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Old 08-15-2012, 10:52 PM #13
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echoes long ago echoes long ago is offline
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Join Date: May 2008
Location: new york
Posts: 1,581
15 yr Member
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pawl this is from SSA about how they process the short forms. question 5 is the question about doctors visits and ths is what it says. it looks like from reading this that they may contact you by mail or phone because you have not indicated any visits but indicated no medical improvement. hope this helps.

If the answer to 5 is:
Your action on all profiles is:

YES
Check the profile sheet for information about the prior decision. Knowledge can be gained from the following:

Date of birth

Date of onset

Date of initial decision

Date of latest decision

Reg basis code

Vocational rule met

Diaries set

Blindness

Assess the importance of ongoing medical treatment, or its absence, to the status of the condition. Read carefully the “how often” and “reason for visit” narratives and draw any conclusions.

Consider any remarks or attachments that might address whether medical improvement is or is not indicated.

Consider whether a telephone call to the beneficiary or representative payee will provide further details.

For LOWS, recommend a DO CDR only if the narrative/telephone call response(s) indicates there is possible medical improvement.

For HIGHS/MEDIUMS, take a DO CDR action unless the narrative/telephone call response(s) indicates no likelihood of medical improvement.

NO
All Profiles-If not explained on the form, obtain by DIRCON to the beneficiary or representative payee the reason(s) for the lack of ongoing treatment, especially if impairment codes are:

4140 (angina)

4430(arterial)

5710 (liver)

5840 (renal)

2500 (diabetes)

These impairments usually require continuous medical intervention.

Recommend a full medical CDR only if the DIRCON response indicates there is possible medical improvement.

NO RESPONSE
All Profiles-Go to question 6.
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