Four Types of Disability Payments that the SSA Expedites

Four Types of Disability Payments that the SSA Expedites

MOS Medical Record Reviews

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The social security disability application and review process is lengthy and applicants are granted disability benefits only after a comprehensive review of their medical history.

Disability attorneys help applicants speed up the submission of the claims, and also help in preparing the appeal if the claim is denied. Medical record review for attorneys is a valuable service that enables the attorney to determine whether a claim is legitimate.

It may take up to two years to get a final decision regarding a claim from the social security administration. However, there are certain types of payments that the administration will expedite. These are: 

PD (Presumptive disability) or presumptive blindness (PB) payment



Emergency advance payment

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Expedited reinstatement

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Immediate payment

PD (Presumptive disability) or presumptive blindness (PB) payment: The SSA may make PD or PB payments for up to six months while the applicant is waiting for the DDS (Disability Determination Services) to make a final decision. These payments are made on the basis of the severity of the applicant’s condition that must fall within the medical conditions listed by the SSA. If later, the applicant is found not to be disabled or blind, the SSA does not usually ask for a repayment of PD and PB payments, though if the applicant has received overpayment for some other reasons, they may demand repayment of some of the PD and PB payments.

Emergency advance payment: This is the payment made to new applicants to whom SSI benefits are due but are delayed or not received. The applicant should be in financial emergency on account of a threat to safety or health. Only one such advance payment is made.

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The SSA will cut this payment from the payments already due to the applicant and will pay only the difference. If no past payments are due, this emergency advance payment will be subtracted from the beneficiary’s current monthly benefits in up to six monthly installments.

Expedited reinstatement: A beneficiary whose benefits ended because he/she worked and had earnings, can request to have the benefits started again without submitting a new application.

This is applicable in cases such as the following: 

The beneficiary stopped receiving benefits because he/she started receiving earnings from work



Is unable to do “substantial gainful activity” because of a disability that is the same as or related to the disability that enabled him/her to obtain benefits earlier



Submits the request within 5 years from the month his/her benefits ended

The SSA would require the beneficiary’s latest medical information so that the DDS can make their disability determination. If the request is approved, provisional or temporary benefits are paid from the month after the request, and the applicant may be eligible for Medicaid coverage as well. The provisional benefits are paid up to 6 months till the final determination is made whether the applicant can be paid benefits that include federal payments and Medicaid coverage. If the claim is denied, usually the applicant is not asked to repay the provisional benefits.

Immediate payment: This type of payment is made to new applicants as well as those already receiving SSI benefits who are in a financial emergency and whose payments are delayed or not received. The maximum payment made is $999.00. The SSA will subtract this immediate payment from the first regular payment due to the applicant.

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Any slight error in a social security disability application can cause the claim to be rejected. An experienced disability attorney helps applicants ensure that all the necessary information is submitted and the application is filled out in the proper manner. Disability attorneys are a great help to applicants in that they can attempt to speed up the scheduling of an applicant’s case before an administrative law judge, and even help eliminate a hearing. A hearing can be eliminated if an approval is obtained based on an on-the-record (OTR) review. This type of review is requested when the disability attorney is convinced that the medical evidence supporting the applicant’s case is very strong. Most attorneys depend on a reliable medical record review company to evaluate the available medical evidence and determine the authenticity of the claim.

The OTR review request would depend on one of the following: 

Whether the applicant’s condition has/has not worsened significantly since the time the case was earlier denied at the reconsideration appeal level Or



Whether or not the claim was improperly denied at the reconsideration level on account of flawed handling, or a misinterpretation of the medical evidence available.

The merits of the case and additional supporting material the disability attorney may have submitted are crucial factors that contribute to whether an on-the-record approval is granted following the request for review.

www.mosmedicalrecordreview.com

800-670-2809