Unbelieveable!

[63SIERRA]

Just got off the phone with the 1800 dial a prayer gurus, because my iris request didnt harvest any information, and was informed that I have a claim on appeal for SKULL, REMOVAL OF LEFT AND RIGHT PLATES. I told the operator that I have never filed a claim for anything like that or remotely similar. I was told that with my conditon, of having a brain injury, I probably dont remember it and the claim is accurate. ARE YOU KIDDING ME? After saying the alphabet backwards, and quoting shakespeare, I finally convinced the operator that it was NOT my claim. My back injury claim is not listed on appeals,.... so some poor soul is probably sitting there with half his head missing, with a back condition listed on his claims,.

The system is soooooo broken it is shocking.

[Dinnard]

I don't know if they just stopped caring about if it is right so they can get it off their desk or if they've been told to find some reason to deny. We've had two denial's on DRO review and both were based on wrong information. First it was not meeting 70% when he was 70% for 3 years then they said he did meet 70% but denied giving more weight to C&P exam by a APRN because they identified his VA doctor as a private physician. GO-FIGHT-WIN!

[john999]

I once had two claims going at the same time. One was for a psychiatric increase and one was for TMJ. The VA got the IME's for both conditions mixed up and denied both saying that a dentist could not opine on psychiatric condition and a shrink could not DX TMJ. If it were not so sad it would be funny.

I also was granted just 0% for heart secondary to DMII due to C&P exam by an APRN. This idiot was training another APRN when she was messing up my C&P. I just sent in an appeal and low and behold I got 60% without taking another C&P. The APRN did nothing but make guesses instead of asking for tests. If I were not used to these outrageous exams and decisions I might have just walked away in disgust. I did that 40 years ago and it cost me many thousands of bucks. If you walk away and attempt to CUE something decades later you are usually up &^%$# creek because the law has changed 20 times. As long as a decision is according to the rules even if the rules are a gross injustice you are probably out of luck. I am still smarting from my CUE being denied by CAVC. All they did was put a rubber stamp on an injustice. Disabled vets are tiny minority and nobody gives a &^%$ except other disabled vets and their poor families.

[Dinnard]

Working on the CUE now. I shall not give up the fight.