Go Back   NeuroTalk Support Groups > >

Appeal Under Review/Reconsideration

Reply
 
Thread Tools Display Modes
Old 01-15-2018, 08:23 PM   #11
LIT LOVE
Magnate
 
Join Date: Mar 2010
Posts: 2,303
Default

Quote:
Originally Posted by Alice P View Post
Thank you for clearing that up for me. I was quite shocked when I was told that I did't have a case worker at the FO. lol

Do you know if a person has to have new medical evidence to go OTR ? And if so does it have to pertain to the original claim ? I was just DX with degenerative disc disease so I wonder if I could use that to go OTR .
New evidence is fine but if there was no mention of the impairment previously, then would you be amending your Alleged Onset Date? With an OTR it must be a Fully Favorable Decision, so they can't set a different Established Onset Date.

Similarly for the hearing you can add a new impairment but if there is no medical evidence previously, it might effect the EOD. The ALJ will first determine if the original impairments will allow an approval or not.

DDD would be unlikely to meet a Listing prior to a hearing, but there is a chance you could be approved via the Grid. Or, it could be determined both impairments equal a Listing.

Even approaching advanced age, education and skills are still a factor. Registered nurses or many with sedentary desk jobs, for example, struggle to be approved via the GRID even after age 55. Link: Sedentary Work Grid Rules | Maximum Capacity Sit Down Work

I know you thought early on the Grid was a factor on your first denial, but you were denied because they claimed you could still perform the same type of work, which means they didn't proceed to factor the Grid. You may have understood this later, but I just wanted to clarify.

There are fine points to each strategy for approval, which there is plenty of time for you to learn, but I would not give up on trying to prove you meet the COPD listing which should maximize your benefits.

Last edited by LIT LOVE; 01-15-2018 at 09:10 PM.
LIT LOVE is offline   Reply With Quote
Old 01-15-2018, 11:23 PM   #12
Alice P
Junior Member
 
Join Date: Aug 2017
Location: USA
Posts: 54
Default

“New evidence is fine but if there was no mention of the impairment previously, then would you be amending your Alleged Onset Date? With an OTR it must be a Fully Favorable Decision, so they can't set a different Established Onset Date.

Similarly for the hearing you can add a new impairment but if there is no medical evidence previously, it might effect the EOD. The ALJ will first determine if the original impairments will allow an approval or not.”

Interesting….definitely something I should discuss with my lawyer before moving forward.

“Even approaching advanced age, education and skills are still a factor. Registered nurses or many with sedentary desk jobs, for example, struggle to be approved via the GRID even after age 55. Link: Sedentary Work Grid Rules | Maximum Capacity Sit Down Work “

All of my jobs have been in food and beverage. Cocktail server, bartender, cook, waitress and eventually restaurant management. All of these jobs you hit the ground running and don’t stop until your shift is over lol. So I’m not sure where that puts me on the Grid Rules. I’ve never had a sedentary job and its my understanding that SSD is more lenient, as far as retraining goes, with people of “advanced age.” I think what disqualifies me on the Grid is that I have transferable skills from being a restaurant manager, but I’m not sure.

“ I know you thought early on the Grid was a factor on your first denial, but you were denied because they claimed you could still perform the same type of work, which means they didn't proceed to factor the Grid. You may have understood this later, but I just wanted to clarify. “

Yes, you are right about the first denial. Do you think they used the Grid for reconsideration ? I really want to see the letter so I can know why I was denied.

“There are fine points to each strategy for approval, which there is plenty of time for you to learn, but I would not give up on trying to prove you meet the COPD listing which should maximize your benefits.”

A few weeks ago I had a PFT test done and submitted the results to DDS. My pulmonologist has scheduled more tests for me in the coming months so maybe that will help with my case with COPD .

Thanks for the info !
Alice P is offline   Reply With Quote
Old 01-16-2018, 04:53 AM   #13
LIT LOVE
Magnate
 
Join Date: Mar 2010
Posts: 2,303
Default

If you had management experience they will likely consider those as transferable skills if you held the job within 15 years from your AOD. The Vocational Expert rules are exceptionally complex IMO.

If at Recon they denied you based upon your ability to do prior work, then no the Grid was not considered. If they decided you can no longer do prior work, then they would have evaluated the Grid before moving on to Step 5.

I would recommend reading/rereading 3.00 E. It covers all SS requirements for
valid spirometry testing including your height without shoes, legible tracings, etc. One technicality on the way it was reported and you would have been denied.
https://www.ssa.gov/disability/profe...tory-Adult.htm
LIT LOVE is offline   Reply With Quote
"Thanks for this!" says:
echoes long ago (01-18-2018)
Old 01-17-2018, 09:11 PM   #14
Alice P
Junior Member
 
Join Date: Aug 2017
Location: USA
Posts: 54
Default

Lit Love

Yes, the Grid is complex and confusing. Two of the jobs that I had over the last fifteen years were managerial. So, I don’t know yet if that comes into play …

I still haven’t received the denial letter, nor has my lawyer so we don’t know what the reason was.

Thanks for the link. Wow that’s A LOT of info !! lol Its going to take me awhile to dissect it all !

Thank you so much for taking the time to respond to my posts .
Alice P is offline   Reply With Quote
Reply

Tags
appeal, decision, review, told, worker

Thread Tools
Display Modes

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
Reconsideration Alice P Social Security Disability 1 08-07-2017 06:39 PM
Ssdi Appeal in review JoJo54 Social Security Disability 1 01-26-2015 06:58 PM
Won reconsideration appeal bdh1 Social Security Disability 5 11-02-2011 09:32 PM
need help with appeal reconsideration gemi Social Security Disability 5 04-08-2011 08:39 AM
First denial - on second appeal - case review or a conference? luna11 Social Security Disability 0 11-05-2010 11:56 PM


All times are GMT -5. The time now is 01:24 PM.
Brought to you by the fine folks who publish mental health and psychology information at Psych CentralMental Health Forums

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.


Powered by vBulletin • Copyright ©2000 - 2018, Jelsoft Enterprises Ltd.
Search Engine Optimisation provided by DragonByte SEO v2.0.31 (Lite) - vBulletin Mods & Addons Copyright © 2018 DragonByte Technologies Ltd.

All posts copyright their original authors • Community GuidelinesTerms of UsePrivacy Policy