Navigating the Social Security Disability (SSD) system can be a challenging and often disheartening process for many. A majority of initial applications are denied, and even those who receive benefits can have them terminated later on. 

A primary reason for the denial of Social Security Disability benefits is a lack of sufficient medical evidence. The Social Security Administration (SSA) requires applicants to submit comprehensive and detailed medical records. This includes not just a diagnosis but also documentation such as lab tests, imaging results and detailed doctors’ notes outlining the severity of your condition and how it limits your ability to perform work-related activities. Vague or incomplete records will not suffice.

Another major hurdle to benefits awards is the SSA's strict definition of disability. It's not enough to be unable to do your previous job. You must show that you cannot adjust to any other type of jobs that exist in significant numbers in the national economy, considering your age, education and experience. Furthermore, your disability must be expected to last for at least 12 months (or be fatal). 

Financial factors also play a crucial role. For both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI), earning above a certain amount from work activity, known as "substantial gainful activity" (SGA), will lead to a denial. For SSI, which is a needs-based program, there are also strict limits on income and assets.

Other common reasons for denial include failing to follow a doctor's prescribed treatment, which the SSA may interpret as your condition not being as severe as you claim or as failing to cooperate by not providing requested information or missing appointments. Simple errors or omissions on the application can also cause an application to be rejected.

For those who are approved for benefits, the possibility of termination still exists. The SSA periodically conducts continuing disability reviews (CDRs) to see if your condition has improved. If there is evidence of medical improvement to the point where you can return to work, your benefits can be stopped.

Returning to work and earning above the SGA limit is another common reason for termination. While the SSA has programs to encourage a return to the workforce, such as the Trial Work Period, sustained work activity at a certain income level will lead to the cessation of benefits.

If you have been denied benefits, a capable SSD attorney can identify errors or omissions in the SSA’s decision, such as misinterpreting medical evidence or failing to consider your explanations. By crafting a compelling appeal, the attorney can argue that the denial was unjustified and that your condition truly meets the criteria for disability benefits.

Massengill, Caldwell & Coughlin, PC diligently pursues SSD claims from initial application to the final approval. Based in Bristol, we represent individuals with disabilities across the entire Northeast Tennessee and Southwest Virginia region. Call us at 423-797-6022 or contact us online to arrange a free consultation.