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An explanation of why DDS Examiners deny so many disability cases
Why does DDS deny so many SSDI and SSI disability claims? Here's my answer: DQB, or the disability quality branch. As all examiners, reps, judges, and CRs know, a percentage of completed dds files are sent off to this unit to see if all the i's are dotted and all the t's are crossed. And, interestingly enough, more cases that were MARKED FOR APPROVAL come back reversed than vice-versa.
When a case is returned from dds, it's like a black mark for the examiner because it directly implies that he or she flubbed up. It's a black mark for the unit supervisor because the return came back to his or her unit. And it's a black mark for the dds administrators because the more DQB returns you get, the worse it makes your agency look.
So, human nature being what it is, what is the outcome at all dds locations in the good old USA?
It means that supervisors tend to exert an iron grip over the examiners in their units. It also means that supervisors will always lean more toward denials rather than approvals And...if a case is one of those cases that is right on the line, you can be sure that the examiner won't stick his or her butt on the line because the likelihood is that the unit supervisor will "have to talk to the examiner about his or her decision-making ability".
I am not saying that we need to dispense with quality review. But, I think it's pretty plain that external quality review has had an insidious effect on dds claims processing-----with disability claimants coming out the clear loser.
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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 former caseworker and former disability claims examiner, 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.
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