diabetes Pulled A Quick One With My C&p

[zeelarry]

Well, I went to my Kidney C&P this past Tuesday. The C&P Exam was posted on eBenefits today, with no surprises. As usual, I took all of my Lab Tests and Private Doc's write ups, that were pertinent to the kidney disease [which were already part of my C-file]. The C&P thanked me & said that it saved him time looking for the info.

NOW, FIGURE THIS ONE OUT- in reading over the whole C&P Exam, the Doc also did a write up on my Diabetes, GERDS, and ED. I just had the C&P done on these ratings back in March 2015, and claims were granted!!!!

The last section of the C&P Form is titled Remarks, if any: It appears that the Doc is given an opportunity to add any additional comments. In all 3, he wrote INCREASE. However, I do remember discussing some of the information that answered the questions, but NOT IN DETAIL. However, some of the critical ones were not discussed and are incorrectly stated on the Exam Form. In particular, the DM Exam Form asks about Regulation of Activities, and he answered NO. I just went through a NOD [Jan 2015] with VA about this, and based on my private doc's letter I was granted a higher rating due to restrictions of activities in April 2015.

I feel that this is a backdoor approach that VA pulled off, in an attempt to lower my ratings. This is absolute BS, especially if they go back & lower my DM %, back to pre-NOD!!!!!!!!!

Edited August 7, 2015 by zeelarry

[green]

I have to tell you that the majority of my exam notes state some sort of error. As an example, I recently went to a VA podiatrist to perform an exam for a diabetic shoe recommendation. During the exam the Doctor noted that I have lost my protective sensation (consistent with 2 neurologists) and made the recommendation for diabetic shoes. Imagine my surprise when I looked at the notes which stated that my protective sensation is intact. I went to the VA center and complained so they had a second podiatrist look at my feet and he added an addendum to the first doctors notes stating the facts. I'd like to say that this sort of sloppy documentation is unusual but the truth is it happens all the time. How do you change a culture that has a little regard for accuracy and thoroughness.?

It seems to me that very few VA medical folks could maintain a job in private practice, hey, maybe that is why they work for the VA (I know that was snarky but sometimes I really wonder).

[Buck52]

I think the VA pays there employees pretty good especially the Dr's, off one day a week plus weekends,there salaries are compared Nationally.

But unfortunately some of the C&P Doc's write what ever they want. if you get the report and disagree with it request another C&P Exam to use a different Doc.

jmo

...............Buck

Edited August 10, 2015 by Buck52

[USMC_VET]

I personally feel part of the process should be that the exams are recorded automatically, the patient is notified, if they wish to not have it recorded they sign a waiver, etc.

At the end of every exam the doctor then goes over his findings with the patient to see if there are any mistakes... I.e. "regarding your cases of "characteristic prostrating" in connection with your migraines, which you referred to as "laying down", you reported varied numbers, would you agree that once a month is a fair average of this symptom?"

i think this would be better for the VA and for the VET. This way if a vet is scamming and says what he says, then gets 10% when he wanted 50% he goes says "i said i was laying down all day every day", the VA can pull the BS flag and say nope, you agreed with the finding in your C&P exam. If the VA is trying to scam you by BS'ing exams like this you can disagree on the spot. fewer NOD's requesting DRO hearings or new exams based on existing C&P exams, less backlog.