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How to file for disability, Filing for SSI
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The Social Security List of Impairments
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Disability Lawyer Info, Disability Back Pay

Why does Social Security deny so many disability cases?



 
There is a culture of denial at DDS agencies that exists because unit supervisors (in my old agency, there were more than 25 units of examiners and DDS doctors and there are probably more now) do not like to look bad. How can they look bad? When their agency receives "returns" from something known as DQB or disability quality branch.

It works like this: An examiner decides a case and then the case is intercepted by DQB for a quality review. If DQB decides that the case that was marked for approval should have been a denial, then the case is returned to the DDS from which it came and the supervisor of that unit has a "return".

They don't like returns. They think it makes them look bad. And, to upper management, it does. So, since most cases being returned from DQB are cases that were marked for approval, what effect does this have on the system? The effect is that processing unit supervisors begin to exert influence over the examiners in their units to use a decision policy that favors...making more denials than approvals.

Related:

1. How Many Times Will Social Security Disability Deny You
2. What is a Social Security Disability Denial based on?
3. If I Get Denied Twice For SSD or SSI Disability, What Do I Do?


And, in this warped sub-system, DDS agencies have become separate systems unto themselves. And that's why I also say as well that though RFC forms can handily assist with winning a case at a disability hearing, they may fall on deaf ears at the level of a disability application or disability reconsideration.

The answer to this ridiculous nonsense? Put all DDS agencies under direct federal control. Yes, federalize them and make DDS a part of the social security administration for real.

This won't happen, I suspect, because then the federal government would have to raise the salaries of disability examiners to bring them in line with what the social security field office workers makes (they make quite a bit more). And that won't ever happen, IMO. Not before, and certainly not in today's budget climate.








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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.

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.