DDS award rates (percent) | ALJ award rates (percent) | |
---|---|---|
Physical | 29 | 74 |
Musculoskeletal | 16 | 75 |
Back cases | 11 | 75 |
Other musculoskeletal | 23 | 76 |
Other physical | 36 | 74 |
Mental | 42 | 87 |
Illness | 39 | 87 |
Retardation | 54 | 84 |
All impairments | 30 | 77 |
Step | Questions asked in the sequential process | Action or decision taken if answer to question is: | |
---|---|---|---|
Yes | No | ||
1 | Is the claimant engaging in substantial gainful activity? | Stopclaimant is not disabled | Go to step 2 |
2 | Does the claimant have an impairment that has more than a minimal effect on the claimant's ability to perform basic work tasks and is expected to last at least 12 months? | Go to step 3 | Stopclaimant is not disabled |
3 | Do the medical facts alone show that the claimant's impairment meets or equals the medical criteria for an impairment in SSA's Listing of Impairments? | Stopclaimant is disabled | Go to step 4 |
4 | Comparing the claimant's residual functional capacity with the physical and mental demands of the claimant's past work, can the claimant perform his or her past work? | Stopclaimant is not disabled | Go to step 5 |
5 | Based on the claimant's residual functional capacity and any limitations that may be imposed by the claimant's age, education, and skill level, can the claimant do work other than his or her past work? | Claimant is not disabled | Claimant is disabled |
Level of physical exertion determined by functional assessment | Percentage of awards | |
---|---|---|
Quality reviewers using DDS approach | Original awarding ALJs | |
Heavy work (or no limiting effect on physical effort) | 0 | 0 |
Medium work | 22 | 1 |
Light work | 56 | 8 |
Sedentary work | 15 | 25 |
Less than the full range of sedentary work | 6 | 66 |
Region | Reviewed | Allowed | Payment Rate |
---|---|---|---|
I | 9,253 | 2,384 | 25.8% |
II | 42,131 | 12,567 | 29.8% |
III | 37,739 | 7,638 | 20.2% |
IV | 70,891 | 19,133 | 27.0% |
V | 56,252 | 9,160 | 16.3% |
VI | 46,519 | 7,893 | 17.0% |
VII | 11,777 | 1,914 | 16.2% |
VIII | 8,394 | 1,781 | 21.2% |
IX | 38,256 | 7,023 | 18.6% |
X | 11,680 | 2,710 | 23.2% |
Total | 332,892 | 72,203 | 21.69% |
Action #7 OTR | Action #7 After Hearing | Non-Action #7 OTR | Non-Action #7 After Hearing | |
---|---|---|---|---|
Senior Attorneys | 72,203 | NA | NA | NA |
ALJs | 23,657 | 69,985 | 71,170 | 281,098 |
Effectuation | Percent | Remand | Percent | AC Decision | Percent | TOTAL CASES | |
---|---|---|---|---|---|---|---|
Senior Attorneys | 787 | 85.92% | 123 | 13.43% | 6 | .66% | 916 |
ALJs OTR | 662 | 85.64% | 101 | 13.07% | 10 | 1.29 % | 773 |
Adjudication Officers | 60 | 73.17% | 20 | 24.39% | 2 | 2.44% | 82 |
Effectuation | Percent | Remand | Percent | AC Decision | Percent | TOTAL CASES | |
---|---|---|---|---|---|---|---|
Senior Attorneys | 196 | 89.09% | 23 | 10.45% | 1 | 0.45% | 220 |
ALJs OTR | 163 | 85.79% | 26 | 13.68% | 1 | 0.53% | 190 |
Adjudication Officers | 22 | 81.48% | 4 | 14.81 | 1 | 3.70% | 27 |
March 1997 | FY 1997 | August 1995-March 1997 | |
---|---|---|---|
Cases Reviewed Under Action #7 | 55.6% | 54.8% | 57.1% |
Cases not Reviewed Under Action #7 | 47.8% | 47.7% | 51.4% |