Social Security Disability RC

How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
Social Security Disability list of impairments
How to Qualify for Disability, Mental Disability
Disability Lawyers FAQ, Disability Back Pay

The Decision on Social Security Disability or SSI is based on evidence of functional limitations



 
For a Social Security Disability or SSI claim that is being determined at DDS, or disability determination services, the outcome is based on evidence of functional limitations.

Functional limitations are extrapolated from the information contained in the claimant's medical records. What does the social security administration consider to be limitations? Specific limitations might refer to how long a person can sit, stand, or walk during the course of a normal work day. Or how much they can lift. Or whether or not they can tolerate heights and hazards, or see or hear or smell sufficiently.

There are mental limitations as well, and these can include a reduced ability to concentrate and pay attention, maintain a work pace, learn new information, remember previously learned information, avoid job hazards, and interact appropriately with other individuals such as work colleagues and managers, as well as an impaired ability to adapt to changes in the work environment, or

Functional limitations that are noted by the disability examiner will be used to determine whether or not the claim is approved or denied. However, the disability examiner does not make the decision entirely by himself. Before the case can be decided, the examiner will consult with one or more consultants that are part of the examiner's case processing unit.

If the claim is based on just one or more physical conditions, the examiner will consult with a medical consultant (very often, right down the hall from the examiner's cubicle or office) who is an M.D. physician. If the disability claim is based on a mental condition, the examiner will consult with PH.D. - level psychologist who is also part of the examiner's unit. Very often, as many cases involve both physical and mental conditions, the disability examiner will need to consult with, and obtain the approval of, both unit consultants before a final decision can be made.

Once the decision on the case is made, the claimant's file is transferred back to the social security office where it was originally taken.

Can a claimant contact disability determination services and speak to the disability examiner about their case? Yes, and it may even be possible to meet with the examiner to ask about the progress and status of the claim. However, in a large percentage of cases, the examiner will actually contact the claimant to inquire about their work history, medical history, or their daily activities.

Note: Information about ADLs, or activities of daily living, can give the disability examiner additional insights into what ways the claimant might be functionally limited. Or the reverse, indicating how capable they are actually are with regard to day-to-day tasks.

The disability examiner, however, cannot release any information to the claimant regarding what the decision on the case might be, or what the decision actually is (assuming that a decision has been reached). This is because formal notification must be made by the social security administration and also because some cases are randomly selected for quality control checks which, in a small percentage of cases, can actually change the outcome of a disability case.

How? If the quality control division, known as DQB--disability quality branch--finds that the disability examiner did not evaluate the medical evidence properly, or did not apply a regulation or rule properly, an approval can become a denial.








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Can you work while getting or applying for Disability?

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Previously answered questions regarding SSD and SSI

Applying for disability in your state



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Related pages:

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These pages answer some of the most basic questions for individuals who are considering filing a claim.

Can you get temporary Social Security Disability or SSI benefits?

Permanent Social Security Disability

What is the difference between Social Security Disability and SSI?

Who is eligible for SSI disability?

Can I Be Eligible For SSI And Social Security Disability At The Same Time?

What makes a person eligible to receive disability benefits?

Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?

What happens if I file a disability application and it is denied by a disability examiner or Judge?









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.