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How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay

What will trigger a review of a Social Security Disability claim?



 
The two most common triggers of a review of an individual’s Social Security Disability claim or Supplemental Security Income claim (SSI claim) are A) work activity and B) medical review diary dates.

Social Security performs two types of continuing disability reviews (CDRs), either separately or simultaneously: the work continuing disability review and the medical continuing disability review.

These reviews are performed simultaneously when a disability claim comes up for medical review and the disability beneficiary has worked. When a disability claim is medically reviewed, all work activity must be addressed prior to sending the continuing disability review to DDS, or disability determination services (where claims are processed for the social security administration) for a decision. Work activity may indicate medical improvement, thus it must be reviewed along with medical information. However, as I said earlier, Social Security may perform medical reviews and work reviews singularly as well.



When disability claims are approved, a medical review diary date is established for a date in the future that is usually either three or seven years into the future. Medical diary date length depends upon the likelihood that an individual’s impairment will medically improve.

Most disability cases have three-year medical review diary dates because there is thought to be a chance of medical improvement. If an individual has an impairment that is unlikely to have medical improvement, they may have a seven-year medical review diary. Some disability beneficiaries have medical conditions that are likely to have medical improvement so their disability claims may have medical review diary dates that are less than the standard three year medical review diary.

All disability claims have medical review dates and individuals who receive disability benefits will most likely have more than one review in their lifetime. Most disability reviews result in a continuation of benefits for the disability beneficiary, so there is no reason to fear continuing disability reviews. The only way an individual could lose their disability benefits is if their work activity or medical records indicate that they have had medical improvement.

The second type of review is a continuing disability review based upon work activity only. Work continuing reviews are most often triggered when an individual reports that they have gone back to work. Disability beneficiaries are required to report all work activity so that their disability file can be updated.

Work reviews may not cause any change in benefits for a disability beneficiary, or they may cause an individual’s benefits to be suspended or even terminated. Although most work reviews are triggered by Social Security beneficiary work reports, a work review may be triggered A) if Social Security finds that work activity is being reported for a beneficiary to the IRS by their employer (W2 form) or B) even by a beneficiary filing self-employment earnings on their tax return.

Generally, Social Security catches up with work activity sooner or later, so it is best to report it. Under current Social Security guidelines, individuals who do not report their work activity may be sanctioned or even charged with fraud for not reporting their work activity.








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Related pages:

Will my disability case be reviewed after I have been approved for disability benefits?
How does the Social Security Disability Review work?
The, CDR, or Continuing Disability Review, for SSD and SSI claims
Advice for a Social Security Disability Continuing Review
What will trigger a review of a Social Security Disability claim?
Are SSDI and SSI Benefits Normally Continued After A Continuing Disability Review?
How Often Does Social Security Disability Review Cases?
Can You Lose Your Social Security Disability Benefits When Your Case Is Reviewed?
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How long can you receive SSI or Social Security Disability benefits?
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These pages answer some of the most basic questions for individuals who are considering filing a claim.

Can you get temporary Social Security Disability or SSI benefits?

Permanent Social Security Disability

What is the difference between Social Security Disability and SSI?

Who is eligible for SSI disability?

Can I Be Eligible For SSI And Social Security Disability At The Same Time?

What makes a person eligible to receive disability benefits?

Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?

What happens if I file a disability application and it is denied by a disability examiner or Judge?