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Pa or doctor

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dapilgrim

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Apparently, a VA PA wrote my C&P exam, screwing over royally...but hopefully, my neurologist, PCP, and Rheumatologist can rectify that...

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On 10/1/2018 at 6:30 AM, Buck52 said:

just was in a post above about getting your PA to do your C&P Exam

VA recognizes that the PA is competent to do C&P exams, that is why they use them. PA's are not exclusive to the VA however, and any PA can do the job. Costs for PA's should be less than MD's, and they can provide sufficient explanation based on existing medical literature for a nexus.

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  • HadIt.com Elder

Well that's your opinion.

''VA recognizes that the PA is competent to do C&P exams, that is why they use them''

  I had a P.A. do a C&P One time  and the rater mention he never had the correct  Medical training to render a medical opinion. (denied)

 Anyway that took me a couple years to get over and extra $$ for a IMO/IME    That said is likely as not.

And I have heard from a lot of other Veterans the same thing happen to them...Unless things have change since I worked my claims,  I tell veteran not to use a PA if they can help it  if the VA Send you to one then that's the time to ask the PA For their medical credentials and qualification to render a medical opinion on a Professional Level.

>  Now most P.A.C.  the ones with advance medical training and Certified  the VA or the VA Raters will take their opinion if they are trained in the medical field in question.

So for this reason I do not like a P.A. doing any  C&P exams for me  rather or not the VA uses them,  and just my opinion they use them for more denials and  that causes the Veteran to get inline with the Appeals Hamster Wheel..which is totally uncalled for.

If you had success with a PA C&P Examiner  that's good,  but if you had been denied b/c the P.A. was not qualified to render a medical opinion on what your claiming   I believe you would have a different opinion of the VA PA's

Also if you look on any VA DBQ it will mention in writing who can fill one out,  but I've never had any luck with a DBQ being filled out other than a specialist or an MD.

Waiting in the Appeal line for years  I learned my lesson how the VA works.

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4 hours ago, Buck52 said:

VA recognizes that the PA is competent to do C&P exams, that is why they use them''

  I had a P.A. do a C&P One time  and the rater mention he never had the correct  Medical training to render a medical opinion. (denied)

 Never said that the VA actually gets a PA that is properly qualified to do the job. Thats why they have a 74% error rate according to American Legion...

Sons Mother-in law is a PA in musculoskeletal specialty. She is as good as any MD they have after she has done this for 30+ years. I got lots of valuable advice from this lady related to spine and radiculopathy etc...

If the VA recognizes the PA, its called ACE, acceptable clinical evidence. Thats what counts when all the marbles are laid out. Clinical evidence is the basis for everything we do to establish a claim. Current medical literature trumps undocumented guesses. A PA can cite current medical literature. Think about Dr. Bash, and what he does. While he is limited to his specialty in practice, he uses current medical literature and attention to detail to prove his nexus. A PA can accomplish the same thing. If you have a competent non-VA PA, you can push a decision past equipoise for a win.

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  • HadIt.com Elder

I don't doubt that for some PA's they are highly intelligent and very good at what they do and some or even more intelligent that some MD's , but the VA don't look at how intelligent a PA or MD is even a specialist ,  they look at the medical provider qualifications  its their way to...> developed to deny.

I am sure Dr Bash is very good at what he does for All Veterans  but most Veterans are in dire strait financially and can't afford his fee!

 years ago I had thought about asking him to help me  but his fee was way out of my reach financially.   so I called around and found a Dr that was just as qualified as Dr Bash  but 75% less  cost wise.  It takes a little time and patients to call around for a Dr to help us   just have to find a veteran friendly Dr, their out there.

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