If the total amount of excessive Then the decision must be benefits paid to the beneficiary is approved by … … less than $2,000 no one lower than a Coach. between $2,000 and $24,999 a Veterans Service Center Manager (VSCM) or designee no lower than a Coach. $25,000 or more Program Compensation Service’s Review Staff. For information about Reference: obtaining approval from the Program Review Staff, see . Calculate the total amount of excessive benefits paid to a beneficiary Notes: by multiplying the amount of excessive benefits VA paid to the beneficiary each month by the number of months VA had paid the excessive benefits as of the date the administrative decision was prepared. Continued on next page , Continued Follow the instructions in the table below if approval of an administrative c. Requesting Compensation decision Program Review Staff is necessary by Compensation Service’s Service’s according to the instructions in . Approval of Administrative Decisions Step Action 1 Place a paper flash on the front of the affected beneficiary’s claims folder that briefly describes the reason for transferring the claims folder to Compensation Service. This action is required if the claims folder is Exception: not completely paperless. 2 Extend the suspense date of the end product that was established in connection with the administrative decision to a date that is 60 days in the future. 3 Temporarily transfer the claims folder to Department of Veterans Affairs Quality Assurance Attn: Program Review Staff (214B) 3322 West End Ave, Ste 730
If the total amount of excessive benefits paid to the beneficiary is … Then the decision must be approved by … less than $2,000 no one lower than a Coach. between $2,000 and $24,999 a Veterans Service Center Manager (VSCM) or designee no lower than a Coach. $25,000 or more Compensation Service’s Program Review Staff. Reference: For information about obtaining approval from the Program Review Staff, see . Notes: Calculate the total amount of excessive benefits paid to a beneficiary by multiplying the amount of excessive benefits VA paid to the beneficiary each month by the number of months VA had paid the excessive benefits as of the date the administrative decision was prepared. Continued on next page , Continued c. Requesting Compensation Service’s Approval of Administrative Decisions Follow the instructions in the table below if approval of an administrative decision by Compensation Service’s Program Review Staff is necessary according to the instructions in . Step Action 1 Place a paper flash on the front of the affected beneficiary’s claims folder that briefly describes the reason for transferring the claims folder to Compensation Service. Exception: This action is not required if the claims folder is completely paperless. 2 Extend the suspense date of the end product that was established in connection with the administrative decision to a date that is 60 days in the future. 3 Temporarily transfer the claims folder to Department of Veterans Affairs Quality Assurance Attn: Program Review Staff (214B) 3322 West End Ave, Ste 730