Did this quack do your C & P exam?

[Berta]

And if they did, has VA given you a new C & P exam?

https://www.disabledveterans.org/2018/01/30/va-disability-examiner-barred-business-gov-fraud/

[pwrslm]

The NP is competent to complete the form. The RO can then ask for the medical opinion from a specialist. I prefer that the actual specialist examine me thats why I got an IMO that cost me $$.

The VHA commits fraud  all the time.  Every encounter they put down information in your medical file that claims they did things that never happened (like go over your prescriptions with you or counseled you about high blood pressure, diabetes, or being overweight and needing lifestyle changes) it is fraud and a felony for falsifying medical records. It happens thousands of times every day but we have become so accustomed to it that its business as usual.  That is a Grand Scale! 

[hollywoodnc]

On 2/7/2018 at 11:39 AM, Buck52 said:

Ms Berta,

I never did any research on this but just from reading past BVA decisions and also at R.O. Level,   the private IMO Dr that specialize in the condition in question,  I believe with the VA Raters  it's about a 75% in favor for the Veteran, especially if the private Dr gives a better detail in his/her report & states his/her credentials  and years of experience /expertise.

Just from what I've read.

It's just to bad the VA Dr's can't get it right the first time...I believed they could if they just would.

so it's worth it to the Veteran to spend some$$ for IMO/IME  (jmo)

Just my opinion here but for probably 80% or more of us Veterans have had to use an IMO/IME for rebuttals  against the VA Dr's

I know I had to...and it worked out well. 

eventually you your got my $ back.

 

If Veteran don't have it they should be able to get it

I borrowed from my bank and set up monthly payments , when I won my claim I paid the Bank back.

but it's just a damn shame we have to do that.

Buck...

Just look at what you had to go through, to prevail in a benefit, which you should have been entitled to from the start.

Fortunately for you, you could afford going that route.  There are Vets though, who cannot afford to see a qualified Dr. in the outside world.

Honestly, NONE of Us should have to take this route though.  DVA Drs. should be doing this, w/o any type of bias.  RO's should be sending Vets to C&P examiners who specialize in the Vets particular ailments.  If they can't, that's where the CHOICE program should come into play.

IMO...I believe that C&P examiners, being VA employed, are biased, being that they are on the DVA payroll.

[Berta]

Part of this is OUR fault- by  'OUR 'I mean veterans, survivors and dependents of veterans, lawyers for vets, all advocates for vets, and all national service orgs.

PWRSLM is right- NPs have a lot of power these days at VA because of this:

"AP44 - Proposed Rule - Advanced Practice Registered Nurses

 

Docket Browser  Return to Docket Folder Summary

Skip Search Filters

 

Docket ID: VA-2016-VHA-0011

Agency: Department of Veterans Affairs (VA)

 

Summary: 

The Department of Veterans Affairs (VA) is amending its medical regulations to permit full practice authority of three roles of VA advanced practice registered nurses (APRN) when they are acting within the scope of their VA employment. Certified Registered Nurse Anesthetists (CRNA) will not be included in VA’s full practice authority under this final rule, but comment is requested on whether there are access issues or other unconsidered circumstances that might warrant their inclusion in a future rulemaking. The final rulemaking establishes the professional qualifications an individual must possess to be appointed as an APRN within VA, establishes the criteria under which VA may grant full practice authority to an APRN, and defines the scope of full practice authority for each of the three roles of APRN. The services provided by an APRN under full practice authority in VA are consistent with the nursing profession’s standards of practice for such roles. This rulemaking increases veterans’ access to VA health care by expanding the pool of qualified health care professionals who are authorized to provide primary health care and other related health care services to the full extent of their education, training, and certification, without the clinical supervision of physicians, and it permits VA to use its health care resources more effectively and in a manner that is consistent with the role of APRNs in the non-VA health care sector, while maintaining the patient centered, safe, high-quality health care that veterans receive from VA."

How many members here at hadit  took the time to comment on this proposed regulation?

My comment is here:

AP44 Proposed Rule-Comment Submission

The proposed rule states: "and other related health care services." I think the rule should be amended to state "except for C & P exams which will be done solely by VA MDs with...

Public Submission

Posted:

07/22/2016

 

ID:

 VA-2016-VHA-0011-116392

Submitter Name:

 Berta Simmons"

My full comment is available in the above link.

I brought this Fed register proposed amendent to hadit as soon as it came out.

The same thing happened when the 2010 PTSD regulations came out.

Only 2 or 3 of us from hadit  commented at the Federal Register and overall, I think they only got 600 comments on that one....not enough to change the proposed regulation.

 

 

 

 

Edited February 10, 2018 by Berta

[hollywoodnc]

55 minutes ago, Berta said:

Part of this is OUR fault- by  'OUR 'I mean veterans, survivors and dependents of veterans, lawyers for vets, all advocates for vets, and all national service orgs.

PWRSLM is right- NPs have a lot of power these days at VA because of this:

"AP44 - Proposed Rule - Advanced Practice Registered Nurses

 

Docket Browser  Return to Docket Folder Summary

Skip Search Filters

 

Docket ID: VA-2016-VHA-0011

Agency: Department of Veterans Affairs (VA)

 

Summary: 

The Department of Veterans Affairs (VA) is amending its medical regulations to permit full practice authority of three roles of VA advanced practice registered nurses (APRN) when they are acting within the scope of their VA employment. Certified Registered Nurse Anesthetists (CRNA) will not be included in VA’s full practice authority under this final rule, but comment is requested on whether there are access issues or other unconsidered circumstances that might warrant their inclusion in a future rulemaking. The final rulemaking establishes the professional qualifications an individual must possess to be appointed as an APRN within VA, establishes the criteria under which VA may grant full practice authority to an APRN, and defines the scope of full practice authority for each of the three roles of APRN. The services provided by an APRN under full practice authority in VA are consistent with the nursing profession’s standards of practice for such roles. This rulemaking increases veterans’ access to VA health care by expanding the pool of qualified health care professionals who are authorized to provide primary health care and other related health care services to the full extent of their education, training, and certification, without the clinical supervision of physicians, and it permits VA to use its health care resources more effectively and in a manner that is consistent with the role of APRNs in the non-VA health care sector, while maintaining the patient centered, safe, high-quality health care that veterans receive from VA."

How many members here at hadit  took the time to comment on this proposed regulation?

My comment is here:

AP44 Proposed Rule-Comment Submission

The proposed rule states: "and other related health care services." I think the rule should be amended to state "except for C & P exams which will be done solely by VA MDs with...

Public Submission

Posted:

07/22/2016

 

ID:

 VA-2016-VHA-0011-116392

Submitter Name:

 Berta Simmons"

My full comment is available in the above link.

I brought this Fed register proposed amendent to hadit as soon as it came out.

The same thing happened when the 2010 PTSD regulations came out.

Only 2 or 3 of us from hadit  commented at the Federal Register and overall, I think they only got 600 comments on that one....not enough to change the proposed regulation.

 

 

 

 

What Imbecile came out with THIS ruling???

So, as I read it, I can attend 3-4 yrs of Nursing school, get hired by the DVA, opine at C&P exams and sign "MD" on  the DBQ?

Try examining patients like this in the REAL WORLD!

Surely, there are State laws that would prohibit an NP from rendering medical opinions as would an MD, isn't there?  Isn't there some sort of Minimum Standards in place?

UNREAL!

I have a good mind to start raising a stink about this to Gov't. officials.  This is NOT good news for the millions of Veterans who are subjected to inexperienced care.  If this is the way to limit DVA spending, it's an ass backward way of doing so.  In FACT, it's costing more money for the Gov't., because all these inaccurate C&P's are forcing Veterans to appeal.

This ALSO supports my theory, that C&P's are nothing but a ploy concocted by some clown to entice the Veteran to "Give Up" on his/her claim. eg: "You aren't as disabled as you think" and/or "You aren't disabled enough to qualify under the "Disabled" clause via Title 38."

Lastly, if ANY Veteran is considered "Unable to compete in todays work environment", via Social Security Disability guidelines, then DVA should award under similar standards.

Conclusion...

An NP should be prevented from rendering any opinion outside of their scope, which they have NO BUSINESS in doing to begin with.  Allowing this stupid practice to continue, to save money, could put DVA in a LEGAL predicament...aka: Medical Malpractice.

[Berta]

I believe I definitely made that point in my public comment at the Fed Register-as to malpractice.

It is searchable under my full name, Berta Simmons.

And a vet could always try to get an IMO/IME  to combat a VA NP opinion, from a non VA NP-but I think VA would still deny the claim....because this regulation only pertains to VA employed NPs.

Someday vets will raise so much of a ruckus that the whole C & P procedure will get revamped.

or they wont,

and it wont...

The very fact that IMO/IMEs can overcome a lousy C & P, to me, ( public proof is at the BVA) is proof of VA medical incompetence..or proof that C & P examiners do not want to go against what VA wants of them, and they are paid by the VA- or paid by an outside foirm that VA pays......this is the biggest VA conflict of interest we have to put up with.

 

 

 

 

[Buck52]

Unfortunately  VA calls the shots per'say .

We can't change that.

Failure to show up for a Appointed C&P Exam by the VA will result in NO Benefits.and make it hard on that veteran to get what he is due.

All Veterans should question the examiner at the beginning of the  C&P exam of their qualifications,  most good examiner will state there credentials/experience at the beginning of the exam ,if they don't   speak up and ask them.

Not all C&P Exams are Inadequate, we can only speculate as to why the VA sends us to C&P Exams and not use the correct Dr in the field of medicine  we claim to evaluate and basically judge us.

 Were happy if we get a favorable Exam  rather or not the Dr is qualified  then we just hope the VA Don't catch it.....and move on!

 but were quick to pass judgment if the Examiner is not qualified, however in this case we have the right to another C&P Exam  with a Qualified Dr or Examiner.

  Only this time the veteran can have his medical evidence ready  and use the older exam results to help him win his claim by reading what the old examiner mention in his report that was unfavorable and we get a Private IMO/IME to over come or Rebuttal what the old Dr had mention in more clear detail.

I do recommend that a veteran use a ''Specialist'' in the field of medicine your claiming and give a detailed report, its about a 95% chance you will win your claim, so if a Veteran can't afford an IMO or barrow the $$$   he needs to do what ever he can to get that IMO/IME sell aluminium cans if that's what it takes  but he needs the IMO to help him win his claim, sure it's a shame they can't get it right the first time but if were going to prevail We need to do what's best for us.

 Favorable Medical Evidence Wins Claims. We just need a Qualified Dr to Opine that for us.