EDPNA ACTUA XAM QUESTIONS AND CORRECT
ANSWERS VERIFIED ALREADY GRADED A+.
◉Medically Determinable Impairment (MDI) 404.1521 416.921 Answer: Your impairment(s) must result from anatomical, physiological, or psychological abnormalities that can be shown by medically acceptable clinical and laboratory diagnostic techniques.
- Therefore, a physical or mental impairment must be established by objective medical evidence
- We will not use your statement of symptoms, a diagnosis, or a medical opinion to establish the
from an acceptable medical source.
existence of an impairment(s).
◉Non-Severe Impairment 404.1522 416.922 Answer: If your impairment does not significantly limit your ability either physically or mentally to do basic activities.
examples:
- walking, standing, sitting, lifting, pushing, pulling
- Capacities of seeing, hearing & speaking
- Understanding, Carrying out, remembering, simple instructions
- Use of judgement
- Responding appropriately to supervision, co-workers, & usual work situations
- Dealing with changes in routine work settings
◉Multiple Impairments 404.1523 416.923 Answer: 1. Unrelated Severe Impairments: We cannot combine two or more unrelated severe impairments to meet the 12-month duration test.
- Concurrent Impairments: If you have two or more concurrent impairments that, when
considered in combination, are severe, we must determine whether the combined effect of your impairments can be expected to continue to be severe for 12 months.
- Combined Effect: In determining whether your physical or mental impairment(s) are of a
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sufficient medical severity that such impairment(s) could be the basis of eligibility under the law, we will consider the combined effect of all of your impairments without regard to whether any such impairment, if considered separately, would be of sufficient severity.
◉Who makes disability determinations? 404.1503 416.903 Answer: Reserved commissioners of SSA
- A treating doctor helps us to understand the impairments & limitations.
- A doctor stating you are "disabled" or "cannot work" is not always helpful
- Initial & Recon Decisions - made by state vocational/disability determination services. They
are authorized by the commissioners of SSA.Hearing - ALJ
◉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
- SSA will request CEs if needed Answer: Who is responsible for evidence? 404.1512 406.1512
they have 10 days.
◉Categories of Evidence 404.1502 404.1513 416.902 416.913 Answer: 1. Objective Medical Evidence
- Acceptable Medical Source
- Other sources
◉Objective Medical Evidence Answer: Medical signs that can be observed through acceptable clinical diagnostics techniques, lab findings or both.
example: evidence of reduced joint motion, muscle spasm, sensory deficit or motor disruption.
- Diagnostic techniques include chemical tests (such as blood tests), electrophysiological studies
(such as electrocardiograms and electroencephalograms), medical imaging (such as X-rays), and psychological tests.
◉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
- Physicians (MD or DO)
- Licensed/Certified Psychologists (also School Psych)
- Licensed Optometrist/Podiatrist/Audiologist/Speech-Language Pathologist
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***Claims filed after 3/27/2017 accept sources from: