The Veteran's treatment on May 18, 2010 was for a routine follow-up of his March 2010 cerebrovascular accident and atrial fibrillation. The Board denied the claim as there was no prior authorization and the services were not rendered in an emergency situation.
The deciding factor: The treatment did not meet the criteria for reimbursement under VA regulations due to lack of prior authorization and non-emergency nature of the visit.
- Claimed conditions
- Cerebrovascular Accident (CVA), Atrial Fibrillation
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- August 4, 2014
- Citation
- 1434629
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation 1434629.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
Service connection for OSA is granted, and the Veteran's initial ratings for atrial fibrillation, right upper extremity peripheral neuropathy, left upper extremity peripheral neuropathy, right lower extremity peripheral neuropathy, left lower extremity peripheral neuropathy, right upper extremity neuralgia, and left upper extremity neuralgia are all granted at 10 percent.
- Denied
The Board denied the Veteran's claims for service connection for Congestive Heart Failure with Atrial Fibrillation with AICD and Hypertension (High Blood Pressure), finding that there was no evidence of direct service connection, and that the conditions were not caused or aggravated by service-connected OSA.
- Denied
The Board denied the Veteran's claim for SMC in excess of SMC(n) based on his service-connected conditions and additional disabilities, as well as his need for aid and attendance. The appeal was dismissed.
- Dismissed
The Veteran's appeals for higher ratings and effective dates related to CVA, obstructive sleep apnea, major depressive disorder, and gout have been dismissed.,The Veteran withdrew his claims for an initial rating in excess of 10 percent for a CVA with residuals, an effective date prior to January 14, 2011, for CVA, an initial rating in excess of 50 percent for obstructive sleep apnea, and an effective date prior to November 7, 2014, for obstructive sleep apnea.
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