Social Security Disability Resource Center

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When does a case go to the Social Security Disability review board?




 
Someone recently submitted the following question: "My case has been approved by DDS, but has been sent to the Quality review board. Is this social security's way of making sure that DDS did their job correct?".

The quality review board being referred to is something known as DQB, or disability quality branch. This is a facet of the social security administration that reviews cases that have been processed by disability examiners.

Officially, the purpose of a DQB review is to ensure that the decisions made by disability examiners on Social security disability claims and SSI disability claims are correct and proper.

However, it's the opinion of many disability examiners that there's more to it than that. Specifically what I mean is this: as a disability examiner, the returns (cases that are intercepted by DQB, reviewed, and then sent back to DDS, or disability determination services, to be worked on again) noticed by myself and other examiners tended to be cases that had been marked for approval, not cases that had been marked for denial.

In other words, there seemed to be a clear pattern that indicated that the social security administration was looking far more closely at cases that examiners had determined should be approved, and not as closely at cases that disability examiners had determined should be denied. And the only plausible reason for that seemed to be an agency slant toward saving money...which is another way of saying holding down the number of approved cases...which is another way of saying trying to deny more cases.

Should it surprise anyone that the Social security administration might have a bias against approving claims? Not at all. In my own opinion, it is the manner in which the "social security disability quality review board" works that has a direct and immediate influence on how cases are decided in the various state DDS agencies.

And, of course, there is the uncomfortable fact that higher-ups within the Social security administration have actually advocated that the disability hearing appeal should include an SSA attorney, effectively turning the hearing level into something far less than an objective process and into an interest-based adversarial process.








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  • SSDRC Homepage:

    Social Security Disability and SSI Resource Center



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    Denials, Appeals, and Getting a Disability Lawyer or Representative

    What you should know about Social Security Disability and SSI Denials

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    FAQ on Disability Claim Representation

    Disability hearings before Judges

    Selecting and hiring Disability Lawyers




    Various Types of Benefits including SSI, Mental, and Child benefits

    Social Security and SSI based on Mental Disability

    Social Security Disability or SSI Benefits for Children

    Disability Benefits through Social Security




    Filing for Social Security Disability or SSI Benefits

    Social Security Disability SSI: Medical Evidence and Records

    Filing your claim for disability benefits

    Eligibility for receiving disability benefits

    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




    Resources on this site

    Social Security Disability, SSI Terms and Definitions

    Previously answered questions regarding SSD and SSI






    For Individuals living in North Carolina

    Applying for Disability in North Carolina

    North Carolina Disability Lawyer




    Related pages:

    How does Social Security establish when disability claims are to be reviewed?
    What happens in front of a disability judge?
    All Social Security Disability and SSI cases get a review
    How long does it take to be approved and awarded disability benefits?
    When does a case go to the Social Security Disability review board?
    How long will an SSI or SSDI disability claim take?
    Using a lawyer to potentially speed up the disability appeal process
    Speeding up the Social Security Disability or SSI Claim Process
    Social Security Award Letter and being due a substantial back pay amount
    Reasons to get a representative who specializes in disability claims only
    When you apply for social security disability should you send copies of your xrays?
    Getting approved for disability based on being blind
    How to answer questions at a Social Security Disability CE examination
    What disability claimants get angry about - Part II
    How does Social Security consider pain?



    These pages provide answers to basic questions about pursuing disability benefits

    How to file for disability, filing tips
    What to Prove to Qualify for Disability Benefits
    Applying for disability benefits, SSI and SSDI
    What Disabilities Qualify for SSI and Social Security Disability?
    Will you get disability back pay?
    Social Security Disability And SSI Qualifications
    Permanent Disability Qualifications for SSD and SSI
    Social Security Disability SSI status
    Disability lawyer representation, finding lawyers
    Who will qualify for disability and what qualifying is based on
    Qualifications for Disability Benefits
    Important points about filing for disability
    How long does it take to get disability after applying?
    Am I Eligible For Social Security Disability?
    Who is eligible for SSI disability?
    How to get disability in Florida