How do we determine the initial Residual Functional Capacity (RFC) that shows us where to begin? Is this based on the RFC that comes from DDS? How do we determine RFC before that?
Question:
How do we determine the initial Residual Functional Capacity (RFC) that shows us where to begin? Is this based on the RFC that comes from DDS? How do we determine RFC before that?
Answer:
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If you are working on an appeal, you will want to review the file to see DDS’s RFC which was the basis for denial. DDS officially determines the RFC. DDS’ opinions take the form of RFC assessments, physical, mental, or both. Essentially, the DDS physician reviews the claimant’s medical records, including narrative reports or CEs, and prepares a written opinion. Taking the form of an RFC assessment, the opinion is expressed in terms of the physical and mental limitations that the DDS physician believes accurately describe the claimant’s capability. To find the right Grid rule, determine the claimant’s maximum RFC (and find the correct table). You are looking for the table that fits the claimant’s exertional level (sedentary, light, medium), and find the rule that fits the claimant’s other characteristics, e.g.) age, education, skill level. The specific rule will mandate a conclusion of disabled and not disabled. Remember, for a rule to apply it must be consistent with all the claimant’s characteristics. In no grid rule fits, then all evidence and factors must be considered independent of the Grids.