Did you get a bogus C & P exam?

[Berta]

I have posted this info here many times but it I almost impossible to find under a search-

If you get a bogus C & P exam, you can request a better exam.

By "Bogus" I mean:

Was the examiner, when you googled their name, not qualified to do the type of exam you got?

For example a male vet here with a leg disability- maybe PAD, got a negative C & P exam done by a Gynecologist.

A few years ago I got a C & P exam ,I think regarding my husband's HBP. and the examiner stated it was an "in person" exam. By then my husband had been dead for over 20 years. The issue was resolved under CUE, because of other evidence.Claim denied, three weeks later awarded.

Also, if the examiner did not have your records ( I got a C & P exam thrown out due to that crap) or if the examiner had your records but obviously did not take the time to read them properly, you can request a better exam pointing out their errors ad what the examiner overlooked.

Another C & P result I got long ago, had the name of the doctor in the decision ( they dont put there names in decisions anymore) and after I called the doctor, both he and I realised the most important evidence I had , was deliberately withheld from him-- an autopsy.-That caused a denial of my 1151 DIC claim.

Within a short period of time I received a FTCA award for wrngful death and sent it to my VARO and the y denied again by refusing this time to consider the info from the General COunsel.I made a quick hone call to the OGC, and then received a copy of a letter the OGC sent to the VARO prdering them to award the 1151 claim. The award came soon there after.

The Regional COunsel of the VA wanted to settle with me a few months after getting my SF 95 under FTCA. He had received a VA Peer Review that suported all of my charges.The RC, the reviewer, and even the Peer review disappeared from the VA and I had to start all over again with the OGC in DC.

I had so much evidence od malpractice by then, that  I didnt need that positive VA review, but it's disappearance caused my FTCA case to take  about 2 years longer.

I found the "non existent " per OLMA ( VA Office of egal and Medical)6 page review ----at the very bottom of my C file years later and I used it in 2010 for my AO IHD death claim.

The only C & P examiner I ever needed an IMO for was an Endocrinologist. It was a diabetes claim, so she was the right type of opiner to use.

But I sent Dr Bash (my IMO doctor) the medical errors she had made in two separate opinions on my diabetes death claim, and he stated in one of the IMOs how her opinion was medically "inaccurate." ( I would have used the word ridiculous-maybe I did on appeal, as it was ridiculous as well as medically inaccurate)

If you feel you have a strong basis to request a new C & P exam,you should try to do that without even waiting for a denial that you might well need to expect.

The C & P exam controls the outcome of most of our claims.

 

 

 

 

 

 

 

1.VES Phone 1-877-637-8387;  https://www.vesservices.com/?page_id=37

Veterans Evaluation Services

PO Box 924089

Houston, Texas 77292

2.LHI Logistics Health, Inc.

328 Front Street- South

La Crosse, Wi 54601

 

https://logisticshealth.com/our-company.aspx

mailto:information@logisticshealth.com

3.QTC Quality ,Timeliness, Customer Ser

Contact info here:

https://www.qtcm.com/about-us/contact-us/

4. White House Veterans Hot Line:

 

855-948-2311-if that number is still in service

 

Some Veterans here have taking steps to get a new and proper C & P exam.I hope they chime in.

A bad C & P exam will force a denial and many exams can be corrected by taking swift steps.

As a widow of a SC vet ,every single posthumous C & P exam the VA ever did was Wrong medically.

 

 

 

 

 

 

 

[flynsolo2]

@Berta Do you know when the VA stopped listing the Dr.'s Name on the C&P exam (results)? I am wondering if I order my C-FIle, if it will have any of the Dr.'s names listed or if they removed from ALL files, new and old? (if that makes any sense) Or if they just stopped listing the Dr.'s names now, but previous C&P exam results would still have the Dr.'s names listed?

 

Thanks!

[pacmanx1]

2 hours ago, flynsolo2 said:

Do you know when the VA stopped listing the Dr.'s Name on the C&P exam (results)? I am wondering if I order my C-FIle, if it will have any of the Dr.'s names listed or if they removed from ALL files, new and old? (if that makes any sense) Or if they just stopped listing the Dr.'s names now, but previous C&P exam results would still have the Dr.'s names listed?

Flynsolo2, if you had VAMC C & P exams you can go to Home - My HealtheVet (va.gov) and go to medical records and you can plug in the dates of your VAMC C & P exams and view and print up your VAMC C & P exams. Now of course this will not work if you had any outside C & P exams, but all VA hospital C & P exams should have all the information you need. You have to have a premium account to view and print your records. 

[flynsolo2]

Thanks @pacmanx1 I will look. I think almost all of mine (up to about 2 years ago) were in the VA. I just wasn't sure when they started to not include the dr's name that gave the C&P exam. But, I am assuming if it was an "inside" VA  C&P, then the dr's name would be included still?

[Berta]

Bumping it up

[63Charlie]

Yes, my latest C&P exam is chock full of lies.

 

When they LIE, they'll DENY(or low ball).

 

I'm currently rated at 0% for bilateral pes planus and 0% for bilateral sinus tarsi disabilities.

 

These separate conditions were recently service connected by the BVA and remanded for a C&P exam.

 

I can barely walk due to all the pain and try to stay off my feet.

 

I can't wear any closed-in shoe(good thing that I live in a subtropical climate) because my feet and ankles both swell and are too tender for shoes.

 

So, I wear Spenco orthotic flip flops.

 

Claims file records show I've had extensive diagnostic imaging, to include MRI and X-Ray, feet and ankles.

 

Claims file record shows I have been followed by podiatry, orthopedist, and PCP for several years now for my feet and ankle disabilities. 

 

Claims file record shows I have been prescribed a cane and Sweedo ankle braces for instability.

 

Claims file record shows I have been prescribed oral steroids, corticosteroid injections, and arch supports.

 

Claims file records show that due to the severity of my condition, I have failed conservative podiatry care, and was referred for reconstructive surgery.

 

As long as I draw breath, I'll never quit fighting for the benefits I have earned, and entitled to receive.

 

 

Edited February 24, 2021 by 63Charlie