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Medical Billing and Coding

Workers' compensation laws protect employers and fellow workers by limiting the award that an injured employee can recover from an employer.

True

The worker must physically be on company property to qualify for workers' compensation.

False

Medical treatment claims are the most difficult to process because they are filed for minor illnesses or injuries.

False

Permanent disability refers to an employee's diminished capacity to return to work.

True

Schedule loss of use (eyesight, hearing, or body part) compensation is a lifetime benefit.

False

According to the law, when a patient requests treatment for a work-related injury or disorder and has signed the first report of injury form, the patient has given consent for the filing of compensation claims and reports.

False

If the employer disputes the legitimacy of the claim, a first report of injury report must be filed anyway.

True

A detailed narrative progress/supplemental report is filed to document any significant change in the worker's medical or disability status.

True

A health information specialist should personally sign the original and all photocopies of progress reports before filing them for the physician

False

The employer must be notified by mail when an injured worker presents for the first visit without a written or personal referral from the employer.

False

OSHA was created to protect employees against injuries from occupational hazards in the workplace.

True

The first report of injury form is completed in triplicate when the patient first seeks treatment.

false

Workers' compensation is not the same program as workmans' compensation.

false

Federal agencies reimburse FECA for workers' compensation expenses through annual premiums charged to workers.

False

A comprehensive record of all vaccinations administered and any accidential exposure incidences must be retained for 30 years.

false

Providers who treat established patients for work-related disorders should create a compensation file separate from the established medical record.

True

Workers' compensation is standardized from state to state.

False

All providers must accept the compensation payment as payment in full.

True

____ and ____ laws require employers to maintain workers' compensation coverage for employees for work-related illnesses and injuries.

Federal, State

What was the previous name for workers' compensation?

Workmans' compensation

Office of Workers' Compensation Programs (OWCP) provides

all of the above

The programs of the OWCP include

both a and c

The Department of Labor manages programs designed to prevent work-related injuries and illnesses, which include

all of the above

The Energy Employees Occupational Illness Compensation Program provides

benefits to employees of the Department of Energy.

____ benefit checks are sent to coal miners who are totally disabled by pneumoconiosis.

Monthly

The Division of Federal Employees' Compensation Act processes

medical expenses and compensation benefits to injured workers and survivors.

Which program covers workers under contract with the U.S. government for defense projects outside the continental United States?

Longshore and Harbor Workers' Compensation Program

The State Insurance Fund is a quasi-public agency that

both a and b

Workers' compensation insurance provides ____ cash payments and reimburses healthcare costs for covered employees who develop a work-related illness or sustain an injury while on the job.

weekly

Self-insurance plans are required to

both a and c

Which of the following is an example of an on-the-job injury?

all of the above

Who is responsible for determining the extent of disability of an employee?

Employee's healthcare provider

How are survivor benefits calculated?

According to the employee's earning capacity at the time of illness or injury

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