GN 04440.000 Federal Quality Review of Disability Determinations

Subchapter Table of Contents
Section   Latest
Transmittal
QUALITY REVIEW PROCESS AND STANDARD
GN 04440.001 List of Acronyms TN 8 06-04
QUALITY REVIEW PROCESS AND STANDARD
GN 04440.002 The Quality Review (QR) Process TN 13 12-10
GN 04440.003 Explanation of Quality Review (QR) Terms TN 13 12-10
GN 04440.004 Quality Review Exclusions TN 32 05-18
GN 04440.005 Types of Federal Quality Reviews (QR) TN 13 12-10
GN 04440.006 Quality Reviewer Responsibilities TN 13 12-10
GN 04440.007 Quality Review (QR) Standard TN 13 12-10
GN 04440.008 Quality Review Process (Initial Level Claims) TN 24 09-14
GN 04440.009 Fraud or Similar Fault (FSF) Procedures for Quality Reviewers TN 26 03-15
GN 04440.010 Certified Electronic Folder (CEF) TN 13 12-10
GN 04440.015 Federal Quality Review (QR) of Certified Electronic Folder (CEF) Cases TN 13 12-10
GN 04440.020 The Scope of Quality Review (QR) for Certified Electronic Folder (CEF) Cases TN 13 12-10
GN 04440.025 Processing Concurrent Claims or Split Samples in Certified Electronic Folder (CEF) Cases TN 13 12-10
GN 04440.030 Cases Involving Special Notice Options (SNO) TN 17 10-11
GN 04440.110 Defining the Probability of Reversal (POR) Rule and Classifying Documentation Deficiencies TN 16 04-11
GN 04440.112 When You Cannot Use the Probability of Reversal (POR) Rule TN 16 04-11
GN 04440.114 Applying the Probability of Reversal (POR) Rule TN 16 04-11
GN 04440.116 Guidelines for Making Probability of Reversal (POR) Determinations TN 16 04-11
GN 04440.118 Substitution of Judgment (SOJ) in the Quality Review (QR) Process TN 16 04-11
GN 04440.119 Determining Whether Substitution of Judgment (SOJ) is at Issue TN 16 04-11
GN 04440.120 Criteria for Classifying Work Activity Documentation Deficiencies TN 16 04-11
GN 04440.123 High- and Low-Impact Grace Periods TN 13 12-10
GN 04440.125 Recording Deficiencies TN 13 12-10
GN 04440.130 Medical Review Policy TN 29 01-17
GN 04440.135 Medical Review Process TN 13 12-10
GN 04440.140 Vocational Review Policies TN 23 09-14
GN 04440.150 Processing Correct Disability Cases TN 21 02-14
CORRECTIVE ACTION - GENERAL
GN 04440.201 General Rules for Routing and Correcting Deficient Cases TN 25 12-14
GN 04440.202 Controlling Deficient Disability Cases TN 21 02-14
GN 04440.203 Second Returns TN 8 06-04
CORRECTIVE ACTION - GROUP I DEFICIENCIES
GN 04440.204 Correcting Group I Deficiencies - General TN 8 06-04
GN 04440.205 Correcting Group I Decisional Deficiencies Involving Onset TN 8 06-04
GN 04440.206 Correcting Group I Medical Documentation Deficiencies Involving Onset – Title II Only Cases TN 8 06-04
GN 04440.207 Correcting Group I Medical Documentation Deficiencies Involving Onset – Concurrent Title II/Title XVI Cases TN 8 06-04
GN 04440.210 Correcting Group I Substantial Gainful Activity (SGA) Decisional Deficiencies TN 8 06-04
GN 04440.211 Correcting Group I Work Activity Procedural Documentation Deficiencies TN 21 02-14
GN 04440.212 Routing Chart -- Group I Work Activity Deficiencies TN 8 06-04
CORRECTIVE ACTION - GROUP II DEFICIENCIES
GN 04440.216 Correcting Group II Deficiencies - General TN 8 06-04
GN 04440.217 Corrections to SSA-831-C3/U3 TN 8 06-04
GN 04440.218 Correcting Group II Cessation Date Deficiencies TN 8 06-04
GN 04440.219 Correcting Group II Ending Date Deficiencies TN 8 06-04
GN 04440.220 Correcting Group II Onset Date Decisional Deficiencies TN 8 06-04
GN 04440.221 Exhibit-Routing Chart of Group II Decisional Deficiencies TN 8 06-04
GN 04440.222 Correcting Group II Onset Date Documentation Deficiencies Pre-Effectuation TN 8 06-04
GN 04440.223 Correcting Group II Onset Date Documentation Deficiencies Post-Effectuation - Title II Only Initial Cases TN 8 06-04
GN 04440.224 Correcting Group II Onset Date Documentation Deficiencies Post-Effectuation - Title II Only Reconsideration Cases TN 8 06-04
GN 04440.225 Correcting Group II Onset Date Documentation Deficiencies Post-Effectuation - Concurrent Title II/Title XVI Cases TN 8 06-04
GN 04440.226 Routing Chart – Group II Onset Date Documentation Deficiencies –Post-Effectuation Correction TN 8 06-04
GN 04440.227 Group II Onset Date Deficiencies Involving A Reopening TN 8 06-04
GN 04440.228 Correcting Group II Work Activity Documentation Deficiencies TN 21 02-14
GN 04440.230 Technical Corrective Actions (TCAs) in General TN 13 12-10
GN 04440.231 12-Month Medical Evidence of Record (MER) Technical Corrective Action (TCA) TN 30 02-18
GN 04440.232 Decision Basis Code Technical Corrective Action (TCA) TN 13 12-10
GN 04440.233 Diary Entry Technical Corrective Action (TCA) TN 19 02-13
GN 04440.234 Medical and Vocational Documentation Technical Corrective Actions (TCAs) TN 13 12-10
GN 04440.235 Correcting Other Technical Corrective Actions (TCAs) TN 21 02-14
GN 04440.236 Notices Requiring a Technical Corrective Action (TCA) TN 17 10-11
GN 04440.237 Determination Forms Technical Corrective Action (TCA) TN 13 12-10
GN 04440.238 Correcting Incorrect or Missing Residual Functional Capacity (RFC) Assessment and Psychiatric Review Technique Forms (PRTF) TN 13 12-10
GN 04440.239 Correcting Cases with Other Missing or Incorrect Forms TN 13 12-10
GN 04440.240 Mental Impairment Case Technical Corrective Action (TCA) TN 13 12-10
GN 04440.241 Correcting Unsigned Consultative Examination (CE) Reports TN 13 12-10
GN 04440.242 Correcting Cases with Essential Evidence that is Missing or Illegible TN 13 12-10
GN 04440.243 Correcting Cases with a Capability Development Technical Corrective Action (TCA) TN 13 12-10
GN 04440.244 Policy Requirements for Assuming Jurisdiction TN 15 02-11
GN 04440.245 Assuming Jurisdiction Overview TN 27 04-15
GN 04440.247 Reviewing Informal Remand Cases TN 15 02-11
GN 04440.250 Reviewing Cases That Have Been Inadvertently Effectuated TN 15 02-11
GN 04440.300 Trailer Material and Update after Transfer (UAT) Alerts TN 15 02-11
GN 04440.310 Disability Hearing Unit (DHU) Jurisdiction Cases TN 15 02-11
GN 04440.320 Policy Issue Referrals TN 15 02-11
GN 04440.401 Resolving Deficiency Disagreements between the Adjudicating and Reviewing Components TN 28 09-16
GN 04440.405 Request for Program Consultation (RPC) Process Description TN 28 09-16
GN 04440.410 The Office of Quality Review (OQR) Rebuttal Process TN 28 09-16
GN 04440.415 Policy Issue Referrals in Rebuttal Cases Using the Office of Quality Review (OQR) Rebuttal Process TN 28 09-16
GN 04440.425 Rescinding or Correcting Deficiencies TN 28 09-16
GN 04440.501 Completion of the SSA-1774-U5, Request for Corrective Action TN 20 04-13
GN 04440.505 Completing the SSA-847-U3, SSA Request for Case Action TN 14 12-10
GN 04440.510 Completing the SSA-5524-U3, Request for Assistance TN 31 04-18
GN 04440.520 Completing the SSA-3023-F3, Medical Consultant's Review of Psychiatric Review Technique Form TN 14 12-10
GN 04440.524 Completing the SSA-392, Medical Consultant's Review of Physical Residual Functional Capacity Assessment TN 14 12-10
GN 04440.525 Completing the SSA-392-SUP, Medical Consultant's Review of Mental Residual Functional Capacity Assessment TN 14 12-10
GN 04440.901 SSA-1774-U5 - Request for Corrective Action TN 6 05-95
GN 04440.905 SSA-1774A-U5 - Continuation - Request for Corrective Action TN 6 05-95
GN 04440.910 SSA-847-U3 - SSA Request for Case Action TN 6 05-95
GN 04440.915 SSA-5524-U3 - Request for Assistance TN 14 12-10
GN 04440.916 Form SSA-1047 (Vocational Consultant Case Analysis) TN 23 09-14
GN 04440.920 Deficiency Return Flag TN 6 05-95
GN 04440.925 SSA-3023 - Medical Consultant's Review of Psychiatric Review Technique Form TN 6 05-95
GN 04440.929 SSA-392 - Medical Consultant’s Review of Physical Residual Functional Capacity Assessment TN 9 03-05
GN 04440.930 SSA-392-SUP - Medical Consultant's Review of Mental Residual Functional Capacity Assessment TN 6 05-95
GN 04440.935 Review and Adjudicating Components TN 14 12-10
GN 04440.936 State-Specific Instructions for Acquiescence Rulings (AR) TN 14 12-10
GN 04440.940 Payment Effectuation Flag TN 8 06-04
GN 04440.941 Chart for Determination Forms Prepared or Corrected in the Review Component TN 14 12-10
GN 04440.945 Definitions of Group I Deficiencies TN 14 12-10
GN 04440.946 Definitions of Group II Deficiencies TN 14 12-10
GN 04440.947 Definitions of Other Technical Corrective Actions (TCA) TN 14 12-10
GN 04440.950 Exhibit of Group I and Group II Deficiency Codes in the Office of Quality Review (OQR) Legacy System TN 14 12-10
GN 04440.951 Exhibit of Other Technical Corrective Action (TCA) Codes in the Office of Quality Review (OQR) Legacy System TN 14 12-10

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http://policy.ssa.gov/poms.nsf/lnx/0204440000
GN 04440.000 - Federal Quality Review of Disability Determinations - Table of Contents - 05/31/2018
Batch run: 05/31/2018
Rev:05/31/2018