ssa and what happens when you have lawyer

by Keyon Powlowski II 10 min read

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 much does it cost to hire a lawyer for a hearing?

Is hiring a lawyer for your hearing worth the money? In the survey of readers we did, the average attorneys' fee for those who hired a lawyer for the hearing was $4,600 (though more than half paid the maximum fee of $6,000). But the hearing is the last good chance you have of getting approved for benefits, so you may decide it's worth part of your backpay to hire the lawyer (and you don't have to pay if you don't win).

What to do if denied Social Security disability?

If you're denied at the application level, it becomes more important to hire a lawyer. Disability lawyers know how to prepare a disability case for a hearing and they have the necessary expertise with Social Security rules and regulations to win at the hearing. Your lawyer may want to practice asking you questions that the judge might ask so that you aren't nervous at the hearing and so that you can testify (honestly) in a way that's helpful to your case.

How much does a lawyer charge for Social Security?

The only real con of hiring a lawyer is that, if you win your claim, the lawyer will receive part of your back payments from Social Security. The lawyer can take up to 25% of your backpay, up to a maximum cap of $6,000 (but the fee has to be based on the amount of time the lawyer spends on your case). When we surveyed readers, we found that the average fee collected by Social Security lawyers was $3,750, much lower than the maximum (and even lower in SSI cases: $2,900).

How long do you have to wait to get a disability hearing?

And if you don't want to wait upwards of two years for a hearing date, you might try to hire an attorney for help with the initial application.

How long do you have to wait to get a hearing?

If you don't want to wait upwards of two years for a hearing date, you might try to hire an attorney for help with the initial application.

Do disability attorneys get paid?

Generally, because disability attorneys get paid on contingency (only if you win), they are motivated to track down important medical records and test results and talk to your doctors, or at least obtain detailed statements from them. (Often, doctors are more likely to respond to an attorney’s request for a supportive statement than to a patient’s request.)

Can a lawyer help with a disability?

If your medical records are insufficient, your lawyer could also help you arrange for a breathing test or ejection fraction test before you apply, so that you have a better chance of winning disability at the initial application stage. If necessary, a disability attorney can request that Social Security schedule (and pay for) an exam with a doctor or psychologist.

What is the best way to find a lawyer for disability?

Your local Social Security office can provide a list of legal referral services and nonprofit groups, such as bar associations and legal aid organizations, that can either provide or help you find representation. The National Organization of Social Security Claimants’ Representatives also has a referral service, and you can search online legal directories such as Avvo, FindLaw and Lawyers.com for attorneys in your area who specialize in disability claims.

How much does Social Security pay a representative?

In a typical fee agreement, the representative's payment is capped by federal law at 25 percent of back pay or $6,000, whichever is less.

How to file SSA-1696?

Once you've chosen someone to handle your case, you need to notify Social Security in writing. Download an SSA-1696 form from the Social Security website and send the completed version to your local Social Security office. Alternatively, your representative can file it for you electronically. Both you and your representative will need to provide an electronic signature for verification.

What to do if you disagree with Social Security?

Having an attorney or advocate can be especially important if you disagree with Social Security's initial decision on your claim and file an appeal.

Who can fill out the SSDI application?

A lawyer or advocate can fill out the SSDI or SSI application on your behalf and help gather medical records and other evidence for your claim. They can review your application for mistakes or omissions that could hurt your chances of success and can join you for meetings or conferences with Social Security officials.

Can I get SSI with a professional representative?

Whether or not to seek such help is a personal decision and depends on your individual circumstances. But research has shown that having a professional representative can boost your chances of getting Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), the two SSA-run programs that pay benefits to people with disabilities.

Do disability lawyers get paid?

Most disability lawyers and advocates work on a contingency basis, meaning they only get paid if your claim is approved. Any fee agreement between you and your representative must be authorized by Social Security.

What is a hypothetical disability hearing?

At the disability hearing, your lawyer will ask you ask you a series of questions called "hypotheticals." These hypotheticals are designed to rule out the possibility that you can work any type of job due to the limitations imposed by your condition. For more information, see our article on how an attorney uses hypotheticals at a disability hearing. (Also, you may want to learn more in general about what to expect at your disability hearing .)

How long before a disability hearing can you speak to a client?

It is not unusual for attorneys to wait until a month before a disability hearing to first speak to a client. Up to that point, your only contact with the law firm may be with paralegals or staff members. Nonattorney staff members are generally responsible for making sure request for hearing deadlines are met and medical records are requested and received, and for communication with clients about pre-hearing matters.

What to do if your SSA does not meet the listing?

If your attorney thinks additional testing is needed to meet the listing, he or she may request that an SSA doctor examine you or that you schedule the necessary tests with your physician. If your condition does not seem likely to meet the listing, the attorney will look to other possible theories.

What can an attorney do to prove a disability?

There are three main possible "theories" an attorney can use to do this. Your lawyer can: prove that your condition meets a disability "listing". prove that you "grid" out of all work (including not being able to do your past work) prove that your non-exertional limitations prevent you from working, or.

How to prove you are not sedentary?

To prove you are not capable of sedentary work, your attorney will use the documented symptoms of your illness, the opinions of your treating doctors, your testimony, and any other objective medical evidence in your file to show why you can't do various sit-down jobs. For example, if your doctor has said that you can't lift more than 10 pounds or sit more than two hours per day, this will help prove that you are capable of "less than sedentary work," meaning that Social Security will have to find you disabled. (For more information, see our article on "less than sedentary" status.

How to win a disability claim?

First, your lawyer will review your denial letter from Social Security to get the agency's reasons it denied your claim so that these issues can be resolved in your favor. (For more information, see our article on denial notices .)

What does a legal professional do for disability?

Because Social Security frequently dictates the type of exam needed to win a claim for disability, a legal professional will review your medical records to determine whether you need to undergo additional testing. The legal professional may ask the SSA to schedule a consultative examination (CE) with one of their doctors or ask that you get the required testing done on your own, if need be.

What happens if my initial disability application is denied?

If, for some reason, your initial application is denied, your attorney can help you through the Social Security Disability appeals process and he or she will already be familiar with your case, having helped you prepare the information that was submitted with your claim. If your initial application for disability benefits is denied ...

What to do if your Social Security disability is denied?

If your initial application for disability benefits is denied and you have not yet met with a Social Security Disability attorney, you should do so before entering into the appeals stage of the application process.

What is the next stage of disability appeal?

The next stage of appeals, which almost all denied applicants must go through, is called a Social Security Disability hearing.

What does an attorney do for a disability?

What he or she can do is provide you with valuable guidance on how to gather the appropriate medical documentation needed to prove your disability case and how you should submit your application in the best light possible in order to increase your chances of being approved at the initial application stage.

How many appeals are won at a disability hearing?

This is where you will have your greatest chance of overturning the Social Security Administration's decision to deny your disability benefits. Nearly two-thirds of appeals are won at the disability hearing. With that being said, it is important to remember that your chances of actually receiving a favorable decision at your disability hearing are ...

How long does it take to get a hearing for Social Security Disability?

This resets the clock and delays your ability to receive Social Security Disability benefits. It can take more than a year to be scheduled for a hearing before an Administrative Law Judge.

What is the first step in the disability appeal process?

The first stage of the appeal process is called the Request for Reconsideration stage. When working with a disability lawyer, your attorney is likely to explain to you ...

What does a disability attorney charge for?

Disability attorneys often incur up-front costs in pursuing a disability case, mostly from obtaining medical records and getting opinions from treating doctors. Your lawyer may also charge you for the cost of postage, travel, copying, and long-distance phone calls. Your attorney will ask you to sign an expense agreement when you hire him or her.

How much money do you pay for disability after a hearing?

In the typical case where a claimant is approved for benefits after a disability hearing, the expenses will usually be no more than a few hundred dollars.

What is back pay for SSDI?

Back payments are benefits that accrued while you were waiting for Social Security to approve your case. The amount of your backpay depends on your onset date of disability, when you filed for benefits, and whether you're applying for SSDI or SSI. (To learn more, see Nolo's article on how SSDI back benefits are calculated .)

What are some examples of disability hearings?

Here are some examples: You fired your attorney and hired a second attorney. You are denied benefits at the disability hearing level and your lawyer appeals to the Appeals Council or to federal court.

Can a disability lawyer charge a fee?

A disability lawyer can petition to charge you a reasonable extra fee if you have to appeal your case multiple times before you win . Sometimes a disability case will require multiple hearings, an appeal to the Appeals Council, or even a trip to federal district court. These sorts of cases can drag on for many years and require a lot ...

Can Social Security approve a petition?

Social Security will approve the petition only if the fees requested by the attorney are reasonable. Social Security's decision as to whether the requested fee amount is justified will take into account the nature and amount of work performed by the attorney, the complexity of the case, the attorney's knowledge and experience, ...

Can a lawyer charge a fee for Social Security?

Under the contingency fee arrangement required by Social Security, your attorney may not charge a fee unless your case is successful. In order to collect fees from a client, an attorney is required to submit a fee agreement to Social Security. The fee agreement spells out the terms of the contingency fee and must be signed by both attorney ...

How long do you have to appeal a disability termination?

If you appeal a disability cessation and you want to keep receiving benefits until we make a determination, you must make a written request for benefit continuation within 10 days after the date you receive the written notice . You are entitled to a hearing with a disability hearing officer.

How to request reconsideration of disability?

If you disagree with the initial determination, you may request reconsideration by writing to us or by completing a Form SSA‑561-U2 (Re quest for Reconsideration) or a Form SSA-789 (Request for Reconsideration - Disability Cessation). Go to www.ssa.gov to complete an online request for a reconsideration on a disability claim or non-disability issue.

How long does it take to appeal SSI?

The notice will tell you how to appeal. If you file an appeal within 10 days of the date you receive your notice, your SSI benefits may continue at the same amount until we make a determination on your appeal. The notice will tell you if you are entitled to continued benefits.

How to check on my Social Security disability appeal?

To check the status of your appeal, create or log in to your personal my Social Security account.

What do you look for when you ask for an appeal?

When you ask for an appeal, we will look at the entire determination or decision, even those parts that were in your favor.

What is initial determination?

We call the determinations we make that you can appeal “initial determinations”. These determinations are SSA’s written findings regarding any legal or factual issue, including but are not limited to:

What happens after you file for SSI?

After you file an application for SSI, we will mail you a written initial determination. This is your first “initial determination”, but each time we make a determination about your eligibility or payment amount after that is also an initial determination.

What happens if SSA makes a favorable decision?

If SSA makes a favorable decision on the claim, SSA will either approve or disapprove the fee agreement when it issues the favorable decision. If SSA's decision on the claim is unfavorable, SSA does not make a determination on the fee agreement and will not provide notice about the fee agreement.

What happens if a claimant appoints a representative after submitting a fee agreement?

Therefore, if the claimant appoints a representative after submitting a fee agreement, the representative must sign onto the first agreement or the claimant and representative must submit an amended agreement signed by all.

What is the date of favorable decision?

The date we make a favorable decision is the date shown on the notice of favorable decision. It is not the date of adjudication or effectuation. For claims decided at the initial or reconsideration level, the date of the notice to the claimant is the controlling date. Therefore, if the claimant or representative submits, and we receive, a fee agreement before we issue the notice of favorable decision, the claim (s) will be processed as a fee agreement claim. For claims decided by the Office of Hearing Operations (OHO), the date of the notice of hearing decision is controlling. For claims decided at the Office of Appellate Operations (OAO), the notice of Appeals Council decision is controlling.

What is fee agreement?

A fee agreement is a written statement signed by the claimant and the claimants appointed representative (s) who expect to charge and collect for services before us (the Social Security Administration). This written statement details the fee arrangement between the parties. The appointed representative must submit the fee agreement before ...

What percentage of past due benefits exceeds the specified amount?

If 25 percent of the past-due benefits exceeds the specified dollar amount (e.g., $6000), the representative receives a fee equal to the specified dollar amount and retains the right to petition for an additional fee. (Representatives retain the right to request administrative review under the fee agreement process; however, they may not substitute the fee petition process for the fee agreement process once SSA issues a favorable decision.)

When does a claimant file an agreement with SSA?

The claimant or representative filed the agreement with SSA before the date SSA made a favorable decision. In concurrent titles II and XVI claims, the date of the favorable decision under the first title decided is controlling for both titles.

When do we approve a fee agreement?

If the representative submits a fee agreement before the date we make a favorable decision, we will approve the fee agreement at the time of the favorable decision if the statutory conditions for approval are met and no exceptions to the fee agreement process apply. Once we approve the fee agreement, the fee specified in the agreement is the maximum fee the representative may charge and collect for all services in relation to the claim.

What is disability representative?

Usually, though, disability representatives are either attorneys, or non-attorney representatives who are often former employees of the social security administration. Attorneys and non-attorney representatives charge a fee for representation, which is limited by Social Security rules and regulations.

How much can a disability representative charge?

Currently, the standard fee agreement will include a statement that the representative is allowed to collect twenty five percent of any back benefits payable to the disabled individual up to maximum of $6000.00 dollars . Of course, representatives may charge for incidental expenses along with the standard fee, such as for the cost of obtaining medical records. However, these expenses should also be clearly defined in the fee agreement.

Who can represent you on disability?

The Social Security Administration allows individuals who are filing for disability, or have filed for disability, to obtain representation to help them through the disability process. Who is allowed to represent individuals who are filing for disability? An individual who is filing for disability may potentially choose any person they wish to assist them with their disability case.

Is SSDRC a SSA website?

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 ...

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