Do you know about - Fers and Csrs Disability Retirement: ability and Quantity of the healing Document
Whether or not a Federal or Postal worker is eligible for Federal Disability withdrawal benefits under Fers (Federal Employee's withdrawal System) or Csrs (the Civil aid withdrawal system or, in the parlance of many, the "old" system), is ultimately considered by both the potential and the quantity of the medical documentation presented and submitted to the Office of Personnel Management. Such medical documentation should include, at a minimum, a medical narrative narrative ready by one's treating doctor; office and/or rehabilitation notes of the treating doctor, for up to 18 months prior to the filing of the Federal Disability withdrawal application; any diagnostic testing, together with X-ray results, Mris, Emgs, etc.; and any new records on hospitalization and surgeries, if available.
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Whether qualitative sufficiency of a medical narrative is met (the "substance" of a doctor's medical narrative report), or whether quantitative weight of the evidence is enough (the amount, or whole of pages of the medical documentation amassed) is probably a false choice; qualitative sufficiency is never considered by the whole of medical documentation; and quantitative compilation - the sheer volume of "how much" medical facts should be gathered and submitted - should all the time be guided and based upon the potential of the submission. In some cases, a few pages of a well-crafted, detail-delineated medical report, along with diagnostic test results, will be enough to meet the burden of proof for a Federal Disability withdrawal application, whether under Fers or Csrs. In other instances, a voluminous compendium of medical records may be required. Thus, while the legal criteria applicable in determining the eligibility of a Federal or Postal worker in filing for, and obtaining an approval of, a Federal Disability withdrawal application may be uniform for purposes of statutory compliance, ultimately the evidence compiled for each single case must be tailored in accordance with the unique features of the individualized case.
The legal burden of proof which is applicable in Federal Disability withdrawal cases is what is known as the "preponderance of the evidence." By the conceptual term, "preponderance", however, is not meant to refer merely to the weight or volume of evidence presented. While the idea of "preponderance" does well encapsulate the idea of "more" as opposed to "equal" or "less", as in, "more likely the case than not" (thus obviously entailing the idea that a greater showing of evidentiary value is what is needed in order to meet the burden of proof); nevertheless, to think that one will necessarily meet the burden of proof by plainly attaching one's medical records to an application for Federal Disability withdrawal benefits would be a mistake.
Furthermore, the question (and failure) with many Federal Disability withdrawal applications is often defined by the disjunctive nature between what the Federal or Postal worker states in his or her Applicant's Statement of Disability (Standard Form 3112A), and what the actual medical documentation offers as substantive medical evidence. Remember -- the potential of the medical documentation is not necessarily "extended" by what the Federal or Postal applicant states. In other words, the statements made by the Federal or Postal worker are not considered "medical evidence" when the exertion is made to "explain" what the medical narrative or rehabilitation records have already revealed. The doctor, the Nurse Practitioner, the Psychiatrist, Psychologist, Chiropractor, etc., must necessarily be the one who formulates the nexus between the medical condition suffered by the Federal or Postal employee, and the single kind of job which the Federal or Postal worker engages in. While the Applicant of a Federal Disability withdrawal submission (or his or her legal representative) can well make legal arguments, and advocate for the single statements made by the medical doctor; nevertheless, the medical documentation must in and of itself, by its own weight and substantive content, carry enough weight in order to meet the burden of proof.
Moreover, while treating doctors are often reluctant to make a conclusory finding of disability from one's occupation, such reluctance is commonly based upon a misunderstanding of the menagerial process of Federal Disability Retirement. Most doctors are well-known with other forms of disability programs - collective security Disability benefits, for instance, where the thorough of proof is a much higher one - one of "total disability", and therefore a finding that the Federal or Postal worker is unable to be employable in any gainful or meaningful manner. Or, many doctors, straight through professional encounter with state Worker's compensation programs, are well-known with Federal Worker's compensation issues, which often involves proof of causality as well as percentage ascription of corporeal disabilities which are related to, or caused by, one's job. But where Federal Disability withdrawal comes into play, doctors are often unfamiliar with the requirements, and therefore fail to understand the "nuts and bolts" of what is needed in a medical narrative report.
Guidance is often the key. While the Physician's Statement, Sf 3112C, is often handed to the treating physician, it is merely an additional one government form which is confusing, in small print, and unhelpful in providing the essential advice from a physician's viewpoint. What often ends up happening, is that a medical narrative which addresses issues well-known to a physician - whether for Worker's compensation or for collective security - is what results as the end product.
But potential of a medical narrative is ultimately the end stock to achieve, and unless the treating physician becomes well-known with the legal criteria and what constitutes sufficiency of evidence to meet the burden of proof of "preponderance of the evidence," then the output of a medical narrative is often merely an additional one quantitative piece of evidence. potential is achieved straight through knowledge and guidance; quantity is produced by rote or habit. Look at any random medical file - of office notes, rehabilitation notes, doctor's notes, etc. More often than not, most of the findings are same reiteration of past statements, page after page; changes in medications may be noted; some clinical test findings may be annotated with some essential changes; but the history of the medical condition is commonly regurgitated; the diagnostic findings are identical; any short argument (if it is reflected at all) will often refer to the same consolidate of lines.
Merely stating what the prognosis is, and the symptoms manifested, will not satisfy the legal burden of preponderance of the evidence. Something more is needed - the bridge, the nexus, and connection between the medical condition and the single elements of one's position as a Federal or Postal employee. potential of the medical documentation is never compensated by quantity; quantity of medical documentation will never, in and of itself, meet the sufficiency test of the burden of proof; and an Applicant's Statement of Disability, no matter how well crafted, will not elucidate away the deficiencies obvious in a medical narrative report. Guidance, in all aspects of preparing, formulating and filing a Federal Disability withdrawal application, whether under Fers or Csrs, is the key to the successful end at all stages of the menagerial process. As advice requires knowledge and thoughtfulness, so the greatest stock of a Federal Disability withdrawal application which leads to a successful conclusion, must be one prepared, formulated, and filed, with knowledge, foresight, and thought. Whatever less will merely corollary in a stack of papers barely worth their weight, and insufficient to meet the legal burden of proof, one of "preponderance of the evidence".
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