Important things to know about Social Security Disability, SSI exams
Here are some things to keep in mind if you have a claim for Social Security Disability or SSI benefits.
1. You may or may not be scheduled to go a consultative medical exam. In other words, the standard routine for processing disability cases does not require the scheduling of examinations. However, you are more likely to be sent to such an examination if one of the following applies:
a) You have not been seen by a doctor in a long time. b) You have a condition, either indicated by you on your application, or indicated somewhere somewhere in your records, that you have not received treatment for.
How could you have a condition that is listed in your medical records that you have not received treatment for? Here's a good example, one that happens often. If a claimant decides to apply for disability based on fibromyalgia or decides to apply for disability based on MS (or any other condition) and has never been treated for depression, yet a doctor has indicated somewhere in the medical notes that the claimant is depressed, this may cause the scheduling of a mental exam.
Very often, claimants who do not consider themselves to have depression or who did not cite depression on their disability applications will find themselves going to a mental status exam or a psychiatric exam simply because their family doctor indicated a single word in the treatment notes: "depression". And, often as well, these claimants are aggravated and irritated by being required to do this. Why does social security do this? To make sure that a claimant receives full consideration for their impairments, even impairments they may "possibly have".
2. If you are scheduled for a Social Security Disability medical exam, you must go. Going to a CE is not optional and, in fact, a failure to attend a scheduled exam can potentially be grounds for a denial of a claim due to a failure to cooperate. If, of course, you are unable to make your appointment, due to a transportation issue or sickness, you may ask for a rescheduled appointment.
3. If you go to a Social Security Disability medical exam, it may last as short as ten minutes. Yes, they can be very short. Many claimants are surprised when they go to a doctor's office and find that the "social security medical exam" can be this brief. Even more are surprised when the examining physician does not ask them about their condition or medical history.
But the reason for a consultative exam is not to A) provide medical treatment or B) make, prove, or disprove a medical diagnosis. Most physical disability exams are simply for the purpose of allowing a disability examiner to gather "recent medical evidence" so that a case may be closed. Yes, in most instances, a physical exam is scheduled only because a claimant has not been to a doctor in the last 60 days and, usually, the purpose of going to such an exam is nothing more than that.
4. Some disability exams are not really exams. Sometimes a disability exam is actually testing. For example, individuals with respiratory complaints (such as COPD or asthma may be sent to spirometry, also known as a pulmonary function test or breathing test. And, sometimes, claimants are sent for xrays if they have degenerative conditions such as arthritis.
5. Be prepared for the possibility that your examining doctor may be rude. As a disability examiner, I literally heard hundreds of complaints from claimants who had gone to social security medical exams and had been treated rudely. One would have to wonder why it is that medical professionals who have elected to provide examination services to social security would behave this way. But, right or wrong, it seems fairly common.
About the Author: Tim Moore is a former Social Security Disability Examiner in North Carolina, has been interviewed by the NY Times and the LA Times on the disability system, and is an Accredited Disability Representative (ADR) in North Carolina. For assistance on a disability application or Appeal in NC, click here.
Most popular topics on SSDRC.com
Social Security Disability in North Carolina
Common Mistakes to avoid after being denied for Disability
Tips to Prepare for Filing for Social Security Disability or SSI
Advice to Win SSD and SSI Benefit Claims
Social Security Disability SSI Questions
What is the difference between Social Security Disability and SSI?
How to get disability for depression
Getting disability for fibromyalgia
SSI disability for children with ADHD
What is the Application Process for Social Security Disability and SSI?
Social Security Disability SSI Exam tips
More Social Security Disability SSI Questions
What makes you eligible for Social Security Disability or SSI?
Who is eligible for SSI, how do I apply?
Getting a good disability lawyer
Social Security Disability listings and medical exams
Not taking medications can affect a Social Security Disability SSI claim
How long does it take to get a disability approval letter?
How much does disability pay?
How to File for SSI
Social Security Disability hearing decision time
How do you Apply for SSI?
Disability requirements and how to file in Missouri
What Conditions Qualify For Social Security Disability?