Tag Archives: Claims

Veterans Benefits Administration Work Load Score Card

Veterans Benefits Administration Score Card

 VA Score Card Cases

As of Saturday, November 3, 2007

The VBA keeps a running Monday morning workload  scorecard which you can download, print or review.   The card reflects data only 2 days old.  Here is what they say about it:

The Monday Morning Reports are a compilation of work load indicators reported by Veterans Benefits Administration field offices. VBA’s Office of Performance Analysis and Integrity is responsible for compiling these spreadsheets. Questions or comments should be e-mailed to VBA’s Office of Field Operations, which is responsible for regional office management.

The Regional Offices are clustered according to organizational groupings called Areas. There are four Areas within the VBA field structure: Eastern, Southern, Central and Western. Reports are in Excel. You may download free viewer software to view the reports.

You can access their site with this link to the VBA Scorecard Index.  It has weekly lists for their workload every Monday from the current week all the way back to 1999!

The Scorecard shows cases pending for every city with a VBA field office in the US.    It also shows how many cases are over 6 months old. 

VA Score Card Cases

For example, on November 3, 2007, there were 404,561 rated cases pending of which 102,267 were older than 6 months (25.3%) and 178,267 non-rating cases of which 51,261 were older than 6 months( 28.8%).  The rated cases pending were about 6,000 more than this time last year.

The chart extends downward for all the field offices a total of 64 lines below those shown here. 

The field office with the biggest backlog was in Houston with more than 19,000 cases and 30.9% backlog.  A few examples of  the worst percentage backlogs ranged from Detroit (38.4% rated, 49.2% non-rated), Jackson Miss (42.2% rated), Houston (30.9/34.8%), LA (30.6/29.0%) just to pick some busy places in each part of the country.

VA Score Card Claims

 The total Compensation and Pension (C&P) cases in the Work in Progress system ( WIPP)  was  647,479 of which 170,355 were over 6 months old.  Other information you may be interested in is

VA Score Card Appeals

All of this data is available on a week-to-week basis for each field office in the country.  It may be useful to look at your field office to see where you stand and how they are doing – otherwise, it is just numbers on their scorecard.

I hope this access link is useful to someone.  Click on any chart to get an update.  It is truly amazing how many veterans are being held up for treatment by this terrible backlog. 

6 Months and Waiting

Give Me a Break,

These are Our Heroes

 

(Score Card?  I give them an F)

 

Oldtimer

VA Disability Claims and Appeals Process

Disability Claims & Appeals Process 

This Disability Compensation claim process map outlines the steps involved in the disability compensation claim process including how much time is required for each step. Applications for disability compensation are processed using the Claims Processing Improvement (CPI) model. The CPI model was developed in 2001 by the Claims Processing Task Force to increase efficiency in processing disability compensation benefit claims and to reduce the number of errors. The model requires triage of incoming mail and analysis of incoming claims. It promotes specialization that improves quality and expeditious handling of claims. VA employees who process claims for disability compensation are organized into specialized teams that perform the triage, pre-determination, rating and post-determination functions. The following describes the sequence of the disability compensation claims and appeals processes.

Claims Chart

VA Disability Claims and Appeals Process

1. Application: The veteran begins the process by completing and submitting an application for disability compensation benefits with the VBA.

2. Triage: The triage team has the responsibility for reviewing, controlling, and processing all incoming mail. Team members are responsible for deciding whether a claim can be processed immediately or it will need additional development.

3. Pre-Determination: (Development Initiation): The pre‑determination team’s primary function is to develop evidence for disability compensation claims. At this time, a VA examination may be scheduled if medical evidence obtained by such an examination is necessary for a fair determination of the claim

4. Pre-Determination: (Evidence Gathering): During this phase, team members obtain all pertinent military medical records.

5. Rating: VA rating specialists make decisions on claims that require consideration of medical evidence.

6. Post-Determination: After a rating specialist has decided a claim for disability compensation, members of the post-determination team process awards for disability compensation benefits and they notify claimants of decisions.

7. Appeals: The primary function of the appeals team is the expeditious processing of appeals and remands. The team is responsible for establishing and monitoring appealed claims, developing issues on appeal and preparing revised ratings when a review indicates that the appeal can be favorably decided based upon the evidence of record.

8-9. Appeals: If the veteran is not satisfied with adjudication of their claim by the VBA, the veteran can file an appeal with the Board of Veterans’ Appeals

10- 11. Appeals: If the veteran is not satisfied with a decision rendered by the Board of Veterans’ Appeals, the veteran can file an appeal with the US Court of Appeals for Veterans Claims.

Not shown on the chart is the public contact team. VA conducts personal interviews with, and answers telephone calls from, veterans and beneficiaries seeking information regarding benefits and claims. VA directs claims and evidence to triage via personal interviews, telephone calls, e‑mails, and other outreach activities.

NOTE: The above information came from The US Department of Veteran’s Affairs, Task Force on Returning Global War on Terror Heroes, Report to the President, Appendix C

This article is only one of more than 60 homeless veteran posts.  In addition there are more than  30 posts on homeless youth .   If you are interested in more, click one of these links.  Thank you for coming by.  Please consider adding me to your feed (see link below my picture.)  Thanks,Oldtimer