{"id":16455,"date":"2016-07-13T17:17:43","date_gmt":"2016-07-13T17:17:43","guid":{"rendered":"https:\/\/one.sightlinemg.com\/navytimes\/uncategorized\/2016\/07\/13\/va-doubling-back-to-resolve-tbi-claims-denials\/"},"modified":"2026-08-08T05:50:35","modified_gmt":"2026-08-08T05:50:35","slug":"va-doubling-back-to-resolve-tbi-claims-denials","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/navytimes\/veterans\/2016\/07\/13\/va-doubling-back-to-resolve-tbi-claims-denials\/","title":{"rendered":"VA doubling back to resolve TBI claims denials"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Veterans Affairs officials aren&#8217;t saying how 24,000 veterans were diagnosed with traumatic brain injury by VA\u00a0physicians considered unqualified to make such a determination, but on Wednesday, told Congress the department is working to resolve related disability claims problems.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some veterans diagnosed with TBI from\u00a02007 to 2015 were denied disability benefits because they were examined by a VA health provider\u00a0considered to be unqualified under\u00a0VA policy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After a\u00a0media investigation by KARE 11 in\u00a0Minneapolis found that as many as 300 veterans at the Minneapolis VA Medical Center were denied benefits as a result, the department announced it would review all cases involving veterans with improper exams.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In June, VA announced it would send letters to more than 24,000 affected veterans offering new exams.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dave\u00a0McLenachen, deputy undersecretary for disability assistance at the\u00a0Veterans Benefits Administration,\u00a0told a House Veterans&#8217; Affairs panel Wednesday he was unable to &#8220;find a reason&#8221; why the exams were conducted in violation of VA\u00a0policy at a number of VA facilities.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;I don&#8217;t know if it was a lack of capacity, whether that was an issue at the particular time, or to the extent\u00a0whether\u00a0there were enough of those specific specialists available at the time. I don&#8217;t know the answer to that question,&#8221; McLenachen said.<\/p>\n\n\n\n<p>The KARE 11 investigation found that at the Minneapolis VA\u00a0only one of the 21 medical professionals who conducted initial TBI exams was a qualified specialist, defined as\u00a0<span class=\"rte rte-comment\">either <\/span>a physiatrist, psychiatrist, neurosurgeon or neurologist.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rep. Dina Titus, D-Nev., questioned whether sending a letter to an affected veteran was a\u00a0sufficient response and she urged VA officials to conduct more outreach.<\/p>\n\n\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Don&#8217;t\u00a0we need a public information campaign or work with the veterans service organization to ensure this is adequate?&#8221;\u00a0Titus asked.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">McLenachen said VA officials decided to send letters rather than simply reschedule exams\u00a0because some veterans may have received a higher\u00a0disability rating\u00a0for TBI from their initial exam than they would have gotten from a specialist.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to McLenachen, more than 14,000 affected\u00a0veterans already are receiving disability compensation for\u00a0service-connected TBI, &#8220;many at higher rates of evaluation.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;It could be misleading to go out and tell them we are going to schedule an exam without their choice,\u00a0might have a significant impact on their benefits,&#8221; he said.<\/p>\n\n\n<figure class=\"wp-block-smg-jwplayer-video\"><atype-video-jwplayer nostick=\"true\" playlisturl=\"https:\/\/cdn.jwplayer.com\/v2\/playlists\/fCzRqMW8?tags=543c9bc5-b081-40e6-b3ff-1da280c930f4\" aspectratio=\"16 \/ 9\" mute autostart=\"false\"><\/atype-video-jwplayer><figcaption class=\"wp-element-caption\">The Minneapolis VA Medical Center is under fire for allegedly using unqualified medical professionals to perform brain injury exams. Hundreds of Minnesota veterans may have been denied benefits they earned.<\/figcaption><\/figure>\n\n\n<p class=\"wp-block-paragraph\">More than 327,000 troops were diagnosed with a brain injury from 2000 to 2015. Roughly\u00a080 percent of those diagnoses were for\u00a0mild TBI,\u00a0or concussion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Roughly 170,000\u00a0veterans with TBI have filed disability compensation claims and 75,000 have been approved.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lawmakers said Wednesday\u00a0they are concerned over the disparities, which can&#8217;t entirely be explained by the VA&#8217;s failure to use specialists to diagnose veterans.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Committee staff has been trying to get to the bottom of what happened and who is responsible, but even after four separate briefings, the answers are not clear,&#8221; chairman Rep. Ralph Abraham, R-La., said. &#8220;The only issue that is clear to me is that the Veterans Benefits Administration and Veterans Health Administration\u00a0created a royal mess by not communicating with each other &#8230;\u00a0and that senior VA employees once again failed to hold subordinates accountable.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Patricia Kime covers military and veterans health care and medicine for Military Times. She can be reached at <a href=\"mailto:pkime@militarytimes.com\">pkime@militarytimes.com<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Veterans Affairs officials aren&#8217;t saying how 24,000 veterans were diagnosed with traumatic brain injury by VA physicians considered unqualified to make such a determination, but on Wednesday, told Congress the department is working to resolve related disability claims 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