Skip to main content

HOW THE DISABILITY DETERMINATION SERVICE (DDS) WORKS IN ALABAMA

While the Social Security Administration (SSA) is a federal agency, it does not make the initial decisions on who qualifies for a disability benefit.  This determination is made by a state agency which is staffed by state employees.

In Alabama, this agency is the Disability Determination Service (DDS) in Birmingham. Getting a claim paid by the DDS is challenging.  Here is basically the process:

  1. Review of Medical Evidence – DDS gathers your medical records from doctors, hospitals, and treatment facilities.
  2. Assessment of Functional Limitations – The agency evaluates whether your condition limits your ability to work.
  3. Consultative Examinations (CEs) – If your medical records are incomplete, DDS may request additional exams from an SSA-paid doctor.
  4. Determination of Disability – Based on the evidence, DDS decides whether you meet SSA’s definition of disability. In most cases, you will not.
  5. Case Return to SSA – If approved, your claim moves to the payment processing center.. If denied, you have the right to appeal within 60 days--a strict deadline.

Many applicants receive denials at this stage because of insufficient medical evidence or failure to meet SSA’s  very strict criteria.

Around 75 percent of claims receive denials at the DDS because of insufficient medical evidence or failure to meet SSA’s strict criteria.Upon denial, it is very important to file an appeal.  Most disability claims are won in the appeal stage, not in the application stage.

Your denied claim will probably need two separate appeals to be paid:

1.  "Reconsideration" is the first appeal.  While this stage has a very low approval rate, it is required.  In Alabama, the denial rate at "Reconsideration": runs between 80 and 90 percent.  

2.  Hearing.  Your second appeal takes you to a hearing before an Administrative Law Judge (ALJ).  At this stage, you have the BEST chance of approval in the entire process.

Should you be represented by an attorney or experienced advocate at the hearing?  Without representation, only 31 percent of claims get approved, according to a US government study.  With expert representation 60 percent of claims get approved.  So, yes, the odds dictate that you want an attorney or trained advocate to assist you at the hearing.

What Does it Cost to Get an Attorney?

Advocate / Attorney fees are governed by Social Security law.  You may only be charged a legal fee if you win your appeal and collect past due payments (also called "back pay").  The fee approved by Social Security is the smaller of 25 percent of your past due benefits or a maximum fee set by the Social Security Administration.  For example, if you collect $10,000 in past due benefits, your lawyer's fee would be $2,500. If you don't get any past due benefits there cannot be a fee.

The Forsythe Firm in Huntsville has more than 20 years experience in helping claimants win Social Security disability claims.  You will be given face to face time with one of our experts who will answer your questions and give you a free consultation.  If you decide to have us represent you, we will handle your case or appeal with no upfront fee.  We never ask you for money.  If you win and recover past due benefits, Social Security will pay us directly, using a small percentage of your past due benefit.

We are local professionals right here in Huntsville that you can sit down and talk to.

Call The Forsythe Firm in Huntsville today.  (256) 799-0297.  or (256) 503-8151.


Labels:

Comments

Post a Comment

Popular posts from this blog

CAN YOU WIN YOUR DISABILITY APPEAL WITHOUT A LAWYER?

The Social Security Administration does not require you to have a lawyer to file an appeal or to appear at a hearing.  However, most people heading for a disability hearing will hire a lawyer or advocate to help them.   Studies have shown that you are about twice as likely to win with a lawyer.  A recent study found that claimants with no lawyer win about 30 percent of the time while claimants with a lawyer or advocate win 60 percent of the time.   " He just cooked his own goose." These statistics cover only one aspect of a disability appear--your odds of winning. The other important aspects are time and convenience. If you prepare and adjudicate your own disability appeal, expect to spend 12 to 24 months working on the case.  You will be collecting, reading and submitting hundreds or thousands of pages of medical records.  These records are complex and often difficult to understand.  And you must know how each medical record helps (or hurts) your dis...
Post a Comment
Read more

GET YOUR APPLICATION RIGHT - GET PAID SSDI B ENEFITS

  Get your Social Security application right - get paid.   There are hundreds of ways to mess up a Social Security disability application.  One of the most common ways that I see?  Blank lines.  Questions left blank.  One way or another, these questions will get answered before a decision is made on your claim.  They may get answered 6 months later when the Social Security office calls you--but you have just wasted 6 months.   Worse yet, Social Security may assume that since you didn't answer the questions, all the answers are "no," so nobody bothers to call you. This will lead to a negative action on your claim.   The complete disability application will consist, not just of the basic application, but several forms.  Many of those forms will be mailed to you AFTER you file the claim.  The following is always required for a complete application: The basic disability application (5 pages)  Disability Report (14 p...
Post a Comment
Read more

HOW TO PASS A SOCIAL SECURITY DISABILITY EXAM

  So, Social Security is sending you to one of their doctors for an exam.  The first thing you may ask is, How do I pass this exam?   First, I should say that Social Security exams are not "pass or fail."  The doctor or examiner cannot tell Social Security whether or not you are disabled or whether you should get a benefit.  The doctor is going to check certain facts. For example, the doctor may check the range of motion in your joints and list the measurements. They may check your grip strength. (S)he may determine if you have difficulty walking, squatting, kneeling standing from a seated position.  The examiner may answer specific questions asked by Social Security: Is the use of a cane or assistive device medically necessary? Why is it necessary? Can the claimant use his/her hands to grasp and hold objects? Is the claimant able to understand and follow simple directions?  Here is advice I give my clients for a Social Security examination:  ...
Post a Comment
Read more