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

Crunch Time -nod Or Not?

Rate this question


nlualum82

Question

Soon to be 1 year from getting my upgrade.

I went from 40% hearing to 50% hearing, 70% PTSD/MDD, 10% tinnitus, 10% lknee injury and 10% l knee degenerative osteoarthritis.

I was denied 10% for chronic otitis externa. I thought it was a well documented claim. A VA ear, nose & throat doc's records that I submitted said "...l otitis externa, most likely from the ear molds (hearing aids)...stuck in a chronic state...). I had an IMO from a doc who treated me for the condition a couple of times.

The VA sends me a prescription every month to control it.

The C & P examiner was very hostile.

I figured I would correct his statement to the effect that I no longer had the problem since getting hypo-allergenic molds. I told him it had reduced the frequency a bit.

The VA denial said it could find no record of me having it in service - I would point out that I filed it secondary to my hearing loss and that it didn't occur until I had to wear hearing aids full time due to my S hearing loss.

I guess it's partly the nature of PTSD, but I am threatened by the idea that they may bring me back in and review everything and cut me somewhere over filing the NOD.

I am 90% now and working at the post office. IU seems a distant dream. The otitis award wouldn't change my percentage and as such wouldn't bring retro.

Another question - I have heard of the requirements of new evidence to re-open a claim. Since retro is not involved, can I re-file the same claim anytime - is the one year limit only to preserve an effective date?

Gary

Link to comment
Share on other sites

  • Answers 13
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

Regarding the NOD:

I would send them along with it,

"My records don't show a diagnosis of otitis media" - I'm filing for otitis externa, plenty of diagnosis and records on that!"

In this claim it states:

"The maximum disability rating under the Schedule for disease

of the auditory canal or otitis externa is 10 percent"

How did they state the denial of it as secondary?

This part of this BVA decision is odd---the rating criteria was changed in 1992-

"The rating criteria of both the original and revised versions

of Diagnostic Code 6210 are the same. The only change in the

revised criteria is re-designation of the disability as

chronic otitis externa. Accordingly, there is no prejudice

to the veteran in the Board considering both the original and

revised rating criteria in the first instance, since they are

the same and neither is more advantageous to the veteran in

assessing his claim. See Bernard v. Brown, 4 Vet.App. 384

(1993)."

Are they saying that it does not matter whether this is media or externa?

http://www.va.gov/vetapp01/files01/0102254.txt

(re-read your post -not time to send those records with the NOD-I guess-)

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
    • KMac1181 went up a rank
      Rookie
  • Our picks

    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 3 replies
    • 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

       
×
×
  • Create New...

Important Information

Guidelines and Terms of Use