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

Need The Legal Beagles

Rate this question


carlie

Question

Question is, if a medical report is not signed by the doctor or shown in CAPRI, will it still be weighed as evidence

in adjudication of the claim.

The question stems from these two threads

http://www.hadit.com/forums/index.php?show...c=35376&hl=

http://www.hadit.com/forums/index.php?show...c=35420&hl=

and this Court Case:

(I don't think this case sets precedent.)

http://www.nvo.org/phpbb3/viewtopic.php?p=3095

Carlie passed away in November 2015 she is missed.

Link to comment
Share on other sites

  • Answers 2
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

2 answers to this question

Recommended Posts

  • HadIt.com Elder

carla - my interpretation is they will still weigh it the way they usually do. However, I feel the judge pointed out that it could be appealed due to failure in the regularity issue. They are actually violating their rules. I believe that in the case posted it made no difference in the outcome because of the spinal bifida issue. jmo

pr

Question is, if a medical report is not signed by the doctor or shown in CAPRI, will it still be weighed as evidence

in adjudication of the claim.

The question stems from these two threads

http://www.hadit.com/forums/index.php?show...c=35376&hl=

http://www.hadit.com/forums/index.php?show...c=35420&hl=

and this Court Case:

(I don't think this case sets precedent.)

http://www.nvo.org/phpbb3/viewtopic.php?p=3095

Link to comment
Share on other sites

The case NVO cited states:

"Finally, the Secretary argues that the Board did not err in relying on an unsigned examination report because the Secretary confirmed that the July 2005 examination report was transmitted in compliance with the applicable M21-1MR requirements. "

I think the key wording here is "transmitted"

for 2 reasons-

The VA recieved an unsigned C & P report that I obtained from the C & P doctor- years ago-

The C & P doctor was identified in the actual decision.

When I called him years later ,he pulled the report from his desk as we talked.

I could immediatly determine -as he read the part I questioned him on-that the VA had manipulated his actual report and he sent copy of the report to me.

Far different from what they put in the SOC-and I didnt know them (1996) that I could have obtained the actual C & P.

But the report was not signed.

Then in another situation the regional counsel and the local VA Medical Director-- had assured me that 4 months after filing my FTCA claim- the Medical director had agreed with my charges and that the regional counsel wopuld be negoptiating a settlement with me.The report was done on May 19 1995 and within a month it disappeared from the C file, as well as the RC and the director-they had both left the VA rather suddenly.

Then my FTCA case took over 2 years more to be settled.VA claimed this report (called a Peer report for FTCA purposes) never existed.

When I reopened my claim I knew by then that I could get an up to date copy of my C file.

The report that never existed was found at the vcery bottom of my file.

It was devasting but unsigned.

Then I found out why-

the key word is "transmitted"

when the C & P doc I mentioned prepared his report he "transmitted " it from his VA PC to the RO.

This was the same case for the Peer Report.

The doctor who did the peer report -I ran into him in K Mart after he had left VA and he told me he not only was shocked that I had not won the FTCA yet- he also said this report was still in hs VA PC which it had been transmitted from - (thus not signed) as the VA had proof of the origin within their PC system.

I then found out last year that there is another course for these documented Peer Reviews.

His report had been "transmitted" from his VA PC to OLMA (VA Office of Legal and Medical)(who took down their link at VA web site when I started to ask them some tough questions.

When I obtained my IMOs they were electronically signed.But there was no doubt as to the origin of the preparer- just like IRS electronic returns.

So IMHO I feel that an 'unsigned' medical report by a VA doctor could well have been "transmitted" between one VA entity to another-with an origin that could be none other than the VA doctor who prepared the report.

Hope all that made sense.

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

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