Social Security Disability RC

How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long for Disability?, Disability Application
Social Security Disability list of impairments
How to Qualify for Disability, Mental Disability
Disability Lawyers FAQ, Disability Back Pay

Will an SSI or Social Security Exam help with the Decision?



 
A disability exam may help with the decision on a disability 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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Related pages:

How long does it take to get a decision on Social Security disability or SSI?
What kind of Final Decision can I receive on my Disability Application?
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How the Decision on a Disability Application or Appeal is Made
Who Makes The Social Security Disability Decision, A Judge Or A Caseworker?
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These pages answer some of the most basic questions for individuals who are considering filing a claim.

Can you get temporary Social Security disability or SSI benefits?
Permanent Social Security Disability
What is the difference between Social Security disability and SSI?
Who is eligible for SSI disability?
Can I Be Eligible For SSI And Social Security Disability At The Same Time?
What makes a person eligible to receive disability benefits?
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?







For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.

The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.

To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.