Committee on Veterans’ Affairs Hearing on Expedited Claims Initiative
On May 22, 2013, the House of Representatives Committee on Veterans’ Affairs held a hearing entiled, “Expediting Claims or Exploiting Statistics?: An Examination of VA’s Special Initiative to Process Rating Claims Pending Over Two Years.” The hearing can be accessed at...
CAVC Issues Opinion in Beraud v. Shinseki on Earlier Effect Date of Award
On May 17, 2013, the Court of Appeals for Veterans Claims (CAVC) issued an opinion in Beraud v. Shinseki. The primary issue involved the application of 38 C.F.R. §3.156(b) and whether an intervening rating decision rendered an earlier pending claim final for the purposes of an earlier effective date of award. This is an issue that has application to a large percentage of the cases I handle...
So Many Centenarians, So Little Funding!
Today’s paper highlighted a possibly record-breaking gathering of people over 100 years old at a nursing home in Somerset County while also alerting the public to a decrease in funding for senior transportation due to low casino revenues in New Jersey. So the takeaway today is that New Jerseyans are living longer and definitely feeling the pinch for doing so. Financial planning is key,...
New Standardized Notice of Disagreement (VA Form 21-0958)
If a veteran or claimant receives a Rating Decision from a VA Regional Office and disagree with that decision they need to file a Notice of Disagreement . A NOD is a “written communication from a claimant or his representative expressing dissatisfaction or disagreement with an adjudicative determination of an agency of original jurisdiction.” 38 C.F.R. § 19.113. The NOD must be filed within...
Heart Disease and PTSD – Medical and Scientific Research to Help Support Your Claim
An issue I commonly encounter is a veteran who has filed a claim for heart disease that is secondary to their service-connected Post Traumatic Stress Disorder (PTSD), or a spouse of a veteran attempting to get Dependency and Indemnity Compensation (DIC) because stress from PTSD contributed to or lent aid to a heart condition that caused the veteran’s death. Establishing service...
VA Claims and the Myth of a Request for Reconsideration Before the Regional Office
A few months ago, I blogged about the use of a “request for reconsideration” before the Department of Veterans Affairs (VA) Regional Office/Agency of Original Jurisdiction. Based upon my review of a recent VA Claim file it is worth repeating again . . . the notion of reconsideration at the Regional Office level simply does not exist in statute or regulation.
A “request for...
CAVC Opinion on VA Medical Malpractice
On April 29, 2013, the Court of Appeals for Veterans Claims (CAVC) issued an opinion in Trafter v. Shinseki regarding the standard for standard for triggering the duty to assist in a claim under 38 U.S.C. § 1151 (VA Medical Malpractice/ Negligence). The opinion can be accessed at Trafter v. Shinseki and we have include a short overview of medical malpractice claims in Department of Veterans...
Is Harper Lee an Example of Elder Exploitation?
News has broken that Harper Lee, the author of To Kill A Mockingbird, is suing her agent and others for wrongfully transferring Lee’s rights to himself in order to secure himself “irrevocable” interest in the income derived from her book and to avoid paying legal obligations he owed to his father-in-law’s company for royalties that he allegedly misappropriated, the...
New York a Cautionary Tale for Managed Long-Term Care in New Jersey
In New York, where Medicaid managed long-term care has been implemented for a while now, they are beginning to see two distinct trends: that the HMO’s are looking to enroll healthier elders in Medicaid, and that these same HMOs were “dumping” sicker, more medically frail Medicaid recipients from their plans, or refusing to assess them. New Jersey’s Comprehensive Waiver...
Is Your Elderly Loved One Employing a Private Caregiver?
It’s all too common for elders and their family members to work with caregivers who are not employed through caregiver agencies who are their fiscal intermediaries. There may be an arrangement to pay by the day or the hour in cash or check. The caregiver may have to go home for a while and finds another person to “fill in”. Then that person leaves and someone else is the...