RRB15Q0020-PMEC-Attch.1.doc
DOC document 44 KB Posted
- Attached to
- Quality Assurance Review Services. Federal contract opportunity
- Solicitation number
- RRB15Q0020
- Issued by
- Railroad Retirement Board
About this file
Attachment 1
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RRB15Q0020_Attachment_3_LEFT_SIDE_DBD_CASE_-_Sanitized.pdf | ||
| RRB15Q0020_Attachment_1_Physician_Review_Checklist-_updated_4-7-15pdf.pdf | ||
| RRB15Q0020_Attachment_4_RIGHT_SIDE_DBD_CASE_-_Sanitized.pdf | ||
| RRB15Q0020_Amendment_A1.pdf | ||
| RRB15Q0020-RFQ.pdf | ||
| RRB15Q0020-PPQ-Attch-2.docx | DOCX document |
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Text version
Solicitation No. RRB15Q0020
Attachment 1
Physician Material Error Checklist
| The disability determination was correct? |
| Yes |
If yes, please continue to section on onset date.
No
If no, check the reason(s) below to identify material error(s) leading to incorrect determination
Material Error Criteria
| Reference(s) |
| Reviewer Comments |
Medical evidence used as the basis for the decision was not from an accepted medical source (e.g., not from an MD, DO, Optometrist, Licensed Psychologist, Hospital/Clinic, SSA or other Agency
DCM 4.2.1
Medical evidence used as the basis for the decision was not current.
DCM 4.3.1 and DCM 4.10.13
Medical evidence used as the basis for decision did not have objective findings supporting the decision
DCM 4.10.7, DCM 13.5, DCM 13.10
Inconsistencies in the medical evidence warranted development of additional medical evidence from treating sources and/or the ordering of consultative exams or opinions and this was not secured.
DCM 4.11, DCM 13.10
Incorrect determination because the Physical and/or Mental Impairment did not last 12 months or result in death
DCM 13.4
Incorrect determination because the Employee condition was not medically disabling – Did not meet or equal the severity of the Listings
DCM 13.6
The Residual Functional Capacity (RFC) assessment did not support the disability decision
DCM 13.10.1
If the application was for a child benefit, the medical evidence did not establish disability before the age 22.
Onset Material Error
| If the determination was made accurately and a grant, was the onset date correct? |
| Yes |
If yes, were there any compliance handling exceptions? If so, complete compliance section below.
No
If no, check the reason(s) below to identify material error(s) leading to incorrect determination.
The medical evidence in file did not support the onset date that was set.
DCM 3.4.9.2 and DCM 3.4.9.4
File details come from the government source that posted it. Updated .