MIRS/CDR Initiation
MIRS stands for......
What is Medical Improvement Review Standards
What SSA form will adults and children be completing when a CDR is initiated?
What is SSA-454
What form do you complete in the "FOFAE" section of the claims analysis with CDR claims?
What is a side-by-side
What is Quick Links in DCPS or eView in upper right corner.
Training Supervisor
Who is Nathan Parliament
List at least 2 Group II Exceptions
What is Fraud or Similar Fault, Failure to Cooperate, Whereabouts unknown, and Failure to follow prescribed Treatment.
What is the PTA for a CDR claim?
What is 12 months prior to completion of the 454.
True or False: A 416 is used to document for no MI?
What is true
True or False: IMAGEN supports all claim types
What is True
Name the 3 Regional Supervisors
Who is Shannon Kelly, Janet Short, and Mary Long
What is Impairments of the CPD Allowance
What type of Query is usually run to see if a claimant is in pay status?
What is DIBWIZ
True or False: For MI we only use a 416 to document CPD impairments and ALL current impairments?
False
What are the 5 Bookmarking Colors in IMAGEN?
What is red, green, blue, pink, and orange
Name the departments underneath Sarah Merritt
What is training, quality, vocational, psych/med staff.
How does the FO know when it's time for a CDR? (Name one)
Medical review diary, current evidence required, TWP, Earning record postings, voluntary reports, Voc rehab notification, report from someone in a position to know, additional evidence received, vocational diary, EPE...
True or False: An SSA form for an age 18 redetermination is a 3368?
True
True or False: We run a final Query before closing a claim?
What is true
Name 2 of the bookmarking categories
What is labs/imaging, mental, physical, mental/physical, and work/voc
How many Lead Workers are there?
What is 24
What are EXR CDRs?
EXR are beneficiaries that may become eligible if, within 60 months of termination, their medical condition prevents them from performing SGA.
True or False: As MDI has already been established, current medical evidence from an AMS is not always necessary in CDR cases?
True
What is the correct date for FTC cessation?
The month/year in which the claimant first failed to take needed action.
IMAGEN stands for
Intelligent Medical-language Analysis GENeration
How many departments make up the DDB?
What is 14 departments: Admin (Admin/senior staff), Operations, Admin services (PRD and PSD/DHU), Quality services department (CDI, Med/voc, MD, psych, SLP, Quality, and training), and Systems.