when to call a lawyer ssi denial

by Maureen Abshire 10 min read

Perhaps the only time you should refrain from calling a lawyer is when you have submitted your initial application to Social Security and are awaiting an answer. There is rarely much your attorney can do at this point, so there's little sense in agreeing to pay an attorney 25% of your past-due benefits until you get a denial.

Full Answer

Do I need a lawyer to appeal a social security denial?

At the next stages of appeal, the Appeals Council and federal court, your lawyer can craft sophisticated legal arguments to show that Social Security wrongly denied your case. When Should I Call a Lawyer? The general rule is "the earlier, the better."

When should I call a disability attorney?

If you're even considering filing for disability, you should call a disability attorney for a free consultation. Your attorney can help you evaluate the strength of your case and assist you with your initial application. While some people choose to navigate this stage without legal representation,...

What is a denial letter from the Social Security Administration?

Denial letters from the social security administration on Social Security Disability and SSI disability claims tend to be fairly generic. If you have filed a disability application in either program and the claim is denied, then you will receive what is known as a notice of disapproved claim.

What to do if you have been denied a disability hearing?

If they have been denied after a reconsideration has been completed, then they should file a request for a disability hearing. In either instance, it may be time to consider finding a disability representative, either a disability attorney, or a non-attorney disability representative.

image

How do I fight SSI denial?

Appeal forms are available for download at www.ssa.gov/forms. You can also call our toll-free number, 1-800-772-1213 (TTY 1-800-325-0778), or contact your local Social Security office to request appeal forms be sent to you.

What are the chances of winning Social Security appeal?

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%.

What percentage of SSI claims are denied?

The percentage of applicants awarded at the reconsideration and hearing levels are averaging 2 percent and 9 percent, respectively. Denied disability claims have averaged 64 percent. SOURCE: Tables 60–63.

How long does it take to get a denial letter from SSI?

about 3 to 5 monthsGenerally, 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 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 is the most approved disability?

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.

Why would a person be denied SSI?

Here are 5 of the most common SSI denial reasons: You didn't return all the necessary forms to the SSA. Your medical conditions would not last at least 1 year. Your assets or income are over the limit.

What can disqualify you from SSI?

Generally, the more countable income you have, the less your SSI benefit will be. If your countable income is over the allowable limit, you cannot receive SSI benefits. Some of your income may not count as income for the SSI program.

Why do I keep getting denied for SSI?

You Earn Too Much Income For SSDI, which is the benefit program for workers who have paid into the Social Security system over multiple years, one of the most basic reasons you could be denied benefits is that, when you apply, you are working above the limit where it is considered "substantial gainful activity" (SGA).

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 far does SSI back pay go?

Retroactive benefits might go back to the date you first suffered a disability—or up to a year before the day you applied for benefits. For SSI, back pay goes back to the date of your original application for benefits.

Who makes the final decision on Social Security Disability?

While the DDS office reviews applications and makes recommendations to the SSA, it is the SSA which makes the final decision to accept or reject claims for disability benefits.

What happens if you don't review your application?

If the applicant gets denied, they can request a hearing by an administrative law judge.

How long does a disability last?

The impairment must be medically determined by a physician and expected to last at least 12 contiguous months.

Can I apply for SSDI online?

People who believe they fit into the SSDI parameters can apply for benefits online or over the telephone. They can also apply at their local Social Security office but, during COVID, this is by appointment only. Part of the process is fairly straightforward but providing medical information can get more complex. It includes:

What Disabilities Qualify for SSDI?

There is a range of disabilities that may qualify an individual to receive SSDI. The Social Security Administration (SSA) will examine four areas to determine if an individual’s disability qualifies:

Can I be Denied SSDI for Making Too Much Money?

Yes, an individual can be denied SSDI for making too much income. This is one of the main reasons many individuals are denied SSDI benefits. The Social Security Administration (SSA) sets a maximum income an individual can receive through their substantial gainful activity, or SGA.

Can I Be Denied Benefits Because of My Work History or Injury?

Yes, an individual’s application may be denied because of their work history and/or injury. In some cases, an individual’s application will be denied because they have not worked long enough.

Can a Criminal Conviction Impact My Eligibility for Benefits?

In some cases, an individual may be denied benefits if they were convicted of a crime which is connected to their becoming disabled. They may also be denied if their disability occurred when they were incarcerated. For example, if the individual was injured while committing a felony, their benefits would be denied.

What Happens if My SSDI Claim is Denied?

It is very common for SSDI claims to be denied. It is important not to get discouraged and to hire an attorney for help with an appeal. When an individual receives a denial, it will include a review of their disability and information on the appeal process. There are generally four steps to contesting a denial of benefits. These include:

Can a Lawyer Help Me Challenge the Denial of My Request for Benefits?

Yes, an experienced government lawyer can assist you if your Social Security disability claim has been denied. If an individual’s appeal has been denied, they are entitled to an appeal. A lawyer will be able to review your case, review the reason for denial, and assist you in appealing the denial.

What does an attorney do for Social Security?

Communication: An attorney can keep track of the status of your claim, alert you to any requests for new information, and speak with Social Security Administration (SSA) representatives on your behalf to answer questions that may arise regarding your application.

What is the process of hiring a disability attorney?

If you hire a Social Security Disability attorney to help with your claim, he or she will guide you through the following process: Preparation: Preparing your claim, which will include gathering documents and other required information is an essential part of the claims process.

How does the SSA determine if a worker has worked long enough to receive benefits?

The SSA determines whether workers have worked long enough to receive benefits by calculating the amounts they should receive and converting their earnings into work credits. A worker can earn four credits for a year of work, depending on his or her yearly income (one-quarter of coverage, or QC) changes every year. In 2017, a worker will earn one work credit for every $1,300 of wages or self-employment income. However, when the worker earns more than $5,200, they are capped for the year as he or she received four credits. The formula for this number is complicated, but it is recalibrated annually and never decreases.

What does DDS stand for in disability?

He or she will also handle the paperwork needed to send your claim to Disability Determination Services (DDS), which will make an initial determination as to whether you are considered disabled under the SSA’s requirements. The claims representative will also determine the disability programs for which you may be eligible, as well as determine benefits you are eligible to receive based on your work history.

How many people are denied disability?

Nearly 60 percent of all first-time applicants are initially denied disability benefits, and close to 90 percent of applicants seek the help of a representative at some point in the process. The process of applying and appealing denied claims is often complicated, and the chances of success are far greater with the help of an experienced Social Security disability attorney.

How many years of work before disability?

Eligible applicants include those who have worked a total of at least five of the 10 years before developing their disabilities.

What happens when a disability claim is approved?

Finalizing a Claim: If your disability claim is approved, your attorney will review the SSA’s calculations to determine if any vital information was missed or if any errors were made. He or she will also address any questions you may have concerning your new benefits.

How to appeal Social Security denied?

If we recently denied your Social Security benefits or Supplemental Security Income (SSI), you may request an appeal. Generally, you have 60 days after you receive the notice of our decision to ask for any type of appeal. There are four levels of appeal: 1 Reconsideration. 2 Hearing by an administrative law judge. 3 Review by the Appeals Council. 4 Federal Court review (please see the bottom of page for information on the Federal Court Review Process).

How do I check my disability hearing status?

Whether you filed your request for a hearing online, by mail, or in an office, you can check the status of your disability and SSI hearing using your personal my Social Security account. A my Social Security account is an easy, convenient, and secure way to do business with us. If you don’t have one, you can create one today.

What to do if you disagree with a decision made at the reconsideration level?

If you disagree with the determination we made at the reconsideration level, you may ask for a hearing. An administrative law judge who had no part in the original determination or the reconsideration of your case conducts the hearing. You may request a hearing online.

What are non medical reasons for disability?

Non-medical reasons may include a denial due to income, resources, overpayments, or living arrangements. Request Non-Medical Reconsideration. Check the Status of Your Reconsideration. Whether you filed your appeal online, by mail, or in an office, you can check the status of your disability and SSI Reconsideration using your personal my Social ...

How far away can you schedule a hearing?

When we schedule your hearing, we consider what’s convenient and close for you. We usually schedule hearings within 75 miles of your home. In certain situations, your hearing may be held via video at one of our many available hearing sites, in person at one of our hearing offices, or from your preferred location.

Can a Social Security appeal be denied?

The Appeals Council looks at all requests for review, but it may deny a request if it finds the hearing decision is in accordance with social security law and regulations. If the Appeals Council decides to review your case, it will either decide your case itself or return it to an administrative law judge for further review. If you disagree with the hearing decision, you may request a review by Social Security’s Appeals Council online.

Can a disability lawyer do a hearing?

No. In fact, it is a common misconception that a disability lawyer can do this. In some cases, a lawyer can, for a case that is at the hearing level, ask for an expedite based on dire financial need, but this does not happen much due to the extreme backlog of disability cases at hearing offices.

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 ...

What is the significance of a denial letter?

The true significance of receiving a notice of disapproved claim is simply that it signals to the claimant that they should immediately file an appeal.

What does "other work denial" mean?

For example, on many notices of disapproved claim, the statement will indicate that while you are not capable of performing your past work, you are still capable of performing some type of other work (this is known, of course, as an "other work denial" and it is extremely common).

What does it mean when someone is left off the list of disabled people?

It may simply mean that they were inadvertently left off when the list was typed in. Howevever, later if your case goes to a disability hearing, you and your disability attorney will, at some point, review your social security file to determine which records were obtained by social security and if some records were not.

image