Top 18 Reasons the Appeals Council Remands

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From http://oig.ssa.gov/sites/default/files/audit/full/pdf/A-12-13-13084.pdf

 

Appendix D– TOP 18 CITED REASONS FOR REMAND ON APPEALS COUNCIL REQUEST FOR REVIEW

 

1. Residual Functional Capacity – mental limitations inadequately evaluated

2. New evidence presented upon administrative appeal/review

3. Mental disorder not adequately considered

4. Treating source – opinion not identified or discussed

5. Claimant credibility – failed to discuss appropriate credibility factors

6. Failure to Appear Dismissal – other

7. Treating source – opinion rejected without adequate articulation

8. Residual Functional Capacity – exertional limitations inadequately evaluated

9. Residual Functional Capacity – non-mental non-exertional limitations inadequately evaluated

10. Obesity impairment not adequately considered

11. Past work was not substantial gainful activity

12. Non-examining source – opinion not identified or discussed

13. Failure to Appear Dismissal – notices sent to wrong address

14. Consultative examiner – opinion not identified or discussed

15. Vocational Expert Not Obtained – mental limitations warrant Vocational Expert evidence

16. Consultative examiner – opinion rejected without adequate articulation

17. Incomplete/inaccurate record – lost/inaudible recording

18. Impairment improperly found “not severe”

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