FRAUD IS REAL And Millions Of Veterans Have Committed VA Disability Fraud
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- Опубликовано: 2 окт 2024
- VA OIG takes a deep dife into fraudulent VA disability claims.
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- Clay
Clay your channel is pretty pathetic. You're merely echoing the OIG report that DBQ's should not have similar or identical language and that is plain STUPID.
Most ailments are going to be described in similar or exact ways, hence the use of Latin (terms of art) in order to permit the learned to quickly ascertain what is being talked about.
No comments from you on the fact an entity (V.A.) routinely sends vets, until called out on it, to another entity (C&P examiners) 100+ miles away that has never seen the Vet for treatment purposes.
DBQ's are merely medical opinion evidence based on the record; no in-person examination necessary. Though the gullible, like you, seem to place an outsized emphasis on the 5-10 min (PAID by V.A.) evaluation by a washed-up drunk clown.
If I were a conspiracy theorist, I'd say that claiming widespread fraud is a great way for the VA to excuse or distract from their own shortcomings (long wait times, abusive processes, lost/destroyed vet records, etc.)
I have VA short fall videos coming right after this for that reason and they are all recent and super bad
- Clay
I’m already out of conspiracy theories. The last dozen have all proved to be true. 😮
As much fraud that has spread through the VA the should be a sequel to the movie Conspiracy Theory
It's not a conspiracy and it's not a theory it's a fact that they have some real trash working in the VA destroying the lives of veterans falsifying medical records denying proper treatment denying benefits
How much of that will fall on VSOs who lead veterans in those directions? Also, people should know if they have the symptoms they claim. Ultimately the veteran is responsible unless the DBQ is altered without their knowledge, correct?
I will say that regarding nexus and DBQ, many, if not most, private physicians don't want to touch it. The VA created the market for a third party specializing in this.
Totally agree
- Clay
So far all my dr's had no idea what a DBQ was and after I explained it to them, they had no problem at all filling them out for me, I stressed that if they felt that it was caused by the service the VA is looking for specific wording such as more likely than not or less likely than not, of course the 1st being the better of the two.
Thanks for continuously pounding on this drum. I think that it’s extremely important that everyone has their medical proof and documentation in line if they have used any “entity” as a resource to process their claims. The VA has been very clear on cracking down on fraudulent claims. It will be interesting to see how this all shakes out.
Exactly, medical evidence not speculation and keep going until they get tired of seeing your malingering ass. I went upon retirement in 2010 upon discharge. 4 blown disks (C2, C3, L4 and L5), bladder cancer (probably from burn pits), hearing loss, 3 concussions, yet my 5 mins TBI screening by some commie Russian or whatever chick asking me what my reactions was after my death trap RG31 MRAP was blown over in Ghazni, Afghanistan. I told her I don't fucking remember, 10 minutes later we were ambushed with a disabled vehicle and being hit from all sides with RPGs, mortars and small arms like I was wondering how I was feeling BS shit. Hands repaired from injuries, plantar facitis and rated 80 percent, never went back. My ex, paper pusher in the Air Force and got 90 percent, 30 of it for hysterectomy? I guess if I cut my nuts off I would have gotten 90! 2 combat tours in Afghanistan, Counter-Narcotics operations in El Salvador, Colombia and Honduras. Killed and seen more killing than people should see, but 30 percent for PTSD because I retired before Obama made it where people who are scared on Halloween and get 70 percent. Well I have my feet, arms, eyesight and can get around somewhat fine. There are others who can't and don't have all of their limbs and half my age, they need it more than I do. I remember the psych doctor when I got out asked me for awards (BS with V, ARCOM with V, ACAB and 2 Navy and Marine Corps Combat Action ribbons) SIRs and buddy statements for 30 percent of PTSD. I know people who were in Kuwait, GITMO or Qatar drinking liquor, getting ass and eating good, they got 70 percent for PTSD, system needs to be audited big time!
Unfortunately I believe the veteran will end up paying the price for these crazy entities. Thank you for helping veterans getting the rating they deserve.
I think this will be the case, too. Assuming the VA pulls this thread.
- Clay
If VA doctors had to fill out DBQ's and Nexus this wouldn't happen
But they won't
Probably lazy to do the paperwork
VA doctors cannot be fully unbiased. Government employees are just that no matter their job title.
💯
Mine said it was a conflict of interest
Is it fraud when the C&P examiner writes down erroneous information on the DBQ that gets the veteran denied?
Definitely report them! I did. I am seeking removal from my record.
Exact reason I just let the process play out and let my evidence speak for itself. All my conditions originate from Service and are tied to those STR’s. I strive for OBJECTIVE medical evidence with detailed diagnostic tests.
I want nothing to be questionable.
This is the way
- Clay
Facts
Yep
This is the way IF you actually have STR's available. Many of us simply have pencil whipped physicals and missing STR records due to no fault of our own. Hell, my entire STR is non-existent. I do have some stuff I kept myself over the years but it would really help having those physical forms where we notated our conditions.
IMO this is likely going nowhere based on this statement: "It is important to note that the OIG team did not determine whether the benefit payments resulting from these determinations were improper; rather, the team projected the overall monetary risk based on benefit payments related to potentially fraudulent questionnaires to highlight the monetary risk to VA, as well as the importance of robust fraud mitigation controls." It seems like the VAOIG is pointing out to the VBA they need to tighten their procedures to be able to spot potentially fraudulent questionnaires which is something they've loosely been doing for years now and why they have a "naughty" list of providers of these DBQs. That said, lets also not forget it's the VBA that made this entire outside DBQ niche industry possible by failing to do their jobs in the first place to provide the veteran everything the VBA requires to have a successful claim.
Im surprised no one has responded to you, as you are spot on with this.
I agree. Also, Clay is confused about the role of the IG. The IG is a public official responsible for conducting independent oversight of the programs and operations of a federal agency. They are looking within. When they refer to 'entities', they are referring to departments within the VBA. His misinterpretation of the IG's role is either on purpose, to create FUD and get views, or he just doesn't understand.
That's why I filled my claims and went to my va exams. I got the rating I deserved. These other veterans are losing sleep now.
They most certainly are sleepless, lol. Do your own claim and stop being lazy. I feel for the vets that submitted those fraudulent claim after the entity cooked their paperwork. I actually thought about using one of them, and then I really thought about the possible problems (what if scenario). Change my mind 😂, I'll do it myself.
All I did was file online, and go to the appointments I was told, rated 100%, I didn’t even embellish, I also didn’t add anything, they just looked at my military medical record, how can a veteran commit fraud?
I'm working on getting mine increased now. I never wanted it. I felt like the DoD was working way too hard to get me any disability at all. Then I ended up with 30%. Of course, the DoD removes that percentage from my Retired Pay, then the VA gives it back tax-free. Big woop. 30% works out to exactly 0 benefit to me, unless I move my income up quite a few tax brackets. All my 30% disability does is save the DoD from having to pay me my full retirement amount. So I decided "F'it", I'm going to go for whatever I can and screw the Taxpayers right back like they've been doing me for 20yrs.
I don’t submit my own DBQ’s… People may think I’m hurting myself…But I want the C & P examiner to fill it out. That way it’s an honest document on its face!
Sounds good on paper but the VBA is notorious for hiring poorly trained medical "professionals" for these C&P exams.
Same. The only thing I ever gotten from a private doc was a Nexus. Even though it is a pain in terms of potential back & forth, I still let the examiner complete the DBQ. I have no problem with those who like to send in their own DBQs from doctors they’ve contracted with or are seeing, but for me it just isn’t worth the potential risk.
@@runnn3107 I kind of hear what you are saying but my own DR knows me better than a person you meet one time for a 1/2 hour or so. I can sit with my DR and tell him/her what I'm actually looking for and why, so far three BBQ's ( 2 free and one cost $40 ) and two nexus letters from same DR's. At 40% with a few more claims in the pipeline, if it get 50 or 60 % I'd be happy with that, not looking to get rich with it.
Did you say C&P examiner and honest in the same sentence? Bruh.
@@canineconstrictor6349 touché…
Then how can the VA hire a third party to review our evidence without an exam and never speaks to the Veteran or enter sees the Veteran? How is that any different?
I wholeheartedly agree with you! Just got denied through an ACE exam where the DBQ does not even match the "evidence" the examiner states she used.
Clay I was able to go from 40% to 100% in 14 months by watching your channel and submitting clear and firm medical evidence and buddy letters, all my evidence was in my medical records or came from civilian dr . I was always wary of the VA claim company’s so I was able to get what my evidence proved I deserved and that was 100 percent total and permanent and I was notified on August 13,2024.
Hey!! CONGRATS!
- Clay
Got my 100 on the same day! 😊
@@pugnalibertatis5245 congratulations it’s definitely was a a battle but we won
Thank you Clay, it is honest Veteran's who suffer when FRAUD is committed.
The biggest problem is that veterans knowing damn well these companies are just submitting claims to get their ratings up. Blaming the VA for letting someone lie for you is crazy.
That’s cause nobody is satisfied with their ratings, unless is 100%
And that’s exactly why they are continuously saying “if fraud is detected .”
:::Thousands of veterans slowly close their blinds:::
If any veteran went through a Nexus/DBQ mill to get documents, this entire report is for you.
If the VA pursues this, which I don’t see how they can’t…it’ll be big
- Clay
😂😂Haha
Let’s talk more about C&P examiner fraud. Them downplaying your symptoms and then granting you a lower rating.
Video is already recorded. Next week sometime.
- Clay
See response dumb dumb
- Clay
Its sad because as the wife as a PTSD veteran, theres NO way hed be able to go through all the VA drags him through by himself. For Vets with no help, "entities" are who they have to go to to plan through all steps and appts. We have to be realistic how responsible vets with mental issues actually are responsible for.
That's my issue. I am in the early stages of dementia and I can't remember what to say or even what proof I have brought. I can't get through this without help. My Dr's at the VA treat me every week, but they still won't help me.
You are correct with what you are saying.
Veterans who were hammered by the military and were left severely injured and impaired would not have any way to get assistance from the VA except by a service officer handling the situation.
This is exactly why I did my claim myself. I know I’m getting the rating I deserve.
I sent in a private DBQ. My doctor's nurse filled out a part of it and my doctor another. The nurse typed her info on my DBQ and my doctor did her part in ink. So, in case the rater thought it looked suspicious, I added my visit notes and submitted them with the DBQ.
Solid catch but a lot of NPs/Psychologist have some sort of supervision role required so no biggie
- Clay
‘Cough claim sharks cough cough’ I mean entity 😅
Nope, didn’t say that 😂
- Clay
If you rate it and you are being truthful you aint got nothing to worry about.
All current Claim's was submitted by Veteran and attended C&P Exams requested and scheduled by the Examiner. Most of the scheduled requests for exam on the Veteran's claim usually goes through some kind of intake of information for in service event and current treatment plan. Typically the office of the C&P Examiner would file the DBQ and Nexus into as evidence for the Claim and the Veteran can't review or alter the evidence. On my last C&P Exam the Examiner filed 14 DBQ"S into my Claim, I'm like what the heck! It was amazing how fast the DBA responded for the last claim I submitted and Exam was requested, within 3 business day's. Now I'm waiting for final review and decision. I filed my claims and evidence after reviewing Clay's videos to achieve the best outcome possible for my personal circumstances and whatever decision is made it's out of my control. I just continue to be the best Advocate for MYSELF and have patience for the best outcome, I just believe other Veteran's are trying to get to 100% P&T in a hurry by any means necessary and I can only hope for the best outcome for every Veteran...
You are your best advocate no doubt. Also, quick turnaround for the exam - solid. Wishing the best, dude and thank you for being a member!
- Clay
That's why it's.
Better just to have your C&P examiner, fill out your DBQ.
I did not use outside services, I did everything by myself, from filing to submitting, and to go to exams. I got 100% P&T because I deserved it, my whole body is permanently in pain from every parts that I can think of.
Is it fraud or just trying to get around what the VA has caused with their unethical ways to deny of mitigate a problem, but i see this is not an issue for you. maybe if you spent more time fighting this. i understand there are companies out there that charge and will get medical pros to sign on. but i would guess these are ex-VA employees,
Let me phrase the question correctly for you…
Is it fraud to alter a completed DBQ from a medical examiner? That answer is yes.
- Clay
@@TheCivDiv For real there is never Fraud from a medical examiner
You have it correct. But it has nothing to do with altering what the VA has done. The VA is unethical in everything they do.
The veterans cannot solve the Problems created by the VA. Just like out here. When everything is regulated this is how they make money. When the people cannot be treated fairly they just assume responsibility for it themselves and help themselves. Insurance companies, attorneys, and healthcare professionals get irked because then these people are self reliant and helping themselves. No one can make money off of them. However is the Military supposed to get a free pass?
Oh my 57 disabled veterans who risked live and limb so the OIG can write reports with freedoms got shelter food health and transportation money based on a supposed significant technicalities that oppose the purpose of the VA. Heaven helps us.
If you’re implying that an ‘entity’ altering DBQs is okay…you got other problems, dude. Tell me you used an entity without telling me you used an entity 😂
- Clay
@@TheCivDiv I don't do witchcraft. Sorry to disappoint.
@@TheCivDiv "Fraud" has been investigated but not proven in an adversarial relationship (courts). This could be marketing to keep the ridiculous notion that disabled veterans have to prove they should get money to some general counsel and money elves. Assume veterans don't lie and write checks. Let no one behind you heard that haven't you?
Thank you for all you do. You saved me from going with one of those "entities ". I was on track to sign up for one before I found your site. Very grateful for you.
THANK YOU SO MUCH!??!?!?!?!!!?!?!!!
- Clay
Sounds like “copy and paste” gone wild. 🧐😕😔
Yes just that simple they make a lot of money 😂
This..
My in service documents proved everything for me, I have a paper trail of everything I told them and never lied or tried to weasel around the process. I just let it all play out and attended my c&p exams. 90% service connected, I’d like 100 but I have no real evidence or issues to get me there, I believe all my issues were rated properly and im not going to commit fraud to get what I don’t deserve.
Just because a veteran wants a 2nd opinion from an outside provider doesn't automatically mean they're committing fraud. If that was the case the VBA would not allow outside medical opinions. And they can say that it's not a valid medical opinion because the veteran did not see the outside provider in person but the VBA does this every day with ACE exams.
@@rogersmith7808 did I say they were? I stated the circumstances on my behalf not everyone’s else’s.
Good for you, and honest veteran. I agree. Don’t want anything I’m not entitled to. Couldn’t live with myself.
Exactly, the problem is that too many people are not satisfied with their ratings unless is 100% and if it isn’t 100% they are willing to lie and do anything that they can think of to get to the 100%. Greedy people will do anything.
The thing is theyd have to prove the veteran knew the dbq was altered by the claims company. That's a big order, and it makes more sense to me that the vet woukd have no idea theyre doing it on the backend. They get the exam, dbq goes directly to the company, unscrupulous person, who gets paid based on the increase, changes it so that 20% theyd get for their back is a 40%, vet thinks he actually met the 40% criteria.
Could cause a re evaluation, but I doubt most cases would be considered fraud overall because that's almost impossible to say beyond s reasonable doubt unless the xompany was literally emailing people going "Ok, looks like youd get a 20% on the back, we're just gonna go ahead and change it sonyou qualify for 40%". That could be the case, but itd be incredibly stupid on their part 😂
Thank you, I can't overstate how often sharks go after veterans. This shit is for-profit colleges all over again.
That's why the VA still send you to a C@P examiner when you have submit a fully developed claim with public DBQ which I don't blame them
When I had my doctor complete a DBQ for migraines secondary to tinnitus, the doctor forgot to add the medical evidence he reviewed. When I got the hand written DBQ back, I noticed this and asked about it. The doctor had his assistant scan in the document and complete it for him. The assistant typed in the evidence list which did not match the hand written notes from the doctor. I also worried about this but… it was granted so…
I have not tried to get over on anybody. I am the one who has been screwed.
"Entity" as in disability consulting firms like VA Claims Insider?
Entity as in entity
- Clay
Regarding the 100 mile thing, there is a thing called an airplane.....
Thanks for all you do!!! Veteran 82nd Airborne Division 🇺🇸🇺🇸🇺🇸
You'll always have a rock-solid claim if the DBQ/Nexus is based on YOUR condition and YOUR medical/treatment records. The only variable is the C&P examiner and the rater.
This "VA Claims industry" is an issue. It is perfectly ok for RUclipsrs to make videos to help veterans who need help, but it's turning into a system of how to get over on the VA. Its getting the point that every service member that went to boot camp thinks they're supposed to test paid forever...it is absolutely unsustainable and the who system will crash if it continues the way that it's going.
Yep, kinda curious how long before the VA shuts it all down or, at least, begins addressing this. When you have every veteran with even a 10% disability trying to figure out how to use that to get into "the hundo club" you know there's a problem.
@@DA-br9xd I honestly believe that the monetary payment portion of the VA should be reserved for retirees and combat service members that deployed to combat zones or non-combat service members who possess combat badges. Everyone else should just be given access to medical services for the injuries they've incurred in the line of duty. I'm sure this is a VERY unpopular opinion.
@@ondray29 Oh yeah, you won't make any freinds on here with that opinion lol! Although, that is probably closer to what the intent of this compensation program was when it was started.
No the system blocks the veterans because they do not have credible means to pursue accountability. Physicians are not qualified. And even the service officers today do not know what they are doing. System is too overregulated and it needs to be overhauled.
You are right. There are plenty of people that only did one enlistment of 3 year and the whole 3 years were done in the same duty station and never deployed either but yet are walking around bragging about theirs 80,90 or 100% ratings.
Wow... We need their definition of "The Entity" 😳.. Agreed, make sure you double down... Evidence🧐...Current Diagnosis and something to link it. Weeeeell, now we see why its so hard for the rest of us😮💨...
Entity=claim sharks
Reason why there needs to be regulations surrounding these "entities"
Say it ain’t so
- Clay
Interesting that in person exams over 100 miles away from claimant’s residence is a factor, when contractors (VES, QTC and Optum for example) frequently schedule exams for BDD and post service claims several hours away from the claimant’s base or home of record.
They should go after the clinics licenses and put who ever drafted these dbqs in prison, but tney will just go halfway and only punish veterans. Never truely solving the issue.
I say they are about 70% veterans that shouldn’t be at 100% piss me of how VA give 100% left a right take away from those combat vets that really pay the ultimate price. That genuinely earned those benefits serving our country. Lots vets say they serve but never left the States 🤦🏽♂️How you 100% if you was working just fine in military all suddenly you can’t function 💀when you a civilian 🤦🏽♂️
Yeah, vets in their early 20s getting rated for ptsd with no deployment non combat roles and getting rated 50 to 70% what?!
You dont need a combat role or a deployment to experience traumatizing events that can give you PTSD. I know people in the Navy that have just done a simple underway and had jets land wrong that caused the hook to break off and zip across the flight deck and tear people’s legs clean off. Issues with injuries and experiences related to maintenance, the list is endless dude. PTSD is not limited to a deployment or combat roles.
@rafaelderossi1779 I agree. I have ptsd from my 4 combat deployments however, ptsd rating can be any traumatic trauma event related to military service.
Ya ones claiming PTSD from basic in words idiot in DC common man
@@seven2survive it's really a shame that this is happening because Vets who actually deserves the benefit are getting scrutinize as potential fraudsters until they can provide medical evidence with a DD214 to back up their claim. But, let us remember that the condition PTSD evolved from 'shell shock' in WWI, 'combat fatigue' WWII to vietnam. the VA should reserve should reserve 'PTSD' for combat related service and witnessing life threatening experiences while in service not stupid things like going clubbing and getting drunk and waking up in an unwanted situation.
@@rafaelderossi1779 the condition that we know as PTSD stemmed from the term 'shell shock' in WWI, 'combat fatigue' in WWII and Vietnam, and PTSD currently. So, it is clear what type of service PTSD is suppose to address. Yet, the VA awards SC to vets who were never in any life threatening situations serving in a non combat roles or never been deployed.
One more thing, just like tax preparers no matter if a mistake it is your fault. Even if you paid a Tax expert!!!🇺🇸🇺🇸💪
That is a very hard pill to swallow and you are absolutely correct
- Clay
Thanks for all you do brother!!!Clay you would make a good paratrooper my friend!!
2/504 82nd Airborne Division
This is great information!! BUT...I have to imagine, if the DBQ is then backed up by the C&P examiner, this on its face should solidify the claim.
That's what will help me. I used one of these "entities" and submitted the DBQ from it, boom got awarded no questions asked. If they question it I have a VA contracted C&P DBQ that closely matches what was said and marked on the "entity" DBQ. So they can bring it on although I hope they don't. I hope they do weed out these fraudsters. It makes us all look bad but unfortunately whenever money is involved there is going to be fraud. They are still finding people from 2020 who committed covid fraud. I hope they find every d@mn one of them!
No Shiat was talking to a female bartender getting VA for some PTSD from breaking up with boyfriend on a ship,
I have several people I know telling me about a certain "entity" they used for a huge rating increase. After much discussion , thinking, reasearch and then speaking with the "consultants" on how easy the process was, I became VERY skeptical. I've been 90% since my intial discharge C&P in 2014. I think I'll just continue Dr visits for the worsening conditions and file on my own. Va is a pain ( although we should get 20% just for dealing with them) and may never get 100% P&T, but I'm not tryna go to the big house....hell to the naw, naw, naw.
Vets need to hire attorney's for claims. Yes they are spending money but they are getting good legal advice and someone with a vested interest in seeing the vet win without breaking any laws. The vsos could care less if you win and non lawyers don't know what is or isnt illegal. You pay for what you get
Further, people with the same given condition actually experience the same symptoms. I mean, the symptoms or a combination thereof make the condition the condition.
Being humble, patient, and thankful for what you have is a reward granted as fruit of the spirit....as a sinner, I owe my life to Jesus. Amen!
You got some exaggerating dissability and then you have the VA failing to give service connection when shits clearly in your military health record
My VSO put in a claim with a DBQ and never told me and 1 claim was about sinuses.... i never had sinuses and when questioned about it, I was lost. I was only told by her I was going for my kidney issue
Did my own claim with my own effort and research 🤙
People who follow the laws are the ones who get screwed the most. I can speak for this big time.
Private providers complete DBQs erratically because they are complicated and they are doing there best. Fraud is less likely than private providers completing a complicated form.
Sounds silly but I only trust the VA
Except certain claims. But overall yes for sure
Yeap, as if the VA will ever find fault with the VA
@@biggumstevens1784 actually i had a couple doctors who did. You're talking really big f ups though. I was surpised at what they noted
This is troubling and frustrating at the same time. I am one of a very large group of global military expats. The country I live in is non-English speaking and getting my doctor to give a proper diagnosis is next to impossible, though treatment is good for what I have. The local AF base doesn't service retirees and the only VA is a contract C&P exam. I was forced to go to a US base company and pay for nexus letters and DBQ's. I'm wondering what kind of effect this will have on the expat retirees.
Know a guy who did 20 years and never deployed...must've been all the paper cuts. He got 100% disability on US
Best video I've seen on this hands down! Thank you Clay
The day is not for the Vets it's for the people who work at the VA
0730 Thursday 8-21-24? I have a couple questions-I am not very computer literate. I was under impression a VA doctor (primary or contract or specialist) was expected to fill out DBQ’s. Husband’s primary refused. Also, she told him that there is “no way” he would get 100 percent as long as he was still employed. He is currently 90 percent. Thanks and hope to hear from you.
VHA personnel have nothing to do with the process and working has nothing to do with 100% outside of IU. VHA providers are ‘suppose to’ complete DBQs but most won’t. Patient advocacy is what I would recommend for anyone not completing DBQs.
- Clay
It’s ok because our government sends billions to other countries wars. Clearly they don’t need the money🤣
Yeah, i got my apporval the first try, thw VA did all the paperwork with me. 100%P&T sc. I've never trusted people that talk about hiring lawyers.
There is definitely a time and place when lawyers are appropriate. The VA doesn’t get it right majority the time. More videos to follow explaining that.
- Clay
That shirt is awesome!
Here’s the link and thank you! www.amazon.com/s?k=civdiv+llc&crid=3HODQRK2ZEMDG&sprefix=%2Caps%2C106&ref=nb_sb_ss_recent_1_0_recent
- Clay
@@TheCivDiv Thanks! Semper Fi Brother
I used to think I was sneaky by pocketing per diem on TDY and eating the free hotel breakfast. Was that fraud?
Nope. Per diem is per diem. I still get per diem 😂
- Clay
Are you going to post the link to the OIG report or can you post the title of the report so we can google it? Not sure how current the report is I want to read the whole thing. Thank you this comment will most likely be deleted anyway so you won’t see it.
Pinned comment
- Clay
Can we get an update about the VA budget shortfall and our disability payments, please? I can't find anything recent on the issue.
There aren’t any updates other than a Senate Bill needs to pass by Sept 20 and it’ll pass.
- Clay
@@TheCivDiv thanks buddy
Where is the video with the link to setup a phone call for a supplemental claim?
There is no such thing as a phone call for a supplemental claim
- Clay
Great info! The truth is scary sometimes. 💪🏽
Are you ssying youre not allowed to use an entity to help file your claim?
The ones who can legally help you submit a claim are those who hold VA Accreditations.
- Clay
So, put simply: paying for anything to get your claim moved along is fraud... meaning the veteran was likely defrauded, too.
Quit trying to scare people, dude.
Did you miss the part of alteration of DBQs?
- Clay
@@TheCivDiv there was a comment about this on your video. So called "consulting" groups often never pass the DBQ to a veteran to read, inspect or otherwise alter. They process these documents straight to the VA on the veterans behalf (see: any VSO/law group/consulting agency that requires a power of attorney release to *act* on the claim).
Again, I would almost guarantee that most if not all cases are fraud on the part of the consultant. Not the veteran. As I said, paying anyone for anything to get that claim moved along is almost always a bad move.
Edit: I should clarify that I also work with VA benefits. Evey VSO rep I've ever spoken to has warned me to be extremely careful and on the lookout for any consulting group or law firm that charges above 20% of *retroactive* benefits disbursement on a "won" claim or appeal. This is for-profit college fraudsters all over again.
@@mstrfstr310 DUDE, you are missing what Clay said. play the video in slow motion, this may help ya. I think I have seen your comments like this before on this channel as well as the combined one that Clay does. Just get a life, life really isn't after ya bro.....
@@benk4881 Way to contribute nothing of substance. Good job. Glad you could show up to hurl insults during an actual conversation on the internet. *slow clap*
@@mstrfstr310 says someone that never has anything good to say , just complains when he watches the videos, if they butt hurt you that bad, just stop watching them. And no, you were not having a conversation, just being a KAREN....not even going to slow clap on that one..... yea, you now work with the VA, ,,,eyes rolling in my head on that one.....
Wow, this is crazy
It sounds like you're saying this fraud occurs mostly when veterans use service providers as to where veterans strictly use the VA system
You mean it sounds like that’s what this OIG report is saying
- Clay
@@TheCivDiv correct "the way the OIG report reads"
I let the C&P examiner do the DBQ during the exam and I deal with the result.
I love and hate your shirt at the same time, lol
Gotta do things by the book
This sounds too systemic to be individuals doing this. Also, I will say that evidence of "fraud risk" isn't the same evidence of fraud. Depending on the level of analysis they applied, and the consideration of the circumstances, they could create criteria that identifies almost anything as "potentially fraudulent."
Is this just DBQ? Or nexus/opinion from doctor as well?
From the report it only mentions public DBQs here. Altering an IMO would be insane x3000
- Clay
@@TheCivDiv agreed, thank you clay.
Be careful veterans
Clay the government DOES NOT LISTEN. THEY WANT IT THEIR WAY or no way at all. They have been dictating the show and I am fed up with it. Just because they are in those positions does not make them the know alls.
This is the part you are missing... "AND". That word is significant.
"AND the assignment of a 100 percent disability rating occurred without evidence of current medical treatment confirming the severity of the condition."
When you read the paragraph in it's entirety, the OIG report is suggesting the issue is with the VA raters assigning rates without the medical evidence to support the rate. Do you see what im seeing?
You have to understand how DBQs are processed. It’s an automated processing system. In short, just no. Here’s a video explaining: ruclips.net/video/zXTjf280hzI/видео.htmlsi=F8aXJFhkEer3BDRi
- Clay
@@TheCivDiv I don't believe the use of the word entity in this report means what you are suggesting.
In context of the OIG report the term “entities” typically refers to internal entities within the VA system.
This report is part of the OIG’s efforts to ensure accountability and transparency WITHIN the VA.
🧐
@@UsernameGM46 uhhhhhh, no. Hence the recommendations and the changes to M21-1. I’ll be covering that here soon.
- Clay
So I struggled with VA for 9 years, I went from 10 to 90 alone because nobody would help (I tried). In the end I used a company who helped me with last 10 percent, they only helped me raise my pre existing and service connected items. Everything I claimed was true and essentially they just helped me clear tge last hurdle. Ultimately I know a lot of vets that have had the same issue, they are service connected and under rated in several items. Regardless of who helped me I feel comfortable that everything is honest on my end and that they definitely help vets.
The in person appointments being 100+ miles away is definately a normal event thats been happening, atleast with medboard cases. Currently in Corpus Christi and the VA has been scheduling us exams in San Antonio, macallen, and Laredo on multiple occassions. They tried toing to to me but i flat out refised to drive there since i would not be reimbursed while active duty
That definitely isnt to say that there arent people going to companies that are known to "help out"
I’ve never heard of companies that do this, but I am sure they exist. Which ones should we stay away from?
If I answer this I will be sued. Also, a company wouldn’t tell anyone they are doing this…
- Clay
Clay might not be able to say it but I can, odds may be if someone wants a portion of your VA disability $$$ for "helping you do the claim", may be a red flag. I WILL NEVER PAY SOMEONE = "ENTITY" TO PREPARE P/W FOR ME TO FILE SOMETHING THAT I CAN DO MYSELF USING MYOWN RESOURCES
Veterans who were retired from active duty via TDRL and PDRL will or did not have access to the process you are talking about. None of it. They are controlled out the door. Back in the day we did not have civilian companies doing claims and veterans could not pay private entities to do claims. As matter of fact, when all this went down, CLAY, I did not know what a VA claim was.
If you witnessed death in uniform, then you need to tell a VA LCSW before thinking about filing a claim.
The VA will verify the traumatic event(s) with JSRRC for accuracy before the DBQ assessment.
The hardest part was TALKING about it. It took me 15 years after being discharged to “talk about ” the event in clarity.
Be honest because the claims process is hellfire and it ain’t easy keeping up with lies. You dont want to make it harder……..
I think it is ok if similar or identical language is used across multiple DBQ'S across different states if it is like boilerplate language or language describing the fundamentals of mental/medical conditions.
Evidence and evidence analysis is not and cannot be templated.
- Clay
@@TheCivDiv Some vets having similar military experiences have similar evidence. Also, people have vernaculars or their way of putting or articulating things. If an IME examiner seems similar symptoms in patients and describe them similarly because that is their way of talking or writing, does that equate to fraud? I think not.
@@TheCivDiv The impression I get from your rendition of the VAOIG'S report is that the report might be logically flawed or even fallacious. I should read the report before I comment any further.
Actually you are correct. By company monopolies and government entities failing to do their jobs all have updated my skill set when they were the whole time trying to further dismantle me and take me further out that I would have no way to arrive back into gainful employment. When these companies and this government participates in throwing people out of the mainstream, these people they want to continue to hold down no matter what. This points to the military industrial complex and the medical industrial complex. It is all about making money off of people or using people as their pawns for power and financial gain. Veterans are treated as the bottom of the barrel when it comes to their own individual constituents rights. See by blocking veterans this forces them to hire these consulting companies. Clay it maybe the VA employees are not qualified so they have had to outsource the work. Look at the Electronic Health Record system. Not even the civilian companies could get this professionally done. Reason being the top leadership is not about solving problems. Because if the problems were solved they would no longer be relevant and have jobs.
It’s the shirt for me!!! 😂 I love it! 🫶🏽🫶🏽🫶🏽
😂 more to come but here’s the link to Amazon: www.amazon.com/s?k=civdiv+llc&ref=nb_sb_noss
- Clay
I didn’t use any bdq or nexus in my claim. You have to be honest on what’s happening to you. I got 90 I wish it was 100 but you kniw
Was thinking of using your recommended Dr's like Dr Sharma. does this mean we cannot use them if we are out of state?
Nope. The indications here imply that the exam was in-person when in fact, it wasn’t. Mental health is generally going to be a telehealth exam which is noted on the DBQ.
- Clay
@@TheCivDiv O thanks
Even a private DBQ appointment doesn't matter because at the end of the day once submitted the VA will use their own examiner
saying 100m trip for in person is bs. VA sends me regularly to exams that is over 100 miles away. Also why are DBQ the only evidence and then getting approved let alone getting a 100% rating approved. That should have been marked for a higher level review.
You guys have to stop doing this. The best thing a veteran can do is use a private attorney for representation and should allow VA examiners to do their exams. This is why private DBQs are worthless in my opinion. Stop using these claims companies that aren’t attorneys. Use VA attorneys and VA examiners. It insures accuracy and law is followed.
I have never filled out A DBQ. But , their have been numerous DBQ submitted on my behalf. They must have been submitted after my C and P exam
Couldn’t AI be generating similar language. I think it all is to stop Brian Reese and companies like his.
Brother email me your logo. Love tour channel. Im a Veteran. At no cost I am going to put your logo at my nect fashion show.