Week 2 SG

Question 1

AMS

Answer 1

Acceptable Medical Sources

Question 2

Blindness SGA

Answer 2

2590

Question 3

SGA AMOUNT

Answer 3

1550

Question 4

5 Steps of Sequential Evaluation

Answer 4

1. Are they making SGA? (SUBSTANTIAL GAINFUL ACTIVITY)
2. Do they have an impairment?
3. Does the impairment meet a listing?
4. Can they do past work?
5. Can they do other work?

Question 5

4 steps of initial case initiation?

Answer 5

1. Review entire file, including any prior filings paper or electronic & copy relevant evidence to current folder.
2. Recognize all technical issues & initiate resolution of any potential problems or discrepancies.
3. Request clarification or additional information from the claimant or authorized representative.
4. Request evidence from medical sources & non-medical sources.

Question 6

List 3 forms that come in with every new initial claim.

Answer 6

1. 3368 - App for disability
2. 3367 - contains info regarding prior filings, any FO observations
3. 827 - consent to release medical information

Question 7

What is administrative finality?

Answer 7

A clmnt may have filed before & this means SSA makes a disability determination or decision & it becomes final, the decision will stand as the final word on the matter unless new & material evidence is presented or an obvious gross error becomes evident.

Question 8

4 methods in which we obtain evidence?

Answer 8

1. SSA - approved electronic systems. Megahit HIT or ERE.
2. Telephone
3. Fax
4. Mail

Question 9

4 examples of an (AMS) acceptable medical source?

Answer 9

1. Licensed physicians (MD or DO)
2. Licensed psychologists for the purpose of intellectual disorders only.
3. Podiatrists (DPM) for disorders of the foot or ankle.
4. Optometrists (OD) for visual disorders only.

Question 10

A complete medical history is ____ months?

Answer 10

12

Question 11

Define AOD

Answer 11

Alleged onset date: date the claimant alleges they became unable to work due to medical impairment whether that date appears to be appropriate.

Question 12

Define POD

Answer 12

Potential onset date: the earliest possible date that the FO (field office) alerts the DDS to consider in order to establish the established onset date (EOD) based on non-medical factors.

Question 13

Define EOD

Answer 13

Established onset date: the first day the claimant meets the definition of disability & all the relevant entitlement or eligibility factors.

Question 14

When determining onset, what are the 6 factors we consider?

Answer 14

1. Alleged onset date
2. Potential onset date
3. Claim type
4. Successful gainful activity
5. Other evidence
6. Prior filings

Question 15

Most favorable EOD for DIB claims is the earliest day all the following factors are met:

Answer 15

1. Claimant is not working SGA
2. Claimant meets the medical severity of disability
3. Claimant is actually insured for benefits

Question 16

The earliest onset for Title XVI claim is:

Answer 16

Filing Date (FD or DOF)

Question 17

FD or DOF

Answer 17

Filing Date

Question 18

DIB

Answer 18

Disability Insurance Benefits

Question 19

Definition of duration:

Answer 19

The period of time that an individual is continuously unable to engage in SGA due to a medically determinable impairment.

Question 20

PDE

Answer 20

Personalized Decisional Explanation

Question 21

3368

Answer 21

App for disability

Question 23

UWA

Answer 23

Unsuccessful Work Activity

Question 24

POMS

Answer 24

Program Operating Manual System

Question 25

DLI

Answer 25

Date Last Insured