Initial Consultations by Telephone

Beginning this month, Winter, Chewning & Geary, LLP will start offering potential clients the opportunity to talk to an attorney by telephone if they are unable to travel to one of our offices in Green Bay, Oshkosh or Two Rivers. Far too often we have clients who are unable to make it to one of our office locations. Sometimes this is due to financial limitations. Some clients are in no physical condition to drive for long distances. I am also aware of clients who, because of their panic disorders and agoraphobia, are afraid to leave their home unless absolutely necessary. To accommodate these potential clients, we are willing to schedule a time at which we can discuss your disability claim with one of our attorneys. To get the word out about our willingness to conduct an initial consultation with a potential client over the phone, we are rolling out a new ad this month which addresses the fact that many disabled people are unable to travel to meet with a lawyer.

 

 

We expect that all clients will eventually meet with us in person to discuss their case.  As I discussed previously, I think there is so much that can be learned during face-to-face meetings with clients that is lost by merely talking to someone over the phone.  We also ask that any clients interested in a telephone consultation be as prepared as they would be for an in-person office conference.  This means having information regarding your doctors, clinics, hospitals, medications and any work that you have done within the past 15 years handy.  It is also important that you have any paperwork relating to your Social Security disability claim with you when you speak with the attorney.

DO YOU KNOW WHO YOUR ATTORNEY IS? AND DOES YOUR ATTORNEY KNOW YOU?

Far too frequently I hear of situations where a Social Security disability or SSI claimant meets their attorney for the first time on the day of the hearing. This troubles me. At Winter, Chewning & Geary, LLP we try to establish an individual attorney-client relationship in every case. The attorney you meet with you at your initial consultation should be the attorney that handles your case and appears with you at the hearing, if we are unable to obtain benefits beforehand. In my opinion, you should have the same attorney handle your case every step of the way rather than being passed off from associate to associate within the same firm. At Winter, Chewning & Geary, LLP we do our best to make sure this happens. In the unusual situation where scheduling may prevent me from appearing at one of my client’s hearings, I will ask my partner to take on the case only with the client’s consent.

Knowing the identity of your attorney is important, but it’s also important that the attorney know you – not just your name, your medical conditions and your work history. It is important that the attorney understands your personality and has a sense of who you are as a person. Social Security disability hearings can be very dynamic situations. It is not simply a circumstance in which an attorney reads a list of questions to his clients. Rather, there is an interaction – a give-and-take – between the attorney and the client (and the judge). For your attorney to truly present your case in the best fashion in such a circumstance, it is important that the attorney has spent time with you talking about your case beforehand, preferably in person. Because I need to get to know my clients, I usually require an in-person meeting with them. While I will accept a case from time to time based on telephone contact alone, I almost invariably advise the clients that I prefer to meet face-to-face with them and expect to meet with them face-to-face prior to a hearing.

 

It never pays to lie to Social Security

This article from today’s LaCrosse Tribune reports that a woman from western Wisconsin was sentenced after pleading guilty to providing false information to the Social Security Administration in connection with a claim for disability benefits.  I frequently advise my clients that the the worst thing they can do in the pursuit of a Social Security disability claim is to provide false information to the Social Security Administration.  As this woman learned, it is a federal offense that can result in prosecution and imprisonment.  Moreover, even if you are not prosecuted, a lie to Social Security in the disability process will usually be detected.  A lie may be be contradicted by a claimaint’s medical records, earnings record, or other sources.  If you are caught in a lie, your credibility will be irreparably damaged.  In many (most) cases whether you receive benefits will hinge in one way or another on someone’s (e.g., a judge,  doctor,  or disability examiner) assessment of your credibility as it relates to the conditions and symptoms that render you disabled.  So the bottom line is that you must be completely truthful in your interactions with the Social Security Administration…and for that matter with your disability lawyer.

Maximum representative fee increased to $6,000

I’ve been very busy with work and with trying to enjoy my summer, so I’ve been a little lax in blogging about some recent developments related to disability law.  One of them that affects my clients (and me) is that effective June 22, 2009, the maximum representative fee in a winning case was increased from $5,300 to $6,000.  This increase was authorized by the Social Security Commissioner.  It has been about five years since the last time the fees payable to representatives such as myself have been increased.  Most attorneys I know use fee agreements with escalator clauses in them, allowing the maximum fee to be increased if the law changes.  These clauses are being honored by Social Security.  If action is taken on the fee agreement after June 22, 2009, the new fee cap should be applied. 

There is also legislation pending in Congress (the bill is H.R. 1093) which if approved would increase the fee cap to $6264.50 and allow for annual cost-of-living increases.  I don’t know the prospects of this legislation, but will certainly post more if and when action is taken on it.

The Listings: What are they and why should I care?

During an initial meeting with a client, I usually spend a few minutes explaining the five questions that the Social Security Administration (SSA) will ask when evaluating your disability case. First, SSA asks whether you’re engaged in substantial gainful activity – that is, are you working too much to be considered disabled. Second, SSA asks whether you have a severe impairment – that is, do you have a medically documented condition that will affect your ability to work that will last a year or longer.

Third, SSA considers whether you meet or equal a “listing”. The listings are a series of regulations that address specific medical conditions and describe when those conditions are severe enough that your are presumed disabled. There are listings for adults and for children. They are divided into different categories by body system (e.g., cardiac, pulmonary, skin, mental health). The listings are important in all cases, but are more important in certain types of cases. In my experience, if your limitations are based on the pain your condition causes you (e.g., as a result of a back problem or fibromyalgia), it is likely that SSA will not find that you meet or equal a listing, but rather will proceed to decide your case on other considerations. If you have mental health problems, the listings are very important. Many people who are awarded disability benefits for mental health problems are found disabled under the listings. In reading the most recent issue of the NOSSCR Forum, I learned that of those people who are awarded benefits at the initial application or reconsideration levels (that is, when you first apply or after your first appeal), 58% are found disabled under the listings.

If you are a disability claimant who is represented, your representative should be well-versed in these regulations and should be examining your medical records to determine whether an argument can be made that you meet or equal a listing. Your representative should be seeking out additional information from your doctors to determine whether you can win at this stage of SSA’s analysis. If you don’t have a representative, you should consult with an attorney to discuss this aspect of your case. Some of the listings are very complicated.  Also, the listings that are available on the SSA’s website are not updated as frequently as they should be – you’re representative should subscribe to a service that provides the most up-to-date information available.

If you don’t meet or equal a listing, that doesn’t mean you’re not disabled, so you shouldn’t necessarily be worried.  A majority of successful cases that proceed to a hearing before a judge are not decided on the listings.  I have many cases in which I know that my client won’t meet or equal a listing, but fully expect to win the case.  As mentioned, at least 42% of disabled individuals are awarded benefits at the early stages of the disability determination process even though they don’t meet a listing.  These successful claimaints are found disabled based on consideration of the fourth and fifth questions asked by SSA, which I will address in another post.

Attorney’s fees and expenses in a disability claim

Social Security disability attorneys generally work on a contingent fee basis — that is, they do not get paid for their time or the services unless the client is successful in the case.  This is the classic “no fee unless you win” scenario.  In the case of Social Security disability benefits, the fee is calculated by a percentage of the back benefits (i.e., the benefits from the claimant’s date of entitlement to the time of a favorable ruling). To protect Social Security claimants, the fees are capped by law. The fee are no more than 25% of the back benefits and cannot ordinarily exceed $5,300. Thus, the typical Social Security claimant can expect to pay their attorney no more than $5,300, which is usually paid by Social Security directly to the attorney out of the claimant’s back benefits.
There are circumstances in which an attorney can earn more than $5,300. It is commonplace for fee agreements to allow an attorney to collect up to a full 25% of back benefits in the event that the attorney successfully represents the claimant beyond the first hearing before an administrative law judge. Under all circumstances, the fee must be approved by the SSA or by a court.
In addition to fees, standard disability fee agreements also call for the client to reimburse the attorney for case-related expenses. These are out-of-pocket costs that the attorney incurs in connection with a particular claim. In disability cases, this almost always includes the costs of medical records. A disability attorney will order all relevant medical records and make sure that they are submitted to the SSA. Currently in Wisconsin, the cost of medical records are controlled by Wisconsin Administrative Code HFS 117.05. Doctors and hospitals will charge an attorney a fee of $15.00 for records consisting of five pages or more and an additional $0.31 per page. Although that cost seems small, in the typical case there are usually well over $100 in medical records that are ordered. Other case-related costs may include travel expenses and the fees charged by doctors to fill out disability-related forms and write reports at the request of the attorney.   Typical fee agreements call for the attorney to be reimbursed for the costs incurred in connection with a claim at the close of the case.

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