Skip to main content

THINGS THAT HURT A SOCIAL SECURITY DISABILITY CLAIM (MAY GET YOU DENIED)

 What are some things that signal difficulty getting SSDI (Social Security Disability)?

1.  A skimpy or sketchy work record.  It's better if you have a history of working at the same job for several years--the longer the better.  It hurts if you have jumped around from one job to another and only stayed a short time with each employer.  

2.  Lack of objective medical evidence.  Social Security will approve or deny your claim largely based on what's in your medical records.  The burden to prove disability is on you--and the best way to prove disability is with your medical records.  By "objective records," I mean those supported by examinations, laboratory tests, X-Ray or imaging studies or personal observation on examination by a doctor. Without this you have allegations of a disability but no proof.

3.   Not having an attorney or advocate to represent you.  No matter what you think of attorneys, they exist for a reason.  The fact that so many attorneys make their living practicing Social Security disability law tell you something.  Lawyers win disability claims and people seek them out because of it.  Most judges will recommend that the claimant obtain legal counsel before holding a hearing.  The Government Accountability Office (GAO) finds that you are nearly 3 times more likely to be approved for SSDI benefits if you are represented.  

4.  Lack of cooperation.  If you fail to show up for an appointment, miss a scheduled medical exam, fill out forms late or improperly, or in any way fail to cooperate with the Social Security Administration (SSA) you are writing your own denial letter.

5. Failure to comply with medical treatment.  Examples of this would include:  failing to take prescribed medications,  missing doctor's appointments ("no shows"),  or declining medical treatment when it's offered.

6.  Working at substantial gainful activity after your alleged onset date (the date you claim to have become disabled).  When I started practicing decades ago, I looked up Social Security's definition of "substantial gainful activity."  True to government gobbledygook, they defined it as "work which is both substantial and gainful."  That helps.  Simply put:  in 2024 you are engaged in substantial gainful activity (SGA) if you earn at least $1,550 per month (before tax) from a job or self employment.  If you earn wages, commissions, salary or self-employment income at that level, you will receive an automatic Step 1 denial.

 

Comments

Popular posts from this blog

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...

MISTAKES THAT RUIN A SOCIAL SECURITY DISABILITY APPLICATION

MISTAKES THAT RUIN A SOCIAL SECURITY DISABILITY APPLICATION  The paperwork for Social Security disability is daunting:  page after page of never-ending questions.  But, since most applications will be denied, it behooves you to complete the application correctly.  Here are some mistakes on your Social Security disability application that may ruin your claim.   Failing to Fill Out the Forms —The Social Security Administration (SSA) will send you a lot of forms to fill out. It’s up to you to make sure that you fill out every part of those forms correctly.  Don’t forget: if a question doesn’t apply to you, put “not applicable” or “N/A” in the provided space.   Do not leave anything blank. Return all forms within 10 days. If you don't your application may be discarded or withdrawn. Writing Illegibly —If your case reviewer can’t read your answers, then he/she can’t really say that you answered that question. Be sure the  answers to questions are nea...

WHAT TYPE OF DENIALS DOES SOCIAL SECURITY ISSUE?

In Social Security disability, the most common denials are medical denials.  This means that Social Security doesn't believe the medical evidence in your case meets the exacting standards for an award of disability.  There are technically two kinds of medical denials: 1.  You are able to perform some of your past relevant work.  They have looked at your work history for the past 15 years and judged that your medical conditions permit you to perform one or more of your past jobs.  This is what we call a "Step 4 denial." 2.  You are not able to perform any of your past work - but there is other work in the national economy that you are able to do.  This is called a "Step 5 denial" because it occurs at the 5th and final "step" in the decision making process. There are other types of denials, not nearly as common as the two above.  We sometimes think of these as "automatic" denials or "technical denials."  They are not medical decisions...