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Aspects of Disability Decision Making: Data and Materials

Aspects of Disability Decision Making: Data and Materials

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DISABILITY SERVICE IMPROVEMENT iii,ivImplemented in Boston Region only: August 2006 – May 2008eDIB fullyimplementednationwideQuick <strong>Disability</strong><strong>Decision</strong> (QDD)eCat early releases;Case explanationtemplatesFederalExpert UnitVirtual QA SystemFederal reviewing<strong>of</strong>ficerNo reconsiderationALJ Hearing75-day notice <strong>of</strong> hearing5 day rule to submitevidence before the hearingClose record after ALJ hearingDISABILITY INITIATIVESv, viPilots <strong>and</strong> phased national implementation: September 2007 – presentiClaim-Online DI report<strong>Disability</strong> DirectQDD <strong>and</strong>CompassionateAllowanceseCat refined <strong>and</strong>roll-out begunElectronic Records Express; Health ITDDS ExtendedService TeamsPilot: reconsiderationreinstatementSenior attorney programVirtual screening units ALJ Hearing –Appeals Council ReviewsNational case processing centers;National Hearing Centers<strong>Disability</strong> Case ProcessingSystem (under development)Request for Program Consultation(process unification)National roll-out: Virtual quality reviewQuality Review <strong>of</strong>unfavorable hearingsiiiIntended to be phased in; prototype still running; Single <strong>Decision</strong> Maker not in DSI.ivUnder DSI, the eDib project was accelerated, becoming AeDib. This included the creation <strong>of</strong> the electronic folder <strong>and</strong> the ability to move workloads around electronically. The Federal Expert Unit (a centralizedconsultant unit <strong>of</strong> medical <strong>and</strong> vocational experts) would benefit from this because staff would be able to review <strong>and</strong> advise on claims from anywhere in the country. Similarly, the virtual qualityreview system was intended to distribute case quality reviews nationwide.vPrototype process still in place. Initiatives displayed reflect enhancements to “normal” case processing.vi5-day rule was intended to require that all medical evidence be submitted to the ALJ at least 5 days before the hearing. In January 2008, a Notice <strong>of</strong> Proposed Rulemaking suspended this <strong>and</strong> the proposalto close the record.105 <strong>Aspects</strong> <strong>of</strong> <strong>Disability</strong> <strong>Decision</strong> <strong>Making</strong>: <strong>Data</strong> <strong>and</strong> <strong>Materials</strong>

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