Detroit Disability Benefits Attorney Explains the Top Reasons Why Claims are Denied
Most applications for Social Security disability are initially denied, but if you consult a Detroit disability benefits attorney, you’ll be able to avoid most of the common mistakes that could prevent you from obtaining the medical treatment and financial assistance you need. Getting legal assistance will enable you to have a better understanding of the administrative process and will improve your chances of achieving a favorable outcome.
Here are several common reasons why disability claims are denied:
Your Medical Condition Isn’t Severe Enough or Won’t Last for an Extended Period of Time
Being diagnosed with a medical condition that either prevents you from working for at least a year or will result in death is one of the requirements needed to qualify for disability benefits. The Social Security Administration won’t consider you disabled if you are still able to work and adequately perform work-related tasks. Prior to applying for Social Security disability, you should make sure that your condition will last for an extended period of time and your symptoms are severe enough to keep you from returning to the workforce.
Not Following the Doctor’s Treatment Plan
If you don’t see a doctor on a regular basis or fail to follow your doctor’s treatment plan, the Social Security Administration may believe that your medical condition isn’t very serious. It may also appear that you aren’t trying to get better and possibly taking advantage of the system. As a result, it will be more difficult to get your claim approved. When you don’t consistently get treated by a healthcare professional, you probably won’t have enough medical documents to prove the full extent of your medical ailments. When you don’t follow the treatment plan, tracking your progress and status of the medical condition can become problematic for your physician.
Some claimants aren’t able to follow their doctor’s orders for legitimate reasons. Acceptable excuses include:
- you can’t follow the treatment plan without assistance
- your medical condition is so severe, it’s difficult to comply with the therapy
- you have an intense fear of surgery or other forms of medical treatment
- religious beliefs prevent you from complying with the treatment
- you don’t have the money or medical insurance coverage to pay for treatment
Lack of Sufficient Medical Evidence
A major issue for many claimants is that their medical records don’t prove they have the physical or mental limitations that prevent them from working. The medical records are vital to showing the severity of your condition. If your medical records are incomplete or the physician doesn’t clearly state how your impairments affect your ability to work, it could delay the processing of your claim.
Disability attorneys of Michigan know the criteria their client needs to fulfill in order to qualify for benefits. They understand the type of information your medical records need to contain in order prove that you are suffering from a severe impairment. Their attorneys can help you file the application or appeal and gather the proper medical documents in a timely manner.
Failure to Cooperate with the Social Security Administration
Sometimes, the Social Security Administration needs additional information after you submit your application. They may want to set up an examination or ask for clarification regarding a critical issue related to your claim. Make sure the contact information provided in the application is accurate. If the Social Security Administration isn’t able to find you or you don’t promptly respond to their inquiries, your claim could be denied.
Drug Addiction or Alcoholism
If you are a drug addict or alcoholic and that contributed to your physical or mental impairment, your request for disability benefits could be denied. Substance abuse cannot be the sole basis for being disabled. If a person is considered disabled only because of their addiction, their claim will be denied. The Social Security Administration needs to determine whether you would still be disabled if you weren’t using drugs or drinking alcohol. Due to the complex issues involved with these types of cases, it’s important to seek advice from an experienced attorney.
Contact Disability Attorneys of Michigan
Applying for Social Security disability benefits or filing an appeal after your claim has been denied can be difficult without guidance from an experienced attorney. Marc J. Shefman uses his legal expertise to protect the rights of his clients and help them get the benefits they are entitled to receive. Call the law office at (888) 282-0719 to schedule a consultation. We will evaluate your situation and answer any questions you have.