|Title:||Required Medical Reexaminations Canceled|
|VA Office:||Veterans Benefits Administration (VBA)
|Report Author:||Office of Audits and Evaluations
|Report Type:||Management Advisory Memo
The Veterans Benefits Administration (VBA) provides disability compensation benefits to eligible veterans and may require medical examinations to determine the severity of their conditions. Some conditions may change or improve over time, which may require veterans to be reexamined. In a July 2018 report, the VA Office of Inspector General (OIG) found claims processors did not consistently follow VBA policy that requires reexaminations of veterans be requested only when necessary. VBA has taken steps to reduce the number of unwarranted reexaminations with the creation of “batch jobs” intended to automatically cancel reexaminations meeting certain parameters. However, the OIG found that VBA carried out two batch cancellation jobs that mistakenly included reexaminations that should not have been canceled because they were required by law. This resulted in required future reexaminations being canceled, potentially causing veterans to receive monthly compensation benefits that are not consistent with their current levels of disability—higher or lower. After the OIG raised concerns, VBA suspended a scheduled batch cancellation job and reestablished workload controls to determine if reexaminations were necessary.