A disability claim will be adjudicated by the Social Security Administration. During the application process, the SSA examines medical records in order to assess your ability to work. Sometimes, these medical records are incomplete, outdated, or otherwise inconsistent. When this happens, the SSA will likely order a consultative examination to fill in the gaps.
There are many types of consultative examinations in Kansas City, and understanding the potential questions can help you prepare.
Many disability claims hinge on physical limitations. These may include chronic pain, mobility issues, systemic illness, and chronic fatigue. During a physical consultative examination, a medical professional will assess the range of mobility and other physical outcomes.
A disability claim based on mental health conditions may call for a mental health consultative examination. In these examinations, a medical professional will assess the psychological impact of mood disorders, anxiety, depression, or trauma-related impairments (including PTSD). These exams may also include intellectual and cognitive testing, including memory tests and diagnostics on concentration. Often, a mental health consultative examination will focus on behavioral and functional impact.
Depending on the missing information from the existing medical files and the nature of the disability claim, the SSA may require specialty types of consultative examinations for individuals in Kansas City. These might include referrals to vision, hearing, or speech specialists.
A consultative examination is legislated by 20 CFR §§ 404.1519a–j for SSDI and 20 CFR §§ 416.919a–j for SSI. Under these regulations, the examination must be ordered and purchased by the SSA, and it must be conducted by a licensed medical professional who is a neutral third party with no stake in the outcome of the disability claim.
Despite these legal requirements, we have seen violations—including falsified results or exams that were never properly conducted. These concerns were also documented in recent investigations by KSHB and the Kansas City Star.
Regardless of the type of consultative examination, there are some steps that Kansas City applicants can take to make the process go more smoothly. Ahead of the examination, it is a good idea to make a list of all medical providers and medications (both prescription and over-the-counter).
On the day of the examination, be sure to bring a photo ID and the appointment letter. It is a good idea to dress comfortably as the physical examination may require movement. Bring any assistive devices such as canes, crutches, glasses, or hearing aids. It will be important to assess mobility and abilities within the context of these devices.
It can also be helpful to bring a friend or family member for support, but they may not be allowed in the examination room. Take notes after the examination with your recollection of how it went (for example, how long it lasted and what exams were performed). This is especially important as some examiners may prioritize the fee they receive from SSA upon completing your exam rather than appropriately addressing your concerns through a thorough examination. Some even knowingly submit false information about tests completed to guarantee payment.
Later on, when reviewing your consultative examination report, be sure to check that the information is accurate to ensure you receive all the benefits you deserve.
There are many types of consultative examinations in Kansas City, and you may have questions before or after your evaluation is complete. Our legal team can provide details, giving you a clear understanding of the next steps in the process and what options you have if your claim is denied or delayed.
If your exam experience doesn’t match what’s written in the report, or you suspect fraud or error, our team is ready to help you challenge it. Call BurnettDriskill, Attorneys today to schedule a free consultation.
(816) 781-4836