Posted on September 27, 2019 in Social Security Disability Medical Conditions

You would think in assessing an application for disability benefits, Social Security would give greater weight to the opinions of a specialist who actually treated the applicant over rather than a less-qualified doctor who only performed a casual examination. But the reality is Social Security administrative law judges (ALJs) often prefer whatever testimony supports a finding the applicant is not disabled.

Magistrate Orders New Hearing After ALJ Credits Opinions of Family Doctor Over Orthopedic Surgeon

A recent decision from a federal magistrate judge here in Illinois, Cheryl G. v. Saul, helps to illustrate this problem. The plaintiff in this case previously worked as a legal secretary and school bus driver. But she has been unable to work in any capacity since 2010 as the result of a severe ankle injury that required multiple surgeries.

Continue Reading ››

 Posted on September 20, 2019 in Social Security Disability

Earlier this year we discussed a major U.S. Supreme Court ruling that impacts the rights of individuals applying for Social Security disability benefits. In Biestek v. Berryhill, the Court said vocational experts (VEs) who testify in disability hearings are not categorically required to disclose the underlying data used in assessing the applicant's hypothetical job prospects. Nevertheless, the Court said an administrative law judge or reviewing court could look at a VEs refusal to disclose such data when assessing the overall credibility of their testimony.

Magistrate Finds ALJ "Failed to Respond" to Disability Applicant's Concerns Over Job Estimates

A more recent decision from a federal magistrate judge here in Illinois, Jerry P. v. Saul, offers some guidance as to how lower courts are applying the Biestek decision. The plaintiff in this case applied for disability benefits in 2014. Following a 2016 hearing, a Social Security administrative law judge (ALJ) rejected the plaintiff's application.

Continue Reading ››

 Posted on September 13, 2019 in Social Security Disability Medical Conditions

Social Security disability insurance covers both physical and mental disorders that prevent a person from working. With respect to mental or “intellectual” disorders, an IQ test is often used to help Social Security determine whether or not someone is disabled. But while a low IQ score can provide useful evidence in supporting a disability claim, it is not by itself definitive proof of such a disability.

7th Circuit: Social Security Did Not Properly Consider Disability Applicant's Limited Math Abilities

Put another way, even if a disability applicant has a low IQ score, Social Security will still deny benefits if it believes the applicant can still perform “simple, repetitive work.” More to the point, Social Security must show there is such work that the applicant could actually perform given their intellectual limitations.

Continue Reading ››

 Posted on September 06, 2019 in Denied Social Security Benefits

Decisions regarding Social Security disability applications are supposed to be based on medical evidence. That is, your treating doctor's medical conclusions are normally expected to be given great weight by a Social Security administrative law judge (ALJ). But in far too many cases, we find the ALJ taking it upon themselves to “play doctor” and ignore or discount the treating physician's views.

Magistrate: Social Security “Mischaracterized” Surgeon's Findings in Denying Disability Application

In some cases, an ALJ may outright misrepresent what the treating physician found. This is not okay. To the contrary, it violates Social Security regulations and entitles an unsuccessful applicant to a new hearing on their claim.

This is precisely what happened to one Illinois disability benefits applicant in a recent case, Lisa AB v. Commissioner of Social Security. The plaintiff in this case has not worked since 2012 because of her inability to use her hands. The plaintiff had a history of severe carpal tunnel syndrome that required surgery.

Continue Reading ››

 Posted on August 29, 2019 in Denied Social Security Benefits

Social Security administrative law judges (ALJs) are expected to rely on medical evidence when assessing an application for disability benefits. The most critical form of medical evidence comes from the applicant's own treating physicians. But the ALJ may also consider other forms of evidence, including something known as a GAF score.

GAF stands for the “Global Assessment of Function.” It is a rating system used to assess a disability applicant's mental function on a 1 to 100 scale. A higher score typically indicates a higher degree of mental functioning.

Now, a GAF score is simply a doctor's opinion regarding the overall impact of an applicant's mental disorders at a given time. It is not an objective diagnostic test. And an ALJ is not allowed to grant or deny disability benefits based solely–or even primarily–on a GAF score. Rather, it is simply one piece of information the ALJ may consider as part of an applicant's overall case.

Continue Reading ››

 Posted on August 23, 2019 in Social Security Disability Medical Conditions

There are situations where Social Security may award disability benefits but fix a different onset date than alleged by the applicant. The alleged onset date is basically the day you became unable to work due to your physical or mental impairments. This date is important because, under Social Security regulations, a successful applicant can claim up to 12 months of retroactive benefits from the date of their application.

In other words, let's say Mary filed for disability benefits in January 2018 with an alleged onset date of June 2017. If Social Security subsequently grants the application and agrees with the onset date, Mary would be entitled to retroactive benefits starting in November 2017, or five months after the alleged onset date. (Social Security imposes a five-month waiting period for all disability benefits.)

Continue Reading ››

 Posted on August 16, 2019 in Social Security Disability Medical Conditions

Epilepsy is a disorder of the central nervous system that frequently leads to seizures and other unusual behaviors, such as loss of awareness. And while many people are able to lead a full, active life with epilepsy, there are cases where the symptoms may be so severe as to render an individual unable to work. In such circumstances, epilepsy may qualify as a disability for Social Security purposes.

Court of Appeals: Social Security Improperly Discounted Views of Disability Applicant's Primary Care Doctor

Of course, Social Security may attempt to minimize or disregard the impact of epilepsy on a disability applicant. Although Social Security administrative law judges (ALJs) are normally expected to give great weight to the medical conclusions of a disability applicant's treating physician, we often see cases where just the opposite occurs: The ALJ will discount the treating physician's views without offering sufficient reasons for doing so.

Continue Reading ››

 Posted on August 08, 2019 in Social Security Disability Medical Conditions

We have seen a number of Social Security disability cases here in Illinois recently where the government has failed to properly account for an applicant's limitations in concentration, persistence, or pace (CPP). As defined by Social Security's own regulations, CPP refers to a person's “ability to sustain focused attention sufficiently long to permit the timely completion of tasks commonly found in work settings.” If an applicant's mental health impairments limit their CPP to the point where they cannot reasonably function in any work setting, they are generally entitled to receive disability benefits.

Appeals Court: ALJ Improperly Ignored Answer to Hypothetical Question

In the most recent decision from the Chicago-based U.S. Seventh Circuit Court of Appeals to address CPP limitations, Crump v. Saul, Social Security was once again faulted for its inadequate approach to this subject.

Continue Reading ››

 Posted on July 29, 2019 in Denied Social Security Benefits

In a recent post, we discussed a U.S. Supreme Court decision that held a vocational expert who testifies at a Social Security disability benefits hearing is not “categorically” required to disclose the actual data supporting their analysis. Some courts, including those here in Illinois, had previously enforced such a categorical rule. But under the Supreme Court's decision, Biestek v. Berryhill, Social Security administrative law judges (ALJs) have wide discretion to decide whether or not such data is relevant to a particular case.

Supreme Court Ruling Means Applicants Cannot Simply “Demand” Access to Data

The Chicago-based U.S. Seventh Circuit Court of Appeals recently applied Biestek to reject an unsuccessful disability applicant's request for a new hearing. The plaintiff in this case, Krell v. Saul, argued the ALJ erred by refusing to issue a subpoena to the vocational expert who testified at his disability hearing.

Continue Reading ››

 Posted on July 23, 2019 in Denied Social Security Benefits

A key part of any Social Security disability hearing occurs when an administrative law judge (ALJ) poses one or more “hypothetical questions” to a vocational expert. These questions are designed to help the ALJ determine what kind of jobs the applicant for disability benefits may still be able to perform in spite of their physical or mental impairments. The applicant has the right to cross-examine the VE regarding these hypothetical questions, as well as ask the ALJ to incorporate certain information when formulating the questions in the first place.

Seventh Circuit Rejects Disability Applicant's Appeal of Fourth Social Security Denial

But the mere fact an applicant disagrees with the ALJ's hypothetical question does not, in and of itself, mean the question was invalid. A recent decision from the U.S. Seventh Circuit Court of Appeals here in Chicago, Saunders v. Saul, offers a helpful illustration of this point.

Continue Reading ››