One of the principles of QR is that Federal quality reviewers, Federal MCs, and Federal
psychological consultants (PC) must not substitute their judgment for that of the
adjudicating component’s MCs, PCs, and DEs. Federal MCs, PCs, and Federal quality reviewers must be aware of the SOJ concept. MCs and PCs must be
aware of SOJ as a review principle to ensure they do not perform a de novo case review.
For a description of medical consultation review, see GN 04440.130B.
Quality reviewers must be aware of SOJ as a review principle in their decisional deficiency
If the adjudicator fully documented the case, the adjudicator's assessment complies
with SSA policy, and the evidence in file supports it, the QR does not cite a decisional
deficiency even though the reviewer may have arrived at a different, equally supportable
For a complete explanation of SOJ, see GN 04440.118 - GN 04440.119.