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Jun 28 2016

PREPARING FOR YOUR GEORGIA SOCIAL SECURITY DISABILITY HEARING


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Your Georgia Social Security disability hearing is the most important event in the history of your claim for Social Security or SSI disability benefits.  It is the best chance you have of winning.  Therefore, you want to be as well prepared as possible.

Medical Records

Your medical records must be complete and up-to-date.  All legal matters depend on evidence.  In your claim for Social Security or SSI disability benefits your medical records are your best evidence.  Your representative should review what records SSA has on file already, discuss this with you to make sure that no important records are missing, and then, send for any that are missing.

Tips for Your Testimony

Your representative should also discuss your testimony with you in detail.  Some important areas to note are:

  • Just answer the question. You will be understandably nervous and people often have a tendency to just want to tell their whole story at once.  But, the legal system requires testimony to be developed in series of questions and answers.  Answer the questions succinctly, but completely.  If it is a yes or no question, then answer it that way, for example.
  • If you are confused about the question, it is best to ask the judge to repeat or clarify the question. That is preferable to answering what you think the judge is asking you, which may not be accurate.  For example, the judge might be asking you about hobbies you have.  Make sure you understand whether the judge is asking about hobbies you are still able to do, or hobbies you once enjoyed, but are not able to do anymore, due to your illness or injury.
  • Be aware of all the problems and limitations that have an impact on your ability to work. You may well have more limitations than you think. For example, you may not think it is a factor, but the side effects of your medications could be an additional impediment to being able to sustain full-time work.  So, if the judge is asking you to tell him or her why it is that you can’t work, have an answer ready that includes all of the problems.  You should also note that a learning disability or illiteracy is not something to be left out even though it is a life-long condition that you coped with before you developed other health problems.
  • Be honest. Don’t underestimate or over-sell your disability.  It is often difficult for people to see themselves realistically.  People want to believe that they can still do the things they used to do or that they believe a person of their age should be doing, despite their disability and the fact they haven’t been able to do these things for years.

What to Wear

You should even choose carefully what you wear to your hearing.  You want to be respectful of the proceeding.  Yet, you don’t want to over-do it with fancy or expensive-looking hairstyles, clothing, jewelry, or even manicures.  Also, avoid hats or t-shirts with slogans, images, or logos that might give the impression that you are living a more active lifestyle than you actually are.  Some examples are deer hunting, fishing, motorcycles, or firearms.

Your Witness

You can bring a witness to your hearing.  But, the witness should be both someone who sees you regularly and also has something new to add.  The judge only has set aside about 45 minutes to an hour for your hearing and he or she may have asked a medical and/or a vocational expert to testify at your hearing, as well.  Make sure that you and your witness have an understanding that the witness needs to be brutally honest about the changes they’ve observed since your disability began.  You don’t want your witness to fear that you will be angry because her observations may not align with your own opinion about yourself and how you are doing.

Know the Time Frame

There may be time periods involved in your claim that are critical to address.  You may have to show that your disability began before a certain date.  Or, you may have recovered somewhat and your claim may be for a closed period of disability that is now past.  Make sure to discuss this with your representative because your testimony and that of your witness must relate to that time period.

At the Hearing

Usually, the judge starts by asking you a series of questions, and then, allows your representative to follow up.  Some of the questions may sound personal, but they are not intended to make you feel uncomfortable.  The judge is just trying to get an idea of what you are still able to do since you are probably not working.

If the judge has asked a vocational expert (VE) to testify at your hearing, it is important to note that this expert is not really talking about you and he or she is not talking to you.  The VE is there to talk to the judge about jobs – jobs that you have performed in the past, and other jobs that a person with your impairments and with your same age, education, and experience might still be able to perform.  The VE will be reciting all kinds of figures and codes that will make no sense to you.  This testimony is only for the judge and the representative.  Don’t be concerned if you don’t understand it.

At the end of your Georgia Social Security disability hearing the judge may ask you if there was anything that was not covered.  If the judge does not ask this, but yet, you believe something important was left out or you were not asked about it, ask the judge if you can add something before you go off the record.  Your hearing is being recorded to assist the judge in writing the decision or for purposes of an appeal, if necessary.

Most of the time the judge will not announce his or her decision, but instead will issue a decision in writing and will mail it to you.  This could take weeks or even months.  But, when you receive your decision, call your representative to discuss it and the next steps, whether you win or lose.

If you are thinking about applying for disability benefits or if your claim has been denied, call Adams & Associates Disability Inc. at 1-888-551-1190 to schedule an appointment with a knowledgeable Social Security disability representative.

 

Categorized: Blog Post, Social Security Disability

Jun 14 2016

SOCIAL SECURITY BENEFITS FOR HEART DISEASE IN CLAYTON GA


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Heart disease is the number one cause of death in the United States, according to the American Heart Association Heart Disease and Stroke Statistics Report – 2015 Update. It claims more lives each year than all forms of cancer combined, and someone in the U.S. has a heart attack every 34 seconds.

With such a high rate of heart disease, the Social Security Administration (SSA) has seen an influx of applications for disability benefits from people with heart disease. If you are seeking Social Security benefits for heart disease in Clayton GA, a Social Security disability representative can help you present your claim to SSA in a way that will maximize your chances of qualifying for benefits. Find out if you are eligible for social security benefits for heart disease in Clayton GA.

The Heart Disease Listing

Heart disease affects the heart and blood vessels and can include numerous different conditions. Many heart disease conditions are related to atherosclerosis, which develops when plaque builds up in the arteries. The plaque can slow the flow of blood, or even completely block blood flow. Blocked passages can lead to heart attack or stroke.

The SSA maintains regulations called the Listing of Impairments which include severity criteria for various types of heart disease. If your condition meets the criteria or is as severe, you will automatically qualify for disability benefits. Category 4.00 on the Listing describes the characteristics of “severe” cardiovascular system conditions, including the following conditions:

Chronic Heart Failure – When heart disease becomes so severe that blood vessels are entirely blocked or compromised, heart failure may occur. There are medical tests that can measure the flow of blood through your heart and determine the functionality of your heart. If your heart is 30% or less functional, you automatically qualify for disability benefits. If it is functioning at a level greater than 30%, but you can prove that you experience significant pain, shortness of breath, and other symptoms that limit your exertion, you may also be found to be disabled.

Ischemic Heart Disease – Heart disease can cause heart attacks, and ischemic heart disease is the condition prior to a heart attack that causes arterial problems. Because blood is not flowing properly, your heart does not receive enough oxygen through the bloodstream. Stress tests and angiographies can diagnose ischemic heart disease.

Recurrent Arrhythmias – A heart arrhythmia is an irregular heartbeat that may be caused by many different things, including heart disease. Severe arrhythmia can result in racing heartbeat, slow heartbeat, and syncope (fainting).

Symptomatic Congenital Heart Disease – A congenital heart condition is one that occurs at birth, as opposed to developing over time. Heart defects may be surgically treated, or they may not need such invasive treatment. However, this condition can result in the inability to exert yourself on a sustained basis.

Heart Transplant – A heart transplant may be necessary for many reasons. Although you may have qualified for disability benefits with the condition that resulted in the need for a heart transplant, you may also qualify for extended benefits after a heart transplant. Further, complications of heart surgery can result in temporary or permanent disability.

Aneurysm – An aneurysm occurs when the wall of a blood vessel bulges due to weakness and high pressure. This can be caused by a breakdown of blood vessels or blockages in the veins and arteries. The wall of a blood vessel may become so compromised that it ruptures, sometimes causing a fatal bleeding.

Chronic Venous Insufficiency – When a heart is unable to pump blood sufficiently, you may be diagnosed with chronic venous insufficiency. This may result in swelling, difficulty walking and standing, and painful sores that take an extended amount of time to heal.

Peripheral Arterial Disease – Your arteries may become diseased if they become narrowed and restricted. Blood cannot flow to the heart, resulting in atherosclerosis. Inadequate blood flow may also result in ischemic heart disease. Peripheral arterial disease may be diagnosed with an ECG, EKG, stress test, or cardiac catheterization.

 

If You Don’t Qualify Under the Listing

If your heart disease is not sufficiently severe to qualify you for benefits under the Listing of Impairments, you may still be eligible for disability benefits.  You will need to prove you can no longer perform your past relevant work (generally the easiest job you had in the past 15 years for long enough to learn how to do it) or any other suitable full-time work given your age education and experience.

What Do I Need to Do to Prove I Cannot Work Due to Heart Disease?

To succeed on a disability claim based on heart disease, it is essential that you receive continuous care from a licensed healthcare professional. Your condition must be medically determinable — that is, you must prove it through medically acceptable procedures. Your description of your symptoms is not enough to prove that you have a condition that is severe enough to prevent you from substantial work. The SSA describes the following evidence that it needs in order to award disability benefits:

Medically Acceptable Procedures – You must show that you have heart disease with medically acceptable procedures, such as tests and laboratory results. Radiological tests may include ECGs, EKGs, MRIs, CAT scans, and X-rays. Biopsies, exploratory scoping, and blood screenings can also be helpful.

Detailed Medical Records – Your doctor should have detailed office notes regarding your diagnosis, the onset and expected duration of your condition, functional capacity and limitations, past and present medical treatment, and recommended treatment going forward. Your doctor may also complete a physical residual functional capacity assessment form to determine what you can and cannot do due to your impairment.

Physical Examination – It is essential that you show, through objective evidence, that you are unable to physically endure sustained work activity, 40 hours per week. A physical examination will test your reflexes, flexibility, sensation, muscle strength, and range of motion, all of which can be affected by heart disease.

 

Tips for Applying for Disability with Heart Disease

Heart disease can be caused by several different conditions, all of which have various levels of severity. In order to prove that you have heart disease that is severe enough to prevent you from substantial gainful activity for at least one year, you must see a doctor regularly. You must be able to provide medical evidence in the form of records and tests. Those tests should be repeated periodically to show the progression of your heart disease.

It is also helpful to provide a statement from your doctor as well as someone who knows you well. Both can provide detailed information about your ability to function on a sustained basis.

A seasoned Social Security representative can help you obtain the evidence necessary to prove that you are eligible for Social Security benefits for heart disease in Clayton Ga.  Call Adams & Associates Disability Inc. at 1-888-551-1190 to schedule your free case evaluation today.

Categorized: Social Security Disability

May 24 2016

What Happens At Our Initial Meeting?


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professional meetingThe process of applying for Social Security disability in Rabun County can be long and daunting. An experienced Accredited Disability Representative (ADR) will make the process easier.

At our initial meeting, ADR Randy Adams will help you understand the ins and outs of your claim. You will be asked a series of questions that help determine whether or not your claim meets the requirements of the Social Security Administration (SSA). Don’t worry if you don’t know answers to all of the questions. They are just a framework to get your claim started. You should bring any documents that provide information to the questions you may be asked or that you feel may be helpful in your claim.

Some Questions We May Ask

In order to determine whether or not you qualify for Social Security disability insurance (SSDI) or SSI, we will ask you questions regarding your birth, residency, citizenship, marriage, finances, education, past work, medical history, and your disability. Some questions are specific to SSDI and others will only be asked if you are applying for SSI. However, you should be prepared to answer as many of these questions as possible.

Basic Questions about You

  • What is your full name, address, date of birth, and social security number?
  • If you are or have ever been married, what is the name, date of birth, and social security number of your spouse? When were you married?
  • Are you a U.S citizen or a qualifying non-citizen alien?
  • Have you ever lived or worked outside of the United States?
  • Have you recently traveled outside of the United State for a period of 30 days or more?
  • Have you ever applied for SSDI or SSI? If so, when and what was the outcome?

Questions about Your Finances

  • What is the total value of your real and personal property, including houses, land, vehicles, and anything else of value that you or your spouse own?
  • How much money do you have in your bank accounts, stocks, savings bonds, life insurance, retirement, and other financial accounts?
  • Do you receive any other cash payments, such as retirement, pensions, Social Security benefits, etc.?
  • Who pays for your housing, food, and other necessities?
  • Have you given away any resources in the last 3 years?

Questions about Your Education and Work

  • What is the highest level of education that you completed?
  • Were you considered low performing or behaviorally challenged in school, or did you have any kind of individual education plan?
  • Do you currently work? If not, when did you become too sick to work?
  • Where have you worked for the past 15 years, and how much did you earn annually at those jobs?
  • What kinds of work have you done throughout your lifetime? Did you need accommodations for these jobs?

Questions about Your Medical Conditions

  • What medical conditions do you have, including mental and physical impairments?
  • Describe your symptoms with as much detail as you can.
  • Name the doctors you are currently seeing or have ever seen for your conditions.
  • Do you have any mental health issues, such as depression or anxiety?
  • Are you blind? If so, what is the vision acuity of your best eye with the use of corrective lenses?

What You Should Bring With You

  • A photo ID that includes your date of birth, such as a driver’s license, state ID, or passport.
  • Your Social Security card or non-citizen identification.
  • Any SSDI/SSI applications you have submitted in the past as well as appeal and outcome information.
  • Financial information, such as tax returns, bank accounts, stocks, savings bonds, land and home appraisals, vehicle details, personal property values, life insurance, and anything else that could be converted to cash.
  • A list of all employers and places you’ve volunteered for at least the past 15 years, as well as descriptions of those jobs.
  • A list of schools or training programs you have attended and any records or individual education plans you have in your possession. If you do not have records, we may request them for you.
  • A list of your doctors, psychiatrists, counselors, chiropractors, and any other medical professionals who have treated you for your condition.
  • A list of your medications and medical devices that you use.
  • Any medical records or other evidence that you have that you feel supports your condition. If you do not have medical records, we will request them for you.

At the Interview

Our initial meeting will be a time to get to know one another. We will ask you questions and make copies of the documents you bring. We will explain the process of applying for SSDI/SSI and let you know what to expect going forward. An experienced ADR will explain the nuances of the Social Security system as they apply to your claim specifically. Feel free to ask any questions throughout the meeting or call us if you think of questions after you leave our office.

If you are considering applying for Social Security disability in Rabun County, call Adams & Associates Disability Inc. at 1-888-551-1190 to schedule your free case evaluation.

 

Categorized: Blog Post, Social Security Disability

May 10 2016

How the Disability Claims Process Works


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Close up of Social Security Disability Claim Form

If you are applying for Social Security disability in Clayton or elsewhere in Georgia, you may be wondering what to expect.  The process of applying for Social Security Disability Insurance/Supplemental Security Income (SSDI/SSI) has many nuances and can be extremely complicated. An experienced Accredited Disability Representative (ADR) can explain the process to you and help you apply for SSDI/SSI as well as appeal if your claim is denied.

Step 1: Meeting with a Representative

The first step in the disability claims process is meeting with a representative who will gather information necessary to determine whether or not your claim meets the requirements of the Social Security Administration (SSA). You should be prepared to answer questions regarding your birth, residency, citizenship, marriage, finances, education, past work, medical history, and your disability. You should also bring any documents that provide information about those things.

Step 2: Submitting an Application

Once your representative gathers information from you, we will submit an application on your behalf. Applications for SSDI/SSI may be submitted online and supporting evidence is then mailed to the SSA.

More than two million applications for disability benefits are submitted each year. Of those, approximately 30% are denied for technical reasons, such as current income that exceeds allowances, lack of work credits, missing medical evidence, or lack of detailed information on the application. Because we do not want your application to be immediately denied due to technical reasons, we will ask you in-depth questions during our initial meeting.

Step 3: A Claims Examiner Is Assigned

About 70% of the SSDI/SSI applications submitted proceed to a 5-step evaluation process. During this step of the process, a claims examiner is assigned to your specific claim. The claims examiner evaluates all of the evidence that we submit and may request additional information. The examiner considers the following:

  • Your current work status.
  • The severity of your condition.
  • Whether or not your impairment meets SSA criteria.
  • Whether or not you can do work that you’ve previously done.
  • Whether or not you can do any other kind of work.

More than 60% of applications are denied at this level. Of those, about 50% of claimants go on to appeal their claims. The other 10% give up. With the help of an experienced ADR, you will have the ability to confidently appeal a denial.

Step 4: Appeal Disability Claims Process

If your application is initially denied, within 60 days of the date of denial we will request reconsideration by the state disability determination services. At this step, a different disability examiner and medical team will be assigned to your claim. We may submit additional evidence for consideration. Medical treatment is essential throughout this process so that we can continuously update disability information with the SSA. Only 10% of people are approved through reconsideration. The other 90% are denied; however, only 18% of those denials continue with the appeal process.

Step 5: Administrative Hearing

Within 60 days, we will appeal a denial of the reconsideration. At this point, an Administrative Law Judge (ALJ) will review all documentary evidence submitted in the claim as well as witness testimony. An official hearing will be held where we may ask questions of the witness and present arguments to the ALJ. An ALJ will issue a determination, which may be appealed if denied.

Step 6: Appeals Council Review

If the ALJ denies your claim, you may appeal to an appeals council; however, the appeals council may refuse to hear the claim. If they accept the claim, the appeals council will review all evidence of record, any additional evidence submitted, and the ALJ’s decision. The council may also consult with physicians. They will uphold, change, or reverse the ALJ’s decision. The appeals council may make findings but send the claim back to the ALJ for another hearing. If your claim is dismissed or denied, you may appeal directly to federal court within 60 days.

Step 7: Federal Court Appeal

A claim that is denied may be appealed to federal court. The court will consider all evidence on record, additional evidence, and decisions made by lower level reviewers. Your lawyer may also submit a brief detailing exactly how your claim meets the requirements of an SSDI/SSI claim. The federal court approves more than 80% of the claims that it reviews. Thus, once you reach the federal court appeal level, you have a much better chance of approval.

Step 8: Receiving Benefits

Once approved, SSDI benefits are payable approximately 6 months after the date that SSA determines your disability to have begun. However, you may also be able to receive “back pay” for benefits lost prior to that waiting period. If your claim went through a lengthy appeal process, you will receive a large lump sum payment to “catch up” on benefits that you were owed throughout the process.

SSI claimants are eligible for payments beginning the first day of the month following the application date. SSI payments do not include a “back pay” period. Thus, it is essential that you apply for SSI right when you are eligible.

If you are applying for Social Security disability in Clayton or elsewhere in central Georgia, Adams & Associates can assist you. We will be with you at each step from the initial application through your hearing.  Call us at 1-888-551-1190 today.

 

Categorized: Blog Post, Social Security Disability

Apr 29 2016

Medical Treatment Is Crucial to the Success of Your Social Security Disability Claim


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physician and worried patientMEDICAL TREATMENT IS CRUCIAL TO THE SUCCESS OF YOUR SOCIAL SECURITY DISABILITY CLAIM

Eligibility for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits often depends on the quality of a claimant’s medical evidence.  You must have a severe “medically determinable” physical or mental impairment that has lasted or is expected to last for at least one year or is expected to result in death. An impairment is medically determinable if it is adequately documented by evidence from medical professionals. Thus, it is essential that you obtain continuous medical treatment to show that you have an ongoing physical or mental impairment.

What Is a Physical or Mental Impairment?

A physical or mental impairment is one that results from anatomical, physiological, or psychological abnormalities.

A physical impairment is an anatomical or physiological disorder or condition affecting one or more body systems, such as the neurological, musculoskeletal, respiratory, cardiovascular, digestive, lymphatic, and endocrine systems.

A mental impairment is a psychological disorder such as mental retardation, emotional or mental illness, and organic brain syndrome.

How Can You Prove that You Have a Severe Medically Determinable Impairment?

The only way to prove that you have a severe medically determinable impairment is with acceptable medical treatment. Physical and mental impairments can be shown through signs (clinical observations by your doctor), symptoms (what you experience), and laboratory findings. The existence of symptoms alone cannot be the basis for an impairment. Medically acceptable clinical and laboratory diagnostic techniques performed by medical professionals are necessary.

A disability examiner deciding a claim cannot make medical determinations because he or she is not a trained medical professional. The examiner must see verifiable medical evidence that your impairments are severe.

Licensed physicians, psychiatrists, and psychologists are acceptable sources of information. Chiropractors, acupuncturists, massage therapists, and other service providers without a medical license do not carry any weight with a disability examiner.

Medical specialists will provide the most acceptable medical opinions of your impairment. For example, if you have an impairment related to your feet, a podiatrist is the best source of information.

Clinical and laboratory tests are the most effective type of medical information. Valid tests may include MRIs, CAT scans, X-rays, biopsies, blood screening, and mental exams performed by licensed psychiatrists or psychologists.

Physician’s notes from office visits and ER treatment are also acceptable; however, those notes must provide more information than just a description of your symptoms.

What Information Should Be Included in Medical Evidence?

If your medical provider is willing to support your SSDI/SSI claim, then you should ask him or her to be sure your records include the following information:

Your date of onset. The disability claims examiner will want to know when your symptoms first began and when they became disabling.

Your level of disability. Your physician can evaluate whether or not you are able to perform work-related activities. Your physician can fill out a form that details your residual functional capacity, which describes what you can and cannot do due to your impairment. If he or she is not familiar with the criteria considered by the SSA, you may consider finding a medical provider who specializes in SSDI/SSI claims.

Your prognosis. You must show that your condition has lasted or is expected to last at least one year, or is expected to result in death. Your medical provider should be able to assess whether your impairment is expected to improve, stay the same, or worsen over time.

Does the Age of Medical Evidence Matter?

A claims examiner will consider all medical evidence that you provide. When determining the onset of your disability, a claims examiner will review when your doctor first made a diagnosis and when your symptoms became disabling. However, it is essential that you have current medical treatment records as well. Do not make the mistake of stopping medical treatment after you have been diagnosed. If you prove that you were disabled five years ago, but have not sought treatment recently, a claims examiner has no acceptable medical treatment to consider your current level of disability and prognosis. In order to be eligible for SSDI/SSI currently, you must prove that you are currently disabled. Your statements, no matter how genuine, cannot be the sole basis of disability. Only a trained medical provider has the knowledge to provide necessary information in a disability claim.

What if You Have Not Obtained Recent Medical Treatment?

Because medical proof is at the core of your success in applying for SSDI/SSI benefits, it is essential that you obtain acceptable medical treatment. If you have not recently received medical care for your impairment, the SSA will not be able to make a decision about your current level of disability. In such an event, the SSA may ask you to complete a Consultative Exam by an appointed doctor. Such a medical provider will only help the SSA determine the extent of your disability and will not provide you with ongoing treatment and care. It is important to be as honest and compliant as possible with an SSA doctor because their opinions are highly influential in determining your case. However, the best thing for you to do is to see your own doctor so that you can get both treatment and medical evidence.  Evidence from your own doctor will likely be more thorough and helpful to your claim than a report from a consultative examiner who sees you briefly only once.

To find out about your eligibility for Social Security disability or SSI benefits, call Adams & Associates Disability Inc. at 1-888-551-1190.

 

Title: MEDICAL TREATMENT IS CRUCIAL TO THE SUCCESS OF YOUR CLAIM

 

Meta description: Role of medical evidence in proving your claim; medical evidence you need; acceptable sources of medical evidence; importance of recent treatment.

Keyword: Eligibility for Social Security Disability

 

Categorized: Blog Post, Social Security Disability

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Accredited Disability Representative (ADR), recognized by the Social Security Administration as a qualified EDPNA (eligible for direct pay non-attorney) with over 20 years of experience representing disabled individuals in Cumming, Clayton, and other areas of North Georgia.
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    DISCLAIMER: We are not a Law Office, a Social Security Claims attorney office, or a Social Security Disability attorney office. We are Accredited Disability Representatives (ADR) recognized by the Social Security Administration as a qualified EDPNA (eligible for direct pay non-attorney) with over 20 years of experience representing disabled individuals. The information on this website consists of generalized statements believed to be accurate as of the time the web page in question was published. Please do not rely on any advice on this website; rather, use the information to help you formulate questions for a disability representative and then speak to a representative about your particular situation. Adams and Associates offers no legal advice. Please also be aware that sending an email does not create a representative-client relationship. Any information you provide through our website should not contain any information that you would otherwise expect to be protected by representative/client privilege.