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Why do disability cases get denied in Missouri?




 
Why do disability cases in Missouri get denied? On the face of it, you could simply say that social security disability and SSI disability cases get denied because of a failure to satisfy the social security administration definition of disability. What is that definition?

Essentially, it can be boiled down as follow: you must have an impairment that is severe, it must last at least one year or longer, and it must prevent you being able to earn at least SGA, or substantial gainful activity (a somewhat arbritrary monetary amount that is adjusted each year for inflation) while working at either a past work job (a job you've done in the past 15 years) or while engaging in some form of "other work".

However, this is a superficial answer and if you buy into it you are forced to accept the absurd notion that all disability decisions rendered by the social security administration are accurate and fair. The truth, of course, is that many of these decisions are not fair, not objective, nor accurate. And to validate this supposition, you only need to look to the fact that at least half of all claimants who appear at a social security hearing win their cases. Yet, these were the same individuals who were previously denied at the disability application level.

So, let's approach the issue in a different way. Why do cases get denied? In most cases, it boils down to the medical evidence, or, rather, a general lack of medical evidence.

Resources:

1. Getting Denied for Disability Benefits
2. What Are The Reasons For SSD and SSI disability Being Denied?
3. Can you get disability the first time you apply?
4. Social Security disability SSI mistakes
5. Why do disability cases get denied?
6. How many times will you get denied disability?
7. Will I be denied if I am working?
8. A Disability Denial Letter from Social Security
9. Medical conditions on the application for disability


Many claimants simply do not have enough medical record documentation to substantiate their case. Sometimes this is the result of not being treated at all for a specific medical condition, and sometimes this is the result of not understanding the importance of being treated for a condition so that documentation may be generated which may be useful for proving a claim.

In the former example, I can state that it is a fairly common occurrence for disability examiners (the individuals who make decisions on disability claims for SSA) to open new cases, observe that "depression" has been listed as an allegation (a claimed impairment), and yet find not one single instance of the claimant ever having received treatment for depression.

In the latter example, I have seen numerous cases involving claimants who did not understand that it is not enough to have simply received a prior diagnosis for a potentially disabling impairment. To be considered disabled and eligible to receive continuing disability benefits, a claimant's records must state, in some way, that their condition currently limits their ability to work (at the SGA level, as mentioned earlier). In other words, a two year old diagnosis of rheumatoid arthritis is meaningless without the accompany evidence to state how limiting the condition currently is.

Of course, this is understandable since the social security administration does little to nothing to educate claimants about the manner in which disability cases are determined (and to be honest, even the individuals who work in social security field offices know little about disability adjudication since they don't actually work on the claims themselves, but, rather, disability examiners do).

What can a claimant do to assist the development of their case, from a medical record standpoint? Here's a short three-item list of things to consider.

1. If you plan to list a physical or medical condition on your application for disability, make sure it is one that you received treatment for. Does this mean that you shouldn't list depression or anxiety or back pain if you have not been treated for any of these conditions? Not at all. However, if you intend to list them as allegations and have not been treated for them, make it a point to get treatment soon, because without medical record documentation, it will be difficult to demonstrate that a condition, physical or mental, has any bearing on your ability to work.

2. If you plan to file for disability or already have a pending claim for SSD or SSI, make sure that you maintain regular visits to your treatment provider(s). As I stated earlier, it won't be enough to have simply received a medical diagnosis for a specific condition. Social security disability and SSI disability are two programs that do not work that way. To prove your case, you will need to demonstrate (via your medical records) that you are currently disabled. And to do that, your records need to illustrate a certain level of functional limitation that precludes the ability to work.

3. At some point, view copies of your own medical records, simply to get a handle on what your records currently say about you. Why do this? Because you may (or may not) be surprised at what the records have to say. And you may also be surprised about the absolute lack of detail, with regard to the notation of functional limitations, contained within them. Physicians typically do not put much effort into recording a patient's functional capacity and some record their treatment notes in a fashion that make them nearly useless for proving a disability claim.















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Filing for disability in Missouri

Applying for disability in Missouri

Whether or not to file for Social Security Disability in Missouri

File for disability in Missouri and prepare to wait

Qualifying, will I qualify for disability in Missouri?

Getting a Disability Lawyer in Missouri




Disability criteria, qualifying and qualifications in Missouri

What is a disability in Missouri?

Criteria for Social Security Disability and SSI in Missouri

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How to qualify in Missouri

Qualifying for disability in Missouri

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Missouri disability qualifications, will I qualify?




General questions about disability in Missouri

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Contacting Social Security for a Disability Claim in Missouri

Work credits and a Missouri Social Security Disability Award

Filing, applying for Disability in Missouri with Depression

Online disability appeal in Missouri

Review of my SSDI or SSI Case in Missouri




Missouri disability benefits

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Approved for disability and medicare in Missouri




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Request for a Social Security Disability Hearing in Missouri




Disability denials in Missouri

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Missouri SSI disability

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Supplemental Security Income in Missouri

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Who Qualifies for SSI Disability Benefits in Missouri?




Disability lawyers, attorneys in Missouri

Do I need a lawyer to get disability benefits in Missouri?

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Disability Lawyers for Social Security Claims in Missouri




How long does disability take in Missouri?

How long for a Decision for Social Security Disability in Missouri?

How Long Can you Receive Social Security Disability in Missouri?

How to Speed up a Social Security Disability Claim in Missouri