EDPNA Exam| questions| with complete solutions.

EDPNA Exam| questions| with complete solutions. .Acceptable Medical Evidence - ANSWER-We need objective medical evidence from an AMS to establish the existence of a medically determinable impairment (MDI) at step 2 of the sequential evaluation process Examples 1. Physicians (MD or DO) 2. Licensed/Certified Psychologists (also School Psych) 3. Licensed Optometrist/Podiatrist/Audiologist/Speech-Language Pathologist ***Claims filed after 3/27/2017 accept sources from: APRN, APN, Certified Nurse Midwife, CNS, CRNA, NP - although these might weigh less .Age Categories 404.1563 - ANSWER-1. Younger person. If you are a younger person (under age 50), we generally do not consider that your age will seriously affect your ability to adjust to other work. However, in some circumstances, we consider that persons age 45-49 are more limited in their ability to adjust to other work than persons who have not attained age 45. 2. Person closely approaching advanced age. If you are closely approaching advanced age (age 50-54), we will consider that your age along with a severe impairment(s) and limited work experience may seriously affect your ability to adjust to other work. 3. Person of advanced age. We consider that at an advanced age (age 55 or older), age significantly affects a person’s ability to adjust to other work. We have special rules for persons of advanced age and for persons in this category who are closely approaching retirement age (age 60 or older). .An ALJ authorizes a representative to charge and collect $2,000 for his representational services for a claim for disability insurance benefits. SSA directly pays the representative $2,000. Six months later, SSA erroneously paid the representative an additional $2,000 based upon the same claim. One year after issuing the erroneous payment, SSA sends a letter to the representative informing him of the excess fee payment and requesting a refund within 30 days. What should the representative do? - ANSWER-c. Refund the $2,000 excess payment to SSA within 30 days, as requested. .Appeal deadline - ANSWER-60 days + 5 mailing days .Arduous Unskilled Physical Laborer 404.1562 - ANSWER-Work out worker; If you have no more than a marginal education and work experience of 35 years or more during which you did only arduous unskilled physical labor, and you are not working and are no longer able to do this kind of work because of a severe impairment(s), we will consider you unable to do lighter work, and therefore, disabled. .Auxiliary Benefits - ANSWER-When a disabled individual receives Social Security disability insurance benefits, their spouse and/or minor children may also be eligible to receive Social Security benefits. These benefits paid to the spouse or minor child are called can be paid to: 1. Children under 18 2. Spouse 3. Divorced spouse (if married 10 years) 4. Somebody under age 62 who has custody of children .Categories of Evidence 404.1502 404.1513 416.902 416.913 - ANSWER-1. Objective Medical Evidence 2. Acceptable Medical Source 3. Other sources .Claimant is in charge of proving to SSA he/she is blind/disabled. - SSA responsibility is development (10/20 days for records to come in) 1 FU request - then they have 10 days. - SSA will request CEs if needed - ANSWER-Who is responsible for evidence? 404.1512 406.1512 .Collateral Estoppel 404.950 416.1450 - ANSWER-“Issue Already Decided” An issue at your hearing may be a fact that has already been decided in one of our previous determinations or decisions in a claim involving the same parties, but arising under a different title of the Act or under the Federal Coal Mine Health and Safety Act. If this happens, the administrative law judge will not consider the issue again, but will accept the factual finding made in the previous determination or decision unless there are reasons to believe that it was wrong. - This is on both a denial or allowance .Common Law Marriage 404.726 - ANSWER-This is recognized by SSA if State claimant lives in recognizes it. BUT, it needs preferred evidence. - example - signed statement from spouses and usually two blood relatives. .Continuing Disability Reviews 404.1589 416.989 - ANSWER-Reviews post receiving SSDI benefits Two Types: 1. Medical (3 years) 2. Work ( Trial Work Period) .Disability - ANSWER-the inability to do any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. - To meet this definition, you must have a severe impairment(s) that makes you unable to do your past relevant work or any other substantial gainful work that exists in the national economy. - If your severe impairment(s) does not meet or medically equal a listing in appendix 1, we will assess your residual functional capacity. We will use this RFC assessment to determine if you can do your past relevant work. - If we find that you cannot do your past relevant work, we will use the same RFC assessment and your vocational factors of age, education, and work experience to determine if you can do other work. .Disabled Adult Children Benefits (DAC) 404.350 - ANSWER-You have to be found disabled before age 22 and IF 1. a parent is deceased 2. Parent is on SS Retirement 3. Parent is on SSDI benefits