VA Deploys New Processing Model for Compensation Claims
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  1. #1
    Administrator Platinum Member Rocky C's Avatar
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    Exclamation VA Deploys New Processing Model for Compensation Claims

    July 11, 2012

    New Procedures Ensure Benefits Delivery to Veterans in Need

    WASHINGTON – The Department of Veterans Affairs (VA) announced today it is deploying a new model for processing compensation benefits claims at 16 VA regional offices. The new model is part of a comprehensive transformation plan designed to yield an estimated 150,000 to 200,000 additional compensation claim decisions annually, while ensuring Veterans most in need receive priority attention.

    “This new model is a part of our comprehensive plan to eliminate the compensation claims backlog," said Under Secretary for Benefits, Allison A. Hickey. “Our redesigned model follows comprehensive planning and testing to ensure we have the right recipe for success.”

    The new organizational model involves special handling of claims from Veterans who are facing the most serious injuries or illnesses or experiencing financial hardships or homelessness, and therefore need immediate attention. Through a new “intake processing center,” claims are routed to one of three segmented lanes:
    • Express: Claims that have only one or two medical conditions, or have all the supporting documentation, medical evidence and service records needed for an expeditious rating decision—referred to as “fully developed claims”.
    • Special Operations: Claims requiring special handling because of the unique circumstances of the Veterans. These include financial hardship; homelessness; serious wounds, injuries or illnesses; Post Traumatic Stress Disorder associated with military sexual trauma; and former prisoner of war status.
    • Core: Claims with more than two medical conditions, or those that will need additional evidence to make a compensation decision.
    The segmented-lanes approach helps increase speed and accuracy because the claims specialists become familiar with processing claims of similar complexity.

    Veterans and their Veterans Service Organization representatives are encouraged to provide all the needed evidence along with their application in a “fully developed claim” in order to expedite the process.

    Sixteen regional offices have received the new organizational and process model, including Huntington, W.Va.; Hartford, Conn.; Portland, Ore.; Houston, Texas; Cleveland, Ohio; Des Moines, Iowa; Boise, Idaho; Phoenix, Ariz.; New Orleans, La.; San Juan, Puerto Rico; Atlanta, Ga.; Indianapolis, Ind.; Wichita, Kan.; Milwaukee, Wis.; Newark, New Jersey and Fort Harrison, Mont.

    These offices will also receive new technology systems and software upgrades over the next 3 months. All 56 VA regional offices will have fully implemented all of the people, process, and technology initiatives in VA’s transformation plan by the end of 2013.

    To learn more about how to file “fully developed claims” using VA’s new Disability Benefits Questionnaires (DBQs), visit http://benefits.va.gov/disabilityexams.

    Semper Fidelis,
    Rocky

    All Marine, All The Time......


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  2. #2
    Marine Platinum Member AlwaysWillBe's Avatar
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    Rocky,
    Where can I get more info?
    I'm in the Newark, NJ office region and am about to file for my Diabetes claim.
    Have everything and just to be sure, am getting a "Nexus" letter from the Dr.
    Thanks,
    Fred.



  3. #3
    Administrator Platinum Member Rocky C's Avatar
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    Fred,
    Just click the link at the bottom of my post Brother.
    It will take you right where you need to be.

    Glad Your Son Matt is doing better Fred.
    Prayers Outbound as Always.

    Semper Fi,
    Rocky


    Semper Fidelis,
    Rocky

    All Marine, All The Time......


    .... . / ..-. . .-- --..-- - .... . / .--. .-. --- ..- -.. --..-- - .... . / -- .- .-. .. -. . ... .-.-.-









  4. #4
    Marine Platinum Member AlwaysWillBe's Avatar
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    DUH !!!
    OK. I'm used to seeing URL links underlined and in a different color.
    Maybe they can put that on the TA-DO list ?
    Thanks again.
    Fred.



  5. #5
    Since the VA has a new model to help us with our claims, how is it going to help me with my 21 year old case where they used my wrong SS# to get medical info on me. This is the reason they have denied, rejected and kicked my claim around for years putting my family through 21 years of hell, homelessness and hunger. It is easy to turn your back on a man when you take his job due to a medical lable put on him by VA doctors and then you intentionally mis-write his ID# so the information cannot be found. My claims include( incomplete surjury in Base Hospital due to mis-diagnosis leading to two more repairs in same area and then below due to weakened walls.(2). Head injury from basket ball game leaving dent in my head with a 1/4" scar.(3). Knee surjury, left knee due to injury from sports leading to having to wear brace w


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    Marine Platinum Member AlwaysWillBe's Avatar
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    VA Claim Assistance

    Hi Michael.

    Say, do you belong to any veterans groups?
    Even if you don't, they will be more than willing to help you with something like this. I'd try the DAV first. Make an appointment to sit and talk with an NSO. Be sure to bring all the paperwork you might have.
    Remember one thing, if the VA made the mistake, everything can be retroed back to that date.

    Good luck and please keep us posted on how you make out.




  7. #7
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    So what i read the most worthy are going to get in front of the line, i agree with that concept for the wounded warriors, what is the concept for the ones with mental illness from trauma in combat or rape etc, who is going to take that responsibility these are the groups of vets that need help now as well ., again the VA is slow walking ptsd to deter and pis* off these vets so they will go away, it dont take much to do all you got to do is get them mad rattle there cage down the road they go, need to create a outreach program made up of vets helping vets , if you think iam full of sh*t go and ask the wife's and families if there returning love ones have changed and most cases no for the best for all involved.


  8. #8
    Marine Platinum Member AlwaysWillBe's Avatar
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    Quote Originally Posted by kaelobo View Post
    So what i read the most worthy are going to get in front of the line, i agree with that concept for the wounded warriors, what is the concept for the ones with mental illness from trauma in combat or rape etc, who is going to take that responsibility these are the groups of vets that need help now as well ., again the VA is slow walking ptsd to deter and pis* off these vets so they will go away, it dont take much to do all you got to do is get them mad rattle there cage down the road they go, need to create a outreach program made up of vets helping vets , if you think iam full of sh*t go and ask the wife's and families if there returning love ones have changed and most cases no for the best for all involved.
    HI!
    OK, for PTSD here is the link to the VA form for that persons Dr. to fill out:

    http://www.vba.va.gov/pubs/forms/VBA-21-0960P-3-ARE.pdf

    For the entire list of forms, then you should check out the original link that Rocky posted:

    http://benefits.va.gov/disabilityexams/

    If the vet involved needs more help, then once again, I suggest that they seek out a Veterans group such as the DAV, VFW, AL, VV and there are others for assistance.

    I can tell you that there is at least one vet that posts on this board that had the same issue a number of years ago. Delays, attitudes and road blocks. I and several others encouraged him to try again. Not only was he successful in getting his claim approved, he got more assistance than he thought he would. He's rated at 30% now and is even getting a few extra $ for being married.

    Hope this helps!



  9. #9

    Unhappy

    figures reno nevada gets nothing to speed up claims-they are one of the slowest around-been 15 months waiting for my last 30 percent for unimployability-they just say its still in discovery-all you get is lip service when you call---allso reno doesnt take calls---driving me nuts all i have left is my ptsd------better than nothing i guess---larry


  10. #10
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    I cant beleve the VA system has gotten worse, this is no longer funny,


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