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Question: Why Am I Being Reviewed?

Social-Security-Disability-Forum » Question: Why Am I Being Reviewed?  

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Susan Kendall

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Posted on Monday, February 18, 2002 - 12:44 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I've been on disability for about 11 years. I was hit by a car as a pedestrian in 1990. Both arms and legs were broken in many places; some fractures were compounded and comminuted. I have plates and screws in both arms. The Drs. couldn't put a rod in my leg because I got a Methicillin Resistant Staph Infection in the hospital. The left leg healed, although not correctly. My right leg hasn't healed and I wear a custom made orthotic device on it. I also have lower back problems (spondylolysis), irritable colon and seasonal asthma. The asthma can get quite bad in the Spring requiring Prednilisone as well as all sorts of inhalers. It has lasted a month straight with no letup. I live alone in a house, and have no family around, only my father who is 80 yrs. old and lives in Florida. I live in NY. I can drive, but not long distances. My job, before my accident, was a Deli Manager--working on my feet for 8 hrs. a day or more. Before that I worked in a dept. store on my legs all day. My Drs. told me my legs would always bother me; if I stood or walked too long, if it was going to rain, etc. I don't take prescription pain medication on a regular basis; as I think Drs. are afraid of the addiction bit. Sitting too long can make my legs swell up and my back hurt. The problem here is if I had to work,if I could do it at all, I could not possibly take care of myself and my home--not doing such a good job of it now. But I can't afford to hire someone to do everything, or ask friends too much either. I just turned 50 years old last October. Is this why S.S. Disability did their first physical review? When I went to their Drs., they took blood, gave a breathing test and x-rayed my right leg. Are they doing this to see if I qualify for long-term disability? The Dr. didn't even look at my leg without my brace on. My own Dr. seems to understand, although I don't know what she wrote on her report. Also, I fell in November and broke a rib; fell again in January on the ice but didn't break anything. I have a tendency to fall if I try to rush myself ; if my leg is hurting a lot, or in slippery conditions. Please give me your opinion and thank you.
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Paul McChesney (Admin)

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Posted on Friday, February 22, 2002 - 5:14 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Susan, it is hard to say why they reviewed you. It is certainly not to help you in any way. Most folks are supposed to be reviewed every 3 years; but most reviews are not in much depth. If they are sending you to doctors, it is certainly someting to be concerned about, but you should not panic. Make sure your doctor will back you up, maybe check with a good attorney, and if you have Medicare or Medicaid get the testing necessary to prove the degree of your impairment.

If you are terminated, you might be able to keep your benefits going while you appeal, if you file your appeal within 10 days of your denial. This carries some risk, if you are found not disabled, that you might have to pay it back.

It is difficult to hire a private attorney if you are being reviewed, since there are no back benefits. Try to save up some money, though I know that will be hard.

Take care and good luck
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faye

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Posted on Sunday, March 24, 2002 - 1:20 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Hi, I was diagnosed in 1986 with [CHARCOT MARIE TOOTH DISEASE.] This is a progressive degeneration muscle deteration. I worked for eleven years, till 1997. I was determined TOTAL DISABLE to work by neurologist. S.S. denied my benefits. I had to get a lawyer. I won, now I am being review for the 5 years to determine if I am still disable to work. I am no better, but worse. I take a lot of medication for pain. If there is no cure for this disease and it gets more progressive as life goes on, why would ss review this disease that I have? Doesn't s.s. know what progressive and deteration mean? Will I have to go through a laywer again. Please give me some answer.I live in Ohio.
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Paul McChesney (Admin)

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Posted on Tuesday, March 26, 2002 - 5:19 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

In theory, if you have a disease that only gets worse, the Administration can mark your file and you will not be reviewed.

But they are reluctant to do this, and often fail to do so.

Of course, whether they should have or not, they are in fact reviewing your claim, and you should sit down with an attorney right now. And be sure your doctor is supporting you.

Take care and good luck.
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Ben (Flylow)
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Username: Flylow

Post Number: 2
Registered: 7-2004

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Posted on Thursday, July 22, 2004 - 10:43 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I understand what is meant when they say they reviewed a case and decided not to go further but they said they decided not to review my case at this time. I am confused as to why they have decided "not to review my case at this time" as it has been 7 1/2 years since my last review. I will be 53 in November and after dealing with Social Security for 28 years I know that the system is much more poltitical and legal based than medical. The fact that there has been no improvement in my condition does not alleviate my anxiety over the current situation. I guess only time will tell why they have decided to put my review on hold. It certainly does add a great deal of stress to my daily life though.

Is it common for them to decide "not to review at this time" after they begin the seven year review for someone who has been on SSD a long time?
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Ben (Flylow)
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Username: Flylow

Post Number: 3
Registered: 7-2004

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Posted on Thursday, July 22, 2004 - 11:08 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

BTW, thanks for all of your time and effort in maintaining this forum! You are providing a very valuable resource to help people to begin to understand how the Social Security programs work and how they affect people and I genuinely appreciate it. Keep up the great work.
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Paul McChesney (Admin)
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Post Number: 761
Registered: 5-2004

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Posted on Tuesday, August 10, 2004 - 5:21 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

When they say that they decided not to review your case, that is good news, not bad. It means that they will almost certainly leave you alone for a good while. How long? Hard to say; 3 years or more would be a good guess. They often fall behind their own schedule in reviewing cases.
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Anonymous

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Posted on Tuesday, March 06, 2001 - 12:24 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

My husband had filed for disability in Oct. 2000.
We have not received a determination yet but was informed today that the file has been closed by the state disability determination center and sent to SSA in Atlanta for review. I was told this takes a few more weeks, and then we should be receiving a determination letter from SSA. Why do they send it there for a review? Is this normal for all cases? I thought the review would be done during reconsideration if he is denied benefits?
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Paul

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Posted on Tuesday, February 20, 2001 - 8:18 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

The official Social security line is that a certain percentage of cases prepared by the state agency are randomly selected to be reviewed in by the Administration. In my experience, the recommended favorable decisions seem to be reviewed a lot more than the recommended denials, so I consider a review good news, though it does cause a delay. If this is so, it means you definitely should appeal any denial.
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Debra Wilard (Unregistered Guest)
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Posted on Wednesday, April 19, 2006 - 11:07 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I recently was approved for ssd. However ,I was told by my worker that my case was pulled for a quality assurance review. I know this means my case could be over turned.In the meantime, I am strapped for cash, have no medical insurance since my medicaid limit has been reached for the year{24 total doctor, hospital, dentist visits per fiscal year} and am in the middle of medical difficulties. I had to cancel all physical therapy, check ups from recent surguries etc.How long can quality review process last? What exactly do they do?

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