workers comp

34 terms by mbctestdee 

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T/F Disability income policies do not provide medical expense benefits

True

T/F problem-focused exam is more complex than a detailed exam

False

T/F consultation may take place in a home, office, or extended care facility

True

T/F A referral is the same as a consultation

False

T/F when the physician provides critical care in the hospital emergency dept. it is billed as emergency care.

True

T/F In an industrial case, the M.D.'s office may collect from the patient all amounts not covered by the workers comp. fee schedule

False

disabilty income is available from:

private insurance companies, employer-sponsored plans & government funded programs

when an illness or injury prevents an insured person from performing one or more of the functions of their regular job, the disability is called

residual and partial disability

provisions written into the insurance contract denying coverage or limiting the scope of coverage are called:

eclusions

in 1956 congress established a program under title II of the social security act for long-term disability knonw as:

Social security disabilty insurance

the chronologic recording of pertinent facts and observations about the patient's health is known as:

Documentation and charting

The SOAP in patient record charting may be defined as:

Subjective, Objective, Assessment, and Plan

when a patient fails to return for needed treatment, documentation should be made:

in the chart, formal letter of termination and ledger

how should an entry in a patient's medical record be corrected?

mark it with a single-line; write correct information, then date and initial entry

Official American Hospital Association policy states that abbreviations should be totally eliminated from the more vital sections of the record, such as the:

final diagnosis, operative notes, discharge summaries, & description of special procedure

A diseased condition or state is known as:

Morbitity

in dealing with manage care plans, a referral is:

used when requesting an authorization for pt to receive services elsewhere & total care transfer from one Dr. to another

Your M.D. has been to the hospital providing constant bedside attention and treating a patient in respiratory failure. These services are considered:

critical care

when a discussion take place with a patient, family, or both concerning the risks and benefits of treatment options, it is considered:

counseling

which of the following cases should NOT use fax transmission unless absolutely necessary:

not used for routine transmission of pt info, documents containing STD, drug/alcohol treatment, HIV status

the statues of workers' comp. laws fall under:

state and feceral laws

the reason for workers' comp is:

all the above

state compensation benefits include:

medical care, disability, and death benefits

OSHA stands for:

Occupational Safety and Health Administration

a proceeding in whivh an attorney ask a witness questions regarding a case and the witness answers under oath but not in open court is known as a/an:

deposition

in a workers' comp. case, the contract and financial responsibilty exist between the:

physician and insuracne company

a writ requiring the appearance of a witness at a trial or other proceeding is known as a/an:

subpoena

an external audit is conducted by:

medicare representative/insurance carrier

the type of internal review conducted before billing is submitted is called:

prospective review

a physician wishing to adapt to standardized documentation guidelines may choose between:

1995 & 1997

the second-injury fund was designed to:

meet problems arising when an employee has a pre-existing injury or condition & is subsequently injured at work. and to encourage hiring of physically handicapped

which of the following would qualify as an occupational illness or disease:

asbestosis, carpal tunnel syndrome; loss of hearing, all of the above

the Longshoremen's and Harbor Worker's Compensation Act provides benefitss to:

private or public employees engaged in maritime work nationwide

Vocational rehabilitation may include:

retraining, education, job guidance, & placement to assist an injured individual in finding work; all the above

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