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More on Compassionate Allowances and Quick Determinations

Compassionate allowances and quick disability determinationsOn October 13, 2010, SSA announced new rules effective on November 12, 2010 that will allow SSA personnel to fast track disability claims.   Now there are two programs that will allow SSA personnel to quickly approve cases there the medical evidence for disability is overwhelming.

The first program is called the “compassionate allowance” program, and it identifies specific diseases that produce work activity limitations that meet SSA’s definition of disability – in other words, if someone has one of these medical conditions, they would not be able to engage in substantial gainful activity and the symptoms will last 12 consecutive months or result in death.  I discussed the compassionate allowance program in a previous blog post, and you can review the diagnoses on the list by clicking on the link.

The second and newer program is called the Quick Disability Determination (QDD) program.   This program uses a computer program to analyze the electronic claim files to identify “cases where there is a high likelihood that the claimant is disabled” so that a claims representative within Social Security can approve a case without the need to review the claim with a medical or psychological consultant.  In a regular claim adjudication the claims rep, or “Adjudicator” must get a medical or psychological consultant to sign off on an approval, a process that takes time and can yield inconsistent results. Continue reading →

New Social Security Regulations on the Horizon

The Social Security Administration has once again “re-engineered” itself and its disability adjudication process. Welcome changes include:

  • Quick Disability Determination (QDD) for clearly disabled claimants
  • Medical and Vocational Expert System (MVES)
  • Federal Reviewing Officer (RO)
  • Decision Review Board (DRB) to replace the Appeals Council

This new system will be phased in over the next seven years in various regions of the country. The first States to get a look are Connecticutt, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont.

You can read more about the new Disability Regulations on attorney Troy Rosasco’s Disabled Worker Law blog. Troy practices Social Security disability, workers comp, LTD and personal injury work in New York State.

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