Social Security Disability Resource Center
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Hearings | Appeals | List of Disabling Conditions
Why does Social Security think they know more than my doctor?
Someone made this statement recently in a forum. "I don't see how the social security doctor will determine my illness better than the psychiatrist I've gone to for two years.
Guess what? This individual is completely right. In fact, claimants are generally sent to a social security doctor (in actuality, these are private practice physicians, psychiatrists, and psychologists who are paid to perform consultative exams (CE) for social security; in other words, they don't work for social security) for three reasons.
1. To obtain recent medical record documentation if you haven't been seen for your condition in some time (usually more than 60 days). This can take the form of a physical CE or of a mental CE that can either be a mental status exam, an IQ test, a memory scale, or a full psychiatric exam.
2. To obtain special testing. You could be sent out for xrays if you've had a bone break, or to spirometry (breathing test) if you have respiratory problems, or to audiometry if you have hearing loss, etc, etc. 3. You could be sent to mental testing even if you did not allege a mental condition on your disability application but there was some indication of this in your file (believe it or not, even if your family doctor who treats you for back problems writes the word "depression" one time in your file).
None of these purposes, however, has anything to do with rendering a final disability determination on your case. The consultative examiner simply examines you, or performs his or her testing, and later submits a CE report to the disability examiner (disability examiners are the individuals who make decisions on disability applications and reconsideration appeals while disability hearing decisions are made by federal judges).
How much weight does the CE report carry? My own estimation is "not a lot". As a disability examiner, I saw a very small percentage of claims that were approved on the basis of CE exam reports.
What then, you may ask, is the purpose of even going to such an exam? Truthfully, most of these exams are scheduled for just one reason. So the disability examiner can say "Yes, I have recent medical documentation" and then close the case.
So, the lesson to be learned here if there is one, is this: when you file for disability, don't assume that if you haven't been going to a doctor that you can be approved simply by going to a social security medical exam. It could happen. But its more likely that, without a record of receiving treatment from your own doctors, your chances of winning disability benefits will be slim.
Social Security Disability and SSI Resource Center
The Most Basic questions about Getting Disability Benefits
Social Security Disability SSI and whether or not you can work
Common Mistakes to avoid after being denied for Disability
Social Security Disability SSI Questions and Answers
More Social Security Disability SSI Questions and Answers
Common Questions about Social Security Disability and SSI
Winning Social Security Disability or SSI Benefits
The SSI Disability Benefits Program
Medical exams for disability claims
Applying for Disability in various states
Social Security Disability SSI and Doctors - Yours and Theirs
Social Security Disability and SSI Claim Reviews
Social Security Disability SSI System and Benefits for Children
Denials, Appeals, and Getting a Disability Lawyer or Representative
What you should know about Social Security Disability and SSI Denials
Questions about Disability Lawyers and Hiring a Disability Attorney
Frequently asked questions about getting Denied for Disability Benefits
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
About the Author of SSDRC, Tim Moore
For Individuals living in North Carolina
Applying for Disability in North Carolina
North Carolina Disability Lawyer
How long does a request for a disability hearing appeal take?
How Do I Find Out How My Disability Appeal Is Going?
Is Social Security disability separate from SSI?
Using the right medical evidence to win disability benefits
Social Security Disability, medium work, and your records
Tips, how to apply for disability
How much does disability pay?
Disability requirements, eligibility, criteria
Disability requirements and how to file in Texas
Appealing a Denial with a Hearing Before an ALJ (Administrative Law Judge)
Medical conditions for which you can file and apply for disability
These pages provide answers to basic questions about pursuing disability benefits
What Mental Problems Qualify for Disability?
Disability for a mental condition
Tips for Filing for disability
Financial Help Filing For Disability
Checklist for filing for disability, SSI or SSD
Qualifying for disability benefits, how to qualify for SSD or SSI
Filing a disability application: the steps
Disability award notice, how long it takes to get benefits
How to Apply for Disability - Where do I go?
What makes you eligible to get disability?
How to check my disability claim status?
Can a disability attorney speed up a disability case?
SSI disability Award Letter
How long to get approved for disability?
How to apply for disability benefits
How long does disability back pay take?
What are qualifications for getting disability?
What medical conditions can you file disability for?
Disability Lawyer help questions
Social Security Attorneys, Disability Representatives