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Snugglecakes
Dec 29, 2008

:h: :glomp: :h:

I'm an attorney representative, OP so all I do is review cases and attend hearings.

I could throw out a lot of information here, but in general if you already have a claim and it has been denied at initial/recon then this is the time to consider looking for an firm to represent you whether attorney / non-attorney rep since they can help order medical records and elicit medical opinions on your behalf. Keep in mind you don't have to.

If you appeal on your own and get up to the hearing level and meet with a Judge they will advise you of your right to representation and give you basically a final chance to obtain a rep.

The absolute best thing you can do is continue to seek treatment for your medical conditions because you build a paper trail that way. Even if it is with your PCP instead of a specialist, by seeing your doctor you are building a relationship with them, so that hopefully they will be willing to fill out or write narrative helpful opinions as to your limitations can be instrumental winning a case. If nothing else the judge can see that you see Dr. A and Dr. B on say a monthly basis, on 5 times a year, and what is contained with both your reports of pain, and their objective examinations, etc. hopefully they actually do a good job with their notes.

Also you mention you have fibromyalgia. You are going to want to make sure that with your own providers that the requisite tender points testing is in fact showing on your medical records.

I have had way too many clients who are simply told they have fibro (or tell their doctors they have it because they were told they had it like 10+ years ago) really without evidence of it ongoing. Fibro is treated differently than an arthritis type case where you can see the severity on an XR, CT, MRI.

Good luck. SSA disability is a long process.

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Snugglecakes
Dec 29, 2008

:h: :glomp: :h:

Caufman posted:

In my opinion, the single biggest determinant about your chances of success is the judge that gets picked to hear your case. Some judges approve ~80% of their cases. Some approve ~%15. This is one of the most frustrating parts about the hearing system. No one could explain to me how this was fair. The statistics on Social Security Administrative Law Judges is also publicly available at https://www.disabilityjudges.com. If you are denied by an ALJ, they are at least required to provide a detailed explanation for their reasoning.

Unfortunately I think this is mostly true.

I have had plenty of crappy cases that I wouldn't pay go before a 60-75% payer and still manage to go get paid, and no matter how strong a case I still dread going to the 5-10% payers who seem to be mostly located either in Texas or Alaska.

Otherwise the other two biggest factors are:

1. Is the claimant over age 55? And
2. Do they have any sedentary past relevant work?

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