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34 terms

workers comp

STUDY
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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