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

Va Rating Disabilities Electronically

Rate this question


vaf

Question

I should probably have explained this better. According to our state VARO, that office is computing ratings "electronically." My first question is who approved the software and its use, and how do we know for sure how closely the formulas contained in this software program mimic the actual Combined Ratings Table in 38 CFR, Part 4, Subsection 4.25? Secondly, the statute clearly states the Table is to be used to compute ratings, there is no option to use any other standard of measurement. Finally, there's no mention in the statute of computing these ratings electronically, or what happens if the software produces a different rating than the actual Table. In our case, the VARO's software is interpreting 94.53 to equate to 94, instead of 95, which rounded up would be 100.

A standard of measurement that is not contained in 38 CFR threatens the accuracy of the rating system. Shaving tenths of a point off of a veterans rating could cost the veteran dearly, as it's doing in our case, and I find it hard to believe we're the only ones affected by this trick.

I've e-mailed the Veteran's Commission, and wrote letters to Steve Buyer and my congressional representatives that I consider this policy a violation of the terms and intent of the statute noted above and the purpose for the Combined Ratings Table.

If the VA wants to do away with the Table and utilize their discretionary, unratified software program, let's see someone attempt to codify it in 38 CFR.

Link to comment
Share on other sites

  • Answers 3
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

3 answers to this question

Recommended Posts

  • HadIt.com Elder

Vicki,

I hate to say it, but you cannot win this battle. It would seem that you have completely failed to understand the legalese in 4.25. as many people do.

This is from 38 CFR 4.25 (a). "This combined value will then be converted to the nearest number divisible by 10, and combined values ending in 5 will be adjusted upward."

...and this from 38 CFR 4.25 (B). "The conversion to the nearest degree divisible by 10 will be done only once per rating decision, will follow the combining of all disabilities, and will be the last procedure in determining the combined degree of disability."

First, 94.53 does NOT round to 95, as the FINAL digit is NOT 5 or higher, also, note the order in which the calculations are to be made, the division by ten is done first, therefore, there will NEVER be any other way to round up to a higher value. You will note that there is no mention of rounding ANY other digit, very specifically, just the FINAL one.

Second, the nearest degree divisible by 10 is 90, NOT 100.

That is the LEGAL way of looking at it, you are using COMMON SENSE, which in arguments with the Government, is a futile waste of time. You only viable argument would be that this defeats the spirit and intent of the law, in giving the veteran the benefit of any doubt.

It would seem that your best bet would be to obtain an additional 10% some way or another. This would give you the 1 point necessary to put you over the top. To have a final rating that involve decimal places must mean that there are bilateral factors involved, the thing to do is to check that they have been correctly calculated and applied. This is an area where many, many mistakes are made. The fact that there are two decimal places in the calculations is another area where the 'electronic' calculations can be attacked, as there is nothing that I can determine in 4.25 that would allow for more than 1 decimal place.

This sound like more VA trickery, to reduce the number of 100% awards.

If you would post, or send by e-mail, the complete list of awards and DCs/percentages, I would be happy to calculate them in STRICT accordance with 38 CFR.

Edited by wallyg

Fight the VA as if they are the enemy; for they are!

Erin go Bragh

Link to comment
Share on other sites

I can see your point, Wally. I was using the values on the actual Table. If one doesn't use any software at all, just using the Table itself, one gets 95, not 94 point anything. Here are the ratings:

60%

40%

30%

30%

20%

20%

10%

10%

10%

There's no authorization in 38 CFR to use anything other than the actual Table. What good is having the Table listed at all if they're not going to use it? We've got appeals going for additional ratings, but nothing that will come to a head in the short term.

Thanks Wally!

Link to comment
Share on other sites

I can argue the point of intent and reasonable doubt, but I think it's wasted on the VARO, they're fully aware of what they're doing, and we've already written to them months ago and received no denial or SOC. We did get an e-mail response though, that basically said nothing except the rating at 90% was correct.

In the absence of a VARO response, is this something I can send directly to the Board while hoping we can get an additional 10% in the meantime?

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

    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
  • Our picks

    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • 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

       
×
×
  • Create New...

Important Information

Guidelines and Terms of Use