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Is This A Good Sign Or Bad Sign For Ssdi ?


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12 replies to this topic

#1 DavidJones111

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Posted 13 November 2010 - 01:28 PM

I called the DDS office the other day and asked what the status is regarding my SSDI claim ? I was told that "she" couldn't say whether I was approved or not, and when I asked if they were able to obtain all the documentation required "she" replied that " We received the Mental Status Examiner's sign-off and now your file is in the physical disability determination office-section for their review. "

What exactly does that mean...that the Psychatrist that did my evaluation "signed-off" ? And why would they ( DDS ) send me in for a mental status exam, but not send me to an examiner for physical disabilities AND how is it possible for the physical disability office section able to make any decisions since most of the "physical" problems were not addressed by my current physician ?

#2 Sheepwoman

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Posted 15 November 2010 - 02:29 PM

In some instances, SSI/SSDI claims will go through both mental and physical disabilities. If you mentioned a physical disability on your claim, they are investigating that as well. If your psychiatric portion was "signed off" it can mean you qualified or you didn't qualify for benefits. At this stage, you can continue to follow up your claim every 2 weeks for status. You won't receive a definite answer from the people you speak with regarding it being approved or not approved until it's finalized-by then you will have received something in writing from SS. I called my SS caseworker every two weeks for status of my claim and if they needed help getting additional info.

How long ago did you file your claim? Did you know it can take between 3-6 months for an initial claim to be finalized?
Sheepwoman
It is not the life I lived; but the life I leave behind. Posted Image
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God will give you no more than you can handle. This is all a test to see if you are really ready for the good things that are going to come your way. All this pain is going to come back and make me stronger.-Clarence Clemmons 1942-2011

Everything I know, I know because I love. Leo Tolstoy War and Peace

#3 DavidJones111

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Posted 16 November 2010 - 01:17 PM

In some instances, SSI/SSDI claims will go through both mental and physical disabilities. If you mentioned a physical disability on your claim, they are investigating that as well. If your psychiatric portion was "signed off" it can mean you qualified or you didn't qualify for benefits. At this stage, you can continue to follow up your claim every 2 weeks for status. You won't receive a definite answer from the people you speak with regarding it being approved or not approved until it's finalized-by then you will have received something in writing from SS. I called my SS caseworker every two weeks for status of my claim and if they needed help getting additional info.

How long ago did you file your claim? Did you know it can take between 3-6 months for an initial claim to be finalized?
Sheepwoman



Thank-you for the response and info.

I applied at the local SSI office around September 25th of this year.

In the late 1980's, I was in an automobile accident where I was slammed into the windshield and dashboard at 40 mph. This caused major head trauma and I shattered my hip. Through-out the years, I broke my ankle, which never did heal right. In the mid-1990's, was when the anxiety started, not bad, was able to control it. As the years passed, the anxiety got worse, and the depression set-in more severely in unison with the ever-worsening anxiety, which now also involved major panic attacks.

The pupils of my eyes are different sizes, and my right hand/arm sometimes will begin to shake.

For a ten year period, jumping between different health insurance companies, or with no insurance at all...meant that I saw numerous professionals for the different ..um..conditions. Everyone had different ideas as to what was wrong, and prescribed every medication known to society. This made life a real humdinger for a period of 10 years, but, the anxiety and depression, along with ever-increasing pain in my ankle and hip still escalated/ing. And my eye-sight is getting worse.

I "tried" to work, but due to the anxiety felt extremely agitated, and my anger become's un-controlable after a certain period of time, causing me to walk off the jobs and quit, or be fired. I tried maybe 20 different jobs in the 10 year period while being used as a guinea pig for a whole slew of different medications, none of which ever worked. I finally found a doctor whose daughter suffered from depression and anxiety, so he was very empathetic and got me stabalized with medication that doesn't send me either through the roof, or lay me out on the floor. But, because of "family issues" he quit practicing medicine.

Haven't been able to work since 2006, and with limited income ( from my wife - who makes just enough NOT to qualify for anything ) , have no health insurance. My physician charges 80 dollars for 15 minutes. Which means, I only really use him for medication maintenance, and never mention anything else. Knowing to point out the pain in my ankle and hip, or the eye problems only would result with him sending me to specialists, which I can NOT afford. It was my current physician who suggested disability, and at the time, I didn't want to admit that I was disabled and tried to run my own business. When that failed, I asked about it and was told that my physician doesnt believe in disability and would NOT provide anything but any medical records...and nothing else.

When I went into the SSI office to file my initial claim in September, she assurred me that "they" would obtain ALL my medical records. On a letter dated October 8th, I was informed that "available records are insiffucient and additional information is required." and scheduled the Mental Status Exam. The disablities "they" listed for the CE Exam are Depression, Anxiety, Tramatic Brain Injury, Remote...

I was seen by a PSYD for approx. an hour. And to top it off, she answered most of the questions herself "for" me. The most I really said was "Yeah ! " through-out the entire exam.

I called to find out what records they were able to obtain...and was told that they only go back three years.

Even then, they only got "notes" from my current MD, who saw me once, and pawned me off the his nurses after the initial meeting. They did not obtain medical records from two other doctors I saw prior to the current MD, which still fall within the 3 year period, AND was told that they couldn't get the records from the therapist I have been seeing...in talking to my therapist, it turns out that they requested the records via phone, and did not have the "right" names, thus the therapist had no idea what DDS was asking for and for whom.

So...all DDS has...are "notes" from my current MD., and whatever the results are from the CE Exam -- Mental Status Exam. I asked if I was going to be sent to any other exams, and was told NO.

Yes, I am aware that this takes time to process...but...from what I have been able to gather so far, the whole thing has been bungled, with no real effort in actually doing anything...I am 99 percent postive that they are going to issue a denial ( no real surprise ) ; but I am really upset with the fact my claim is being handled in the manner in which it is.

Edited by DavidJones111, 16 November 2010 - 01:21 PM.


#4 Sheepwoman

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Posted 16 November 2010 - 08:31 PM

You can call SS and tell them that phone calls to your therapist are unacceptable and need to be sent in writing. MH professionals generally do not send progress notes. Mine wrote cover letters and included any psychiatric testing. My list of doctors and MH professionals went back 10 years (I gave SS all current addresses for them.) Your providers are obligated by law to send documentation to SS when requested. You gave ss permission to do so on your application. Believe it or not, SS wants you to win your claim. My caseworker worked very hard to get my claim approved on the first go round. Be persistant and work with SS. If they can't get information, be prepared to go the extra mile and get it for them.

If you actually suffered brain damage from your auto accident,, that is a point in your favor. Your other physical disabilities limit your ability to move around or sit in one place for any length of time. You might even request your hospital records if SS needs them in their determination.

Have you applied for Medicaid? You sound like you're eligible for it. At least you would not have any out of pocket expense to see a doctor and generally prescriptions are free. The only drawback is there are a limited number of physicians and MH providers that accept Medicaid.

Keep us informed.
Sheepwoman
It is not the life I lived; but the life I leave behind. Posted Image
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God will give you no more than you can handle. This is all a test to see if you are really ready for the good things that are going to come your way. All this pain is going to come back and make me stronger.-Clarence Clemmons 1942-2011

Everything I know, I know because I love. Leo Tolstoy War and Peace

#5 DavidJones111

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Posted 16 November 2010 - 09:34 PM

You can call SS and tell them that phone calls to your therapist are unacceptable and need to be sent in writing. MH professionals generally do not send progress notes. Mine wrote cover letters and included any psychiatric testing. My list of doctors and MH professionals went back 10 years (I gave SS all current addresses for them.) Your providers are obligated by law to send documentation to SS when requested. You gave ss permission to do so on your application. Believe it or not, SS wants you to win your claim. My caseworker worked very hard to get my claim approved on the first go round. Be persistant and work with SS. If they can't get information, be prepared to go the extra mile and get it for them.

If you actually suffered brain damage from your auto accident,, that is a point in your favor. Your other physical disabilities limit your ability to move around or sit in one place for any length of time. You might even request your hospital records if SS needs them in their determination.

Have you applied for Medicaid? You sound like you're eligible for it. At least you would not have any out of pocket expense to see a doctor and generally prescriptions are free. The only drawback is there are a limited number of physicians and MH providers that accept Medicaid.

Keep us informed.
Sheepwoman



Yes, I applied for Medicade, however, my wife makes too much for me to qualify. I did provide DDS with the info for Kaiser Permanente which has the bulk of my records, they have everything relative to the accident, the head and hip injury, eye problems, and it was a Kaiser Doctor that pulled me out of work and sent me to a stress management group under the supervision of a psychiatrist. I even provided copies of medical records from another MD I spent some time with in wrestling with these problems.

IF I request the records from Kaiser, they will charge me 25 cents per page. Since Kaiser covers many, many years...that could be very expensive for "me" to obtain.

However, the DDS worker is refusing to accept those records since they are prior to 2007. The last time I spoke with the DDS case worker, she was rude and made it clear she was done with her part.

Only have spoken to the DDS worker twice. Once she called to say she was sending me to the CE Exam, once was when I called last week to ask the status of my claim and IF she had any trouble obtaining my records.

Edited by DavidJones111, 16 November 2010 - 10:13 PM.


#6 Sheepwoman

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Posted 19 November 2010 - 05:34 PM

If your SS caseworker is rude or otherwise non-professional in working with you, file a complaint and request a new caseworker. I don't care how long they've been on the job, they are not to be rude or anything other than professional and helpful with clients. This goes for any sector of jobs that deal with the public (believe me, I have filed complaints on occasion when people have been rude to me.) Your caseworker is supposed to treat you with dignity and respect, not like another lump of coal. It sounds like yours has been on the job too long and needs a change in scenery.


If your accident records are prior to 2007, you can request specified dates of service and not your whole file. Most of the older records are now digitalized and stored so it could take a little time to get copies. SS can request specified dates of service, too. You really need to get a new caseworker who is willing to work with you to get your claim rolling in the right direction.
Sheepwoman
It is not the life I lived; but the life I leave behind. Posted Image
Sheepwoman

God will give you no more than you can handle. This is all a test to see if you are really ready for the good things that are going to come your way. All this pain is going to come back and make me stronger.-Clarence Clemmons 1942-2011

Everything I know, I know because I love. Leo Tolstoy War and Peace

#7 DavidJones111

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Posted 20 November 2010 - 10:01 AM

If your SS caseworker is rude or otherwise non-professional in working with you, file a complaint and request a new caseworker. I don't care how long they've been on the job, they are not to be rude or anything other than professional and helpful with clients. This goes for any sector of jobs that deal with the public (believe me, I have filed complaints on occasion when people have been rude to me.) Your caseworker is supposed to treat you with dignity and respect, not like another lump of coal. It sounds like yours has been on the job too long and needs a change in scenery.


If your accident records are prior to 2007, you can request specified dates of service and not your whole file. Most of the older records are now digitalized and stored so it could take a little time to get copies. SS can request specified dates of service, too. You really need to get a new caseworker who is willing to work with you to get your claim rolling in the right direction.
Sheepwoman


How does one go about doing that...whom would I file a complaint with to request a new caseworker ?

I did contact one of the MD's offices to obtain the relative medical records "myself", and was told that all records prior to 2008 are put into storage. I was told in no Uncertain terms that I was NOT going to get copies of my records --- ( IF Disability needed them, then Disability could request them, and THEN the staff at the Doctors Office would dig into the closet to get the copies of my records ) --- which resulted in an immediate call from me to the State Medical Board filing a complaint against that Doctor's Office. Even the State Board people I spoke with in filing the complaint, laughed at the office's attitude. I didn't find the circumstances particularly humorous, but, sort of typifies what I've had to deal with through-out the years.

#8 Sheepwoman

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Posted 24 November 2010 - 06:36 PM

There is always a manager at each SS office and one for each department. I would file a complaint with the manager of all the departments.

I understand the storage thing with your doctor's office. Many docs rent a storage locker for their old files. Yes, Disability can request any file from the doctor or hospital and specific dates. They have your permisson to do so. Doctor's offices tend not to want to dig for stuff a patient is requesting. When they do, they can charge up to $1.00 (or more)per page to xerox it.

The State Board probably get a lot of these types of complaints. I can hear them say, "Oh boy, here comes another one." They probably do the same with doctor complaints. Sorry if their response irritated you. I know how important it is for you to get everything SS needs for your claim. You know you can hire a Social Security attorney (listed in your phone book). They will get everything you need and file your claim or follow up on it. There's no out of pocket expense until you claim is approved. They can then take a set percentage of the award. When you sign a contract with an SS attorney, ask if you have to pay for the sundries (xeroxing, postage, etc.) as some will charge extra for these items.

Sheepwoman
It is not the life I lived; but the life I leave behind. Posted Image
Sheepwoman

God will give you no more than you can handle. This is all a test to see if you are really ready for the good things that are going to come your way. All this pain is going to come back and make me stronger.-Clarence Clemmons 1942-2011

Everything I know, I know because I love. Leo Tolstoy War and Peace

#9 Grits Girl

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Posted 12 December 2010 - 03:12 AM

I called the DDS office the other day and asked what the status is regarding my SSDI claim ? I was told that "she" couldn't say whether I was approved or not, and when I asked if they were able to obtain all the documentation required "she" replied that " We received the Mental Status Examiner's sign-off and now your file is in the physical disability determination office-section for their review. "

What exactly does that mean...that the Psychatrist that did my evaluation "signed-off" ? And why would they ( DDS ) send me in for a mental status exam, but not send me to an examiner for physical disabilities AND how is it possible for the physical disability office section able to make any decisions since most of the "physical" problems were not addressed by my current physician ?


Yea they wont tell you anything over the phone and they cant say if you won your case or not. And your the opposite of me I'm being sent for the Physical and not the Mental exam.

But the first time I checked on mine it said it was processing the mental health portion of my claim. Now it says it's processing the Physical Health portion, which my appt. for the Physical is 12/20.

But my hub when he went to all that seeing the drs ect.... We didnt hear anything for 3 mths mid Nov. last year he was approved. and got his back pay from 2006.

But just so you know Everyone pretty much all get denied the first time, just stay on the appeals.

#10 JerseyFrank

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Posted 14 December 2010 - 09:54 AM

I called the DDS office the other day and asked what the status is regarding my SSDI claim ? I was told that "she" couldn't say whether I was approved or not, and when I asked if they were able to obtain all the documentation required "she" replied that " We received the Mental Status Examiner's sign-off and now your file is in the physical disability determination office-section for their review. "

What exactly does that mean...that the Psychatrist that did my evaluation "signed-off" ? And why would they ( DDS ) send me in for a mental status exam, but not send me to an examiner for physical disabilities AND how is it possible for the physical disability office section able to make any decisions since most of the "physical" problems were not addressed by my current physician ?


It sounds like you are still in that 5-6 month waiting period for a determination by DDS. I applied in Sept 09 and was notified of my approval in March of this year. I was also sent to both a mental and physical exam. To the best of my understanding, these exams usually indicate that the information SS has on you is lacking in some way. Like Sheepwoman said, cooperate in any way you can to provide DDS with all they need to make a determination. For now just try and be patient. Good luck and keep us informed.

JF

#11 DavidJones111

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Posted 30 August 2013 - 01:47 PM

Update on my SSDI case:  

 

Took a long time to get through this debacle, however, I was successful and was awarded benefits after reaching the appear before the judge stage.  The turning point was when I hired an attorney.   She knew what to prepare and how to present the supporting documentation, and what to say to the judges questions.   Took some looking to find a good attorney, but made all the difference in the world.  What a relief...was quite the lengthy battle, however, with perseverance and pushing forward despite the obstacles, one can succeed.  Thank-you to everyone that commented here - helped tremendously - and although haven't posted in awhile, appreciate the support and helped me to keep going - no matter what.  


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#12 Bizarro

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Posted 26 September 2013 - 02:57 AM



Update on my SSDI case:  

 

The turning point was when I hired an attorney.   She knew what to prepare and how to present the supporting documentation, and what to say to the judges questions.   Took some looking to find a good attorney, but made all the difference in the world.  What a relief...was quite the lengthy battle, however, with perseverance and pushing forward despite the obstacles, one can succeed.

 

I'm glad you made it.

 

Hiring an attorney is the first thing anybody should do when applying for SSDI. I applied and was denied twice before i found a local attorney who took my case on a contingency basis, meaning he didn't get paid unless I won my case, and I was finally approved the third time I applied.

 

He showed me the report in my records from the physician the Social Security Administratioon had sent me to the second time I had applied. He had reported back that in his professional opinion I was so sick he didn't see how I could possibly work, and they still denied me.

 

My lawyer advised me I should have hired him before i applied the first time, and he would have known what papers to send in and how to go about geting my claim approved without all the crap they put you through. Had I not had relatives to depend on I wouldn't have been able to make it through the 2 years it took me in total to get approved, and I wouldn't have things going as well for me as they are now. That's for sure.


Edited by Bizarro, 26 September 2013 - 02:58 AM.


#13 LuvDobes

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Posted 22 October 2013 - 10:09 PM

I am having the same issue with my records.  I have a September 2006 psychiatric diagnosis (that was ordered by the divorce judge) which states my depression is endogenous (of biological origin or genetics) and is not only situational.  My SS disability attorney is refusing to subpoena or use that report stating it is 7 years old.  But genetic means from birth, so who cares how old it would be?  Genetic conditions are just that -- genetic -- and do not disappear with time.

 

My attorney is also refusing to use any of my medical records stating I did not stick with any one doctor long enough.  Months is long enough for one doctor, then I'd have to find another one.  I've been on every antidepressant in the book since 1997, but she is refusing to help me.  I don't understand why I'm having such a problem with my own retained attorney?  Why won't she help me build my case?  She claims there's nothing I can do and states she's not optimistic.  Why doesn't she withdraw so I can retain an attorney who will actually USE my medical records?

 

My SS advocate is extremely rude as well.  She is of no help.  I have no idea how to get another one assigned to me.






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