If you do not have a Social Security disability lawyer representing you at your hearing, you will be relying on the Social Security Administration (SSA) to request and submit all pertinent medical records to your file.
What if I go to a Social Security hearing without an Attorney or a Disability Representative? There is no guarantee of winning a disability hearing with or without the presence of competent and experienced social security representative or attorney.
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.
In these instances, the claimant should never have been required to go to a disability hearing, or to wait so long before receiving Social Security Disability or SSI disability benefits. Without representation, the majority of individuals appearing at disability hearings will be denied.
To determine if you meet a listing, your attorney will first see if your illness has a disability listing in Social Security's "blue book." If it does, the attorney will review the requirements of the listing and compare them to the evidence in your case. (For more information, see our section on listed disabilities .)
Unfortunately, your odds are even lower for getting your benefits approved on the first appeal—about 12%. If you move on to the next level of appeal, which involves a hearing before an administrative law judge (ALJ), your chances for approval increase significantly—more than 55%.
Requesting an Expedite of the Hearing Based on Dire Need If your financial situation has declined so severely that you do not have the money to meet your basic living needs, you can request a “Dire Need” letter to the SSA's ODAR. If the SSA agrees that you are in dire need, your appeals hearing will be expedited.
Yes, a decision can be made "on the record" which eliminates the need for an actual hearing to be held. This sometimes happens as the result of a request that was made by the claimant or their representative.
1. Arthritis. Arthritis and other musculoskeletal disabilities are the most commonly approved conditions for disability benefits. If you are unable to walk due to arthritis, or unable to perform dexterous movements like typing or writing, you will qualify.
If your SSDI application does take longer than 5 months to process, you will be awarded back pay and/or retroactive pay for up to 12 months. Back pay covers any time between your application, otherwise known as the EOD.
The Disability Examiner is the one who writes up the decision about your SSDI benefits, and she is charged with deciding if a consultative medical examination is necessary.
Signs of a Good SSDI HearingNo Attorney Can Guarantee a Certain Outcome. ... #1: The judge does not ask many questions and goes straight to vocational expert testimony.#2 The judge has a high award rate.#3 – The judge issues a bench decision at the hearing.#4 The medical expert testifies that you meet a listed impairment.More items...
Technically, yes, a favorable ALJ decision (one that grants benefits) after a disability hearing can be overturned by the Appeals Council. The Appeals Council can choose to review any ALJ decisions for review, and the Appeals Council can choose to grant benefits that an ALJ denied or deny benefits that an ALJ granted.
Decides the verdict by deciding the facts. Decides on issues of law during a trial. Decides whether or not there is enough evidence to bring criminal charges.
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.
Some of the conditions that may automatically qualify the policyholder for social security disability benefits include:Musculoskeletal system and connective problems including: Arthritis. ... Mental disorders including: ... Cardiovascular conditions and circulatory disorders: ... Cancer.Nervous system and sense organs conditions:
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.
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...
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...
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...
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...
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...
Be Prepared. Take some time to review your medical file before the hearing. Make sure you are able to quickly and naturally answer questions about your medical condition, treatments, medications, and your limitations. Organizing your file is a good way to review information and dates.
Your responses to a judge's questions should be full, forthright, and honest. Don't exaggerate your medical condition, pain, or the limitations caused by your physical or mental impairments.
Remember that the hearing is not adversarial. Any stress you have been feeling because your initial disability claim was denied needs to be checked at the door. The disability hearing is not the time or place to be rude or to vent your frustration at "the system.".
There is simply no excuse for being late for your disability hearing. You will know the date, time and location of the hearing in advance. Do a dry run to make sure you know where to go, leave extra early, and plan in advance for an emergency such as how you will get there if your planned ride is suddenly unavailable.
The ALJ does not have time to hear the entire history of your disability and your medical condition. If and when you are asked questions, answer the question you were asked without providing additional information. You might inadvertently embellish with details that hurt rather than help your case. For guidance on how to answer the judge, see our article on answering questions at a disability hearing.
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.
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.
Your attorney or nonattorney advocate will request the medical records needed to win your claim and submit them to the Social Security Administration (SSA) at the appropriate time before your 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 .)
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.
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 .)
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.
A Social Security disability hearing can be a nerve-wracking experience, especially for those unfamiliar with the process and those unrepresented by an attorney. Depending on the administrative law judge (ALJ), a hearing can be contentious and adversarial or relatively laid-back and easygoing. While you can always hope for the latter, it's best to prepare for the former. No matter the judge, your chances of success will definitely increase if you avoid these common pitfalls at your hearing.
Finally, the biggest mistake disability claimants make is to try to navigate the system alone. An experienced disability attorney can prepare you for your hearing and greatly increase your chances of being approved.
Here are a couple general areas or statements to avoid unless you are specifically questioned about them. You have family members who are receiving disability or unemployment benefits. You have a criminal history. You have problems with drugs or alcohol. You haven't followed your doctor's orders or treatment plans.
If you don't, the judge will assume that you aren't having any problems and are capable of working.
At the same time, a disability hearing is not a job interview. You're at the hearing to talk about the day-to-day limitations that prevent you from working, so don't minimize your symptoms. Often people fear that the ALJ will think they're whining or complaining, but this worry is misguided. No matter what problems you're experiencing—ifyour back pain prevents you from doing housework, your anxiety keeps you from leaving the house—you must tell the ALJ. If you don't, the judge will assume that you aren't having any problems and are capable of working.
If the ALJ asks you a question directly, you absolutely must answer it honestly. But your duty to tell the truth does not require you to bring up information unsolicited that might be harmful to your case. Here are a couple general areas or statements to avoid unless you are specifically questioned about them.
Occasionally disability claimants (applicants) are tempted to exaggerate their medical problems at their hearing . This is a huge mistake. Losing credibility with the judge is the quickest way to torpedo an otherwise valid claim. Here's an example of the kind of exchange that will raise red flags with an ALJ:
We can easily match you with an experienced Social Security attorney or advocate through DisabilityApprovalGuide.com. To find one near you, just click the button below. Once we have your current information, we’ll match you with a qualified legal representative in your area. This representative can give you personalized support for your specific claim needs and answer any questions you may have.
If the SSA denied your claim, a Social Security attorney can find and correct any paperwork errors.
Some Advantages You’ll Only Get With a Social Security Attorney 1 Lawyers may get your appeals hearing scheduled faster 2 No attorney will accept your case unless they think you qualify for SSD benefits 3 If you can’t afford them, lawyers can purchase copies of your full medical records to support your case 4 Your lawyer can appear in court on your behalf if health or transportation issues stop you from going 5 Free initial consultation, including confidential legal advice that applies to your specific situation 6 If the SSA denied your claim, a Social Security attorney can find and correct any paperwork errors 7 You’ll pay nothing unless your claim’s approved; then, you’ll pay a small, one-time fee deducted from your lump-sum backpay
A Social Security attorney (or lawyer) has years of specialized education and a law degree. That’s the primary difference between a disability advocate and Social Security attorney. Claimants with hard-to-prove medical conditions or appealing a denied claim may do better with a Social Security attorney.
Disability advocates charge the same amount as any Social Security attorney. Federal law limits that to 25% of your back pay or $6,000 (whichever amount is less). So, choosing a disability advocate over a Social Security attorney will not save you any money.
Many people think they’ll charge a ridiculous fee for a consultation or wait hours to fill out endless documents.
In fact, just over 17% of people who apply for benefits have a Social Security attorney helping them. But if your first application’s denied, the appeals process is much longer and harder to get through alone. SSA data shows that 4 in 5 people have lawyers representing their claims at the appeals stage.
Claimants who appear at hearings unrepresented and win their benefits will most likely do so because the medical evidence supporting their case is fairly obvious. In many instances, it may be that the prior decisions reached by disability examiners (who worked on determining the application for disability and the request for reconsideration appeal) were faulty due to a misinterpretation of the medical evidence in the file.
In these instances, the claimant should never have been required to go to a disability hearing, or to wait so long before receiving Social Security Disability or SSI disability benefits.
Can an unrepresented claimant win at a Social Security Disability hearing? Yes, and in fact statistics on disability hearing decisions in recent years have indicated that approximately forty percent of those claimants who go to their social security hearings by themselves will be approved for disability benefits.
While disability hearings are less formal than trials, most claimants bring someone to represent them, according to SSA data — usually a lawyer, though a social worker, professional disability representative or even a relative can play that role . It's your choice, but a study by the federal Government Accountability Office (GAO) found that people who have a representative are nearly three times more likely to be successful.
Disability hearings are judicial proceedings, but they are very different from a court trial. Rather than courtrooms, they are typically held in offices and special hearing centers the Social Security Administration (SSA) maintains across the country.
(With these facilities closed during the COVID-19 pandemic, SSA is offering hearings via online video or telephone.) They generally last from 15 minutes to an hour, but they can run longer, especially if there are witnesses.
You have 60 days from the rejection of a disability claim to request a reconsideration. The deadline is the same to request a hearing and an Appeals Council review.
If the hearing judge rules against you, you can request a review by the Appeals Council, a panel of administrative appeals judges. The council can deny, modify or uphold the original judge's decision or ask him or her to hold another hearing.
Before the hearing, the judge will review your file, including any additional evidence you've submitted to support your claim, such as medical examinations conducted since the initial application. At the hearing, you can give sworn testimony, and the judge may ask you questions about your past work and current limitations.
The same is true of claims for Supplemental Security Income (SSI), the other Social Security–run program that pays benefits to people with disabilities. First, you can ask Social Security to have a different examiner and medical team reconsider your claim.
These feelings are understandable. The average wait time for an administrative hearing in Chicago is 14.9 months, so you’ve no doubt waited a long time for a hearing date. Not to mention, a lot is riding on the administrative law judge’s (ALJ) decision.
An experienced SSD attorney can help prepare you for the administrative hearing and lessen the impact of any potentially problematic answers. By reviewing your medical file and practicing your answers to questions the ALJ and attorneys are likely to ask, you’ll go into the hearing feeling more confident and will be less likely to inadvertently say something that could decrease the chance of your application being approved.
One of the most important things you can do, both for your health and well-being and to increase the chance that your benefits application is approved, is to regularly visit your doctor and follow his treatment plan. Not seeing the doctor regularly will damage your credibility and lead the ALJ to believe that your condition is not as severe as you claim – if it were, wouldn’t you want to do whatever you could to feel better?
If you are asked, answer honestly, explain what happened and , in the case of substance misuse, explain what steps you took, or are currently taking, to end your addiction.
But if the ALJ or attorney asks, “Do you go for walks?” and your answer is simply, “Yes,” you run the risk of giving the impression that you can do these and other activities all of the time. And if the ALJ believes you can do them all of the time, or without difficulty, she will deny your application.
Unfortunately, this can sometimes damage your credibility with the ALJ. So, unless you are asked directly whether you have ever been convicted of a crime or have ever had issues with substance misuse, don’t offer the information.
Whether you’ve ever been convicted of a crime or have a history of drug or alcohol misuse shouldn’t, in theory, matter – having a less than spotless history doesn’t mean you can’t become disabled in the future.
If the judge decides to allow you to proceed without an attorney, he or she will have you sign a “waiver of the right to representation.”
If you tell the judge that you have changed your mind, he or she will usually postpone the hearing so you have time to find a lawyer. In this case, you will be asked to sign an “acknowledgement of postponement in order to obtain representation.”