5 razones por las que el Seguro Social denegó su reclamo por discapacidad cuando su médico dijo que estaba discapacitado

5 razones por las que el Seguro Social denegó su reclamo por discapacidad cuando su médico dijo que estaba discapacitado

If you’re wondering why Social Security denied your disability when your doctor soundly believed that your ailments were disabled…you’re not alone!  That may offer some relief, but now that you’ve been denied (or were denied some time ago), you need to get ready to take another look at your application for social security disability.  

Ya sea que esté presentando una nueva solicitud por discapacidad o presentando una apelación ante un apelación por discapacidad abogado, probablemente desee saber qué provocó la falta de comunicación o la desconexión total entre su médico y la Administración del Seguro Social.  

Para ayudarlo con esto, compilamos las razones más comunes por las que hemos notado que el Seguro Social negó reclamos contra las opiniones de los médicos, para nuestros clientes de apelaciones por discapacidad del seguro social en Spokane, WA.  

Su médico no sabía cómo comunicar su discapacidad al Seguro Social

This reason is so common that we should write a whole article for the purpose of talking to doctors about how to communicate with Social Security (and the VA).  The point here is that in almost every case doctors practice medicine, not law.  And while your disability is a medical condition, the benefit – and process of obtaining it – is a very legal process.

Imagínese que está llevando su automóvil a un taller porque está fallando.

Tienes a alguien que está dispuesto a pagar por las reparaciones, pero necesita saber cómo está fallando para que te entreguen un formulario que diga, "por favor, describe qué le pasa al auto".

You show up to the shop and ask the mechanic to fill out the form, and without context, the mechanic looks at the form and examines the car.  On the form the mechanic accurately describes what’s wrong with the car:

“The car’s tires are 40% worn, they need to be rotated. The car needs an oil change.  Windshield wipers need to be replaced.  Rear window is cracked.  Electrical issues – radio doesn’t work.  Transmission needs service.  Car Idles rough.”  

Technically the mechanic answered the questions.  But when you turn the form back in to get the repair $, your benefactor says, "Observé la respuesta de los mecánicos, los problemas con el automóvil son generalmente superficiales y son lo que se puede esperar de un automóvil de 20 años, no se menciona un fallo de encendido, estoy negando su reparación"

“Why,” you wonder?  The reason, without context the mechanic had no idea what to focus their report on.  They didn’t necessarily know that you needed to have that one item assessed.  They didn’t know how their report would play into the overall discussion.  Had they known they might have written something to the effect of:

"El vehículo tiene desgaste en varios lugares, sin embargo, hay un fallo de encendido crítico que causa un ralentí brusco y una avería inminente".

Ambas declaraciones son verdaderas - pero en uno el mecánico no tenía contexto, y en el segundo el mecánico conocía el contexto.

This happens more often than you can believe!  And it’s not only Social Security disability that this occurs in, Las denegaciones de reclamos de VA son famosas por esta situación. A doctor will describe a constellation of issues, but not focus on the issue that is material to your disability claim.  As such, it can create predictably poor results.

Tu doctor (o tu) No llevé sus registros al Seguro Social lo suficientemente rápido

At every step of the Disability Application and Disability Appeal process you are under a ticking clock.  You have timelines you have to hit, and the system will not wait for you.  From the SSA’s (Social Security Administration) perspective, they have tens of thousands of cases to assess and to keep the process moving forward they have to decide or decline by a standard deadline date.

A side note to this reason is that if you missed timelines as a result of a disability of yours, that would be something you’d want to be documented in your reconsideration/appeal.  You might also want to get help in filing those, as you don’t want to have the same problems at that point.  If your doctor missed timelines, that’s going to be something that needs to be addressed too.  A great advocate or local disability lawyer is great for this.

Su médico ni siquiera lo conoció

Se honesto.. ¿Se presentó a sus citas con el médico??  Did you know you had doctor appointments?  Were you aware that the SSA might try to get ahold of medical records for the care you received (or sought to receive) on your conditions?  In some cases, applicants have a pattern of not showing up to doctor appointments, even critical doctors appointments set by SSA for the purpose of evaluating your disability.

This is common enough of a problem that we had to cover it.  It also means that you probably need some additional help when you file your new application or appeal.  If you need someone to remind you, provide you transportation, give you motivation and a helping hand – reach out to them and ask for help.   We don’t mind providing reminders either!

You Gave Your Disability Doctor Confusing Information

This is in the same arena as the mechanic story above.  If you’re not clear about why you are seeing your doctor, they may not be clear about what you are needing.

Also, confusing statements that appear to contradict your claims occur very often in medical records.  Consider the simple question, "¿Como estas hoy?"

Do you even think before answering this question?  Most people don’t – it’s become a salutation like, “hi” and “hey.”  You probably get asked some variation of this question at least 4-5 times a day without giving it a second thought.  Here’s the issue…

If you’re filing a claim for Social Security Disability, there is likely some aspect of your health that is not “fine” – “good” – or “grand.”  And you need to be deliberate, honest, and accurate in answering that question and others like it when speaking to a doctor, or a judge.

Your Disability Doctor Isn’t Necessarily an Expert in Your Ailments

We use terms like “doctor” or “lawyer” in generic ways.  However, like lawyers, most doctors have specialties.  For instance, a dermatologist has a different specialty than a neurologist. There’s a lot the two will have in common, including a great understanding of medicine.  However, one is far more prepared to give testimony on skin issues whereas another is better for brain issues.

A general practice physician may not be able to provide enough information to declare the limits of your abilities or disabilities if they’re very specific.  Ideally, a specialist can provide a more thorough diagnosis and prognosis.  If your only medical testimony is from a doctor who doesn’t specialize in your challenges, you may be reliant upon the judgment of an adjudicator at the SSA.

En esa nota ...

Probablemente quieras trabajar con alguien que conozca las leyes de discapacidad y discapacidad si se encuentra en una situación en la que ya se le han negado los beneficios. A abogado de seguridad social es diferente a un abogado de derecho de familia, o un abogado de impuestos, etc. De esta manera, un abogado de seguridad social en Spokane es diferente a otro al otro lado del país. Si va a consultar a un abogado, asegúrese de que tenga experiencia en derecho de la seguridad social y que sea Realmente ubicado cerca.

¿Necesita ayuda con su reclamo por discapacidad?

Hacer clic en Sí en esta pregunta es consentimiento para que un abogado se comunique con usted para obtener ayuda. Su pregunta será enviada a un abogado, pero es su discreción si pueden ayudarlo o comunicarse con usted.