The Curtiss Case: How to Appeal a Disability Claim Denial

If you’ve been denied Social Security benefits, you're not alone. Sylvia Curtiss faced a similar challenge when her claim was denied not once but twice. Her story highlights key lessons that can help guide your own appeal process and shows how to navigate the complex legal landscape when fighting for the benefits you deserve.

Why Sylvia Curtiss’s Social Security Disability Claim Was Denied

Sylvia Curtiss initially applied for Social Security disability benefits in 2012, citing conditions like fibromyalgia, degenerative disc disease, sciatica, anxiety, and a personality disorder. However, an Administrative Law Judge (ALJ) determined that she had the capacity to perform light work, leading to the denial of her claim.

Years later, Curtiss submitted a new application with additional medical evidence, but her claim was denied again. This time, the ALJ assessed that she could perform medium work. Curtiss appealed the decision, arguing that the judge failed to consider her medical history accurately, mainly the frequency of her doctor visits and her prior limitations.

Key Takeaways on How to Appeal a Disability Claim Denial

1. Understand How Your RFC Affects Your Case
   Your Residual Functional Capacity (RFC) is a critical component in disability determinations. In Curtiss's case, the change in her RFC assessment from light work in 2012 to medium work in 2020 played a significant role in the denial of her benefits. If you've previously been assessed with certain work limitations, be aware that any new medical evidence could alter your RFC.
2. New Evidence Matters
   Curtiss argued that her 2012 RFC should have been adopted in her latest claim. However, the court found that the ALJ had the right to reassess her RFC because Curtiss presented new and material medical evidence that hadn’t been considered in 2012. When appealing a denial, it’s crucial to provide updated medical records and evaluations that support your current condition.
3. Frequency of Medical Appointments Counts
   Curtiss highlighted the frequency of her medical appointments, which averaged 2.6 visits per month, as a reason her RFC should have been more restrictive. However, the court found that she did not present sufficient evidence showing that these appointments would prevent her from maintaining regular employment. If your medical treatments or frequent doctor visits impact your ability to work, it's essential to demonstrate this in your appeal clearly.
4. Be Prepared to Show How Your Condition Affects Your Ability to Work
   Curtiss’s case shows that it’s not enough to list your conditions; you must also prove how they specifically impact your ability to work. Curtiss worked as a cashier for a brief period. Still, the court noted that she left her job due to a personal incident unrelated to her disability, not because of her medical condition or treatment schedule.

What This Means for Your Social Security Disability Appeal

Appealing a denied Social Security disability claim can be daunting, but understanding the key factors influencing decisions can make a difference. Here’s how you can strengthen your appeal:

• Submit Comprehensive Medical Evidence: Ensure your records are current and detail how your condition affects your daily life and ability to work.
• Document the Impact of Your Treatments: Clearly show how frequent medical appointments or treatments prevent you from maintaining consistent employment.
• Clarify Changes in Your Condition: If your health has worsened since a previous RFC assessment, provide medical evidence that reflects these changes.

Moving Forward with Your Disability Benefits Appeal

Many claimants who are denied Social Security benefits may feel discouraged, but it’s crucial to act quickly. Understanding the appeals process, gathering the right evidence, and articulating how your condition affects your work capabilities are essential steps. Consulting with an experienced Social Security disability attorney can also provide guidance and increase your chances of a successful appeal. Whitcomb Selinsky, PC, is here to help you present a strong case highlighting why you deserve the benefits you need.