Are you worried the Social Security Administration (SSA) might be investigating you for disability benefits fraud? It’s natural to feel uneasy if you suspect you’re under scrutiny. The SSA does conduct investigations to ensure individuals are receiving benefits rightfully.
This article explores social security disability surveillance and equips you with knowledge to avoid potential investigations. We’ll delve into signs that might indicate an SSA investigation, reasons why the SSA might review your case, and steps you can take to safeguard your benefits.
Does Social Security Disability Conduct Surveillance?
Yes, the SSA can conduct surveillance to investigate potential disability fraud or determine if a recipient’s condition still meets their definition of disability. These surveillance activities may encompass:
- Monitoring disability recipient activities: This includes observing their daily routines to see if their condition has improved.
- Investigating suspicious activity: The SSA may look into any red flags that raise concerns about the legitimacy of a disability claim.
- Conducting interviews: This might involve speaking with the recipient, family members, or neighbors to gather information.
- Reviewing documents: Medical records, financial records, and other relevant documents come under scrutiny.
- Obtaining surveillance videos: Video evidence can be used to assess a recipient’s ability to perform certain activities.
The SSA’s primary aim through surveillance is to ensure compliance with program rules and prevent fraudulent claims. If a recipient is found to be violating these rules, their benefits could be suspended or terminated.
Why Would Social Security Review Your Case?
The SSA might investigate or review your disability case for several reasons. Here are the top two:
- Continuing Disability Review (CDR): This is a periodic review process used by the SSA to determine if a recipient’s disabling condition persists. The CDR happens at least once every three to seven years, depending on the severity of the disability and other factors.
During the CDR, the SSA assesses your medical condition, medical records, ability to work, living situation, income, and other resources. If they determine you are no longer disabled, your benefits will cease. - Social Security Disability Fraud: The SSA will investigate your case if they suspect potential fraud or abuse of the system. Examples of Social Security disability fraud include:
- Lying about the extent of your disability
- Exaggerating your symptoms
- Withholding information that could affect your eligibility
- Misusing disability benefits
- Engaging in substantial gainful activity (SGA) while receiving benefits
- Filing claims under another person’s Social Security number
- Failing to report a death and continuing to collect benefits on behalf of the deceased
Unveiling the SSA’s Surveillance Techniques
The SSA typically uses surveillance as a last resort, primarily when they have reasonable suspicion that a claimant might be misrepresenting their disability. Here’s a closer look at three common surveillance tactics employed by the SSA:
- Direct Observation: The SSA may have an investigator follow you in public places. Their objective is to observe if you’re engaging in activities that contradict your claimed limitations. For instance, the investigator might watch to see if you can:
- Perform work-related tasks
- Drive a car
- Lift heavy objects
- Walk or stand for extended periods
- Function independently or with minimal assistance
The investigator will then report their findings to the SSA.
- Photo or Video Surveillance: The SSA might resort to photo or video surveillance to gather evidence if they suspect fraud. Similar to direct observation, video surveillance can capture you performing activities you claimed you couldn’t do due to your disability. This evidence can be used against you when determining your eligibility for benefits.
- Social Media Monitoring: Social media has become another tool in the SSA’s surveillance arsenal. Posting photos or videos that depict you engaging in activities that contradict your disability claim could jeopardize your benefits.
Be cautious of your comments and posts you’re tagged in by friends. The SSA’s investigators are adept at using social media for surveillance purposes. Whether you’re awaiting a decision on your claim or already receiving benefits, exercising caution with your online presence is crucial.
Signs That You Might Be Under SSA Investigation
The SSA, by law, does not have to inform you if you’re under investigation. However, there can be some indicators that might raise suspicion:
- Being followed: If you notice someone suspiciously trailing you in public places, it could be an SSA investigator.
- Unexpected contact: The SSA might contact friends, family, or neighbors to inquire about your condition and daily activities.
- Request for additional medical records: If the SSA requests more medical records beyond what you’ve already submitted, it could be a sign of a deeper investigation.