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 

  • homepage-banner-2024.png

  • donate-be-a-hero.png

  • 0

Denial Due To Probative Value Vrs Least Likely As Not

Rate this question


KDM

Question

What is worth more..

1 three VA Doctors Opinons in your favor one whos is A recent CNP Doctor stating that it is least as likely as not ie fifty fifty probability the othor two Doctors are you personell VA Doctors who have worked with you

2 Or A Older CNP By a Doctor that state he thinks you are a liar and manipulater etc that The RO states has more prbative value so he denies your case

3 I Appealed Case asked for it to be seen by a DRO first and applied a reg 3.102 reasonable doubt doctrine to it any opinions please

Link to comment
Share on other sites

  • Answers 4
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

4 answers to this question

Recommended Posts

Did they list the other three opinions/exams as evidence in the evidence listing on the decision??? Is this for SC or rating level for a condition already connected? If it is a rating question one could argue the more recent C&P is more representative of the actual condition at the present time and if you have been receiving treatment that should also be considered. As for the older C&P doctor you need to go through his exam with a microscope. If he states something as fact that is not supported by the evidence. I had a C&P examiner state no RVH when the echocardiogram in my file clearly stated RVH present. Often these hatchet job docs are pretty sloppy in their work and they contradict themselves between findings and conclusions. Find those errors and refute them (yourself if they are glaring errors or by a another medical exam/opinion that addresses the inconsistancy). Quoting 3.102 only without specifically attacking why the original exam was incorrect is a fairly week position.

Link to comment
Share on other sites

  • HadIt.com Elder

I had a NP say I did not have heart disease on C&P exam based on nothing but her unsupported opinion. On appeal after getting some testing I got 60% rating as CAD secondary to DMII (AO). I have had so many hatchet jobs done by incompetent, hostile and biased C&P doctors it is a laugh. I expect that all claims will result in me having to get IMO/IME. This is what we save our money for if we want to keep or get new ratings.

Link to comment
Share on other sites

  • HadIt.com Elder

I had a NP say I did not have heart disease on C&P exam based on nothing but her unsupported opinion. On appeal after getting some testing I got 60% rating as CAD secondary to DMII (AO). I have had so many hatchet jobs done by incompetent, hostile and biased C&P doctors it is a laugh. I expect that all claims will result in me having to get IMO/IME. This is what we save our money for if we want to keep or get new ratings.

I agree John. At our age (65+) it's virtually impossible to not have heart disease, if we live in the USA and eat an American diet. Our veins and arteries have to look like the inside of plumbing, in an old house, with the buildup of plaque, etc. I've yet to see a cardiologist thru the VA. I have a private appt, in 2 wks, w/a private cardiologist, at my expense. jmo

pr

Link to comment
Share on other sites

Thanks guys

1 answer 71M10 quiestion yes the three Doctors opinions wheres entered as evedence including the recent CNP (Least Likely as not) yet the RO still used the Older CNP as the Bases for denial as probative value.

2. It is a Secondary Conditon that is a mental COnditon to the first

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

    • RICHKAY earned a badge
      One Month Later
    • pacmanx1 earned a badge
      Great Content
    • czqiang1079 earned a badge
      First Post
    • Vicdamon12 earned a badge
      Week One Done
    • Panther8151 earned a badge
      One Year In
  • 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