It may take up to two years to get a final decision regarding a claim from the social security administration. However, there are certain types of payments that the administration will expedite.

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MOS Medical Record Reviews
www.mosmedicalrecordreview.com | 1-800-670-2809 | info@managedoutsource.com

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The social security disability application and review process is lengthy and applicants
are granted disability benefits only after a comprehensive review of their medical history.
Disability attorneys help applicants speed up the submission of the claims, and also help in
preparing the appeal if the claim is denied. Medical record review for attorneys is a valuable
service that enables the attorney to determine whether a claim is legitimate.
It may take up to two years to get a final decision regarding a claim from the social security
administration. However, there are certain types of payments that the administration will
expedite. These are:
 PD (Presumptive disability) or presumptive blindness (PB) payment
 Emergency advance payment
 Expedited reinstatement
 Immediate payment
PD (Presumptive disability) or presumptive blindness (PB) payment: The SSA may make PD or
PB payments for up to six months while the applicant is waiting for the DDS (Disability
Determination Services) to make a final decision. These payments are made on the basis of the
severity of the applicant’s condition that must fall within the medical conditions listed by the
SSA. If later, the applicant is found not to be disabled or blind, the SSA does not usually ask for a
repayment of PD and PB payments, though if the applicant has received overpayment for some
other reasons, they may demand repayment of some of the PD and PB payments.
Emergency advance payment: This is the payment made to new applicants to whom SSI
benefits are due but are delayed or not received. The applicant should be in financial
emergency on account of a threat to safety or health. Only one such advance payment is made.

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The SSA will cut this payment from the payments already due to the applicant and will pay only
the difference. If no past payments are due, this emergency advance payment will be
subtracted from the beneficiary’s current monthly benefits in up to six monthly installments.
Expedited reinstatement: A beneficiary whose benefits ended because he/she worked and had
earnings, can request to have the benefits started again without submitting a new application.
This is applicable in cases such as the following:
 The beneficiary stopped receiving benefits because he/she started receiving earnings
from work
 Is unable to do “substantial gainful activity” because of a disability that is the same as or
related to the disability that enabled him/her to obtain benefits earlier
 Submits the request within 5 years from the month his/her benefits ended
The SSA would require the beneficiary’s latest medical information so that the DDS can make
their disability determination. If the request is approved, provisional or temporary benefits are
paid from the month after the request, and the applicant may be eligible for Medicaid coverage
as well. The provisional benefits are paid up to 6 months till the final determination is made
whether the applicant can be paid benefits that include federal payments and Medicaid
coverage. If the claim is denied, usually the applicant is not asked to repay the provisional
benefits.
Immediate payment: This type of payment is made to new applicants as well as those already
receiving SSI benefits who are in a financial emergency and whose payments are delayed or not
received. The maximum payment made is $999.00. The SSA will subtract this immediate
payment from the first regular payment due to the applicant.

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Any slight error in a social security disability application can cause the claim to be rejected. An
experienced disability attorney helps applicants ensure that all the necessary information is
submitted and the application is filled out in the proper manner. Disability attorneys are a great
help to applicants in that they can attempt to speed up the scheduling of an applicant’s case
before an administrative law judge, and even help eliminate a hearing. A hearing can be
eliminated if an approval is obtained based on an on-the-record (OTR) review. This type of
review is requested when the disability attorney is convinced that the medical evidence
supporting the applicant’s case is very strong. Most attorneys depend on a reliable medical
record review company to evaluate the available medical evidence and determine the
authenticity of the claim.
The OTR review request would depend on one of the following:
 Whether the applicant’s condition has/has not worsened significantly since the time the
case was earlier denied at the reconsideration appeal level
Or
 Whether or not the claim was improperly denied at the reconsideration level on account
of flawed handling, or a misinterpretation of the medical evidence available.
The merits of the case and additional supporting material the disability attorney may have
submitted are crucial factors that contribute to whether an on-the-record approval is granted
following the request for review.