Treatment FAQ

what treatment does social security want you to receive from your doctor

by Lila Lebsack DDS Published 2 years ago Updated 2 years ago
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If you don't have health insurance, Social Security will want to see that you've applied for Medicaid in an effort to obtain treatment. The prescribed treatment involves the amputation of one of your extremities. You have a very extreme fear of surgery.

Full Answer

Do I have to follow treatment recommendations from social security doctors?

You aren't required to follow treatment recommendations from any doctor or examiner who works for Social Security or Disability Determination Services, such as a consultative examiner, a medical consultant, a medical expert, or your claims examiner.

When Social Security disability sends you to a doctor what kind?

When Social Security Disability Sends You To A Doctor, What Kind Is It? 1. Your doctor prefers not to perform the examination; 2. Your doctor does not have the equipment to provide the disability examiner, very few consultative medical exams were ever performed by a claimant's own physician.

Do I have to give my Social Security number to doctors?

The answer isn’t particularly endearing: Your doctor’s office wants your Social Security number so it can better track you down if you don’t pay your bill. But no, you don’t legally have to provide it unless you are a Medicare or Medicaid recipient. Nor should you, experts say. In fact, not even the American Medical Association wants you to.

Can Social Security draw a conclusion about my reasons for treatment?

Social Security is not allowed to draw any conclusions about your failure to seek or comply with treatment without considering whether there are good reasons for it. Acceptable reasons include:

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What is the RFC for Social Security?

Social Security Disability and the Doctor's Residual Functional Capacity Form (RFC ) Your doctor's RFC form may be the most important part of your disability case. Why Your Doctor, the Treating Physician, Is Important ...

What is the most important evidence for disability?

Social Security disability needs timely, accurate, and sufficient medical evidence. Your functional limitations are the most important evidence for Social Security disability. You should obtain copies of your medical records and submit them with their application or appeal.

Does Social Security give special weight to doctors?

Social Security has enacted a new rule that says an examiner or judge no longer needs to give special weight to the opinions of a treating physician. If you're filing for disability benefits and don't seek treatment for your impairment, your credibility may be jeopardized.

Can a doctor help with disability?

Your doctor can help with your disability claim if he or she supports you. Unfortunately, most doctors don' t know what kind of information Social Security needs approve someone for disability benefits.

Is it a good idea to be wary of a medical exam?

Exams will vary by doctor, but it's generally a good idea to be wary during a medical exam for Social Security. What to Watch Out for at Social Security Medical Exams. The Social Security medical exam: rude, quick, and usually not helpful.

When You Need a CE

The ultimate purpose of a CE is not to receive any sort of medical care or treatment. It is meant to issue a summary of the individual’s current condition as well as any limitations that condition creates. The CE can be physical, but there may be psychological or even psychiatric components involved.

What happens during the CE? The communication telling you what your exam requires will outline what the doctor will be doing

The final CE is a written report that describes the results of an exam and all of the findings and test results. The doctor will draft a summary of their opinion on your condition and your abilities. For example, they might say you can stand or walk for X hours a day, and so on.

Can you be denied a Social Security medical exam?

Make sure you make it to your appointment; not going to a social security medical exam can result in a case denial for failure to cooperate. Medical records are the best evidence of your disability.

Can a doctor read past medical records?

The doctor is usually provided with your past medical records but may not take the time to read over your medical history. The exams are usually very short. If you are asked to see the “Social Security doctors”, don’t stress out about it. This is just part of processing your claim.

Does the DDS examiner have to meet you face to face?

It’s important to remember that the DDS examiner, who is making the determination of your disability, has never met you face to face. The only information that the examiner has to help him/her make a decision is your application and your medical records.

What to include in Social Security application?

Include not only medical doctors but also chiropractors, physical therapists, pain clinics, nurse practitioners, mental health counselors, social workers, and anyone else who has evaluated you or provided treatment.

When does Social Security believe you?

Updated October 2 ,2018. The Social Security Administration's decision to award you benefits often depends on the credibility of your statements. That is, to get benefits the agency must believe you when you say that you experience symptoms such as pain, memory loss, or exhaustion, or when you say that your condition makes it difficult ...

Why did Social Security reject my disability application?

Federal courts have overturned denials of disability benefits on that basis, requiring Social Security to reevaluate a disability application that was rejected because the mentally ill applicant failed to seek or comply with treatment.

Why would you be denied disability benefits?

In this case, you would be denied disability benefits because your drug or alcohol abuse is a material factor that contributes to your medical impairment. For more information, see our article on getting disability despite drug or alcohol abuse.

How does Social Security evaluate your credibility?

One of the ways Social Security evaluates your credibility is by looking to see whether you have sought treatment for your condition. If you have not spoken with a doctor or other medical practitioner about your symptoms, Social Security will conclude that your condition is not as severe or limiting as you say it is.

Can Social Security deny you SSI?

When Social Security Can Deny Benefits for Failing to Follow Prescribed Treatment. When you fail to follow pre scribed treatment, take prescribed medication, or undergo recommended surgery, Social Security can deny you SSDI or SSI disability benefits if the prescribed treatment, medication, or surgery would be expected to restore you ...

Do you have to follow the treatment recommendations of your own doctor?

You aren't required to follow treatment recommendations from any doctor or examiner who works for Social Security or Disability Determination Services, ...

What paperwork do doctors need to complete?

First, understand that doctors have mountains of paperwork to complete, such as patients' charts, insurance forms, invoices, and forms from the SSA (Social Security Administration). If you've already applied for disability benefits, the SSA's request for paperwork is probably buried somewhere in that pile, along with a request for information from your lawyer, if you have one.

What to do if you have a mental disorder?

If you have a mental disorder, document how well you get along with others, remember things to do, and follow instructions. Note any limiting effects of medications, such as lethargy, sleepiness, or headaches. Don't assume your doctor will know all the limitations you have and report them to Social Security.

Why do doctors disagree with my limitations?

Another reason a doctor might disagree with your limitations is when you have a certain kind of disorder in which your doctor is a specialist, and your doctor has an opinion on what you should be able to do. For example, say you have had a heart attack in the past.

What to do when you get an appointment?

When you do get an appointment, you need to be prepared, since doctors are busy and are almost always in a hurry. Before you go in, write down the name of each one of your medical problems on a piece of paper.

Do doctors know about limitations?

Don't assume your doctor will know all the limitations you have and report them to Social Security. Doctors often know less about their patient limitations than the patients themselves. Even small limitations can be important in Social Security's decision on whether you can do certain jobs.

Do doctors contradict you?

Most doctors won't contradict you, but if you exaggerate your limitations so much that they are out of line with what most doctors see in other patients with the same problems, you will get resistance from the doctor. You know the truth about your limitations, with some exceptions.

Can a doctor take notes?

There will not be enough time, you may not remember everything, and the doctor will likely take skimpy or even no notes. Even when doctors listen well, they will not write down the detail you want. Instead, say you have made a list of the problems you have with doing certain things and hand it to the doctor.

What is medical evidence used for SSDI?

The Medical Evidence Used on a Social Security Disability or SSI Claim. Social Security Disability (SSD) and Supplemental Security Income (SSI) benefits are awarded to those who, due to a severe physical or mental impairment, are unable to earn a substantial, gainful wage.

Why do doctors keep notes for patients?

Because physicians generally keep notes for themselves rather than for disability examiners. They are concerned with a patient’s physical or mental health, rather than that patient’s ability to work. So, if you are filing for SSD or SSI, it’s a good idea to make this known to your treating physician.

How does a disability examiner make a decision?

The only way for a disability examiner to make this determination on a claim is by reviewing the claimant’s medical evidence i.e. medical records. Ideally, by the time one files for disability he or she has already received treatment from at least one acceptable medical source.

What kind of doctor treats back pain?

For instance, an orthopedic doctor for back or neck pain, or a doctor who specializes in pain management (some anesthesiologists perform this type of treatment now, as well as physicians who specialize in physical and medical rehabilitation), and a psychiatrist for treatment of severe depression, bipolar, etc.

Is SSDRC a SSA website?

For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic ...

Can acupuncturists be considered medical sources?

Chiropractors, acupuncturists, massage therapists, etc., are not acceptable medical sources, and opinions from these individuals will not carry any weight with the examiner. If you are considering filing a claim for disability, your best course of action is to document your symptoms and diagnosis by seeing a licensed physician ...

What does it mean to see a psychiatrist?

Typically, this may mean a psychiatrist if a full psychiatric exam is to be performed, but it will usually mean being seen by a psychologist if a memory test or IQ test, or a mental status exam is to be given.

What does it mean if your doctor does not perform an examination?

1. Your doctor prefers not to perform the examination; 2. Your doctor does not have the equipment to provide the information needed for your disability determination; 3. You prefer to go to a different doctor and have a good reason for doing so; 4. Your doctor is not a productive source for medical information; ...

Does Social Security require a consultative doctor?

Social Security prefers to use your medical treatment source (i.e. your personal doctor) to be their consultative doctor if he or she is equipped, qualified, and willing to perform a consultative examination for the authorized fee. 1.

Is SSDRC a SSA website?

For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic ...

Is a doctor a productive source for medical information?

4. Your doctor is not a productive source for medical information; I should point out, at this point, that, in my experience as a disability examiner, very few consultative medical exams were ever performed by a claimant's own physician. Usually, claimants simply go to exams that are conducted by contracted doctors whom they've never met.

Who has the right to your SSN?

Only a few organizations actually have a legal right to your SSN, including your employer, banks and lenders, investment funds, the IRS and government-funded programs such as workers’ compensation . The more your number is out there, the greater the risk of identity theft.

Why is the issue of Social Security numbers being used as identifiers so complicated?

Nunnikhoven said that the issue of our Social Security numbers being used as identifiers ― despite explicit warnings against doing so ― is made more complicated because of decades of supplying it to anyone who asks. “Most Americans are so comfortable using their SSN that they have the number memorized,” Nunnikhoven said.

How many social security numbers were breached in 2017?

In 2017, there were 830 data breaches involving Social Security numbers, representing more than half of the total reported number of breaches. A whopping 158 million numbers were exposed, according to the Identity Theft Resource Center ― more than eight times the number exposed in 2016.

Why are Social Security numbers not used as identity authenticators?

Decades ago, they began being issued as a way of recording your earnings to determine the amount of benefits you would be paid at retirement or if you claimed a disability.

Can you close your Social Security number?

But you can’t close your Social Security number. And it gets worse: It’s an open secret that a person’s Medicare number includes their Social Security number. It’s printed right out on the front of every Medicare card for the world to see.

Is it better to ask for a Social Security number from a patient?

But it’s certainly not best for patients, who may be exposing themselves to identity theft.

Do medical providers ask for SSN?

In fact, not even the American Medical Association wants you to. “Healthcare providers and others ask for your SSN because it’s easier for them to track unique individuals that way,” said Mark Nunnikhoven, vice president of cloud research for TrendMicro, an information security company.

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