what is the approval rating on ssdi reconsideration appeal when you hire a lawyer

by Asha Bednar 8 min read

Full Answer

Should I hire a Social Security disability appeal lawyer?

If you decide to submit an appeal for a disability application, you don’t need to hire a social security disability appeal lawyer. However, representing yourself during a disability hearing might be intimidating. An experienced disability advocate helps improve your chances of winning your claim.

How do I request a Social Security disability reconsideration?

You can request this reconsideration in writing by contacting the Social Security Administration. The reconsideration process simply involves a review of your application by a disability claims examiner who was not involved in the initial decision.

What is the approval rate for Social Security disability claims?

The approval rate for Social Security disability (SSDI) and SSI disability claims varies, depending on the level at which claims are reviewed and where they are reviewed.

Can I represent myself during a Social Security disability hearing?

However, representing yourself during a disability hearing might be intimidating. An experienced disability advocate helps improve your chances of winning your claim. Advocates have specialized knowledge of Social Security’s rules and regulations for benefits. If you need to appeal your disability application, our advocates know how to help.

What are the chances of winning a disability reconsideration?

On average, the approval chances on reconsideration are only 13%. This means that only in 13% of the cases that were originally denied, DDS reversed the denial into an approval.

What are the chances of winning at the appeals Council?

What Are My Chances of Winning at the Appeals Council Level? The Social Security Administration reports that on average, this is how Appeals Councils decisions end up: 72% of the Requests for Review are denied. 22.5% of the cases are remanded to an ALJ.

Is reconsideration good for disability?

If your application is denied and you wish to receive Social Security Disability benefits, your best chance for success is to file for reconsideration with the Social Security Administration (SSA). Most disability claims are denied during the initial review.

What percentage of Social Security disability claims are approved?

According to the Social Security Administration (SSA), the average acceptance rate of initial applications is 22 percent, and approximately 63 percent of SSDI applications are denied. Understanding why these applications are not approved may help you be successful if you need to apply for benefits.

How long does a SSD appeal take?

A reconsideration appeal can usually be decided in as little as four weeks or as long as twelve weeks; whereas an application for disability can take as long as six months (usually, if it takes this long it is due to difficulties in procuring medical records from various doctors and other medical providers).

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.

What happens after reconsideration is denied?

If you are denied at the reconsideration, you can ask the SSA for a hearing with an administrative law judge (ALJ). This request needs to be in writing within 60 days of your reconsideration notification by filling out the form online, printing and mailing them, or by writing a letter stating your desire for a hearing.

What is the difference between a reconsideration and an appeal?

If you're asking for a reconsideration, you're not appealing. It's sort of a new claim, a reopened claim, whatever you want to call it. You've got to say, “I disagree” and now there's a form that you have to use.

How long after I receive my award letter will I get my money?

Typically, claimants can expect to receive Social Security disability award letters within one to two months from the date they're approved, but in many instances, the wait may be significantly shorter, or longer. The timing of award letters depends on what stage of the process you're at—initial application or appeal.

What conditions are automatically approved for disability?

What Conditions Automatically Qualify You for Disability?Musculoskeletal disorders (e.g., bone, joint injuries, skeletal spine injuries)Special senses and speech (e.g., visual disorders, blindness)Respiratory disorders (e.g., chronic bronchitis, emphysema, asthma)More items...

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 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.

Who decides the initial appeal of a Social Security disability claim?

The approval rate for Social Security disability (SSDI) and SSI disability claims varies, depending on the level at which claims are reviewed and where they are reviewed. Hearings are decided by federal administrative law judges (ALJs), whereas the initial application and the reconsideration (the first level of appeal) are decided by state employees at state Disability Determination Services (DDS) agencies.

Who makes disability determinations?

While the rules governing Social Security disability cases are the same in every state (SSDI and SSI are federal programs), the disability determinations are made by people—either by claims examiners and medical consultants at DDS or by ALJs at hearing offices.

Why is there geographic variation in disability benefits?

A Social Security study that the SSA published in 2018 found that the geographic variation in the receipt of disability benefits stems from both differences in health and socioeconomic factors like access to health care, education, and unemployment rates.

How many applications are approved at the initial application level?

Only about a third of applications are approved at the initial application level but almost half are approved at the appeal hearing.

Do ALJs have higher approval rates?

Cases heard by ALJs have a significantly higher rate of approval than cases that are decided at the application and reconsideration levels. For instance, almost half of disability applicants who appeal and attend a hearing with an ALJ are approved for benefits, while only about a third of applications are approved at the initial application level and only 13% of applicants are approved at the reconsideration level.

Who decides the hearings?

Hearings are decided by federal administrative law judges (ALJs), whereas the initial application and the reconsideration (the first level of appeal) are decided by state employees at state Disability Determination Services (DDS) agencies. Cases heard by ALJs have a significantly higher rate of approval than cases that are decided at ...

Do disability benefits get approved?

Of course, these approval rates are based on the thousands of applicants who apply for disability benefits. There are many factors that go into whether a claim will get approved. Many of these people who apply for benefits have impairments but are not yet unable to work, while others are seriously disabled. If you have a very severe impairment or medical condition, you, of course, have a better chance of winning your claim. (To find out approval rates from a survey we took of our readers, read our survey statistics on claim approval rates for various medical conditions .)

What should an SSA disability attorney explain?

A disability attorney will also know other things to include in the appeal process to make your claim stronger.

How long do you have to appeal a rejection?

After you receive your rejection decision, you only have 60 days to file an appeal. Appeals sent in after 60 days are most likely dismissed, so it’s very important that you meet this deadline. There are three levels of appeal (reconsideration, ALJ hearing, and Appeals Council review) and each one of these levels requires specific paperwork and forms that need to be filled out.

How to contact Lowery Law Group?

Are you ready to hire a disability lawyer? Are you hoping to receive Social Security Disability Insurance benefits or an injury or illness? Then contact Lowery Law Group at info@lowerylegal.com or call (843) 991-0733. There is no fee for a free consultation regarding your claim. Lowery Law Group is experienced in handling cases in South Carolina as well as Georgia.

Can you attach a page on SSA?

However, you are allowed to attach a page with a longer explanation. You’ll just have to write “Please read attached page” or something of that sort to let them know.

Is there a right way to get approved for SSDI?

But while there is no one right way to get approved, what are some tips for receiving SSDI benefits? Here is what you need to know when it comes to the SSDI appeal process.

What to do if SSA denies reconsideration?

If the SSA denies your reconsideration request, you have the option to continue with the appeals process. The next step would be to take your case before an administrative law judge at an appeal hearing. As mentioned, it is strongly recommended that you retain the services of an experienced disability benefits attorneys to help you in preparing for the hearing.

How long does it take to get a disability reconsideration?

In fact, you need to take action sooner rather than later. If you fail to file your request for reconsideration within this 60-day window, you will be forced to go back to square one and re-file a new application.

How Long Does the Reconsideration Process Take?

When you request reconsideration of your disability benefits application, expect the review process to take anywhere between three and five months. Once the SSA reaches a decision on your reconsideration appeal, the agency will send you a letter detailing its decision on your disability benefits application. This letter will also detail how the SSA reached its decision on your disability benefits application.

What to do if disability is denied?

The key is to not give up hope and press forward by filing an appeal of the denial. The first step of the appeal process is to request reconsideration.

How long does it take to get a reconsideration from Social Security?

While you technically have 60 days to submit your request for reconsideration, it is important to remember that the longer you wait to file your reconsideration request the longer it will take to receive a decision regarding your appeal for reconsideration. You may wish to consult with a Social Security Disability attorney to assist you in your ...

What to do during reconsideration process?

During the reconsideration process, make sure to provide the SSA with updated information concerning your doctor’s visits, new treatments, any work activities, and so forth.

When filing a request for reconsideration, is it important to do all that you can to strengthen your case?

When filing a request for reconsideration, it is important to do all that you can to strengthen your case in order to increase the likelihood of having your disability benefits application approved at this point in the process. Here are some specific tips:

What is the form for reconsideration appeal?

When you are filing a reconsideration appeal, you are required to submit a specific form. This is known as the Form SSA-561. In addition, you must also provide a Reconsideration Disability Report. This report essentially augments your original claim by furnishing new and relevant information pertaining to your application.

How long does it take to appeal a Social Security denial?

Social Security Administration (SSA) communicates the denial of your application in the form of a denial letter. Once you receive this letter, you have 60 days from the date stated on the letter. It is important to submit your appeal in writing within this period. If you are delayed and submit an appeal after the 60-day window, your appeal will almost certainly be denied.

What can a disability lawyer do?

A qualified Social Security disability lawyer can help you in filling and submitting SSA forms, gathering relevant evidence, as well as managing other activities related to your appeal. On your own, you may feel overwhelmed given the complexity of the process. With a lawyer by your side, you are able to avoid any mistakes and ensure that you file an appeal without wasting any time.

What is the first stage of disability appeal?

These stages are different levels at which you can appeal against the denial of your application. The first of these stages is disability reconsideration. This stage is not very different from the initial application although there are some key differences. Here are some tips you can use to improve your odds of success at the disability reconsideration stage.

What is the third form for disability?

As the name suggests, this is a medical release form that allows SSA to access the medical records related to your disability.

What to do if your disability application has been denied?

If your initial application has been denied, it is important that you submit additional medical evidence and documentation when filing for Disability Reconsideration.

Is it a good idea to be honest with your disability?

It is always a good idea to be completely honest and transparent when presenting your viewpoint and evidence for a Social Security disability application. This also applies during the reconsideration process. You should present a realistic view of your medical condition and the limitations imposed by it. Any ambiguity or dishonesty on your part as an applicant can not only damage your odds of success at this stage, it can also harm your chances of success at subsequent levels of appeal.

What to do if you lose a reconsideration hearing?

If you lose the reconsideration, you should definitely consider hiring a lawyer for the appeal hearing. To learn more, read our article on how hiring a disability attorney can help you win benefits.

What happens if you get denied Social Security?

When you apply for Social Security and your claim is denied, there are several levels of appeal that you can go through. Reconsideration is the first level of the appeals process in most states. You can request this reconsideration in writing by contacting the Social Security Administration.

Can you win a reconsideration if you have evidence of a medical condition?

Most reconsiderations are denied, so your chances of winning at that stage of appeal aren't good unless you have evidence that your medical condition has deteriorated -- or new evidence that you didn't have the first time around.

How long does it take to get a reconsideration from Social Security?

A surprising number of disability claimants miss this deadline; they make the mistake of thinking the deadline is that their request for reconsideration has to be postmarked within 60 days from when they receive their notice of denial. It actually has to be in the Social Security office, not postmarked, within 65 days from the date stamped in ...

How long does it take to appeal a Social Security denial?

Social Security allows 60 days from the date of denial (plus 5 days grace for mailing time) for an appeal to be at the Social Security office.

What to do if your Social Security disability is denied?

If your initial application for Social Security disability benefits has been denied, it may be a good time to talk to a lawyer. If your application for disability has been denied and you intend to appeal, you can either file a reconsideration appeal on your own, or find a claims representative to do this for you.

Can a disability attorney help you change your odds?

A representative (a disability attorney or non-attorney representative) may be able to help change your odds if you omitted something important on your application, but there's no guarantee. This means you will likely have to file a second appeal.

Who decides the second appeal?

The second appeal is decided by a federal administrative law judge (ALJ) at a disability hearing, and before your hearing you should absolutely have legal counsel. (Here's how a lawyer will help you at the hearing .)

Do ALJs get disability?

Study after study has shown that ALJs are significantly more likely to award disability benefits to those who are represented than to those who choose to represent themselves. Typically, about 40% of unrepresented individuals who apply for SSI or SSDI and have their case taken before a administrative law judge (ALJ) will end up winning disability benefits. About 60% of individuals who are represented (by an attorney or non-atttorney rep) will end up winning disability benefits.

How long does it take to get a disability reconsideration?

The reconsideration process for disability claims involves a thorough review of your case and application. You have 60 days from the date you receive the denial ...

What if my reconsideration is denied?

In fact, only about 15% of requests for reconsideration are approved. If you are denied at this stage, we can appeal the decision by requesting a hearing with an administrative law judge. Like the reconsideration process for disability claims itself, the hearing process is also lengthy, has multiple stage, and requires gathering important documentation and information.

How many disability claims were denied between 2001 and 2010?

While both programs are intended to assist those financially with an impairing disability, many initial disability claims are denied. In fact, about 53 percent of applications between 2001 and 2010 were denied, according to an SSA report. That is where the reconsideration process for disability claims comes in.

What to do if your Social Security disability is denied?

If your Social Security disability application has been denied by the Social Security Administration, you may need to file a “request for reconsideration”. Here, we will discuss the reconsideration process for disability claims and answer the common questions asked by our clients.

What happens after you file for reconsideration?

After you file your request for reconsideration, the file is sent to a different person at Disability Determination Services. From that point, DDS reviews your file in the same way that it did during the initial application. They can send you to a doctor for an examination. They can send the file to a doctor for review.

Why is Social Security denied?

Many requests are denied because they’re incomplete or completed incorrectly. Unfortunately, many individuals who truly qualify for and need the disability benefits are denied.

What happens if you are approved for unemployment?

If you’re approved, great! In most cases, you will begin receiving benefits. You should expect a “Notice of Award” that explains how much you will be receiving. This includes back benefit payments as well as your monthly benefit payments. We like to review these to ensure they are accurate.

How long do you have to appeal a disability claim?

If the SSA denies your initial application for benefits, you need to submit an appeal 60 days after your denial. You can do this online or through the mail. During your appeal, the Social Security office lets a different examiner review your application. If this examiner determines that the first reviewer made a mistake, they approve your appeal. Applications denied in this step must apply for a disability hearing to argue their case in front of a judge.

What to do if SSA denies SSDI?

If the SSA denies your application for either Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), you must submit a request for reconsideration. You might also need to attend a disability hearing with an administrative law judge.

What Evidence Should I Gather for My Appeal?

When you submit your appeal, you must make sure you have strong evidence to support your claim. Objective medical evidence is the most useful evidence during the appeals process. However, other evidence like witness statements or doctors’ notes helps strengthen your appeal as well.

What is disability advocate?

However, representing yourself during a disability hearing might be intimidating. An experienced disability advocate helps improve your chances of winning your claim. Advocates have specialized knowledge of Social Security’s rules and regulations for benefits. If you need to appeal your disability application, our advocates know how to help.

What to do if you don't get approved for disability?

If you don’t get approved for disability benefits, you owe us nothing. If you would like to apply for SSI or SSDI benefits with an advocate, call us 201-720-1434 or fill out our online form for a free evaluation of your claim.

What to expect at a disability hearing?

Questions to Expect During Your Disability Hearing. The disability hearing usually intimidates claimants, especially if they decide to represent themselves. At your hearing, the judge will hear testimony from a vocational expert (VE) hired by the SSA.

How long does it take to get a disability hearing?

Usually, this part of the disability benefits application process takes the longest. Some claimants must wait upwards of two years in some states to get a hearing.