Social Security Disability declined : Social Development

Social Security Disability declined

A Social Security Disability

Disability denials are, unfortunately, what most disability claimants can expect to receive after they file a claim for benefits with the Social Security Administration.

Statistically (depending, to some extent, on where a disability claimant lives), initial claims have a denial rate of approximately 65%. Reconsiderations (the first step of appeals) are denied at an even higher rate (up to 85%).

Denial Notice

A notice of denial from the Social Security Administration will contain a brief description of your medical condition, the impairments that were considered, the medical and nonmedical records that were considered, and an explanation for the denial. For instance, the explanation might say that there are jobs other than your prior work that you can still do. Some denial notices will include a "technical rationale, " a full explanation of the medical issues that led to the denial decision and usually a discussion of your residual functional capacity (RFC) and past jobs. If your notice doesn't include the rationale, request your file from Social Security so that you can review it. For more information, see our article on reviewing your disabiilty file before an appeal.

Technical Rationale

The claimant has said that he became unable to work as of 06/15/20xx due to “a heart condition.” He was in the hospital when he applied and was to have bypass surgery. There is no work issue.

The medical evidence documents the presence of coronary artery disease. The claimant was hospitalized 06/22/20xx due to chest pain with EKG changes suggestive of ischemia. Cardiac catheterization showed 75% obstruction of the left main coronary artery. He was discharged to await bypass surgery. Triple bypass surgery was performed 07/09/20xx. Three months after surgery, the treating physician reported that there was no chest pain. No treadmill test had been done and none was planned. The doctor said the claimant should limit lifting to 10–20 pounds.

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