GREG WHITE, Magistrate Judge.
Plaintiff John Day ("Day") challenges the final decision of the Acting Commissioner of Social Security, Carolyn W. Colvin ("Commissioner"), denying his claim for a Period of Disability ("POD") and Disability Insurance Benefits ("DIB") under Title II of the Social Security Act ("Act"), 42 U.S.C. §§ 416(i), 423 et seq. This matter is before the Court pursuant to 42 U.S.C. § 405(g) and Local Rule 72.2(b).
For the reasons set forth below, it is recommended that the final decision of the Commissioner be VACATED and the case REMANDED.
On August 16, 2011, an Administrative Law Judge ("ALJ") held a hearing during which Day, represented by counsel, and an impartial vocational expert ("VE") testified. On October 3, 2011, the ALJ found Day was able to perform a significant number of jobs in the national economy and, therefore, was not disabled. The ALJ's decision became final when the Appeals Council denied further review.
Age forty-nine at the time of his administrative hearing, Day is a "younger" person under social security regulations. See 20 C.F.R. § 404.1563(c). Day has a law degree and past relevant work as an attorney, faculty member/instructor, and salesperson. (Tr. 23-24.)
The ALJ posed a series of hypothetical questions to the VE, asking him to assume in each that the individual was the same age and had the same education, and work experience as Day. (Tr. 56.)
In the first, the ALJ asked the VE to assume such a person is limited to simple, routine and repetitive tasks requiring no more than four steps in a work environment free of fast-paced production requirements; involving only simple work-related decisions with few if any workplace changes; and, no more than occasional interaction with the public and with coworkers. (Tr. 56.) The VE testified that such an individual would be unable to perform any of Day's past work, but gave the following examples of jobs that such an individual could still perform: garment sorter, laundry worker, and machine tender. (Tr. 57.)
In the second, the ALJ asked the VE to assume the same limitations as in the first hypothetical, but added that such an individual would miss four days of work or more per month. (Tr. 57-58.) The VE testified that such an individual would be unemployable. (Tr. 58.) The VE also testified that an individual might be terminated for even one unscheduled absence per month, but would certainly be terminated for two. (Tr. 57.)
In response to questions asked by Day's counsel, the VE testified that all the jobs identified had some production requirements but were not fast-paced. (Tr. 58-59.) The VE further indicated that an individual who fought with or swore at supervisors would be terminated. (Tr. 59.) An individual who was only able to interact appropriately with a supervisor 60 percent of the time would not be able to maintain employment. (Tr. 59-60.) When asked if an individual who could only maintain attention and concentration 70 percent of the time was employable, the VE replied in the negative. (Tr. 60.) When asked if an individual who could only relate predictably and appropriately 60 percent of the time was employable, the VE again responded in the negative. Id.
In order to establish entitlement to DIB under the Act, a claimant must be insured at the time of disability and must prove an inability to engage "in substantial gainful activity by reason of any medically determinable physical or mental impairment," or combination of impairments, that can be expected to "result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." 20 C.F.R. §§ 404.130, 404.315 and 404.1505(a).
A claimant is entitled to a POD only if: (1) he had a disability; (2) he was insured when he became disabled; and (3) he filed while he was disabled or within twelve months of the date the disability ended. 42 U.S.C. § 416(i)(2)(E); 20 C.F.R. § 404.320.
Day was insured on his alleged disability onset date, March 7, 2009, and remained insured through the date of the ALJ's decision. (Tr. 12.) Therefore, in order to be entitled to POD and DIB, Day must establish a continuous twelve month period of disability commencing between these dates. Any discontinuity in the twelve month period precludes an entitlement to benefits. See Mullis v. Bowen, 861 F.2d 991, 994 (6
The ALJ found Day established a medically determinable, severe impairment, due to depression, generalized anxiety disorder, bipolar disorder, obsessive compulsive disorder, and post-traumatic stress disorder. (Tr. 12.) However, his impairments, either singularly or in combination, did not meet or equal one listed in 20 C.F.R. Pt. 404, Subpt. P, App. 1. (Tr. 16.) Day was found incapable of performing his past relevant work, but was determined to have a Residual Functional Capacity ("RFC") for a full range of work at all exertional levels with certain non-exertional limitations. (Tr. 18, 23.) The ALJ then used the Medical Vocational Guidelines ("the grid") as a framework and VE testimony to determine that Day was not disabled.
This Court's review is limited to determining whether there is substantial evidence in the record to support the ALJ's findings of fact and whether the correct legal standards were applied. See Elam v. Comm'r of Soc. Sec., 348 F.3d 124, 125 (6
The findings of the Commissioner are not subject to reversal merely because there exists in the record substantial evidence to support a different conclusion. Buxton v. Halter, 246 F.3d 762, 772-3 (6
In addition to considering whether the Commissioner's decision was supported by substantial evidence, the Court must determine whether proper legal standards were applied. Failure of the Commissioner to apply the correct legal standards as promulgated by the regulations is grounds for reversal. See, e.g.,White v. Comm'r of Soc. Sec., 572 F.3d 272, 281 (6
Finally, a district court cannot uphold an ALJ's decision, even if there "is enough evidence in the record to support the decision, [where] the reasons given by the trier of fact do not build an accurate and logical bridge between the evidence and the result." Fleischer v. Astrue, 774 F.Supp.2d 875, 877 (N.D. Ohio 2011) (quoting Sarchet v. Chater, 78 F.3d 305, 307 (7
Day argues that the ALJ failed to properly evaluate the opinions of his treating sources, Michael Tran and Jyoti Aneja, M.D. as well as the opinion of his therapist, Kristen Liviskie. (ECF No. 14 at 14-18.)
Under Social Security regulations, the opinion of a treating physician is entitled to controlling weight if such opinion (1) "is well-supported by medically acceptable clinical and laboratory diagnostic techniques" and (2) "is not inconsistent with the other substantial evidence in [the] case record." Meece v. Barnhart, 2006 WL 2271336 at *4 (6
If the ALJ determines a treating source opinion is not entitled to controlling weight, "the ALJ must provide `good reasons' for discounting [the opinion], reasons that are `sufficiently specific to make clear to any subsequent reviewers the weight the adjudicator gave to the treating source's medical opinion and the reasons for that weight.'" Rogers, 486 F.3d at 242 (quoting Soc. Sec. Ruling 96-2p, 1996 SSR LEXIS 9 at *5). The purpose of this requirement is two-fold. First, a sufficiently clear explanation "`let[s] claimants understand the disposition of their cases,' particularly where a claimant knows that his physician has deemed him disabled and therefore `might be bewildered when told by an administrative bureaucracy that she is not, unless some reason for the agency's decision is supplied.'" Id. (quoting Wilson v. Comm'r of Soc. Sec., 378 F.3d 541, 544 (6
Nevertheless, the opinion of a treating physician must be based on sufficient medical data, and upon detailed clinical and diagnostic test evidence. See Harris v. Heckler, 756 F.2d 431, 435 (6
Specifically, Day argues that the ALJ did not give good reasons for rejecting Dr. Tran's opinion that Day would miss more than four days of work per month. (ECF No. 14 at 16.) With respect to Dr. Aneja, Day does not identify which portions of her opinion the ALJ rejected.
The ALJ accorded "some weight" to the opinion of Dr. Tran, Day's psychiatrist, as the ALJ believed his assessment — that Day had "moderate impairments" in every area of basic work-related activities — "was consistent with treatment records documenting a generally cooperative claimant with no real deficits in attention, concentration, or memory."
The ALJ's decision is so unclear that it deprives this Court of the opportunity to conduct a meaningful review. The requirement under the regulations that ALJs give "good reasons" for the weight ascribed to treating sources exists partly to ensure that the ALJ applies the treating physician rule, and to permit meaningful review of the ALJ's application of the rule. See, e.g., Wilson v. Comm'r of Soc. Sec., 378 F.3d 541, 544-545 (6
Even if the ALJ is correct that mental status examination findings did not support the opinions of Dr. Aneja, a reviewing court can hardly be expected to review the entire medical record to fill in the gaps in an opinion. The Commissioner's attorneys frequently attempt to do precisely that in their briefings before this Court, and point to evidence or offer explanations never raised by the ALJ. As this Court has previously noted, "arguments [crafted by defense counsel] are of no consequence, as it is the opinion given by an administrative agency rather than counsel's `post hoc rationale' that is under the Court's consideration." See, e.g., Bable v. Astrue, 2007 U.S. Dist. LEXIS 83635, 27-28 (N.D. Ohio, Oct. 31, 2007) (citing NLRB v. Ky. River Cmty. Care, Inc., 532 U.S. 706, 715, n. 1, 121 S.Ct. 1861, 149 L.Ed.2d 939, (2001)); Sarchet v. Chater, 78 F.3d 305, 307 (7
Accordingly, the Court finds the ALJ failed to provide "good reasons" for rejecting medical opinions of Dr. Tran and Dr. Aneja regarding Day's functional limitations. The Court, therefore, recommends remanding this matter to afford the ALJ an opportunity to sufficiently evaluate and explain the weight ascribed to the limitations assessed by these treating sources. As the Court is remanding this case for further proceedings, in the interests of judicial economy, the Court declines to consider Day's remaining assignments of error.
For the foregoing reasons, the Court finds the decision of the Commissioner not supported by substantial evidence. Accordingly, the decision of the Commissioner should be VACATED and the case REMANDED, pursuant to 42 U.S.C. § 405(g) sentence four, for further proceedings consistent with this Report and Recommendation.