The Daily BS • Bo Snerdley Cuts Through It!
The Daily BS • Bo Snerdley Cuts Through It!

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‘They’re not coming after you’: VA’s new fraud detector moves to rein in disability claim abuse

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Washington is finally waking up to a problem veterans have been warning about for years: a growing industry of middlemen cashing in on those who served. Now, the Department of Veterans Affairs says it’s rolling out a new weapon — a fraud-detecting system designed to spot shady operators gaming the disability claims process.

But despite rising anxiety in the veteran community, officials insist this effort is not a retroactive witch hunt.

After concerns erupted following a recent congressional hearing, the VA moved quickly to calm fears. Veterans worried that old claims might suddenly be reopened and scrutinized. According to VA Press Secretary Pete Kasperowicz, that’s simply not happening.

“Those older claims won’t be reopened or reprocessed,” Kasperowicz said. “No veteran’s claim or benefit will be reduced or denied because of this effort.”

Instead, the agency says it’s using modern data tools — powered by Microsoft analytics — to identify suspicious patterns in Disability Benefits Questionnaires, or DBQs. These forms are central to determining whether a veteran qualifies for compensation and how much they receive.

The goal? Spot the bad actors before they strike again. And there are plenty of them.

Since 2006, when penalties were removed for charging veterans for claims assistance, a flood of for-profit companies has entered the space. The passage of the PACT Act — expanding benefits for veterans exposed to toxic burn pits — only added fuel to the fire, creating a lucrative gold rush for opportunists.

These companies often present themselves as helpful guides through a complicated system. But many veterans’ advocates have a different name for them: “claim sharks.”

The accusation is serious — and increasingly backed by evidence.

While the law clearly allows veterans to hire help for appeals, it strictly forbids charging for assistance with initial claims. Yet many companies have blurred or outright ignored that line, hitting veterans with steep fees, sometimes tied to backdated benefits payouts.

Federal investigators have been tracking the trend. Over the past decade, the VA has issued cease-and-desist letters to at least 40 companies suspected of misconduct. And the numbers are staggering.

In 2024, the VA’s Office of Inspector General found that nearly 69% of roughly 32,000 claims reviewed from 2022 contained at least one red flag for potential fraud — representing an estimated $390 million at risk.

That’s taxpayer money — and benefits meant for real veterans.

Army veteran David Pineda says the situation mirrors past abuses in another government program.

“In education, there were diploma mills where people were using GI Benefits to go to schools — these mills were unethical and illegal and [the VA] cracked down on it,” Pineda explained. “In this space here, it’s a similar thing happening. Some organizations are DBQ mills.”

The comparison is hard to ignore. When easy money meets weak oversight, bad actors move fast.

Under normal circumstances, a veteran’s DBQ is completed by a VA examiner who reviews medical history, physical condition, medications, and daily limitations. That evaluation determines the veteran’s disability rating — and ultimately, their compensation. Importantly, veterans don’t have to pay a dime for this process. Free help is widely available through accredited service officers from organizations like the American Legion and Veterans of Foreign Wars, as well as state and local agencies. But many veterans, overwhelmed by bureaucracy, turn to private companies — some of which charge thousands for questionable assistance.

One veteran told Military Times that after working with Trajector Medical — a company flagged by the VA — he received minimal help but was still billed thousands even after canceling his contract. That’s exactly the kind of behavior the VA says it wants to root out.

The new system will flag inconsistencies in DBQs — things like altered documents, mismatched contact information, medical examiners located suspiciously far from the veteran, or conflicting medical findings.

To build this system, the VA is analyzing data going back to 2010 — not to punish veterans, officials stress, but to understand patterns.

Still, skepticism remains.

Marine Corps veteran Clayton Simms captured the mood among many in the community:

“When veterans hear that the VA is scanning private DBQs for fraud, the community at large interprets this as ‘they’re coming after me,’ whether they have committed fraud or not.”

That fear speaks to a deeper issue: trust.

Veterans want accountability — but they also want assurance that they won’t be caught in the crossfire of bureaucratic overreach.

For now, VA officials insist they’re striking the right balance: targeting fraud without punishing honest veterans.

Meanwhile, Congress is weighing new legislation that would require the VA to formally track and report DBQ-related fraud. VA officials, however, argue they’re already ahead of the curve.

“VA’s been proactive in this space,” said James Smith of the VA’s Compensation Service. “We recognize that there are some problem players out there…”

In other words: the problem is real — but so is the response.

The bottom line? After years of explosive growth in questionable claims assistance businesses, Washington is finally pushing back. The challenge now is making sure the cure doesn’t hurt the very people it’s meant to protect.

1 Comment

  1. Sure. The same way the VA is still ‘studying’ Agent Orange, Gulf War Syndrome and any number of lesser maladies. The VA’s first and second response to any claim is always NO. I don’t blame veteran’s for going to lawyers to get help. Need food stamps for illegals or the lazy? No problem. Not so for the VA.

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