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  • 14 Questions about VA Disability Compensation Benefits Claims

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    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
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  • Can a 100 percent Disabled Veteran Work and Earn an Income?

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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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GBArmy

VA Disability Benefit denials

Question

I wanted to start a new thread because I didn't want to mess up richard 1954's post. Does anyone know for real why the VA Benefit people bend over backwards to deny veteran's claims. I was told a while back by a VSO who should know that they certainly had a quota to disposition claims.; so many a week or a month.I also heard that the managers, but not the lower tier workers, got some kind of bonus for "cost savings."  What are  those"cost savings?"Do they actually get financially rewarded for denying or making lower rated decisions some how? There has to be some actual truth to this kind of thought because of some of the ways these claims get denied. They ignore facts, don't read the evidence we high light for them, apply wrong diagnostic codes, combine separate disabilities, etc.,etc. Anyone got any knowledge of where we can find any facts if it is indeed financial?

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I just think that the raters have quotas to meet and some of them would rather deny claims to meet their quotas.  There seems to be no penalty for having a decision overturned at the BVA.  If there was I believe claims would be researched and completed in a better manner than they are now.  Every job I have ever worked we had quotas to accomplish and if you did not meet your quota or if your work was slipshod and got returned that reflected badly on you.  I think that if such a QA process was implemented at the VA things would go much more smoothly for the vet.

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Government employees do get bonuses due to their performance.

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I've had a theory for a few years now. And I could be wrong, but it occurred to me that there could be a possibility that once a certain number of claims get granted every FY. That quota initiates denials.

It's just a hunch.

Honestly, it would just be better off to tell us there's only a limited amount of $$$ for compensation & pension. Rather than string veterans along for months, years, and decades with daggum denials. 

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These  c&p examiners are werid  some mention in the c&p things they never ask    and some things they did......I have notice to some times we think the c&p went good and seem to be on the same page with the examiner ect,,ect,,,  and the veterans has a good feeling about the exam  only to get knocked down with a crazy denial  Thats what hurts!

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1 hour ago, vetquest said:

I just think that the raters have quotas to meet and some of them would rather deny claims to meet their quotas.  There seems to be no penalty for having a decision overturned at the BVA.  If there was I believe claims would be researched and completed in a better manner than they are now.  Every job I have ever worked we had quotas to accomplish and if you did not meet your quota or if your work was slipshod and got returned that reflected badly on you.  I think that if such a QA process was implemented at the VA things would go much more smoothly for the vet.

We have a rigorous QA process when we clean and sterilize medical instruments at the VA Clinic I work at. We triple clean and triple check everything before we give it a green light. If it's not cleaned or sterilized properly, or there's any doubt, we send it back to be reprocessed all over again. It's people's lives we're dealing with. This is the standard VA-wide.

 

Same should go with the VBA. The benefits are people's lives they're dealing with and it's imperative they get it right. 

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