Skip to the main content.
BLOGS & LEGAL INSIGHTS:
BUSINESS LAW
Hero-Split-Right
CONSUMER LAW

Hero-Split-Left

 

WEBINARS

green lock security thumb

green lock security thumb

 

VIDEO LIBRARY

green lock security thumb

green lock security thumb

 

ADDITIONAL RESOURCES

3 min read

The Weight of Medical Evidence: How Multiple Medical Opinions Can Shape Disability Determination

united states passport laying atop a stack of social security cards and american paper money

Andrea Emerald, a claimant seeking Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) disability benefits, filed an application with the Social Security Administration (SSA) alleging disability beginning on March 14, 2018. Unfortunately, her initial and reconsideration reviews by the SSA resulted in denials, leaving Emerald with the option to pursue further review through the Appeals Council. However, her request for review was once again denied, making the Administrative Law Judge's (ALJ) denial the final decision of the Commissioner.

Faced with the finality of the decision, Emerald decided to take legal action and filed a lawsuit seeking a review and reversal of the ALJ's denial. In evaluating Emerald's case, the ALJ followed the five-step sequential analysis, a method employed by the Social Security Administration to determine disability.

Balancing Medical Assessments: How the ALJ Considered Multiple Opinions in Emerald's SSDI Claim

In the process of determining Emerald's residual functional capacity (RFC) for the purpose of her social security disability claim, the ALJ carefully considered the opinions of multiple medical professionals who had examined her. Among these were Drs. Sorensen and Kramer, Dr. Merta, and Dr. Rowland. Their assessments played a significant role in shaping the ALJ's disability decision.

The ALJ recognized and acknowledged that Emerald experienced multiple significant impairments. However, in order to qualify for SSDI benefits, it is necessary for these impairments to meet or equal the severity of any impairment listed in the official criteria for determination. Unfortunately, in Emerald's case, the ALJ determined that her impairments did not meet this standard.

Despite this finding, the ALJ recognized the significance of the opinions provided by Drs. Sorensen and Kramer, as these doctors are often the ones who have examined and treated the claimant throughout the disability claim process. Their expertise and familiarity with Emerald's medical history played a crucial role in shaping the ALJ's understanding of her condition.

While the ALJ found the opinions of Drs. Sorensen and Kramer to be mostly persuasive, not all of the mental limitations assessed by these doctors were included in the RFC determination. The ALJ carefully weighed and considered the medical opinions presented but made a judgment based on the totality of the evidence available, seeking to ensure a well-rounded perspective on her medical condition.

The Administrative Law Judge considered both the significant impairments Emerald has and her potential ability to perform sedentary work when assessing her functional limitations and evaluating her chances of finding suitable employment. This approach is designed to evaluate Emerald's capabilities and potential in the context of available job opportunities.

The consideration given to medical opinions in the RFC determination process is a vital aspect of the SSDI evaluation. Through the expertise and insights of medical professionals, the ALJ gains valuable understanding of the claimant's conditions and limitations. Moreover, the inclusion of multiple medical opinions offers a comprehensive view of the claimant's medical history and ensures a fair and informed decision-making process.

In conclusion, the opinions of Drs. Sorensen and Kramer, along with other medical professionals, played a significant role in shaping the ALJ's determination of Emerald's RFC. While the ALJ did not include all of the mental limitations assessed, the overall evaluation demonstrates a comprehensive consideration of Emerald's medical records and condition. This underscores the importance of medical opinions in the SSDI evaluation, as they provide valuable insights crucial to determining a claimant's functional capacity and eligibility for benefits.

Analyzing the Court's Decision: Denial of Emerald's Motion to Remand the SSDI Case

Emerald's motion to remand the case, which sought to send the case back for further consideration, was ultimately denied by the Court, affirming the judgment of the Social Security Administration (SSA) and upholding the ALJ's decision. The Court thoroughly examined the ALJ's findings, particularly with regard to the supportability and consistency factors for the opinions of Drs. Sorensen and Kramer. The Court determined that the ALJ provided concrete reasons for their decisions and conducted an extensive analysis of Emerald's medical records, thereby satisfying the legal requirements.

Additionally, the Court emphasized that the ALJ is not obligated to repeat all the medical evidence each time a new medical opinion is assessed, as long as they have considered the evidence and provided a reasoned analysis. Therefore, the Court concluded that the ALJ did not commit a legal error in evaluating the opinions of Drs. Sorensen and Kramer.

The Court also scrutinized the ALJ's evaluation of Dr. Merta's medical opinion and disagreed with Emerald's claim that the ALJ did not adequately assess the supportability and consistency of the opinion. The Court determined that the ALJ did take this evidence into account and made an appropriate decision based on the information available for Emerald's disability determination.

Furthermore, the Court reviewed the ALJ's assessment of Dr. Rowland's medical opinion. While the Court recognized an error in the ALJ's analysis, they deemed it harmless and concluded that it did not significantly impact the overall outcome of the case.

Ultimately, Emerald's motion to reverse or remand the case was denied, and the Court affirmed the judgment of the SSA. This legal decision solidified the denial of Emerald's claim for SSDI benefits and SSI benefits, leaving her in a challenging position to seek alternative measures for financial support and assistance.

In conclusion, obtaining an accurate and comprehensive SSDI medical opinion is crucial for a successful disability claim. The opinion of an acceptable medical source, supported by detailed medical records and evidence, is highly valued by Disability Determination Services and the Social Security Administration. A strong medical opinion, obtained from a treating doctor or medical expert, can significantly strengthen a disability case and increase the chances of receiving much-needed disability benefits. It is imperative to work closely with a knowledgeable disability lawyer who can guide individuals through the complex process and ensure that their medical condition is properly evaluated. By providing compelling medical documentation and obtaining a well-supported medical opinion, individuals can enhance their disability claim and seek the financial support they deserve.

pressure cooker on a kitchen counter next to a cutting board covered in fruits and vegetables and various kitchenwares

Burn Victim Sues Sunbeam & Target Following Crock-Pot Incident

Georgina Perez purchased a Crock-Pot pressure cooker from Target in 2018. In June 2019, she was hospitalized for severe burns after the lid came off...

Read More
car crash with police on scene

Amended Healthcare Lien Ruled Inadmissible in Personal Injury Suit

Background On September 26, 2019, Cory Wolven and Jeanmadi del Rosario Velez were involved in a car accident in Wheat Ridge, Colorado after Velez's...

Read More
exposed wiring protruding from circular holes in a plaster wall

Colorado Court Upholds Damage Cap in Sears Personal Injury Suit

In the case of Gebert v. Sears, Roebuck & Co., Jacqueline Gebert filed a personal injury suit against Sears after being electrocuted by her stove,...

Read More