C & P In Jan. Claim In Authorization Office

[lt4ds]

I had my original C & P in August of last year, and a secondary C & P in Jan of this year. I called the 1-800 number about my claim today to see what's happening with it. The gentleman I spoke with told me that it had gone through the rating board on April 24th, and that it had been in the authorization office since the 7th of May. He also said that I should hear from the VA anywhere from 1 week to 4 weeks about a change to my compensation. Originally rated at 10%, but secondary C & P was much more thorough and I feel should result in an increase to about 50 or 60 %. This C & P was a result of a letter of disagreement I filled in October on last year.

I guess my questions are, what does that all mean?

1. Will the decision actually be given in the next 4 weeks, or will it be extended more?

2. If there is an increase, is it retroactive back to the original claim date, or the date of the letter of disaggreement?

3. If there is a decision, and it only covers 1 or 2 of the original claim items, should I wait all the claim items are completed, or can I make a new claim without it having a negative effect on the original claim?

Any help or knowledge will be greatly appreciated.

[JustPLS]

If your are getting exam at James Queillen VAMC. In Mt. Mountian Home Tenn. The C&P Dr. last name is Carle. Carle Clinic

Thanks! That's how it is at mine, too. I just thought it might be an acronym I didn't know.

[djpsworld]

If the VA has two or more docs, PAs, or NPs with the same last name, they will differentiate by using all caps or lower case letters.

Good luck with the exam.

[lt4ds]

Thanks for the info about James Queillen VAMC. I still have no idea what the C & P exam is for, would like to know so I am prepared for it, but not a tremendous problem. I will update again once I have gone through the C & P. I am hoping to get all the claims resolved and the appeals completed. Not sure yet what I will have to do about the claim for my shoulder. On every correspondence from the VA it has been listed as deferred, but when the VA Rep questioned the status, they stated it had been denied and was outside the time frame for an appeal. Not sure if they know they will end up rating it, and are trying to avoid paying back pay to the date of the claim, or what. At any rate, will keep the running tally going until all claims are complete, thanks for the inputs and info along the way.

If the VA has two or more docs, PAs, or NPs with the same last name, they will differentiate by using all caps or lower case letters.

Good luck with the exam.

[lt4ds]

Well the C & P exam was for my knees, it would be great if there was some notification associated with scheduling the C & P so you know exactly what it is for. Would help prepare the documents needed for proof during the exams, but I think it went ok anyway. Probably won't hear anything back from the VA for a while. This was an appealed claim, so I guess they have pushed the claim for my shoulder to end.

[lt4ds]

Update on the saga, the C & P was completed and recieved notification today that I was awarded 10% for each knee. The left has an effective date of May 2008 and the right has an effective date of Jan 2009. Prior to the increase I was at overall 60%, and it states now at 70%. Unclear on the rating somewhat and not sure about the increase date. Shows the increase to begin back to Aug 2009 after a NOD filed in July. Why would the increase show the original date of the claim and why would it not show an increase for each knee or does that imply bilaaterial rating for the knees, and if so why would it not state that?

Not complaining about it, just curious about the nature of the decision. I will see my Rep next week and let him look it over and provide guidance if needed. If anyone here has any knowledge it will be appreciated. Thanks guys.

[lt4ds]

I recieved notification on the claim for my shoulder today, it states that the claim was reopened after being denied on request from me, and denied again. The claim was deferred until I requested an update, then I was notified that it had been denied, then the letter today. The information they state in the letter was incorrect (dates), and the examiner did not use a goniometer to measure the ROM. I have an appointment scheduled to work through the appeals I have pending for other deined claims, so I guess this one gets added to the list as an NOD. Hopefully I have as much success with the NOD as I have had with the others. I will update as it goes along so anyone that has information, input, or questions that I might be able to help with. Thanks for any and all assistance.