ptsd All Vets Beware Of C&p Documentation

[halos2]

Had C&P 5 days ago, records arrived in sat mail.

"REVIEW OF MEDICAL RECORDS"

"C-FILE WAS REVIEWED"

"MEDICAL RECORDS WERE: Reviewed"

"Comments:

The 2507 listed this exam as OTHER

No C-file Sent for Review

No Medical Files available in C-file for review

CPRS and Remote Data Reviewed

Veteran interviewed and examined..."

Standard Form has marked c-file and medical records being reviewed, however NO records were sent at all!!

So if this examiner did not type in No c-file, No medical files available in C-file for review, a rater would read these were reviewed.

How many get screwed on their claims with no records ever being sent?

..."WAS A MEDICAL OPINION REQUESTED? NO"

..."after RO discussion, it was deceided that NO OPINION would be required since opinion needs to come from Behavioral Health...HTN and Secondary fatigue/weakness/severe joint pain/chest pain are to be sent without medical opinion and RO will reschedule exam for Behavioral Health to diagnose R/T PTSD."

Medical cannot diagnose medical conditions? What gives with that?? All the documentation per this examiner was noted. B/P was elevated x 3 during exam, and am on 2 different types of antihypertensive medication too. All other meds documented by her along with symptomology evident. Additionall per "xray review found Atherosclerosis, and calcification in aortic arch," but BH is going to make the call??

What gives with this?

One piece of paper sent to do this C&P as examiner showed this was all that was sent. Told her I had copies of C-File with me and she denied need to review these.

Is this a new way to decline claims? Don't send records/files, and then when examiner documents valid information, take away their ability to offer an opinion, and defer to another area, outside of the medical region?

How can one win with them playing the switch-a-roo game??

Edited March 7, 2010 by halos2

[*Bergie*]

Had C&P 5 days ago, records arrived in sat mail.

"REVIEW OF MEDICAL RECORDS"

"C-FILE WAS REVIEWED"

"MEDICAL RECORDS WERE: Reviewed"

"Comments:

The 2507 listed this exam as OTHER

No C-file Sent for Review

No Medical Files available in C-file for review

CPRS and Remote Data Reviewed

Veteran interviewed and examined..."

Standard Form has marked c-file and medical records being reviewed, however NO records were sent at all!!

So if this examiner did not type in No c-file, No medical files available in C-file for review, a rater would read these were reviewed.

How many get screwed on their claims with no records ever being sent?

..."WAS A MEDICAL OPINION REQUESTED? NO"

..."after RO discussion, it was deceided that NO OPINION would be required since opinion needs to come from Behavioral Health...HTN and Secondary fatigue/weakness/severe joint pain/chest pain are to be sent without medical opinion and RO will reschedule exam for Behavioral Health to diagnose R/T PTSD."

Medical cannot diagnose medical conditions? What gives with that?? All the documentation per this examiner was noted. B/P was elevated x 3 during exam, and am on 2 different types of antihypertensive medication too. All other meds documented by her along with symptomology evident. Additionall per "xray review found Atherosclerosis, and calcification in aortic arch," but BH is going to make the call??

What gives with this?

One piece of paper sent to do this C&P as examiner showed this was all that was sent. Told her I had copies of C-File with me and she denied need to review these.

Is this a new way to decline claims? Don't send records/files, and then when examiner documents valid information, take away their ability to offer an opinion, and defer to another area, outside of the medical region?

How can one win with them playing the switch-a-roo game??

Halos,

You know this is typical VARO C&P BS. We have all been through it and it certainly seems to be the norm across the board every where. Just be ready with the NOD.

JMHO,

Bergie

[broncovet]

Halos

Thanks for the heads up. I think the VA looses "positive" C and P exams 5000% more than C and P exams which give them evidence to deny. So, it is probably good news that the VA lost your C and P exam, because that means it was probably "Veteran favorable". Go to your VA medical Center's medical records and tell them you want 2 copies of that exam. Then keep one for yourself and send the other one to your RO certified mail return receipt requested, and ask them which OTHER EVIDENCE did they shred.

[halos2]

Thanks but, The VARO told the examiner not to make an opinion, they did not send any records to view/review. Why waste time and expense of vet and examiner to schedule the C&P and then not use it at all?

I have my copy that's how I found out more, besides the examiner telling me too.

I don't believe sending the VARO a copy of what they said to do would be helpful, as they said to do nothing with nothing at this point but refer to BH to act upon this....Hope I haven't confused you more than they are trying to do to me??? :D

Halos

Thanks for the heads up. I think the VA looses "positive" C and P exams 5000% more than C and P exams which give them evidence to deny. So, it is probably good news that the VA lost your C and P exam, because that means it was probably "Veteran favorable". Go to your VA medical Center's medical records and tell them you want 2 copies of that exam. Then keep one for yourself and send the other one to your RO certified mail return receipt requested, and ask them which OTHER EVIDENCE did they shred.

[hawkfire27]

Hi Halo,

Thanks by the way, It was your post that made us go and get the C&P results I have posted about. Thank you very much, we would never have know otherwise.

http://www.hadit.com/forums/index.php?show...c=35203&hl=

Edited March 9, 2010 by hawkfire27

[pacmanx1]

I may be crazy or my drugs maybe too strong but from what I read it sounds like you are going to have a C & P exam or some type of evaluation exam from behavioral health, they will give their opinion on your current status and how they relate.

As always if I am off someone else will chime in

Hope the best

[halos2]

hawkfire27 Thanks. We are all here to help eachother on our quest to get our claims approved and get our own sense of being validated for our true service connected sufferings. Hope you are able to receive grantings without the usual processes so many of us are drug threw. Occassionally they get it right early in the claims process.

Pete992 you read it right...BH will state whether my medical issues are secondary to my mental issues. Go figure. I guess they think the mind over rules the heart. Had it not been the stress of BH perhaps my medical conditions would not have surfaced.

It is almost like what came first the chicken or the egg...

So glad we can all work together learning what the VA does to so many, and how we band together to offer help to all. It is wonderful we have avenues and venues like hadit. :D