If you're in NC and want help with your Social Security disability claim, call Hall & Rouse, P.C. at 1-866-425-5347
A service of Hall & Rouse, P.C.. What we cover: Social Security delays and backlogs, Disability Insurance Benefits, SSI disability, Disabled Adult Child benefits, Disabled Widow and Widower Benefits, Work and Social Security Disability, Social Security's telephone problems, Social Security disability hearings, Social Security attorneys, Long term disability and Social Security, VA benefits and Social Security, Workers compensation and Social Security
If you're in NC and want help with your Social Security disability claim, call Hall & Rouse, P.C. at 1-866-425-5347
2. Bring a photo ID.
3. Get to the hearing office early. Allow for traffic and other unforeseen mishaps.
4. You will go through a security check with a metal detector. Leave any keychain pocket knives, cigarette lighters and, of course, weapons, at home.
5. You will sit in a waiting room until the judge is ready to begin.
6. The judge will have his court reporter, called a hearing monitor, come out to get you.
7. You will go to a private hearing room, often set up like a mini courtroom. The hearing is recorded (voices only; no video recording) by the hearing monitor. There is a microphone that does not make your voice louder, it is only used for the recording.
8. The judge will start by saying a procedural introductory paragraph.
9. The judge will ask you to state your name and other identifying information during the procedural opening.
10. After the procedural opening, the judge will ask you about the type of work you did in the past five years.
11. You will have a chance to talk about your daily activities, so the judge understands how your health and symptoms are impacting your function and your stamina, mental and physical.
12. After your testimony, the judge will call a labor market expert, called a vocational expert, to ask them questions and get feedback on how different limitations could hypothetically affect someone your age, without specifically trying to find work for you.
13. The hearing ends without a decision.
The decision comes in the mail after the judge has a chance to go back, review the file, and make a decision, and a decision writer is able to finalize the decision in writing so that it can be mailed. It could take a week, it could take many months. It just depends on their backlog.
If you are finally at the hearing level, this is your last chance for a fresh review of your application. The next appeal is only available if the judge made a substantial error. I recommend finding an experienced Social Security disability attorney to help you prepare your case. If you want an attorney and do not have one in mind, call us at 1-866-425-5347. We represent North Carolina residents in their claims for Social Security disability.
Not all people with bipolar disorder will get on Social Security disability benefit, nor should they. In most cases, bipolar disorder can be controlled with medication and therapy.
Certainly, there are many who suffer from bipolar who should be on disability benefits. It's one of the more common health problems that Social Security disability attorneys see.
In bipolar cases Social Security is looking at these sort of factors:
You can schedule an appointment with Social Security over the telephone or my opening a my Social Security online account. Contacting the agency by telephone can be extremely difficult. You may have a helpful person on the phone after a few minutes on hold or you may call repeatedly and being put on hold for 30 minutes or more until you get frustrated and hang up or until the system hangs up on you. Opening a my Social Security account isn't difficult if you've tech savvy. If you can read this blog, there's a good chance you can handle it. The problem is all those who need service from the agency who aren't even a little tech savvy.
This is terrible for customer service. Social Security knows this. They believe they have no choice because they don't have the money to hire enough people to get the work done. This isn't because the Social Security trust funds have run out of money. The problem is that Congress won't let them spend enough money to get the work done.
If you're in NC and want help with your Social Security disability claim, call Hall & Rouse, P.C. at 1-866-425-5347
“What Is Disability, Anyway?”
“You
must not be able to engage in any substantial gainful work activity because of
a medically determinable physical or mental disability(ies) that is either
expected to result in death or has lasted or is expected to last for a
continuous period of at least 12 months.”
But what does this mean? It means that you are not working because of your
health and probably will not be able to go back to any sort of work within a
year. Social Security will get your medical records and look for objective medical
findings, then look at job market numbers, and decide whether you could still
hypothetically be a part of the national workforce.
You have the burden of proving that your health keeps you from doing your past work. Social Security has to prove that even if you cannot do your past work, your health, age, and employment outlook still leave a significant number of less-demanding jobs that you have the function to do, regardless of how much money those jobs pay and regardless, too, of whether you actually find that job and can get hired.
It is complicated. There are Social Security regulations being updated all the time. There are filing deadlines. There are rules for submitting evidence. Follow our blog for ongoing insight and, if you live in NC and need a lawyer to advocate for you, call our law firm or complete an online inquiry on our website, www.hall-rouse.com.
Let me make it clear. Asthma can be a dangerous medical condition. I've seen an acute asthma attack and it's scary even if you're not the one having it. I can't imagine how terrifying it is to have such an attack. Untreated, an acute asthma attacks can be fatal.
For the few asthma cases that might qualify, Social Security is looking at whether the patient is under medical treatment and whether the patient is taking the meds and the treatments they're supposed to be taking. They're looking at how often the patient has an acute asthma attack despite treatment.
Children's asthma cases are particularly hard to win. Parents are scared
to death by that first asthma attack but, again, the doctors do a great
job of controlling pediatric asthma if the parents just do what they're
supposed to do.
Asthma can contribute to Chronic Obstructive Pulmonary Disease (COPD) but that's another matter.
Social Security Disability and
Financial Planning
If
their disabled adult child has worked long enough (generally seven of the last
10 years) and at high enough earnings, then she can file a claim for Social
Security disability insurance benefits— Think about situations where disabled
adult children worked in a family-, friend-, or faith-based organization’s
business, where they were hired due to prior affiliation rather than
competitive employment standards. This claim will be filed under the adult
child’s own Social Security number (which SSA sometimes calls the wage earner
number).
If
she has not been able to work, then she will not have accumulated the work
credits needed to file a claim for Social Security disability insurance
benefits. The exception? If James and/or Ann receive Social Security retirement
or disability, then their daughter will be able to file under the parent’s wage
earner number. Whether she will ultimately receive benefits will hinge on
proving the disability began before she turned 22. (For disabled adult children
whose parent is deceased, if that parent worked long enough to qualify for
Social Security, then the same exception applies and the adult child can file
under the deceased parent’s wage earner number.)
If
neither of these situations is true then James and Ann’s daughter may be
eligible to file a claim for Supplemental Security Income (often referred to as
“SSI”). SSI is means-tested and considers the household’s income and resources.
While at first glance, James and Ann appear to provide too many resources to
their daughter, consider whether any exceptions apply. Among other things,
Social Security will not count property essential to self–support; money saved
in an Individual Development Account; health flexible spending accounts;
dedicated accounts for disabled or blind children; the first $2,000 of
compensation received per calendar year for participating in certain clinical
trials; and certain trusts, i.e., special needs trusts and pooled trusts. (Note
that money distributed under these trusts will not work against the disabled
adult child’s means-tested eligibility to file; however, once the child is
found disabled under the law, the money distributed from the trust may have the
effect of lowering the amount of the monthly SSI payment.)
These
are good things to know when advising James and Ann. For more detailed
questions or help filing, it is good to talk to an experienced Social Security
disability attorney. In North Carolina, my law firm is happy to assist with
questions and filing. If you are outside of NC, feel free to reach out to me
and I will point you in the right direction.
Bad backs can hurt -- a lot. A bad back can certainly be the basis for a successful Social Security disability claim.
As with other cases, age makes a huge difference. It can be very hard to get approval for those under 50 years of age. Between age 50 and 54, it's a little less difficult. For those 55 and older, it's considerably less difficult.
Here are some things that may make a difference in a Social Security disability claim based upon a bad back:
Traumatic
accidents often precede Social Security disability claims. When a person is
involved in a severe accident, the initial goal is to file a claim against the
responsible party’s insurance carrier while the victim focuses on recovery. The
idea is to get back to good health and return to work.
It is important to remember that filing a claim for disability means not only that the injured person can no longer do their past work, but that the person has lost the function to perform any other work that exists in significant number in the national economy, and will be in that state of health for at least a 12 month period.
Here
is an example: While a 45 year old construction worker may clearly be unable to
return to past work after a traumatic spine injury that required a fusion back
surgery, the medical records may show adequate healing which, within 12 months,
would recover to the capacity to do a sit down job, with ability to sit and
stand for comfort accommodated during regular breaks in an eight-hour work day,
to complete a 40-hour work week. Construction work is out of the question.
However, there are a significant number of sedentary jobs in the national
economy that fit this residual functional capacity. In this particular set of
facts, the disability regulations will direct a finding that this person is Not
Disabled.
(If
a traumatic injury heals and the person returns to work- or is expected to be
able to return to work- before 12 months have elapsed, the claim will be denied
for failure to meet the disability law’s duration requirement. Medical
conditions like simple bone fractures with uncomplicated healing processes
would fall in this category.)
The
first thing to consider is whether the remaining impairment will likely prevent
a successful return to most work. This presumes work as a 40-hour work
week.
Next,
consider whether the personal injury settlement will interfere with filing a
Social Security disability claim. Before Social Security looks at medical
evidence to decide whether an injured person qualifies for disability benefits,
there are technical issues that can impact the eligibility to even file a claim
for benefits.
Social
Security Disability pays benefits from two programs, disability insurance (this
is what people frequently refer to as Disability) and Supplemental Security
Income. You must meet technical eligibility requirements for at least one of
the programs to be able to apply for benefits.
The
Social Security disability insurance program does not care how much money a
person has. The question is whether the injured person worked long enough, and
at high enough earnings, so that he is “insured” for disability benefits.
Insured status is generally met when the person has worked seven of the last 10
years. To think about it like other types of insurance: the Social Security
taxes taken out of your wages act like paying insurance premiums. If you don’t
pay a premium then there is no insurance. If you paid premiums in the past but
stopped, then the period of insurance coverage will begin to tick away until it
ultimately “expires.” If the injury happens after the date last insured, Social
Security can not pay this type of benefit.
If
the disabled person worked, but it was under the table and no taxes were taken
out, then there is no coverage for Social Security disability.
Supplemental
Security Income, or SSI, places a limit on the amount of income and resources
are available to a person. Think of it like a poverty-based disability program-
the person must be found disabled but payment of benefits is means-tested.
Generally, for single individuals the allowed amount is $2000 and for married
persons the amount is $3000. Any amounts in excess would begin to count down
from their SSI benefit. For example, a person can be found disabled but get $0
benefit due to excess income and resources. A settlement will likely
outresource clients. If the injured person attempts to file while the
settlement is still plentiful then they will receive a technical denial,
meaning Social Security will not process the case on its merits- it will be
screened out because, technically, the person is not eligible to file. This is
not a permanent situation. Once the settlement is spent down then eligibility
returns the month after the change in assets takes place.
This can be confusing. For
help with a problem similar to this, you can call the Social Security
disability law firm of Hall & Rouse at 1-866-425-5347, or fill out a
contact form at our website, hall-rouse.com.
If you're in NC and want help with your Social Security disability claim, call Hall & Rouse, P.C. at 1-866-425-5347
There are many ways your ticker can be ailing. Let me talk about the ones that are the most common basis for a Social Security disability claim.
First up is coronary artery disease (CAD). The heart is a muscle. It has to have a blood supply. This comes via arteries that are on or in the heart wall. In CAD one or more of these arteries gets clogged up so that the heart doesn't get enough blood supply. The result is usually angina. That's most commonly pain in the chest but the pain may be felt in other places like the back, neck or left arm. The pain is usually experienced with exertion. Doctors do an excellent job in treating CAD these days. If the blockage isn't too bad, they thread a catheter to the heart and put in a stent to open the artery and keep it open. If the blockage is worse or not accessible to a catheter, they can do open heart surgery to bypass the blocked artery. Usually, but not always, they can stop the angina and allow the patient to get on with his or her life, including work. When treatment doesn't work, Social Security disability may be a possibility.
Next up is heart failure, often called congestive heart failure. This happens when the heart is damaged and can't pump enough blood. This damage can come from a heart attack, advanced CAD or cardiomyopathy, among other reasons. Since the heart isn't able to pump the blood with enough vigor, the blood backs up in the body, causing swelling in the lungs or legs. If this happens to you, there may be general weakness and fatigue or shortness of breath. Heart failure leads to many Social Security disability claims. The biggest marker that Social Security looks at in heart failure cases is the Left Ventricular Ejection Fraction (LVEF) or just Ejection Fraction. It shows how good a job the heart is doing pumping blood. Normal is around 55%. If that gets down in the 30s, much less below, you'll feel symptoms. Doctors often tell patients what their Ejection Fraction is. If you've been told you have heart failure or cardiomyopathy, pay attention to this. Ask if they don't mention your ejection fraction. Your ejection fraction will be the most important number in your life.
Heart disease is complicated. If that's the basis for your Social Security disability claim, you need help from an experienced Social Security attorney.
SSI is “supplemental security income.” It is for people who are disabled and who lack excess financial means. That could be any of us. The government uses a means-test to decide whether you can get this type of payment. SSI can be paid on its own, or in addition to a second check, if that second disability check does not by itself put you over the dollar limit. If you do not meet the criteria for SSI, Social Security will do the calculations and let you know. Most of the time, when people are discouraged from applying for SSI, it is just an overworked SSA employee getting out of doing more work.
That other disability check, most people call “disability” or “SSD” for short, gets its eligibility from having a strong work history. You have been able to work long enough in recent years, at high-enough wages, to have "credits of coverage." You work, the government takes out various taxes before your take home pay, and some of those taxes go toward giving you coverage to file for disability insurance benefits.
The catch is when hardworking people, who are proud of their work ethic, do their phone interviews to screen the types of checks they may qualify to receive. A Social Security claims representative inevitably describes SSI as a poverty-based program. The disabled worker’s personal opinion is that this does not apply to them, and they say “no, I don’t want to apply for that one.”
Again: Apply for both. If you do not qualify, SSA will certainly let you know. The thing to remember is this: If you decline to apply for SSI when your application is first taken, then you are potentially missing out on months and months of benefits because SSI only becomes effective the first full month after you file for it. For people who were talked out of applying but file for SSI later, you can’t get matched to that earlier date.
Social Security Disability is filled with many confusing policies. You don’t have to do it on your own. I hope this Internet resource has been useful. If you still find it overwhelming or would just prefer to have an experienced attorney do it for you, call us at 1-866-425-5347. We are here to help.
The Commissioner of Social Security, Martin O'Malley, visited Raleigh yesterday for an event at the Governor's Mansion to celebrate the 70th anniversary of North Carolina's Disability Determination Service (DDS). My partner and I received an invitation to the event. Here are a few pictures.
First, me with Commissioner O'Malley:
Second, a picture of my partner, Crystal Rouse, with the Commissioner:
Next, a picture of Rose Mary Buehler, the Regional Commissioner for the Atlanta Region, myself, Joseph Lytle, the Deputy Commissioner for Hearings Operations and Crystal.
Finally, a picture of the NC DDS employees in attendance.
If you're in NC and want help with your Social Security disability claim, call Hall & Rouse, P.C. at 1-866-425-5347
Social Security's approach to pain is to pretend it doesn't exist. They routinely deny claims where the patient describes horrific pain. Social Security may acknowledge that a certain medical condition causes pain but they say, with some accuracy, that there's no clear relationship between the medical condition a person has and how much pain they suffer. That doesn't mean that a patient is fibbing when he or she says they suffer great pain from a medical condition while others with the same medical problem complain of only mild pain. While it may look like the same medical condition, there may be subtle differences causing much worse pain for some patients. Pain is a complicated thing. It's well known that the perception of pain is worse for those who also suffer from depression or anxiety. The pain and the depression or anxiety is all processed in the brain. Wouldn't you expect some interaction between the two?
Despite the problems, you certainly can be approved for Social Security disability benefits based upon chronic pain. That's actually almost routine. Cases based upon chronic pain get denied at the initial and reconsideration levels and then approved by an Administrative Law Judge. That doesn't happen every time but it happens a lot. Don't give up. Get help from a lawyer who knows Social Security.
You may ask, “Should I file for Social Security Disability?” This can be tricky. My simple answer is yes. The longer answer considers these things:
· What kind of disability benefit can you apply for?
Before SSA takes an application, they
screen non-medical rules. If you have worked long enough in recent years then,
like paying an insurance premium, you have paid taxes to have disability
insurance coverage. In this scenario, you can file for disability benefits no
matter how much money you have left over from the settlement.
The other disability program is
Supplemental Security Income. Many people call this by its abbreviation, SSI.
SSI is still a disability check. You qualify for it by being disabled plus
without financial means. At the start of the disability process, SSA will ask
you about income and resources such as bank accounts and property ownership. If
you still have money in the bank from the settlement, it is likely going to give
you financial means that disqualify you from applying.
To solve this, you can put the money
into a special needs trust or spend down the settlement and report it to SSA.
You will be eligible to apply the month after the change happened.
· How long are you going to be out of work?
In Social Security law, being a Disabled
adult means:
“You must not be able to engage in any
substantial gainful work activity because of a medically determinable physical
or mental disability(ies) that is either expected to result in death or has
lasted or is expected to last for a continuous period of at least 12 months.”
What does that mean? It means that your
ailments are going to keep you from getting back in the workforce for a minimum
of a year from when you went out of work. You do NOT have to wait a year to
file, but if you return to work before 12 months your case is going to be
denied.
·
What
if you return to work?
If your injury heals well-enough to let
you return to work in your old job, or in a new job, and you successfully go
back to work before being out for 12 months, then on the surface there is not
much to be done. SSA has a minimum duration of 12 months out of work. Our
experienced attorneys are well-versed in laws about unsuccessful work attempts,
work below the statutory limits, and work under special conditions that would
not represent a bona fide return to work.
·
What
if the doctor has released you to work but you are not able?
You should file for disability. Our
lawyers understand that Social Security is a total body review. If your doctor
was only treating your broken leg, but you also have migraines and severe
depression, then the release to work may only pertain to your leg healing. An
experienced Social Security attorney can evaluate issues like this and give you
the right answers.
If you find yourself in any of the above scenarios and need help, don’t hesitate—in North Carolina, the law firm of Hall & Rouse have practiced Social Security Disability since 1976. For representation on your Social Security Disability, call us at 1-866-425-5347.
There are at least a couple of reasons why Social Security makes it so hard for MS patients to get approved. First, sometimes MS goes into remission. Social Security's attitude is "Well, you're pretty sick now but you may be a lot better soon and then you'll be able to work." Maybe the MS will go into remission or maybe not but why deny a claim based upon mere speculation about what may happen in the future? Also, maybe the patient will go into remission but have a new exacerbation a few weeks or months later. How are you going to hold down a job if you're in and out of work all the time? Second, probably the most common symptom of MS is severe fatigue. Social Security likes things that can be measured. You can't measure fatigue. Social Security solves this problem by ignoring fatigue. However, whether or not you can measure it, fatigue is a very real problem for most people with MS and prevents work for many. Nobody denies that. Social Security doesn't deny that. They just ignore it.
My guess is that they're taking an average time span for the review of a Social Security disability claim and comparing the length of time that a case has been pending to that but things are on no timetable. One case may take four times as long as another case. Even their averages are misleading. There are some disability claims filed by people with terminal cancer. The agency races to approve those cases immediately because they're highly sympathetic cases but also because getting them out the door quickly makes their averages look better.
No, I'm sorry but you can't rely upon what you see on your Social Security account about how far along your disability claim is.
If you're in NC and want help with your Social Security disability claim, call Hall & Rouse, P.C. at 1-866-425-5347
It's hard to be approved for Social Security disability benefits based upon liver problems. It seems like they don't want to approve until the person with liver disease is in terminal decline. However, patients can have a lot of symptoms and limitations long without being in the end phase of liver disease.
Some of the problems getting approval for liver disease have to do with the fact that some liver disease is related to alcoholism. However, there are plenty of liver disease patients who have never drunk. Even for those who have had drinking problems, the question isn't whether you got to the point that liver disease is disabling you because of your drinking. The question is whether the symptoms of liver disease could be reduced or eliminated by stopping drinking. By the time liver disease has become disabling, many people with alcoholic liver disease will have already stopped drinking. Even if they are still drinking, the drinking may be hastening their demise but stopping it won't make the problem go away.
In the end, don't worry about the stigma that can be associated with liver disease. If you're disabled by liver disease, file a claim for Social Security disability claim.
Our disability attorneys are able to log in to Social Security’s electronic case system and look through your file to see what is happening in real-time. The sooner, the better, for developing a legal strategy for the win.
Our legal assistants spend the vast majority of their days on the telephone, calling Social Security, asking what is going on, what they need to make a decision, how we can help to possibly speed things along, and when you win, following up on the money until it is released.
We make sure your application is not gathering dust on someone’s desk in the county office.
We call Social Security Disability (Disability Determination Services) to make sure your case has been assigned and that someone is actually working on it. When that is not happening, we make sure it is escalated to the right people's attention, so you do not suffer more undue delays.
Our team reaches out to you to stay up-to-date about your medical care, or to suggest charity care networks if you have not received the treatment needed to prove your case.
Our legal team coordinates with your doctors or nurse practitioners to get medical records and medical opinions.
We file the appeals for you.
If you need to talk to an administrative law judge, we prepare you for what to expect.
We show up to court with you.
We keep you informed and do the work for you, so that you can focus on your health.
There is no upfront fee. There is no out of pocket fee. There is only payment if the attorney helps you win, and that win results in back pay. At that point, the fee is regulated by the government on a standard fee schedule that never exceeds 25% of back pay.
Whether you need a lawyer is an individual choice. If your feeling is that, yes, you want an experienced lawyer to handle things, we are here to help: www.hall-rouse.com, or give us a call at 1-866-425-5347.
This shame at being disabled has several bad effects. Disabled individuals suffer from inappropriate guilt and depression. They con themselves into believing that recovery from disability is right around the corner. They delay filing a claim for Social Security disability benefits because they believe that would be the admission of a personal failing. Often they fail to act until they're literally homeless.
Please accept that disability is a real thing. Your disability probably isn't going away. If you think that others will judge you harshly because you apply for Social Security disability, they're not going to know unless you tell them. Social Security isn't going to tell them. In the end, what do you care what other people think? Get over it! Do what you need to do! How is being homeless less shameful than filing a claim for Social Security disability benefits?
On a selfish basis, it's stressful dealing with desperate clients. They wait until they're about to be homeless before they file for Social Security disability benefits. They can't believe how long it takes to get a favorable decision from Social Security. Don't get me wrong, I'm happy to see you if you've waited this long but be realistic. If you've been out of work due to illness or injury for more than about six months, you're not likely to be able to get back to doing enough work to support yourself. Do what you have to do.
If you're in NC and want help with your Social Security disability claim, call Hall & Rouse, P.C. at 1-866-425-5347
Diabetes is a common health problem and a common reason why Social Security disability claims get filed and approved.
As with most conditions, age makes a huge difference with Social Security disability claims based upon diabetes. It become less difficult to be approved after age 50 and a good deal less difficult after age 55.
Another factors that make a difference with Social Security disability claims is the extent of damage that the diabetes has done to a person's body. I don't know that there can be a comprehensive list of all the things that diabetes can do to a body. Here are some of the more common:
Things get really complicated if you've also received Long Term Disability benefits, usually from an employer sponsored plan. You really need to see a tax professional about that sort of thing.
Can you get on Social Security disability benefits for problems with your foot or feet? The answer is that it's very possible. ...