A consultative examination, often referred to as CE for short, is an additional medical examination ordered by the Social Security Administration (SSA). It is conducted by a licensed medical professional at no cost to the claimant. The medical professionals who conduct consultative examinations are independently contracted with the SSA to perform these exams, and they are required to provide a non-biased opinion based off the medical evidence available. The ultimate purpose of a consultative examination is to provide the SSA with an opinion of the claimant’s various disability limitations
Social Security disability hearings are unique judicial proceedings. The hearings are non-adversarial and lack many of the legal formalities one would typically expect to encounter. Generally, the hearings are very brief and informal. The hearing will be heard by an Administrative Law Judge who handles only Social Security cases, and their dockets can be very full at times. As these hearings are brief, it is important to make every second count.
The Social Security Administration (SSA) will determine that an individual is disabled if they have a long-term disability that prevents them from working in any capacity. An individual is disabled if they cannot engage in any substantial gainful activity (commonly referred to as SGA) because of their mental or physical medical condition.
Imagine this: you apply for Social Security Disability Insurance (SSDI) benefits. After a long waiting period, you finally receive a favorable decision on your claim. You are excited and eager to receive the much-needed income, but then discover the monthly amount is less than you expected. Why?!?!?
A while back, one of our disability blog posts mentioned a massive Social Security disability scammers case. The scheme was led and carried out primarily by members of the FDNY and NYPD. It is estimated that the scheme began in 1988 and, during its more than 25 years, defrauded the Social Security Administration of an estimated $400 million. While it took a while, authorities eventually caught on, and over 100 retired New York police officers and firefighter were charged with fraud-related crimes in connection with their involvement in the scheme. Four individuals are said to have been