medical billing lesson 7: Workers comp

Under State and Federal Workers' Compensation Laws, employees are required to purchase insurance to provide benefits if they suffer work-related injuries or illnesses.

false

Workers' compensation benefits are subject to income tax.

false

Workers' compensation laws are the same in all states.

false

The statutes for workers' compensation laws fall under

federal and state compensation laws.

When billing workers' compensation for a truck driver who was injured outside of the state they are employed in, you should

follow the rules of the state in which the claim was originally filed.

Rehabilitation in the form of retraining, education, and job guidance and placement to assist an injured individual in finding work is called _______ rehabilitation.

vocational

A form of self-insurance designed to serve a small manufacturing company is known as ______ insurance.

Captive

OSHA stands for

Occupational Safety and Health Administration.

Which is the correct procedure for keeping an industrial patient's financial and health records when the same physician is also seeing the patient as a private patient?

Which is the correct procedure for keeping an industrial patient's financial and health records when the same physician is also seeing the patient as a private patient?

Workers' compensation benefits include

a.medical care. b.disability income. c.death benefits. d.all are correct. all are correct

Captive insurance is a form of self-insurance designed to serve

a.smaller companies. b.mid-size companies. c.large companies. d.a and b. Correct e.b and c. correct answer : d. a &b

Final determination involving settlement of an industrial accident is known as

adjudication

In most states children who are injured on the job are

are provided additional workers' compensation protection over and above the standard benefits paid to adults.

State compensation laws that require each employer to accept its provisions and provide for specified benefits are

compulsory laws

A proceeding in which an attorney asks a witness questions regarding a case and the witness answers under oath but not in open court is known as a/an

deposition

Premiums for workers' compensation insurance are paid by the

employer

One function of the second-injury fund is to

encourage hiring of the physically disabled.

A/An _________ evaluation of the worksite may be performed, and modifications may be instituted to lessen the possibility of future injury.

ergonomic

A medical evaluator is an employee of the federal government who examines an individual, independent from the attending physician and renders an unbiased opinion about the degree of disability of an injured worker.

false

A narrative industrial medical report should include only objective findings and not subjective factors.

false

All state workers' compensation laws are compulsory.

false

Claims for coal miners who receive medical treatment for lung diseases related to pneumoconiosis are filed under the Coal Miners Benefit Act.

false

A/An _______ expresses legal claim on the property of another for the payment of a debt.

lien

The form that contains authorization for the physician to treat the injured employee is the

medical service order

The simplest type of workers' compensation claim is

non-disability

The three types of disability claims are Answer

non-disability; temporary disability; permanent disability

An abnormal condition caused by exposure to environmental factors associated with employment is termed a/an

occupational illness

Any abnormal condition or disorder caused by exposure to environmental factors associated with employment, including acute and chronic illnesses or diseases that may be caused by inhalation, absorption, ingestion, or direct contact, is referred to as a/an

occupational illness

Employees who work for federal agencies are covered by federal workers' compensation laws administered through the

owcp

ERISA is a federal law which sets minimum requirements for workers' compensation and governs

self-insured employers

Videotapes made of the patient without his or her knowledge to document the extent of the patient's permanent disability are called

sub rosa films

A _________ report is sent to the insurance carrier after 2-4 weeks of treatment to give information on the current status of the patient.

supplemental

If a worker has a work-related injury or illness and is unable to perform the duties of his or her occupation for 2 months and then returns to modified work for 1 month before returning to full work, the claim is referred to as a

temporary disability claim

A date of injury is a requirement for all workers' compensation insurance claims.

true

Chiropractic care is a medical benefit offered with state workers' compensation.

true

Employers with sufficient capital can save money by self-insuring employees for work-related injuries by setting aside a state-mandated percentage of funding to cover medical expenses, wage compensation, death benefits, and other benefits related to work injuries.

true

If a patient is treated by her regular physician for a work-related injury, a separate health record and financial record should be set up for the work-related injury.

true

If a physician is subpoenaed to give medical testimony in a workers' compensation case, he or she must appear in court.

true

If an individual is asked by her employer to go to the bank to deposit company money and she is injured when another automobile rear-ended her at the drive up window. Related medical services for the injury will be covered under workers' compensation insurance.

true

Some states have adopted laws authorizing employers to contract with managed care programs to insure their workers against work-related accidents and illnesses.

true