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External DBQ's Phased Out ...


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I worked for the VBA for a couple of years processing claims and I still have friends there - one of whom is a manager now and another one is a DRO.  If you submitted a DBQ before the date that they w

When the VA pulled the public DBQs, one of the reasons they stated was the publicly facing documents were often out of date with the updated regulations. It makes me wonder if the publicly facing M21-

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I filed for an increase on my 70% PTSD rating in early March as I'm no longer able to work.  My personal psychiatrist completed a DBQ, wrote a letter, and included a GAF report.  I included three years of her medical records with the increase application.  Last week I had a C&P with VES.  It was a sub-15 minute affair via telehealth and the doctor hadn't even reviewed my records yet.  I would certainly hope the VA reviewer who will set the rate would give more credence to the DBQ from the psychiatrist than that "quickee" interview.

JW

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JWMN89 Do you have a VSO or a lawyer that has the ability tor review with VBMS? It should be sent to the VA within the week by the contractor and be available to your VSO after that, maybe 3 weeks or less.  List all the things now just in case.  If the C&P report (DBQ) is negative on the exam, you can request a new C&P based on "he didn't ask me ..: he failed to document.... what I said; he was wrong/inaccurate on.... Document yout time "it started at "x"' and the exam was over by "y". , write a letter to requesting a new C&P. List all the things that were wrong. You want to get the new exam scheduled before they have a chance to make the decision.

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The VA states:

" We are safeguarding against fraud " 

In the past few years, we have seen a growing industry of individuals and companies marketing the service of completing DBQs for Veterans. Some have provided honest, valuable service to Veterans. However, VA has made hundreds of referrals to the VA Office of Inspector General of individuals and companies who are engaged in questionable, even fraudulent, practices that include charging high prices for completing DBQs or submitting DBQs with findings that are vastly different than the other evidence in the Veteran’s claims folder. Also, it is a requirement that DBQs submitted by a private provider must be based on an exam conducted in person. VA’s OIG recently issued an audit report about providers who were completing DBQs for Veterans remotely and recommended that VA revisit its practice of making public-facing DBQs available.

 

 

(1.) Does anyone know the regulation/rule, (CFR, M21, case law citation), whereby VA establishes the requirement that,  " DBQs submitted by a private provider must be based on an exam conducted in person " ?

(2.) At what specific price point does the VAOIG determine fraud has been committed once a veteran pays for a private medical examination whereby DBQs were completed?

(3.) Is the above-styled VAOIG report publicly available?

 

 

 

 

 

 

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May 4th I had an over the phone c&p exam. The examiner said he was looking at my neurologist DBQ that I submitted with my claim in April. So I think the VA is still accepting the DBQ`s from private providers.

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