By Nicholas HughesPosted on January 12, 2022February 8, 2024 The Medicare Disability advantage has two major drawbacks. First, if a doctor determines that apatient qualifies for the program, an electronic payment is made immediately to the patient’saccount. In the case of missed claims, the waiting time begins over again. This benefit can becomplicated for patients and their family members. Second, if a doctor wrongly denies a claim toeligibility or any other related claim, this could be a disadvantage. There are many errors thatcould occur in processing disability claims. According to the Medical Pricing and Insurance Information Institute (MPII), there are at most 20technical denials and non-response cases for the major US health insurance programs. Theseinclude “filing multiple claim for the same condition”, differentiating between similar procedures,using improper codes, or requesting benefits that are not available. These and other technicaldenials are likely to play a significant role in determining if individuals or families can reapply forbenefits in the coming enrollment season. Technical denials may occur regardless of whether a physician or program administratorcorrectly determines the patient is eligible. This could be due, among other things, to incorrectdata entry or incomplete documentation, insufficient information, or fraudulent claims. Statesmust notify the Fair Credit Reporting Act that certain actions that could lead to denial of benefitsmay be considered fraudulent under the FCRA. If an application has been delayed, the applicantmust appeal within 30 calendar days. However, appeals must be made within the original filingperiod. Individuals who want to have their NDIS Hawthorn benefits reconsidered should contactthe Department of Health and Human Services’ reconsideration team. Each month, thereconsideration section receives reconsideration requests from a different number. In somecases, the reconsideration process is complete. In others, additional action may need to betaken in order for the reconsideration process to be completed. In general, the more time it takesfor a request to be processed at the higher chances that the applicant will be denied benefits.Individuals and their families need to check the status of their applications on a daily basis inorder to stay informed and ensure that they don’t lose benefits while they wait for a response. A wide range of conditions and problems can cause disability. Poor health, in addition to otherphysical conditions, can have a negative impact on a person’s Social Security Disability benefits.Many individuals are faced with hardships that prevent them working, earning income ormaintaining employment. Additional to financial issues, medical problems can also affect anindividual’s eligibility. A poor medical record may be a factor in your disability. This includes any past health issuesthat have gotten worse. Chronic illnesses such as diabetes, heart disease, hypertension, andobesity may negatively affect a person’s eligibility for disability benefits. Chronic conditions suchas diabetes, HIV/AIDS or asthma, along with epilepsy, are also serious. Other issues that maynegatively impact eligibility include drug or alcohol addiction and fetal alcohol syndrome. Other factors that could impact eligibility include poor medical records, substance abuse, anddisability. Poor medical records can result from medical conditions that developed after anapplication was submitted. Substance abuse and disabilities are considered if an applicant has ahistory involving drug abuse or other substance use disorders. Social Security Disability benefitscould be negatively affected by substance abuse and disability. Disability can impact the ability of an applicant to keep employment, increase their risk for livingalone, and cause additional stress. It can even play a part in a couple’s divorce or separation.Disablity can affect people of all ages, races, and social backgrounds. There are many differentissues that can lead to disablity, and each case is unique Blogs