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

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...