WHY ARE PROVIDER OPINIONS SO IMPORTANT TO THE SSA?
SSA believes you are the most qualified to give an opinion as to your client’s ability to engage in substantial gainful activity.
SSA realizes that this as an informed opinion, not a medical certainty. Providers are never held responsible for their opinions (unless they engage in intentional fraud for profit).
Provider opinions are considered to be unbiased and created by experts in their field – to a greater or lesser degree, a letter or an attorney form speak directly to the question: “Can claimant engage in substantial gainful activity?”
SSA is only asking for an educated opinion, not clairvoyance, and they realize that Providers don’t observe patient’s daily activities outside the medical/theraputic setting. However, Providers are well versed in the conditions that they diagnose and they know at least something about how these conditions are manefesting in a particular patient/client or they would not have been able to make the diagnosis.
What should you include if you are a provider writing a letter for an unrepresented client (usually a client’s attorney will ask you to fill out a form rather than provide a letter)?
- Provider specialty and qualifications.
- How long have you been seeing your patient?
- What condition(s) have you diagnosed and how severe are your patient’s conditions?
- Are your patient’s condition(s) likely to improve?
- Your expert opinion about how this condition(s) interfere with or prevent your patient from performing work related tasks?
A FEW EXAMPLES:
- Frequent absences from work
- Necessary rest periods not commonly available on the job
- Inability to take direction
- Poor or nonexistent interpersonal skills
- Frequent panic attacks
- Inability to sit or stand for more than a few minutes at a time, etc.
A combination of deficits are generally required to eliminate the possibility of performing any possible kind of substantial gainful activity.
SOCIAL SECURITY DISABILITY PROVIDER FORMS DEMYSTIFIED
(OR YOUR FELLOW PROVIDERS OR OFFICE STAFF) WANT TO KNOW MORE ABOUT THE SOCIAL SECURITY DISABILITY FORMS THAT YOUR PATIENTS ASK TO FILL OUT?
ATTORNEY ROBIN L. MUNSON FROM MUNSON LAW OFFICES IN AMHERST, NH, WHO SPECIALIZES IN SOCIAL SECURITY DISABILITY IS AVAILABLE TO GIVE A FREE, ONE HOUR PRESENTATION FOR MEDICAL AND MENTAL HEALTH PROVIDER GROUPS OF 5 OR MORE TO EXPLAIN THE DISABILITY PROCESS, WHY PROVIDER OPINIONS ARE SO IMPORTANT TO SOCIAL SECURITY,
HOW TO MINIMIZE THE TIME THAT YOU SPEND FILLING OUT FORMS FOR YOUR PATIENTS.
THIS PRESENTATION WAS RECENTLY DELIVERED TO GROUPS IN MILFORD, NH AND AT CONCORD HOSPITAL, AND WAS SO WELL RECEIVED THAT WE HAVE DECIDED TO TAKE IT ON THE ROAD AND OFFER IT TO ALL PROVIDERS AND SUPPORT STAFF IN PRACTICES IN NEW HAMPSHIRE AND MASSACHUSETTS.
Call, write, or email us!
Don’t have a group of 5? Contact us anyway, and we’ll talk.
ALSO AVAILABLE TO SPEAK TO CIVIC GROUPS, FRATERNAL ORGANIZATIONS, AND VETERANS GROUPS ABOUT THE SOCIAL SECURITY DISABILITY PROGRAMS
Let’s work together! Call us or drop us an email to get started!