ANTI-FRAUD: SOCIAL SECURITY'S NEW PRIORITY

Fraud prevention seems to be Social Security's new top priority.  In November 2014, the Social Security Administration opened a new division called the Office of Anti-Fraud Programs (OAFP).  The OAFP works closely with the Inspector General (the investigative and prosecution office) to "combat fraud and waste."  Congress has allocated billions of dollars to the anti-fraud campaign.

Acting Commissioner of Social Security, Calvin Colvin, said her office will take a stern stand against anyone found to be trying to abuse or defraud the system.  Ms. Colvin said:

   “We will find you; we will prosecute you; we will seek the maximum punishment allowable under the law; and we will fight to restore to the American public the money you’ve stolen from the American people.” 

There continues to be a backlog of over 1 million disability cases waiting to be heard, and over a million claimants have been waiting up to 3 years to get a decision on their claims.  Social Security does not seem to have any plan to reduce the backlog or the long waits for getting a decision.  But, responding to the the media frenzy and the resulting hostile public opinion toward Social Security, the agency is spending billions on anti-fraud measures.

 We can only hope that this heavy emphasis on anti-fraud will eventually result in making it easier for legitimate claimants to receive their benefits in a timely manner.  Unfortunately, at this moment, I see no reason for optimism.


Of course, there is fraud in any large government program.  And yes, it should be rooted out and those found defrauding the Government should be punished.  At the same time, honest, legitimately disabled individuals deserve to have their applications adjudicated in a reasonable time frame and in a fair manner.

Comments

Post a Comment

Popular posts from this blog

GETTING MONEY FROM SSDI

SSDI stands for Social Security Disability Insurance .  When you first began working, the Government deducted a percentage of your wages, called a FICA tax.  This continued as long as you worked, in most cases.  This money was matched by your employer and set aside in a government trust fund to help you if you later became disabled and could not work. SSDI is a type of government sponsored insurance program, usually called "Social Security disability insurance."  To get benefits out of SSDI, you must prove  that you have a medical disability so severe that you cannot work any full-time job; that this disability has lasted, or is expected to last, for at least 12 consecutive months. That sounds simple but Social Security has made it rather difficult to prove that you are disabled.  One reason is that their definition of 'disability' is so strict.  You usually must prove that you cannot perform even simple, unskilled work at the sedentary (sitting) leve
Read more

POST HEARING EVIDENCE

Many people assume that a Social Security disability case is over when the hearing has been held.  This isn't always the case.  Often there is post hearing work that should be done to achieve the best chance of a favorable decision. Everyone at a disability hearing works under pressure.  This includes the claimant, the representative, the vocational expert and even the administrative law judge.  Hearings are generally limited to less than one hour.  The judge will ask questions that place the claimant under stress to answer correctly.  The representative or attorney will be asked to respond to procedural issues or points of law that place him or her under pressure.  The judge must constantly conduct the hearing so that it follows Social Security laws, rules and regulations.  Further, the judge must form accurate hypothetical questions for the vocational expert based on the medical and vocational evidence in the file and upon the claimant's testimony.  The vocational expert th
Read more

PARTIALLY FAVORABLE DECISIONS ON DISABILITY

You attended a hearing on your Social Security disability claim.  A few weeks later, you receive a Notice of Decision in the mail that says you have received a Partially Favorable decision.  Does this mean that you are only partially disabled, not fully disabled? ANSWER:  No.  Social Security does not make awards for partial disability.  You are either disabled or not disabled.  There is no such category as "partially disabled" within Social Security law. A "partially favorable" decision means that the administrative law judge has found you to be disabled.  However, he or she has changed some material fact in your application.  Most often, this change involves the established onset date--the date you were found to have become disabled.  For example, in your application you may have alleged that you became disabled on June 1, 2012.  After reviewing the facts of the case, the judge may have decided that you did not become disabled until September 1, 2012.  Theref
Read more