The scope of the MC/PC review includes assessing impairment severity, the RFC, and
related medical issues listed in GN 04440.130A.3a. The MC/PC review does not include assessing the accuracy of the disability determination.
The MC/PC reviews the adjudicating component's medical assessment of the facts of
the case using the quality review standard in “Quality Review Standard”, GN 04440.007A. The MC/PC review is not a de novo review. See the definition of a “de novo review”
in GN 04440.003D.
During the case review, the regional MC/PC may independently arrive at a different
assessment of impairment severity or RFC than that of the adjudicating component.
However, as long as the adjudicating component’s assessment complies with SSA disability
program policy, and the evidence in file fully supports and documents the assessment,
the regional MC/PC must not substitute his or her judgment.
For a discussion of substitution of judgment, see “Substitution of Judgment (SOJ)
in the Quality Review Process” at GN 04440.118.