Thursday, February 24, 2011

SSA Chart: SSDI/SSA Claims Approval/Denial and reasons for Denial; 1999 - 2008

Here is an SSA chart of SSDI/SSI Claims Approved/Denied from 1999 - 2008. Of particular importance for those of you in the application process, please note the following:

1) "Initial Awards" (Approval) from a high in1999 of about 38% to what appears a steady 1st approval rate of about 24% from 2006 - 2008 and is probably still consistent in 2011.

2) Denied, awaiting reconsideration: looks to be about 10% back in 1999 and about 2% in 2008.

3) Hearing & Appeals Council awards: High of about 15% in 1999 to about 4% in 2008.

4) "Pending final decision" - probably from # 2 & # 3: Low of about 1% in 1999 to high of about 12% in 2008 and even higher in 2011 with the increased number of folks applying for disability benefits.

5) DENIALS - Medical and Technical: about 45% in 1999 and about 58% in 2008. Of particular importance for folks in the application process now is the 3X INCREASE in claims denial for TECHNICAL reasons from 1999 (about 10%) and up to about 30% in 2008.

Technical denial basically means that YOU - the applicant - haven't DOCUMENTED AND PROVEN that your symptom impairments (SI) on your Activities of Daily Living (ADL/s) reach the level of DISABILITY. AND, YOU haven't DOCUMENTED AND PROVEN that your disability - from WHATEVER source - keeps you from performing the SSA's definition of Significant Gainful Activities (SGA) given your age, level of education, and previous work activity that can earn you a minimum of $1,000/month (for 2011) (about $12-$13/hour for 20 hours/week).

So, please, please, please email me and get the info so that YOU the applicant can begin the documentation and corroboration process and become one of the minority !st time approvals!

REMEMBER: Attorneys are great at the reconsideration and hearing and appeals council levels. BUT - their success is also based on YOUR ability to DOCUMENT AND PROVE that your SI's rise to the level of disability AND that your disability negatively impacts your ADL's such that you cannot perform SGA!! YOU ARE THE ONLY PERSON WHO KNOWS WHAT YOU CAN AND CANNOT DO.

So, get help in documenting this; in getting help from your health care team in corroborating what YOU KNOW to be the truth about you. THEN hire that attorney to assist you in the process!!!

Tuesday, February 22, 2011

Do Unemployment Benefits impact your Eligibility for SSDI/SSI?

I get this question a lot. Here is the answer.

Unemployment Benefits do NOT affect your application for SSDI/SSI - IN AND OF ITSELF. What is important can be summarized below:

1) To continue to qualify for Unemployment you need to document that you are still job searching. This can be good documentation for your SSDI/SSI case if you keep a log about jobs you CONSIDER along with showing WHY you can't do the job due to your symptom impairments (SI)!!

2) REMEMBER what you are trying to prove: that your "condition(s)" SI's impact your Activities of Daily Living (ADL's) NEGATIVELY to such a degree that your "condition(s)" rise to the level of Social Security's (SSA) definition of disability.

To read more about this, email me and ask me for the free ebooklet about the SSA's "disability" Yardstick!

AND, the SI's netagively impact your ADL's to such a degree that you CAN NOT perform what the SSA calls "Significant Gainful Activities" (SGA) that you can perform given your age, education, and previous job experiences that can earn you each year's "SGA" limit - for 2011 it is $1,000 (or, about $12 or $13/hour for 20 hours/week).

3) I'd time the signing date of my SSA paperwork near the end of my Unemployment benefits. Remember, you need to show that you can't perform SGA work, which means that you can't be LOOKING FOR WORK, thereby negating your eligibility for Unemployment benefits!

Good luck. Email me for the free ebooklets! Get started the RIGHT WAY.

Monday, February 14, 2011

WHAT is Patient-Centered Medicine?

Coming from the Institute for Health care Improvement, this following definition of Patient-Centered Health Care shows just why it is the optimum care process for the patient. Far superior to what is currently practiced in the US - Doctor-centered and/or illness centered Health Care. In this latter process currently practiced, the doctor interrupts within 18 seconds after you arrive and heads to a symptom management for your PRESENTING symptom ONLY.

Patient-Centered Care: General

Care that is truly patient-centered considers patients’ cultural traditions, their personal preferences and values, their family situations, and their lifestyles. It makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions. Patient-centered care puts responsibility for important aspects of self-care and monitoring in patients’ hands — along with the tools and support they need to carry out that responsibility.

Patient-centered care ensures that transitions between providers, departments, and health care settings are respectful, coordinated, and efficient. When care is patient centered, unneeded and unwanted services can be reduced.

Advancing patient-centered care is clearly a multi-faceted challenge, and many organizations are working to identify best practices and promising system changes that enable patient-centered care in three areas:

* Involving patients and families in the design of care
* Reliably meeting patient’s needs and preferences
* Informed shared decision-making