Overview of Disability
Disability Back Pay
Requirements for Disability
Applications for disability
Tips and Advice for Disability Claims
How long does Disability take?
Winning Disability Benefits
Common Mistakes after a Denial
Mental Disability Benefits
Denials for Disability
Appeals for denied claims
Disability Benefits from SSA
Child Disability Benefits
Qualifications and How to Qualify
Working and Disability
Disability Awards and Notices
Disability Lawyers, Hiring Attorneys
Social Security List of Conditions
What Social Security considers disabling
Medical Evidence and Disability
Filing for Disability Benefits
Eligibility for Disability Benefits
SSD SSI Definitions
SSDRC authored by Tim Moore
Ask a question, get an answer
What will trigger a review of a social security disability claim?
The two most common triggers of a review of an individualís Social Security disability claim or Supplemental Security Income claim (SSI claim) are A) work activity and B) medical review diary dates.
Social Security performs two types of continuing disability reviews (CDRs), either separately or simultaneously: the work continuing disability review and the medical continuing disability review.
These reviews are performed simultaneously when a disability claim comes up for medical review and the disability beneficiary has worked. When a disability claim is medically reviewed, all work activity must be addressed prior to sending the continuing disability review to DDS, or disability determination services (where claims are processed for the social security administration) for a decision. Work activity may indicate medical improvement, thus it must be reviewed along with medical information. However, as I said earlier, Social Security may perform medical reviews and work reviews singularly as well.
When disability claims are approved, a medical review diary date is established for a date in the future that is usually either three or seven years into the future. Medical diary date length depends upon the likelihood that an individualís impairment will medically improve.
Most disability cases have three-year medical review diary dates because there is thought to be a chance of medical improvement. If an individual has an impairment that is unlikely to have medical improvement, they may have a seven-year medical review diary. Some disability beneficiaries have medical conditions that are likely to have medical improvement so their disability claims may have medical review diary dates that are less than the standard three year medical review diary.
All disability claims have medical review dates and individuals who receive disability benefits will most likely have more than one review in their lifetime. Most disability reviews result in a continuation of benefits for the disability beneficiary, so there is no reason to fear continuing disability reviews. The only way an individual could lose their disability benefits is if their work activity or medical records indicate that they have had medical improvement.
The second type of review is a continuing disability review based upon work activity only. Work continuing reviews are most often triggered when an individual reports that they have gone back to work. Disability beneficiaries are required to report all work activity so that their disability file can be updated.
Work reviews may not cause any change in benefits for a disability beneficiary, or they may cause an individualís benefits to be suspended or even terminated. Although most work reviews are triggered by Social Security beneficiary work reports, a work review may be triggered A) if Social Security finds that work activity is being reported for a beneficiary to the IRS by their employer (W2 form) or B) even by a beneficiary filing self-employment earnings on their tax return.
Generally, Social Security catches up with work activity sooner or later, so it is best to report it. Under current Social Security guidelines, individuals who do not report their work activity may be sanctioned or even charged with fraud for not reporting their work activity.
Return to: Social Security Disability Resource Center, or read answers to Questions
Will my disability case be reviewed after I have been approved for disability benefits?
How does the Social Security Disability Review work?
The, CDR, or Continuing Disability Review, for SSD and SSI claims
Advice for a Social Security Disability Continuing Review
What will trigger a review of a social security disability claim?
Are SSDI and SSI Benefits Normally Continued After A Continuing Disability Review?
How Often Does Social Security Disability Review Cases?
Can You Lose Your Social Security Disability Benefits When Your Case Is Reviewed?
What Should I Expect at my Social Security Disability Review if I am working part-time?
How long can you receive SSI or Social Security disability benefits?
Is there a time limit for how long you can collect Social Security Disability or SSI benefits?
If Your Disability Benefits Are Stopped Can You Get Them While You Appeal?
What is a Social Security Disability or SSI work CDR?
Information on the following topics can be found here: Social Security Disability Questions and in these subsections:
Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI
These pages answer some of the most basic questions for individuals who are considering filing a claim.
Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
How to Apply for Disability - What medical conditions can you apply and qualify for?
Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
What happens if I file a disability application and it is denied by a disability examiner or Judge?
How to Prove you are disabled and qualify to win disability benefits
How do you prove your disability case if you have a mental condition or impairment?
Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it
Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria