Question 1

Who funds the worker's compensation insurance?

Accepted Answer

A)  a federal compensation board/commission 
B)  the state funds 
C)  the employer only 
D)  the employer and the employee share the cost 
A)  a federal compensation board/commission 
B)  the state funds 
C)  the employer only 
D)  the employer and the employee share the cost C

Question 2

What reimbursement does the physician of record receive when treating a patient that is a federal worker injured on the job?

Accepted Answer

A)  federal employees compensation fee schedule 
B)  worker's compensation fee schedule 
C)  Medicaid fee schedule 
D)  Medicare fee schedule 
A)  federal employees compensation fee schedule 
B)  worker's compensation fee schedule 
C)  Medicaid fee schedule 
D)  Medicare fee schedule D

Question 3

The Energy Employees Occupational Illness Compensation Program is part of which program?

Accepted Answer

A)  OWCP 
B)  Federal Employee's Compensation Program 
C)  SSI 
D)  Federal Black Lung Program 
A)  OWCP 
B)  Federal Employee's Compensation Program 
C)  SSI 
D)  Federal Black Lung Program A

Question 4

If an employee does not see a physician requested by the managed care organization, what may occur?

Accepted Answer

A)  the patient may be terminated from employment 
B)  lost wages reimbursement will need to be paid back 
C)  the private insurance plan must grant benefits 
D)  benefits may not be granted 
A)  the patient may be terminated from employment 
B)  lost wages reimbursement will need to be paid back 
C)  the private insurance plan must grant benefits 
D)  benefits may not be granted

Question 5

What is different from worker's compensation claims as opposed to regular claims?

Accepted Answer

A)  nothing is different 
B)  must be on a paper claim 
C)  must be sent electronically 
D)  not required to use ICD-10-CM 
A)  nothing is different 
B)  must be on a paper claim 
C)  must be sent electronically 
D)  not required to use ICD-10-CM

Question 6

An injury caused by the work environment over a long period of time is an

Accepted Answer

A)  occupational disease/illness 
B)  non-traumatic injury 
C)  traumatic injury 
D)  both occupational disease/illness and non-traumatic injury 
A)  occupational disease/illness 
B)  non-traumatic injury 
C)  traumatic injury 
D)  both occupational disease/illness and non-traumatic injury

Question 7

Who pays the remainder of the medical expenses beyond the allowed charge?

Accepted Answer

A)  patient may not be billed for excess charges 
B)  employee's private insurance 
C)  workers' compensation 
D)  federal funds 
A)  patient may not be billed for excess charges 
B)  employee's private insurance 
C)  workers' compensation 
D)  federal funds

Question 8

What is different from worker's compensation claims as opposed to regular claims?

Accepted Answer

A)  nothing is different 
B)  must be on a paper claim 
C)  must be sent electronically 
D)  not required to use HIPAA transactions and code sets 
A)  nothing is different 
B)  must be on a paper claim 
C)  must be sent electronically 
D)  not required to use HIPAA transactions and code sets

Question 9

How do states determine wage loss benefits?

Accepted Answer

A)  an average of salary for a certain amount of time 
B)  two-thirds of their salary 
C)  different methods 
D)  it is the same as their salary 
A)  an average of salary for a certain amount of time 
B)  two-thirds of their salary 
C)  different methods 
D)  it is the same as their salary

Question 10

Workers' compensation programs are administered by

Accepted Answer

A)  state compensation boards 
B)  state compensation centers 
C)  city governments 
D)  both state compensation boards and city governments 
A)  state compensation boards 
B)  state compensation centers 
C)  city governments 
D)  both state compensation boards and city governments

Question 11

What is required on the billing forms?

Accepted Answer

A)  patient's signature 
B)  injury case record number 
C)  claim number 
D)  progress notes 
A)  patient's signature 
B)  injury case record number 
C)  claim number 
D)  progress notes

Question 12

Which is not considered an occupational illness/disease?

Accepted Answer

A)  lung disorders 
B)  carpal tunnel syndrome 
C)  hearing loss 
D)  amputation 
A)  lung disorders 
B)  carpal tunnel syndrome 
C)  hearing loss 
D)  amputation

Question 13

What are written, legal claims on property to secure the payment of a debt?

Accepted Answer

A)  lien 
B)  liability 
C)  health insurance policy 
D)  automobile insurance policy 
A)  lien 
B)  liability 
C)  health insurance policy 
D)  automobile insurance policy

Question 14

The Office of Worker's Compensation Programs (OWCP) is a part of the U.S. Department of

Accepted Answer

A)  Defense 
B)  Labor 
C)  Health 
D)  Commerce 
A)  Defense 
B)  Labor 
C)  Health 
D)  Commerce

Question 15

In workers' compensation cases, what contains the provider's statement that a person is fit to return to work?

Accepted Answer

A)  first report of injury or illness 
B)  supplemental report 
C)  final report 
D)  none of these 
A)  first report of injury or illness 
B)  supplemental report 
C)  final report 
D)  none of these

Question 16

Which program provides benefits to individuals working in coal mines?

Accepted Answer

A)  TANF 
B)  Federal Black Lung Program 
C)  SSI 
D)  SSDI 
A)  TANF 
B)  Federal Black Lung Program 
C)  SSI 
D)  SSDI

Question 17

Who is allowed access to workers' compensation protected health information?

Accepted Answer

A)  only the physician 
B)  claims adjusters 
C)  employers 
D)  physician, claims adjusters, and employers 
A)  only the physician 
B)  claims adjusters 
C)  employers 
D)  physician, claims adjusters, and employers

Question 18

In workers' compensation cases, what should the physician file to explain changes in the patient's status?

Accepted Answer

A)  first report of injury or illness 
B)  progress report 
C)  final report 
D)  final statement 
A)  first report of injury or illness 
B)  progress report 
C)  final report 
D)  final statement

Question 19

In workers' compensation cases, patients' records are kept

Accepted Answer

A)  together with their regular charts 
B)  in a separate file 
C)  either together with their regular charts or in a separate file 
D)  neither together with their regular charts nor in a separate file 
A)  together with their regular charts 
B)  in a separate file 
C)  either together with their regular charts or in a separate file 
D)  neither together with their regular charts nor in a separate file

Question 20

A physician's first report of injury or illness would not include information about

Accepted Answer

A)  the dates of examination and treatment 
B)  clinical treatment 
C)  the diagnosis 
D)  all of these must be included 
A)  the dates of examination and treatment 
B)  clinical treatment 
C)  the diagnosis 
D)  all of these must be included

Who funds the worker's compensation insurance?

What reimbursement does the physician of record receive when treating a patient that is a federal worker injured on the job?

The Energy Employees Occupational Illness Compensation Program is part of which program?

If an employee does not see a physician requested by the managed care organization, what may occur?

What is different from worker's compensation claims as opposed to regular claims?

An injury caused by the work environment over a long period of time is an

Who pays the remainder of the medical expenses beyond the allowed charge?

What is different from worker's compensation claims as opposed to regular claims?

How do states determine wage loss benefits?

Workers' compensation programs are administered by

What is required on the billing forms?

Which is not considered an occupational illness/disease?

What are written, legal claims on property to secure the payment of a debt?

The Office of Worker's Compensation Programs (OWCP) is a part of the U.S. Department of

In workers' compensation cases, what contains the provider's statement that a person is fit to return to work?

Which program provides benefits to individuals working in coal mines?

Who is allowed access to workers' compensation protected health information?

In workers' compensation cases, what should the physician file to explain changes in the patient's status?

In workers' compensation cases, patients' records are kept

A physician's first report of injury or illness would not include information about

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payers/Blue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Claim Processing, Payments, and Collections

Hospital Insurance

Filters

Exam 12: Workers Compensation and Automobile/Disability Insurance

Who funds the worker's compensation insurance?

What reimbursement does the physician of record receive when treating a patient that is a federal worker injured on the job?

The Energy Employees Occupational Illness Compensation Program is part of which program?

If an employee does not see a physician requested by the managed care organization, what may occur?

What is different from worker's compensation claims as opposed to regular claims?

An injury caused by the work environment over a long period of time is an

Who pays the remainder of the medical expenses beyond the allowed charge?

What is different from worker's compensation claims as opposed to regular claims?

How do states determine wage loss benefits?

Workers' compensation programs are administered by

What is required on the billing forms?

Which is not considered an occupational illness/disease?

What are written, legal claims on property to secure the payment of a debt?

The Office of Worker's Compensation Programs (OWCP) is a part of the U.S. Department of

In workers' compensation cases, what contains the provider's statement that a person is fit to return to work?

Which program provides benefits to individuals working in coal mines?

Who is allowed access to workers' compensation protected health information?

In workers' compensation cases, what should the physician file to explain changes in the patient's status?

In workers' compensation cases, patients' records are kept

A physician's first report of injury or illness would not include information about

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payers/Blue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Claim Processing, Payments, and Collections

Hospital Insurance

Filters