LHI tomorrow

[Riplip]

Well I have my C&P tomorrow at LHI about my Meniere's claim. Should be an adventure. Going to a place that doesn't specialize in anything close to what I'm being examined for. All the new rating and nightmares I hear from everyone. I have to drive 1 hour and 20 minutes to a company that has another office 20 mins from me. I almost just quit the claim and left well enough alone but I think thats what they want. I hope I get a person that listens and reads all my doctors notes. I'll check ebenefits later today to see if I get denied before i even have my examine like last time lol. 

[brokensoldier244th]

You are making a huge assumption that there is a VAMC or clinic that is always closer to the veteran, Cue- thats why there are the contractors. We have to check with every claim before we schedule exams whether the VAMC is doing X type of exam before scheduling to a contractor. If the VAMC or clinic is doing X type of exam for whatever reason we have no control over that (VSR/claims people, or VBA in general). We can't schedule an exam where  they aren't being done in the hopes that in a few weeks or months the VAMC sorts itself out.

There also is a rule about developing to deny- we can't do it. 1- it either gets caught in QC and we (VSR) get reprimanded for it for "over development", or 2- its gets tossed out on appeal because its usually pretty clear if there is or is not a sufficient opinion returned from an examiner. Exams are handled at the VSR level, so when I see a complete opinion I don't care what it is because I have no direct say in how its rated anyway- I forward it to rating. My job is done. 

[deedub75]

15 minutes ago, brokensoldier244th said:

You are making a huge assumption that there is a VAMC or clinic that is always closer to the veteran, Cue- thats why there are the contractors. We have to check with every claim before we schedule exams whether the VAMC is doing X type of exam before scheduling to a contractor. If the VAMC or clinic is doing X type of exam for whatever reason we have no control over that (VSR/claims people, or VBA in general). We can't schedule an exam where  they aren't being done in the hopes that in a few weeks or months the VAMC sorts itself out.

There also is a rule about developing to deny- we can't do it. 1- it either gets caught in QC and we (VSR) get reprimanded for it for "over development", or 2- its gets tossed out on appeal because its usually pretty clear if there is or is not a sufficient opinion returned from an examiner. Exams are handled at the VSR level, so when I see a complete opinion I don't care what it is because I have no direct say in how its rated anyway- I forward it to rating. My job is done. 

Another point is that no rater or VSR is purposely delaying claims. That rater or VSR would not be there very long because they would never hit their production numbers. Each employee, at least when I was there, tried to finish each claim as quickly as possible. 

[asdf]

I would like facts presented with all the allegations against the VA instead of barracks lawyer opinions. This misinformation is just causing more anxiety amongst Veterans trying to do the right things.

[brokensoldier244th]

True- we do have work output to hit in order to track that we are actually working. I tend to ride mine on the lower end than some of my peers but I try to be as thorough as I can be. I manage to be 'fully successful' and occasionally 'exceptional' but you are right.

For the audience- we and raters are not just rated on output and accuracy, we are also evaluated for closed (finished) cases. Pushing the can down the road nets nothing for the time spent and doesn't equal any credit for actual work done. So, sure, someone could serially deny a bunch of stuff all the time but it wouldn't count for anything strictly from a supervisory/work output evaluation POV. 

[Mr cue]

Well I am glad everyone feel the VA would never do that.

I have millions of veterans who will show you how they do it.

I and many other have play there games.

Rater and dro decisions get over turn daily. So raters and dro are not at the top of the food chain. Lol.

Half the veterans on the site are fighting bogus rater and dro decision.

So I have no love for them.

An you can say we have to do this and that but we veterans can show were they didn't do it.

 

Last if I remember the veteran that post say there is a closer VA hospital.

Why did they send him an HR and half away tho you guys had rules to follow?

I have a friend they did the same thing to he has been in exam limbo because he refuse to travel and hr and half away.

I refuse there exam and they try to put me in exam limbo. But I did a petition.

And the rater got it back to bva real fast.

Ever time the exam come back with out been done why is there a 30 day hold.

To many get by the little ppl

 

 

 

[brokensoldier244th]

2 minutes ago, Mr cue said:

Well I am glad everyone feel the VA would never do that.

I have millions of veterans who will show you how they do it.

I and many other have play there games.

Rater and dro decisions get over turn daily. So raters and dro are not at the top of the food chain. Lol.

Half the veterans on the site are fighting bogus rater and dro decision.

So I have no love for them.

An you can say we have to do this and that but we veterans can show were they didn't do it.

 

Last if I remember the veteran that post say there is a closer VA hospital.

Why did they send him an HR and half away tho you guys had rules to follow?

I have a friend they did the same thing to he has been in exam limbo because he refuse to travel and hr and half away.

I refuse there exam and they try to put me in exam limbo. But I did a petition.

And the rater got it back to bva real fast.

Ever time the exam come back with out been done why is there a 30 day hold.

To many get by the little ppl

 

 

 

Again, you assume that just because a VAMC is closer that it is available to do X, Y, Z exam.

They don't always have providers that can just do that- not every medical person in the VAMC can just do C&P exams. We check directly with the VAMC- if they have Exam X blocked out for scheduling it doesn't matter how much you think you should be able to go there. They won't do it. That's their domain. You can't just walk in and demand a C&P. 

Its not nearly as cut and dried as you think it should be. Pursue it- that's great, but until it changes at a congressional level the system currently is what we have to work with.