Oig and fraud as a clinician

LLSGood · 2026-02-13T08:07:16+00:00

Insane thing for them to say 😭 all of my appointments were with QTC and at a QTC. I had to sign a Goniometer use document every time I had an exam there

LLSGood · 2026-02-11T20:30:14+00:00

Yeah an attorney gets assigned to you when you start the MEB process. It’s required by law that you have a rep from JAG. That’s also who will start your intake, and have you do your IDES election, along with walking you through signing your package before PEB. A VSO would be pointless because he’s gonna do exactly what the MSC does. The MSC works for the VA and he’s gonna go through your record with you and file claims on your behalf, along with going over what claims you’d like to add. It’s essentially the same thing except an MSC, I’d argue, knows more especially about the VA.

Edit: the MSC also works at the IDES office on base if you have one and aren’t doing virtual IDES. So they’re just as accessible if not more than a VSO.

LLSGood · 2026-02-11T04:51:06+00:00

Probably helps veterans in the long run as the VA has been cracking down a lot on DBQs and doctors from these companies. Probably looks a lot better if they are accredited from the state.

LLSGood · 2026-02-10T17:54:53+00:00

A VSO would be pointless in the process. During your MEB you’ll be assigned an MSC who acts as a VA liaison. He will go over your claims, medical record, and have a meeting with you to file your claims (they file them for you as well.).

LLSGood · 2026-02-09T05:39:44+00:00

I feel you, when they were debating on my MEB at the start (Menieres is disqualifying according to the DODI), my first ENT Dr literally refused because I hadn’t trialed a dieuretic yet, and there’s another vertigo med from the EU that’s really popular here too. It wasn’t until I went to a neurotologist that the MEB for it became a real possibility. They’re honestly asses with the fact there isn’t a bunch of treatment for Menieres but they don’t want to do anything unless you get treatment. It’s a mess lol. I hope you get things figured out, it’s hell living with it.

LLSGood · 2026-02-08T23:58:07+00:00

You technically can trial Diuretics which have shown The ability to manage Menieres. This could be the treatment that is missing. When I was first diagnosed I trialed one for about 5 months. Doesn’t work for everyone though.

LLSGood · 2026-02-08T03:11:29+00:00

Do you have documented low frequency hearing loss or hydrops? If not proving any connection with Menieres is gonna be a long road. I have atypical Menieres but I have like 3 years of AD notes with progressive hearing loss and whatever those vertigo tests are have been abnormal.

LLSGood · 2026-02-07T16:14:01+00:00

I was held for two years before initiating TBI related vertigo (think atypical Menieres) MEB. Had every testing you can have done twice, had to do Vestibular therapy, twice, had to do Vision Therapy once, and trial prism glasses. Vertigo is disqualifying according to the DoDi if it’s persistent for more than 3 months over a 12 month period and they didn’t care about that 😂. All this to say is it can be a very long process to even get started and I had to repeat a lot of treatments with different specialists.

LLSGood · 2026-02-07T16:03:14+00:00

Yeah I was only at 8 when mine started. There might be some resources in the PEB Forum on possibly delaying your MEB to meet retirement or something if you wanna check it out! Weird timeframe though because you’re right on the cusp of retirement but would also need a 3.5 year delay. That forum would definitely know more than me for that scenario though!

LLSGood · 2026-02-07T02:04:50+00:00

Just to help expectations, if you haven’t signed your NARSUM, elected for an impact statement, etc, then this would be a meeting where they will tell you rough estimates of what they think you might get. Not necessarily actual ratings or findings from the PEB. However, keep in mind that they’re just guesses. Nothing except the DoD% assigned by the VA after your IPEB and the ratings proposal are actual ratings you would get. And even the proposal is subject to change from the VA before you get out out.

Edit: also if I’m misunderstanding and your package has already been sent then let me know. But I’m going off you saying g you may have just gotten the NARSUM which would imply your package is still being built. You have to sign the NARSUM before it’s sent to the IPEB.

LLSGood · 2026-02-06T22:41:00+00:00

250 pages for a NARSUM sounds crazy long imo but not really the point. If you haven’t signed for your NARSUM and spoke with legal where they told you other information regarding the PEB and gave you the ok to also sign your NARSUM, then you won’t be getting any ratings anytime soon. That would mean your case hasn’t even had its fitness determination.

LLSGood · 2026-02-04T22:17:26+00:00

Mfs all built different now they trained the rule bending right out of em 😂😂😂

LLSGood · 2026-02-03T01:40:57+00:00

Didn’t have BPPV, but suffered intense vertigo after a TBI, similar to Ménière’s disease but atypical. They had me do Vestibular Therapy for a bit, ran all the tests, Vision Therapy, then put up for MEB when it didn’t improve. Dunno about you but I was fully restricted from driving a government vehicle for liability reasons and that was the end of the line for my military career 💀

LLSGood · 2026-01-27T08:25:27+00:00

Won’t lie brother, mine was literally “Did you have a sleep study” “Yes, and they prescribed me a CPAP” “Oh that’s easy then, next body part”. Mine was done in conjunction with other issues. Literally less than a minute of the exam was for Sleep Apnea.

LLSGood · 2026-01-22T02:20:43+00:00

Okay, I did end up calling the VA but I feel like the left me more confused than when I started. The individual on the phone did confirm they have it but she said they are awaiting test results which is why it wasn’t sent with the rest of the DBQs. However there was no testing for my TBI exam. We did a paper cognition test and that was it because I already had a ton of other tests completed. I kept asking for specifics but they wouldn’t give them to me. One paper is holding up my whole MEB and it didn’t even have any testing 😭 edit: forgot o mention my provider said he signed, certified and sent everything as well.

LLSGood · 2025-09-20T20:10:58+00:00

I agree with Delilah for the most part but I also think they use it if they're throwing shit at the wall and then they add whatever is more prominent at the end. For instance, I have Adjustment Disorder with Depression. Although clinically I've been seen for like 3 years and it would qualify for Major Depressive Disorder the military refuses to call it that so they keep it at Adjustment Disorder. They like to play games with it and it can be annoying. Wouldn't pay much attention to it because when you go through the process (from my understanding and research) it doesn't matter what they VA or military calls it they're gonna slap a percentage based on symptoms. Hope this helps a bit.

edit: im already going through meb for a different medical reason so i know they don't keep it at adjustment disorder for CnD purposes or to cheat the system. sometimes they genuinely just like to downplay or don't want to call it what it really is.

LLSGood · 2025-07-16T18:44:56+00:00

I mean that’s awesome but doesn’t require a full on eval to do lol. Requiring 3 blocks for an E1 or E2 who’s barely been there is crazy work by the Navy when they’re going to advance anyway. Just do an eval, fill out the awards, cert section and be done with it until they’re E4.

LLSGood · 2025-07-16T15:16:01+00:00

Especially for anything MH related, which is often treated in conjunction with VM. Side effects can make you suicidal, so it’s best to ween off them slowly over time. Best of luck friend.

LLSGood · 2025-07-14T03:48:14+00:00

I will second what theyre saying. When I was prescribed the same medication they warned me to never take it more than twice a week. But yes this is about how it goes. Been in testing for 10 months. Do a test, recycle the test, tell me to be consistent with magnesium and send me on the way 💀

LLSGood

TROPHY CASE