
This information may help claimants with representation, as well as claimants who are not represented by an attorney or non attorney representative. Understanding how the Social Security Disability system works can make the difference between winning or not winning the continuing disability benefits and backpay to which a person is entitled. To win a claim for ongoing and past due benefits, claimants should learn about the disability process to improve their chances of winning ssi or ssd - ssdi benefits. |
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How can physicians effectively note functional limitations in their treatment notes? Simply by providing the same information that a social security disability claims examiner or an administrative law judge would search for while reviewing a claimant's medical records. Disability claims adjudicators (DDS examiners and administrative law judges) tend to look for information that substantiates the following:
Additionally, there are non-physical factors that may be considered as well. Claimants with pyschological and/or psychiatric impairments or who are suspected of having a mental impairment (a single mention of "depression" in a doctor's notes can signal this) are given a mental residual functional capacity, or MRFC, rating as well. The major point to keep in mind is this: the claimant's residual functional capacity rating (physical, mental, or both) will always be based on the information contained in a claimant's medical records. Therefore, if a doctor has provided little information in their records as to what a claimant is capable, or not capable, of doing, the DDS medical consultant will "conjure" his or her own conclusion in this regard. And this, of course, being a part of the disability determination process, will lead to the following:
Of course, it goes without saying that even when a claimant's medical treatment sources have supplied strong supporting information (such as detailed records, or perhaps even a detailed letter or an RFC form completed by the claimant's own doctor), a DDS unit physician may still come to an entirely different conclusion (in other words, they sometimes ignore what a claimant's doctor has to say, despite the fact that they themselves have never seen nor treated the claimant). However, despite this, in most cases an ssd or ssi claim will be strengthened if the records supplied by a claimant's doctors are very clear and unambigous regarding the claimant's functional capacities. So, in other words, if a claimant is unable to lift more than five pounds or sit for longer than 15 minutes, ideally, the medical records should state this. If a claimant has memory problems and cannot retain new information for long periods, the records should, ideally as well, indicate this. This, of course, begs the question: What can a person who applies for disability benefits do to ensure that their medical records contain the necessary details?
Ultimately, this is entirely in the hands of one's doctor. However, a disability claimant can attempt to gauge the helpfulness of their doctor's records by doing the following:
Of course, the most effective way for a treatment source to indicate a disability claimant's functional limitations (i.e. residual functional capacties) is via the submission of a letter or a completed RFC form. Additional information regarding such letters and RFC forms can be found on the following pages: |
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SOCIAL SECURITY DISABILITY ATTORNEY, REPRESENTATIVE LAWYER LIST ANSWERS TO YOUR SSD & SSI QUESTIONS PAGE 5 ANSWERS TO YOUR SSD & SSI QUESTIONS PAGE 6 |

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