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The Real Reason Why Any Of Our Claims Are Denied

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Fed Up

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To all fellow veterans....the real reason why any of our claims are denied is that the General Accounting Office (GAO) in Washington drives the train to deny any claim for any veteran; GAO tells the Board of Veteran's Appeals how to instruct the medical examiners to examine the veterans and how to word the diagnosis; in turn, once that is reviewed by a adjudicator, the adjudicator denies the veteran, thus the adjudicator as a VA employee receives a performance adward bonus" for every veteran's claim they deny. I found the GAO report in the internet!! The VA convienently disregards approval by the Social Security Administration for disability when submitting that as evidence in a claim of any kind. Please pass the word, and complain to every Senator and Congressman, and them some!!! :angry: Get mad, and help each other!!

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With all due respect, Fed

link to the report or it didn't happen. *shrug*

The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.

B.S. Doane College, Mgt Info Systems/Systems Analysis 2008

M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021

M.S. Purdue University Information Technology/InfoSec, Dec 2022

100% P/T

MDD

Spine

Radiculopathy

Sleep Apnea

Some other stuff

-------------------------------------------
B.S. Info Systems Mgt/Systems Analysis-Doane College 2008
M.S. Instructional Technology and Design- Purdue University 2021

 

(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents,  and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)

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Hey Fed,,,,, hold up....I think about everybody here (thousands) can understand your frustrations. The first thing you don't want to do is get in your own way. I think too, that what may be a discovery for you has been well known by most here, especially the seniors. i.e. you are preaching to the choir,,,now get up off your knees, wipe your eyes, focus and fight your battle. You have lots of help here. Pardon also, Fed,,,for the sake of all,,,please try to check your i's and t's before you present them as facts here. There are those who depend on the site for information that is as close to the facts as possible. (ex. 1. GAO tells the Board of Veteran's Appeals how to instruct the medical examiners to examine the veterans and how to word the diagnosis; (I doubt they tell the doctors what to do or say aside from the law. Think about it, if they did you wouldn't know it anyway.) 2. The VA convienently disregards approval by the Social Security Administration for disability when submitting that as evidence in a claim of any kind. (Almost anybody here can tell you that something is either SC or it's not and if the SSA report/approval gives evidence that something they (the SSA) approved is connected to your SC condition, then the SSA report can be strong evidence for your claim. If your SSA claim is for something other than a SC condition or secondary to a SC condition, then it wouldn't count anyway.) JUST SAYIN and I'm outta here. Good Luck.

Edited by shag
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I really find it hard to belive they train people to deny claims and then give them a bonus, However I know first hand that there are docs out there that could give two s****s about you. For example for my first C&P I claimed hearing loss due to IED explosions and firefights, the doc looked in my ear and said my right ear drum had a hole in it and then immediately asked me if I had ever used cue tips in my life time...I said yes a long time ago...On the report he said the hole in my ear drum was caused by me using cuetips...This was false and I knew not to use cue tips the day I enlisted into the military because they stress to you that it does more harm then good. Needless to say I will most likely get denied for my hearing loss but that is just how it goes. Now as far as my mental exam went the doc was very concerned and helpful about everything. Trust me I am stressed out about the VA and the time it takes to process claim I don't need to lie to myself to make me fell better about it.

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  • HadIt.com Elder

Fed up I think that you are mistaken. I do believe that in the past many claims were denied because poorly trained adjudicators were handling the claims and if anything is apparent its that the attitude was to deny and let the lawyers fix it.

Remember a mistake granting a claim was looked on as a bigger mistake. I know human nature and its not to stick your neck out either way.

I also don't think most who work for VA care how much is granted either but I still believe that there was a 4% rule

Veterans deserve real choice for their health care.

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I don't know about the GAO thing, so I will leave that issue. What bothers me is how the VA rates vs the way SSA rates. SSA has a listing of physical and mental diseases that are so bad that your claim for disability is almost assured. For instance, the VA rates Parkinson's at a min. of 30% and says it is a progressive disease, so each time it gets worse, you have to request an increase. Under SSA, if you meet a certain criteria, like tremors in two or more extremities, you qualify, and no mention of the work progressive. There are mental diseases that are classified as total under SSA, but not under VA guidelines. I would like to see some consistency. Some are going to tell me that I can apply for both, in my case that is not true. I retired from Federal Employment, and did not pay into SS. So, a Veteran that worked in the private sector applies to both the VA and SSA for Parkinson's, he/she will most likely qualify as totally disabled under SSA, but must wait until the disease progresses to 100% under the VA.

Papa

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  • In Memoriam

Fed up,

Welcome to Hadit.

Stretch

Just readin the mail

 

Excerpt from the 'Declaration of Independence'

 

We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which, would inevitably interrupt our connections and correspondence. They too have been deaf to the voice of justice and of consanguinity

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