how does a lawyer deal with a dr that won't help with disability

by Dr. Benny Dicki 9 min read

He or she can review your policy and medical records and determine whether you may have a valid disability insurance claim under your particular policy definitions. If so, the attorney can examine why your doctor is hesitant to assist you, and help you develop a strategy for moving forward productively. Search Our Site

Full Answer

Should I hire a disability attorney or a doctor for disability?

Doctors are sometimes more likely to respond to another "professional," like a disability attorney, rather than to their own patients. A disability attorney has experience dealing with medical professionals and is often better able to address their questions or concerns than the applicant. This ability often makes doctors more willing to help.

How can an experienced disability attorney help my case?

Experienced disability attorneys and advocates have practice dealing with doctors and explaining the disability process and expectations. This can make it easier to get the information you need from your doctor to help win your case. Need a lawyer? Start here.

Why would a lawyer refuse to represent a client on disability?

Because disability lawyers get paid only if they win, they sometimes decline to represent a person if they believe there is little chance of success of winning or if they determine that if the disability applicant is approved, there will be very little backpay or retroactive benefits from which to be paid.

Can I win my disability case without a doctor?

However, there are ways you can improve your chances of winning even without your doctor. A consultative examination (CE) is an examination performed by a doctor who has been hired by the SSA. CEs are not always helpful to the claimant; however, if you don't have a doctor who will work with you, it may be helpful to request one.

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What should you not say in a disability interview?

Making Statements That Can Hurt Your Claim – Unless you are specifically asked pertinent questions, do not talk about alcohol or drug use, criminal history, family members getting disability or unemployment, or similar topics. However, if you are asked directly about any of those topics, answer them truthfully.

How hard is it to get on disability?

Approval Rates For Denials. Social Security disability applications face an overwhelming 70% denial rate upon initial evaluation. That is a huge number but it is based upon several very different factors, such as applying for a condition that does not meet the criteria or lack of proper medical documentation.

How can someone lose their disability?

Exceeding income or asset limits: By far the most common reason individuals lose their benefits is by having too much income. SSDI beneficiaries may lose their benefits if they experience an increase in income from any source that pushes them over the individual income or asset limit.

Does disability contact your doctor?

Morton III, M.D. If you believe you might qualify for Social Security disability benefits, you need your doctor to support your claim for disability. You'll need your doctor to send your medical records to Social Security as well as a statement about any limitations you have that prevent you from doing work tasks.

What is the hardest state to get disability?

OklahomaOklahoma is the hardest state to get for Social Security disability. This state has an SSDI approval rate of only 33.4% in 2020 and also had the worst approval rate in 2019 with 34.6% of SSDI applications approved. Alaska had the second-worst approval rate, with 35.3% of applications approved in 2020 and 36.2% in 2019.

How can I increase my chances of getting disability?

Tips to Improve Your Chances of Getting Disability BenefitsFile Your Claim as Soon as Possible. ... Make an Appeal within 60 Days. ... Provide Full Details of Medical Treatment. ... Provide Proof of Recent Treatment. ... Report your Symptoms Accurately. ... Provide Medical Evidence. ... Provide Details of your Work History.More items...•

What is the monthly amount for Social Security Disability?

SSDI payments range on average between $800 and $1,800 per month. The maximum benefit you could receive in 2020 is $3,011 per month. The SSA has an online benefits calculator that you can use to obtain an estimate of your monthly benefits.

How often does Social Security Disability review your case?

If improvement is possible, but can't be predicted, we'll review your case about every three years. If improvement is not expected, we'll review your case every seven years. Your initial award notice will tell you when you can expect your first medical review.

Does SSDI do surveillance?

Unlike private insurance companies the SSA does not generally conduct surveillance investigations, but that doesn't mean that they can't or never will. Once you file a disability claim, the SSA looks for proof of your disability.

What conditions automatically qualify you for SSDI?

What Conditions Automatically Qualify You For Social Security Disability?Cancers (advanced stages)Cardiovascular system disorders (chronic heart failure)Neurological disorders (ALS, multiple sclerosis)Early-onset Alzheimer's disease.Musculoskeletal system (spinal disorders)Organ transplantation.Parkinson's.More items...

What are 4 hidden disabilities?

The four most common types of hidden disabilities are:Autoimmune Diseases. In most people, the body's immune system protects them from invaders like bacteria and viruses. ... Mental Health Conditions. ... Neurological Disorders. ... Chronic Pain and Fatigue Disorders.

What medical conditions qualify for disability?

Special senses and speech, such as impaired hearing, sight or speech. Respiratory illnesses, such as asthma, chronic obstructive pulmonary disease (COPD) and cystic fibrosis. Cardiovascular illnesses, such as arrhythmia, congenital heart disease and heart failure. Digestive system, such as bowel or liver disease.

What medical conditions qualify for disability?

Special senses and speech, such as impaired hearing, sight or speech. Respiratory illnesses, such as asthma, chronic obstructive pulmonary disease (COPD) and cystic fibrosis. Cardiovascular illnesses, such as arrhythmia, congenital heart disease and heart failure. Digestive system, such as bowel or liver disease.

What conditions automatically qualify you for SSDI?

What Conditions Automatically Qualify You For Social Security Disability?Cancers (advanced stages)Cardiovascular system disorders (chronic heart failure)Neurological disorders (ALS, multiple sclerosis)Early-onset Alzheimer's disease.Musculoskeletal system (spinal disorders)Organ transplantation.Parkinson's.More items...

What conditions are considered a disability?

The legal definition of “disability” states that a person can be considered disabled if they are unable to perform any substantial gainful activity due to a medical or physical impairment or impairments which can be expected to result in death or which has lasted or can be expected to last for a continuous period of ...

What is the average time to get approved for disability?

Generally, it takes about 3 to 5 months to get a decision. However, the exact time depends on how long it takes to get your medical records and any other evidence needed to make a decision. * How does Social Security make the decision? We send your application to a state agency that makes disability decisions.

What are the pros and cons of finding a new doctor?

Here are some possible pros to finding a new doctor. A new doctor may be more familiar with your particular condition and understand better how it affects you. A new doctor may be more familiar with the disability process. A new doctor may have a staff that is trained at responding to request for information from the SSA and your attorney.

What to do if your doctor won't help you?

If your doctor will not help you with your claim, you can consider finding a new doctor. Note, however, that this can be helpful or harmful to your case. You need to be aware of and carefully weigh the pros and cons of finding a new provider.

Why is it important to have your doctor's support?

By Melissa Linebaugh, Contributing Author. Having your doctor's support is critical to winning your disability claim. This is because the Social Security Administration (SSA) makes part of its decision based on what your doctor says about how your condition affects you. This means that if your doctor won't help you, ...

Why can't a doctor help with disability?

Sometimes your doctor will not help with your disability claim because he or she does not have the expertise to assess the full effects of your condition on your ability to work. In this case, a CE with a specialist could be helpful. This may be true in cases of low I.Q., for example, where a general practitioner is aware ...

What is a consultative exam?

A consultative examination (CE) is an examination performed by a doctor who has been hired by the SSA. CEs are not always helpful to the claimant; however, if you don't have a doctor who will work with you, it may be helpful to request one.

What happens if you don't have a supportive statement from your doctor?

If you get to the hearing level and still do not have a supportive statement from your doctor, the administrative law judge (ALJ) who hears your case will want to know why a doctor won't help you. Be ready to explain this honestly to the judge.

Do doctors have a reputation?

Know the Doctor's Reputation. Some doctors have a reputation of helping everyone and anyone with their disability claim. The SSA pays attention to doctors who work with claimants, and are aware that some doctors will support almost any claim. In these cases, the SSA may not give weight to the doctor's opinion about your condition.

How does the Social Security Administration Make the Disability Determination?

The Social Security Administration will request your most recent medical records, evaluate the records and determine if your conditions either meet a listing on the SSA Listing of Impairments or are so severe that they do not allow you to perform substantial gainful activity.

Who completes the Social Security disability application?

If you want to apply for either Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI), it is up to YOU to complete the SSI or SSDI disability application.

Activities of Daily Living- Do I need to provide this information to the SSA?

Some claimants refuse to answer questions or put “not applicable” on all the questions they do not want to complete, than they complain that they keep getting denied. If there is any advice that claimants should heed it is this, “The Social Security Administration will not do the work for you.

What do doctors do to help you get Social Security Disability?

Do your doctors have a role in the disability decision at all? They will not be asked to make a disability decision. In fact, if they state you are disabled this will not guarantee you will receive benefits.

What to do if your doctor doesn't want to help you?

You should also tell your doctor that his or her opinion on your disability will in no way impact his or her license or practice. If your doctor doesn't want to help because he or she thinks the process is too time consuming, show the doctor an RFC form.

Why won't my doctor help me with disability?

Here are some examples of common reasons doctors won't help their patient with disability forms. Unclear expectations. Frequently doctors don't understand exactly what is expected of them. They may think the forms you need to have filled out will be lengthy and complicated.

Why do doctors testify on disability?

Because disability claims often end up at the hearing level, some doctors may worry that they will be called to testify on your behalf or otherwise caught up in lengthy litigation. Some doctors are concerned that their reputations could be adversely affected if Social Security disagrees with their opinion.

What is a residual functional capacity assessment?

An RFC is a detailed report that discusses the limitations you have because of your condition, and how the limitations affect your ability to do certain work-related activities. (You can also learn more about the importance of RFCs here.)

Why won't my doctor fill out my RFC?

Unfortunately, if your doctor won't fill out any forms because he or she thinks you are not disabled by your condition , it may be difficult to convince him or her to complete an RFC for you. If your doctor feels you can work, try to determine the doctor's basis for the opinion.

Why can't doctors help you?

This means that some doctors may not help you because they do not want to "support" what they perceive as an entitlement program. In these cases, the physician may feel reluctant to label you as "disabled," knowing that it may result in an approval of benefits. Medical opinions about your disability.

What to do if your doctor doesn't understand what you are supposed to do?

If you doctor doesn't fully understand what is expected of him or her, you should ask your attorney, if you have one, to contact the doctor's office to explain. If you do not have an attorney, you should reassure the doctor that once the form is completed and given to Social Security, the doctor's involvement ends ...

What is a vocational expert?

Vocational experts (VEs) are experts hired by the SSA to testify at hearings about what work they think applicants can do in light their medical conditions. At the hearing, the ALJ will pose a series of questions to the VE called "hypotheticals." These questions use the applicant's documented symptoms to see what kinds of jobs an applicant can do. If the VE testifies that a claimant can still work, the ALJ will almost always deny the claim.

What are the bad facts about disability?

Sometimes "bad facts" come in the form of a doctor's opinion that states that the applicant is not disabled or that the applicant is exaggerating symptoms. Other times, an applicant has not seen a doctor for many years or has been inconsistent with following a treatment plan, either of which can hurt the applicant's chances. Regardless of the specifics of the "bad facts," disability attorneys are often able to confront and explain the issues to the ALJ in ways that minimize damage to the applicant's case.

Why is it important to have an ALJ?

This is important because the attorney understands, for example, how each ALJ likes a hearing to be conducted and whether the ALJ has any biases towards certain medical conditions.

Why don't doctors help with disability?

A supportive opinion from your doctor (s) is vital to winning a disability claim. However, doctors are sometimes unwilling to help disability applicants. There are many different reasons why doctors may not want to help; for example, a doctor may be unsure about how the disability process works or may be too busy to fill out forms. Some doctors may have personal opinions about Social Security benefits that make them unwilling to help. Also, a doctor simply may not believe the applicant is disabled.

What is grid rule?

the combination of the applicant's impairments prevents the claimant from working. the grid rules direct a finding of disabled. the applicant's medical condition meets or equals a listing. the applicant has both exertional and non-exertional impairments that prevent the claimant from working, or.

Why are lawyers more likely to win on appeal?

Applicants with lawyers are more likely to win on appeal is because most disability attorneys have extensive experience with the appeal hearing process. This experience gives attorneys the specialized skills needed to win your appeal. Experienced disability attorneys have also learned to work through the process correctly so there are as few additional difficulties as possible.

What is disability lawyer?

Disability lawyers are trained to counter negative testimony presented by the vocational expert and to elicit supportive opinions. This skill requires an understanding of the complex way in which different jobs, and the skills needed to do them, are categorized.

Why won't disability lawyers help me?

Recently on our forum we had a user ask, “What if I need to appeal my Social Security Disability Insurance (SSDI) application denial but disability lawyers will not help me? Can I make the appeal on my own?” This is a great question, but the better question is should you appeal the denial. We will discuss this question below.

Why would a disability lawyer not take my case?

Disability lawyers work on a contingency fee basis which means they will only take a case if they think they have a chance to win; otherwise, they do not get paid. So, before you decide whether to file an appeal on your own you need to find out why you were denied and why the disability lawyer refuses to help you.

Can I file the Reconsideration appeal on my own without disability lawyers?

Yes, you have 60 days to file the Reconsideration paperwork to the Social Security Administration (SSA). If you do not file the paperwork in time, under most conditions, you will have to file another SSDI disability application and start the process again.

What is the evidence of untreated alcohol or substance abuse?

evidence of untreated alcohol or substance abuse (unless claimant agrees to immediate treatment) claimant was "fired" by another disability attorney. claimant expresses unrealistic expectations, or. combative or disrespectful behavior of claimant towards the attorney or staff. Logistical or financial reasons.

What happens if a claimant has not had medical treatment?

This usually happens when a claimant has not had access to health insurance or is ineligible for medical assistance. If the claimant has older supportive medical records that indicate a disability, an attorney or firm may decide to take the case and help the claimant get further testing either by requesting a consultative examination by the SSA or by helping the claimant find affordable community healthcare.

What is disrespectful behavior in disability?

Disrespectful Behavior. The disability process is stressful and attorneys and their staff members well understand this. However, attorneys will not tolerate abusive or disrespectful language directed at themselves or their staff no matter how good the case.

What happens if you don't have medical evidence?

Lack of Medical Evidence. If there are legitimate reasons that a claimant has not had consistent medical treatment, an attorney or law firm could still decide to take the case. This usually happens when a claimant has not had access to health insurance or is ineligible for medical assistance. If the claimant has older supportive medical records ...

Why do disability attorneys decline to take cases?

Concerns about disability applicant. An attorney or law firm may decline to take a case if they feel the client may be troublesome or is not trustworthy, which may be evident if any of the following factors are present: inconsistent statements from the claimant, or dishonesty.

What is a malingerer?

inconsistent statements from the claimant, or dishonesty. evidence that claimant is a malingerer (faking an illness or pretending the impairment is worse than it is) claimant has done "doctor shopping" (usually done to obtain pain medication)

What to do if you have behaved inappropriately towards an attorney?

Therefore, if you have behaved inappropriately towards an attorney or firm staff member, you should apologize directly to the attorney or staff member and provide a written letter of apology. Remember, though, that an attorney can cease to represent you if there is a relapse in your behavior.

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