GN 04440: Federal Quality Review of Disability Determinations
TN 14 (12-10)
For pre-effectuation review (PER) cases, the only TCA to code is a basis code TCA.
TCAs |
OQR Legacy System Screen |
Field |
OQR Legacy System Code |
12-Month Medical Evidence of Record (MER) |
QA-3 |
MER Evaluation |
4 |
Decision Basis Code |
QA-3 |
Basis Code |
* |
PER-2 |
Basis Code |
* |
|
Medical Documentation |
QA-4 |
Tech Doc Deficiency |
1, 5 |
Vocational Documentation |
QA-4 |
Tech Doc Deficiency |
4, 5 |
* The review component enters the correct basis code in the review component column.