how does a lawyer help with disability appeal

by Lesley Conn 3 min read

SSDI lawyers and advocates perform a wide variety of tasks as part of their representation, including:

  • explaining how the disability process works
  • evaluating the strength of your case
  • helping you file your initial application or appeal
  • developing medical evidence (explained below)
  • preparing you for your disability hearing, and
  • representing you at your hearing.

At the appeals stage, a Social Security Disability appeal lawyer could help you by: Preparing you for questions you may be asked by the administrative law judge (ALJ) Ensuring you meet all appeal deadlines. Submitting additional medical evidence to support critical issues in your case.May 15, 2020

Full Answer

How can a disability lawyer help my disability case?

May 05, 2020 · While a social security disability appeal lawyer might help you get medical records faster, they usually charge you. Once you get your medical records, you must review them to see if they are incomplete. Make sure you have hospital records, prescriptions, and medical bills related to your disability. Doctors’ Notes

Do I need an attorney for my disability appeal hearing?

Feb 09, 2022 · What Your Attorney Will Do At Your Disability Appeal Hearing. At your hearing in front of an ALJ, your disability lawyer will ask the "vocational expert" a series of questions called "hypotheticals." These hypotheticals are designed to rule out the possibility that someone with your limitations can work any type of job.

What happens when you get a disability lawyer?

Our Disability Attorneys Can Help You File an Appeal Our experienced SSDI and SSI attorneys can help you prepare and file an appeal for your case. We also work with you so you will be prepared for any testimony you must provide, as well as gathering the appropriate medical examinations, records, and vocational testimonies to strengthen your claim.

Why should I hire a disability attorney?

May 28, 2020 · Disability Insurance Claims Is What Our Lawyers Do Nationwide Disability Attorneys Dell & Schaefer Established in 1979, our law firm has helped thousands of claimants nationwide to collect short and long term disability insurance benefits.

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What Happens When I First Call A Disability Attorney?

When you first contact an attorney for representation, either the attorney or a firm staff member will conduct an initial interview with you to gat...

How Will My Attorney Develop My Medical Evidence?

Your attorney, or a staff member in the law firm, will request the medical records needed to win your claim and submit them to the Social Security...

How Will My Attorney Help Me Get Ready For My Hearing?

It is not unusual for attorneys to wait until a month or two before a disability hearing to first speak to a client. Up to that point, your only co...

Will My Attorney Arrange Witnesses For Me?

The SSA allows you to bring a witness to testify about your disability, but because witnesses can be harmful or helpful, your attorney will decide...

How Will My Attorney Argue My Case?

Your disability lawyer will determine the best way to win your case. First, your lawyer will review your denial letter from Social Security to get...

How to prove disability?

Next, your attorney will develop a "theory" of why you are disabled under Social Security disability law. Your attorney will write a legal brief for the judge explaining the theory of the case. There are three main possible "theories" an attorney can use to do this. Your lawyer can: 1 prove that your condition meets a disability "listing" 2 prove that you "grid" out of all work (including not being able to do your past work) 3 prove that your non-exertional limitations prevent you from working, or 4 prove that your exertion level is " less than sedentary ."

Can an attorney represent you?

You must answer all of your attorney's questions as honestly as you can—even if the questions are embarrassing or you feel ashamed of the answers. Otherwise, your attorney cannot represent you effectively. Remember that your attorney is not there to judge you, but to help you win your claim.

What to do if disability is denied?

When your disability benefits application is denied and you decide to appeal the decision , you should first research the disability lawyers in your area. Once you decide on a law firm to contact, you will call their office and they will perform an initial review of your case. The lawyer will look at the details of your case and why you were denied before deciding to represent you.

What does a lawyer do after reviewing a case?

Your lawyer will review the details of your case and determine the best way to pursue your claim. After reviewing everything, your lawyer will be able to determine the best way to proceed with your claim and the likelihood of your claim being approved.

How to get access to medical records?

Most importantly, they will contact your treating doctors to get written statements about your disability diagnosis; prognosis; and a residual functional capacity (RFC) assessment, which shows the functional limitations of your disability that make it unable for you to work.

What to expect before SSA hearing?

Before your hearing with the SSA to determine if your case was wrongfully denied, your lawyer will hold a pre-hearing meeting with you to go over some of the potential questions you will be asked. This will be either in person or over the phone. Among the many questions, these may include:

What is disability insurance?

Disability benefits are a federally run program through the Social Security Administration (SSA) that provides financial assistance to those who have become disabled and are unable to work to earn a living wage. Disability benefits can be used to cover the costs of medical bills and everyday living expenses.

Do you have to pay a lawyer if you win a case?

Paying Your Lawyer. As with most legal cases, your lawyer will only be paid if you win your case. You will need to sign a contingency fee that says the SSA will pay your lawyer if you win your case. The money that is paid to your lawyer will come out of your back payment amount.

Why Are Most Claims for SSDI and SSI Denied?

Most SSDI and SSI claim rejections have nothing to do with the person’s qualifications. The Social Security Administration is a typical government bureaucracy that demands numerous details from you while not operating efficiently. In all the paperwork and runaround involved, many legitimate claims are denied.

How Do I Appeal My Rejected Claim for SSDI or SSI?

There are four basic levels of appeal when your initial claim for SSDI or SSI has been denied. Both benefit programs follow the same process of appeal. Our SSDI attorneys can help you prepare to submit a revised and improved claim that provides adequate information at any of these levels.

1. Reconsideration

This step involves a complete review of your claim by a new party that was not involved in your initial decision. They will review the entire case plus any new evidence presented.

2. Hearing by an Administrative Law Judge

If you disagree with the decision made at the reconsideration stage, you may request a hearing by an administrative law judge. This formal hearing will include testimony by medical and vocational witnesses as well as presentations of existing and new evidence. The judge may also ask for more specific information.

3. Review by the Appeals Council

If you disagree with the decision from your hearing before an administrative judge, you may request a formal review of your case by Social Security’s Appeals Council. This council looks at all requests for review but may refuse to review a previous decision they believe is correct.

4. Federal Court Review

If you disagree with the Appeals Council’s decision or if the Appeals Council decides not to review your case, you may file a lawsuit in a federal district court.

We Can Help You File an Appeal

Our experienced SSDI and SSI attorneys can help you prepare and file an appeal for your case. We also work with you so you will be prepared for any testimony you must provide, as well as gathering the appropriate medical examinations, records, and vocational testimonies to strengthen your claim.

What can a disability lawyer do?

A disability lawyer will also contact your treating physicians to obtain their written opinions (usually on a lengthy form) about your ability to work. Often, doctors are more likely to respond to an attorney's request than to a patient's. Additionally, if your medical history is insufficient to support your claim, a disability attorney can request that Social Security schedule psychological or physical exams.

What is objective medical evidence?

Objective medical evidence is the most important component at the disability hearing level. The ALJ uses your medical records to assess your testimony about your disability, and to formulate questions to pose to a vocational expert (VE) who will likely be at the hearing. Here is how having a disability lawyer can help you win your disability claim ...

What is a vocational expert?

A vocational expert (VE) is a consultant hired by the Social Security Administration (SSA) to testify at your hearing as to his or her opinion about your ability to work based on your impairments. During the hearing, the ALJ will ask the VE questions about your ability to work based on certain documented work restrictions.

Can you be nervous before a hearing?

You may be nervous before your hearing, which can make you more likely to make a mistake. Your attorney will be very familiar with the procedure of hearings than you will be, and can tell you what to expect. This can help allay any fears you have before your hearing.

Can an ALJ deny a disability claim?

If your medical records are incomplete, or there are inconsistent reports or gaps in your treatment history , the ALJ may have grounds to deny your claim. Therefore, one of the most important services a disability attorney can perform is gathering the proper medical records and submitting them to the court. Although you can request records yourself, an attorney can usually get them more quickly. An attorney will also know when your medical records need updating.

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.

How long does a disability last?

To receive disability, the condition must be expected to last a year or longer or it must be expected to culminate in your death. Disability claims can be complicated, and the odds of having a claim approved aren’t always in the favor of the disabled worker. Those who have a disability advocate or a Social Security Disability attorney representing ...

What happens if a claim is denied?

After the claim is denied, you will file a request for reconsideration. Upon the reconsideration review, very few claims are approved. After the second denial, you can request a hearing before an administrative law judge.

What to do if you are unable to work?

If you are unable to work and are seeking disability benefits, there are many ways that a lawyer can help your claim. First off, the key to a successful case is hard medical evidence and other supporting documentation that proves your condition is so limiting you are unable to work.

What happens if you get denied Social Security?

When your initial claim for Social Security disability is denied you will have to go through an appeal process. People who have legal representation at this stage are often more successful in being approved for benefits than those who decide to go on and represent themselves.

Can an attorney represent you at a hearing?

An attorney can represent you at this hearing and will be able to help you prepare for questioning at the hearing. An attorney will be able to determine what kinds of questions you will be asked and will be able to help you determine the best way to proceed with your claim.

How long does it take to get backpay?

You cannot receive backpay for more than 12 months before your application date minus the five-month waiting period. However, it can often take several months to have a disability claim approved and those months are added into the count for backpay.

Do disability attorneys get paid?

Disability attorneys and advocates take cases on the contingency basis. This means that your advocate or lawyer isn ’t paid until your claim is approved and you get disability benefits.

What happens if you don't have a lawyer at a disability hearing?

If you don’t have legal representation at the hearing, the judge won’t expect you to act like an attorney. They will walk you through the process. You also won’t be expected to know medical terms like a doctor. Instead, the questions will largely focus on your personal experience and how your disability affects your capacity to do things.

What happens if you are denied a disability?

If you get denied, you won’t have to pay anything. It’s essentially a win-win situation. But if you’re confident that you can win your case yourself, here are some tips and tricks to ace the disability appeals process.

How long does it take for a disability to be reconsidered?

The SSA only gives you 60 days to file a request for reconsideration. If you fail to do so, you will have to start the application process all over again. Another thing you need to secure is relevant medical evidence to support your claim.

What evidence do you need to prove your disability?

Among the evidence you need to get are medical records and doctor’s opinions. Take note that you only need to get “relevant” ones. Meaning, only those that can help prove your disability. If your claim is based on a shoulder injury, you don’t have to submit dental or gynecology records.

What to do if SSA denies claim?

First is filing a written request for reconsideration. If the SSA still denies your claim, you will need to go to an Administrative Law Judge (ALJ) hearing. If after the hearing your claim still got denied, you can go to the Appeals Council who has the final say.

How long does it take to get a hearing with the ALJ?

Like the request for reconsideration, you only have 60 days to request a hearing with the ALJ. You can submit the request online or print the forms (Form SSA-3441, Form SSA-827, Form HA-501) and bring it to the SSA office nearest you. They also accept applications by phone. Just contact your local SSA office.

Who is Judy Ponio?

Judy Ponio is a writer for Victor Malca Law P.A. and enjoys helping people with questions about social security, workers compensation, and other serious matters involving people’s livelihood. She is not an attorney and her writing should not be considered legal advice.

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Lawyers and Social Security Disability

  • Disability benefits are a federally run program through the Social Security Administration (SSA) that provides financial assistance to those who have become disabled and are unable to work to earn a living wage. Disability benefits can be used to cover the costs of medical bills and everyday living expenses. Being denied disability benefits is common, and if you feel that your a…
See more on disabilitybenefitscenter.org

Initial Review

  • When your disability benefits application is denied and you decide to appeal the decision, you should first research the disability lawyers in your area. Once you decide on a law firm to contact, you will call their office and they will perform an initial review of your case. The lawyer will look at the details of your case and why you were denied before deciding to represent you. Most disabili…
See more on disabilitybenefitscenter.org

Gathering Medical Evidence

  • In order togain access to your medical records to gather evidence, the lawyer will have you sign a medical privacy release that allows them to do so. Most importantly, they will contact your treating doctors to get written statements about your disability diagnosis; prognosis; and a residual functional capacity (RFC) assessment, which shows the functional limitations of your di…
See more on disabilitybenefitscenter.org

Pre-Hearing Meeting

  • Before your hearing with the SSA to determine if your case was wrongfully denied, your lawyer will hold a pre-hearing meeting with you to go over some of the potential questions you will be asked. This will be either in person or over the phone. Among the many questions, these may include: The key to a successful disability claim is to prove that your medical records support your claim…
See more on disabilitybenefitscenter.org

Developing Theory For Your Case

  • Before your hearing, your lawyer will also develop a theory for why you are disabled, and use this as a strategy to present your case in court. The possible theories for your disability include: • Your condition meets a disability listing • You can’t perform your prior jobs, a.k.a., you “grid out” • You can’t perform even a sedentary, or sit-down, job
See more on disabilitybenefitscenter.org

Paying Your Lawyer

  • As with most legal cases, your lawyer will only be paid if you win your case. You will need to sign a contingency fee that says the SSA will pay your lawyer if you win your case. The money that is paid to your lawyer will come out of your back payment amount. Usually, the lawyer is paid around 25% of your back payment lump sum, up to $6,000. For example, if you are awarded $20,000 in b…
See more on disabilitybenefitscenter.org

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