SSD review, short version

[Teatime]

Originally Posted by gilbert

the people who recieve the short form in the mail are the ones who's disabling condition isn't likely to improve and almost always have the benefits continued once they return the form provided they are not working.

Yes, but I've read that the letter confirming the continuation of benefits usually contains a diary/review schedule so you know how often you'll be reviewed in the future. My letter said nothing about that.

[gilbert]

Originally Posted by Teatime

Yes, but I've read that the letter confirming the continuation of benefits usually contains a diary/review schedule so you know how often you'll be reviewed in the future. My letter said nothing about that.

i recieved the same letter teatime confirming my continuation of benefits after returning the short form back to SS.my letter also said nothing about any future review schedules which i guess for me and you is a good thing since they think our conditions are not likely to improve so i guess there is no reason for a future set schedule of reviews.the only real reason that they would schedule a review in the future would be if you returned to work or your health has improved.GIL

[echoes long ago]

i just got my short form review today. first time. we'll see how it goes.

[Hugapug]

Originally Posted by Teatime

Hi Gilbert,
The form I got doesn't ask for all sorts of info on doc visits and medications. It just wants the three most recent medical contacts and the reason for them plus the three most recent surgeries or hospitalizations and the reason for those, too. That's it, besides asking whether I've worked or gone for any additional training and some basic questions.

It says if they have any questions about my responses, they'll call me.

Hi Teatime, I wondered if you minded my asking you how your review went? I am concerned because my disability causes me not to think as clearly at times. I should have researced the internet before filling out the short form SSA-455-OCR-SM. Anyway, I read on another advocasy site that if you don't list your qulifying disability illness in at least one of the three "boxed" areas where it asks for your last three reasons for medical treatment/visits, that the computer will kick it back and you will automatically be tagged for a long form review. My last 3 medical appts/treatments have been for a new condition. I did however, handwrite; in the section where you can add additional information, that I still suffered from original disability as well as new illnesses which enhance my disability. I really don't want to have to go through a full medical review again. It is so stressful. Oh, did they ever call you with any questions. Any advice is appreciated. Thanks.

[Hugapug]

Originally Posted by echoes long ago

on these short forms do not put any more information than is asked for. do not write in the comments section. do not attach anything. donot send in anything extra. any of the above will result in it having to be looked over by a person and could result in the long form being sent out. a full review. i have some links you could look at. ill look for them.

Hi Echoe,
I am 59 years old. Been on disability since I was 48. Had one long SSDI Review at age 49. Got the SSA-455-OCR-SM form the other day. I have since my original disability (which has not improved) also developed an additional disability and am considering surgery for. My last 3 medical visits were for the new disability. So I used the 3 questions that you answer in the Blocks for the new condition, because the form instuctions are not clear that way. Now I want to know if computer does kick out to a person, will I automatically have to go through long reevaluation review or will someone call me to clarify? I did explain in the comment area that my original disability had not changed but that my last 3 doctor visits were for my subsequent condition. I wondered also, since I am not a "spring chicken" anymore either, if that would work in my favor for not having to go through a long review. Thanks for any info that anyone can give.

[echoes long ago]

This is the best guide i have seen for a disability review particularly short form. Three weeks after the last post they sent me a letter saying that they did not need to do a full review at this time. i put the last three doctors visits for the conditions for which i received ssdi, not just my last three doctors visits. Hopefully it will work out for you. Let us know how you do and goodluck.

http://nymakesworkpay.org/docs/Guide_CDR.pdf


this is from directions for the processing center to process short forms.


SSA-455-OCR-SM, Question 5 (SSA-455, Question 7)--Have you gone to a doctor or clinic...?

If the answer to 5 is:
Your action on all profiles is:

YES
Check the profile sheet for information about the prior decision. Knowledge can be gained from the following:

Date of birth

Date of onset

Date of initial decision

Date of latest decision

Reg basis code

Vocational rule met

Diaries set

Blindness

Assess the importance of ongoing medical treatment, or its absence, to the status of the condition. Read carefully the “how often” and “reason for visit” narratives and draw any conclusions.

Consider any remarks or attachments that might address whether medical improvement is or is not indicated.

Consider whether a telephone call to the beneficiary or representative payee will provide further details.

For LOWS, recommend a DO CDR only if the narrative/telephone call response(s) indicates there is possible medical improvement.

For HIGHS/MEDIUMS, take a DO CDR action unless the narrative/telephone call response(s) indicates no likelihood of medical improvement.

NO
All Profiles-If not explained on the form, obtain by DIRCON to the beneficiary or representative payee the reason(s) for the lack of ongoing treatment, especially if impairment codes are:

4140 (angina)

4430(arterial)

5710 (liver)

5840 (renal)

2500 (diabetes)

These impairments usually require continuous medical intervention.

Recommend a full medical CDR only if the DIRCON response indicates there is possible medical improvement.

NO RESPONSE
All Profiles-Go to question 6.



this is the link that the directions are from. scroll most of the way to the bottom and you will see the section.

https://s044a90.ssa.gov/apps10/poms....1!opendocument