An SMC opinion grounded in daily functioning.
Special Monthly Compensation evaluations built on medical evidence, the Veteran's own account, caregiver impact, and a reasoned analysis of ADL and IADL limitations.
Medical Record Review & Synthesis
Comprehensive Review: An analysis of all relevant medical records, C&P exams, and private physician statements (especially VA Form 21-2680). Medical-Vocational Translation: Translating clinical diagnoses (e.g., severe neuropathy, advanced PTSD, cognitive decline) into specific physical, environmental, and mental/cognitive restrictions.
Activities of Daily Living (ADLs) & IADLs Assessment
ADL Dependency: Detailed evaluation of the veteran’s inability to perform basic ADLs independently (bathing, dressing, toileting, feeding, and transferring). Instrumental ADLs (IADLs): Documentation of restrictions in managing medication, meal preparation, transportation, and financial tasks.
Safety & Supervision: Independent Living Assessment
Assessing the need for a protective environment or regular supervision to prevent injury or wander-risk. For IL Tracks, we detail the specific ecological, physical, or psychological barriers that prevent independent living in the home or community without assistance.
Functional Analysis
Functional analysis translates documented medical limitations into real-world functioning. We assess physical and cognitive capacities against daily demands to produce a clear, reasoned opinion on their ability to perform ADL.
What makes the opinion stand up.
Each pillar is documented, sourced, and connected to the next — so the conclusion is supported at every step.
Record-Anchored
Every limitation is tied to a specific medical record entry, not a general assertion.
Veteran-Informed
The Veteran's account is captured directly and reconciled with the clinical record.
Occupation-Specific
Work capacity is measured against actual occupational demands, not abstract impairment.