THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700


S U M M A R Y


DIARY: November 5, 1999 11:21:38 AM ay Rod; Rod Welch

Develop support on medicare application for Bob.

1...Summary/Objective
2...Medicare - Filing for Retroactive Coverage
3...Social Security Requirements for Disability
....Under Age 65 Entitlement to Benefits for Disability Past 2 Years
4...Peter Brixie will File for Social Security Disability
5...Called Social Security about Disability Claim for Bob
6...Disability Law Specialist

ACTION ITEMS.................. Click here to comment!

1...Where can we get this list???
2...She asked me to get the information and call back to request an
3...Mrs Stevens advised that the current doctor can issue a
4...San Francisco Neighborhood Legal Assistance Federation

CONTACTS 

SUBJECTS
Kathleen and Bob
Social Security Disability

0504 -    ..
0505 - Summary/Objective
0506 -
050601 - Follow up ref SDS 19 0000, ref SDS 17 0000.
050602 -
050603 - This objective requires filing for retroactive disability
050604 - determination by Social Security.  Got some requirements from the
050605 - Web.  Social Security rep on telephone call was helpful.  May need to
050606 - locate a "disability" law specialist, or might use Peter Brixy who
050607 - filed Kathleen's application for disability determination a few years
050608 - ago.
050609 -
050610 - Need from Kath list of jobs and medical problems Bob has had.
050611 -
050612 -
050613 -
050614 -
0507 -
0508 -
0509 - Discussion
0510 -
051001 -  ..
051002 - Medicare - Filing for Retroactive Coverage
051003 -
051004 - Follow up ref SDS 19 4866, ref SDS 17 4866.
051005 -
051006 - Per our discussion this morning, ref SDS 20 6225, and again during the
051007 - meeting with Patty, ref SDS 21 4402, Madeline will try to call...
051008 -
051009 -
051010 -                        Trudy Nearn
051011 -                        916 563 7822
051012 -
051013 -
051014 - ...and facilitate an initial telephone meeting on filing application
051015 - for Bob's entitlement to medicare coverage, as recommended by Legal
051016 - Center for Elderly... on 991103, ref SDS 17 2880, and again yesterday.
051017 - ref SDS 19 4794
051018 -
051019 -     (See call back below. ref SDS 0 2640)
051020 -
051021 -     [On 991107 called Trudy's office. ref SDS 25 0001]
051022 -
051023 -
051024 -
0511 -
0512 -
0513 - 1134 called Sharon Hoyle         916 729 1520
0514 -
051401 - Per recommendation by Madeline this morning. ref SDS 21 4402
051402 -
051403 - Sharon is in court this morning.  Receptionist will ask her to call
051404 - when she comes in.
051405 -
051406 -
051407 -
051408 -  ..
0515 -
0516 -
0517 - 1137 called James A Walker       530 889 0441
0518 -
051801 - Per recommendation by Madeline this morning. ref SDS 21 4402
051802 -
051803 - Katie Lynch handles this kind of law.
051804 -
051805 - Left message for Katie to call and discuss providing legal support for
051806 - making the application suggested by LCED on 991103. ref SDS 17 2880
051807 -
051808 -     (below Katie called back. ref SDS 0 5933)
051809 -
051810 -
051811 -
051812 -
051813 -  ..
0519 -
0520 -
0521 - 1142 received call from Trudy Nearn's office     916 563 7822
0522 -
052201 - Naomi called for Trudy, following the contact from Madeline, per
052202 - above. ref SDS 0 4866
052203 -
052204 - Naomi said she manages Trudy's calendar.
052205 -
052206 - Evidently based on the discussion with Madeline, Trudy has expressed
052207 - interest in taking the case.
052208 -
052209 - Naomi said Trudy charges $260 per hour, and she can meet with us in
052210 - about 4 weeks.  Trudy does not want to discuss the scope of services
052211 - by telephone in advance of our deciding to hire her.
052212 -
052213 - She wants a check for $260 prior to meeting.
052214 -
052215 - We reviewed the advantage of expediting work on this matter in light
052216 - of Bob's medical condition.  A meeting in 4 weeks does not appear to
052217 - meet this objective, however, we respect that Trudy may well be the
052218 - best candidate for this assignment, and would be able to accomplish
052219 - the best coverage for Bob.
052220 - ..
052221 - Typically, in hiring a lawyer preliminary consideration of
052222 - scope, terms of service, and potential for success are reviewed in
052223 - advance of incurring fees.  Possibly Trudy is well enough established
052224 - that this industry practice can be justifiably waived.
052225 -
052226 - Naomi seemed to indicate that Trudy would like to take this case.
052227 -
052228 - She proposed that Kathleen come in and visit with Trudy.
052229 -
052230 -     [On 991107 called Trudy's office. ref SDS 25 0001]
052231 -
052232 - We reviewed the doctor's request that Kathleen remain close to Bob
052233 - because of the delicate emotional period Bob faces, as seen by
052234 - difficulties last night that required the daughter, Patty, to spend
052235 - the night at the hospital. ref SDS 20 8769
052236 -
052237 - Naomi will visit with Trudy about conducting a preliminary telephone
052238 - conference, and if that seems productive, we can proceed.
052239 -
052240 -
0523 -
0524 -
0525 - 1215 called Trudy Nearn's office back
0526 -
052601 - Talked to Naomi.
052602 -
052603 - Offered to send a letter via web mail that Trudy can review to see if
052604 - the facts and the clients objectives appear to be reachable, and
052605 - something she would like to take on.
052606 -
052607 - Naomi said that is a good idea, but their email system is down.
052608 -
052609 - She is not familiar with using email and is not sure Trudy is either.
052610 -
052611 - She thinks the firm has an email account and access to the Internet,
052612 - but needs to research to find out.
052613 -
052614 - Naomi will investigate and call me back on this idea.
052615 -
052616 -
052617 -
052618 -  ..
052619 - Social Security Requirements for Disability
052620 -
052621 -
0527 -
0528 -
0529 - 1327 research Medicare on the Internet
0530 -
053001 - Found a web site...
053002 -
053003 - Social Security Online
053004 -
053005 - The Official Web Site for Social Security Administration
053006 -
053007 -
053008 -                 http://www.ssa.gov/SSA_Home.html
053009 -
053010 -
053011 - The Site map is at...
053012 -
053013 -
053014 -                 http://www.ssa.gov/sitemap.htm
053015 -
053016 -
053017 - This has a link to another web page for...
053018 -
053019 -
053020 - Applying for Benefits
053021 -
053022 -
053023 -               http://www.ssa.gov/disability.html
053024 -
053025 - ..
053026 - Downloaded the file for the record. ref OF 4 0001
053027 -
053028 - To apply, we can call...
053029 -
053030 -
053031 -                        800 772 1213
053032 -
053033 -
053034 - ...which is shown in para 2. ref OF 4 0003
053035 -
053036 - Review of this material indicates the process entails a social
053037 - security filing. ref OF 4 0002
053038 -
053039 - There is language that indicates the date of effective disability is a
053040 - finding the social security agency makes.  So that date can be several
053041 - years ago, based on the evidence.   The language says the agency
053042 - determines the date when disability "began." ref OF 4 0002
053043 - ..
053044 - Review period takes 60 - 90 days. ref OF 4 0666
053045 -
053046 -    (Below, takes 120 days now. ref SDS 0 8100)
053047 -
053048 - List of required evidence is at ref OF 4 6952.
053049 -
053050 - Evidence presented must be originals. ref OF 4 1160
053051 -
053052 -    Social Security office helps assemble information for applicant.
053053 - ..
053054 - Key issue is whether claimant's condition is in the list of
053055 - disabling impairments? ref OF 4 1680
053056 -
053057 -    Where can we get this list???
053058 -
053059 -    How does it relate to Bob's ailments cited by Kathleen on 991103?
053060 -    ref SDS 17 4015
053061 -
053062 -    Maybe disability law specialists, or SF Neighborhood etc, can give
053063 -    us a clue. ref SDS 0 0878
053064 -
053065 -
053066 -     ..
053067 -    Under Age 65 Entitlement to Benefits for Disability Past 2 Years
053068 -
053069 -    Anothe web site...
053070 -
053071 -
053072 -              http://www.ssa.gov/pubs/10043.html#Section 2
053073 -
053074 -
053075 -    ...also in the record at ref OF 5 0000, says that...
053076 -
053077 -        If You Are Under 65
053078 -
053079 -        You are eligible for Medicare hospital insurance if you: have
053080 -        been a Social Security disability beneficiary for 24 months.
053081 -        SSA Publication No. 05-10043 (June 1997)
053082 -        ref OF 5 0021
053083 -
053084 -        [On 991109 lawyer cites 42 CFR 406.12(b). ref SDS 27 5610]
053085 -
053086 -    This gives rise to the plan to file for...
053087 -
053088 -
053089 -           Retroactive determination of medicare disability
053090 -
053091 -
053092 -    ...formulated on 991103 by LCED. ref SDS 17 8352
053093 -
053094 -        [On 991106 develop basis for filing. ref SDS 23 4672]
053095 -
053096 -        [On 991107 Kath cites information that Bob's disability of one
053097 -        year with pancreatic cancer may be sufficient qualification.
053098 -        ref SDS 24 2850]
053099 -
053100 -    Medicare hospital coverage may be available by paying a premium,
053101 -    ref OF 5 0231, however, in Bob's case we need a determination of
053102 -    retroactive entitlement.
053103 -
053104 -    There is additional financial help for low-income families.
053105 -    ref OF 5 4988
053106 -
053107 -    Signing Up for Medicare. ref OF 5 0793
053108 -
053109 -        Seems to indicate that if someone is getting social security
053110 -        disablity benefits, then Social Security department sends
053111 -        notice to sign up for Medicare.
053112 -
053113 - Peter Brixie helped Kathleen get social security disability, per work
053114 - on 991102. ref SDS 16 4212
053115 -
053116 -
053117 -
053118 -  ..
053119 - Peter Brixie will File for Social Security Disability
053120 -
053121 -
0532 -
0533 -
0534 - 1351 called Peter Brixie      916 658 1880
0535 -
053501 - Advised we have hired an attorney for estate planning based on Peter's
053502 - referral on 991102. ref SDS 16 4212
053503 -
053504 - Explained information on 991103 from Legal Center for Elderly and
053505 - Disabled indicating Bob might qualify for...
053506 -
053507 -
053508 -           Retroactive determination of medicare disability
053509 -
053510 -
053511 - ...which seems to be part of social security.
053512 -
053513 - Peter said he would help file for this coverage.
053514 -
053515 - He asked that we go to the social security office and pick up forms
053516 - for...
053517 -
053518 -                      social security disability
053519 -
053520 -
053521 - We can bring them in on Monday and he will prepare the filing.
053522 -
053523 -
053524 -                        1107 2nd Street #200
053525 -
053526 -    [On 991108 called and advised forms have not been received, sent
053527 -    letter on scope of services. ref SDS 26 7553]
053528 -
053529 -    [On 991111 called left message forms arrived. ref SDS 29 3920]
053530 -
053531 -
053532 -
053533 -  ..
0536 -
0537 -
0538 - 1420 received call from James A Walker's office      530 889 0441
0539 -
053901 - Katie called back from above. ref SDS 0 3966
053902 -
053903 - Katie said their office focuses on medical, and paying long term
053904 - nursing care.
053905 -
053906 - She will talk to Jim to see if he will take a crack at Bob's case.
053907 -
053908 -    [On 991110 James called back. ref SDS 28 3966]
053909 -
053910 -
0540 -
0541 -
0542 - 1444 received call from Sharon Hoyle         916 729 1520
0543 -
054301 - She left message while I was talking to Katie.
054302 -
054303 -
0544 -
0545 -
0546 - 1514 called Sharon Hoyle back        916 729 1520
0547 -
054701 - Sharon does not work in social security law, but is familiar with the
054702 - filing for...
054703 -
054704 -
054705 -           Retroactive determination of medicare disability
054706 -
054707 -
054708 - ...she said a client was successful in getting this approved by
054709 - social security.
054710 -
054711 - Sharon will call the client and ask who helped make this application.
054712 -
054713 - She knows a couple of attorneys that work in social security law.
054714 -
054715 -     [Below got referrals but not to attorney who made filing we want.
054716 -     ref SDS 0 1692]
054717 -
054718 -
054719 -
054720 -  ..
054721 - Called Social Security about Disability Claim for Bob
054722 -
054723 -
0548 -
0549 -
0550 - 1550 called social security       800 772 1213
0551 -
055101 - Talked to Mrs. Stevens.
055102 -
055103 - She said they need Bob's social security number and date of birth.
055104 -
055105 - She agreed that...
055106 -
055107 -
055108 -            Retroactive determination of medicare disability
055109 -
055110 -
055111 - ...may be an appropriate vehicle for Bob, per telecon with LCED on
055112 - 991103. ref SDS 17 2880
055113 - ..
055114 - Mrs Stevens suggests filing right away, because it is now taking
055115 - up to 120 days for processing claims, rather than 60 - 90 days set out
055116 - in the Social Security documents. ref SDS 0 3816
055117 -
055118 - I explained that Bob has been off work for nearly two years, but has
055119 - suffered a variety of infirmities that have prevented him from working
055120 - regularly for much longer.  He has been reluctant to obtain medical
055121 - treatment due to his personality that avers doctors.  An example is
055122 - failing to get treatment for pancreatic cancer until it was too late.
055123 -
055124 - Another example of rash behavior was removing IVs and other medical
055125 - instruments from himself last night.
055126 -
055127 - Evidence the attending physician may be able to offer is recognition
055128 - that Bob is high strung which resulted in deciding not to follow
055129 - normal procedure to disclose he has limited time. ref SDS 20 5022
055130 -
055131 - Mrs Stevens said we can provide evidence from employers fellow
055132 - employees, friends, acquaintances and family members who know of his
055133 - disabilities, and this might be sufficient to establish entitlement.
055134 -
055135 - She asked me to get the information and call back to request an
055136 - application for disability entitlement.
055137 -
055138 -     Below got Bob's SSN and date of birth. ref SDS 0 0988
055139 -
055140 -     [On 991108 called Trudy Nearn's office to support his effort.
055141 -     ref SDS 25 0001]
055142 -
055143 - She said we fill out the forms.  Kathleen would then meet with a
055144 - social security rep on behalf of Bob since he cannot travel.  A
055145 - decision takes about 120 days.
055146 -
055147 - Entitlement can be awarded if Bob passes away during the review
055148 - period.
055149 -                             ..
055150 - Mrs Stevens advised that the current doctor can issue a
055151 - statement supporting Bob's disability for past periods.
055152 -
055153 -     [On 991106 planning to develop evidence of disability. ref SDS 23
055154 -     2850]
055155 -
055156 -     [On 991107 report that Bob's doctor indicated he has suffered
055157 -     disability from cancer for over a year. ref SDS 24 2850]
055158 -
055159 -
055160 -
055161 -
0552 -
0553 -
0554 - 1553 Trudy Nearn's office called back        916 563 7822
0555 -
055501 - Naomi said that Trudy has two referrals that I will love....
055502 -
055503 - One is in Oakland and another in Palo Alto.
055504 -
055505 - Naomi did not leave any numbers for some reason; asked me to call
055506 - back.
055507 -
055508 -
055509 -  ..
0556 -
0557 -
0558 - 1608 called Sharon Hoyle back    916 729 1520
0559 -
0560 -
056001 - She provided the following numbers...
056002 -
056003 -                   916 725 2124
056004 -
056005 -                       448 3836
056006 -
056007 - She does not have the name and number of attorney for the client who
056008 - was awarded retroactive determination of medicare disability.
056009 -
056010 -
056011 -
056012 -  ..
0561 -
0562 -
0563 - 1622 called Kathleen
0564 -
056401 - Talked to Patty, got Bob's...
056402 -
056403 -      social security number:   535 34 7676
056404 -
056405 -      date of birth:           380729
056406 -
056407 -      need list of infirmities:
056408 -
056409 -          Cancer
056410 -
056411 -          Emotional disability due to compound psychosis in
056412 -          combination with back injury, digestion
056413 -
056414 -
056415 -
056416 -
056417 -  ..
0565 -
0566 - 1628 called Trudy Nearn's office back        916 563 7822
0567 -
056701 - Naomi said that Trudy has two referrals that I will love....
056702 -
056703 -
056704 -                    Greg Wilcox
056705 -                    510 665 8400         Oakland
056706 -
056707 -
056708 -                    Peter Stern          Palo Alto
056709 -                    650 326 2282
056710 -
056711 - ..
056712 - She also suggests calling...
056713 -
056714 -
056715 -           CANHR         800 474 1116
056716 -
056717 -
056718 - ...which seems to be an organization similar to the Legal Center for
056719 - Elderly and Disabled.
056720 -
056721 -     [On 991107 called Trudy's office. ref SDS 25 0001]
056722 -
056723 - I called CANHR this evening and got a message to call between 0900
056724 - and 1200 and from 1300 to 1600.
056725 -
056726 - I called Greg Wilcox's office and left a message for him.
056727 -
056728 -     [On 991109 Greg called back and was very helpful. ref SDS 27 3158]
056729 -
056730 -
056731 -
056732 -  ..
056733 - Disability Law Specialist
056734 -
056735 - Called Brent Kato, a local lawyer is listed in the yellow pages as a
056736 - medicare practice.
056737 -
056738 - Explained objective from telecon with LCED on 991103, ref SDS 17 2880,
056739 -
056740 - Brent said we need to talk to a disability lawyer.  There are people
056741 - who specialize in this area of the law.
056742 -
056743 - Brent suggested calling...
056744 -
056745 -
056746 -        San Francisco Neighborhood Legal Assistance Federation
056747 -
056748 -
056749 - ...to get ideas on qualifying Bob for retroactive disability
056750 - eligibility.  This is similar to CANNER. ref SDS 0 3795
056751 -
056752 - We need the list of disabling problems Social Security recognizes, per
056753 - analysis of SS report. ref SDS 0 7350
056754 -
056755 -
056756 -
056757 -
056758 -
056759 -