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GN 04440: Federal Quality Review of Disability Determinations

Effective Dates: 02/26/2014 - Present

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.

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GN 044: Quality Appraisal
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