving a VA banned medication,(oxycontin/long lasting_20mg),

and failing to sign a, "release of information" form for my private Dr to get copies of my records & prescriptions. When I told him I keep an up to date hard copy of all my VA med records & faxed what was requested to the private Dr.

His reply was, "vets can alter records to say anything". (Does that sound familiar?) According to him, only VA can send VA medical records to my private Dr.

He states, "thats the only way VA can be sure the records the Dr receives are authentic".

Medical records by this new PCP also state, "patient does not have hypertension or diabetes as previously diagnosed." No medical bases or explanation was given.

The Dr also stated, "patient has no voiding problems and no bowel problems." Than he declined to fill a prescription for guards and said, "the Dr that diagnosed me with MS didn't even examine me."

My voiding problems are currently rated 20%SC for residuals of an inservice testicular mass, epididimitis/orchitis/orchalgia. This has been in effect for over 10 yrs.

He states,"occasional nausea" & refilled the 24X7 prescriptions for meclizine & ducosate.

He also asked if I paid for the IMO, or did the VA. He didn't like it when I said I did.

Betty fought with them for over a week trying to get them to pay for it, but finally gave up & paid for the slow release & the breakthrough pain med herself.

When I left the clinic, I knew I wasn't going back untill I get some medication that will keep me out of jail.

I called mental health at the VA, they said I couldn't get an appointment until I speak with my PCP for a referal.

So I ended up calling the patient advocate & requested a change of Dr's form.

These boneheads have been treating me for MS & chronic pain, since 94' & I've had a solid diagnoses since 2005.

Not sure what their trying to pull, but I bet none of it is legal.

Pure harrassment.

Thanks for alowing me to post this update.

Allan

PS....has the VA stopped treating vets diagnosed with multiple sclerosis by an IMO?

Link to comment
Share on other sites

  • Answers 20
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • HadIt.com Elder

I would file a complaint with the OIG yesterday. This is intimidation and bad medicine at same time.

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

  • HadIt.com Elder

Hello Pete,

I havn't slept much since I completely lost control at the clinic appointment.

Im not sure what I should do. Betty & the girls want me to let it slide and beg this guy for help.

Im way to angry for that. If I let it go, every vet in north central Washington will be stuck with this jerk.

He didn't even act like a Doctor. He acted more like a Nicholson bean counter.

It was easy to see, that he was already used to treating others this way.

What is the OIG?

Link to comment
Share on other sites

Allan- do you mean he is knocking an MS opinion and diagnosis from my honey? Dr. Bash-?

If so email me -do you still have my email addy?

I have something that can put this guy's underwear in a knot-

and I agree that contacting the OIG is in order too-

http://www.va.gov/oig/contacts/hotline.asp

I have an idea that might work without calling the IG- but then again- you might want to anyhow.

I will open my PM doo dad for you-

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

  • In Memoriam

Allen,

I was very curious about what was going on with you. After reading what you have written, I am disgusted with the VA.

Stretch

Just readin the mail

 

Excerpt from the 'Declaration of Independence'

 

We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which, would inevitably interrupt our connections and correspondence. They too have been deaf to the voice of justice and of consanguinity

Link to comment
Share on other sites

  • HadIt.com Elder

Allen,

I am concerned as to how these VA doctors are getting by with making false statements about you and placing them into your records.

When they go into the records they are treated as the gospel. No one in the VA sysem will believe that their doctors are doing this.

They are doing it for I am a victim also of falsifying my medical records.

If it is fraud for me to do this. Why isn't it fraud for them as well.

Wish you well,

Josephine

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

    • KMac1181 went up a rank
      Rookie
    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
  • 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