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

23 Percent Of Va Claims Processed Incorrectly

Rate this question


jbasser

Question

  • HadIt.com Elder

I just bumped into this article. On behalf of our friends over at Military.com.

Link: http://militaryadvantage.military.com/2011/05/va-audit-23-percent-of-disability-claims-incorrectly-processed/#idc-cover

Basser

A Veteran is a person who served this country. Treat them with respect.

A Disabled Veteran is a person who served this country and bears the scars of that service regardless of when or where they served.

Treat them with the upmost respect. I do. Rejection is not a sign of failure. Failure is not an option, Medical opinions and evidence wins claims. Trust in others is a virtue but you take the T out of Trust and you are left with Rust so be wise about who you are dealing with.

Link to comment
Share on other sites

  • Answers 54
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • HadIt.com Elder

Thank you Veldrina I guess your advice is to drop all the extraneous and ask VA to rate what is the main thing you are claiming and if possible state to the VA you are ready to rate with the evidence on hand?

When I worked it was called a Dog and Pony Show not so much on substance but a lot on show.

I also would like to add I always felt that the VARO who did mine in 1996 needed my Military Records, my treatment records after I separated,a good IMO with a nexus and current diagnosis, my SSD medical info and for me some CFR's I found in BVA opinions that would grant service connection.

I think the hard part was and still is the initial grant that opens the door to service connection and proof that you are in shape you are in now.

My initial calim the VSO who I still love dearly asked for a lot of stuff if he could find any kind of treatment while I was in service. I dropped them after 4 months and a SSD award figuring why make it more complicated than it already was.

By the way the VARO that granted me 100% apologized to me and told me it should have been granted much sooner.

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

  • HadIt.com Elder

Veldrina, they dont need to re invent the wheel, They just need to re balance and tighten up the lug nuts.

Dont let it frustrate you.

J

A Veteran is a person who served this country. Treat them with respect.

A Disabled Veteran is a person who served this country and bears the scars of that service regardless of when or where they served.

Treat them with the upmost respect. I do. Rejection is not a sign of failure. Failure is not an option, Medical opinions and evidence wins claims. Trust in others is a virtue but you take the T out of Trust and you are left with Rust so be wise about who you are dealing with.

Link to comment
Share on other sites

It's not just the errors....the standard fr raters is 90% accuracy & 3.5 cases a day. I am on a PIP (performance incentive program) becuz i was falling short of the numbers. We have so many trainees now that any easy or small issue cases have been given to them & we are stuck with the complicated ones. Try to do them right the first time, it takes longer & u don't make production. Rush through to get the #s out and u make mistakes which bring your accuracy down. It's a no-win situation,.

Heads up: I dunno who ruffled Shinseki & Washington's feathers, but they have been literally tripping over themselves with constant new "ideas" on how to make us more efficient, without any actual clue of HOW we work. Latest things from the grapevine: office cares about #s right now so we are pumping out whatever cases we can, mostly small issue cases. If you claimed a lot of issues, you are S.O.L. If u have been waiting a long time & kept adding issues, tuff. Another tidbit is that now any claim with a deferred issue will not count towards production, so there will be no incentive to do them since we can't get credit. This means that if we could grant you 60% for a heart condition now, but u also claimed an ingrown toenail and we need an exam or haven't received STRs or what have u, your case will be waiting on the sidelines until such a time as we can resolve the deferred issue.

Also heard, they will be revising our standards & possibly upping it.

Every day it's a new thing, and some jerk in washington's bright idea on how to break the backlog. Goddess forbid anyone actually ask the workers. If it weren't for the fact i have loans to pay down, i would quit at this point. I'll post more wonderful washington news as i hear it. Someone PLEASE smack Shinseki!

I was comparing the Monday reports for Phoenix, and am trying to figure out how many claims they are doing on the average per week. THe numbers are extremely low, only around 114. You are stating 3.5 cases a day, they must only have a few raters in the Phoenix VARO doing claims. Is your standard for your site only?

Link to comment
Share on other sites

  • HadIt.com Elder

It is a scandal but only organized veterans can fix it. The government will never fix it on their own without pressure.

Link to comment
Share on other sites

Every day it's a new thing, and some jerk in washington's bright idea on how to break the backlog. Goddess forbid anyone actually ask the workers. If it weren't for the fact i have loans to pay down, i would quit at this point. I'll post more wonderful washington news as i hear it. Someone PLEASE smack Shinseki!

Vel,

Thanks for an insider's view to update us.

It amazes me that in just about any employment

they rarely ask the worker-bees what THEY think would help

them accomplish the goals.

If the TV show "Undercover Boss" could tackle the VA, they could help - lol.

Get those loans paid off ASAP !

Looking forward to more scoops :-)

Carlie passed away in November 2015 she is missed.

Link to comment
Share on other sites

I'm trying to decide if I should change my name from Papa to S.O.L. or just Tuff $%#%:biggrin:.

Papa

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
      Week One Done
    • 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
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use