Friday, February 13, 2026

QR Increases on Approvals

It is no coincidence that all of our cases approved by the State agency at the initial and reconsideration levers are being reviewed by the Federal government's Quality Review ("QR") unit. The QR process process is supposed to select State agency decisions at random.  However, the QR unit only pulls approved cases to evaluate.  In most instances, the approvals are confirmed. 

For decades, only one or two of our cases annually would be selected for QR, and rarely overturned. We spoke to a State agency analyst who verified that almost every approved claim is currently being pulled for further examination. This new policy is counterproductive to efforts to reduce costs and spending.  Overturning approvals makes it harder for disabled people, who cannot work due to medical conditions, to receive Social Security Disability benefits. This alarming treatment of individuals with disabilities is deeply concerning.

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