What is the Application Process for Social Security Disability and SSI?
How do you Win Benefits under Social Security Disability or SSI?
If I am determined disabled, how far back will Social Security pay benefits?
How do you prove your disability case if you have a mental condition?
What Can I Do to Improve My Chances of Winning Disability Benefits
Common Mistakes after Receiving a Denial of Social Security Disability or SSI Benefits
How to File for Disability - Tips for Filing
If You Get Approved For SSDI Will You Also Get Medicare?
How much does a Social Security disability attorney get paid?
Social Security Disability SSI Criteria and the Evaluation Process
How long does it take to be approved for SSI or Social Security disability?
What do you Need to Prove to Qualify for Disability Benefits?
Social Security Disability SSI and Fibromyalgia
Social Security Disability SSI and Degenerative Disc Disease
Can I Qualify For Disability and Receive Benefits based on Depression?
Answers to questions about SSD and SSI disability
What Disabilities Qualify for SSI and Social Security Disability Benefits?
Social Security Disability Status
Social Security Disability Tips — how a claim gets worked on
Social Security Disability, SSI Disability - Terms, Definitions, Concepts
Will an SSI or Social Security Exam help with the Decision?
How to prove you are disabled
and win disability benefits
A disability exam may help with the decision a case. Or it may not. However, it really depends on what a person means by "help". To answer that, we should discuss why it is that social security sends claimants to examinations in the first place.
The social security medical exam is actually something called a CE, or consultative examination. These exams are sometimes ordered by administrative law judges who hold disability hearings. But probably 95 percent of the time they are scheduled by disability examiners who are trying to make decisions on disability applications and reconsideration appeals.
A CE is ordered by a disability examiner in just a couple of scenarios:
1) When the person filing for disability benefits has alleged on their application for disability that they have a certain physical or mental condition, but there is no evidence of them ever having received treatment for the condition. Depression is a condition that often fits this category. An individual will list depression when they file for disability; yet they have never received counseling, been prescribed medication, or even mentioned to a psychiatrist, or even their family doctor, that they are experiencing, or have experienced, depression. In some cases, claimants will allege that they have carpal tunnel syndrome or a back condition but have not been officially diagnosed or treated by a doctor.
2. When the person applying for disability has received a diagnosis for their condition and has received medical treatment in the past, but has not received recent medical treatment. For SSA, recent medical treatment means treatment received in the last 90 days. How important is recent medical treatment and having documentation of this? The social security administration takes the position that a person cannot be considered disabled as of the here and now (and, thus, cannot qualify for disability), if they do not have medical proof that is recent.
Now that we've gone over why a social security exam is usually scheduled, we can state that consultative examinations definitely help in the sense that they allow a disability examiner to make a decision on a social security disability or SSI case.
However, this does not mean that it, in any way, shape or form, pushes the case toward an approval. Speaking as a former disability examiner, I can state that in most instances the results of a consultative medical examination has little positive effect on a case. As was said, it usually just allows a decision to be made since it provides a small amount of recent evidence when it is lacking.
Having said this, however, there are many cases that are already in the position of being approved for disability benefits based on the cumulative record but which are lacking recent records. In these cases, getting the results of a CE, i.e. a social security medical exam, will facilitate a case being approved. In other words, when a claimant is in the position of qualifying for disability, getting the report from a CE can simply tie up the loose lends and make the approval happen.
Finally, there are cases in which the results of a CE do substantially provide evidence that results in the awarding of benefits. For example, when claimants are sent to a mental consultative exam, this is often to have memory or IQ testing done. And in cases for which memory impairment or low IQ are alleged, the results of this testing can provide a basis for approval. Also, in some cases, a physical CE will be a neurological exam or an appointment to have an XRAY done (at the government's expense, of course) and the medical information provided can also provide a needed basis for approval.
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Topics and Questions
Getting Your Social Security Disability or SSI Claim Status
How is Social Security Disability Awarded
How Much Do You Get For Disability If You Are Awarded Benefits?
Where are Social Security Disability and SSI hearings held?
If You Get Denied For Disability Should You appeal Or file A New Claim?
If you have had a heart attack will you qualify for Social Security disability?
Applying for disability benefits in New York
What If you intended an appeal of your Social Security Disability claim but missed the deadline?
How Often Does Social Security Disability Review Cases?
Social Security Disability Advice from the Wrong Sources
Can you apply for disability if you have a mental condition ?
When Should You File for SSD or SSI Disability?
Are SSI and Social Security Disability Requirements Tougher For Mental Claims?
How Far Back Can SSI Back Pay Be Paid?
After I File For Disability Will Social Security Pay For Me To See A Doctor?
The Difference Between Social Security Disability and SSI Really Involves Work Activity
Are SSI Disability Claims Handled Differently Than Social Security Disability Claims?
What does a lawyer do to help on Social Security disability ?
Crucial Information about the Social Security Disability Application Process and SSI
Does a person with severe keratoconus qualify to receive a disability grant?
How Far Back Does Social Security Look At Your Medical Records for an SSDI or SSI Case?
Filing for SSD Disability - When Should You put in a Claim?
How to win Social Security Disability benefits
Can You Get Approved For SSI or SSD Benefits IF You Have A Mental Condition But Do Not Take Medication?
Who Do You Call Or Contact For Your Social Security Disability Status or SSI Update?
Who Do I Contact at Social Security To File For SSD or SSI Disability?
How will Social Security Determine if you get Disability Benefits?
What If I Do Not Have Enough Work Credits For Social Security Benefits?
How to File for SSI
Can You Get Approved For Social Security Disability If You Do Not Take Medication Or Go To a Doctor?
How are social security disability decisions made?
Meningitis and Filing for Disability
Disability Attorney - Does Social Security pay the fee?
Can You Lose Your Social Security Disability Benefits after You get Them?
Hiring a Qualified Disability Lawyer in West Virginia
Mental Retardation and Filing for Disability
Social Security Disability SSI and Activities of Daily Living
Social Security On The Record Disability Decisions
After you file for SSD, the Disability Examiner may contact you for additional information
SSD and SSI are Federal Programs
The title II Social Security Disability and title 16 SSI Disability programs operate under federal guidelines and, therefore, the program requirements--medical and non-medical--apply to all states:
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Indiana, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
Recent approval and denial statistics for various states can be viewed here:
Social Security Disability, SSI Approval and Denial Statistics by state
Special Section: Disability Lawyers and unnecessary claim denials