BASIC (10-09)

DI 30001.205 Quality assurance unit (QAU) High-Risk Case Reviews

In addition to an ongoing random review of all cases, the QAU should review a separate sample of high-risk cases.

A. Definition of a high risk case

High-risk cases are error-prone cases that may involve a particular body system, impairment, workload, development practice, or newly implemented SSA policy. These are just some examples. The DDS Administrator has the flexibility to expand on this definition to meet specific needs.

B. Reviewing a high risk case for QA

1. Identification

Identify high-risk cases through:

  • analysis of sample case reviews;

  • headquarters and regional office feedback; and,

  • supervisory and management input

2. Selection

High-risk cases are selected through special sampling.

3. Handling data

Keep the results of special studies and analysis separate from the routine QA sample.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0430001205
DI 30001.205 - Quality assurance unit (QAU) High-Risk Case Reviews - 10/23/2009
Batch run: 10/23/2009
Rev:10/23/2009