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Administrative appeals

Can the Judge Approve my Case but Give me Something Less than What I am Requesting?

By Jonathan Ginsberg on February 22, 2013

Wheamended onset daten you apply for disability, one of the first things you are asked is “when did your disability begin.”  This start date is known as your alleged onset date by SSA.

When your case comes before the judge, he has the option of approving your claim as filed, denying your claim, or issuing a partially favorable decision approving benefits but using a different onset date.  Usually, when the judge changes your onset date he will use a more recent date, which will have the effect of reducing your past due benefit amount.

Why would the judge change your onset date?  Most often the judge will do this because he has concluded that the medical evidence in your file does not support your original alleged onset date.  You can expect this to happen if you alleged an onset date prior to the date you stopped working, or if your onset date was more than two or three years ago.

Some judges will choose a different onset date based on the presence of a medical test, such as an MRI or CT scan.   This can be frustrating if, for example, you hurt your back three years ago, but could not afford an MRI until two years ago.  Some judges just do not feel comfortable assuming anything, despite the very strong likelihood that your disc issues existed as of the time of your traumatic back injury and did not suddenly come into existence a year after your accident. [Read more…] about Can the Judge Approve my Case but Give me Something Less than What I am Requesting?

Do I Need a Lawyer to Start my Disability Claim with Social Security?

By Jonathan Ginsberg on February 13, 2013

file for Social Security disabilityMost lawyers will tell you that as a rule, the sooner you retain counsel to assist you with a legal matter, the better.  Certainly this is true if you have been charged with a crime and I believe it is also true for workers’ compensation claims as well as personal injury matters.

In Social Security disability, however, there is no real benefit to hiring lawyer prior to actually filing your claim.  In fact, most people hire disability lawyers after their claims are denied (about 4 or 5 months after the claim was filed) or even after their first appeal – called reconsideration – comes back denied, which can be a full year into the claim.

Why Most People Wait to Hire a Lawyer

As a practical matter there is not all that much a lawyer can do to win your case prior to your administrative law judge hearing.  When you first file your claim, a Social Security claims representative, called an adjudicator, requests medical records and presents those records to an in-house medical or mental health consultant.

Social Security does not encourage outside contributions to this information gathering process and if you or your lawyer do submit information it might have the effect of slowing down the claims processing. [Read more…] about Do I Need a Lawyer to Start my Disability Claim with Social Security?

Disability Decision Notice Problems and What You Can Do About it

By Jonathan Ginsberg on November 18, 2011

mail delivery from social securityOver the past few months, I have seen more and more instances where Social Security has failed to send denial notices to me (the attorney), to my client, or to either of us.  Even worse, SSA has shown an unwillingness to acknowledge its mistakes, and is dismissing claims despite the lack of notice.

  • In one case, both my client and I received a denial notice in mid March, although the letter inside was dated late February.  According to Social Security’s regulations, reconsideration and hearing request appeals must be filed within sixty (60) days from receipt of a denial notice.   In this case, my paralegal called Social Security and they advised us that their system showed that the 60 days response period began as of the date on the letter even though SSA did not mail the denial notice until almost 4 weeks after it was printed.

Fortunately in this case, we were able to file the appeal within 60 days from the date on the letter but I wonder how often a denial notice is mailed several weeks after the denial notice is printed.

What you can do:  save both the denial notice and the envelope showing the postmark.

  • On another case, my client received a denial notice but I did not.  Unfortunately, my client suffers with a mental illness and he did not advise me of his receipt of the denial.  When I learned that his claim had been turned down, I filed an appeal along with a request for “good cause” for late filing of the appeal but that was turned down.  My client has to start over. [Read more…] about Disability Decision Notice Problems and What You Can Do About it

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1854 Independence Square
Atlanta, Georgia 30338-5174

P: 770-393-4985
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