Past relevant work
“A common error both ALJs and claimants’ representatives make is failing
to appreciate that unless a claimant’s past work activity was
Substantial Gainful Activity, it cannot be Past Relevant Work. It first
is necessary to juxtapose all of a claimant’s work activity in the
relevant past against the criteria of each of the Social Security
Rulings listed under step one of this outline. Initially, determine
whether….” §302.15
Application of circuit decisions
“Claimants’ representatives and agency adjudicators alike have been
heard to say that nonacquiescence applies to all court cases for which
the agency has not issued an AR. Acting under such an incorrect
assumption, some adjudicators maintain they may not apply the holding in
any circuit court decision which is not accompanied by an AR. Such
statements evidence a fundamental misunderstanding of nonacquiescence
and an erroneous interpretation of SSR 96-1p. Under nonacquiescence, SSA
…. §404.1
Treating source medical opinions
“Often, ALJs decision writers and the Commissioner’s attorneys will
write the treating doctor’s opinions are “not consistent” with the
record. Pursuant to SSR 96-8p, the ALJ must give controlling weight to
the treating source’s opinion if it is “not inconsistent” with other
substantial evidence in the record. This is not merely a semantic issue.
The “not inconsistent” standard presumes the opinion’s prominence and
requires the ALJ to search the record for inconsistent evidence in order
to give the treating source’s opinion less than controlling weight.”
§502.3
Consultative exams
“It is a widespread practice among both DDS adjudicators and ALJs to
arrange for consultative examinations of claimants for no apparent
reason other than as an attempt to create “substantial evidence” to
justify denying a claim for disability benefits. Claimants’
representatives should not acquiesce in such improper adversarial
conduct. Instead….” §512.3
Treating source re-examination
“When it is apparent that a treating source’s medical opinion is not
well-supported, consider requesting a consultative examination by that
treating source so that the medical opinion becomes well-supported.
Similarly, if the treating source’s medical opinion is inconsistent with
other substantial evidence of record, consider requesting a
clarification from the treating source and/or other sources with which
the treating source’s medical opinion is inconsistent.” §515
Credibility
“Claimants’ representatives and agency adjudicators alike often
overlook or pay insufficient heed to the critical role played by a
claimant’s testimony, allegations, and credibility. Otherwise
meritorious claims routinely are unsuccessful due to this oversight or
inattentiveness. Because symptoms, such as pain, sometimes suggest a
greater severity of impairment than can be shown by objective medical
evidence alone, a claimant may be found disabled on nothing more than
the strength of the claimant’s allegations—if the claimant’s
symptom-related allegations are found to be credible.” §1000
Failure to follow treatment
“Because SSR 96-7p expressly delineates factors which adjudicators must
consider in evaluating a claimant’s failure to seek or follow treatment,
claimants’ representatives are forewarned of those issues. They should
therefore attempt to direct the testimony of the claimant and lay
witnesses at each of the above-listed six factors. Because the ALJ must
use this testimony to assess the claimant’s credibility, carefully
prepared testimony directed at establishing how each of these factors
actually enhances the claimant’s credibility may preempt the ALJ’s
ability to find the claimant not credible based on the claimant’s
failure to seek or follow treatment.” §1014.1