VA Claims Backlog: 125 Day or Longer Claims Spiking at Over 100,000
The backlog of initial claims for benefits by veterans has been spiking in recent weeks, after holding steady amid the 100% telework posture of the Veterans Benefits Administration. The backlog of claims for veterans' benefits -- those that have yet to be addressed for 125 days or longer – has crept up to over 100,000 according to data released 18 MAY.
VBA had been able to keep the backlog well below that number for months, in keeping with an overall Department of Veterans Affairs goal to lower the figure. Early on, even under telework, the backlog numbers reflected the steady state of just over 70,000 claims that the agency had achieved. That steady state represented a leap forward at the agency before the pandemic, and the agency was also making advancements in handling appeals. "Significant progress has been made at VBA to reduce the backlog of undecided claims and appeals and the Appeals Modernization Act is already exceeding expectations," Bill Oxford, national commander of the American Legion, said at a 11 MAR joint hearing of the House and Senate Veterans Affairs Committees. "We're confident this will continue as we watch the backlog shrink in the months ahead."
The COVID-19 pandemic and response appears to be getting in the way. Under the 100% telework regime, backlogged claims increased slowly but steadily, before spiking in early May. As of 16 MAY the backlog number was 101,456. A week earlier, the backlog stood at 96,088. As recently as 2 MAY, the figure was just over 80,000. VBA releases reports on claims processing every Monday, with data current through the previous Saturday. FCW reviewed reports issued covering 14 MAT, the day after the federal government declared the pandemic a national emergency, and 18 MAY, the last time the VA published its backlog report.
The VBA employees who rate veterans' claims are already trained and equipped to telework, and some do so several days a week. The rating is done on a system called the Veterans Benefits Management System (VBMS), a content management system that collects and organizes records pertinent to pension and disability claims made by veterans. Jim Rihel, the president of American Federation of Government Employees Local 940, which represents VBA workers in Philadelphia, says that the VBA raters are working hard but are facing headwinds. "All in all, telework is working, but employees are killing themselves to get their work done in a system that's stacked against them," he told FCW. "The networks are garbage," he said. "VBMS crashes on a regular and recurring basis. When you go to open documents, the system will often not open or it says it's run out of memory and you have to do 'X, Y, Z,' such as clearing your cache, or do all these other different things to fix the system so that it does what it's supposed to do."
A VA spokesperson said that the agency "tested its enterprise wide virtual private networks and gateways from 11 through 17 March. This testing had minimal impact on VA's claims processors, and employees who were impacted by the testing worked with their supervisor to mitigate any effect to the employee's performance standards." Rihel said that VBA was able to keep up initially because VBA workers behind the scene were in overdrive to meet their standards. He noted that one VBA office in Wilmington issued 358 decisions in a month for claims despite only having 20 employees overall, and only four or five ratings specialists to handle those cases. "We're beating the odds. Employees are the one who did it, who came to the understanding of what they needed to do to be successful. But we're probably going to start seeing more turnover and requests for retirement. We just can't keep this pace forever," he said.
Rihel didn't have any explanation for the recent spike. "It's possible that all of a sudden they were counted as 'backlogged,'" he said in a follow-up interview on 20 MAY, explaining that it was possible that a large number of cases all hit the 125-day mark at the same time. "It's not unheard of." A VA spokeswoman explained that certain activities are on pause during the pandemic. "During this national emergency, in-person examinations required for our compensation and pension program are not being conducted due to safety concerns," the spokeswoman told FCW in an email. "Claims processors are delaying the decision on any claim that requires an in-person examination until theseappointments can be safely resumed. In the meantime, veterans are still able to submit claims and VA is developing plans to resume in-person examinations as soon as it is safe to do so.
A separate issue is claims for supplemental entitlements such as increases to existing pension payments and increased evaluations for additional claimed conditions, followed by original case claims for service-connected injuries or illnesses and pension claims. The pandemic might not yet be completely registering in that data, according to officials at Veterans Service Organizations, because of the complexity of these claims, requirements for medical information and recent process changes. "What I imagine is that we're not really seeing the ratings affected by COVID as much yet because those statistics are from when veterans’ service organizations were still able to review ratings decisions," Veterans of Foreign Wars National Veterans Service Director Ryan Gallucci told FCW in an interview.
[Source: Federal Computer Week| Lia Russell | May 20, 2020 ++]