EDPNA TERMS 3 Flashcards

1
Q

To be disability insured for Title II an individual must:

A

Have worked 5 out of the last 10 years and paid into the system

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2
Q

At the fourth step of the sequential evaluation process, if a claimant has the residual functional capacity to perform their PRW then:

A

A finding of not disabled is made and the analysis stops there

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3
Q

SSI Title XVI date of entitlement is:

A

The first day of the following month after application is filed

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4
Q

An individual is applying for Title II with a 1/1/13 onset date, who earned 4 quarters of coverage each year in 2008, 2009, 2010, 2011 and 2012, would have the following DLI for benefits:

A

12/31/2017

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5
Q

The following is not considered substantial gainful activity:

A

Work that is performed minimally and is below the financial threshold for SGA due to claimant’s medical condition

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6
Q

The following information is used in determining the claimant’s alleged onset of disability for the purposes of their disability claim:

A

All of the above

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7
Q

Under the Social Security rules of administrative finality, a determination or decision becomes final and binding when:

A

Rendered

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8
Q

Mr. Welch is an SSI beneficiary. He and his wife take a two month trip to Mexico to visit their grown son and his family. Their son will pay for their expenses. They leave on 3/10/22 and return 5/2/22. When will his benefits resume?

A

6/2022

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9
Q

A determination can be reopened and revised:

A

By either the claimant or SSA within 12 months of the date of the initial decision for any reason

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10
Q

The following is true about the “trial work period” provision:

A

All of the above

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11
Q

Windfall offset applies:

A

When you are eligible for retroactive Social Security benefits and your SSI benefits would have been less if we paid you Social Security benefits when they were due

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12
Q

A dedicated spending account is to be used for:

A

Child SSI claims past due benefits only

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13
Q

The following would be a situation that requires the use of a fee petition to obtain representative fee:

A

The representative told the claimant that their fee was pro bono but changed their mind and decided after the case was approved to charge a fee for services

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14
Q

A “determination” is:

A

A decision made on a case at the DDS level

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15
Q

Res judicata would apply if:

A

The claimant misses the appeal deadline and files a new claim with the same onset date as the prior claim with all the same issues and facts being considered

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16
Q

RFC is:

A

A claimant’s maximum remaining ability after considering all of their limitations and symptoms caused by a medically determinable impairment

17
Q

At Step 4 of the Sequential Evaluation, RFC is used to:

A

Assess their ability to perform past relevant work related activities

18
Q

The impact of an RFC for less than a full range of sedentary work is especially critical for individuals who have not yet:

A

Attained age 50

19
Q

To be found disabled between age 45 and 49 an individual must:

A

All of the above

20
Q

An RFC for sedentary work represents:

A

An individual who is significantly restricted from a wide range of physical activities which cause functional limitations to interfere with the work activity they can perform

21
Q

“Occasionally” is defined by SSA as:

A

Occurring from once up to 1/3 of the time and would generally total no more than about 2 hours within an 8 hr work day.

22
Q

“Frequently” is defined by SSA as:

A

Occuring between 1/3 and 2/3 of the day

23
Q

“Constantly” is defined by SSA as:

A

Occurring 2/3 or more of the work day

24
Q

VE’s are frequently used at hearings to discuss:

A

The demands of claimant’s PRW, transferable work skills and jobs within the national economy that claimant can perform based on the RFC provided by the ALJ

25
Q

Which of the following makes an SSI application a claim for benefits?

A

All of the above

26
Q

Exertional capacity addresses an individual’s limitations and restrictions of physical strength and defines the individuals remaining ability to perform each of seven strength demands:

A

Sitting, standing, walking lifting, carrying, pushing, and pulling

27
Q

An individual can be found disabled under the arduous work rule if they meet the following criteria:

A

History of performance of unskilled arduous physical labor for at least 35 years with marginal education and an inability to perform that work due to a severe limitation caused by a medical condition

28
Q

The primary difference between sedentary and most light jobs is:

A

The amount of time you sit or stand/walk during an 8 hr work day

29
Q

The following would be a relevant question to ask the VE in cross examination:

A

If the claimant would be able to maintain employment with their limitations if they were hired for the job

30
Q

Which of the following is not a rule for determining if you are insured for purposes of establishing a period of disability or becoming entitled to disability insurance benefits:

A

All of the above

31
Q

Case theory elements include:

A

The reasons the representative believes, based on SSA rules and regulations, the claimant should be approved for benefits

32
Q

All of the following are affirmative duties of a representative except:

A

Attempt to influence, direct or indirectly, the outcome of a decision

33
Q

The following information would not be supportive for the claimant’s appeal for benefits:

A

The claimant self-medicates with alcohol to treat a mental illness

34
Q

If the claimant is dissatisfied with a determination or decision made in the administrative review process, but does not request further review within the stated time period:

A

Claimant loses their right to further review and that determination or decision becomes final

35
Q

The extended period of eligibility is applicable to a claim if:

A

The claimant previously received disability benefits under Title II and who completes a 9 mth TWP and continues to have a disabling impairment resulting in the SSA providing the claimant with a 36 month re-entitlement period

36
Q

A claimant files a Title 16 application on 2/13/18 with an AOD of 10/1/17 due to a stroke, she has not regained the ability to use her right arm and leg effectively, with her arm hanging flaccidly at her side, and her leg dragging behind her. SSA finds her disabled as of her AOD. Benefits will begin:

A

3/1/18 the first month following the month the application was filed

37
Q

At which point in the sequential evaluation process must age be considered as a factor in determining disability in a Title 16 claim?

A

After the determination is made that the claimant is incapable of performing his PRW

38
Q

The following is true regarding transferability of skills:

A

All of the above

39
Q
A