In some instances, you may complete a full or partial quality review to determine
that a case is an exclusion. If you determine that a case is deficient, but the case
meets exclusion criteria, you must not cite a deficiency. However, the OQR must address
all issues discovered during the quality review process to protect the integrity of
the review.
If you discover a deficiency in an excluded case:
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Do not record a deficiency in the OQR case processing system;
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Create and complete the appropriate return document per, GN 04440.201D., and explain the deficiency;
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Indicate that the deficiency is informational only and is not chargeable;
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Take one of the following actions:
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Make any necessary correction(s);
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Forward the case to the adjudicating component for correction(s); or
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Route to the FO for processing
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Effectuate the determination, if appropriate.