You've filed for Social Security disability benefits but just received a notice that Social Security wants you to attend a consultative examination. Understandably, you may feel anxious or confused about this additional step in the disability determination process.
A consultative examination, also called a disability medical exam or CE, is a medical assessment scheduled by the Social Security Administration (SSA) to gather more information about your condition. Experienced Louisiana disability lawyer Phillip M. Hendry explains what this exam entails and how it may impact your claim.
Why Do I Need a Consultative Exam?
The SSA may schedule a consultative examination if there’s insufficient evidence in your medical records to complete your disability claim. Potential reasons for this include:
- Your medical records are incomplete, outdated, or inconsistent
- Your doctor has not provided enough detail about your condition or limitations
- The SSA needs more information about how your condition affects your ability to work
- Conflicting medical opinions in your file need to be resolved
- Your condition has changed or worsened since you initially applied for benefits
It's important to remember that being asked to attend a CE does not necessarily mean your claim will be denied. Instead, it is an opportunity for the SSA to gather additional evidence to help them make an accurate decision on your case.
Who Performs Consultative Examinations?
The SSA contracts with doctors and other health care professionals to conduct disability medical exams. These providers are independent physicians, psychologists, or specialists, but not SSA employees.
The doctor conducting your consultative examination might not be your regular physician. While you can request that your own doctor perform the exam, the SSA is not obligated to grant this request.
What Happens During a Consultative Examination?
A consultative examination provides the SSA with additional medical evidence to help them process your disability claim. The specific tests and evaluations needed will depend on the nature of your impairment.
During a physical consultative examination, the doctor may:
- Review your medical history, including any diagnoses, treatments, and medications
- Ask detailed questions about your symptoms, pain levels, and how your condition limits your daily activities
- Perform a thorough physical examination
- Evaluate your range of motion, muscle strength, sensory responses, and ability to perform physical tasks related to work
- Order diagnostic tests like X-rays, MRIs, blood work, or nerve conduction studies to further assess your condition
For mental health conditions, a psychological consultative examination may involve:
- A clinical interview discussing your mental health history, symptoms, and how they impact your personal and professional life
- Cognitive testing to assess memory, concentration, attention, problem-solving, and decision-making abilities
- Personality or mood disorder assessments, such as tests for depression, anxiety, or other psychological conditions
- Observations of your behavior, communication skills, and interactions during the exam to gauge your overall mental functioning
How to Prepare for Your Disability Medical Exam
To make the most of your consultative examination, consider these tips:
- Bring relevant medical records. The SSA will send your existing file to the examining doctor, but it's helpful to bring any recent test results, treatment notes, or other records that support your claim. Create a list of your current medications, dosages, and prescribing doctors.
- Be honest and detailed about your limitations. Accurately describe how your condition affects your daily life and ability to work. Provide specific examples of tasks you struggle with and how your symptoms interfere with activities. Don't exaggerate, but don't downplay your challenges either.
- Take notes during the exam. Write down the doctor's name, the date and time of the exam, the length of the exam, and any tests or evaluations performed. Note any important comments or observations made by the doctor. These details can be useful if you appeal an unfavorable decision later.
- Bring a trusted friend or family member. Having someone accompany you can provide emotional support and help you remember important details from the exam. They can also take notes or help advocate for you if needed.
What Happens After the Consultative Examination?
Following your disability medical exam, the examining doctor will prepare a report for the SSA. This report will include the doctor's findings, any diagnoses, and an assessment of how your condition impacts your ability to work.
When deciding your claim, the SSA will consider this report and other medical evidence. It's important to remember that the consultative examination is just one piece of the puzzle. The SSA will evaluate the totality of your medical records and other relevant factors before deciding on your claim.
How a Louisiana Disability Lawyer Can Help
The Social Security disability process can be overwhelming, especially when additional steps like consultative examinations are involved. Working with a knowledgeable Louisiana disability lawyer can help ensure your rights are protected throughout the process.
Phillip M. Hendry has extensive experience representing clients at all stages of the disability claims process, from initial applications to appeals. If you need a consultative examination, he can help you understand what to expect and ensure the SSA has all the necessary evidence to support your claim.