Have you ever gotten such a large Social Security Disability (SSD) file that it makes your motivation fly out the window? I certainly have! Fortunately, there are a few effective strategies for moving through large SSD files that I’ve learned and want to share with you. Not only will these tips help Social Security Disability representatives move through the file more efficiently, they can improve accuracy, too
Disability Determination Explanation (DDE)
In a recent webinar I guest-hosted with Ormson Law Training, I emphasized reviewing the Disability Determination Explanation (DDE) in the A Section of the file first. (Of course, this is after ordering the CD from the Social Security Administration (SSA) and/or being able to review the file at the Office of Hearings Operations (OHO) level.)
The DDE is an excellent place to begin as you get a quick review of what the SSA and/or DDS levels found regarding:
Date last insured
Residual functional capacity
Medical evidence of record referred to in the evaluation
Vocational specialist finding of past relevant work or transferable skills
Medical consultant’s finding at each Step of the evaluation
Although the SSA and Disability Determination Services (DDS) evaluations are typically less restrictive and overly optimistic, there is a lot of evidence available in the DDE for a quick review.
Medical opinions can help you quickly review any severe impairments and functional limitations. All medical opinions indicate which severe impairments reduce the Claimant’s ability to work, and they report the functional limitations stemming from severe impairments. Most medical opinions refer to supporting evidence, which you can look for when reviewing the rest of the file.
The SSA’s consultative examinations occasionally include an opinion that includes:
Mental status examination
Treating opinions typically include:
Length of time he/she has treated Claimant
Response to treatment
Finally, some medical opinions may indicate the date Claimant’s impairments became disabling.
Admission and Discharge Summary
If there are any hospitalizations, it is beneficial to review admission and discharge summaries to quickly gather information regarding Claimant’s symptoms, treatment, and level of functioning. I suggest skimming through a bulk of the evidence during a hospitalization and focusing on admission and discharge summaries.
The admission summary reports on Claimant’s condition on admission, such as:
Interaction with medical staff
The discharge summary typically indicates:
Claimant’s response to treatment
Scheduled follow-up treatment
Impairments on discharge
Overall condition on discharge
If Claimant has psychiatric treatment, an intake assessment prior to mental health treatment may contain a significant amount of information.
The mental health professionals typically note:
Claimant’s relevant social background
Past treatment and any medicinal side effects
The intake assessment includes severe impairments and notes the Claimant’s treatment plan, including prescribed medication, individual and/or group therapy, and possibly inpatient treatment.