The Role of Medical Evidence in Winning a Disability Claim

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When preparing and filing an application for Social Security disability benefits, you must prove that you have a qualifying disability under Social Security regulations. When filing an SSD claim, the medical evidence you present to prove the existence and severity of a disability can mean the difference between approval and denial of your disability benefits application. By understanding how medical evidence can affect your chances of receiving Social Security disability benefits, you can more easily prepare a compelling application.

The Importance of Medical Evidence

A claimant who applies for Social Security disability benefits must submit medical evidence to prove they have a condition that qualifies as a disability under Social Security Administration regulations. A medical impairment, or combination of impairments may qualify as a disability when: it has lasted for at least one year; or is expected to last for at least one year; or will result in death; and the combined impairments prevents the individual from performing any type of fulltime work.

As a result, medical evidence in a Social Security disability claim must prove several things:

  • The Existence of a Medical Impairment – A medical impairment must be documented by acceptable medical evidence.
  • The Severity of a Condition – The medical record must show that a condition has lasted for at least 12 months, or include a medical opinion that the condition will likely last for at least 12 months or cause the applicant’s death.
  • Limitations on Working Ability – Medical evidence must also show that the applicant’s condition meets the severity of a listed condition or causes limitations that prevent the applicant from doing past work they’ve held or other work that exists in substantial numbers in the economy.

Types of Medical Evidence Used in Disability Claims

Examples of medical evidence that you might use to get approved for Social Security disability benefits include:

  • Medical records, such as test results, lab reports, diagnostic imaging, medication records, and office visit notes
  • Hospitalization and treatment records documenting surgeries, other invasive procedures, or physical/occupational therapy
  • Reports from specialists like neurologists, orthopedists, physiatrists, or oncologists
  • Physician opinions diagnosing the condition or describing the applicant’s residual functional capacity

How to Gather and Present Medical Evidence

When filing for Social Security disability, you can gather medical evidence by keeping a comprehensive, organized file of all documents you receive and request from your treating providers. Furthermore, you should attend all medical appointments and follow your prescribed treatment plan. You should keep your medical file updated to show a worsening of your condition or demonstrate that your condition has not improved with treatment. Finally, you can ask your treating providers for written narrative statements to opine on your diagnosis, prognosis, and functional limitations.

Common Mistakes That Undermine Medical Evidence

Errors SSD applicants may make that can undermine the strength of the medical evidence in their disability benefits claim include:

  • Having gaps in the medical record that reflect inconsistent treatment or a failure to follow medical advice
  • Submitting incomplete or outdated medical records, or not following up with one’s physician for an up-to-date exam if one’s condition has remained stable for a long time
  • Lacking objective medical data in one’s records or only submitting evidence of subjective complaints
  • Having inconsistencies between information in one’s disability benefits application and their medical records

Contact an SSD Attorney Today

When applying for Social Security disability benefits, being able to support your claim with comprehensive medical evidence can be the key to having your application approved. Contact Crowe & Shanahan today for a free, no-obligation consultation with a Social Security disability lawyer to learn more about how we can help you prepare and support your application.

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