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The Main Reasons for Denied Disability Claims

Applying for Social Security disability benefits – either Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) – can be complex and daunting. While these programs are designed to provide much-needed financial support to those unable to work due to a disability, many initial applications are denied each year.

In fact, approximately 65% of first disability applications are rejected!

Fortunately, the experienced attorneys at Leventhal, Sutton & Gornstein specialize in guiding individuals through this challenging terrain, helping them avoid common pitfalls and ensuring their best chance of securing the disability benefits they deserve.

Common Reasons for Denied Disability Benefits:

  • Lack of Medical Evidence: One of the primary reasons for denial is insufficient medical evidence. The Social Security Administration (SSA) requires extensive documentation of the medical condition and its impact on the individual’s ability to work. Incomplete or vague medical records can lead to a denial.
  • Failure to Meet Disability Listings: In its Blue Book, the SSA maintains a list of impairments that automatically qualify as disabilities. If an applicant’s condition doesn’t meet the specific criteria outlined in these listings, the claim might be denied.
  • Residual Functional Capacity (RFC) Assessment: The SSA evaluates an applicant’s RFC to determine their ability to perform work-related activities. If the SSA believes the individual can perform some kind of work, their claim may be denied.
  • Income and Employment: If an applicant earns substantial income or engages in substantial gainful activity after the alleged date of disability, they might be considered ineligible for disability benefits. It is crucial to prove that the individual’s condition prevents them from earning a living wage.
  • Failure to Follow Treatment: If an applicant does not follow the prescribed medical treatment and it is determined that their condition could improve with compliance, the claim may be denied.

How Leventhal, Sutton & Gornstein Can Help

Navigating the complex world of Social Security disability benefits requires expertise and a deep understanding of the system. The disability attorneys at Leventhal, Sutton & Gornstein possess the knowledge and experience needed to help applicants avoid the pitfalls that often lead to denials:

  • Thorough Documentation and Preparation: Our attorneys work closely with clients to ensure that all necessary medical evidence is gathered and properly documented, leaving no room for ambiguity in the application.
  • Legal Experience: We thoroughly understand the disability listings and RFC assessment criteria. Our team crafts compelling arguments demonstrating how our clients meet these criteria, maximizing their chances of approval.
  • Appeals Process: In the unfortunate event of a denial, our attorneys are well-versed in the appeals process. We guide clients through the necessary steps to present a strong case during the reconsideration or hearing stages, and if necessary, all the way to the federal courts.

Take Action Today – Contact Leventhal, Sutton & Gornstein

If you’re in the greater Philadelphia area and seeking assistance with your Social Security disability benefits application, Leventhal, Sutton, and Gornstein are here to help. Our experienced attorneys offer a free case consultation to assess your situation and provide tailored advice on the best way forward.

In the world of Social Security disability benefits, knowledge and experience matter. Let Leventhal, Sutton & Gornstein be your partners in this journey towards a more secure future.

Contact us today and let us help you secure the SSI or SSDI benefits you deserve.

Posted on November 6th, 2023 by Leventhal, Sutton and Gornstein

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