Advance Notice On Cardiovascular Disorders Listings

As mentioned yesterday, the Social Security Administration has published advance notice that it is considering changes in its listings for cardiovascular impairments. The agency is not giving an idea of what it is considering, only asking what the public thinks should be in the new regulations.

Council Bluffs Man Charged With Fraud

I love the name of this newspaper. From the Daily Nonpareil of Council Bluffs, Iowa:

Council Bluffs police officers served an arrest warrant on John B. Wilcox, 57, for first-degree theft Thursday. Reports indicated a special agent with the Social Security Administration told Council Bluffs police Wilcox received $10,867.50 in Social Security aid between January and June 2007.

Reports stated the money was meant for Wilcox because of a disability, but the report alleged he continued to work.

SSA Loses Arbitration On Telework

From the Federal Times:

An arbitrator has ordered the Social Security Administration to reverse its rollback of a telework program for some employees and to bargain with the employees’ union over any changes it wants to make.

The agency must decide by April 25 whether to appeal the ruling.

The order affects about 100 senior case technicians in SSA’s Boston region who are responsible for preparing disability claims cases for review by administrative law judges. But the case is being watched by about 2,000 senior case technicians across the country, many of whom complain that they too have been provided less freedom to work at home, said Jim Marshall, president of the American Federation of Government Employees Council 215.

For years, senior case technicians were allowed under a collective bargaining agreement to take their paper files home and work from there at least one day a week. But two years ago, the agency’s Office of Disability Adjudication and Review began using electronic files instead of paper files. By spring 2007, employees were complaining the transition to digital files meant they were allowed to work at home only once a month or less. ...

Marshall and Andy Krall, vice president of Local 1164, said they expect SSA to appeal the decision.

Waiting In Buffalo

From WGRZ:

The Social Security Administration's Buffalo office has a lot of cases to process. And the delays in getting those cases resolved has raised a lot of questions.

According to the SSA it takes 669 days, or nearly two years, for the average Western New Yorker to have their case heard and processed. Also, each Administrative Law Judge in Buffalo has on average 895 cases pending.

"It's unacceptable," said Congressman Brian Higgins (D) (Buffalo). "People in this community are hurting. When they file a claim, they're not looking for benefits two years from now, they're looking for benefits right away."

Higgins wants to know why ten new administrative law judges have been added to New York in 2008, and none of those ten have been assigned to Buffalo. "We need more administrative law judges to get these claims processed in an expeditious way," he said.

Note that the Congressman is asking a question that has not been asked by Congressmen in the past. How does Social Security decide which hearing offices to assign new Administrative Law Judges (ALJs) to. From what I have seen, the assignment of new ALJs seems to have little to do with need. There are legitimate questions to ask.

Lining Up Before Dawn In Las Vegas

This could be something the Ways and Means Committee will ask Commissioner Astrue about when he testifies. From the Las Vegas Sun:

The Las Vegas Valley’s Social Security Card Center, already among the nation’s busiest, will be even more of a headache for employees and customers if the federal government makes the agency enforce immigration laws, the head of the agency’s field worker union says.

Witold Skwierczynski says the Las Vegas office is a poster child for why the Homeland Security Department’s push to clamp down on undocumented workers by chasing down false Social Security numbers won’t work. ...

[I]f the new rules are adopted, Skwierczynski says, Social Security offices will be swamped, making it more difficult for other customers to get services. And Las Vegas, which until recently had customers waiting three hours in the lobby, will be among the hardest hit.

The problem is that the Social Security Administration’s database has serious problems. A 2006 inspector general’s report uncovered about 17.8 million discrepancies between names and numbers among 435 million records. More than 70 percent of those “no matches,” or nearly 13 million people, involved native-born U.S. citizens, including people who got married and changed their last names or whose two last names were switched by mistake.

So if the federal government suddenly required about 800,000 employers nationwide to check the Social Security Administration’s database, more of those cases would crop up. And the only place to fix those mistakes is at one of the agency’s offices — like the one at 1250 S. Buffalo Drive.

A long line forms outside the building most mornings about two hours before the doors open at 8:45.

The valley’s card office was second nationwide for visitors among all Social Security offices last month, with 12,931 customers, said Marjorie Johnson, district manager. The office has served more than 45,000 customers since January — with only 15 employees to help them.

First in line on a recent morning were a pair of friends who shivered in an uncharacteristic April chill. Marji Puype and Mike Chiou wanted to change the names on their cards — Puype because she is no longer married and Chiou because he recently became a citizen and, well, Mike is easier to pronounce than his real name.

The two showed up at 7 a.m. because they had been at the office a year ago for other business and saw four-hour waits during the afternoon.

Since then, Johnson said, another employee has been hired, with three more on the way. The office also became the first in the nation to use mandatory overtime for customer service. Since January, workers have stayed after the office closes at 4 p.m. to help customers still waiting in the lobby. So far, that has cost $14,367. But wait times are down to 30 minutes, Johnson said.

With hiring more, expanding the office and paying the overtime, things were looking up — after several years of seeing a lot of frustrated faces out in the lobby, she said.

But if the Homeland Security rule becomes reality, “we would have to come up with a new system,” Johnson said, adding: “I’m not sure how.”

At least one state already is dealing with the issue: Arizona, where a new state law requires employers to check workers’ records against the Social Security Administration’s database. Leslie Walker, spokeswoman for the agency, said there are no figures yet on how the law has affected caseloads at Phoenix’s two card offices. But she said field workers have noted that many who come in to clear up mistakes are recently naturalized citizens or have two surnames that have been switched. Both types of cases would be common in the Hispanic community here.

Full Ways And Means Committee Hearing On Social Security Backlog

I had openly wondered when we would get a hearing of the Social Security Subcommittee at which Social Security Commissioner Michael Astrue would testify. It has been almost a year since he has testified before the Social Security Subcommittee, which is part of the Ways and Means Committee in the House of Representatives.

A hearing has finally been scheduled for April 23 at 10:00, but it is not before the Social Security Subcommittee, but before the whole Ways and Means Committee, raising this to a much higher level of visibility! Although no witness list has been issued, I think that we can presume that Commissioner Astrue will be testifying. The focus of this hearing goes well beyond the hearing backlogs. Staffing levels and adequacy of public service throughout the agency are the issue.

Here is an excerpt from the press release on the hearing:

In recent years, SSA’s workload has grown significantly due to the aging of the population and new responsibilities stemming from Medicare and homeland security legislation. Despite a productivity increase of more than 15 percent since 2001, the administrative funding SSA has received has been well below the level needed to keep up with this growing workload. From Fiscal Year (FY) 1998 through FY 2007, SSA received a cumulative total of $1.3 billion less than was requested by the President, and $4.6 billion less than the Commissioner’s own budget for the agency.

As a result, by the end of calendar year 2007, SSA staffing had dropped to almost the level in 1972 – before the start of the Supplemental Security Income (SSI) program – even though SSA’s beneficiary population has nearly doubled since that time.

Due to the combination of rising claims as the baby boom generation ages and prolonged underfunding, Social Security and SSI disability claims backlogs have reached unprecedented levels. More than 1.3 million applicants for disability benefits are currently awaiting a decision on their claim, and total waiting times often extend into years. In addition, as SSA tries to address the backlog crisis, the agency is forced to divert its limited resources away from its day-to-day operations in field offices and payment processing centers in order to try to manage the disability backlog. The result is an increase in long lines, delays, busy signals, and unanswered telephones, and growing concern about closures and consolidations of local field offices. Resource shortages have also forced the agency to cut back on program integrity activities, even though such activities have been demonstrated to generate considerable savings to the Trust Fund.

Under the President’s FY 2009 proposed budget, the agency would be able to make modest progress toward addressing the disability claims backlog, but service in the field would continue to decline. Moreover, proposals to assign additional workloads to SSA, such as expanding SSA’s role in verifying the work-authorization status of employees, would, if enacted and not funded in full each year, force SSA to shift scarce resources away from its core functions to carry out these new workloads.

In announcing the hearing, Chairman Rangel said, “We are alarmed by the deterioration in service to our constituents and the suffering of those who must wait years to receive benefits they desperately need. Despite its well-earned reputation for being a can-do agency, the Social Security Administration simply cannot do its job without adequate funding. We have been working on a bipartisan basis to address this problem, and will continue to do so until the disability claims backlog is eliminated and SSA’s capacity to provide high quality service to the public is restored.”

E-Mail From Commissioner To SSA And DDS Employees

Note the information about the second national hearing center in Albuquerque and the expansion of the national hearing center in Falls Church. Does anyone not in higher management at Social Security think this is a good idea?

Note also that most of the new employees will be going not to hearing offices or field offices, but to teleservice centers. It looks as if inability to answer telephones at the field offices is not perceived as nearly as big a problem as inability to answer the 800 phone calls.

Note finally the cherry picking of a newspaper article praising Social Security service. Certainly, many offices and individual Social Security employees deserve praise. I am happy to post links to such newspaper articles when I find them. It is just that there are not many of them. I had not seen this particular one.

From: ^Commissioner Broadcast
Sent: Tuesday, April 15, 2008 12:43 PM
Subject: COMMISSIONER'S BROADCAST--04/15/08

A Message To All SSA And DDS Employees

Subject: Important Issues Update

Last November, I said that I would update you on important issues. What follows is some information about our staffing situation, our efforts to reduce the disability backlog, our progress on some of our online service initiatives and other recent developments.

Staffing

I am pleased to report that we recently received this year’s appropriation, which gave us an extra $148 million and has allowed me to lift our current hiring freeze and provide some needed hiring flexibility to all components. This is the first time in 15 years that we have received an appropriation above the President’s budget. These resources will put us in a better position in FY 2009 to improve service to the public.

Each component will have at least one-for-one hiring authority; i.e., each will be able to hire as many employees as have left or will leave the Agency this year. We also will use the extra funding to strengthen our direct service components and for our plan to reduce the hearings backlog. To that end, I have given Operations permission to hire 3,900 employees, 1,300 employees more than the expected losses for this year. Also, out of those 3,900 additional staff, we will bolster the 800‑number operation by hiring 835 employees, which is a replacement rate of about two employees hired for each employee who leaves. ODAR will be able to hire 175 administrative law judges (ALJs), plus additional ALJs for a new National Hearing Center (NHC) in Albuquerque and to expand the Falls Church NHC. It also will add 143 additional support staff by the end of the fiscal year. We also will be able to continue with automation improvements.

As you may know, the President recently submitted his request to Congress for our FY 2009 funding. He has asked for $10.46 billion, which is a 6 percent increase over this year’s funding. If we are given that amount, it would be the largest percentage increase that we will have received in many years.

Disability

We have rolled out the quick disability determination (QDD) procedure to the entire country, and the DDSs have done a great job with it. In January, they reduced their processing time for these cases to an average of just six days. I thought you might enjoy reading the following letter to the editor about a case that was processed through the QDD procedure.

A letter to the editor of the Hot Springs, Ark., Sentinel-Record titled “Top Customer Service”:

Dear Editor: “We must commend the Hot Springs Social Security Office for its speed and efficiency in processing our claim. We filed online for disability January 25^th and had a check deposited into our account on February 5^th. The claim had to be processed with some local office assistance, but I don’t think you could ask for better service than this.”

This is a well-deserved compliment on our efforts to improve processing times of the most critical cases.

In addition, the comparable fast-track process, compassionate allowances, is moving along well, and we should begin the pilot in late summer or early fall.

To help with the hearings backlog, we recently hired 135 ALJs and will select another 40 before the end of the fiscal year and additional ALJs for the NHCs. While cases pending continue to rise (although at a lower rate than in the recent past), average processing time is down slightly, and we continue to eliminate the oldest cases in an impressive fashion. Since the hearings staff has increased its production, a difficult situation is improving rather than worsening.

Looking forward, we have reason for optimism about driving down the hearings backlog. By the end of this calendar year, we expect that the paper cases should be substantially gone. Next year, our new ALJs should be fully productive. When we reach these two milestones (and assuming we are not under a continuing resolution for a significant period of time), we expect to hit a “tipping point” and to see the number of pending hearings begin to drop dramatically.

Online Initiatives

The two-stage effort to improve the Internet Social Security Benefit Application (ISBA) is moving along nicely. The application will be significantly streamlined, and the online version significantly more user-friendly. The prototype of the online version looks terrific, and I think you will be excited when you see it. This new online ISBA will take about 15 minutes on average to file over the Internet, instead of the current 45 minutes. We expect to complete the first stage by September 27.

The second stage, which will include automatic adjudication of the simplest retirement claims, won’t be ready until 2010 due to the number of back-end systems changes it requires. Stage two will provide applicants with additional functionality, including the ability to look up their earnings history and expected benefit amounts online. This release will allow some claims to be effectuated without manual intervention. Automatic adjudication will free up about 10 minutes of processing time per application, which will allow us to perform other functions and improve our public service.

We are continuing our efforts to eliminate the need to request routine information directly from applicants for benefits. For example, we have already eliminated the need for retirement applicants to present proof of age when their allegations match the information in the Numident. These changes will not only make us more efficient, but also will allow our field offices more time for those interviews that require subtlety, experience and judgment.

All of you have been great about making suggestions for improvements. We have made a number of changes with iAppeals based on input from employees in the field. In addition, we made one change recently based on a hallway conversation that I had with an employee who suggested that we make better use of the back of our envelopes. Based on that employee’s suggestion, envelopes containing the 150 million Social Security Statements we send out each year will now deliver the message: “Save a trip. Visit www.socialsecurity.gov.”

I am very proud of the imagination, professionalism, “can-do” spirit and unwavering dedication to public service that you bring to work every day. One person who exemplifies these qualities is Deborah Carryer, who this month will receive the Employee of the Year Award from “CAREERS of the disABLED” Magazine. Deb is the District Manager of the Royal Oak, Mich., Field Office and advises, “Take some risks and try new things. You may just find out that you are good at it and like it!” Sound advice that all of us can take to heart. Please join me in congratulating Deb on her well‑deserved award.

As time goes by, I look forward to sharing more information with you on these and other exciting happenings. In the meantime, thanks again for all that you do in service to the American public.

Michael J. Astrue

Commissioner

Advance Notice On Cardiovascular Disorders Listings

Tomorrow's Federal Register will contain an advance notice of proposed rulemaking on cardiovascular disorder listings. You can read the notice today. There is nothing in the notice indicating where the Social Security Administration may go on these listings.