Effective Dates: 8/28/2025 - Present

Identification Number:
GN 04442 TN 2
Intended Audience:See Transmittal Sheet
Originating Office:OARO Office of Quality Review
Title:The Quality Assurance Review of Railroad Disability Claims
Type:POMS Full Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM

Part GN – General

Chapter 044 – Quality Appraisal

Subchapter 42 – The Quality Assurance Review of Railroad Disability Claims

Transmittal No. 2, 08/28/2025

Audience

GLPSC/DRS: DE, RECONE;

Originating Component

OQR

Effective Date

Upon Receipt

Background

Quality Review is streamlining its references through reorganization and by archiving content that is redundant or obsolete. This process requires archiving all GN 04400.000 sections and subchapters. The Quality Review manual contains all relevant quality review instructions and references under QR 04400.000.

Summary of Changes

GN 04442.001 Overview-Background of Quality Assurance Review of Railroad Disability Claims

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GN 04442.005 Purpose and Scope of Quality Assurance Review of Railroad Disability Claims

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GN 04442.010 Quality Assurance Review of Railroad Disability Claims Flow

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GN 04442.100 Determining Accuracy - Operating Policy

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GN 04442.105 Classifying Deficiencies - Operating Policy

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GN 04442.110 Medical Review Policy

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GN 04442.115 Sample Universe and Exclusions

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GN 04442.200 Quality Review Policy Basic Approach - Operating Policy

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GN 04442.205 Screening Sample Claims—Quality Review Policy

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GN 04442.210 Quality Review Sequence

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GN 04442.215 Correcting Deficient Railroad Disability Determinations

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GN 04442.220 Reviewing the Results of Corrective Action

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GN 04442.300 Assembly and Dispatch for Review Component

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GN 04442.700 Overview of Rebuttal Procedure—QA Review of Railroad Disability Claims

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GN 04442.705 First Level Rebuttal - Initial, Reconsideration, and Continuing Disability Review Claims

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GN 04442.710 Second Level Rebuttal - Initial, Reconsideration, and Continuing Disability Review Claims

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GN 04442.800 Data Verification Form - Procedure

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GN 04442.805 Federal Review Results Form - Procedure

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GN 04442.900 Railroad Disability Sample Case Flag (SSA-1146) - Exhibit

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GN 04442 TN 2 - The Quality Assurance Review of Railroad Disability Claims - 8/28/2025