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prolonged periods of time but not stand, lift, bend, or stoop may be disqualified by being able to perform some type of desk work, and one may qualify without such an ability because of intellectual capacity, education level, or previous work experience. Likewise, a person with limited mental capacity who has the ability to perform physical labor may not qualify as "disabled."
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activities. For example, there are cases of those filing for disability and falsely claiming to be unable to engage in various forms of physical activity. The fraudulent applicants are then observed performing tasks outside of a work setting that require the same skills. Such information could be used to then deny benefits.
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In determining a physical disability, common factors are the ability to sit, stand, lift, bend, and stoop. Mental disabilities are determined based on the ability to communicate with others, understand oral and/or written instructions from others, and get along with others. One who is able to sit for
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The legal definition of a disability that qualifies an applicant for benefits is "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a
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The decision is made, based on whether or not the applicant is able to perform work that used to be done in the past or that the applicant is trained to do and is likely to be able to perform and find employment in the disability. It is for that reason that two people with identical disabilities may
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Rarely, in only a limited number of locations, an external investigation can be conducted by a DDS referally to a "Cooperative
Disability Investigations" (CDI) unit. Such a referral is made only when fraud is suspected. The purpose is to corroborate that the applicant's statements reflect real-life
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Staff of the DDS will often contact the applicant or other people who know the applicant to obtain descriptions of "Activities of Daily Living" (ADLs). They can be combined with the objective medical opinion and the opinions of medical sources to build an assessment of what the applicant can or
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Also, the applicant is mailed a questionnaire that contains questions pertaining to the applicant's activity before and after the applicant's disability, including daily activities and how the disability has affected the ability to perform them. Such activities include activities like dressing,
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Contrary to what many think, simply "being disabled" by any definition does not alone qualify one to automatically be approved. While one who is able to walk, talk, and manage one's own life may be considered disabled if there is no suitable employment for one's abilities, one with diminished
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In many cases, DDS will send the applicant to one or more physicians for a medical examination, which is paid by DDS. That most often occurs in the absence of a physician with an existing treating relationship with the applicant who can verify an impairment that is alleged by the applicant.
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For adults, part of the disability-determination process involves assessing the applicant's "residual functional capacity": what the applicant can do in spite of the disability. Factors that may be considered in determining the "residual functional capacity" may include the following:
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The examiner and representatives may also call or otherwise obtain statements from those who are known to the applicant like relatives, friends, acquaintances, neighbors, co-workers, and teachers. The questions will be asked in a manner in which evidence may be corroborated.
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The applicant's medical records are obtained from physicians involved in the current treatment of the applicant. The physicians provide information on the conditions for which the applicant is being treated and how they impede the applicant's ability to work.
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Known limitations caused by diagnosed medical conditions, which must be documented by a physician. Many medical conditions can be debilitating in one person but not another. Almost all applications lacking a physician's documentation of a known condition are
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The applicant is requested to provide information on the disability. During the application process, it is requested for the applicant to list all conditions that contribute the disability and how they prevent employment.
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Side effects and other limitations caused by treatment received by the medical conditions. The need to spend a significant amount of time in one's life to receive continual care in lieu of employment can be a qualifying
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Approval is based on how the applicant's medical conditions impact the ability to earn an income. While an applicant's own words alone are usually not sufficient to qualify for approval, they can play an important role.
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Personal statements can be of questionable validity. Applicants who have expertise in the system or can obtain help from an expert may be able to influence the decision by the use of particular words and phrases.
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One or more diagnosed medical conditions may not automatically qualify an applicant, and the lack of one or more may not disqualify the applicant. In some cases, an applicant may qualify based on symptoms alone.
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Symptoms of undiagnosed medical conditions documented by a physician. Like with diagnosed medical conditions, a physician must document how the symptoms are actually debilitating.
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The claim is either approved or denied at the DDS for disability qualification. The claim is then returned to the originating SSA office to finish its processing.
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If the application is accepted, it is sent to the DDS in the state that the applicant lives to have the claim of disability assessed.
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The examination verifies the information provided by other sources and provides a more up-to-date record in making a determination.
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Such skills are also used for applicants who have never worked and for whom the claim is that they can never work.
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specify a five-step process for making the decision. A modified process is used in the case of children for whom
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mobility or mental capacity may not qualify if there is plentiful employment available with one's abilities.
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continuous period of not less than 12 months." For adult applicants, Social
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bathing, grooming, food shopping, meal preparation, housekeeping, laundry, and transportation.
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benefits are being claimed (as children are not expected to work).
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The following methods are used in determining a disability.
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have very differing outcomes in their applications.
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395:List of disability determination services
77:Learn how and when to remove this message
40:This article includes a list of general
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619:Social Security debate (United States)
247:State governments of the United States
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650:Social security in the United States
486:Social Security Disability Insurance
105:Social Security Disability Insurance
568:Social Security Amendments of 1965
267:"Disability Determination Process"
46:it lacks sufficient corresponding
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476:Disability Determination Services
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18:Disability Determination Service
436:Social Security (United States)
374:"Residual Functioning Capacity"
242:Social Security (United States)
583:Windfall Elimination Provision
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98:Social Security Administration
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481:Retirement Insurance Benefits
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491:Supplemental Security Income
198:Supplemental Security Income
171:cannot do in a typical day.
109:Supplemental Security Income
609:Office of the Chief Actuary
573:Social Security Death Index
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578:Social Security Trust Fund
450:History of Social Security
624:Social Security Wage Base
166:Study of applicant's life
129:Applicant's own statement
614:Primary Insurance Amount
378:Disability Determination
61:more precise citations.
460:Social Security number
359:June 12, 2011, at the
348:June 12, 2011, at the
330:June 12, 2011, at the
308:June 12, 2011, at the
297:June 12, 2011, at the
506:Unemployment benefits
94:US federal government
380:. 20 September 2017.
325:20 C.F.R. § 416.924.
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563:Social Security Act
558:Revenue Act of 1942
469:Assistance programs
303:20 C.F.R. § 416.920
343:20 C.F.R. 404.1545
655:Disability in law
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629:Years of coverage
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194:regulations
59:introducing
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253:References
107:(SSDI) or
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209:rejected.
604:Numident
527:Medicare
522:Medicaid
357:Archived
346:Archived
328:Archived
306:Archived
295:Archived
236:See also
216:factor.
55:improve
44:, but
592:Other
532:SCHIP
553:FICA
282:(d).
541:Law
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