Professional Nexus Letters for VA Claims

Board-Certified Psychiatrist | VA-Trained | Licensed in MA & FL

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Expert strategies to challenge VA rating reductions and maintain your earned disability compensation

60
Days to Respond

30
Days to Request Hearing

20%
Protected After 20 Years

Receiving a proposal to reduce your VA disability rating can be devastating. After fighting for years to get your benefits, the VA is now threatening to take them away. But you have rights, and with the right strategy, you can fight back effectively.

⚠️ Time-Sensitive Warning: You have only 60 days from the date of the VA’s notice to submit evidence against the proposed reduction. Missing this deadline can result in automatic reduction of your benefits.

Legal Protections

Multiple laws protect veterans from improper rating reductions

Time Limits

Strict deadlines apply – act quickly to protect your rights

Evidence Required

VA must prove sustained improvement to justify reduction

Understanding Rating Reductions

The VA can propose to reduce your disability rating if they believe your condition has improved. However, they must follow strict legal procedures and meet specific burden of proof requirements.

Key Point: The burden of proof is on the VA to show that your condition has actually and sustainably improved – not just temporarily gotten better.

Types of Reductions

  • Routine Future Examination (RFE): Scheduled re-evaluations for conditions expected to improve
  • Review of existing evidence: VA reviews your file and proposes reduction without new exam
  • Clear and unmistakable error: VA claims original rating was wrongly granted

Why Reductions Happen

Scheduled Reviews

Conditions rated as likely to improve are reviewed every 2-5 years

Work Activity

VA discovers you’re working and assumes improvement

Medical Records

Treatment notes showing temporary improvement

The Reduction Process

1

Proposal Letter Sent

VA sends notice of proposed reduction with reasons

60

Evidence Deadline

You have 60 days to submit evidence against reduction

30

Hearing Request

Must request personal hearing within 30 days

F

Final Decision

VA makes final decision after reviewing evidence

Fighting the Proposal

1

Request Your C-File Immediately

Get a complete copy of your VA claims file to understand their reasoning and identify errors in their proposal.

2

Gather Counter-Evidence

Collect medical records, nexus letters, buddy statements, and any evidence showing your condition hasn’t improved or has worsened.

3

Request a Hearing

Within 30 days, request a personal hearing to present your case directly to a VA decision maker.

4

Submit Written Arguments

Prepare detailed legal arguments citing VA regulations and case law that protect your rating.

Evidence That Wins

Medical Opinion

Nexus letter stating condition hasn’t improved or explaining why symptoms persist

Treatment Records

Ongoing treatment showing continued symptoms and functional impairment

Lay Statements

Statements from family/friends describing ongoing symptoms and limitations

Vocational Assessment

Expert opinion on continued occupational impairment

Common VA Mistakes to Challenge

Important: These VA errors can invalidate a proposed reduction. Always check for these issues in your case.
  • Single exam showing improvement: VA cannot reduce based on one “good day”
  • Ignoring flare-ups: Failing to consider the cyclical nature of mental health
  • Cherry-picking evidence: Focusing only on positive notes while ignoring ongoing symptoms
  • Inadequate examination: Examiner spent minimal time or didn’t review full history
  • Wrong legal standard: Using “improvement” instead of “sustained improvement”
  • Violating stabilization rules: Reducing ratings that have been stable for 5+ years

Know Your Protection Rules

5-Year Rule

Ratings in effect for 5+ years require “sustained improvement” to reduce

10-Year Rule

Service connection cannot be severed after 10 years (except fraud)

20-Year Rule

Ratings at same level for 20 years are protected from reduction

Age 55 Rule

Veterans 55+ are generally protected from certain reductions

Financial Impact of Reductions

Example: A reduction from 70% to 50% for PTSD results in a monthly loss of $798.54 – that’s $9,582.48 per year in lost compensation (2024 rates).

Beyond the direct compensation loss, reductions can affect:

  • Eligibility for healthcare priority groups
  • Access to vocational rehabilitation
  • State-specific veteran benefits
  • Property tax exemptions
  • Education benefits for dependents

If Your Rating Is Reduced

1

File Notice of Disagreement

You have one year from the decision date to appeal the reduction.

2

Continue Treatment

Maintain regular treatment to document ongoing symptoms for your appeal.

3

Gather New Evidence

Obtain updated medical opinions and continue documenting functional impact.

4

Consider Legal Help

Complex reduction cases often benefit from experienced VA attorneys.

Prevention Strategies

Consistent Treatment

Regular mental health appointments create protective documentation

Honest Reporting

Always report bad days along with good days to providers

Document Everything

Keep a symptom journal and save all medical records

✓
Key Takeaways

  • →
    You have 60 days to respond to a proposed reduction – act immediately
  • →
    The VA must prove sustained improvement, not just temporary improvement
  • →
    Multiple protection rules may prevent reduction based on how long you’ve had your rating
  • →
    Strong medical evidence and legal arguments can defeat most proposed reductions
  • →
    If reduced, you have appeal rights – don’t give up
  • →
    Prevention through consistent treatment and documentation is your best defense

Facing a Rating Reduction? Get Expert Help

Dr. Ronald Lee can provide a comprehensive nexus letter addressing why your mental health condition hasn’t improved and continues to warrant your current rating.

Schedule Free Consultation

Disclaimer: This information is for educational purposes only and does not constitute legal advice. Each case is unique, and outcomes depend on individual circumstances. Consult with a qualified representative for advice specific to your situation.

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