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

All Vets Need To Read This!

Rate this question


stillhere

Question

This is a new pilot recently selected from this link:

http://www1.va.gov/opa/pressrel/pressrelease.cfm?id=1852

This new pilot will put Veterans in control of thier claims- and we want your input.

Hey folks,

The VA has a new pilot program starting up at the Atlanta RO. Basically, this will cover SC claims for increase, presumptives already verified, temp 100% and ALS claims.

Because of the back-logs, we have identified the above type claims mainly due to SC has already been established. We are in the process of creating an application, physicians statements for each disability system and the format on how we will process these claims. The pilot is named Rapid Evaluation of Veterans Claims (REV).

We all know that the back-log is growing, so this pilot is soliciting your help. To qualify for this pilot, you are wanting an increase in SC conditions. For your outpatient treatment records from private physicians-You will obtain them. VAMC records-basically in the application you can inform us which VAMC your treated at and we can get them. Our rating board has developed physician statements that will be made availible for you to take to your treating physician or VAMC doctor. Once you have all your documents together, submit your claim to the RO.

There will not be a VA medical exam, the application has a "waiver" for the VAE so we can rate your claim based on the material you provided to us.We will not send you a VCAA. The only correspondence you'll receive is the rating decision and your notification letter when your claim is complete.

Please give me some comments, concerns and your questions. If successful, this pilot will be launched nationally.

Admins-if Ive posted in the wrong section, please move. DRO's, RVSR's, VSR's etc please chime in also.

Thanks,

Edited by stillhere
Link to comment
Share on other sites

  • Answers 24
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Posted Images

Recommended Posts

Does the new program require the rater to read the claim and evidence? A whole lot of problems could be solved by the VA just reading the entire claim and evidence submissions!

Best regards,

Tyler

Link to comment
Share on other sites

  • HadIt.com Elder

My optimism for this "New Deal", is tempered by 40 years of disappointment, mistreatment, misdiagnoses, as well as, dealing with disengaged and apathetic VA employees. Yet, I still hope for the success of such a program, because I know there has to be a better way.

...

post-4811-1267542958_thumb.jpg

Edited by Commander Bob

"it shall be remembered"...

"We few"

"We happy few"

************************

Link to comment
Share on other sites

If this additional pilot program actually goes into effect,

it is due to the following.

http://www1.va.gov/opa/pressrel/pressrelease.cfm?id=1852

Public and Intergovernmental Affairs

Shinseki Announces Winners of Innovation Competition for Improving Claims Processing

February 19, 2010

Printable Version

VA to Implement Employees' Ideas to Transform Services

WASHINGTON –

The Department of Veterans Affairs selected 10 winners in a competition that solicited ideas from VA employees and co-located Veterans service organizations to improve claims processing and provide greater transparency to Veterans.

"I commend the innovative employees who submitted these creative ideas," said Secretary of Veterans Affairs Eric K. Shinseki.

"The men and women of VA and the veterans service organizations who understand the challenges in our claims processing systems have

stepped up to deliver tangible results for our Nation's Veterans."

The Innovation Initiative winners are the

Milwaukee VA Regional Office,

Philadelphia/Wilmington VA Regional Office,

Atlanta VA Regional Office,

Pittsburgh VA Regional Office and

Togus (Maine) VA Regional Office.

Development of plans for implementation of these proposals will begin immediately.

Additional winners are the

St. Louis Records Management Center,

San Diego VA Regional Office (two winning entries),

VA Central Office/St. Paul Pension Management Center, and

Phoenix VA Regional Office.

These ideas are identified for future implementation.

More than 3,000 ideas from VA employees and co-located Veterans service organizations were submitted to the competition.

The finalists were selected by

Adm. Patrick W. Dunne, former VA Under Secretary for Benefits;

Craig Newmark, the founder of craigslist and a well-known technology visionary;

Dr. Peter Levin, Senior Advisor to the Secretary and Chief Technology Officer; and

Garry Augustine, Deputy National Service Director for Disabled American Veterans.

President Obama announced the innovation competition while speaking to the Veterans of Foreign Wars in August. "We're going to fund the best ideas and put them into action, all with a simple mission: cut those backlogs, slash those wait times, deliver your benefits sooner," said Obama.

Veterans Benefits Administration Innovation Competition Winners

Milwaukee VA Regional Office: Streamline the administrative process for documenting actions to obtain evidence for disability claims.

Philadelphia/Wilmington VA Regional Office: Simplify the evaluation process for Veterans claiming pension benefits with aid and attendance.

Atlanta VA Regional Office: Establish an expedited claims process for Veterans who claim an increase in their service-connected disability based on worsening symptoms.

Pittsburgh VA Regional Office: Lessen the need for VA medical examinations by providing Veterans with standardized medical questionnaires to be completed by their treating physicians.

Togus (Maine) VA Regional Office: Align employee performance standards with Department of Veterans Affairs' goals.

St. Louis Records Management Center: Provide regional offices with digital images of claims-related records held in VA's centralized storage facility in St. Louis.

San Diego VA Regional Office: Develop a computer application to calculate entitlement to additional benefits payable to Veterans with the most serious injuries.

San Diego VA Regional Office: Update VA's computer systems to facilitate communication between VA employees and Veterans.

VA Central Office/St. Paul Pension Management Center: Implement rules-based processing for VA pension programs and other benefits.

Phoenix VA Regional Office: Make it easier for Veterans to establish service connection for specific medical conditions.

Xing my fingers while my OSA re-open claim was brokered out in Phoenix to expedite the processing. I belong to Oakland-VARO. Phoenix VARO seems to be more organized. I recently responded to their additional request/requirements which consisted of:

1. VCAA reply

2. IMO from the sleep doctor..Finally!

3. 2 witness letters of my OSA. They even provided a guideline how to close the letters.

4. Medical records from my private sleep doctor

5. CPAP records & medical supply records from VA

Let you folks know the outcome in few months. Praying and chanting everyday!

From Bob,

4th Inf. Div; Central Highland Campaign

Link to comment
Share on other sites

  • HadIt.com Elder
This is a new pilot recently selected from this link:

http://www1.va.gov/opa/pressrel/pressrelease.cfm?id=1852

This new pilot will put Veterans in control of thier claims- and we want your input.

Hey folks,

The VA has a new pilot program starting up at the Atlanta RO. Basically, this will cover SC claims for increase, presumptives already verified, temp 100% and ALS claims.

Because of the back-logs, we have identified the above type claims mainly due to SC has already been established. We are in the process of creating an application, physicians statements for each disability system and the format on how we will process these claims. The pilot is named Rapid Evaluation of Veterans Claims (REV).

We all know that the back-log is growing, so this pilot is soliciting your help. To qualify for this pilot, you are wanting an increase in SC conditions. For your outpatient treatment records from private physicians-You will obtain them. VAMC records-basically in the application you can inform us which VAMC your treated at and we can get them. Our rating board has developed physician statements that will be made availible for you to take to your treating physician or VAMC doctor. Once you have all your documents together, submit your claim to the RO.

There will not be a VA medical exam, the application has a "waiver" for the VAE so we can rate your claim based on the material you provided to us.We will not send you a VCAA. The only correspondence you'll receive is the rating decision and your notification letter when your claim is complete.

Please give me some comments, concerns and your questions. If successful, this pilot will be launched nationally.

Admins-if Ive posted in the wrong section, please move. DRO's, RVSR's, VSR's etc please chime in also.

Thanks,

Link to comment
Share on other sites

  • HadIt.com Elder

I am for anything that would improve the system, but as some has already stated, I do not trust the VA, so proof is in the doing not the talking, so we wait to see if this nnew program will do what it was intended for or is it another BS way for the VA to media hype " we are solving the problem" BS. :blink:

Do yourself a favor.....buy some gold and silver! The printing presses are in overdrive.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

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

    • 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
    • Sparklinger earned a badge
      First Post
  • 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