Last week the Social Security Administration Office of the Inspector General (“OIG”) issued their Semiannual Report to Congress. It summarizes their auditing activities within the last six months and provides statistics on their investigations.
Does it seem like there are a lot of Continuing Disability Reviews in California? It is because there are. The OIG has a unit called Cooperative Disability Investigations (“CDI”) in which they work with State Disability Determination Services (“DDS”) and local law enforcement to identify and resolve issues of fraud and abuse in continuing disability claims. The OIG received 570 allegations in California alone, more than in any other state. Of those cases, 183 of them were denied. I.e., benefits were terminated. The OIG estimated that this resulted in a $12,505,334 savings to SSA. So interestingly, less than half of them resulted in benefits being terminated but would explain why it seems we are seeing many continuing disability reviews. (See p. 21 of the report.) (It should be noted that these statistics reflect only those allegations that the OIG acted upon. SSA conducts more that are not initiated by OIG.) Continue reading