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How proving residual functional capacity determines success in SSDI claims.

Social Security Disability

The Challenge of Proving Residual Functional Capacity

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Applying for Social Security Disability Insurance (SSDI) is a complex process that often hinges on proving residual functional capacity (RFC). RFC measures what an applicant can still do despite their medical condition, and it plays a central role in determining eligibility.

What is Residual Functional Capacity?

RFC evaluates a person’s physical and mental abilities to perform work-related activities. It considers factors such as lifting, walking, standing, memory, and concentration. The Social Security Administration (SSA) uses RFC assessments to decide whether applicants can perform past jobs or adjust to other types of work.

Medical Evidence and Documentation

Applicants must provide detailed medical records, including test results, physician statements, and treatment history. Without consistent medical evidence, the SSA may deny claims even if the applicant is genuinely unable to work. Doctors’ opinions carry significant weight, particularly when they provide specific limitations tied to daily activities.

Role of Consultative Examinations

When medical evidence is insufficient, the SSA may order consultative examinations. These evaluations are conducted by independent physicians who provide an impartial assessment. While useful, they can sometimes downplay the severity of an applicant’s condition, making it critical to provide additional supporting evidence.

Legal Strategies in RFC Disputes

Attorneys play an essential role in challenging unfavorable RFC findings. They gather additional medical documentation, secure testimony from vocational experts, and highlight inconsistencies in SSA determinations. A strong legal strategy can significantly improve the chances of approval at appeals hearings.

Why Many Applications Are Denied Initially

A large percentage of SSDI claims are denied at the initial stage, often due to insufficient medical documentation or failure to prove work limitations. Persistence is key, as many applicants succeed during reconsideration or hearings before an administrative law judge.