Lhi dbq medical opinion. Dismissing Private Medical Evidence.

Lhi dbq medical opinion I went to the VBA office and they gave me one of the DBQs on 6/1/18. %PDF-1. Oct 16, 2024 · This time my attorney took my appeal back to the CAVC and the new JMPR specifically states that in my prior BVA decision already acknowledged and established the fact that my disability precludes employment and listed not only the BVA decision but both medical opinions in my records and that there is no medical opinion against those favorable Business, Economics, and Finance. Jun 21, 2020 · VA reserves the right to confirm the authenticity of ALL DBQs completed by private health care providers. "Medical Opinion Disability Benefits Questionnaire (DBQs), Completed Jan 28, 2024". In order to write a sufficient medical opinion, you’llneed to recognize the basic elements that make up a medical opinion: the opinion itself and the supporting rationale. For GERD, there shouldn't be a medical opinion question on it. Had my C&P exams 5/22/18 with LHI. Good luck. If you’re a veteran applying for VA disability benefits for Post-Traumatic Stress Disorder (PTSD) for the first time, you’ll encounter a specific VA evaluation form known as the Initial PTSD Disability Benefits Questionnaire (DBQ). Dec 31, 2024 · Pro Tip: Bring private medical records, buddy statements, and DBQs to reinforce your claim and counter examiner bias. I have my C&P exam on Monday and I understand what to expect with the claims that are named but I'm unsure about what the opinion pieces mean. The two main differences between an examination for treatment and a C&P Gulf War General Medical examination are: 1. If it was in the form other than a DBQ Medical Opinion, such as a letter, it’s most likely why a VA MO was requested. This letter is a notification for your records that LHI is processing the VAs request. I just have a question…. The DBQ for PTSD is a standardized form that asks targeted questions about a veteran’s mental health symptoms, treatment history, and how PTSD impacts their work and personal relationships. On 8/1/18 I received all my LHI DBQs on a CD in the mail. I HAVE REVIEWED THE CONFLICTING MEDICAL EVIDENCE AND AM PROVIDING THE FOLLOWING OPINION: For Internal VA Use Medical Opinion Disability Benefits Questionnaire Updated on: June 8, 2017 Aligns with CAPRI version: 6/13/16@17:23~v16_1_Production version My VSO just sent sent me my DBQ’s from my LHI C&P exams. Today I received a 'Medical Opinion Notification' letter from LHI, letting me know that they received a request from the VA to coordinate my Medical Disability Examinationthe request was for a medical opinion where Aug 14, 2017 · The offficial request form that I recieved said that the VA has requested for LHI to complete a DBQ PSYCH for Mental disorders - 1) Medical Records/C-File Review 2)Interview Veteran BH- Assessment each units 15 min up to 6 units (5) 3) DBQ Medical Opinion of PSYCH. Nothing I said is on there. A medical opinion can serve multiple purposes. A DBQ medical opinion is a formal VA request for a C&P examiner to provide his/her medical opinion for service connection on the electronic version of the condition specific Disability Benefit Questionnaire (DBQ). I help as much as I can; I bring all relevant information/medical papers; I complete the DBQs in advance and offer it to the Provider; I have notes. Therefore your claim was deferred (defer to deny) in hopes of sending it to a nurse practitioner with two years of experience to yield them a least likely favorable finding of I worked very hard to serve my Veteran's. No need for excessive anxiety. The C&P exam was less than 10 minutes. Does that make sense?". Medical Opinions. You can find the specific DBQ you’re looking for on the VA’s DBQ page. Received a notice from QTC, and an email from the VA referencing the appointment. As a result, even information from the VA medical center may not find its way into your decision. Lots of providers write in a format that’s missing something required from the form itself. Made a ptsd claim. To use. I received a medical opinion notification in the mail today from LHI. And, it shoudln't appear. That is why I titled the post of this separate form. Please complete section four and the evidence review in the medical opinion DBQ and state whether the veteran’s vision problems and headaches, if found, was at least as likely as not (50 percent or greater probability) incurred in or caused by the claimed brain Complete only the sections below that you are asked to complete in the Medical Opinion DBQ request. I went and looked at GERD, skin, and feet and the question doesn't appear. They, along with VES and LHI are getting ugly government contract money, and Veteran's are the currency Finally, I been waiting and today I got my Medical Opinion Request Notification in the mail from the Veterans Benefits Administration (VBA) Medical Disability Examinations (MDE) dated the 15th. In other words, VA must conduct C&P exams related to a veteran’s possible participation in a TERA for PACT Act related claims. Claim review is always FREE. Fast track to today and my appeal says judge reviewing updated 4/25/24 and 2020 claim that was re-opened updated 4/24/24. We would like to show you a description here but the site won’t allow us. Is there a way to retrieve a DBQ from a recently denied claim from LHI? comments sorted by Best Top New Controversial Q&A Add a Comment Chutson909 • Apr 20, 2018 · I have an appt with LHI to do my C & P exam for my two claims: 1. Happened to log into my Optum Serve account and saw that there is a medical opinion appointment scheduled with LHI on May 15th and that I don't have to be present. Any input on what/why exactly PSYCH Mental Disorders 01, PSYCH Mental Disorders 02, PSYCH Mental Disorders 03 might be and why with a different examiner than before? Oct 19, 2024 · What’s included in the Independent Medical Opinion (IMO)? Conversely, an Independent Medical Opinion is a comprehensive evaluation. The tinnitus had a DBQ and medical opinion along with the mental health having a DBQ and a separate medical opinion. Sign in with X Typically private medical opinions are weighted much lower at the beginning phases of the VA claims process. We`ll see how this goes. Me: "Since LHI/Optum Serve are the ones doing the review, why would I call the V. Common Situations Where the VA Exam is Skipped . The results finally came in, she lied on every single DBQ. V. Service connection is presumed based on my time in Iraq in 2003, but it is also noted in my exit exam when I left service. It’s an M-21 DBQ mandatory requirement. It is a diagnostic clinical interview that goes beyond a review of current functioning. questionnaire as part of their evaluation in processing the Veteran's claim. Unfortunately, only time will tell. LIST THE CLAIMED CONDITION(S) THAT PERTAIN TO THIS DBQ: NOTE: These are condition(s) for which an evaluation has been requested on an exam request form (Internal VA) or for which the Veteran has requested medical Oct 9, 2024 · In such cases, VA may request a specialized Disability Benefits Questionnaire (DBQ) rather than a general medical exam. eBenefits has this statement: Question: do I just wait, or submit buddy letters/ get a nexus letter? Jan 5, 2023 · Could it be the VA is now shopping for a unfavorable medical opinion. I wouldn’t go by what there website says. 7,781 991. The condition claimed is at least as likely as not (50% or greater probability) proximately due to or the result of the Veteran's service connected condition. I thought the C&P/DBQ's were the medical opinion? Has anyone else had something similar happen and if so, what was the result? It just means that the Veteran Services Representative didn't request a medical opinion in the beginning and after the exam was conducted, when it reached the Ratings Veteran Services Representative, he or she realized that one needed to be done. It was in my favor. Service Requested on the appointment confirmation says DBQ General Medical Gulf War, DBQ ENT Sinusitis, Rhinitis & Other ENT Conditions, DBQ Medical Opinion - MED: ENT Sinusitis, Rhinitis & Other ENT Conditions. Aug 25, 2021 · I applied for compensation for Rhinitis. I had a nexus submitted notating the prostrating migraines and a DBQ filled out answering those questions appropriately to my evidence. This despite them having a DBQ from my private doctor and a letter from an attorney telling them to use that DBQ. Does this mean that the ones without the medical opinion mean they are already considered service connected? They’ve contracted LHI to give a medical opinion about the types of medication and history I have with them to see if I am entitled to any back pay. It is a seperate form and one that is attached to each DBQ for each condition. It surprised me because even though the examiner and I discussed my symptoms and my ability to work and the fact that I have not worked in quite some time, I did When DBQ's get uploaded to the VA, they'll appear with a really long file name, but there's typically a few numbers at the very end that will indicate what condition it's for. (not sure if these codes are VES specific or work across the board) And it’s consecutive. Your exams will go through quality control before being submitted to the VA. This differs from the first MO which just had: DBQ Medical Opinion - BH PSYCH PTSD Initial 01 (1), IMO - Behavioral Health Administrative Code (1) at the bottom of the letter. The medical opinion can be submitted by a VA doctor or a private healthcare provider. Can I get a copy of this opinion at the VA medical records office? I've gotten my C&P results there Just received a letter from LHI regarding my medical records from the VA. ? I called Optum Serve/LHI because you guys are the ones doing the medical opinion review. The PACT Act provides clear details on the types of disabilities that can qualify someone for VA benefits, especially those that are related to hazardous toxic exposure while in the military. Jul 3, 2023 · Looking for Expert-Level VA Claim Help?📱Call Us Now! 737-295-2226. A Supporting Medical Statement Based on Gulf War Service : When the Service Member/Veteran has a qualifying chronic disability that results from This is a single condition claim with private DBQ, diagnoses, sleep study, CPAP RX, nexus letter, personal and buddy statements. An independent medical opinion (IMO) is more than it sounds. 2023 the mental claim was re-opened and I was scheduled LHI exam. Understanding the TERA VA medical opinion for disabled veterans and navigating the intricacies of Veteran Affairs (VA) benefits can be a maze for the disable Note: These are condition(s) for which an evaluation has been requested on the exam request form (Internal VA) or for which the Veteran has requested medical evidence be provided for submission to VA. Generally, it stands to reason that claims for "new" disabilities will require medical opinions, whereas, if you're requesting an increase to an already service-connected condition, no medical opinion of service connection is needed. However that there is both a mental worksheet and PTSD worksheet indicates multiple mental conditions in consideration. There’s a lot to prepare. GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. I am one to believe fight for your benefits because the VA doesn't follow it own rule and laws. I have letters from Veteran's, and have stayed in touch with some of the families. I can't imagine it's that difficult. Mar 8, 2020 · I received a letter today from LHI titled "medical opinion notification" It goes on to say that they have received a request from the VA to coordinate I had a C+P exam for my PTSD and other psychological conditions VA disability claim in early June, and it was conducted by LHI. ” See Nieves-Rodriguez v. I also think that if an examiner isn’t a MD practicing in the field of a vets claimed conditions, such as a family practice nurse for example, then they shouldn’t and are not qualified to give a medical opinion. Jun 21, 2023 · Now, under USC § 1168, a C&P examination and medical opinion must be provided in TERA cases when evidence is not sufficient to establish service connection for the condition, rather than when a decision cannot be made. Sign in with X Jan 1, 2022 · Who really knows why VA does what they do? It is just a part of their games. Equipped with a national network of medical, dental and behavioral health providers, LHI designs and manages health programs for government and commercial customers. Same for any musculoskeletal measurement DBQ that doesn’t have “goniometer used” annotated on it. Jan 14, 2022 · On occasion, a C&P examiner might not give a medical opinion at all, and instead state something like: “no conclusion can be reached without resorting to speculation. He never examined me, even though he stated he did. There is a lesson here: The purpose of a C&P exam is to have a medical professional examine the vet and complete a DBQ for the VA, based on their findings. We only charge for the medical document and no additional fees. Mar 31, 2019 · Independent Medical Opinions vs. It is a medical opinion requested by VA Central Office, Washington, in those rare and unusual cases in which it is felt that a complicated medical issue cannot be adequately answered by means of local medical professionals. Call LHI and confirm they have a copy of your VA sleep study in records They are usually not good and are used as a tool after you’ve completed a C & P exam that yielded favorable DBQ and medical opinions that would strengthen your claim. Peake, 22 Vet. 1A. 1d. document the use of the ACE process on the DBQ, to include the source of the clinical evidence relied on to complete the DBQ or render the opinion. They are now processing this request. 3 Comp exam for the same issue In one year the veteran isn't to feel it's a problem. {redacted}. Since it doesn’t require an exam but a records check, I am not required to be at this c&p. I pushed back on my medical opinions, and was known for my medical opinion writing. DBQ Medical Opinion - Gen (General) It is a standard form that all contracted companies like QTC and LHI use to write up the medical opion. . “Do not travel to this appointment”. I feel like some providers just take their sweet time in returning the paperwork. QTC is a division of Leidos. Could it be because a Pysicians Assistant or Nurse Practitioner conducted the exam and they need a Doctor to review everything for a final decision? Or are the exams done by PA / NP and a Doctor reviews and gives the medical opinion? Just completed all my C&P's with LHI and wondering if I'm done or an ACE exam will come up. Dismissing Private Medical Evidence. While it’s not proof that you’re condition is related to your time in service, a good IMO will be written exactly to what the VA requires in the 38CFR. • If an examiner receives an ACE request that lacks sufficient medical evidence, the examiner should notify the vendor that an exam is required. The C&P appointment letter (not in person) came in and then the decision letter. We provide compensation and pension examinations to those seeking disability benefits for service-connected health issues. My VSO was able to locate the DBQ and medical opinion in VBMS. He wrote a few notes down, said he needed to do some research on the situation and then would submit his medical opinion. To fulfill the nexus requirement, a veteran must have a medical examination that will show that he is disabled and that his service-connected disability is as probable as not caused by his military service. At our core is an unwavering dedication VES 2021 Musculoskeletal DBQ Updates 1 2021 Musculoskeletal DBQ Updates Based on recent updates to the Veteran Affairs Schedule for Rating Disabilities (VASRD) and related legal rulings VA has overhauled the Musculoskeletal DBQs, to include: • Amputations • Ankle • Arthritis • Back (Thoracolumbar Spine) The PhD also provides no rationale to support the link between them, and cites no literature. Dec 24, 2019 · What happens if LHI exam am Dbq is opposite or less than dbq I received from private MD. VA reserves the right to confirm the authenticity of ALL completed questionnaires. They go with the most medical grounded opinion. specifically the request is for a DBQ Medical opinion :GI Esophagus (including GERD & Hiatal Hernia ) again record only and my presence is not required. There is a learning curve but it gets better with I had private DBQ's and nexus letter for ptsd the va used as evidence for claim but still sent to a c&p exam. If that isn’t the case the rater will essentially ignore it and that could bring into question the veracity of the rest of the exam; and if what you want to discuss is documented, the examiner will see it. I am still in gathering of evidence but I have since had my VA RA doctor provide a medical opinion and that was sent to the rater. VA DBQ 1015: Medical Opinion May 13, 2024 · In my case the LHI examiner filled out the regular DBQ (disability symptoms) and then filled out this separate medical opinion. Even though I was contacted that one was being set up. Sep 10, 2024 · A DBQ medical opinion is essential for veterans filing disability claims because it gives the VA a professional, detailed evaluation of the veteran’s health condition and the physicians medical opinion. Veterans often rely on private Independent Medical Opinions (IMOs), Nexus Letters, and DBQs to strengthen their claims. The letter says that I'm not required to be there and that another examiner will perform an evaluation using my medical records and history. I’m grateful for them. May 16, 2023 · Now this week I get another letter from Optum Serve that my GERD claim is going to a NP in Bowie Maryland for a medical opinion. Medical opinion for direct service connection Choose the statement that most closely approximates the etiology of the claimed condition. The thing is I recently had a favorable exam for the same condition through LHI a couple of months ago. They list the requested services as: DBQ Medical Opinion - BH: PSYCH PTSD Initial 01, DBQ Medical Opinion - BH: PSYCH PTSD Initial 02, DBQ Medical Opinion - BH: PSYCH PTSD Initial 03, and IMO -Behavioral Health Administrative Code (1). Independent Medical Opinion or Examination Completed and Delivered. ” If the examiner does this, the “no medical opinion” must be “based on sufficient facts or data. They told me that they had made a miss call and that the VA had sent them my medical records and ask for their medical opinion and I should be hearing from the VA soon. And another separate appointment for dry eyes. All applicable medical evidence used to complete the DBQ identified. I just received my FOIA request in the mail with the Ace review DBQ and medical opinion. Independent Medical Examinations. g. 6). Purpose of the C&P Gulf War General Medical Examination The C&P Gulf War General Medical examination is a forensic and legal examination. Some don't. I did a c&p last year at the VA in which the Dr agreed with findings from private Dr, but the VA screwed up and evaluated my claim as a direct service connection claim when literally everything I provided was claimed VA DBQ Forms for Completion by Private Medical Providers Are Now Codified in the Law (Effective Immediately) Aug 25, 2021 · Or sign in with one of these services. Jul 16, 2021 · I had an appointment for a records review only. DBQs completed using the ACE process will be called insufficient if ACE is not properly va form dec 2010 . If all the required documentation is provided, and final payment is received*, we will proceed to procuring your desired product. List the claimed condition(s) that pertain to this questionnaire: Updated on: 2024-08-27 ~v24_2 Page 1 of 11 Respiratory Conditions Logistics Health Incorporated (LHI) is a part of OptumServe, the federal health services business of Optum and UnitedHealth Group. VA may obtain additional medical information, including an examination, if necessary, to complete VA's review of the veteran's application. if there is a diagnosis of ptsd, does the veteran also have a ny other axis i-iv diagnoses? Jan 25, 2018 · Very good practice for performing focused physical exams. I called the va a expressed that I'd rather not go and wanted to use my private DBQ's and they responded that claim can be denied because my dbq wasn't actionable and sufficient for rating purposes, even though it was 15 pages very through used va verbiage rewied cfile. The medical opinion is taking longer to process than the DBQ's. This alone won't indicate why. May 8, 2021 · I received a letter from LHI yesterday telling me that they had a request from the VA to coordinate my Medical Disability Exam. That medical professional is usually a contract hire through QTC, LHI, etc. Nov 15, 2018 · LHI? In my experience, some C&P exams request a medical opinion of service connection. Do you accept FEDEX? Me: Yes, but what does that have to do with if my medical opinion review is completed yet?" LHI is doing a C&P DBQ OSA exam and medical opinion for your claim. If my DBQs are insufficient in any way, then VA must contact me or my private physician for correction (38 USC 5101). It says Service Requested Quantity: DBQ Medical Opinion-BH Psych PTSD initial (1/, IMO behavioral Health Adminstrative Code (1). This statement conveys one of four messages to the VA Rater (RVSR) assigned to your claim: A DBQ (Disability Benefits Questionnaire) medical opinion Apr 11, 2024 · The Compensation and Pension Exam you receive from LHI is the same as the one you would receive at the VA. I thought the C&P/DBQ's were the medical opinion? Has anyone else had something similar happen and if so, what was the result? Apr 18, 2020 · Today I received a letter in the mail from LHI stating that the VA requested a medical opinion from them regarding my mental health condition. The reality is that the rater relies on the C&P examiner to review these records and opine appropriately. App. She put full AROM and not once used a goniometer but put in the DBQ a goniometer was used. Reply reply   In 2021 filed an appeal to judge. I just received my packet from LHI for my upcoming DBQ. They said I would have to fill out a FOIA for the rest which I did on that day there. Today I received a QTC notice that had "Do not attend" and pretty much stated that an independent medical opinion was requested by the VA. There wasn't any specifics as to what the opinion was being requested on. Anything to help them prepare their part Apr 6, 2021 · Some HLRs are just rubber-stamped denials, not even reviewing the veteran's evidence or medical opinions but the BVA is a lot better. Service(s) requested (quantity) DBQ PSYCH PTSD Initial (1) DBQ Medical Opinion - BH: PSYCH PTSD Initial 01 (1) DBQ Medical Opinion - BH: PSYCH PTSD Initial 02 (1) DBQ Medical Opinion - BH: PSYCH PTSD Initial 03 (1) CPT 96156 Health behavior assessment, or re-assessment (1) CPT 90791 - PSYC DX INTERVIEW XM (1) CPT LHI1150 VA health behavior May 3, 2022 · An Independent Medical Opinion is an opinion from an independent medical expert that is used to support the severity of your claims. LIST THE CLAIMED CONDITION(S) THAT PERTAIN TO THIS DBQ: NOTE: These are condition(s) for which an evaluation has been requested on an exam request form (Internal VA) or for which the Veteran has requested medical Sep 19, 2024 · Below is a list of common DBQs, organized by category, with examples of their file numbers. Jul 27, 2020 · For my supplemental heart claim, the VA's RVSR sent a request to LHI to specifically perform a cardiac/heart DBQ and offer an opinion whether SC migraine medication caused any heart condition. VA reserves the right to confirm the authenticity of ALL questionnaires completed by providers. Compensation and Exams are anxiety-producing for many veterans, seeing a strange set of letters like LHI can make the anxiety worse. 2024 LHI DBQ medical opinion was requested by VA. I’ve found that most DBQ’s that don’t have “C-file” review annotated will get a C&P. I cant seem to find any info on the difference on the PTSD ones (1,2, and 3) Whats this mean ? I've noticed a trend in examiners using the same boilerplate verbiage in negative TERA opinions/rationale. Cavmedic. The request was for a Medical Opinion(s) where an examiner performs an evaluation using your medical records and history. VES, LHI, QTC, Optum, Loyal Source and VHA examiners (from around the country) all using the same combination of words "there is no medical or scientific evidence/literature that shows a link/association between claimed condition and TERA". The medical opinion is often contained on its own separate DBQ. After that I was just waiting for the decision. It is improper to send a private DBQ to a C&P examiner for clarification when they did not write it in the first place. ACE DBQs are assessed through VBA’s quality review They have been awarded $6 billion for screwing veterans by the VA!! don’t tell us Veterans to ALWAYS go to C & P exam! If he has a DBQ already in hand, and has a medical opinion, this will create too inconsistent medical opinions and the VA is going to side with the third-party contractor instead of his private doctor. DBQs contain a box that must be checked if the DBQ was completed using the ACE process. Under that it says DBQ medical opinion back, hip, thigh with numbers. If Oct 16, 2024 · The 'drive by DBQ's' that cause issues are the ones that are a 180* difference from the medical evidence on hand, omit parts of timelines for progression, or don't support what they write. However, the medical opinion we received from the VA examination was more persuasive than your private physician's opinion because it was based on a thorough review of your relevant military and/or personal history and contained more convincing rationale (38 CFR 4. An LHI nurse practitioner called me last week to do a phone C&P and asked about atrial fibrillation, The PTSD is a special DBQ. It’s like everything in our lives, it’s all about the relationship. As we all know, sometimes, those companies are super slow providing info to the VA. 4. Some of the claims have required DBQ along with DBQ medical opinion while others do not. The last thing I needed was the VA contract examination, LHI, Medical Opinion for my Post Traumatic Stress Disorder, which I had on March 29, 2019. Also, I noticed that they submitting the DBQs to the VA in 4 days for the Tbi but is it normal for a PTSD review from LHI to still be pending review for 15+ days? Also, do i need to call LHI to verfiy the status of the not submitted review DBQ for PTSD? It’s not an easy task. This information helps to support your claims for disability benefits. Dec 28, 2019 · Get an Independent Medical Opinion. Again, I never was in contact with anyone for a DBQ, yet they claim I had three DBQs with LHI. The Earth is degenerating these days. I have a separate appointment for MH. Hypertension also service connected, claiming worsening What can I expect at this exam? Although I am service connected for restrictive lung Jul 1, 2024 · Department of Veterans Affairs, Veterans Benefits Administration, Office of the Deputy Under Secretary for Policy and Oversight, Medical Disability Examination Office Subject: Diabetes Mellitus Disability Benefits Questionnaire Keywords: Diabetes Mellitus Disability Benefits Questionnaire, DBQ Created Date: 20240709143913Z Jun 8, 2023 · An IMO for VA purposes is legally defined in 38 CFR 3. SERVICES Exams and DBQs In addition to medical opinion nexus letters, Vet Resource Group also provides access to medical examinations by licensed medical physicians. 60-minute consultation consisting of a current ratings review (using your VA rating decision and code sheet), prior decision letter review, education about the C&P process, prior claim denial reviews to determine why the claims were denied and if you qualify to refile those claims in a manner more likely to be accepted, AND give you suggestions for other possible claims to get you the highest Hopefully someone starts some type of petition or something. Our experts understand the importance of each section of a […] Aug 19, 2023 · Claim is PTSD due to combat and MST. Nov 1, 2024 · Looking for Expert-Level VA Claim Help?📱Call Us Now! 737-295-2226. It says LHI has received a request from the VA to coordinate your Medical Disability Examination. Fully Developed Claim (FDC): If you submit a fully developed claim with all the required evidence, including medical opinions and records, VA may not need a C&P exam to decide. It says, “An in-person evaluation will not be performed by this QTC provider, instead the QTC provider will review your VA medical evidence to complete the VA’s disability benefits questionnaire. LHI Appt: DBQ GENERAL MEDICINE - GULF WAR Bring medical records from your personal doctor as well as your military and va medical records. So here's a link to a VES form that lists each DBQ and it's corresponding file number. What exactly is all this. Requirement for Supporting Rationale for Medical Opinions A medical opinion is a conclusion supported by evidence, including current medical literature, information obtained during examinations, the Veteran’s lay statements, and pertinent evidence in the claims folder. One of my last LHI C & P exam was for my claim for sleep apnea. ii. My assumption was that maybe the VA wanted opinions on my other claims but the amount doesn't line up. 3. Jul 10, 2023 · What is DBQ Medical Opinion No Longer Needed? “DBQ Medical Opinion No Longer Required” is an internal note from the Veteran Service Representative (VSR) assigned to your claim within the VA. 5 %µµµµ 1 0 obj >>> endobj 2 0 obj > endobj 3 0 obj >/XObject >/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group Jun 8, 2017 · SECTION VII - OPINION REGARDING CONFLICTING MEDICAL EVIDENCE 7. The examiner completed the exam and sent it back to the VA on the same day. May 10, 2022 · The examiner must identify the materials reviewed to complete the DBQ or render the opinion. Contact us to learn more. An LHI nurse practitioner called me last week to do a phone C&P and asked about atrial fibrillation, my heart attack last year, and the residual impact. These comprehensive exams coupled with an extensive record review allow our medical experts to properly complete DBQs, maximizing veteran claim success. a. How come these DBQ’s don’t give a medical opinion ? Like …more than or less than likely to have occurred in service ? On both of them, they diagnosed me with something (back and shoulder) and I was granted service connection for both. Took about 60 days. The decision letter states ptsd- deferred- medical opinion. Then it lists the dr etc. 295, 302 (2009). Aan accredited advocate can Oct 4, 2018 · Primarily it was spent doing a down and dirty DBQ where he asked about changes and I presented my notebook and letters from family and the one friend I have left. Personal statements detailing how exposure has impacted your health and daily life are also essential. Dec 2, 2024 · The DBQ is designed to capture specific medical evidence that the VA needs to evaluate a veteran’s claim for PTSD-related disability benefits. Oct 16, 2024 · Further, my DBQs meet the definition of "competent medical evidence" (38 CFR 3,159(a) OD. But even having DBQs filled out by your treating physician and a nexus provided by a board certified MD who explains their reasoning after reviewing all of your records still might not overcome an overworked rater’s ability to copy and paste the “our medical evidence is more probative than yours” rationale. 1. At one time the VA was saying about 125 days but due to the COVID-19 and many offices closing that 125 days is out the window, and no one knows. The DBQ filled out by the original examiner missed information. Jul 27, 2020 · You submitted private treatment records and a medical opinion from Dr. Any ideas? Jul 11, 2024 · DBQ Initial PTSD DSMV DBQ Medical Opinion DBQ Medical Opinion CPT 96156 Health behavior assessment, or re-assessment CPT 90791 - PSYC DX INTERVIEW XM CPT LHI 1150 VA health behavior assessment prolonged time, each additional 15 minutes. Working through the VA, LHI is the prime contractor for scheduling these disability exams for the veterans. Think of an IMO as more of a supporting document than an exam or a medical evaluation. I’ve had shooting pains for years in my STR and she put none. PTSD and Audiological should have etiology questions built in. You’llbe given background information including the legal history of medical opinions for C&P claims and, within that context, the purposes served by medical opinions. They use the DBQ’s Disability Benefits Questionnaires. • An undiagnosed illness (medical opinion not needed) • A diagnosable but medically unexplained chronic multi-symptom illness (MUCMI) (medical opinion not needed) • A diagnosable chronic multi- symptom illness with a partially explained etiology (medical opinion needed) • A disease with a clear and specific etiology and diagnosis. The ACE process involves C&P clinicians completing Disability Benefit Questionnaires (DBQs) using the medical evidence currently in existence and a Veteran’s claims file or medical records, supplemented by a telephone interview MRPY Professional Services offers medical nexus letters/Independent medical opinion letters and DBQ's to Veterans in support of their VA disability claims. Optum Serve/LHI: Ok. Got out in 2020, no claim for ptsd. First MO was sent to same examiner of my MH C&P (sent back favorable, combat service connected with 70% box marked), second MO now being sent to a completely different examiner for the MST who's never seen me for: DBQ Medical Opinion - BH: PSYCH Mental Disorders 01 (1), DBQ Medi Gulf War Medical Opinion Fact Sheet It is critical that the examiners ensure that the Gulf War DBQ template and all diagnostic protocol are followed and completed in their entirety. Jul 27, 2020 · Or sign in with one of these services. Not sure what the LHI 1150 is but rest I know. Crypto DBQ PSYCH Mental Disorders (1), DBQ Medical Opinion - BH: PSYCH Mental Disorders 01 (1), DBQ Medical Opinion - BH: PSYCH Mental Disorders 02 (1), DBQ Medical Opinion - BH: PSYCH Mental Disorders 03 (1), DBQ Medical Opinion - BH: PSYCH Mental Disorders 04 (1), CPT 96156 Health behavior assessment, or re-assessment (1), CPT 90791-PSYC DX TERA (Toxic Exposure Risk Assessment) related claims, provide detailed medical records, including diagnoses and treatment, linking health issues to toxic exposure. These DBQs focus on providing a professional medical opinion on whether a condition is service-connected. Service connected restrictive lung disease, claiming worsening for sleep apnea and 2. Had psychologist evaluation/DBQ completed by LHI. Sometimes medical opinions will be requested as well. After discussing it with my VAMC Rheumatologist, I filed a claim for sleep apnea secondary to my service-connected fibromyalgia, my doctor wrote my IMO, the VA then scheduled me and sent me to a LHI C & P exam. ” Jan 5, 2024 · A TERA medical opinion is a medical exam to see if a Veteran possibly participated in a toxic risk exposure activity for PACT Act-related claims. Aug 8, 2017 · Retired Topkick: I called LHI and inquired into what they might be sending. 1. The appointment was supposed to last 75 minutes. Jul 28, 2018 · Aries, I have a 1st time claim with multiple items that I filed 5/7/18. Before I knew it we were at the end and had in my opinion not really delved in deep as I had expected or experienced in my initial PTSD assessment. It is intended that this The request for a medical opinion where an examiner performs an evaluation using your medical records & history. You can use these forms to submit medical evidence from your health care providers. Generally, IMOs take a more in depth look at the same areas of functioning as a DBQ, with some additional components. The remainder of my claims including migraines, back issues, IBS/GERD and a few other had DBQs submitted but no medical opinions. War General Medical examination for rating purposes versus an examination for treatment. 328. 21-0960p-4. While speaking to Dan, I asked him if that If he found something I missed and we filed for it, would it be a door way to my PTSD claim or other claims "Medical Opinion Disability Benefits Questionnaire (DBQs), Completed Jan 28, 2024". I'm really just wondering if I should be preparing for an appeal or if you all have had positive experiences when this has happened. It is intended that this questionnaire will be completed LHI did my examination over the phone a week ago (they relied on a physical exam done earlier in the year). Service Requested on the appointment confirmation says DBQ Gene May 9, 2024 · Happened to log into my Optum Serve account and saw that there is a medical opinion appointment scheduled with LHI on May 15th and that I don't have to be present. I was examined 3 weeks ago. Acceptable Clinical Evidence When appropriate, a method for responding to requests for C&P disability examinations is the Acceptable Clinical Evidence (ACE) process. The key difference between an independent medical opinion and an independent medical examination (IME) is the fact that an IME requires attending an actual examination. of their evaluation in processing the Veteran's claim. More than likely, once the examiner opens your records and reviews your case, no test will be ordered. initial post traumatic stress (ptsd) disability benefits questionnaire. This process is more involved for the veteran and goes beyond just the review of medical records. Aug 5, 2024 · Public Disability Benefits Questionnaires (DBQs) DBQs help collect necessary medical information to process your disability claims. Oct 16, 2024 · This time my attorney took my appeal back to the CAVC and the new JMPR specifically states that in my prior BVA decision already acknowledged and established the fact that my disability precludes employment and listed not only the BVA decision but both medical opinions in my records and that there is no medical opinion against those favorable It really comes down to the strength and veracity of your DBQs and nexus letters. The request was for a Medical Opinion where an examiner performs an evaluation using my medical records and history. Such as a medical doctor practicing in claimed field. A medical expert will perform a comprehensive review of all records provided to formulate a nexus letter or provide an examination and respective DBQs. The c & p was set up through LHI and I had the appointment today. Submit evidence of exposure, such as service records, incident reports, or environmental assessments. Sign in with Facebook. A. Optum Serve supports Veterans Benefits Administration (VBA) regional offices across the country. He contradicted himself all over. Feb 24, 2023 · Any opinions that the examiner might offer or conclusions reached must be based solely on the documented medical history. VA may obtain additional medical information, including an examination, if necessary, to complete VA's review of the Veteran's application. Apr 4, 2017 · type of medical opinion provided: [ medical opinion for secondary service connection ] a. Sep 17, 2017 · medical opinion 2 of 2) please complete section five and the evidence review in the medical OPINION DBQ AND STATE WHETHER THE CURRENTLY DIAGNOSED CONDITION(S) RELATED TO THE VETERAN’S CLAIMED RADICULOPATHY OF THE LOWER EXTREMITY, IS/ARE AT LEAST AS LIKELY AS NOT (50 PERCENT OR Called LHI several times and passed my ETS date waiting on these general physical results for a BDD claim. Aug 25, 2021 · The c & p was set up through LHI and I had the appointment today. The VSO will ask for a records review if they think it is warranted. oax zmkcjs vzihvy mdjg ommth gubqpvo xwuk bybvy vognkp oryd