how important is an attorney for a dissability appeal hearing pa

by Ottilie Mertz DDS 8 min read

Statistics show that an applicant who has a disability attorney at the hearing level is twice as likely to be approved at the first hearing than a claimant without legal representation. If you get denied at the first hearing, then you will have to go before the Appeals Council, which can take much longer.

The answer is a resounding yes!
Most importantly, your disability attorney will provide you guidance for what to expect at a hearing and to help you prepare and identify the most important issues to be presented in your case.

Full Answer

What evidence do I need to substantiate my claim for disability?

With an understanding of the process, an experienced Social Security disability appeals attorney can guide you to the best possible resolution. At Handler, Henning & Rosenberg LLC, we are dedicated to helping people across Pennsylvania with their appeals. To find out how we can assist you, give us a call at (888) 498-3023. The Four Levels of Appeal

What do I need to prepare for a disability appeal hearing?

Your disability lawyer or non-attorney disability representative (many of whom are former SSA field office workers or former disability examiners) will file all of your appeal paperwork for you, ensuring that it will be done in a timely manner, and done correctly. An obvious advantage of this, of course, is that you will not have to start the disability process again because of a late …

How long does it take to hear back from a disability appeal?

Jun 14, 2017 · Statistics show that an applicant who has a disability attorney at the hearing level is twice as likely to be approved at the first hearing than a claimant without legal representation. If you get denied at the first hearing, then you will have to go before the Appeals Council, which can take much longer.

How long do SSD appeal wait times take?

What are the chances of winning disability on an appeal in Pennsylvania? ... improve if they have representation in the form of a qualified disability lawyer or non attorney advocate. ... Tim Moore represents claims at the application, reconsideration appeal, disability hearing, and appeals council levels in primarily the Raleigh, Durham ...

What are the odds of winning a SSDI appeal?

Unfortunately, your odds are even lower for getting your benefits approved on the first appeal—about 12%. If you move on to the next level of appeal, which involves a hearing before an administrative law judge (ALJ), your chances for approval increase significantly—more than 55%.Jun 24, 2021

What happens when you appeal an ALJ decision?

An appeal of the ALJ denial can result in a remand (or sending back) of the case to an ALJ for additional proceedings in accordance with instructions from the Appeals Council in Virginia or from the Court.

How can I speed up my SSDI appeal?

Another means of expediting the scheduling of a disability appeal hearing is to request a congressional inquiry. To facilitate an inquiry, you must contact the office of your local senator or congressperson and request that they intervene with the ODAR on your behalf.

What happens when you appeal SSDI?

If the Appeals Council decides to review your case, it will either decide your case itself or return it to an administrative law judge for further review. If you disagree with the hearing decision, you may request a review by Social Security's Appeals Council online.

Can a decision by the ALJ be overturned?

The only way to overturn a decision made by an ALJ is to file an appeal with the Appeals Council. You can file an appeal to the Appeals Council by sending the SSA a letter or submitting Form HA-520.

Should I appeal an ALJ decision?

The ALJ cannot ignore limitations that are in your medical file and say that you can do more than your doctor's notes or medical evidence indicates you can do. If the ALJ's assessment of your RFC is not supported by the medical evidence, you should make that argument to the Appeals Council.

How can I survive waiting for disability?

While you wait for disability benefits to be approved, consider seeking assistance through other local, state, and federal support programs. These may include: Supplemental Nutritional Assistance Program (SNAP) Temporary Assistance for Needy Families (TANF)Mar 2, 2021

How do you win a disability reconsideration?

7 Tips for How to Win a Disability Reconsideration Appeal
  1. File a Timely Appeal. ...
  2. Submit the Right Paperwork. ...
  3. Draft an Effective Appeals Letter. ...
  4. Provide Additional Medical Evidence. ...
  5. Be Honest and Transparent. ...
  6. Get a Written Opinion From Your Doctor. ...
  7. Hire a Reliable Attorney.
Sep 20, 2021

Who makes the final decision on Social Security disability?

the Disability Determination Services (DDS)
An applicant can receive payments for up to 6 months while the Disability Determination Services (DDS) reviews the claim and makes the final decision.

What happens after you get a fully favorable disability decision?

If you receive a fully favorable decision, the SSA approved your application with the onset date of disability that you originally noted. You will then start receiving disability benefits as soon as your elimination period or waiting period has ended.

How do I pass a continuing disability review?

If you want to keep yours, here are some tips on how to pass a continuing disability review:
  1. Follow Your Treatment Protocol. ...
  2. Learn More About Your Condition. ...
  3. Answer the Short Form Honestly. ...
  4. Keep Copies of Your Medical Records. ...
  5. Inform the SSA of Any Change in Address.
Apr 22, 2020

What does it mean when the judge says unfavorable for Social Security?

What does Notice of Decision - Unfavorable mean? This decision finds that you are not disabled and never were disabled according to Social Security laws, regulations, and rules.Apr 4, 2020

What is disability benefits?

Disability benefits are there to help people who are seriously ill or injured pay for their medical bills and other expenses while their health keeps them out of work. At the end of 2012, the SSA (Social Security Administration) reported over 10 million Americans were receiving some form of disability with an average monthly benefit of $1,134.86. However, successfully qualifying is known for being a difficult process which often requires the applicant to appeal. In this post, we’ll take a closer look at how the appeals process works, and what to do if your social security disability claim was denied.

What is an ALJ hearing?

The ALJ hearing is named for the ALJ, or Administrative Law Judge, who presides over the meeting. However, the hearing does not always take place in person, and may be conducted over video teleconference (VTC) or even via phone.

How long does it take to get an ALJ hearing?

It is very important that you make this request within 60 days of your original denial. If you miss this deadline, you will have to submit Form HHS-727 to the U.S. Department of Health and Human Services, so it’s best to simply be on time and avoid unwanted delays.

What to do if your child's disability is rejected?

If you or your child has had a claim rejected by the SSA, an experienced disability attorney can help guide and represent you throughout the appeals process. To set up a free, confidential legal consultation, call the law offices of Young, Marr & Associates at (215) 701-6519 in Pennsylvania, or contact us online.

What is a medical denial?

Medical denials generally occur when a claimant’s disability fails to match or equal the severity standards in the “Blue Book,” or Listing of Impairments, or when a medical condition doesn’t meet the SSA’s 12-month duration requirement. (However, there are some exceptions for advanced and very severe illnesses, known as Compassionate Allowances .)

What to do if your claim is denied?

If your claim was denied, the first step is to submit a formal Request for Reconsideration. The reason for your denial affects which forms you’ll need to submit:

What happens if you reject a claim from the SSA?

When your claim is rejected, the SSA should send you a written notification which explains the reasoning behind the decision. If you disagree with this explanation, it may be time to appeal.

How long do you have to appeal a disability claim?

How Long Do I Have to File a Disability Appeal? If you were denied Social Security Disability Income (SSDI) benefits or Supplemental Security Income (SSI), you have the right to file an appeal, but you must file within 60 days. Waiting too long to file an appeal could jeopardize your right to appeal the SSA’s decision.

What happens if an administrative hearing does not have the desired result?

If the administrative hearing does not have the desired result, you can file a request for an Appeals Council review of your claim. The Appeals Council may send the case back to the administrative law judge or decide the case itself.

How to reconsider SSA claim?

Reconsideration involves a complete review of your claim by a different SSA employee than the one who denied your first application. You can request a hearing with an administrative law judge if your claim is still denied after reconsideration. This judge will review all the evidence and documentation and render a decision. If the administrative hearing does not have the desired result, you can file a request for an Appeals Council review of your claim. The Appeals Council may send the case back to the administrative law judge or decide the case itself. If the Appeals Council has not approved your application, the final step is a Federal Court review, by filing a lawsuit in a federal district court.

What to do if your SDDI is denied?

One of the most important things you can do if your application was denied is to involve a lawyer. At Handler, Henning & Rosenberg LLC, we’ve seen too many people come to our firm in desperation because they chose to forgo legal counsel and are now facing the paperwork, hassle, and confusion of filing an appeal with the SSA. Fortunately, our Pennsylvania SDDI appeal attorneys can step in and get to work immediately, helping with your reconsideration, hearing, or review to seek the outcome you deserve.

What happens if the Appeals Council does not approve your application?

If the Appeals Council has not approved your application, the final step is a Federal Court review, by filing a lawsuit in a federal district court.

Can the Social Security Administration deny SSDI?

The Social Security Administration may deny any SS DI or SSI application if they believe the applicant does not actually qualify for benefits. The SSA might deny your application if: Your condition does not meet the SSA’s definition of a “disability.”. You are still working and earning money.

What happens if an administrative law judge denies your claim?

However, if the administrative law judge (ALJ) denies your claim, you can go on to the third level of disability appeal.

What happens if an ALJ denies your claim?

However, if the administrative law judge (ALJ) denies your claim, you can go on to the third level of disability appeal. Appeals Council. You can ask the Appeals Council to review your claim. And, if denied, you can move to the final step. Federal Court Review.

How long does it take to get a reconsideration from SSA?

Request for Reconsideration. This step is fairly easy – submit Form SSA-561, which you can do online. Be careful, though – you only have 60 days to request your reconsideration. If your request is denied, you may be able to proceed to the next level.

Who can speak on your behalf?

Your attorney or representative will be able to speak on your behalf. He or she may also ask you some questions.

How long does it take to get an SSD appeal?

The agency hopes that by the end of fiscal year 2022, the average appeal processing time will be no more than 270 days. According to the FY 2019 report, the agency’s average hearing wait time was currently around 515 days. The latest SSA chart currently shows 395 days is the average hearing processing time as of August 2020.

When did the Social Security disability appeals move?

According to the OIG’s analysis, this trend began when the last major economic recession started in 2008. As more Social Security disability appeal cases moved from offices with backlogs to less-busy ones, wait times for claimants grew longer. Learn how this might impact your own Social Security disability appeal and see average wait times for all 50 states below.

How many SSD appeals were transferred in 2008?

In 2008, the SSA transferred just 14% of SSD appeal cases to reduce office workloads. That’s about 100,000 cases in 2008 alone. In 2017, that number grew to 450,000 cases transferred with an average wait time of 605 days. In other words, 43% of SSD appeal cases pending that year got transferred to a different office. And some offices reported wait times of 750 days or more for transferred cases. That’s more than two years!

What to ask your doctor for in a disability appeal?

Your attorney will ask your doctors for supportive statements, submit only the relevant medical records to the judge, and know how to handle bad evidence. In preparing to represent you in a disability appeal hearing, your attorney will want you to answer some detailed questions about your symptoms and limitations.

What is a good disability lawyer?

A good disability lawyer will develop the best theory of disability for winning your case, prepare you for your hearing, and arrange for witnesses. Hearing approval rates are about twice as high for applicants who bring lawyers. To learn how a disability lawyer handles other aspects of your case and appeal hearing, ...

What to ask a disability lawyer about a doctor?

Fortunately, an experienced disability attorney is trained to handle "bad facts." For example, if your records contain opinions by a physician or other medical provider that do not support the fact that you have a true disability and are unable to work, your attorney will ask you questions aimed at limiting the importance of and/or eroding the accuracy of the doctor's statement. For instance, your lawyer may ask you how long you had been a patient of the doctor, whether the doctor was a specialist in your illness, and whether you sought a second opinion.

What to do if your records contain statements about drug abuse?

If your records contain statements about drug or alcohol abuse, it will be especially important for your lawyer to explain to the ALJ what you are doing to treat your addiction. An ALJ will appreciate that both you and your attorney are straightforward about the "bad evidence" and may agree with your position.

What is the most important evidence you need to substantiate your claim for disability benefits?

The most important evidence you need to substantiate your claim for disability benefits is the opinion prepared by your treating doctor (s). You will give your lawyer contact information for your treating doctors so that the lawyer can request your doctor to submit a written opinion of your diagnosis, prognosis, and functional limitations in an RFC ( residual functional capacity) statement.

Can medical records be harmful to disability?

It is not uncommon for medical records to contain information that is not only unhelpful but may be harmful to a disability applicant's case. Social Security regulations and ethics rules require a disability attorney to submit all relevant evidence to Social Security.

Who can give detailed opinions?

use detailed opinions only from doctors who are specialists in diagnosing and treating your condition, and

Request For Reconsideration

  • The first step in the appeal process is filing a request that your initial denial or termination of your benefits be reviewed. When your initial claim is denied, you will receive a denial notice that will include information about your right to request reconsideration. The notice will include a paragraph describing your medical impairment. When the SSA reconsiders a claim, it is a compl…
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Reconsidering A Continuing Claim

  • If your initial claim was approved, your case will still be re-examined periodically. This process is called continuing disability review (CDR). At this point, the SSA could end your disability for a number of reasons. For example, your condition could have improved, you are engaging in SGA, or you have been uncooperative during the review process. When your disability benefits are termin…
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Administrative Law Judge (ALJ) Hearing

  • If your request for reconsideration, whether it was for an initial claim or because your benefits were terminated, you need to request a hearing with an administrative law judge. This request must be made within 60 days of your denial. ALJs are attorneys who work with the SSA’s Office of Hearings Operations (OHO). The majority of their work involve...
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Appeals Council

  • Should you lose your appeal before an ALJ, you are entitled to request that the Appeals Council reviews your claim. The Appeals Council will randomly select cases for review and has complete discretion to deny, grant, or dismiss a request for review. Furthermore, the Appeals Council could dismiss your claim without a review unless certain circumstances have been shown to exist. Fir…
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Federal Court Lawsuit

  • The next step in appealing a denied disability claim is filing a lawsuit in U.S. District Court. If, for some reason, you have not engaged a Bucks County disability attorney, you should do so now. A federal judge will hear your disability case without a jury. Technically, the judge is supposed to review the case to determine if any legal errors occurred. However, some judges will consider qu…
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