23 Percent Of Va Claims Processed Incorrectly

[jbasser]

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

[Bigred122]

For some reason not as much info on it as before. Attached is more info on it. I'll see if I can find more on it!!.Mike

19-MillenBillEmergCare.pdf

[Bigred122]

Enclosed is two more attachments about the Millenium Program. It looks as tho it has been watered down over the years. The last time I used it was 2008. Check with your local VA to see what changes have been made and what the income level is.Hope this helps someone!! Mike

C:\Users\michael\Desktop\Emergency services under the Millennium Health Care Act - Non-VA Care (Fee Program).mht

C:\Users\michael\Desktop\H_R_ 2116, Veterans' Millennium Health Care Act.mht

Files wouldn't attach I hope these work

[john999]

The CAVC remanded my CUE back to the BVA because BVA used the wrong law to deny my claim. The errors persist at all levels of the VA claims process. I have to wait for details to be posted at the CAVC site.

[allan]

As long as they keep processing only the claims they can use the top sheet to approve with, in order to keep their qoata's and bonus's up, there will be a high backlog of claims.

Mine was remanded by the CAVC simply due to raters completely ignoring what was favorable and Dr shoping for the opinion that wasn't. Two of the medical examinations they never bothered to comment one way or the other. One was a C&P from the VA's Dr specifically ordered by the rater to clearify if my issues were service connected or not. The rater simply made a false statement that they never recieved an answer and went to someone that never examined me for an IMO.

It isn't just top sheeting claims and processing the easiest of the easiest in order to get a check thats increasing the backlogs. It's down right decieving vets in order to get their check. They're allowed to because it's perfectly exceptible practice. Read the CAVC cases. Many of them should have never left the VARO with the kind of error's that are so obvious. yet they take the decade or two trip to the CAVC before they're caught?

I just love hearing,'It's those claims with multiple issues". BS So vets need to loose out in order to make "your" job of denying claims easier?

If you can't process a claim with multiple issues, you need to stay away from all federal agencies, state, county and health care. Try washing dishs for a living. It doesn't require much thought. Maybe it will open the door for those who don't mind giving their work some thought before signing their name to it.

Edited June 1, 2011 by allan

[Veldrina]

sry took so long to reply.

Bigred...yes, I'm a par tof the system, but i cant change it,. I'm just a rater. Those "programs for money saving ideas" are a crock of shit....you submit an idea & it gets "voted on", then the ones with the most votes go on to get voted on again elsewhere...it's a friggin popularity contest. If i have a great idea but no one likes me, there goes the idea. And believe me, i have written/called/posted/circulated etc my ideas till i'm blue in the face. Maybe 1 out of the 45 I've come up with have been listened. to, & most of the time I'm labelled a troublemaker fro ricking the boat. Congress is the only one who can change our laws, & right now a bunch of "geniuses" in Central Office" are getting pressure from Congress to output out put output, so they keeo coming up with idea after idea for us to implement without ever asking our inout...they've never worked a claim in their life, yet think they know how we should do our job. I'm drowned out. But veterans, together, can annoy the living hell out of their senators/reps & get change. maybe if you take away our outdated points system, ppl won't be so worried about the cases and actually do them right, regardless of how many issues. The production/point system is a MAJOR impediment to your claims getting done. If it were up to me, every honorably discharged vet would receive 2000 upon leaving, regardless of whether you lost a limb or stubbed a toe. It would actually b cheaper for the govt'. Sure, I'd be out of a job, but gods, wouldn't it be easier on everyone? For every vet to know that no matter what they will b taken care of, and that u don't have to go to myriad exams, deal with form after form etc.? Maybe a sticking point to take up with your congressperson as well.

Papa, I'm not too good on SSA stuff, but i hope the others answered your question,. Not ignoring u, just dunno.

[USNDW]

I will say I was ecstatic about my inital VA award. I received it only 1 month after retirement, by using the pre-seperation claim and going my on my own. I got TDIU with Chapter 35 and all that.

What I would add is that when I called the first time to check and see if my medical records had been received by the VARO, the call rep asked what I was claiming, and I toild her, and she asked if I had any other medical issues, well of course I do, I have an immune disorder so she listed every body part that I told her hurt. I was not aware of this until my 4th C&P exam and the doc started asking me all the questions about my wrists, and shoulders and ankles. I told her I did not want to claim these things. She made a note and told me to write a letter, which I did, withdrawing these other multiple claims. I had no idea they were actually creating new claims to the ones I had filed for.

2x now since then I have had them add claims that I did not ask for. They actually sent me a denial letter for some medical conditions that I had never claimed. I guess they were in my VA medical record, so they automatically opened up a claim for 3 conditions I never asked for.

That, and the multiple mistakes that have been made since then make me very aware of why the VA has a hard time breaking through the backlog. I filed a claim for an undiagnosable inflammatory arthritis condition within the 1 year presumptive, sent a complete package of medical records, highlighted the most significant parts, gave the names, addresses and phone numbers of the doctors, and wrote a short memo giving the chronological date of treatments including in service dates, records where the information was found and the new info. They denied the claim because they said there was no supporting evidence??? The records were there so apparently someone decided it was too easy to deny it, or they were looking at a different file. The did list the letter I wrote that was in the packet as evidence, and a release of info. but they did not list the medical records that were included, and they made no attempt to contact either medical examiner I listed on the claim. Common sense would dictate that this problem is probably nationwide.

I realize they get a huge number of claims, but if your employees are going to increase their burden, and deny claims that are relatively easy to approve and rate, the backlog is never going to go away, it will only get worse, especially when more and more Veterans are finding these sites and finding out that the VA should have provided them more benefits from the get go.

Nothing personal against VA employees, but after 2 1/2 years in the system, I have a full understanding why so many Veterans have negative attitudes about the VA