Dismissal of a claim – Administrative Law Judge – Social Security ALJ


Video Transcription:

“Hi, my name is Andrew Kinney.  I am an attorney at Hoglund Law offices.  I practice social security disability law.  Today I wanted to talk about dismissal of hearings by Administrative Law Judges, otherwise known as ALJ’s.

When you apply for social security disability, there could be a big difference from the time you apply to the time of your hearing.  Sometimes as much as 2 years or more depending on the area you live. By the time you get to your hearing you would have gotten a letter roughly 3 weeks in advance stating the time and location of your hearing.  Well, people often relocate and can even lose contact with the attorney that’s helping them with their social security claim.  So, sometimes we have dismissals of hearings by the SSA when someone doesn’t show up for their hearing.

Now I wanted to distinguish dismissals from withdrawals from hearings.  Withdrawals would mean if someone is helping you with your social security claim and you decide that it’s in your best interest to not pursue the hearing, for instance if there’s not enough evidence and the attorney has given you good legal judgment on that.  Sometimes you withdraw your hearing request and you re-file and start over and the last denial is the reconsideration denial.  This is different. If you have a dismissal. That means that you didn’t show and there was no explanation why you didn’t show.  If you have an attorney, you technically have a right to protect your right to a hearing by having the attorney show on your behalf, but at some point for you to get a proper hearing, it will be important to be able to appear at your hearing because there would be at least a rescheduling of one hearing.

So, if you have a dismissal of a hearing and you’re wondering what to do, the first thing you should do is call the hearing office.  Also, call your attorney, if you have one, and find out what to do.  Now there are some factors that are hard to quantify. For instance, if it’s over a year that you’ve missed your hearing and you’re first learning about it I have not had any experience where someone has been able to get a new hearing.  But, if it’s within a certain amount of time since you’ve had your hearing and you’ve missed it, what’s very important is that you have an opportunity to offer what’s called the cause.  Here’s why I missed my hearing, here’s my circumstances, it could be family emergency, it could be homelessness, it could be many factors.  But, what the judges need to allow a new hearing and avoid a dismissal is a good reason to miss your first hearing.  If you have an attorney that’s helping you, they will get involved.

Last winter we had examples of the snow being too bad to be able to get in to a hearing.  Or, an inordinate amount of traffic.  If there are some more practical reasons you couldn’t make it on time to your hearing those may have a better chance of getting a hearing rescheduled.  So if you have a hearing dismissal letter or at least the threat for it, make sure to respond right away.  If you find that it’s too late and you lost your right to a hearing, what you can do is re-file a new case, get an attorney, and help them re-open the prior case.

So, that can take a lot of time. But, it is the best thing you can do to make up for what would be lost back pay.  If you have more questions about dismissals from administrative law judges, or just general questions about social security disability feel free to call our office at 1-800-850-7867.  You can also visit www.HoglundLaw.comWe also have other videos about different subjects to help you.”

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Social Security Disabiltity Listed Impairments Information


Video Transcription:

“Hi, my name is Andrew Kinney.  I’m an attorney at Hoglund Law offices.  I practice Social Security Disability law.  Today I wanted to talk about listed impairments.

What does that mean?  Well in the world of social security law, social security takes any medical reason that you might be unable to work full-time and they define it.  There are certain levels of problems you can have either physically or emotionally that if they’re bad enough with enough measured criteria, you could be by definition disabled, so listings are essentially definitions of disability.  On our website at www.HoglundLaw.com we go through some of those definitions of disability and you can also find those on the ssa.gov website as well.

What does it matter that you have a listed impairment?  If you may have a listed impairment then you want to make sure that your doctor has perhaps documented this well or even written a letter laying out why it meets the definition of disability.  That could really make or break a case.  Otherwise if someone is not by definition disabled under the listings, you have to prove you are unable to perform past relevant work. We have a video on past relevant work.  So if you understand what a listed impairment is or a listing you can understand that its social security’s way of saying that you get a pass, you’re approved.

There are two ways you can meet the definition or at least be approved under a listing.  One is called meeting a listing.  All the elements of a listing laid out by the law are all in your medical record.  An alternative way that you can do that is what’s called equaling a listing.  If you’re at a hearing and there’s a medical expert testifying whether you meet or equal a listing that’s what that means, and ive even recently done this, you can argue why doesn’t my client equal a listing?  Equaling means that you don’t meet all the criteria but you meet most of it.  That’s very important, and allows a little fudge room.  If you have more questions about listings or more questions about help an attorney help you with ym case, feel free to go to our website at www.HoglundLaw.com.  You can also call us a 1-800-850-7867.  Thank you.”

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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How Should an Experienced Social Security Lawyer Handle Evidence at your Social Security Disability Hearing?

Hoglund Lawyer Andrew Kinney

Legal strategy is important in Social Security benefits claims.  That is why many people applying for Social Security disability benefits (and SSI benefits) hire a law firm with licensed lawyers and experienced paralegals to help them.  One area of legal strategy involves the best way to manage the medical evidence in your claim. It can take a long time to get your hearing day with a judge for your Social Security disability benefits claim.  Once you have your hearing, should your lawyer simply wait for the decision?  Not necessarily.

Hearings for Social Security Disability Insurance (SSDI) claims and Supplemental Security Income (SSI) claims involve medical evidence. All medical evidence should be requested and submitted electronically as soon as it is received so it is available before the scheduled hearing day for review by your judge and the experts. Sometimes, for whatever reason, not all the evidence is available on the hearing day.  Also, sometimes there is other evidence that will support your medical treatment evidence.  What is it?  How can your lawyer submit it?  This depends on the kind of evidence that you need to prove your claim and the experience of your law firm.

Unimportant evidence

Not all evidence carries the same weight in your claim for Social Security benefits.  If there is missing evidence on the hearing day that is non-essential to your claim, your lawyer should explain that — in his or her legal judgment — this evidence will not make a difference in your case.  For example, if you have depression as your primary disability, new chiropractic records for a minor back problem are unlikely going to impact the judge’s decision.

Slow Treating Sources

If the missing evidence is essential to your claim, such as from a regular treating source, your lawyer should ask the judge to “hold the hearing record open” to receive these records post-hearing. This offers extra protection to avoid a decision before the missing evidence gets into the post-hearing record.  For example, if your MRI of your lower back was taken three weeks before your hearing, it may be available soon after the hearing.  In a back case, this can be critical evidence.  Your lawyer would ask the ALJ to hold the record open to receive the MRI, usually with a deadline.  Your lawyer may also submit a legal argument along with this post-hearing evidence if necessary to emphasize the relevance of the new test. Licensed legal training matters.

Subpoenas

What if your law firm, despite due diligence, cannot get your medical provider to release important records before (and even after) a hearing?  If the medical evidence is essential to your claim, your lawyer should request the ALJ to subpoena these records.  At Hoglund Law Offices, a subpoena request is rare.  We try to avoid them by making multiple record requests and follow-ups.  Under the right circumstances, though, an ALJ’s subpoena for medical records gets results.  Your lawyer should be familiar with the regulations about subpoenas.  Your claim may hinge on this evidence.  If you are unsure about your law firm’s experience in this area, ask.

Forgotten Treatment

What if you forget to tell your law firm about medical treatment before the hearing?  Regretfully, this can happen.  Tell your lawyer immediately about this — even after a hearing.  Your lawyer can only request records he or she knows about.  Sometimes your lawyer can request a judge to hold the record open after the hearing by explaining what happened.  Sometimes simply submitting the new records is the only option.  New evidence may, at a minimum, be relevant on appeal.  Ask your law firm about strategies for Appeals Council appeals.  Good lawyers plan how they would appeal every case, including yours.

Uncovering New Evidence

How does a Social Security law firm with experience where you live help you?  Good local law offices can have intuitions about where related medical records are.  Your law firm’s experience and persistence with your region’s different medical facilities can help ensure that requests, once made, get where they need to.  But even the best intuition still needs your help.  If you haven’t had a hearing yet, try to write down everywhere you have received treatment — especially since you stopped working.  A one-time visit with a neurologist can make a difference in your claim depending on the other medical evidence.  All treatment can count.  Your lawyer can ultimately decide what’s important.  At Hoglund Law Offices, our lawyers make these kinds of decisions all the time.

Creative Evidence

Your law firm’s experience can count, particularly when it comes to creative evidence.  Evidence is not limited to traditional medical records.  At Hoglund Law Offices, we find alternative evidence can be strong secondary support for medical treatment records. Depending on the situation, we can submit county forms from physicians for welfare benefits, VA benefits decisions, court commitment evaluations, personal medical journals, workers’ compensation evaluations, child custody documentation of inability to work, vocational training records, and the list goes on. Sometimes a point of contention first arises at the hearing.  In these situations, a post-hearing treating medical opinion can “plug a hole” in the evidence.

Hopefully after reading this, you can see how legal experience can impact what your lawyer and your law firm does before and after your Social Security hearing.  How your lawyer handles your evidence can make a difference.  If you have questions about Hoglund Law Offices or our Hoglund Lawyers, please feel free to visit HoglundLaw.com or call us toll-free at 1-855-780-4357.

 

Andrew Kinney, Esq.

*** Attorney Andrew Kinney speaks locally, statewide, and nationally on Social Security Disability Law.  If you wish for him to speak or train at your upcoming professional function, please contact his offices for details.  For examples of topics in our Hoglund Lawyer Disability Library, click here:  Top 5 Ways to get Approved for Social Security Benefits.

 

 

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Hoglund Lawyer Speaking at National Social Security Benefits Conference this May

Hoglund Lawyer Andrew Kinney is speaking at a national conference in May.  The topic is cross-examination of expert witnesses.

The session “Cross-Examining Experts: From Theory to Practice” has been scheduled for Friday, May 13, at 2:45-3:45pm.

The conference will be held in Baltimore by the National Organization of Social Security Claimants’ Representatives (NOSSCR).  For more information about NOSSCR, check out their web site:  NOSSCR.org

Andrew Kinney spoke on cross-examination at the national conference last September in Chicago.  Click here to view the presentation materials: “Rethinking Cross-Examination”

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Planning for Disability: When to Apply for Social Security Benefits

Hoglund Lawyer Andrew Kinney

I am Andrew Kinney, an attorney practicing exclusively Social Security disability law at Hoglund Law Offices.  I do about 400 or more hearings per year.  I am licensed in Minnesota, Wisconsin, Ohio, and New York.  Our team of Hoglund Lawyers travels across the country handling Social Security disability claims, and we currently have offices in Minnesota, Wisconsin, and Ohio.

Of the tens of thousands of calls to Hoglund Law Offices just last year, some calls about Social Security disability benefits came from people who were still working, but had serious medical problems that were going to cost them their jobs.

Losing your ability to work is frightening.  It is enough not to feel well.  Disability understandably takes a toll.  For some, being unable to work can feel demeaning.  I wish it didn’t.  Other than getting the right help from doctors, there is not much you can do.  For all, planning for disability is a difficult journey in need of a clear path.  As a lawyer practicing in the area of Social Security disability benefits law, what do I tell them?  If you or someone you know is facing disability, I hope the discussion below can help.

(I’ve formatted this “planning for disability” blog just like a phone conversation.  Here is a typical first call for help.)

“Andrew, new client call on line 704.”

“OK”.  I put my headset on.

Line 704:  “This is attorney Andrew Kinney.  Can I help you with questions about getting Social Security disability benefits?”

A hesitant female voice comes on the line.  “Yes.  My name is ________.  I’ve been diagnosed with _________.  I’ve started having more problems, so I’ve reduced my hours.  I don’t think I’ll be able to keep this job much longer.  I have some questions about Social Security benefits.”

“Sure.  This is a difficult situation.  What hours are you working per week now?”

“About 25 hours per week, but I’ve just used up my family medical leave.”

“Are you making over $1,000 gross before taxes a month?”

Pause.  “Yes.  I’m about at $1,200.  But my supervisor just told me that I’ll need to go to 20 hours per week.  I might be fired.  We’re talking about it this Friday.”

“At 20 hours per week, would you make under $1,000 per month once you are at 20 hours per week?”

“Yes.”  her voice is pained.  “Or it might be zero soon.  I don’t know what I’m going to do.  I’m also going to lose my insurance.”

“That’s why Social Security set up these benefits.  You have been paying for this federal disability insurance out of your paychecks.  Now, the reason I’m asking about your monthly income is that Social Security has income limits for people that apply.  In 2011 and last year, you are allowed to make up to $1,000 per month.  If you have been making more for 3 months in a row, Social Security decides that you are working.  People can apply for Social Security benefits if they are making less than this amount per month because of medical problems, and they expect they won’t get better for a year or more.”

“So when can I apply for Social Security benefits?”

I answer her question:  “When your monthly earnings go down below the level I mentioned.”

“Well, I’ll know soon enough.  I just can’t keep this job up.  I’m making mistakes at work.  My friends who know what’s going on are trying to cover for me.  It is getting too hard.”  She is exasperated.

“Well, it’s good you called.  This way you can know what to do next.  What I tell people is that they should work as long as they can within their doctor’s limits.  When you reasonably can’t work much more, you’ll know.  Your doctor will also know that you are trying to keep working.  A judge’ll ask why you stopped working anyway, so trying your best is good.  As for the legal standard of what a disability is, Social Security allows benefits if you can prove with medical treatment that your medical problems will keep you from working full-time for a year or more.”

She responds:  “My doctor told me that he doesn’t know how I’ve been able to work at all.”  She laughs a little.  “He said that he normally doesn’t believe in Social Security disability benefits, but he knows what is going on with me.  He said he would help me.”

“That’s good.  Tell me about your medical issues.”  She explains her situation, including a recent surgery.  I then explain the appeal process and how our law offices can help.  I get her address and other information.

Evauating her situation, I tell her, “OK.  I think we can help you.  First, though, keep in mind that your application needs to wait until you are in a new month when you are not making too much.  Second, remember that we help people apply.  So, keep our number handy.  Also, when are you next seeing your doctor?”

She pauses.  “I have an appointment in about 3 weeks.”

“Good.  If your hours go down like we discussed or you are let go, let your doctor know at that appointment that you might need a letter from him soon that helps explain your diagnoses and limitations.  These are called narrative letters, and this will outline what’s wrong.  Letters from treating doctors can be your best chance of approval at the application stage.  We expect, however, to go to a hearing.”

“I think he’ll write a letter.”  I explain the logistics of this letter.  “What about insurance?  If I’m fired, how will I keep going to my doctors?”

“You need to keep treating for your medical problems, especially if you start a disability benefits claim.  Here are some things to do.  You should write these things down:  First, you might look into getting insurance through your husband.  Second, as you stop working, find out from your employer how to extend your current insurance through COBRA coverage.  You may be able to extend this longer than others due to disability.  Third, ask about private disability benefits, either short or long-term.  Some employers have them.  Fourth, make sure you have copies of your employer’s benefits plans.  Finally, you should look into health coverage options through your county.  A call to your county can help you understand how that works.”

“Thanks.  I’ll do these things.”

“Well, this should cover things for now.  Also, remember that some people living off savings can have early withdrawal penalties from their 401k.  Ask the IRS about having this penalty waived due to disability.  If this issue comes up, contact a local IRS office about the process.”

“Thanks.”  She sounds a little relieved.

“Thank you for calling.  As I said, keep our number handy.  Let’s hope that you can keep working, but you’ve got a plan.”

*     *     *

Hopefully, the dialogue above — which happens a lot in our practice — helps you.  Planning for Social Security disability is possible.

One last thought.  At times, our legal judgment plays into the timing of a Social Security benefits application.  Once in a great while, my clients haven’t been treating as they stopped working.  In these cases, I may have a client delay his or her application a little while until they can get to see their doctors.  I’ve seen applications denied for lack of medical evidence, which is a shame for real medical problems.  Note that delaying applications, however, can also cause a loss of possible benefits.

Legal advice about this process is important.  So if you want legal advice, you need to call a law firm — not an “advocacy” group or corporation of “representatives” that processes claims.  Whoever you call, ask if they are a law firm up front.  Otherwise, you will not get legal advice.  You have a right to choose an experienced lawyer.  Get one.  At Hoglund Law Offices, we charge only a quarter of back-pay if you win.  You pay no money up front.  Ever.

My normal disclaimer:  You should get legal advice based on your unique situation, so make sure to call Hoglund Law Offices at 1-800-850-7867 or visit HoglundLaw.com if you have questions like this.  Please don’t rely on this one example.  If you call us, you can plan for disability.  Good luck.

Andrew W. Kinney, Esq.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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How the Social Security Disability Process Ignores the Real Job World

As I finished my Social Security disability hearings today, it struck me how often I need to explain what Social Security DOES NOT account for when evaluating Social Security claims.  Hopefully this blog will help.

Social Security allows you to receive benefits if your health will keep you from working full-time for 1 year or more.  As Hoglund Lawyers, we argue Social Security benefits claims every day.  Despite our immersion in legal procedure and complex medical arguments, we still need to remind our clients about the following simple fact:  Social Security ignores many non-medical reasons that keep people from working in the real world.

These are the top 6 real world concerns that the Social Security disability process ignores:

6.  I don’t  have the proper job experience.  Social Security, as a general rule, will only consider whether you can do:  (1) unskilled work, or (2) work using your skills from your past work.

5.  I have childcare issues.  Social Security does not account for the time or expense of your family obligations in deciding whether your medical problems affect your ability to work.

4.  I am not near any jobs.  Social Security only considers whether sufficient numbers of certain job categories exist in your general geographical region.

3.  No one would hire me with my medical/legal history.  Social Security only considers how your impairments impact your ability to work, not your ability to get hired.

2.  I don’t have transportation.  Social Security evaluates your ability to do jobs, not get to them.

1.  There are no open positions where I live.  Social Security accounts for jobs that exist, and ignores whether they are available.

Finding and keeping a job in this market can be difficult.  Severe medical problems can make this profoundly more difficult.  If you are trying to get Social Security disability benefits, take heart.  Make sure that you treat for your medical problems with a physician you trust.  If you don’t currently have medical insurance, see what’s available — including free medical clinics.

Although Social Security can ignore your practical life circumstances, it does account for your doctor’s documentation of your medical problems.

If you do not have an attorney helping you with your claim, it is important to get legal advice specific to your situation.  If you want legal advice from one of our lawyers at Hoglund Law Offices, you can reach our offices at 1-800-850-7867.  There is no fee unless you are approved.  If you are approved, our only fees are 25% of your back payment of benefits.

 → Click Here to Download your Free Hoglund Lawyer’s Guide to Security Security Hearings  

Andrew Kinney, Esq.

AMDG

 5 Secrets to Getting Social Security Benefits

Hoglund Lawyer Andrew Kinney

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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How Chemical Dependency can Destroy your Social Security Benefits Claim

Andrew Kinney
Hoglund Lawyer Andrew Kinney

Chemical dependency (CD) can destroy your Social Security Disability benefits claim.  As an attorney who argues these kinds of claims every week, I’ll explain how this happens.  I’ll also explain how to make Social Security take your benefits claim seriously.

The Law

From my legal perspective, chemical dependency usually takes one of three forms:  Addiction to alcohol, illegal drugs, or prescribed medications.  Most often, I see chemical dependency issues in my clients with depression and anxiety.  It is not always clear which one came first.  My instinct tells me that, in most cases, the mental illness comes first.  Unfortunately, social security does not always care.  In the 1990’s, social security changed the law about how to evaluate chemical dependency.  Before this change, chemical dependency was its own disability.  After this change, chemical dependency became a basis for denial.  In social security’s view, chemical dependency exaggerates symptoms of mental illness and other impairments.  Social Security also attributes chemical dependency with reducing the effectiveness of medication.  This can be true.  But the actual cause and effect is usually unclear.  Experts in this field have confirmed this with me.  Regardless of this truth, people struggling with chemical dependency these days face an uphill battle in their social security claims.

Why Help Yourself?

What can you do about chemical dependency?  The most important thing is to get professional help now if you (or people you know) think you may have a chemical dependency problem.  Addictions of any kind can have a devastating effect on your health.  They can also unwittingly impact those who care about you.  Candor with your doctors and chemical dependency treatment by professionals is often the best way my clients get themselves out of this hole.   The present law, however imprecise and unscientific at times, can blame your disability on your chemical dependency and deny your claim.  Social Security denies legitimate claims by blaming chemical dependency.  I witness it first-hand all the time.

From my legal perspective, my clients who have gone to get professional help for their chemical dependency have strengthened their Social Security claims.  I can usually make stronger arguments in their favor on three basic levels.  First, clients who treat for chemical dependency are more credible.  I can argue that they have tried to help themselves.  Clients who recognize they may have an addiction and try to overcome it are more likely to get the decisionmaker’s ear.  The rationale is this:  It is easier for decisionmakers (or anyone, for that matter) to sympathize with people who are trying to get out of their holes rather than blaming society for them.  Second, clients who treat for chemical dependency generally have better medical records.  With treatment for chemical dependency, I can argue how medical records parse out chemical dependency from the underlying medical problems.  Third, clients who treat for chemical dependency also have stronger claims because they create a stronger platform for their underlying medical problems.  If I have clients who have overcome chemical dependency, I can argue that their medical problems have not changed in the 3 to 6 month window after they have quit.  If erasing chemical dependency does not change the severity of other impairments, it is undeniably logical  that chemical dependency was not “material” to their disability.  But if being clean and sober does make them better, they might be able to work.  In my book, this is the best case scenario.  When possible, working is a better alternative than benefits.  I wish all my clients got better.

What if I am Still Actively Addicted?

There are still some legal arguments if my clients are struggling with active chemical dependency.  In these situations, I look for how their treating providers view the chemical dependency.  Medical records generally rank order diagnoses, starting with the most significant.  Sometimes chemical dependency is not the first, or primary, diagnosis.  In these circumstances, there is an argument that chemical dependency is a secondary condition and therefore is not to blame for how bad the primary condition is.  Note, however, that this argument can be difficult.  Other arguments in this situation are similarly difficult.  For example, there is an argument that substanced-induced mental illnesses have diagnosis codes custom-tailored for “material” (a legal term) chemical dependacy.  A health professional who does not choose these codes arguably has not found chemical dependency material.

Chemical dependency is a very difficult problem.  Not feeling well does not make it any easier to face.  Getting help is a first step to getting out of this deepening hole.  If you have a social security benefits claim, it is important that Social Security focuses on the truth of your underlying medical problems.  Removing the fog of chemical dependency can not only help you, but it can also help your claim for benefits.

If you do not have an attorney helping you with your claim, it is important to get legal advice specific to your situation.  If you want legal advice from one of our lawyers at Hoglund Law Offices, you can reach our offices at 1-800-850-7867.  There is no fee unless you are approved.  If you are approved, our only fees are 25% of your backpayment of benefits.

→ Click Here to Download your Free Hoglund Lawyer’s Guide to Security Security Hearings

Andrew Kinney, Esq.

AMDG

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Top 6 Client Questions about Getting Social Security Disability Benefits for Diabetes

1.  How do I prove that I am disabled due to diabetes?

Diabetes can be a very serious disease with multiple complications.  As with any claim for social security disability benefits, it is imperative that you treat regularly with a doctor, and follow their recommendations.  Lab reports are going to be important to show fluctuating blood sugar levels despite a regular course of treatment.  It is also essential that your symptoms are documented within your medical records.  Try to be as specific as possible when discussing your symptoms with your doctor.  For example, if you suffer from numbness in your hands and feet, tell your doctor exactly what activities are affected –such as using a computer, picking up change, or standing for extended periods of time.

Your medical diagnoses and treatment will be analyzed in conjunction with Social Security’s regulations which are called “Listings of Impairments.”  The primary listing for diabetes is Endocrine listing 9.08:

 

9.08 Diabetes mellitus. With:

A. Neuropathy demonstrated by significant and persistent disorganization of motor function in two extremities resulting in sustained disturbance of gross and dexterous movements, or gait and station (see 11.00C); or

B. Acidosis occurring at least on the average of once every 2 months documented by appropriate blood chemical tests (pH or pC02 or bicarbonate levels); or

C. Retinitis proliferans; evaluate the visual impairment under the criteria in 2.02, 2.03, or 2.04.

* In order to be approved for benefits, you must prove at least one of the above requirements.*

2.  What is neuropathy and how do I prove it?

Neuropathy is nerve damage.  Symptoms may include muscle weakness, cramping, spasms, tingling, numbness, and pain.  To meet the listing based on neuropathy, the claimant must show that at least two of his or her extremities (arms or legs) have such nerve damage that he or she has difficulty using them due to pain, numbness, etc.  An individual’s ability to stand and walk will be analyzed, as well as balance and coordination.

If you have been experiencing numbness, weakness, and pain and have not been diagnosed with neuropathy, it is extremely important that you bring this to your doctor’s attention.  Specific testing needs to be conducted to confirm the diagnosis.

3.  What is acidosis and how does Social Security view it?

Acidosis is defined as excess acid in the body fluids.  Diabetic ketoacidosis (DKA) is a potentially life-threatening complication in patients with diabetes mellitus, resulting from a shortage of insulin.  It may occur due to illness, poor compliance with insulin therapy, or other reasons.  Symptoms may include vomiting, dehydration, difficulty breathing, confusion, and coma.  Without proper treatment, diabetic ketoacidosis can lead to death.  Again, an individual must do their best to follow prescribed treatment for diabetes in order to be found disabled.

4.  What is retinitis proliferans and when might this allow an approval for benefits?

Retinitis proliferans is inflammation of the retina.  Diabetic retinopathy is analyzed under the third sub-section of the Diabetes Mellitus listing.  Social Security will evaluate a person’s vision difficulties under the following listings:

  • Loss of Visual Acuity (2.02)
  • Contraction of the Visual Fields in the Better Eye (2.03)
  • Loss of Visual Efficiency (2.04)

A person meets this listing if their vision after correction in the best eye is 20/200 or less, or other technical requirements involving their peripheral vision and loss of visual efficiency.

5.  What if my symptoms from diabetes do not meet Social Security’s Listing of Impairments?

 If your diabetes does not meet or equal Social Security’s criteria under the listings, your symptoms may still cause significant functional limitations which may prove you are unable to work.  An individual may have difficulty walking, standing, or may need to elevate their legs throughout the day.  Numbness in one’s hands may prove difficulty with tasks such as writing, typing, and using small objects.  Vision problems may prevent an individual from reading, using a computer, using small objects, or avoiding hazards in a work environment.  The functional limitations in combination may be enough to prove that no work would exist in the national economy for this individual.

6.  I received my first denial in the mail.  Now what?

Most claims are denied at the initial and reconsideration levels.  It is important not to give up, follow the appeal timelines, and being fully prepared at the time of a disability hearing.  Having representation and medical record documentation will make for the best chance of success.  If you have not hired a lawyer, you should get legal advice about your particular situation.  If you wish to call us about legal help with your Social Security disability claim, you can reach us toll-free at:   1-800-850-7867 or through HoglundLaw.com.

Laura Ross, Esq.

→ For a free Hoglund Lawyer Guide to Social Security Hearings, click here:  Free Guide

© 2010, Hoglund Law Offices.  Reprint with written permission.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Download your FREE Hoglund Lawyer Guide to Social Security Hearings

Hoglund Lawyer Andrew Kinney, Esq.

 → Click Here to Download your Free Lawyer Guide to Security Security Hearings

Hoglund Lawyer Andrew Kinney, Esq., has just published a free “Client Legal Guide to Social Security Hearings.”  Finally, a way to understand what to expect at a hearing from a Hoglund Lawyer who does 400-500 Social Security hearings a year!

This free 28-page client guide explains the entire hearing process, and shows you how your Hoglund Lawyer can help you get approved for Social Security benefits.

Andrew Kinney explained why he wrote the guide:

I wanted to help our clients understand what to expect at our hearings.  There are federal judges and experts, and the process can be scary even with one of our Hoglund Lawyers there with you.  We’ve found over the years that our clients benefit from knowing what’s going on at the hearings — especially when we are cross-examining experts or giving closing legal arguments.

An excerpt from page 26 of the free Hoglund Lawyer Guide:

Know that at your hearing, you are helping the judge understand your medical problems.  Most people know how they feel day-to-day.  Your attorney can describe the kinds of questions the judge may ask.  The judge can read your medical records, but you are there in person to give your side of the story and make your situation ‘real’ for the judge.

This full color, fully indexed and bookmarked Hoglund Lawyer Guide answers these questions:

  • What is a Social Security benefits hearing?
  • What am I trying to prove at my Social Security benefits hearing?
  • Are there different kinds of Social Security benefits hearings?
  • Who is at my Social Security benefits hearing?
  • What will happen at my hearing?
  • What should I bring? What should I wear?
  • Fearing your hearing?
  • Does my attorney need any legal forms for my hearing?
  • What happens just before my hearing?
  • What is my Social Security hearing file?
  • What if I miss my hearing?
  • What kinds of Social Security benefits are there for disabled people?
  • When am I first disabled?
  • What is my “Filing Date”?
  • Does my “Filing Date” matter?
  • Does Social Security make findings like workers’ compensation?
  • What if I already receive disability from the VA?
  • What is the most important legal concept I should know before my hearing?
  • Does age matter?
  • Can children under 18 receive Social Security benefits?
  • How are children under 18 evaluated for disability at a hearing?
  • What must my judge ask me at my Social Security hearing? What do I do after my hearing?
  • How will I know whether I won or lost my hearing?
  • Could I have a supplemental hearing?
  • What is the full Social Security benefits appeal process?
  • How will my attorney prepare for my Social Security hearing?
  • How do I get paid?
  • How does my attorney get paid?

About the Author:

Attorney Andrew Kinney began practicing Social Security benefits law in 1992.  He graduated from the University of Notre Dame and Marquette Law School.  Since 1995, he has presented seminars on Social Security to lawyers and related professionals.  He is licensed to practice law in Minnesota, New York, Ohio, and Wisconsin.  He is next scheduled to present a legal seminar on cross-examination skills at a national conference in Chicago in the fall of 2010.

If you would like to arrange for him to speak about Social Security Disability Benefits at your next group event, please feel free to call his offices at1-800-850-7867.

→ Click here for YouTube video of Andrew Kinney:  5 Secrets to Getting Social Security Disability Benefits  

If you are not a current Hoglund Law Offices client, make sure to get legal advice about your particular situation.  To call us about representing you with your Social Security benefits claim, call toll-free now at:  1-800-850-7867.

Remember, only a lawyer at a law firm can give you legal advice.  At Hoglund Law Offices, attorney fees are a quarter of back pay only if you win!

© 2010, Hoglund Law Offices

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Fearing your Social Security Hearing? Read on.

As a Social Security benefits attorney from Hoglund Law Offices,  I help hundreds of my clients across the country get through their Social Security hearings each year.  You will get through it, too.  Below are some things my clients know and do before their hearings that put them more at ease.  As usual, make sure to get advice from an experienced attorney about your particular situation.

Since stress about your Social Security benefits hearing is about the unknown (beyond whether you will be approved or not), the more you know about your hearing day the better.  Your attorney can explain where your hearing is, who will be there, and how long it may take.  He or she should also explain the point of your hearing, and (with sufficient experience) possibly let you know your chances of approval.  First, your hearing location.

Where is my Hearing?

Once the hearing office schedules your hearing, you (and your attorney) should get a letter explaining the time and place of your hearing (your “hearing notice”).  Whether you have an attorney or not, you can drive to the location on a weekday a few days ahead of time to verify where it will be held.  (A weekday is important because some hearing locations may not be open on weekends.)  Once there, look at the surroundings.  Know which floor and area to go to.  Also anticipate practical concerns such as parking.  These steps lower stress on your hearing day.

Visiting your hearing site before your hearing day is also useful because hearings are not always where you expect them — even knowing the address.  Hearings aren’t always at a courthouse or a government center.  And don’t assume your hearing is where you may have originally signed up for benefits.  Hearings can, however, be in private office buildings, courthouses, city hall conference rooms, or even hotel conference rooms.  I even attended one in a hotel room with the beds moved and tables set up! (For the record, it wasn’t very comfortable).  So, pay close attention to the address and time of your hearing on your hearing notice.

I ask my clients to arrive at their hearings an hour earlier than the scheduled hearing time on the hearing day to avoid last minute problems.  I had one client who got a flat tire on his way to his hearing, but was able to get help to change it and arrive at his hearing before the scheduled time!

A hearing tip:  You may find the main hearing office phone number on the hearing notice.  Wherever your hearing is (at a main location or at a remote location), you can keep this number handy to call and ask directions if you are stuck.

A final note about your hearing location.  If you need to drive a distance that will be difficult for you, consider staying overnight at a hotel near (or at) your hearing location.  It may be worth the cost to know that you will not miss your hearing the next day.  (If you drive over 75 miles each way, check ahead with the hearing office about possible reimbursement for travel and the hotel).  Our discussion next turns to who is at your hearing.

Who’s at my Hearing?

Another way to reduce the stress about your Social Security benefits hearing is to know who will be there.  Your hearing notice can list the experts the judge wants at your hearing.  Below is a list of the people at Social Security hearings and their roles.  Keep in mind that one or both experts listed below may not be at your hearing.

(1) The Judge.  There will always be a Social Security administration law judge (“ALJ”) running your hearing.  He or she will almost always appear in person, though the judge can appear through live video or (rarely) by phone only.  The judge needs to ask you questions about your past work, your medical problems that affect your ability to work, and your day-to-day symptoms.

(2) Hearing Assistant.  The hearing assistant helps the judge record the hearing.  He or she is physically at the hearing site. Among other things, the hearing assistant gathers last minute paperwork from you, brings you into the hearing room, and shows you where to sit.  Only very rarely have I attended hearings without a hearing assistant on site.  The only one I can recall was a hearing for a prisoner in the prison’s cafeteria.  My client did not have any trouble finding that hearing location.

(3) Vocational Expert.  This government-appointed expert answers questions at your hearing from the judge about jobs that may exist for you despite your medical problems.  The vocational expert generally appears in person, but sometimes appears by phone.  Your attorney, your representative, or you (if you are unrepresented) may follow-up with questions for this expert once the judge is done questioning.

 (4) Medical Expert.  This government-appointed expert answers questions at your hearing from the judge about either your physical or emotional condition(s).  The medical expert, if there is one, generally appears in person, but he or she can also appear by video or phone.  As with the vocational expert, your attorney, your representative, or you (if you are unrepresented) may follow-up with questions for him or her once the judge is done with questions.

(5) You (and perhaps a few others that know you).  You should plan to be at your hearing in person.  (Very rarely, I have had clients appear by phone.  This is less than ideal, but better than nothing.)  You can plan to bring your family and friends to the hearing location on your hearing day.  Some of my clients also have their case worker or some other professional with them as well.  It helps to have people you know with you at the hearing site.  This reduces anxiety because people that care about you are with you.  In the hearing itself, however, you might want to plan bringing only a person or two with you.  In my experience, bringing more than a few people you know into the hearing room at one time tends to be distracting.

A word about witnesses.  You should expect to answer the judge’s basic questions directly.  Sometimes my clients want others to talk as witnesses — or even talk for them.  Attorneys can differ, but I generally want my clients to explain why they can’t work in their own words.  It’s OK.  You don’t have to be perfect.  So while other people may have some valuable things to say about you under certain circumstances, I tell my clients that the main goal of the hearing is to let the judge get to know you a little bit.  To this end, the judge needs to hear from you.  If you have an attorney (or representative), you can ask his or her advice before your hearing about how to handle witness testimony for your hearing.

Notice who is NOT on the list of people at your hearing above.  There is no jury, no government attorney, and no public at your hearing.  This is not People’s Court, it is your private hearing with your judge.  Now, the next subject is easy.

How Long is my Hearing?

If you worried that your hearing would take all day or more than one day — you are in luck.  I tell my clients that hearings generally take from 30 to 60 minutes.  The specifics of your hearing may vary.  For example, if your hearing is with a live judge and with no medical expert, your hearing may be more toward 45 minutes.  Just know that you usually show up at your hearing once, explain your situation, and you are done.  Follow-up hearings (called “supplemental” hearings) are relatively rare.  Next, the main question that (justifiably) worries almost all my clients.

How Will I Know if I am Approved?

In my experience, you should not expect your judge to announce his or her decision at your hearing.  There are exceptions, which an experienced attorney or representative can explain.  If you have someone representing you, he or she may be able to give you some idea of your chances of approval once your hearing is done.  Overall, I tell my clients to expect their hearing decisions by mail anytime from a few weeks to a few months after the hearing.  This varies region by region.  A regular hearing decision takes one of three forms:  A win (“fully favorable”), a partial win (“partially favorable”), or a loss (unfavorable).  If, instead, you withdraw your request for hearing (you should get advice on this situation from an attorney or representative), you will simply get a dismissal.

A special note:  Make sure to note any special medical circumstances (such as terminal illness) or financial circumstances (such as a pending eviction or foreclosure) to your attorney or judge on the hearing day if waiting more than a few weeks for your hearing decision would impose a unique hardship.  Now we get to the interesting potpourri of worries that (I am sometimes surprised) unnecessarily stress out my clients.

What my Hearing Isn’t About

Yes, there is a judge.  And yes, you need to talk.  But these hearings are private conference rooms.  As mentioned above, there is no jury and no public.  Also, there is no government attorney.  You are not being grilled on a witness stand, you are not reciting exact dates, and you are not reading off your prepared statement.  What you say, as a general rule, stays in the room.  Your hearing is not televised on Court TV.  The microphone in front of you does not broadcast out to the waiting room or some radio station.  No one on the street can ask if you have been at a hearing, look at your medical records, or even know that you have a claim.

The hearing is about you being yourself.  Now be forewarned, you can still have tough questions about some topics about your past that you would rather not talk about (such as previous convictions), but rest assured that these judges have heard it all.  They also know when someone is dodging direct questions about things already mentioned in the medical record.

Now, the most important advice for my clients over my years of hearings:  Tell the truth.  Keep it straight and don’t embellish.  Plan going into your hearing to simply lay out on the table what is (and isn’t) wrong with you.  Then, let the judge do his or her job.  Do not worry about whether your testimony sounds “disabling” enough.  Your strongest ally (for your attorney, too) is the truth.  If you know you have explained your situation the best you could, this has to be good enough.  Know that your medical records carry the most weight, and that anyone representing you should be engaged and asking questions at the hearing.  (If your attorney or representative wasn’t, ask why after the hearing.  He or she can submit written argument after the hearing if the situation warrants.)  Wait for your decision, and plan to appeal if necessary.  You may also be able to refile a new claim as well (depending on your situation).  Now, an inevitable question.

Should I Get an Attorney?

Although this section can seem self-serving, I will unlikely personally be at the hearings of many of you reading this.  Therefore, I’d rather just lay this on the line.

If you read through this blog entry, you’ll notice that if you hire an attorney (or a non-attorney representative) to be with you at your hearing, you might have many of your questions answered before going into your hearing.  This can reduce uncertainty about your hearing.  Once at your hearing, going at it alone can be distracting and stressful.  You would need to juggle understanding the issues, knowing your records, and critically listening to expert testimony — all while answering the judge’s questions.  If you can go it alone (and some do), more power to you.  But if you really want the best objective shot at getting approved (and you are trying to reduce the stress of the process), you should probably avoid doing legal surgery on yourself and look into getting help of some kind.  Even if you plan to go it alone until the hearing day, you still have a right to change your mind before the hearing gets going.  Just ask the judge to postpone your hearing once (for at least few weeks or more) so you can get help.

For those of you going ahead alone with your Social Security hearings, here are some ideas for you on hearing day:

  • Make sure your medical records are updated.  If not, point out what’s missing and ask for time to get it after the hearing.
  • Make sure any medical expert testimony you hear includes all your medical diagnoses and limitations from each problem, such as no bending, etc.
  • Make sure any vocational expert testimony you hear answers questions that include all your real-life medical limitations that affect your ability to work full-time.  These medical problems can include problems with attendance on “bad” days, trouble concentrating with pain, etc.  A special note:  Your need for childcare, your lack of transportation, your need for help finding or applying for open positions, or your minimum salary requirements are not medical limitations.

 Final Thoughts

A judge once mentioned to me that he was nervous at his first hearings.  And he ran them!  So remember, the judges and everyone else at hearings are people going about their regular jobs.  They have had hearings before yours, and will have hearings after yours.  Some judges are informal, others are more formal.  Just do your best to understand what will happen at your hearing with your judge, and hopefully the truth (with good advocacy) will prevail.  If you meet the legal criteria for Social Security benefits, I hope you get them.

Andrew Kinney, Esq.

*If this blog post helped you get through your hearing, please feel free to submit a Comment below to help others know.

© Copyright Andrew Kinney, Esq., Hoglund Law Offices, PLLC 2010.  Reprint by written permission only.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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How to get Social Security Benefits before and after Knee Replacement

As a Social Security benefits attorney at Hoglund Law Offices, roughly 30 or so of my clients per year have knee problems that require knee replacement surgery.  These clients are in two general camps at the hearing level.  Some await the surgery for either one or both knees.  Others have had the surgery and (at least by the time of the Social Security hearing) are at some point of recovery.

For those with knee problems who cannot walk effectively, Social Security applies 1.02A of the musculoskeletal listings (or definitions) of disability.  Listing 1.02A is below:

1.02 Major Dysfunction of a joint(s) (due to any cause):  Characterized by gross anatomical deformity (e.g., subluxation, contracture, bony or fibrous ankylosis, instability) and chronic joint pain and stiffness with signs of limitation of motion or other abnormal motion of the affected joint(s), and findings on appropriate medically acceptable imaging of joint space narrowing, bony destruction, or ankylosis of the affected joint(s). With:

A. Involvement of one major peripheral weight-bearing joint (i.e., hip, knee, or ankle), resulting in inability to ambulate effectively, as defined in 1.00B2b…

The phrase “major weight-bearing joint” in this listing basically means a joint you need to stand and walk.  Knees, along with hips and ankles, fall into this category.

 

Disability Benefits Before Knee Replacement Surgery

For my clients who need — but have not had — knee replacement surgery, the usual situation is that they have degenerative joint disease or internal joint derangement and the more conservative treatments, including arthroscopy, pool therapy, and/or therapeutic injections, have been unsuccessful.  Of this group, some await knee replacement surgery because their orthopedic surgeons were concerned about their younger age.  These clients seem to be under 50.  The rationale for waiting (when possible) is that artificial knee joints have a life span, and the procedure (apparently) cannot be repeated indefinitely.  If you face this situation, certainly discuss these issues thoroughly with your surgeon.

My clients awaiting knee replacement surgery are usually approved for benefits at Social Security benefits hearings under Listing 1.02A when they have:  (1) the appropriate imaging studies with “marked” findings, (2) examination and ongoing treatment by an orthopedic specialist, and (3) comments about knee replacement in the treatment records.

A practice note for attorneys and representatives:  I ask my clients with ongoing knee problems about hip and low back issues.  I also ask if the better knee is getting worse because of favoring it.  My clients commonly develop these problems  because of their difficulties walking (their “gait”).  These collective mobility issues are taken into account at a hearing.

Disability Benefits After Knee Replacement Surgery

For my clients who have had knee replacement surgery, the general questions shift to two areas:  (1) duration (when will full recovery occur) and (2) the ongoing mechanical integrity of the artificial joint.  As for durational issues, I hope my clients benefit from knee replacement surgery so they can get on with their lives.  Still, at least a year of disability leading into and after the replacement surgery is necessary for approval for benefits.  Technically, if post-surgical recovery happens before a Social Security benefits hearing, a “closed period” of benefits may apply.  This means that only backpay, and not ongoing monthly benefits, are payable.  This makes sense if your new knee joint gets you back on your feet again.

As for mechanical integrity of the artifical knee joint, a have had a few clients who, despite knee replacement and the proper follow-up treatment, still have issues with the joint.  They may have problems with locking or clicking.  Again, discuss these situations with a qualified professional.  In the context of Social Security benefits, you may get ongoing benefits if the knee replacement is less than fully functional.  The question becomes a matter of degree.

A practice note for attorneys and representatives:  If your client needs a cane when standing, you can argue at a hearing that he or she  is effectively “one-handed” when standing at potential jobs, even under a “sit-stand option”.  Important, too, is whether or not your client holds the cane with his or her dominant hand.

A final thought.  Social Security benefits are also available for those who may not need knee replacement surgery in the foreseeable future.  The ultimate question is how your collective medical issues (physical and emotional) impact your ability to work full-time.  There are many problems people can have with joints, such as gout and rheumatoid arthritis.  Pain and immobility from these conditions and others can, depending on the severity, allow you to receive Social Security benefits.

Andrew W. Kinney, Esq.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Hoglund Law Offices Attorney Presenting at National Conference

HOGLUND LAW OFFICES ANNOUNCEMENT

On Saturday, September 25, 2010, Andrew Kinney, Esq., from Hoglund Law Offices, is presenting a legal seminar on cross-examination techniques at the N.O.S.S.C.R. (National Organization of Social Security Claimants’ Representatives) conference in downtown Chicago.  His presentation will focus on teaching attorneys and representatives how to prepare for cross-examination and how to develop solid cross-examination techniques.  Mr. Kinney has practiced Social Security benefits law since 1992.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Getting Social Security Benefits due to Low Back Pain

The following blog was posted by Andrew Kinney, Esq., at mylowerbackpain.com:

As an attorney at Hoglund Law Offices personally handling about 500 Social Security hearings per year across the country, I can safely say that a majority of my clients with severe physical problems have some form of low back pain.  At administrative hearings with Social Security judges, there are particular ways I review and argue low back pain claims.  A few common questions from these clients may help many of you who cannot work due to low back pain.  I will handle these in turn.  Keep in mind to get an attorney for advice that applies to you.

Q.  What are Social Security disability benefits?

A. Social Security disability benefits (and Supplemental Security Income benefits) are monthly disability benefits payable to you if you are unable to work (or are expected to be unable to work) full-time for 1 year or more for medical reasons.

Q.  How do I get Social Security benefits? 

A.  You must apply for them by:  (1) calling Social Security’s toll-free number at 1-800-772-1213, (2) going to a local Social Security office, or (as of relatively recently) (3) applying on-line through the government website:  SSA.gov.

Q.  Can I apply if I can only work part-time?

A.  Yes, but you cannot be going to work and regularly earning above certain monthly amounts.  For 2010, this “substantial gainful activity” amount is $1,000 gross per month.

Q.  What does Social Security review in low back pain claims?

A.  Generally, Social Security reviews:  (1) your diagnosis, (2) your imaging studies to support the diagnosis, and (3) your examination findings.

Q.  When does Social Security find disability in low back pain cases?

A.  The general rule of thumb is that the more your low back pain limits your ability to get around and function, the greater chance you will be found disabled.  If you have trouble standing and sitting, it is usually harder for Social Security to deny you by finding full-time jobs that you can (in theory) do.

Q.  What factors does Social Security use in evaluating low back pain cases?

A.  Social Security focuses on objective neurological findings that your doctor records from your appointments.  Examples of findings that support disability are called “listings.”  These are found in Social Security’s regulations.  The primary listing for disabling low back pain is musculoskeletal listing 1.04:

1.04 Disorders of the spine (e.g., herniated nucleus pulposus, spinal arachnoiditis, spinal stenosis, osteoarthritis, degenerative disc disease, facet arthritis, vertebral fracture), resulting in compromise of a nerve root (including the cauda equina) or the spinal cord. With:

A. Evidence of nerve root compression characterized by neuro-anatomic distribution of pain, limitation of motion of the spine, motor loss (atrophy with associated muscle weakness or muscle weakness) accompanied by sensory or reflex loss and, if there is involvement of the lower back, positive straight-leg raising test (sitting and supine);

or

B. Spinal arachnoiditis, confirmed by an operative note or pathology report of tissue biopsy, or by appropriate medically acceptable imaging, manifested by severe burning or painful dysesthesia, resulting in the need for changes in position or posture more than once every 2 hours;

or

C. Lumbar spinal stenosis resulting in pseudoclaudication, established by findings on appropriate medically acceptable imaging, manifested by chronic nonradicular pain and weakness, and resulting in inability to ambulate effectively, as defined in 1.00B2b.

Q.  Do I need to have surgery to improve my chance for benefits?

A.  Being an attorney (not a doctor), I always tell my clients to make medical decisions with their physician based on what is best for them.  So, you may get a second opinion, but ultimately consider that, in my legal experience, Social Security judges generally find the need for surgery relevant.  You can also tell your attorney before your hearing that you want a chance to explain to the judge why you forewent or delayed surgery.  In short, make decisions about surgery to get better, not to get (a chance for) benefits.

Q.  Does age matter?

A.  Yes.  If you are 50 or older when Social Security reviews your claim, the legal standards (called “medical-vocational guidelines”) favor you over those younger than 50.

Q.  How can I make sure Social Security knows how bad my low back pain is?

A.  Social Security’s decisions are primarily driven by your medical treatment records.  You should get the appropriate treatment with doctors and associated professionals that you trust.  Also, do not ignore your psychological needs.  Depression, for example, is common for those with chronic pain.  If you feel you are not getting relief from your low back pain, mention your concerns to your doctor.  Also, even if you have may have no immediate options for improvement, you should maintain at least some regular visits to your doctors so they can understand (and document) the progress of your problems over time.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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You Have a Right to an Attorney at your Social Security Hearing

We occasionally have new clients at Hoglund Law Offices who have already appeared at their Social Security benefits hearings unrepresented.  They fall into 2 categories.  Some of these clients already completed their hearings with their judges.  At this point, we generally cannot get another hearing.  We are left making sure the medical records were properly submitted and, at times, we submit written legal arguments to the judges post-hearing.  Frankly, in these cases, we also plan for appeals of hearing denials and for the possibility of refiling new claims.

Other new clients, however, who have already appeared at their hearings did a wise thing.  They requested their judges to postpone their hearings until they could find an attorney.  In these cases, we usually have time to order the full medical record.  We can arrange our schedule to appear for the new hearings, which are usually a few months later.  We also have adequate time to give legal advice about the likely alternatives for approval.

At Social Security benefits hearings, judges are required to let all unrepresented claimants understand “on the record” (while audio recording is on) that they can postpone their first hearing to get representation.  This may not always communicated positively or clearly.

So, if you (or someone you know) cannot find an attorney before their Social Security benefits hearing, make sure they exercise their right to postpone their first hearings.  Judges will not indefintely postpone hearings — so expect one chance to postpone and look for an experienced attorney immediately.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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6 Ways to Hire the Right Social Security Lawyer

When you have decided to hire a lawyer — rather than a non-lawyer “representative” — to represent you in your Social Security benefits claim, you need to consider some important factors.  Often overlooked, however, is your lawyer’s style.  Style does matter.  A lot.  Why?

A Good Fit

Over my 18 years years of practice, I have known many attorneys.  I have noticed that some attorneys gravitate toward areas of law that match their personalities.  Areas of law are different.  In essence, it is a marriage.  A good fit between personality and practice area, in turn, helps the client.  For example, criminal law tends to attract attorneys who have hard-driving, suspicious of authority, and aggressive.  There are exceptions, of course, but it is good that some attorneys choose the practice areas that play to their tendencies.  Estate planning, conversely, tends to attract attorneys who are comfortable with numbers and detail and who, like accountants, size up situations and carefully weigh options before proceeding.  Different personalities, different fits.

A Bad Fit

From a client’s perspective, you should know that some attorneys do not quite fit their practice areas.  This happens for various reasons.  Some chose their practice area only for earnings potential.  The marriage is essentially arranged.  Some attorneys are idealistic, but mistaken, about what they are getting into.  Take family law.  In theory, there can be a romantic notion of working with families toward a common good.  In practice, it sometimes has little to do with “uniting” families.  Finally, some attorneys do not fit their practice areas because they just took the first legal job they got, like their first date, learning later to simply make do or plan to leave it.

From a client’s perspective, a bad fit can play out like a bad marriage.  Some are worse or better than others.  For the attorney, the question is how well can you adapt your style to foreign terrain.  Attorneys need to be different.  Different talents are needed.  An aggressive attorney can help uncover an improperly handled drunk driving charge.  But that same aggressive attorney can cause problems when an estate plan raises too many tax code questions or when the behavior sours important working relationships with judges.

 Finding a Good Fit

As a client, you want to hire the best attorney in the best firm possible.  You likely, though, have absolutely no idea what kind of people the firm has.  You are not doing personality tests.  Referrals are a good start.  But to see if your Social Security attorney is a good fit to work with the government on your behalf, you should know what an effective Social Security attorney does.  This is the key.

I practice Social Security disability law.  Since you are at our web site, you may be looking for an attorney.  What do Social Security disability attorneys do?  We gather and personally read volumes of medical records.  We analyze how medical records fit the law.  We use technology to track all procedures and the status of all claims.  We make daily legal arguments before a small group of the same federal judges.  We also cross-examine experts at federal hearings.  Most important, though, is that we continually work with a limited group of judges, Social Security staff at all levels, medical facilities, and government experts.  Effective Social Security attorneys must get things done through other people.  We need to know our limits, and appreciate how we rely on others to help our clients.  Without this, attorneys in this practice area can lose credibility.  Without credibility, attorneys can create needless goverment obstacles to getting worthy clients approved for Social Security benefits.

Questions for Social Security Attorneys

Knowing that Social Security attorneys must work effectively with many different groups of people, from judges on down, there are 6 good questions a law firm should ABSOLUTELY let you know:

  1. What style representation do you offer in Social Security clients?  Aggressive?  Passive?  Collaborative?  No idea?
  2. Have any of your attorneys ever avoided appearing before certain judges?  Why?
  3. Has a judge ever asked any of your attorneys to leave a hearing before it was done?  Why?  Don’t know?
  4. Do you regularly help clients who have “difficult cases” that might be approved but may require more effort?
  5. Does your office have a good working relationship with your local Social Security hearing office?  Can you give examples?
  6. Is your firm a law firm that only hires lawyers?  Why?

Some attorneys may be convinced that their “style” is right.  Straight answers to these questions, though, can help you know whether the cliche “aggressive” or “hard-hitting” lawyer style really fits your needs.

At Hoglund Law Offices, we have consciously hand-selected Social Security attorneys who can work collaboratively with people, even under adverse circumstances.  We think of it this way:  We believe our attorneys are at our best under pressure.  Under pressure, we try to understand what prompts the issues — such as information gaps.  Many times, problems arise because the right people do not always have the right information.  With over 30 years combined experience, we carve out solutions to help our clients with an eye to maintaining good communication with “the other side”.  Our credibility is important.

Finding an effective Social Security attorney is an important choice.  Find a collaborative attorney that can confirm examples of this for you, and you should have a good idea whether you have the right attorney for the job.

Andrew Kinney, Esq.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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What Are Listings?

The Social Security Administration follows federal regulations when deciding your disability benefits claim.  If your medical problem meets certain criteria, you may be approved under what the regulations call Listings.  Listings are medical conditions that are severe enough to warrant an approval.  For example, many people with lower back problems have nerve root impingement and pain that radiates down one or both legs (radiculopathy).  If supportive imaging studies and examination findings are also present, they may meet musculoskeletal Listing 1.04A.  Meeting a Listing means that you match the criteria. Listing 1.04A reads as follows:

1.04 Disorders of the spine (e.g., herniated nucleus pulposus, spinal arachnoiditis, spinal stenosis, osteoarthritis, degenerative disc disease, facet arthritis, vertebral fracture), resulting in compromise of a nerve root (including the cauda equina) or the spinal cord. With: A. Evidence of nerve root compression characterized by neuro-anatomic distribution of pain, limitation of motion of the spine, motor loss (atrophy with associated muscle weakness or muscle weakness) accompanied by sensory or reflex loss and, if there is involvement of the lower back, positive straight-leg raising test (sitting and supine)…

You do not need to meet a Listing to be approved for Social Security benefits, but approvals are easier when you do.  At Hoglund Law Offices, we review all potential clients to determine if a Listing may apply.  We argue many different Listings for our clients.    The best way to understand these Listings is to browse through them.  Listings for adults and children are divided into different classifications.  A very useful link to review these listings is:  https://www.severe.net/listings.html If you choose our law firm to help you with your Social Security claim, you may wish to ask one of our attorneys if a certain Listing applies to you.  Andrew Kinney, Esq.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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