Reply
 
Thread Tools Display Modes
Old 09-24-2014, 02:10 PM #1
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Default

Quote:
Originally Posted by LIT LOVE View Post
I was almost approved with first application, at the first stage, but the decision ended up getting yanked and was one of a small percentage to be over turned. It took me a long and complicated journey to reach a Fully Favorable decision. In hindsight, had I simply learned what was important to SS by doing my research in the beginning, I wouldn't have wasted so much time.

Your situation is not all that unusual. Approval at this ALJ hearing, or even after another appeal, is entirely possible.

Without reading your file, it is impossible to guess why you're not being approved. If your attorney is not proactive on your behalf, than you need to be. If you haven't read the Blue and Red books yet, that would be a good place to start.

You've written that your ALJ has a high denial rate, so maybe you should consider changing your Alleged Onset Date voluntarily to when you turned either 50 or 55--this would lower the threshold for your approval based on the grid rules. But, whatever you decide, going into the hearing with the attitude that it's a waste of time and being hostile to the ALJ, will not help your case.
My problem is that keep drawing judges with very low approval rates, not very intelligent, because the appeals council keeps sending it back. The judge that sent me on my CE exam which included a IQ and Memory Scale exam has 66% approval rating, so I'm cautiously optimistic. My remand order from appeals council only wants one thing cleared up, their doctors words, one says severe, the other says mild to moderate.
Rayandnay is offline   Reply With QuoteReply With Quote
Old 09-24-2014, 02:36 PM #2
LIT LOVE LIT LOVE is offline
Magnate
 
Join Date: Mar 2010
Posts: 2,304
15 yr Member
LIT LOVE LIT LOVE is offline
Magnate
 
Join Date: Mar 2010
Posts: 2,304
15 yr Member
Default

Quote:
Originally Posted by Rayandnay View Post
My problem is that keep drawing judges with very low approval rates, not very intelligent, because the appeals council keeps sending it back. The judge that sent me on my CE exam which included a IQ and Memory Scale exam has 66% approval rating, so I'm cautiously optimistic. My remand order from appeals council only wants one thing cleared up, their doctors words, one says severe, the other says mild to moderate.
So, this is a new ALJ?

Do you have any documentation that your function has not decreased since your initial application? That will likely be the sticking point, you may now qualify based on the CE exam, but are you entitled to benefits going back to your original Alleged Onset Date?

If you're willing to take less backpay, you might be able to have your attorney negotiate an On the Record decision... Of course there is also the possibility the ALJ will give you a Fully Favorable On the Record decision, but you should have the dates worked out ahead of time if you're willing to "settle" (it's inappropriate terminology in this context but nonetheless, that is what it is).
LIT LOVE is offline   Reply With QuoteReply With Quote
Old 09-24-2014, 02:48 PM #3
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Default

Quote:
Originally Posted by LIT LOVE View Post
So, this is a new ALJ?

Do you have any documentation that your function has not decreased since your initial application? That will likely be the sticking point, you may now qualify based on the CE exam, but are you entitled to benefits going back to your original Alleged Onset Date?

If you're willing to take less backpay, you might be able to have your attorney negotiate an On the Record decision... Of course there is also the possibility the ALJ will give you a Fully Favorable On the Record decision, but you should have the dates worked out ahead of time if you're willing to "settle" (it's inappropriate terminology in this context but nonetheless, that is what it is).
Right now as we speak my attorney is getting up to date information from my physchiatrist who I see often, they just got the results of CE exam today, not quite sure what the game plan is. Oddly enough, I called the 800 number for social security a few days ago, and the representative I talked to, just to get update was shocked this case has gone on so long. We already amended onset date from 2006 to 2009. The ball is in their court.
Rayandnay is offline   Reply With QuoteReply With Quote
Old 09-24-2014, 06:34 PM #4
LIT LOVE LIT LOVE is offline
Magnate
 
Join Date: Mar 2010
Posts: 2,304
15 yr Member
LIT LOVE LIT LOVE is offline
Magnate
 
Join Date: Mar 2010
Posts: 2,304
15 yr Member
Default

Quote:
Originally Posted by Rayandnay View Post
Right now as we speak my attorney is getting up to date information from my physchiatrist who I see often, they just got the results of CE exam today, not quite sure what the game plan is. Oddly enough, I called the 800 number for social security a few days ago, and the representative I talked to, just to get update was shocked this case has gone on so long. We already amended onset date from 2006 to 2009. The ball is in their court.
Those employees at the 800 # are not as informed or as well trained as those at the local offices. I'm not sure they even have access to the same software systems.

At this stage of your case I would not recommend contacting anyone at the 800 #. Your attorney's office should be handling all your questions at this point...but if you must contact SS directly, call the local office or the hearing office.

For example, I was told by two different employees at the 800 # that I had received a FF decision, six months apart and that I'd be receiving my benefits and backup at anytime. Unfortunately, they just didn't know how to read my earlier Partially Favorable Decision.
LIT LOVE is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Rayandnay (09-24-2014)
Old 09-24-2014, 08:17 PM #5
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Default Call

Quote:
Originally Posted by LIT LOVE View Post
Those employees at the 800 # are not as informed or as well trained as those at the local offices. I'm not sure they even have access to the same software systems.

At this stage of your case I would not recommend contacting anyone at the 800 #. Your attorney's office should be handling all your questions at this point...but if you must contact SS directly, call the local office or the hearing office.

For example, I was told by two different employees at the 800 # that I had received a FF decision, six months apart and that I'd be receiving my benefits and backup at anytime. Unfortunately, they just didn't know how to read my earlier Partially Favorable Decision.
I have Binder and Binder, they hate answering questions, I feel like another brick in the wall, that's why I hope this is it, we can all ride off into the sunset.
Rayandnay is offline   Reply With QuoteReply With Quote
Old 09-24-2014, 08:27 PM #6
Mz Migraine Mz Migraine is offline
Member
 
Join Date: Mar 2010
Posts: 496
15 yr Member
Mz Migraine Mz Migraine is offline
Member
 
Join Date: Mar 2010
Posts: 496
15 yr Member
Default

Quote:
Originally Posted by Rayandnay View Post
I have Binder and Binder, they hate answering questions, I feel like another brick in the wall, that's why I hope this is it, we can all ride off into the sunset.
Perhaps you should REMIND them that they are working for YOU, not the other way around.


__________________
"Invisible" Disability
.
Mz Migraine is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Rayandnay (09-24-2014)
Old 09-24-2014, 08:46 PM #7
LIT LOVE LIT LOVE is offline
Magnate
 
Join Date: Mar 2010
Posts: 2,304
15 yr Member
LIT LOVE LIT LOVE is offline
Magnate
 
Join Date: Mar 2010
Posts: 2,304
15 yr Member
Default

Quote:
Originally Posted by Rayandnay View Post
I have Binder and Binder, they hate answering questions, I feel like another brick in the wall, that's why I hope this is it, we can all ride off into the sunset.
Put everything in writing, and preferably in a trackable form like email or fax, or if you really want to make a point, by certified mail.
LIT LOVE is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Rayandnay (09-24-2014)
Old 09-24-2014, 10:36 PM #8
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Rayandnay Rayandnay is offline
Member
 
Join Date: Dec 2012
Posts: 240
10 yr Member
Default Binder and Binder

I feel like I'm in a bad marriage with them, hopefully when I hear those sweet words, favorable or even partial favorable decision, I can have this marriage annulled. Thanks for all your help.
Rayandnay is offline   Reply With QuoteReply With Quote
Old 09-24-2014, 11:33 PM #9
Hopeless Hopeless is offline
Senior Member
 
Join Date: Jun 2013
Location: USA
Posts: 1,232
10 yr Member
Hopeless Hopeless is offline
Senior Member
 
Join Date: Jun 2013
Location: USA
Posts: 1,232
10 yr Member
Default

Quote:
Quote:
Originally Posted by Rayandnay View Post
I have Binder and Binder, they hate answering questions, I feel like another brick in the wall, that's why I hope this is it, we can all ride off into the sunset.
Have you ever seen your file? If not, get a copy of it and read it, every page of it. You will be able to see why you have been denied and knowing that gives you a chance to know what you are up against and how to fight it.
Hopeless is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Rayandnay (09-25-2014)
Old 09-25-2014, 11:33 AM #10
Hopeless Hopeless is offline
Senior Member
 
Join Date: Jun 2013
Location: USA
Posts: 1,232
10 yr Member
Hopeless Hopeless is offline
Senior Member
 
Join Date: Jun 2013
Location: USA
Posts: 1,232
10 yr Member
Default

Quote:
Originally Posted by Rayandnay View Post
My problem is that keep drawing judges with very low approval rates, not very intelligent, because the appeals council keeps sending it back. The judge that sent me on my CE exam which included a IQ and Memory Scale exam has 66% approval rating, so I'm cautiously optimistic. My remand order from appeals council only wants one thing cleared up, their doctors words, one says severe, the other says mild to moderate.
Dear Rayandnay,

Please do not let the approval rating of the ALJ frighten you. Think of it as just a statistic and nothing more. If you are qualified, the ALJ will approve you. A 66% approval rate means the ALJ APPROVES 66 out of every 100 claims that come before him/her. That does NOT mean that you will automatically fall in the 34% that are denied. There are a lot of people that apply that are NOT qualified and they are the people that fall into the 34 out of 100 that are denied. Never lose hope. (Ignore my name.)

Maybe the next time we hear from you, we will hear that you are number 67 out of the 100 and you raised his approval statistic.

Wishing you the best. Make Binder and Binder give you a copy of your SSDI file. Like Mz MIgraine said, they work FOR YOU, not the other way around. They will get paid if you are approved. They have a financial stake in helping you get approved. Also, the more YOU know about your claim file, the better prepared you will be. That will help level the playing field. If SSDI has more information than you do, that leaves you handicapped, not just disabled.

Last edited by Hopeless; 09-25-2014 at 11:36 AM. Reason: Added sentence
Hopeless is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Rayandnay (09-25-2014)
Reply


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
SSI hearing soon Ladibug7 New Member Introductions 2 05-20-2012 01:27 PM
Anyone ever prevail at the ALJ after doing a horrible job of testifying? Christian Social Security Disability 5 03-26-2010 02:29 PM
alj hearing anna1446 Social Security Disability 5 03-23-2010 12:59 PM
hearing woodsman Reflex Sympathetic Dystrophy (RSD and CRPS) 21 08-14-2009 08:36 AM


All times are GMT -5. The time now is 11:00 AM.


Powered by vBulletin • Copyright ©2000 - 2025, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise (Lite) - vBulletin Mods & Addons Copyright © 2025 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.