The Veterans Disability Nexus

How to understand VA Medical Records Structure


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Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7AM. 

In this episode, Leah Bucholz provides a comprehensive guide for understanding medical records, emphasizing their relevance in VA disability claims. She explains the standard structure of medical records, regardless of their origin. The records typically start with the chief complaint, followed by a section detailing vital signs, allergies, medications, and surgical history. The subjective portion covers the patient's specific complaints for that visit, including details like onset, provocations, severity, and timing. The objective findings section includes the doctor's observations, such as swelling, bruising, or other physical signs. Leah highlights the importance of the assessment or diagnosis section, where the doctor's diagnosis, crucial for VA disability claims, is documented with specific ICD-10 codes. Finally, she describes the plan section, outlining the prescribed treatment or interventions. 

Take control of your medical evidence related to your benefits and visit https://www.prestigeveteranmctx.com for more information and support.

When considering filing a claim for VA disability with the Department of Veterans Affairs (VA) Going through your Service Treatment Records (STR), VA medical records, or Civilian medical notes can be a daunting task, here are some tips on what to look for to gain a better understanding of what is in your charts. Join Leah Bucholz Physician Assistant and former C&P examiner for some information related to medical records review. If you would like more information on our services including Independent Medical Opinion Letters often referred to as nexus letters and records review, please check us out here: https://www.prestigeveteranmctx.com/ 

#veterans #va #medical #health 

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

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The Veterans Disability NexusBy Leah Bucholz

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