Skip to main content

3 THINGS MOST LIKELY TO HELP A SOCIAL SECURITY DISABILITY CLAIM

Decisions  on Social Security disability claims are made according to established guidelines and must conform to the rules and regulations of the Social Security Administration.  

3 THINGS THAT CAN HELP GET YOU APPROVED FOR DISABILITY:

1. Support from your treating doctor.  In  addition to his/her complete medical records, the best thing your doctor can provide to Social Security is a a form called Residual Functional Capacity.  Doctors do not have these forms (and they may not like to fill them out) but you can obtain a copy from your attorney or advocate.  Caution:  A letter from your doctor usually doesn't help because it will not be specific enough to meet Social Security regulations.  Use a form that Social Security uses and recognizes.

2.  Regular medical examinations and treatment.  The path to Social Security disability runs straight through your doctor's office.  If you have a severe medical or mental condition that keeps you from working, Social Security will expect regular and consistent medical treatment to include doctor's visits, compliance with medication, and diagnostic tests to show the severity of your condition(s).

3.  Assistance from an experienced and well qualified Social Security disability advocate or lawyer.  Decision makers at Social Security follow the rule book (i.e., the Federal Code, Part 404) and if your case doesn't conform to the regulations it is impossible to be approved for a benefit.  Lawyers/Advocates understand these complex regulations and how to meet them.  Claimants do not.  The US Government found that claimants who are represented by an advocate/attorney are almost 3 times more likely to get their benefits! 

SOME THINGS THAT WILL NOT BE EFFECTIVE IN HELPING YOU GET BENEFITS:

A)       Telling Social Security how bad you need the benefits.  You rent is past due, your car payment is behind, your kids are sick....  Social Security cannot consider these things and they will not advance your claim towards approval.  They may, in fact, just bog down your case with unnecessary information.

B)        Telling Social Security how bad you feel.  While there is a place for your testimony during hearings, just saying how bad you feel and how much pain you have will not get you approved.  If you have medical evidence from doctors explaining why you have pain, this will be useful.

C)    Complaining about others who get disability benefits who are "not nearly as sick as I am."  Decision makers hear this 3,000 times a week and it has become a standard joke in the SSA offices. "How many people did you have today who said they are worse than other people who are on disability?"  Caution:  Someone else's success with getting benefits has zero (0) relevance to your case or whether you can get benefits.  Don't go there.

D)     Explaining to Social Security why you couldn't accept "other work" that might be available.  I couldn't live on those wages.  I can't move away to take that job.  I don't want that type of work.  It pays less than the job I had.  A much more productive approach:  Let your lawyer demonstrate that you are not able to perform the "other work" based on your medical records.

 E)    Getting advice from relatives, neighbors, friends or former co-workers who don't know the Social Security rules and regulations.  I hear so much totally wrong advice contributed by well meaning individuals who have no idea what it takes to get disability benefits.  I recently had an individual call me who was in serious financial jeopardy because he listened to the advice of an insurance agent on a Social Security matter.  I'm sure this person was an expert on insurance but he gave poor advice about Social Security. I cringe when I hear the words My uncle told me; A friend of mine got it by....; or "My neighbor told me I should...."

Social Security disability is not as easy as it looks (if anyone thinks it looks easy).  Getting approved requires preparation of a case that uses objective medical evidence to show that the claimant is disabled "according to the rules and regulations of the Social Security Administration."  And Social Security's rules are different than anybody else's.   

Bottom Line Take Away:  See your doctor regularly, follow medical advice and build a good medical record,  Try to get your doctor to give you a Residual Functional Capacity form that explains, in the doctor's opinion, why your impairments restrict your ability to perform various work-like activities. And finally, get an experienced advocate or lawyer who is experienced in Social Security disability and knows how to navigate the system.  

_____________

Charles W. Forsythe is a founding partner of The Forsythe Firm in Huntsville, AL. He has decades of experience in Social Security disability cases, including appeals and hearings.


 

Comments

Popular posts from this blog

RED FLAGS IN SOCIAL SECURITY DISABILITY CASES

  RED FLAGS IN A SOCIAL SECURITY DISABILITY CASE A red flag is something that causes concern or raises a problem in a Social Security disability case.   In short, it’s something that may get the claim denied or cause a big problem. Here are some of the red flags that we see crop up: ·          Work after the alleged onset date (AOD).   Since the process takes so long, many claimants feel that they are forced to return to work for income.   Social Security often sees this as a sign that the claimant is not disabled. ·          Severe substance abuse.   Chronic and frequent abuse of drugs or alcohol can pose problems. ·           A skimpy work record.   A claimant who has worked very little or has jumped from job to job frequently may not have good credibility. ·          Quitting wo...

WHAT YOU WILL BE ASKED AT A DISABILITY HEARING

Most Social Security disability claims will be denied twice:  First at the end of the Application process, and again after the "Reconsideration" process.  The third stop will be a hearing before a federal Administrative Law Judge (ALJ). It is here at the hearing level that most SSDI claims are paid.  So, what do you need to know about your Social Security disability hearing?     First, the judge will follow the rules established by the Social Security Administration.  His or her job is to determine whether you meet the particular laws and rules to receive disability payments.  So, it is a legal proceeding where you must prove certain things in order to get paid. Among the things you must prove:  Your insured status with Social Security:  You have worked recently enough and paid into the Social Security trust fund to gain the required "work credits" to support your claim.  You have a severe medical or mental impairment supported by adequa...

HOW TO COMPLETE A FUNCTION REPORT OR ACTIVITIES OF DAILY LIVING FORM

After you apply for Social Security Disability (SSDI), you will be sent a FUNCTION REPORT to fill out and return.  This form asks a lot of very detailed questions about your daily activities:  driving, cooking, cleaning, dressing, visiting others, hobbies, etc. The Social Security Administration will use your answers to determine whether you can work or not.  You must show on this Function Report that you have limitations that do not permit you to work a full-time job.  You do this by showing your limitations in activities of daily living. Your goal in the Function Report is to show the struggles and challenges you have with everyday life.  It may not be sufficient to answer a question with "Yes" and fail to explain. For example:  "Can you drive?"  If you answer "Yes," Social Security will assume that your ability to drive is unlimited:  you can drive anytime, anywhere and as often or as far as you want.  That may not be true and would need t...