Q: I recently applied for social security disability benefits and was requested to undergo a consultative exam. Why?
A: Not everyone who applies for social security disability benefits has to undergo a consultative exam (CE.) There are usually two reasons for an exam. In some cases, medical records are not very comprehensive and an exam is requested to fill in some informational gaps. If the medical records of a claimant are not current, then a recent examination will be needed to provide an updated record of the injury or condition. If a CE is required for your claim, try not to worry. Your attendance is mandatory and your application cannot be approved or denied without the exam, once it has been requested. If you intentionally miss the consultative exam and do not try to reschedule, your social security disability claim could be denied due to your failure to cooperate. You will not have to cover the cost of the CE.
Q: Will my doctor conduct a requested consultative examination?
A; A consultative examination is almost never provided by the doctor who currently provides your care. The examination is normally conducted by a physician who has not treated you for the current injury or condition. Speak with the social security disability examiner assigned to your case if you believe you have not been treated fairly by the doctor who provided your CE. You may object, for example, if the physician has examined you before for an insurance or work related claim. The physicians who provide CEs for social security disability claims are not Social Security doctors. The physicians who conduct the exams are independent physicians that have a contract to provide such services to the agency.
Q: Who receives back pay for social security disability?
A: A fair number of applicants approved for social security disability benefits receive back payments. The main reason for this is because the review process for claims can take a considerable amount of time. It is possible to receive back pay from the date of application and, if the condition was present prior to application, from up to 12 months before. The 5 month waiting period after the date of onset will not be included in back pay.

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