I am clearly disabled for SSDI why was I denied?

What factors other than your medical condition and how it limits you affect whether or not you win your Social Security disability case? Some people make the wrong assumption that because they have a disability and medical evidence to prove it that this automatically means they will win their Social Security disability benefits. Unfortunately, this is not the case. The person who decide your case at Social Security can be as important as the disability and evidence itself. This may not be fair, but it is humans who ultimately decide whether or not you win or lose your social security disability claim. Some of these decision makers are favorable to claimants and others are not. You have no control over who decide your case. So you might be wondering, why I even mention this if you have no control over it? The reason I mention it is to keep you from being discouraged if you get an unfavorable decision. Social security has an extensive appeal process. So, even if you are denied you will have many additional opportunities to win your claim. If you know you are disabled and have the evidence to prove it then you should keep appealing. Each new appeal will be decided by a different person and your luck may change. Now I cannot say that some people who are clearly disabled have not lost all their appeals. However, chances are if you are disabled and have the evidence that shows you are disabled you will eventually have a good chance to win your claim. You should not ignore the fact that you have been denied you should look at it as a wake-up call to take additional steps to give yourself the best chance to win on appeal. If you have been denied and you do not have a lawyer you should definitely consider getting one at this point. The reason I say this is because even though you have other appeals you do not want to waste these opportunities to win. As I've mentioned earlier, it may just be the person deciding your claim but it could also be something you are missing. If you are denied you may also want to ask yourself whether you know what you have to prove to win your case. You must understand how the decision-maker at Social Security determines if you are disabled. If you know the process the decision maker goes through to determine if you are disabled you may learn what you have been missing about your particular case. You can then take steps to improve your claim.

Social Security Disability Check List

In this post, I will provide a small checklist for those trying to get their Social Security disability benefits. I hope that this will help some of you make sure that you have done some of the basic things that can help you win your benefits.

Did you collect and send in all your medical evidence? You should not rely on Social Security to get all your medical information. You should do whatever you have to do to make sure all of your relevant medical evidence is in your file for Social Security to review when deciding your claim. You can call Social Security to see what medical information they were able to get. You can also check with your doctor to see if your records were sent to Social Security.

Do you have opinion evidence from your treating doctors? This can be in the form of a report detailing your medical condition and how it limits you. You can also have your treating doctor fill out an RFC form. Without opinion evidence from your treating doctors in the file you will have to rely on what Social Security's doctors say your limitations are from your medical conditions. Your treating doctors are supposed to be given more weight than the opinions of the Social Security doctors so it is highly recommended that you get this opinion evidence from your doctors.

Do you understand what you have to prove to win your case? If you do not know what you have to prove to win your particular case you should research Social Security disability law as much as you can. You may also want to consider hiring a lawyer to help you with your claim.

Did you respond to all the letters you got from Social Security? If you received a letter from Social Security requesting specific information you should make sure you provide Social Security the information they are looking for. Read every letter you get from Social Security. You would be surprised at how many cases are held up or denied because claimants did not respond to a letter sent by Social Security looking for certain information.

Did you appeal your denial? You should make sure to appeal any denial you get within the time frame you are allowed. Most appeals must be filed within 60 days.

The above checklist is very basic and too many of you might seem like common sense but sometimes a simple reminder like this can help you realize you need to stay involved in your claim. I hope this information is helpful and wish you luck.

Social Security Disability Hearing

I will address how to prepare for a Social Security Disability hearing. The first you should know is that if you are at the hearing stage this means you have already been denied at least once and probably twice. Because of this if you do not have a lawyer yet you may want to consider finding one to help you. If you decide you still want to go it alone you will want to review your file at least one month before your hearing. In most cases you can call the hearing office were your hearing is going to be held and either make an appointment to go down there and look at your file or if your file is in electric format request a copy of your file on CD. You will want to make sure all your medical records are up to date and that you have a report or RFC form from your treating doctor explaining your medical conditions and your limitations from them. If you have any records missing or do not have a report or RFC from your doctor then you must make sure to take advantage of the time left before the hearing to get this information. You will also want to look at what the SSA doctors exams have to say about your condition. If you have a lawyer they should do this for you. To prepare for what will happen at your hearing I recommend you read my web page called Social Security Disability Hearing. You should also take the time to review the rest of my site so that you know what you have to prove to win your particular case. Keep in mind on the day of the hearing that you should not talk about your case with anybody but your lawyer while you are waiting in the waiting room. Something you say could be over heard. The two most important things you can do is make sure to be there on time and make sure your file has all the medical evidence. If you are unable to get some evidence you feel is important to your claim you can ask the ALJ for assistance in getting the information or ask for more time so that you may get it. Try not to postpone your hearing. Instead try to have the hearing and ask to get the records after the hearing so you won't have to reschedule. You should ask for a postponement if you have seconds thoughts and want to find a lawyer.

How things are going with new SSDI pilot program

My initial observations of the new pilot program that allows me to access clients files directly over the Internet are so far very positive. When accessing files at the local ODAR office I have very little trouble. I hope in the future SSA will allow access to files at the application and Appeals Council level and from what I understand this is eventually in the plans. I have not yet had the opportunity to submit a request for a fully favorable decision through the system but look forward to doing so at the earliest opportunity to see how that works. I know another post on this subject might not be of much interest to many of you but for any lawyer who practices in this field who might be reading this, I have to say it is a pleasure to be able to access my clients files at ODAR without having to wait for them. This will be my last post on this subject until I have something new to report. My next few post will be devoted to providing information helpful to those in the process of a Social Security Disability claim. I will write again soon.

Recent meeting with SSA on pilot program

This past Monday a meeting was held at SSA with the lawyers and representatives that are part of the new pilot program that will let representatives access the files at the hearing stage on-line. I am in this program and will update as to how the program is going every so often. If you want to read more on the Social Security Disability Pilot program see my website blog. One thing I was surprised to learn was that the Social Security Administration is ready to allow lawyers and representatives to hold hearings at their offices. I hope to be able to hold hearings at my office in the near future. It requires that the law firm buy the equipment and be checked by SSA for security. This should be very beneficial to claimants, lawyers and SSA in a number of ways. For claimants who live far from the closest ODAR office they will be able to have their hearing by video at their lawyers office which in many cases is closer to the claimant and a more comfortable environment. For lawyers, the advantage is they may be able to schedule more hearings even at different ODARs for the same day. It will also allow lawyers to spend more time at their office because they will not have to spend any time traveling to and from a hearing. For example, the hearing office I go to for most of my hearings is an hour away. When I have hearings I often do not get to spend any time at my office on those days. I plan to have the capability to hold hearings in my office in the near future. For SSA, the advantages are that a ALJ can hold hearings in several locations from their own hearing room thus allowing them to schedule more hearings. This does not mean that all hearings will be held from layers offices since the cost will preclude many firms from doing it and there are times when an in person hearing is important to a particular case. The bottom line is that these programs are a benefit to all claimants because it should decrease the processing time of cases at the hearing level. I must commend SSA and all the employees at Social Security who worked on these programs to get them ready as quickly as they did.

Veterans and Social Security Disability

I have noticed while answering e-mails from veterans that many veterans do not apply for Social Security Disability because they fear it will adversely affect their VA compensation. You can get both SSDI and veterans compensation. I have also heard from many veterans that they wanted to wait before applying for SSDI to see how their veterans compensation claim goes first and that they don't want to have to deal with applying for both at the same time. Now I understand that dealing with a claim before the VA and SSA at the same time can be a little overwhelming but it is important to file your claim for SSDI as soon as you are eligible if you can not work. The reason this is important is for two reasons. First, you can only get paid for SSDI for one year prior to your application. So waiting for a veterans compensation claim to be finished could cost you past due money you could be entitled to from Social Security disability. Also if you are applying for unemployability through the VA a favorable SSDI decision can be strong evidence that you should be entitled to VA unemployability if you were found disabled by Social Security on the same medical conditions you are service connected for. This post only is referring to VA compensation and Social Security Disability. SSI and VA pension are treated differently because they are needs based programs and eligibility for these depends among other things on ones financial situation. SSI and VA Pension are for those with very low income. if you have any questions about any of these programs you can contact me at VA and Social Security Disability lawyer.

Social Security Disability Article

I have an article in the July - September 2008 edition of Liver Health Today. I first want to thank the good people of the Liver Health Today for allowing me to be published in their magazine. My article covered how SSA determines if you are disabled and more specifically how cases of chronic liver disease are handled and how to give yourself the best chance of winning a Social Security disability claim for liver disease. If you suffer from liver disease I strongly recommend the magazine. You can subscribe by calling 1-800-792-6397 x133. I am making this post in hopes that some of you who suffer from chronic liver disease will know of this magazine that covers issues relevent to your condition. If you suffer from any of the chronic liver diseases and are unable to work and if you have any questions feel free to contact me at 1-877-527-5529 and ask for Karl.

Tips on how to win a Social Security Disability Claim

I will give you a few tips on how to win your SSDI or SSI claim. Many of these things I have mentioned before but if you are reading my blog and others like it then this is the information you are really looking for. I will discuss tips that help with all types of claims and you should realize that every case is very different but there are some common keys to preparing your case. First, learn enough to know what you have to prove to win your particular case. A good place to start your research on Social Security Disability is my website. Second, read the medical listing of impairments for your particular conditions. If you feel you may meet or equal one of those listings take a copy to your doctor and ask him or her. If they agree you should try and get a report from them that states the listing and why you meet that listing and have the rest of your records to support this. If you do not meet or equal a listing you will still need all your medical information but you will also need RFC forms or a report from your doctor that shows your limitations from your medical conditions. Look at the GRID Rules and see if you would be disabled under them given your age education and work experience and the limitations you have from your condition. If you do not meet a listing or fall favorably into one of the categories for the Grid rules then you will most likely have to show you can't even do a significant number of sedentary jobs (sit down work with very little lifting and standing). Important limitations to show here are any psychiatric or other cognitive limitations. Also any limitations of your arms and hands. You should also not forget your limitations from pain such as limitations in sitting long and difficulty in concentration. This is just a short list of tips but should get you going in the right direction. If you have trouble understanding what you have to prove and how to do it seek the help of a lawyer. Despite what many lawyers may tell I suggest you do not wait to be denied before getting help. Get it right from the start and your case may win at application and save you much time in the process.

Things you should know about Social Security Disability.

I have decided today to just list some things you should know about Social Security Disability. SSA uses a five step test to determine if you are disabled. Many people who write me about why they can't do the work they have been doing. This is not what determines if you are disabled or not. This is only one step in the process. See link above to see the steps the Social Security Administration takes to determine whether you win or lose.

A person applying for SSDI or SSI should not rely on Social Security to get the information needed to win your claim. They will send for some records from the information you give them but they can not be counted on to get everything you need to win. You need to be active in your case particularly with your own doctors to make sure you have all the prove you need to win your Social Security Disability Benefits.

Your age is a big factor in your chances of winning SSDI or SSI benefits. This is especially true for those with physical disabilities. If you are younger than 50 years old usually you will have a more difficult case.

If you do not speak English this can in some situations help your case but if you can speak and understand English and are trying to pretend you don't this will hurt your case tremendously as your credibility for everything else you state will come in to doubt.

If you have a letter from your doctor stating you are disabled this is not enough. ALJs and employees of the Administration often ignore these letters if they are not supported by the doctors own treatment records and the rest of the medical evidence. The decision of disability is for SSA to decide not your doctor.

If you do not understand what you have to prove for your particular case or do not have the ability to present your case well you should get a lawyer to help you. You do not have to pay lawyers upfront they get paid on a contingency bases and only get paid if you win your case.

There is much more you should know and you should research as much as you can even if you have a lawyer. For more information on what you need to know and how to win Social Security Disability follow the link.

Do You Qualify for Social Security Benefits?

You qualify for Social Security benefits when you earn enough "credits".  You earn credits by working and paying Social Security Taxes.  These credits are based on the amount of your earnings.  An individuals work history determines if you are eligible for retirement, disability, or your family is eligible for survivors benefits when you die.  For the year 2008 for each $1,050 of earnings you earn one credit, up to a maximum of 4 credits a year.  this amount needed to earn a credit goes up each year.  If you are in the military you also earn work credits.  The number of credits you need to be eligible for benefits depends on your age and type of benefit.  For all those born after 1929 to be eligible for retirement benefits you need 40 credits which amounts to 10 years of work.  For disability eligibility it depends on your age and when you became disabled.  if you became disabled before age 24 you usually need one and a half years of work or 6 credits in the three years prior to you becoming disabled.  If you are between the ages of 24 and 30 then you need credits for half the time until you became disabled.  If you became disabled at 31 years or older then you usually need 20 credits in the ten years before right before you became disabled.  i will now list the credits needed if you became disabled at the following ages:  31-42 years old you need 20 credits, at 44 you would need 22 credits, at 46 it would be 24 credits, at 48 you would need 26 credits, at 50 it would be 28 credits, at 52 you need 30 credits, at 54 you need 32 credits, 56 you need 34 credits, 58 you need 36 credits, 60 you need 38 credits, and at 62 or older you would need 40 credits.  The best way for you to know if you have enough credits is to look at the SSA statement you get every year from Social Security or simply call SSA at 1-800-772-1213.  For information see my website on Social Security Disability Benefits.

How do you prove you can't do sedentary work for SSDI?

In a Social Security Disability claim if you are under 50 years old or over 50 years old and have prior relevant work that is sedentary you will probably have to show you can't even do sedentary work to be found disabled. So how do you do this? If you don't know what I am talking about make sure to read how Social Security determines disability. To show you are limited to less than sedentary work you must think about your limitations from your medical conditions and how they would interfere with your ability to do a sit down job were you did not have to lift much if any weight. Now many of you with back problems might start off by saying you can't sit long. This is significant but will normally not be enough. The important thing here is why you can not sit long. It is probably because of pain. Pain can interfere with your ability to concentrate and focus on a task. Many pain medications can also interfere with these abilities. Many people who have chronic pain or illness also suffer from depression. If you suffer from depression make sure to get an RFC and treatment notes from your psychiatrist because depression can cause many limitations that would make even sedentary work difficult or impossible. Other things to consider are: Does your medical condition require you to take frequent breaks or elevate your legs? How frequently must you go to doctors for your treatment? Do you have days were you simply can not get out of the house? Do you have difficulty using your hands in any way from your medical condition? This is just a starting point to the types of limitations that can help prove you can't even do sedentary work. It is important to remember that it is not enough that you say you have these types of limitations it must be supported by your doctors opinion evidence and backed up by the medical record. You must think of how your particular medical conditions limit you everyday and think of how those limitations would affect you if you had a sedentary job.

OIG Looks at ALJ Productivity

There is much talk about the cause of the backlog of Social Security Disability and SSI cases. To see how long it takes at the hearing stage in your area click on this link. The Office of Inspector General recently released an audit report of the productivity of Administrative Law Judges to see if it played a factor in the backlog of cases. The Commissioner of SSA also has expressed the possibility that increasing the productivity of ALJs could decrease the backlog. SSA appears to be looking at setting some sort of minimal standard in terms of number of cases an ALJ should perform in a given year. There are several problems with SSA's ability to put a minimal standard of production on ALJs. First, Administrative Law Judges are supposed to be independent of SSA in their decision making. Therefore, SSA must be careful not to interfere with the ALJ decision making process. Second, the ALJs have a union that will probably appose any tough standard requirements for ALJs. Lastly, SSA will have to figure out what is an acceptable level of hearings per year for an ALJ. I remember the speech the Commissioner gave at the last NOSSCR conference and it was clear he was not happy about the production of some ALJs and expressed his frustration on his ability to do something about it, but it was clear he planned on working on the issue. I should note here that it has been my experience that the vast majority of ALJs are very productive, and as they should, balance that with the need for a fair hearing for the claimants. In my opinion, it is only a few ALJs that are not producing at a sufficient rate. However, SSA should have the ability to force those few to be more productive to help decrease the backlog of cases.

SSA Working on Updating Listings

The Social Security Administration has been working to update the medical listing of impairments. I will be very interested at the upcoming NOSSCR conference to see the progress they have made and the impact it will have on Social Security Disability claims. At the last conference SSA spoke about making the medical listings more current and easier to asses if someone meets a listing. There has already been a few changes to the listing. My hope is that the changes will help reduce backlogs by granting benefits to those with obvious disabilities earlier in the process. If they make the listings more understandable and more defined then the employees at SSA may be able to grant benefits earlier instead of "passing it on". I will be updating my page on the medical listing of impairments as they become available and as time permits. I will also report back anything I learn at the upcoming NOSSCR conference pertaining to the medical listings and any other topics I feel would be of interest to you.

How to win Social Security Disability benefits

Wining your SSDI or SSI claim is no different than trying to win anything else.  It takes hard work, knowledge, sometimes a little luck and almost always perseverance.  The hard work is the effort it takes to make sure you have all your medical records, RFCs, and doctor's reports.  This may not seem that hard but it often involves multiple request to your doctors and hospitals.  It can also be very difficult to get your doctor to write you a report or fill out an RFC form.  Some doctors will simply refuse to fill out forms or write reports and others will want to be paid for the time it takes them to write them.  You must acquire knowledge to know how SSA determines if you are disabled and what you need to prove your particular case based on SSA's rules.  This can be very difficult for someone who is not trained in law.  You can research the Internet but there are very few websites with any helpful information.  I do recommend my website and I have tried to make it as easy to understand as I could.  If you are just finding this part too difficult then you should consider a lawyer for your case.  Of course, there can be luck involved as well.  For example the person who is deciding your claim may be one who is very liberal in their interpretation of the rules or they may think everyone can work.  Perseverance is required because it often takes a very long time and you may be denied several times before you win your case.  It is important that you not get discouraged and keep appealing your denials.  This post may seem like very simple advice but it is also sound advice for wining your Social Security Disability benefits.

Social Security Disability Web Sites

Most of you who read my blog know that I also have a website devoted to Social Security disability information to help those trying to get benefits. I encourage you to read my website as I think it is the best resource on the web for those who are trying to win benefits on their own or who have a lawyer but want to know more about how SSA works and what they can do to help their lawyer win the case. You will find information like how to apply, how SSA determines if you are disabled, what happens at a hearing and most importantly tips on how to win your case. It even has pages on individual medical conditions like depression, back conditions, fibromyalgia just to name a few. If you want to know how long a claim takes for your area of the country you can find that as well. Take a look for yourself if you have not already and I think you will agree that the information on SSDI and SSI on this sight is second to none. If you do take a look I like to get feedback on what you like about the website and how I may improve it. Also if there is not information there that you are looking for let me know I am always adding new information, statistics, and tips. If you are thinking about applying for Social Security Disability or already have a claim going it is a great place to start your research. To view this website just click on the link at the top of the page.

SSDI and SSI Overpayment Rules Need Change

I know this is something that will never happen but SSA needs to consider changing their rules in regards to over payments in Social Security Disability and SSI payments. The way it is now even if the claimant is not at fault they will still usually have to pay the money back. Essentially if the claimant can "afford" to pay the money back then they are responsible for the pay back even if they are not at fault. I have seen over payments from a few hundred dollars up to over one hundred thousand dollars. What is almost comical to me is the payment notices that go to the claimant have way to many words and not enough information on how much the claimant is supposed to get and why. Then when SSA realises they made a mistake they act like the claimant should have known the amount they were getting is wrong. Anyway I am not suggesting that individuals who knowingly take money they know is not theirs should not have to pay it back. But sometimes you get a minor mistake by SSA that can over pay an individual just a little bit over many years and then all the sudden the government wants $20, 000 for the overpayment. The way the rules are now even though it was not your fault if you have enough money in SSA view to live on per month then anything extra should go to the overpayment. What makes matters worse is that almost no attorneys or representatives will take these cases. I made no attempt here to actually explain the exact language of the rules on overpayments. This was just a venting post on my part.

How to know if your lawyer is experienced in SSDI cases.

When looking for a lawyer or representative for your Social Security Disability or SSI case it might be wise to find out if the lawyer is experienced in these types of cases. So how do you do that? You can simply ask them how much of thier practice is devoted to SSDI or how many cases have they handled. You can also look to see or ask if they are a member of NOSSCR or NADR. NOSSCR is the National Organization of Social Security Claimants Representatives. NADR is the National Association of Disability Representatives. Some lawyers who handle SSDI claims have taken the step of getting certified in some form. Some states have certification programs and there is also certification through non-profit organizations like the National Board of Social Security Disability Advocacy. Some states do not recognise certification in the field at all. However, any lawyer who has taken the time to get certified in one form or another in my opinion is showing their commitment to this area of law. Also to get certified the programs I am aware of require a great deal of proof of a lawyers commitment to the area of law. None of this means there are not good lawyers and representatives that are not members of these groups or that are not certified by some organzation. I am providing this information so you have more tools in your home work in finding a lawyer.

Reporting Good News for Future Claims

I have recently learned that SSA by order of Commissioner Astrue will be suspending the proposed rule changes that would disadvantage claimants trying to get Social Security Disability benefits. The rule that would require evidence to be submitted 5 days prior to hearing has been halted. Also the closing of the record on appeal has also been suspended. The Commissioner after recieving concerns from Social Security representatives and lawyers about the proposed rule changes has reconsidered in light of the understanding of the difficulty claimants sometimes have in obtaining their medical records in a timely manner. It was also announced that the DSI program in the Boston region will be terminated. The DSI program was a tested new process in that region. It incorporated the five day rule on evidence and ended the claimants right to administrative review of unfavorable decisions by ALJs. This does not mean there will not be changes at some point but for now the Commissioner plans to meet with lawyer and representative organizations to discuss possible changes in system.

The Future of SSDI Hearings

I recently had a hearing were the claimant was in one state the ALJ was on video from another state and I flew in from NJ to be with the client in their state. After the hearing I started to think about the future of Social Security Disability hearings. The Social Security Administration will soon start a pilot program that will allow lawyers to have the client at there office for a video hearing with an ALJ who is at his hearing office. Will we one day see a time when all the different players in hearing are in different states all connected by video conference? I think we will and it may happen sooner than we think. One difficulty SSA has in getting hearings scheduled is when an VE, ME and or interpreter is needed. SSA is already using interpreters, VEs and MEs on the phone on occasion. You also see many claimants who are hiring lawyers in other states for their SSDI claims. So it appears logical that one day we may have hearings were the lawyer, claimant, VE, ME, interpreter and ALJ all all in a different state brought together for a hearing by video conference. This idea may scare many people that the process will become too impersonal and that this could disadvantage the claimant. On the flip side if it could cut down very significantly on how long a claimant has to wait to have a hearing it may be worth doing in some situations. As I have posted about before SSA has already set up a National Hearing office to deal with extremely long wait times of certain hearing offices by video hearings from that office. For people waiting for hearings in some areas of the country for well over two years the idea might not seem so bad if it can cut there wait time down in half. Who knows, but it seems more and more possible if not probable that this could be in SSA's future.

New budget for SSA sighned into law.

On December 26, 2007 the SSA budget was signed by the president. The Social Security Administrations new budget for 2008 will be $9,746,953,000. This amount is actually more than the President asked for. In my opinion, the amount if used properly should help deal with the growing case load and hopefully decrease the increasing wait times at the hearing level. It will now be up to Commissioner Michael Astrue to make sure the money is spent in a way that will help decrease waiting times and get better decisions. I have posted earlier on some of the Commissioner's plans to decrease these wait times and improve the SSA process. As I have stated before I like many of the new changes coming to SSA and hopefully this new budget will allow for at least the most helpful changes to be implemented. The source of the information is from the NOSSCR Forum.

Medical Listing of Impairments

In Social Security Disability claims one thing that is sometimes overlooked is the Medical Listing of Impairments also known as the Blue Book. If your medical condition is found to meet or equal a listed impairment then a finding of disabled is appropriate with out regard to your age, education or work experience. To meet or equal a listing you must have a doctors opinion that says so and it must be documented by the medical evidence. It can be extremely difficult to meet or equal a listing and it is designed that way. However, you should always view the medical listing for your medical condition and if you feel you meet the requirements have your doctor look at the listing. If the doctor agrees that you meet the listing a report from the doctor that addresses the listing and the supporting evidence on why you meet the listing can go a long way to proving it. You do not have to meet or equal a listing to win your claim but always check. To see how the medical listing fits into how SSA determines if you are disabled click on the link.

Board Certified Social Security Disability Specialist

I have have just recently been approved as a Board Certified Social Security Disability Specialist by the National Board of Social Security Disability Advocacy. I consider it a great honor and I am proud of this accomplishment. It should be noted that not all states recognize the title of Social Security Disability Specialist. I will be listing the states that recognize this title in the next few days when I have collected all the information. I just wanted to share this with my readers. I hope you all have a great New Years and wish you all a favorable decision soon. I have put some information about my Board Certification on my website. It will explain what it is and what I had to do to get it. It will also show how the different states view certification as well as the ABA.

Pace of decisions and scheduling of hearings will improve.

In the new year I think you can expect quicker decisions and more hearings being scheduled for Social Security Disability and SSI claims. In the past this has always been a very active time of year. Also many of the SSA initiatives to speed up the process are close to full swing. I have noticed a sharp increase in the amount of hearings scheduled for the new year. There are many reasons I am predicting this. First, SSA's e-file program has been started in all states and many of the case are now in electronic format. Second, SSA made a real push this year to get the really old cases done before the new year which hopefully will get them back on track for reasonable wait times for the rest of the cases. Third, SSA has brought back a program that allows attorneys at SSA to make favorable decisions at the hearing level before they are even scheduled for a hearing. I have noticed in my practice that I have been getting much more of these recently. Fourth, SSA has initiated a quick determination process for really strong cases that has shown to be successful in getting out quick decision in obvious cases. Lastly, the holidays are almost over and SSA employees will start to get back into the swing of things. Hopefully, I am right and you will all hear something soon.

Holiday Wish List Favorable Decision

I know the number one thing on many of your minds this holiday season is getting back a favorable SSDI, SSI, or VA decision. I hope this wish comes true for as many of you as possible. For those of you who have not received a favorable decision you might want to go through the following check list to see if you are doing all you can to win.
Did you get all your relevant medical records in?
Does SSA have RFC forms from your doctors showing your limitations from your medical conditions?
Do you have a lawyer?
Have you researched what you have to prove to win your Social Security Disability claim.
Have you learned about what happens at a Social Security Disability hearing if you are at that stage.
I wish you all a Happy Holiday Season!

Social Securirty Disability and Back Impairments

One of the most common medical conditions listed in a SSDI or SSI claim is some sort of back impairment. The more common conditions of the back and neck are herniated discs, spinal arachnoiditis, spinal stenosis, osteoarthritis, degenerative disc disease, facet arthritis, and vertebral fracture. How a claim for benefits is won for these conditions depends on many factors. I will try and simplify the way the majority of these cases are won. In general if you are over 50 years old and your prior work is considered light or heavier you will probably only have to show your back condition limits you to sedentary work to be found disabled. If you are younger than 50 years old or prior work was sedentary the case usually requires that you be found capable of less than sedentary work and there would not be a significant number of jobs you could perform. There are some exceptions to this see my web page GRID Rules to understand the whole picture. So if you are under 50 or over 50 but your prior work was sedentary how do you show you can't even do a significant number of sedentary jobs with a back impairment. There are several ways you can do this I will discuss a couple here. Your inability to sit for long periods of time is important but what is more important is why you can't sit for long. It is because of pain. Your documentation and testimony of pain is important because it can show an inability to concentrate in a work setting. The medication you take particularly narcotic pain medication can further decrease your ability to concentrate. It is also very common for those who suffer from a long history of back pain to develop depression. The symptoms of depression can have serious impacts on ones ability to do sedentary work. To see how depression can affect a disability claim see my page on depression and SSDI. If your back impairment is in your cervical spine it can often lead to pain and loss of sensation in your arms and hands and often times leads to headaches. All these limitations also interfere with ones ability to do sedentary work. For more details on back impairments and Social Security disability.

Proposed New Regulations Will Curtail Claimant's Rights

There has been proposed regulation changes that will in my opinion make it even more difficult to get a fair decision in a Social Security Disability claim. SSA is proposing new rules allegedly to speed up processing times but will ultimately lead to an unfair process to the claimant and in my opinion more denials. One of these changes would restrict the submission of evidence at the hearing stage. Evidence would have to be submitted 5 days prior to the hearing date. There are exceptions to this rule but it appears as if the discretion is left up to the ALJ. I know from experience in dealing with SSDI cases for many years that it is not always possible to get all the medical evidence in 5 days before the hearing. Lawyers and claimants are often pleading with doctors who treat the claimants to get the records in a reasonable time. There is a provision to address this but it sounds like the discretion is left to the ALJ. This would be fine if I did not know from experience that some ALJs will take this new procedure to deny almost all medical records submitted after the 5 days prior to hearing. Evidence submitted after the hearing would be even more restricted. I will cover this topic again when the final rulings are released.

Drugs, Alcohol and Social Security Disability

One area of Social Security Disability law which is hard to find on the Internet is how drugs and alcohol addiction are evaluated by SSA in a disability case. Many of you may have heard that you can not get SSDI or SSI for drug and alcohol addiction. This is true but just because you have an addiction does not mean you can't get disability based on other medical conditions. The drug or alcohol addiction can not be material to the finding of disability. SSA is supposed to first determine if you are disabled based on all your medical conditions including the drug addiction. If SSA finds you are disabled based on all your conditions they are then supposed to decide if you were not using drugs or alcohol would you still be disabled under their rules. Proving disability in these cases can be easier if you have a long period of sobriety and during that time period you are shown to still be disabled. It is a little trickier when you don't have a long period of sobriety. In these situations it can be helpful to have statements from your doctors that show what your limitations would be even if you were not using drugs or alcohol. You can even get disability for conditions that were probably cause by your addiction if they are disabling even if you stopped using. An example of this is you can get disability for severe cirrhosis of the liver caused by alcoholism if it is disabling absent alcohol abuse.

Social Security Disability and non-exertional limitations

In this post I will address the importance of what is called non-exertional limitations and more specifically about concentration. They are exactly what the sound like they are limitations on your ability to work that do not involve physical exertion. These limitations are most important in cases involving people under 50 years old, cases that involve mental disabilities, and cases were someone over 50 years old had past work that was sedentary in nature. How much one can lift and do other physical activities is important but when trying to show you can't even do a sedentary job non-exertional limitations are key. A sedentary job usually requires one to be able to sit at a desk and do the work. If you have limitations in memory, concentration, dealing with supervisors or co-workers you can see how this would prevent even this type of work. Many case are denied because SSA says you can do sedentary work. One example of an important non-exertional limitation that is often overlooked particularly in cases that involve back conditions is an inability to concentrate due to pain or side effects from pain medication. One question ALJ's like to ask claimants at a hearing is why they feel they can't do a sit down job. The most common answer in these cases is because "I can't sit that long". What is often not mentioned is why you can't sit that long. It is because of pain. If you get increased pain after sitting would this not interfere with your ability to concentrate on the task at hand. As stated earlier narcotic pain medication also is known to decrease ones ability to concentrate. Ones ability to sit for periods of time is important but many ALJs and vocational experts will find jobs you can do that have an option for sitting or standing as you need to. So don't forget to mention how your pain and medication make it difficult for you to be able to concentrate. To get more helpful tips on how to win SSDI.

How to Win Social Security Disability Benefits

The most important question I am sure most of you want to know is how do you win an SSDI or SSI claim for disability benefits. In this post I give some very general tips on what you can do to help your claim succeed. There is no trick to win your claim. However, if you want to give your self the best chance to win you should make sure to do the following things. Read as much as you can about Social Security Disability. Most importantly you need to know how Social Security will determine if you are disabled. Ounce you understand SSA's five step process for determining disability you can start to figure out how it applies to your particular case. There are several key ingredients to a successful claim. First, and often times overlooked is that you must have a "good" case. This means you have a medical condition or several medical conditions that interfere with your ability to do things that would impact your ability to work. Second, you must have all relevant medical records submitted to SSA. Third, you need RFC forms or reports from your treating doctors that show how your medical conditions affect your ability to do things. Fourth, you should be under the care of the appropriate doctors and taking your medication as prescribed. Fifth, you should have a "theory" of your case. This means you know how the law applies to your case and can articulate why you are disabled under SSA rules. If you do not fully understand what you have to prove in your particular case or you think your case may be difficult to prove you should contact a lawyer. You should not rely on Social Security to make your case for you and don't assume they got all your medical records. Make use of a good Social Security Disability resource such as my website and the SSA website. There are many more tips on how to win your claim for Social Security Disability available on my website. Lastly, these claims can take a long time and can be extremely frustrating but never take it out on the employees at SSA it will not help your case and may actually hurt it. I wish you luck in your pursuit of SSDI and SSI benefits and if you have any questions feel free to contact me.

Fibromyalgia and a Social Security Disability Claim

Fibromyalgia claims have a few unique challenges. First of all, the diagnosis of fibromyalgia by its definition includes the counting out of all other possible cause for the symptoms. There is no objective piece of evidence you can point to to prove you have the condition (like an x-ray or MRI). This makes your rheumatologist opinion and diagnosis extremely important. Your testimony at a hearing is also important because an ALJ opinion of your credibility will have a big impact on how he or she decides. Another difficulty with these cases is that one of the most disabling features of the disease is fatigue. It can be very difficult to show evidence of fatigue and how it limits you. I also often see date of onset problems and date of last insured problems because it often takes many doctors and years before a diagnosis is made. There also appears to be a general bias against fibromyalgia by SSA doctors and SSA employees. Lastly, this medical condition is often diagnosed in younger people which makes a claim for disability often times more difficult. This is one of the medical conditions were I almost always recommend someone trying to get Social Security Disability or SSI to find a lawyer who has handled these types of cases. A disability claim for Fibromyalgia is difficult but winnable but it sometimes requires allot of patients and proper development of your file. Read more on Fibromyalgia and a disability claim.

Here Come the Lawyers.

My observations at the NOVA conference is that there will soon be many more attorneys handling Veterans disability claims. I would guess that there was about twice as many lawyers at the conference than at the last one. Most of them were lawyers who handle Social Security Disability cases in their practice. I believe this is good news for veterans because it will be much easier for vets to be able to find lawyers for their disability claims. Social Security Disability lawyers should be able to make a fairly smooth transition into this field because there is allot of similarities in how you develop a case and they will be familiar with the medical terminology. SSDI attorneys are also used to dealing with a government agency. I have to mention how impressed I have been with the speakers at the conference. Many of the attorneys who spoke at the conference have been doing VA claims for years and they were more than willing to share their insight and knowledge with the lawyers hoping to enter into this field.

MS and Social Security Disability

Multiple Sclerosis is a difficult to diagnose disease and can be a difficult Social Security Disability case. One thing that makes MS cases hard is that many times a person out of work because of MS symptoms goes undiagnosed for years and when they finally get a diagnosis of multiple sclerosis they may be past the date of last insured (last day they are insured for benefits). Another problem with these claims is that the most limiting symptom for many people who suffer from this condition is fatigue. So when an individual goes to functional capacity exam they may perform pretty well but what is not seen is that the individual can do nothing for several days after the exam. It is a good idea if you suffer in this way to tell your doctor so it is in your medical records. I have more on MS and Social Security Disability on my website.

Speach by Commissioner of the Social Security Administration

Michael J. Astrue, Commissioner of the Social Security Administration spoke to the National Organization of Social Security Claimant's Representatives today. My impression is that he appears to have a good grip on the problems confronting him and the desire to make the changes necessary at SSA to try and fix them. He spoke of the baby boomer generation and the affect it is going to have on the Social Security system. He mentioned the obvious increase in the amount of people who will be on Social Security as a problem. What I did not consider and thought was quite interesting is that there is another problem from the baby boomers reaching retirement age. Many SSA employees are older as a result of the many hiring freezes that have occurred over the years. So many experienced SSA employees will be retiring as well. He mentioned that SSA will drop below 60,000 employees which is the lowest rate since the 70s. This tells me that more claims plus less SSA employees equals more delays in processing of claims. He also mentioned that 150 new ALJs will begin working in June. I will be reporting more on what The Commissioner had to say at my Social Security Disability website.

How does SSA view medical evidence.

A Social Security Disability file contains allot of medical evidence. So how does SSA determine what evidence should be given the most weight? The Social Security Administration is supposed to look at many factors when determining what weight they should give a particular piece of medical or opinion evidence. Notice I say supposed to because I have found SSA employees and ALJs don't always view it as they are supposed to. Generally, treating doctors are supposed to be given more weight than non-treating doctors. In other words your doctor's opinion is supposed to be given more weight than the SSA consultative doctors. Your doctors opinion must however still be consistent with the medical records in the file. Specialties are also considered by SSA. For example a diagnosis of depression by a psychiatrist is more "valuable" than a diagnosis of depression by a family doctor. What does this mean to you. You must make sure you have your treating doctors medical records and opinion of your limitations in the file. If you are seeing a specialist for your condition getting those records and opinion of your limitations from that specialist is a very important. One last note chiropractors are not given much weight so if you have a back condition an orthopedics opinion is much better. I have left out allot here but this is to give you a general idea of how SSA looks at evidence.

Make sure to check out my Ultimate Disability Guide.

Many of you who read my blog may already know about my website the Ultimate Disability Guide. If you want to learn about Social Security Disability I believe it is the best source on the web. I have tried to make everything as easy to understand as possible. I cover many topics including how to apply, how SSA determines if you are disabled, how to win your ssdi claim, what happens at a hearing and many more topics as well. If you are looking to learn about Social Security Disability visit the site. I update the site frequently so if you have not been there in a while make sure to check back often. Take advantage of this free resource the more you know the better chance you have to win your claim. Even if you have a lawyer you should try and learn all you can it can only help. I will write again soon.

I will be going to two conventions this month.

I will be attending a conferences this month on Social Security Disability and Veterans Disability. So make sure to keep checking back because I will report on any new developments in these areas of law. At the Social Security Disability conference I will be looking forward to finding out how the SSA program for Internet access to the SSA file is going and when it can be expected to be launched in full. At the veterans disability conference I am particularly interested in how the new law allowing lawyers to represent veterans is going and if there is any momentum for repealing this law that some groups are trying to do. i will also report back anything I think might be of interest to you and your claim for disability.

How important is testimony at a SSDI hearing?

Your testimony at a Social Security Disability hearing is extremely important. This does not mean you should study the possible questions you will be asked and memorize answers you think will help you. You should have an idea of the types of questions that will be asked but you do not want your testimony to come across as scripted. The perfect answer to a question for your case that is thought to be scripted can hurt you allot more than a bad honest answer. I have seen good medical record cases lose because of testimony and not so strong medical record cases win because of testimony given. The sure way to hurt your case is to clearly exaggerate your symptoms. The best way to help your case is to come across as believable and honest. The best way to come across as credible is to tell the truth about your condition and why it keeps you from being able to work. It is not just words spoken you are being evaluated the entire time you are in the hearing and sometimes in the waiting room. One example I often see is that claimants may exaggerate or not understand how long they can sit. A claimant may say "I can only sit 5 minutes" and then proceed to sit through the hearing for an hour. I understand that many times people sit in pain because they think they can't get up during the hearing but you can. Another example is if there is no record of you being prescribed a cane and back brace and you show up with a cane and back brace exposed over your clothes chances are the ALJ will think you are putting on a show. If you have a cane or brace that is not prescribed by a doctor but you need it and got it on your own, don't say it was prescribed by a doctor. Be honest and say I got it on my own because it helps. For more on testimony at a hearing go to my web page Social Security Disability hearing.

Access to Social Security Disability e-file anytime for lawyers

I have heard through the grapevine that SSA will soon be making available claimants files online through a secure network. This could be the most significant change the Social Security Administration has made in years. i say this because what it means is that a lawyer will have access to SSA's file on a claimant right from the beginning. By having this access a representative can make sure a file is fully developed as early as possible leading to faster decisions on claims. It will also save money for the clients because it will eliminate the lawyer from getting medical records that are already in the file. The way it is now it is extremely difficult for a lawyer to see what SSA has until the case is close to a hearing. This gives the attorney less time to get medical records and review files. If this new system is implemented a lawyer will be able to evaluate a case much earlier, get the medical records that are needed and if the case is strong enough write a pre-hearing brief and request a favorable decision right away so that the claimant does not have to wait the long time it takes to get a hearing. This would be a win for all parties involved. It should lead to faster decisions, better prepared files and ultimately less backlog for SSA. I will find out more at the next NOSSCR conference and report what I hear.

Why are denial rates so high at application and reonsideration?

Denial rates are significantly higher for Social Security Disability and SSI claims at application and reconsideration than they are at the hearing stage. In this post I will give my opinion as to why this is the case. Many people who apply often do so with out help of a lawyer and with out learning what they have to prove to win. Many people simply give the information to SSA and let SSA get the medical records and develop the case. There appears to be the attitude that I will see what happens and if I am denied I will get help with my claim. This leads to an underdeveloped file that is not ready for a decision and frequently results in a denial. At reconsideration which SSA is slowly getting rid of it is usually the same information being looked at by a different SSA employee. This is why reconsideration has such a high denial rate. If the information in the file was not enough the first go around chances are it won't be for the next SSA employee either. The denial rate decreases at the hearing level for several reasons. A greater percentage of the cases are represented by a lawyer or representative and the file has had more time to be developed properly. You also have the advantage of seeing an ALJ in person which adds a human element to the case and allows for testimony to point out things that the record by itself simply can not do. Many people come to me at hearing most of those files are extremely underdeveloped files. So if you do decide to do it alone make sure to become as knowledgeable as you can so that you know what you need and can get the information to win early.

Two New Pages Added to Ultimate Social Security Disability Guide

I have recently completed two new pages for my informational website on Social Security Disability called The Ultimate Disability Guide. The first new page deals with ssdi and ssi denial rates. The information provided should at least give you some idea of the rate at which SSA denies and approves claims. The chart shows the allowance and denial rates for ssdi and ssi at application and reconsideration.

The second page is about the backlogs at SSA and the average processing times for each Office of Disability Adjudication and Review or ODAR. This basically covers the time period between filling your request for hearing until a decision is made. So if you are one of the many people wondering how long does it take to get a decision at the hearing stage or as Social Security likes to say how long does it take for the claim to get processed. The above page link is for you but try not to get to discouraged by what you see.

New page on SSDI and SSI hearing wait times.

I have just finished my new page which gives the average processing times for social security disability cases at the hearing stage for every ODAR in the country. Go to the link above to see how long it takes for a case to be processed in your area. I hope this information is helpful in preparing you for the long delays at the hearing level.

SSA Backlog Highest It Has Ever Been

In July of 2007 there was a total of 749,224 cases pending. This is the largest amount of cases ever. The average processing time is a whooping 528 days. SSA hopes to hire about 1,000 new employees to deal with the increase. This will probably do little to help the situation. In the mean time those applying for Social Security Disability benefits look to deal with longer and longer wait times. The Social Security Administration is working on other initiatives to decrease the processing time which I have mentioned in other post and I will continue to update as more information becomes available. This information was obtained from the NOSSCR Social Security Forum.

How long does it take to get SSDI or SSI decision?

I have not posted in a while but I have been working on gathering statistics on how long cases are taking at each stage of the process. I know this is very important to allot of you and I am working hard to get accurate numbers. I will be posting the results over the next couple of weeks. I will try and cover wait times at the various ODAR offices or hearing offices and the local district offices. Check back often to get this valuable information.

SSA Medical Listing Changes

The Social Security Administration was supposed to change several of the medical listings by July of this year. SSA has recently announced that the present listing will remain in affect until July 2008 or until they are done with the update to the listing. So the medical listings have not changed and will not at least for a little while longer.

Slow Summer Months at Social Security

The summer months tend to be a little slow as far as SSDI and SSI hearings go. This is probably because many SSA employees and ALJs take their vacation time during this period. It usually picks up quite a bit as soon as fall rolls around. In fact I usually find the fall months schedule the most hearings. So if your hearing has not been scheduled yet and you are close to the end of your waiting period for your area hopefully your hearing will be scheduled in the fall months. The long wait times are the hardest part of applying for disability so try and be as patient as you can and if you have been waiting longer than 15 months or so for a hearing make sure to check up on your case.

Veterans Disability

I have been reading allot of rating decisions from the VA lately and I am amazed at how the Veterans Administration has handled some the claims for compensation and pension. I can clearly see why many veterans have been pushing to have the right to hire lawyers. Many of the ratings decisions show that the VA did not get all the medical and service files before making a decision. In others, I noticed the veteran was never sent for the proper exam or the decision maker flat out disregarded the opinion of the doctor who did the exam for the VA. I strongly believe that lawyers will help to make sure the files are properly worked up and ready for a decision before one is made.

E-File Less Than Perfect

I have had allot of experience with SSA E-File in Social Security Disability claims and although in general it is a vast improvement over the paper way of doing things there is a few things that need to be worked out. When a file is in electric format we are now supposed to send our medical records in by fax or using the Internet. To do this lawyers are given a bar code which tells the computer receiving the medicals which file it belongs to. It appears clear to me since I deal with many different ODAR offices throughout the country that the different ODAR offices are not on the same page. Some offices send a bar code and others act like I am crazy when I ask for it. I recently got medical records sent back to me that I sent to them in the mail. The letter said I have to send them in by fax using the bar code. Hard to do when bar code is not sent to me. I am just kind of venting here but overall I do see the benefit in the new process I guess it will just take time for all of SSA employees to come up to speed and fine tune the system.

Article on VA Disability

I know many of the Veterans out there are looking for news on VA Disability. I will be interviewed for an article on the website VA Watchdog on the new law that allows veterans to hire lawyers. When the article is released I will post it here so that it is easily accessible to anyone interested. It is a long time coming for veterans who have been fighting for the right to hire a lawyer in their disability claims. And an exciting time for lawyers who have been waiting to be able to help or veterans. Check back soon.

New Law for Veterans Disability Starts Today

Just a reminder that any Veteran who files a Notice of Disagreement today or after today can hire a lawyer to represent them in their claim for Veterans' Compensation or Pension. If you have any question about the new law feel free to e-mail me. You can also check out my site called Veterans Disability Lawyer Site. The site is in its early stages and will be updated with more information and tips on getting veterans disability as time goes on. Make sure to book mark the site and come back often.

Vocational Expert at Your Social Security Disability Hearing

What do you do if you find out there will be a vocational expert at your hearing? The first thing you might want to consider is getting a lawyer. A VE's job at the hearing is to give his opinion of your prior work and functional requirements of those jobs. The VE will then be given a hypothetical of what your limitations are from the judge. The VE will then give his or her opinion on whether given those limitations you could perform prior work. The VE will also be asked his or her opinion if there is any other work an individual could do based on those limitations. If the VE says there is other work he will then give the number of jobs available in the economy in both the local area and nationally. Seems simple enough so why should you have a lawyer? The lawyer will be given a chance to present his own hypothetical of your limitations based on the medical evidence that may be more restrictive than that given by ALJ. A lawyer can also challenge the VE's opinion and cross examine the VE to show the jobs the VE says you could perform you actually can not perform. See my website page on Social Security Disability hearings for more.

Baby Boomers Affect on Social Security Disability

One very important reason there has been so many process improvements at SSA is because of the expected explosion of cases from the baby boomer generation. I expect that the improvements in the process especially the move to electronic files will do allot to help but I think we can expect longer delays in processing time just due to the sheer number of cases that are expected in the coming years. Another problem with this increase in cases will be the financial health of the Social Security Administration. The days of ignoring the financial crisis of SSA is coming to an end. I believe over the next few years even the politicians will have to pay attention and actually take steps to fund the Social Security System. I don't pretend to have the answers on how this will be done but it must be addressed if this extremely important program is to continue.

Social Security to Hire More ALJs

The Social Security Administration is in the process of hiring many new Administrative Law Judges. This is a very important development because the backlogs at SSA for SSDI and SSI claims is a huge problem. I have noticed recently many ALJs retiring and they were not being replaced. With the number of claims increasing the backlog of cases was sure to get much worse. It looks like SSA realized this and is taking positive steps to make up for the lost judges and increased case load. I don't know were these new ALJs will be assigned yet but I will update this post when I get the information.

New Site On Veterans Disability

I have received many e-mails from veterans asking about veterans disability. As a response to this and realizing that there is very little information or help out there for veterans. I have decided to launch a new site called veterans disability lawyer site. It is in the early stages and currently only has limited information but I will continue to add information frequently. I hope this new site will help veterans with any questions they may have about veterans compensation and pension. If you are a veteran you may or may not be aware that a new law was past that allows veterans to hire lawyers much earlier in the process. I am now representing veterans so if you have any questions feel free to contact me.

Update on Veterans Right To Hire Lawyers

I will try and explain the new law that allows Veterans to hire attorneys to represent them in their claims for disability. When you file your "Notice of Disagreement" will determine at what point in the process you can hire a lawyer. If you filed before June 20, 2007 you can hire a lawyer after the first denial at the Board of Veterans Appeals. If you filed after June 20, 2007 you can hire an attorney right away. There are some groups trying to get this new law repealed. I believe that Veterans should have a right to hire a lawyer early in the process to make sure they have the best chance of winning as early as possible. If the movement to stop lawyers from representing Veterans gains any momentum I will post it here. Click on following link for more information on Veterans Disability.

Reporting from Veterans Disability Conference

I am posting from New Orleans at the NOVA convention. I am here like many other Social Security Disability lawyers to learn all the aspects of a VA disability claim. I have been looking forward to this convention ever since the new law was past that allows Veterans to hire lawyers for their claims. The good news for vets is that the conference is sold out which tells me that there is allot of interest by attorneys to help our veterans. I know from the e-mails and phone calls I get that there is allot of Veterans out there looking for help with their claim. This conference should go a long way towards making sure there are many qualified lawyers to help with VA benefits. I will post anything I learn at this conference that I think may be of benefit to you. Vets can start hiring lawyers in June.

Lawyers and Social Security Disability

Whether to get a lawyer for your Social Security Disability or SSI claim is a matter of personal choice. I will tell my opinion from my experience in handling these cases how an attorney can help. I believe the most important function of a lawyer in SSDI cases is to fully develop the record. This means making sure all relevant medical records are in the file. A lawyer can look at a file and see what is needed to win a particular case. It is not enough in most cases to just have all the medical records from the treating doctors. You have to know what you have to show to prove disability for every individual case. This includes getting the appropriate RFC forms from the right treating doctors. The RFC forms are just another tool the lawyer uses to make a case. The limitations from these RFC that are supported by the medical records and statements from your doctors have to be tied into the "theory" of the case. A good lawyer will craft his theory of why the claimant can not work by integrating all the elements of the claim. Many things come into play including age, education, prior work, limitations, objective evidence, subjective evidence, testimony, possibly medical and vocational experts, the listings and many other factors. If you decide you don't need a lawyer it would be a good idea to learn as much as you can about Social Security Disability.

The Future of Social Security Disability

What does the future of Social Security Disability claims look like? I expect the new changes bringing SSA into the digital world will have a huge impact on SSDI and SSI claims. SSA is already moving towards paperless files but the technological progress I expect over the next couple of years should really improve the disability process. As it is now on my cases that are paperless I can submit evidence by fax or by sending it over a secure Internet connection. I can even communicate with the ODAR office electronically. If all goes well in the near future lawyers will be able to access the SSA file over the Internet. This will be very beneficial because Lawyers will know exactly what is in the file and what they need to still get. One big advantage to the claimant is that it will eliminate having to get medical records that are already in the file thus saving money by not getting duplicate medical records. By having access to the whole file from start to finish a lawyer will be able to evaluate cases and submit briefs at various stages of the process and hopefully get faster favorable decisions. Not only does this benefit the client but also will help to relief the SSA backlog. If the medical community can become digital, getting records will be as simple as a mouse click. SSA is also moving towards having medical and vocational experts available online thus removing the obstacle of having to schedule these experts for hearings which can cause delays. There are some lawyers who fear that SSA is becoming too digital and that this could take the human element out of these cases. I see it as the only solution to the growing back log at SSA. In my opinion these changes and many others will make for a faster and more fair process for the claimant.

Report from NOSSCR conference.

There are some interesting things I learned at the NOSSCR conference. It appears that SSA's plan to raise the ages in the grid rules will not be done. The theory was that with improvements in health care people are living longer and getting better medical treatment and therefore the ages in the Grid Rules needs to be raised to catch up with the times. It appears that they will not be raising the ages because it would have a negative impact on the poor in this country who do not have the advantage of the better medical treatment. It also appears as if SSA will continue to have an Appeals Council in some form. As part of the new process, Social Security is testing in the Boston area, the Appeals council was eliminated leaving no option to appeal an ALJ's decision except for a suit in federal court. I am glad to see it looks like they will keep the Appeals Council so that non-represented claimants can still make appeals without having to navigate a federal law suit.

I will be going to the NOSSCR conference this week

NOSSCR is an organization of Social Security Disability lawyers and representatives of which I am a member. There should be many interesting topics. I am most looking forward to seeing how the new SSDI and SSI process is going in the Boston area. I will report back on anything I learn. I will also be attending classes on many different topics and will write some posts on anything of interest.

List all medical conditions that cause functional limitations

I am sometimes asked if one should mention only their main medical condition when pursuing Social Security Disability or SSI. No, you should list all the medical conditions you have that cause functional limitations. Some have said they feel if they list to many medical conditions that they think SSA will give less credibility to their most debilitating condition. What you have to remember is Social Security when determining if you are disabled is required to look at all your conditions combined and how it limits you from being able to work. So even though your main medical condition might cause you the most limitations any other limitations from other conditions added on to your main disability limitations may make the difference in your case. An example is, suppose you have a serious back injury that you consider to be your main disability and it severely limits your physical abilities. If you also suffer from asthma although in this case not disabling in itself it does limit you from certain types of environments like dust or smoke. You may also suffer from depression that also might not be disabling by itself in your case but does cause you some limitation in certain areas like memory and concentration. These additional limitations from your less severe conditions could make the difference in your case.

SSDI Claim For Bipolar Disorder

Bipolar Disorder is sometimes a tricky condition when it comes to Social Security Disability. There are several things that make these cases sometimes difficult to win. The condition causes the individual to have extreme highs and lows. When someone suffering from this disorder is in a manic phase they tend to be very active and this may give the mistaken appearance to SSA that the claimant has the ability to work. Another potential problem is that people who suffer from this condition sometimes have alcohol or drug abuse issues. Social Security will not find someone disabled if drugs or alcohol is material to a finding of disability. In other words if the substance abuse were taken away would the limitations from the bipolar still be disabling. This can be very difficult to show and it can help to have a statement of the individuals limitations absent drugs or alcohol from the treating psychiatrist. For further reading on the subject see "Social Security Disability and Bipolar Disorder."

Your Doctor and Your Disability Claim

One of the most important parts of your claim is your doctors. Your treating doctors are even more crucial than having a good lawyer. If your doctor feels you are disabled and is willing to help with your claim you have a great start to winning. Social Security gives special weight to treating doctors if their opinion is well supported by the medical evidence. If they have a specialty in treating your condition they are given even more weight. If you have a good RFC or report from your treating doctor that details your limitations that prevent you from working and that opinion is supported by the medical evidence it is very hard for Social Security to deny you.

Social Security Disability and SSI for those over 50

Many of you have heard that if you are 50 years of age or older your chances of getting Social Security Disability are greater. In general this is true but not absolute. The reason I say this is because before you get to step 5 of the process you have to show you can't do prior work at step 4. Click this link to see Social Security's five step process. If your prior relevant work included sedentary work you will first have to show you can't do that work. On the other hand if you only did heavier than sedentary work it is much easier because if you are found to be limited to sedentary work you go to step 5. Getting to step 5 and an evaluation under the Grid Rules is were being 50 years old or more gives you an advantage over younger claimants. This can be a rather confusing topic and you should follow my links above and read those sections carefully to get a full understanding of what I am talking about.

I will be updating progress of new SSDI process

I will be attending a conference of Social Security Disability lawyers in a few weeks. I plan to pay close attention to anything on the new SSA process being tested in the Boston area. I will learn all I can about how it is going and the positive and negative things we can expect when the new process finds its way to all the states. Check back here because I will give my thoughts on how it is going and what it means to you.

How does Social Security determine if you are disabled?

There is a five step process the Social Security Administration uses to determine if you are disabled.

1. Are you working? If you are working at SGA level SSA will determine you are not disabled. If SSA determines you are not working you go to step 2.
2. Is your condition "severe"? If SSA determines your condition is not severe you will be denied at this stage. Social Security will find your condition to be severe if it interferes with your ability to do basic work related activities. If your condition is severe you go to step 3.
3. Does your medical condition meet or equal one of the medical listings of impairments. If it does you will be found disabled? If it does not you will move to next step.
4. Can you perform your past work? If SSA determines you can perform your past work you will be found not disabled. If they decide you can not perform past work you go to step 5.
5. Can you do any other work? This is the last and probably most complicated step. It does not mean if there is any job at all out there that you can do Social Security will deny you. SSA uses vocational guidelines sometimes called the GRID Rules. Your age, education and past work experience all come into play here.

These are the steps in the most simple way I could explain them. To get more information on the steps see my web site page called "am I disabled".

When should I apply for Social Security Disability?

To get SSDI or SSI you must be out of work for at least 1 year or expected to be out of work for a year or more. So if you want to apply before waiting a year you should try and get a letter from your doctor that says he or she feels you will be unable to work for at least a year or more. On the other hand many people for different reasons don't apply as soon as they can. This can be a mistake because you can only get paid for the months 1 year prior to your application in a SSDI case. In SSI you can only get paid from your date of application. So in my opinion apply as soon as you can.

LTD and Social Security Disability

Many of you applying for Social Security Disability may also be applying for or getting Long Term Disability benefits from an insurance company or employer. One thing you may already know is that the insurance company pays less if you get SSDI. Most LTD policies require that you apply for Social Security Disability Benefits. They may even recommend a representative to help with your Social Security claim. My thoughts on using the insurance companies recommended representative can be found on my other blog at my Ultimate Social Security Disability Guide web site. One issue which you might want to keep in mind is that the LTD policy usually changes the definition of disability after 2 years so many people are denied after getting these benefits for two years. Many insurance companies also only pay for a psychiatric disability for two years. Check your policy and read it carefully. Social Security Disability and Long Term Disability claims when being pursued at the same time can have many issues to deal with so make sure to consult with a lawyer if you have both.

How to find out what my disability benefits will be.

I am frequently asked how much Social Security Disability benefits will I get if I am found disabled. The best and easiest way to find out is to look at the green paper you get from Social Security every year that outlines your work history. You will find on this paper how much you would get on disability, at retirement and earlier retirement. You will also find how much your children would get if you went on disability. You can also see your date last insured or DLI. This is the date you must show you were disabled before to be eligible for SSDI benefits. If you worked after the date of the letter the numbers may change. If you did not get this green letter you can request a copy from SSA. Supplemental Security Income claims are different. To see how these benefits are calculated go to my web site page called SSI.

The Social Security Disability Hearing

One of the most intimidating aspects of a Social Security Disability Claim is the hearing before an Administrative Law Judge or ALJ. I hope I can help you relax by explaining what to expect at the hearing. The ALJ will direct and decide on the case. There will also be a reporter present who records all that is said at the hearing but will not be involved other than that. If you chose you can have a lawyer or other representative with you. In some cases there will be a Vocational Expert (VE) and/or Medical Expert (ME). The VE is there to give opinions on work related matters. The ME is there to give opinions on medical matters. I do recommend if you have a hearing to get a social security disability lawyer to assist you. A lawyer or representative who has handled many hearings can go over the types of questions you can expect and present your case. If there is going to be a VE or ME at your hearing it is even more recommended you have a lawyer because it can be difficult to cross examine these experts. The procedure will go something like the following. The ALJ will make some opening remarks about the procedure and law. After he is done either the ALJ or lawyer will begin the questioning. To see the types of questions asked and more see my web page on the Social Security Disability Hearing. Most hearings are held in small rooms and not big court rooms and the procedure is fairly informal. The best advice I can give is to try not to be nervous but don't worry if you get upset or cry this is common.

How does age affect Social Security Disability?

Many of you have heard that the older you are the better chance you have of winning Social Security Disability Benefits. This is for the most part true especially if you are over 50 years old. The theory is that older individuals are less likely to be able to make vocational adjustments. This does not apply to those who meet a listing. It comes into play if you don't meet a listed impairment. To understand how age can affect your claim you should have an understanding of the GRID Rules. To know when the GRID Rules come into play you need to know how Social Security determines if you are disabled. Even if you are over 50 years old if you performed a sedentary job in the past 15 years your claim can be as difficult to win as someone who is younger. This is because before you get to the GRID Rules you have to show you can't perform prior work. It is much harder to show you can't do a sedentary job than say a light or medium job. To understand the concept of how age affects your disability claim you should first study my page on how SSA determines if you are disabled and then look at the page on the GRID Rules.

What is most important to get Social Security Disability?

There is allot of things to learn to have a successful SSDI or SSI claim. If you are handling the claim without a lawyer you need to know the Social Security Disability Process. You also need to know how Social Security determines if you are disabled. I included links to my website which explains both of these. Whether you have a lawyer or not the most important thing you can do to help win your claim is to make sure you get all of your relevant medical records in. Even if you submit all your treating sources records and hospital records you are not done. You should also have Residual Functional Capacity forms or RFC forms from your treating doctors. These forms will show the limitations you have from your medical conditions. It is ultimately these limitations from your medical conditions and not the medical conditions themselves that will help get you found disabled. Even if your medical condition meets a listed impairment it is extremely important that your doctor says so.

Social Security Disability and SSI

I frequently get asked the difference between Social Security Disability and SSI. Social Security Disability is availble to people who have worked and paid taxes into the Social Security System. When you work you earn credits twords being eligible. You can earn up to 4 credits per year. You need a total of 40 credits to be eligible for benefits. For people who are very young you may need less than 40 credits. The date you are covered untill for disability is called your date of last insured or DLI. You must be found disabled prior to this date. If you worked consistently your DLI is usually 5 years after you stopped working.

Supplemental Security Income or SSI on the other hand is a needs based program and the funds come from the general tax revenues. SSI is for low income people who are aged blind or disabled. You must have less than $2,000 in resources or $3,000 if you are married. For more on SSI eligibility see my page on SSI.

To see tips on how to get disability benefits see my page "How to win Social Security Disability".

Working on Ultimate Social Security Disability Guide

It has been quit a while since I last wrote on this blog. I have been extremely hard at work on my website the ultimate social security disability guide. Visit this site. I have included even more information on Social Security Disability and SSI. I also have a blog on that site aswell. I will continue to try and update this blog but to get the most free information on Social Security Disability and SSI my site is a must read. You will find information on all the stages of the disability process, how Social Security determines if you are disabled, what you can do to give yourself the best chance of winning your SSDI or SSI benefits, and much more.