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33 terms

Module 14

Medical Billing and Coding
STUDY
PLAY
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