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Scott Lewis

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January 8, 2014

Can I Receive Social Security Disability Benefits for Autism?

In my Indiana Social Security disability practice I am seeing a growing number of cases involving autism. Autism is a developmental disorder that is usually diagnosed within the first three years of a person’s life. It mainly hinders an individual’s communication and social interaction skills. Both children and adults can receive Social Security disability benefits for autism. Autism is diagnosed based on the patient’s behavior. According to many medical sources an individual must display at least six symptoms to be diagnosed as autistic. Of these six symptoms two must be impairments in social interaction, one must be an impairment in communication, and one must be restricted and repetitive behavior. Some examples of these symptoms include: not making friends with children of the same age, problems starting or participating in conversations, and insisting on always taking the same route to a destination. Autism is classified as a pervasive developmental disorder (PDD). Autism and other PDDs are defined by irregular social interactions and communication as well as very limited interests and highly repetitive behavior. PDDs are not characterized by any emotional problems, sickness, or fragility. Social Security defines adult autism in its Listing of Impairments under section 12.10 – Autistic Disorder and Other Pervasive Developmental Disorders. The Social Security Administration (SSA) requires two types of evidence to show that a claimant meets this listing. First, the claimant must demonstrate medical findings to support his or her diagnosis. Second, the claimant must show a certain level of impairment in functioning. Below is the listing for adult autism from the SSA’s Listing of Impairments. Medically documented findings of all of the following: Qualitative deficits in reciprocal social interaction Qualitative deficits in verbal and nonverbal communication and in imaginative activity Markedly restricted repertoire of activities and interests Resulting in at least two of the following: … Continued

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January 7, 2014

Is the Social Security Administration Helping Me With My Disability Claim?

If you have applied for SSDI (Social Security Disability Insurance) or SSI (Supplemental Security Income) I think it is a good idea to ask yourself whether you are receiving enough help from the Social Security Administration as your claim progresses.  There can be many frustrating and confusing areas of Social Security disability law that the Social Security Administration (SSA) may or may not help you with.  Many claimants in Indiana and nationwide do not realize they can hire an attorney or representative to answer many of their questions, help them with paperwork, and provide legal representation at their hearings on a contingency basis.  What are some ways an attorney can help to make the Social Security disability appeals process easier for you? Filing paperwork on a timely basis – There are certain deadlines in Social Security disability cases, and while the SSA may notify you about these time constraints, they are probably not going to help you make sure that you meet them.  An attorney or representative can help identify your limited time to appeal your claim and help you make sure you provide all the information the SSA has requested by the filing deadlines. Providing timely responses to your questions – Unfortunately for disability claimants SSA staff members are very busy.  Social Security’s reduced hours and limited staff make it difficult for many claimants to receive a timely response to their questions or to even get a chance to speak to a field office worker.  Have you ever sat on hold with a Social Security office for a very long time just to ask a very simple question?  My staff and I strive to respond to our clients in a timely manner in order to answer questions they may have regarding their claim.  We also follow up regularly with the … Continued

Filed under: Social Security Disability Attorney, Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI) || Tagged under:
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January 3, 2014

Social Security Disability Benefits for Children with Disabilities

Social Security’s process for evaluating children with disabilities is a little different than its process for evaluating adults. However, building a successful case for either an adult or a child requires the same elements: a solid history of consistent medical treatment, strong evidence of difficulties in daily functioning, and lots of patience. Raising a disabled child can be expensive. Between medical treatment, prescriptions, and specialized education, footing all the bills can be difficult. You may be having difficulty holding a job because caring for your child causes you to miss a lot of work. If you have a disabled child and are struggling to pay bills, you may want to look into applying for disability for your child. Disabled children typically qualify for benefits under SSI (Supplemental Security Income). SSI is a needs-based program; Social Security will ask you about your household income and resources to determine whether you meet their financial guidelines. Once Social Security determines that a child’s household meets its financial criteria, it considers whether the child’s impairments meet Social Security’s definition of disability. A child may be found disabled due to physical conditions (such as asthma, diabetes, epilepsy, or heart defects), mental conditions (such as ADHD, autism, Tourette’s syndrome, or depression), or a combination of physical and mental impairments. The Social Security Administration (SSA) will first look to see if you child’s disability meets a listing in its Listing of Impairments – Children. If your child does not meet the specific criteria of a listing, Social Security will then evaluate whether he or she “functionally equals the Listings.” To do so, the SSA looks at your child’s ability to function in six different domains. “Domains” are broad areas of functioning used to evaluate whether your child can function at an age-appropriate level in all aspects of … Continued

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December 26, 2013

Chronic Obstructive Pulmonary Disease (COPD) and Social Security Disability Benefits

Does a breathing disorder keep you from working a full time job? It is possible to receive Social Security Disability benefits for Chronic Obstructive Pulmonary Disease (COPD) and other breathing disorders. With a well-documented medical history that shows how your COPD affects your ability to work, a good claim can be made for Social Security Disability benefits. COPD is an obstructive lung disease that is characterized by very poor airflow. Many people who suffer from COPD have emphysema or chronic bronchitis. Currently there is no cure for COPD, and unfortunately studies show that it usually worsens over time. Most treatments for COPD aim to stop the progression of the disease, not to cure it. It is important that individuals with COPD do not contract any other lung or airway condition, as these can be very detrimental to your health. The most common symptoms of COPD include sputum (mucus) production, coughing, and shortness of breath. COPD can be caused by: Smoking Air Pollution Occupational Exposures Dust Chemicals Fumes Genetics To diagnose your COPD, your doctor will most likely look at your past medical history, record your symptoms, and conduct some lung function tests. The Social Security Administration appreciates a thorough medical history with well documented diagnoses. As part of the application process, Social Security may send you for a pulmonary function test to measure the effect of your COPD on your breathing capacity. Chronic Obstructive Pulmonary Disease is classified in the Listing of Impairments under section 3.00 – Respiratory System. COPD falls under section 3.02 – Chronic Pulmonary Insufficiency. In this section there are a few tests that look at lung force and volume. The results will depend on your height, but if your pulmonary function testing falls within certain ranges, you may be eligible for Social Security Disability benefits. Even … Continued

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November 21, 2013

Will I receive any back pay for my Indiana Social Security Disabilty claim?

Are you an Indiana resident who has been denied disability benefits?  Are you unable to work due to your disability?  If you are wondering whether it is worth your time to appeal the decision, the answer is most likely yes. If you are successful in appealing your claim, you will most likely be due back pay.   The Social Security Administration (SSA) may owe you hundreds of dollars in back pay for your Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) claim.  All the time you waited for a decision was not in vain.   As a disability attorney in Indianapolis, I often get calls from my clients who are ecstatic because they just received a rather large check for disability compensation back pay.  They now realize that it was worth all the frustration and waiting.     I applied for Social Security Disability Insurance (SSDI).  How much can I expect to get? For those applicants who are approved for SSDI, your back pay will most likely go back to the sixth full month after the date your disability began.  However, the Social Security Administration (SSA) will determine exactly how far back your payments should go.  It will depend on your application date and onset date (the date the SSA decides you became disabled).  The amount of your monthly disability is based on your lifetime average earning covered by Social Security.  You can use tools such as a benefit calculator to help determine how much you will get.   What about back pay for Supplemental Security Income (SSI)? For those who are approved for SSI, your back pay has the potential to go back to your application date.  Social Security may issue large past-due SSI benefits in up to three installments.   There may be instances when the SSA can pay in a larger installment.  A person who has certain debts related to food, clothing, shelter, medicine or medically necessary services may qualify.    The whole process … Continued

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November 18, 2013

Will there be a 2014 Cost-of-Living Adjustment (COLA) for Social Security Disabilty recipients?

Good news for Indiana residents receiving Social Security Disability benefits.  There will be a 1.5 percent Cost-of-Living Adjustment (COLA) for Social Security benefits and Supplemental Security Income (SSI) benefits recipients.  The increase will begin with the December 2013 benefits, payable January 2014.  This is the fourth year in the row that we have seen an increase to Social Security benefits.  More than 57 million people received some type of Social Security benefit.    How is COLA determined?  COLAs are based on increases in the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W).  It is determined by the Bureau of Labor Statistics in the Department of Labor.  The purpose of COLA is to offset the effects of inflation on fixed incomes.  In 1960 President Eisenhower signed an amendment that allowed disabled workers of any age to receive payments.  At that time there were over 500,000 people receiving disability benefits, with an average benefit amount being $80.  It is hard to imagine what would happen without COLA.  In 1975, an eligible individual received $157.70 per month – imagine if beneficiaries were still receiving the same amount today! What do I have to do to receive my COLA? Absolutely nothing; the Cost-of-Living Adjustment is automatic.  Because there was an increase in the consumer price index from the third quarter of 2012 to the third quarter of 2013, you will get the COLA of 1.5 percent in 2014.  You will see the increase in your award benefit payment.  Will my award amount ever decrease?  Hopefully you will never see a decrease in payments.  However, you must report changes to your living arrangements to the Social Security Administration (SSA) within 10 days after the change occurs.  While these changes are very unlikely to affect your benefit amount if you receive Social Security Disability Insurance, they might affect your monthly benefit if you receive Supplemental Security Income (SSI).  Some changes that can affect your SSI payment amount include: Moving to a … Continued

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October 22, 2013

The Social Security Administration scheduled me for a consultative exam. What is it, and do I have to go?

If you are an Indiana resident who has filed a claim for disability benefits, the Social Security Administration (SSA) may schedule you for a consultative exam.   As a disability attorney in Indianapolis, I get many calls from my clients asking about the consultative exam. The consultative examination is a physical or mental exam performed by a medical source at the SSA’s request and expense.  As the SSA reviews your claim, they want as much information as possible about your medical conditions in order to make a decision.The medical evidence may be insufficient to determine if you are disabled.  In some cases, claimant’s physicians do not furnish the required medical records. The SSA will send you a letter with information such as date, time and location of the exam.  It is very important that the SSA has your correct mailing address so that you get this information as soon as possible. The exam itself will likely be performed by a medical professional you have never seen before.  You can expect the exam to take between 20 and 60 minutes.   I have heard people complain that their consultative examinations were very short, or the doctor did not address all of their impairments, or the doctor was rude and did not seem to take them seriously.  The consultative doctors are supposed to evaluate your physical or mental abilities; they are not entering into a treatment relationship with you.  While the doctors are paid by the SSA for their time, they are supposed to give an unbiased opinion.  Therefore, when you go to your appointment, make sure you bring up all of your impairments to the doctor.  Answer all of the doctor’s questions truthfully and completely.  Remember, too, that the doctor is not just listening to your answers to those questions; he or she is also observing your behavior, speech, and movement and will include those observations in the … Continued

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October 8, 2013

Can I receive Social Security Disability benefits for a Skin Disorder?

As a disability lawyer, I get many calls from my Indiana neighbors asking if their impairment will qualify them for Social Security Disability benefits. If you have a skin disorder and you are unable to work, you may qualify for benefits. Skin disorders that result from hereditary, congenital, or acquired pathological processes are identified in Section 8.00 of the SSA listing of impairments.  The following Skin Disorders are included in this category and may meet the SSA disability guidelines: Ichthyosis Bullous Disease Chronic infections of the skin or mucous membranes Dermatitis Hidradenitis Suppurativa Genetic photosensitivity disorders Burns The Social Security Administration will need medical documentation from “acceptable medical sources” to evaluate the presence and severity of your disorder.  Information commonly needed for a skin disorder disability claim is; the onset date, duration and prognosis, frequency of flare-ups, location, size and appearance.  To confirm a diagnosis the SSA may need laboratory findings such as biopsy and blood tests results.   Your symptoms (including pain) will be assessed to determine how they impact your daily life and your ability to work.  The effects of any treatment you receive to include medication, therapy and surgery will be assessed.  This information is useful in determining the severity of your impairment.  Your skin disorder may respond well to treatment, however the side effects can result in limitations. Any adverse effects of the treatment will be assessed.  Do not be discouraged if your condition does not meet the SSA listing.  If you continue the claims process, your claim will still be evaluated by the SSA.  Your limitations and symptoms may affect your ability to work without specifically meeting the listing. The SSA wants to determine if you can perform your past relevant job(s), or if there are other jobs you have the ability to perform.  Many of my Indiana clients with a skin disorder complain that they are unable to work because they have lesions that are painful and require extensive treatment.  … Continued

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October 4, 2013

What documentation do I need for my cirrhosis of the liver disability claim?

As a disability lawyer in Indiana, I speak to clients daily about the documentation they need to prove their Social Security disability claims.   Once you have applied for benefits, the Social Security Administration (SSA) will, with your permission, request medical records from the physicians and other medical providers who have treated or evaluated you for your impairments.  As you proceed through the appeals process, the SSA will request updated information from your providers, and if you reach a hearing, the Administrative Law Judge (ALJ) will make sure that all of your medical records have been added to your Social Security file.  For some impairments, including cirrhosis of the liver, it is very important that your medical records include complete documentation of your symptoms and objective evidence of your condition. Cirrhosis of the liver is evaluated by the SSA as a digestive system impairment.  If you have cirrhosis of the liver, the SSA’s Listing of Impairments Section 5.05 for chronic liver disease requires documentation of at least one of the following: Hemorrhaging due to esophageal, gastric, or ectopic varices or portal hypertensive gastropathy, resulting in hemodynamic instability and requiring hospitalization for transfusion.  Acceptable documentation includes: Endoscopy X-rays Ascites or hydrothorax, in spite of continuing treatment, on at least two evaluations at least sixty days apart.  Acceptable documentation includes: Laboratory tests showing serum albumin of 3.0 g/dL or less Coagulation studies showing increased International Normalized Ratio (INR) Spontaneous bacterial peritonitis.  Acceptable documentation includes: Laboratory tests showing an absolute neutrophil count of at least 250 cells/mm3. Hepatorenal syndrome.  Acceptable documentation includes: Documentation of low arterial oxygenation Echocardiography (ECG) or lung perfusion scan showing intrapulmonary arteriovenous shunting Hepatic encephalopathy.  Acceptable documentation includes: Documentation of abnormal mental state or cognitive dysfunction Documentation of surgical portosystemic shunt placement Documentation of neurological abnormalities such as asterixis Electroencephalogram (EEG) Serum albumin … Continued

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October 2, 2013

Is Human Immunodeficiency Virus (HIV) or Acquired Immuno Deficiency Syndrome (AIDS) a disabling impairment for Social Security Benefits?

Many Indiana residents who have HIV (human immunodeficiency virus) infection or AIDS (acquired immunodeficiency syndrome) contact my Indianapolis office to ask if their condition will qualify them for Social Security disability benefits. If you have HIV/ AIDS and your symptoms keep you from being able to work, you may qualify for benefits from the Social Security Administration. There are two ways to show the Social Security Administration (SSA) that your HIV/AIDS is a disabling condition; you can show that your symptoms “meet the listing” for HIV, or you can show that your combination of impairments reduce your capacity to perform work activities. HIV infection is addressed by §14.08 of Social Security’s Listing of Impairments.  If your medical records show that you fulfill the criteria of this listing, Social Security will most likely find that you are disabled.  First, your medical records must contain documentation that you have HIV infection, either from laboratory test results or other evidence.  Then, you must show that you have at least one of the following: Bacterial infections such as mycobacterial infection, nocardiosis, Salmonella bacteremia, or other recurrent infections requiring hospitalization or frequent IV antibiotic treatment Fungal infections such as aspergillosis; certain types of candidiasis, coccidioidomycosis, cryptococcosis; histoplasmosis; mucormycosis; or Pneumocystis Protozoan or helminthic infections such as cryptosporidiosis, isosporiasis, or microsporidiosis that cause diarrhea; extra-intestinal strongyloidiasis; or some types of toxoplasmosis Viral infections such as certain types of cytomegalovirus disease, certain types of herpes simplex, certain types of herpes zoster, or progressive multifocal leukoencephalopthy Malignant neoplasms such as certain types of carcinoma, Kaposi’s sarcoma, lymphoma, or squamous cell carcinoma HIV encephalopathy with progressive cognitive or motor dysfunctio HIV wasting syndrome with chronic diarrhea or chronic weakness with fever Chronic, treatment-resistant diarrhea requiring IV hydration or feeding Chronic or treatment-resistant infection such as sepsis, meningitis, pneumonia, septic arthritis, endocarditis, or sinusitis Repeated manifestations of HIV infection that do not fit in the above categories but result in significant, documented symptoms and marked limitation in your activities of daily living, social functioning, … Continued

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