Are You Kidding Me? A 48% Error Rate?

     From a recent report by Social Security's Office of Inspector General (OIG):

Our objective was to determine whether the Social Security Administration (SSA) correctly completed manual actions to bill for Medicare premiums owed by beneficiaries whose monthly Social Security benefit was less than the monthly Medicare premium. 

When an individual entitled to Medicare Part B receives a monthly Social Security benefit, SSA deducts the monthly Medicare premium from the benefit . However, some individuals’ monthly Social Security benefit is lower than the monthly Medicare premium. SSA must bill these individuals for the remaining amount of the Medicare premium. ...

 SSA incorrectly calculated the Medicare premium owed for 120 (48 percent ) of the beneficiaries we reviewed who had a monthly Social Security benefit lower than their monthly Medicare premium. Based on these results, we project 33,092 beneficiaries paid incorrect amounts totaling almost $21.9 million for Medicare premiums because of SSA’s errors. These errors included miscalculations, erroneous system inputs, and failure to update beneficiary records correctly. As a result, some beneficiaries paid more than the correct amount for Medicare premiums, while others paid less ....

This Is Outrageous

     From a recent report by Social Security's Office of Inspector General (OIG) (emphasis added):

We continue to find that SSA [Social Security Administration] needs to improve controls to ensure it pays child beneficiaries’ withheld benefits pending the selection of a representative payee. Based on our random sample, we estimate that SSA did not pay 6,615 beneficiaries approximately $9.2 million in withheld benefits.

Finally, we estimate that SSA only paid 2,423 of the 13,464 beneficiaries we identified during our 2010 audit. This occurred, in part, because SSA did not send letters to 4,233 beneficiaries and pay 214 beneficiaries who were in current pay on another record. ...

New Neurocognitive Listing

     From Social Security's new Listings of impairments for mental disorders effective January 17, 2017:

12.02 Neurocognitive disorders (see 12.00B1), satisfied by A and B, or A and C:

      A. Medical documentation of a significant cognitive decline from a prior level of functioning in one or more of the cognitive areas:

          1. Complex attention;

          2. Executive function

          3. Learning and memory;

          4. Language;

          5. Perceptual - motor; or

          6. Social cognition.

AND

     B. Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 12.00F):

         1. Understand, remember, or apply information (see 12.00E1).

         2. Interact with others (see 12.00E2).

         3. Concentrate, persist, or maintain pace (see 12.00E3).

         4. Adapt or manage oneself (see 12.00E4).

     C. Your mental disorder in this listing category is “serious and persistent;” that is, you have a medically documented history of the existence of the disorder over a period of at least 2 year s, and there is evidence of both:

         1. Medical treatment, mental health therapy, psychosocial support(s), or a highly structured setting(s) that is ongoing and that diminishes the symptoms and signs of your mental disorder (see 12.00G2b); and

       2. Marginal adjustment, that is, you have minimal capacity to adapt to changes in your environment or to demands that are not already part of your daily life (see 12.00G2c) .

How Do You Spell That?

     From Psychology Today:

Naming a baby is a big decision, one many parents agonize over. ...

In discussion groups online for expecting mothers, many say they want to choose a unique name because “different is good” or “I want him to stand out.” Others dismiss names that are “too popular” because “I don’t want them to be one of three kids with the same name in their class.” ...

In a 2010 paper, my co-authors and I found that the use of common names declined precipitously between the 1950s and 2007 in the Social Security Administration database of the name of every American with a Social Security number (which is nearly everyone). In the 1950s, 1 out of every 4 boys had one of the 10 most popular names. By 2007, only 10% did. Fitting in went from being desirable to being undesirable, and uniqueness went the opposite way. It was yet another sign of American culture becoming more individualistic – more focused on the self and less on social rules. ...

But then the Great Recession hit. People started talking about a “cultural reset,” and in fact charity donations and interest in social issues did go up, suggesting a rise in communalism. But signs of a sustained increase in individualism, such as a continuing rise in positive self-views, also appeared.

So what happened with names? In a paper published today, we found that the trend toward unique names continued during the recession, especially for boys. Unique names are more common now than they were 10 years ago. Thirty-four percent of boys received a name among the 50 most popular in 2004-06, compared to only 30% during the 2008-10 recession years and 28% in post-recession 2011-15. For girls, the decline was from 24% to 22% to 21%. ...

This research shows the hidden power of culture. Across the country over the last few decades, parents were collectively deciding not to choose common names for their children. How does something like that happen? It’s a mysterious process – somehow the value of uniqueness became more prominent. We know it happened, but exactly how and why is a bit of a mystery. For now, we can take comfort that our kids will be less likely to be confused with another who has the same name – but more likely to be asked the question “And how do you spell that?”

More Immigration Enforcement Problems

     Social Security is denying retirement benefits to a man who was born in Canada even though he served in the U.S. Army and his father is a U.S. citizen. The man worked in the U.S. for 48 years. 

     Sounds like where Ted Cruz may be in a few years -- although Cruz never served in the Army.

New Autism Listing

     From Social Security's new mental impairment Listings effective January 17, 2017:

12.10 Autism spectrum disorder (see 12.00B8), satisfied by A and B:

     A. Medical documentation of both of the following:

      1. Qualitative deficits in verbal communication, nonverbal communication, and social interaction; and

       2. Significantly restricted, repetitive patterns of behavior, interests, or activities.

AND

     B. Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 12.00F):

          1. Understand, remember, or apply information (see 12.00E1).

          2. Interact with others (see 12.00E2).

          3. Concentrate, persist, or maintain pace (see 12.00E3).

          4. Adapt or manage oneself (see 12.00E4).

New Anxiety Listing

     From Social Security's new mental impairments Listings effective January 17, 2017.:

12.06 Anxiety and obsessive-compulsive disorders (see 12.00B5), satisfied by A and B, or A and C:

     A. Medical documentation of the requirements of paragraph 1, 2, or 3:

          1. Anxiety disorder, characterized by three or more of the following;

              a. Restlessness;

              b. Easily fatigued;

              c. Difficulty concentrating;

              d. Irritability;

              e. Muscle tension; or

              f. Sleep disturbance.

          2. Panic disorder or agoraphobia, characterized by one or both:

               a. Panic attacks followed by a persistent concern or worry about additional panic attacks or their consequences; or

               b. Disproportionate fear or anxiety about at least two different situations (for example, using public transportation, being in a crowd, being in a line, being outside of your home, being in open spaces).

         3. Obsessive-compulsive disorder, characterized by one or both:

            a. Involuntary, time-consuming preoccupation with intrusive, unwanted thoughts; or

               b. Repetitive behaviors aimed at reducing anxiety.

AND

     B. Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 12.00F):

          1. Understand, remember, or apply information (see 12.00E1

          2. Interact with others (see 12.00E2).

          3. Concentrate, persist, or maintain pace (see 12.00E3).

          4. Adapt or manage oneself (see 12.00E4). OR

     C. Your mental disorder in this listing category is “serious and persistent;” that is, you have a medically documented history of the existence of the disorder over a period of at least 2 years, and there is evidence of both:

         1. Medical treatment, mental health therapy, psychosocial support(s), or a highly structured setting(s) that is ongoing and that diminishes the symptoms and signs of your mental disorder (see 12.00G2b); and

        2. Marginal adjustment, that is, you have minimal capacity to adapt to changes in your environment or to demands that are not already par t of your daily life (see 12.00G2c)

New PTSD Listing

     From Social Security's new mental impairment Listings effective January 17, 2017:

12.15 Trauma-and [so in the original] stressor-related  disorders (see 12.00B11), satisfied by A and B, or A and C:

     A. Medical documentation of all of the following:

          1. Exposure to actual or threatened death, serious injury, or violence;

        2. Subsequent involuntary re-experiencing of the traumatic event (for example, intrusive memories, dreams, or flashbacks);

          3. Avoidance of external reminders of the event;

          4. Disturbance in mood and behavior; and

        5. Increases in arousal and reactivity (for example, exaggerated startle response, sleep disturbance).

AND

     B. Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 12.00F):

          1. Understand, remember, or apply information (see 12.00E1).

          2. Interact with others (see 12.00E2).

          3. Concentrate, persist, or maintain pace (see 12.00E3).

          4. Adapt or manage oneself (see 12.00E4).

OR

     C. Your mental disorder in this listing category is “serious and persistent;” that is, you have a medically documented history of the existence of the disorder over a period of at least 2 years, and there is evidence of both

     1. Medical treatment, mental health therapy, psychosocial support(s), or a highly structured setting(s) that is ongoing and that diminishes the symptoms and signs of your mental disorder (see 12.00G2b); and

    2. Marginal adjustment, that is, you have minimal capacity to adapt to changes in your environment or to demands that are not already part of your daily life (see 12.00G2c).