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

Does Vamc S Use Outside Services To Do Thier Medical Codes?

Rate this question


63SIERRA

Question

  • Answers 9
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

Recommended Posts

  • 0

What a clever system, Patient comes in to see doctor, Patient has hole in his head/ Doctor writes notes, patient complains of headache, and has small contusion on his head. Patient said something abt setting off metal detectors due to fragment still in his head. Advise patient to inform security before going thru metal detection and prescribed motrin. Veteran tells doc about the shrapnel recieved from getting blown out of his hummer by the enemy. headaches, nightmares, ect

Ok next, the Code talkers come into play, and im not talking about the native americans.

Code writers list patient as having " head pain" :[now keep in mind who is paying them)

Patient files compensation claim, and gets screwed because they didnt use the proper codes

Doc is out of loop because he or she didnt set the code, they only listed the symptoms.

Veteran is also denied additional healthcare procedures and treatments because " they dont meet the criteria" because they got the wrong diagnostic code/.

Patient files 1151 claim against Va for malpractice, VA denys negligence because they " didnt write the codes" they contracted it out.

Ids this how it all works?

Edited by 63SIERRA
Link to comment
Share on other sites

  • 0

but it aint over, veteran goes file for SS and gets his Medical records from VA. . Judge gives veteran a strange look and says, sir, I just dont understand why you think are disabled, theres really nothing in your file that makes me think you cant work. I dont see any CT scan, MRI, ect?? I dont see any rehabilitation therapy, and no meds other than a few Motrin.

Your Honor, I have blurred vision, bad migrane headaches, memory loss,sleep disturbance, nightmares and cold sweats.. Judge sends denial letter, suggesting that what veteran claims is wrong, and what is in his medical record dont jive. Basically insinuating vet is lying. DENIED

AND THEY WONDER WHY 22 VETS KILL THEMSELVES EVERYDAY!!!!!

Edited by 63SIERRA
Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Ain't that the truth!.....crying shame

I am not an Attorney or VSO, any advice I provide is not to be construed as legal advice, therefore not to be held out for liable BUCK!!!

Link to comment
Share on other sites

  • 0

In my opinion, the minimalization of the veterans illnesses and injuries, and the generic, often innacurate diagnostic codes assigned to the veterans illnesses and injuries, sets in motion a path to inadequate care, denial of compensation, a worsening of ilness and injury , due to denial of treatments and improper tracking of the veterans maladies, and many years of misery and despair.

Edited by 63SIERRA
Link to comment
Share on other sites

  • 0

Another thought, maybe the reason the VAMC tries to keep vets from going outside the system, is they know that the private companies are going to have issues with thier billing procedures. Billing also uses codes, So if the private hospital or clinic has to treat for a major code and the patient has had chronic major problems that arent being acknowledged I would think it would put them in a dillema,.

Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Just another way the Department of Veterans Affairs (VA) screws the veteran. It's like the military contracting out for food services, transportation (trucking), etc.. I have a good friend who hauls tanks, HumVees, etc., periodically. It's really ridiculous! They find they can do this stuff w/o effecting their budget(s). Don't even get me started!!! ;-)

pr

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

    • Tim Walsh earned a badge
      First Post
    • Tim Walsh earned a badge
      Conversation Starter
    • BirddogM578 earned a badge
      Week One Done
    • BirddogM578 earned a badge
      One Month Later
    • Bubbleboy929 earned a badge
      Week One Done
  • 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