Question 1

Which of the following demonstrates a repetitive stress injury?

Accepted Answer

A)  carpal tunnel 
B)  heat exhaustion 
C)  slip and fall 
D)  one that results in death 
A)  carpal tunnel 
B)  heat exhaustion 
C)  slip and fall 
D)  one that results in death A

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

Which type of coverage covers damages to the policyholder's vehicle that do not involve a collision with another car?

Accepted Answer

A)  comprehensive 
B)  collision 
C)  liability 
D)  personal injury protection 
A)  comprehensive 
B)  collision 
C)  liability 
D)  personal injury protection A

Question 4

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 5

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 6

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 7

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 8

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 9

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 10

Workers' compensation insurance covers:

Accepted Answer

A)  lost wages 
B)  vocational rehabilitation 
C)  neither lost wages nor vocational rehabilitation 
D)  both lost wages and vocational rehabilitation 
A)  lost wages 
B)  vocational rehabilitation 
C)  neither lost wages nor vocational rehabilitation 
D)  both lost wages and vocational rehabilitation

Question 11

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 12

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

Question 13

Compensation for work-related illnesses and injuries may come from which of these occurrences?

Accepted Answer

A)  tax expenses 
B)  time and travel 
C)  vocational rehabilitation 
D)  tax expenses, time, and travel 
A)  tax expenses 
B)  time and travel 
C)  vocational rehabilitation 
D)  tax expenses, time, and travel

Question 14

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 15

Which of the following is true regarding workers' compensation claims and HIPAA?

Accepted Answer

A)  nothing is different 
B)  the patient's authorization is needed to exchange health information 
C)  must use HIPAA transactions and code sets 
D)  it does not adhere to HIPAA code sets regulation 
A)  nothing is different 
B)  the patient's authorization is needed to exchange health information 
C)  must use HIPAA transactions and code sets 
D)  it does not adhere to HIPAA code sets regulation

Question 16

Which program covers an employee at a military base, whose primary responsibility was to construct atomic bombs?

Accepted Answer

A)  LongShore and Harbor Workers' Compensation Program 
B)  Energy Employees Occupational Illness Compensation Program 
C)  Federal Employee's Compensation Program 
D)  Federal Black Lung Program 
A)  LongShore and Harbor Workers' Compensation Program 
B)  Energy Employees Occupational Illness Compensation Program 
C)  Federal Employee's Compensation Program 
D)  Federal Black Lung Program

Question 17

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 18

The report for a disability claim should include which of the following?

Accepted Answer

A)  pain scale 
B)  expected duration of disability 
C)  treatment 
D)  statistical information 
A)  pain scale 
B)  expected duration of disability 
C)  treatment 
D)  statistical information

Question 19

In workers' compensation cases, what states the employer's name/address, employee's supervisor, date and time of the accident, and the patient's description of events?

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 20

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

Which of the following demonstrates a repetitive stress injury?

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

Which type of coverage covers damages to the policyholder's vehicle that do not involve a collision with another car?

What is required on the billing forms?

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

In workers' compensation cases, patients' records are kept

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

Workers' compensation programs are administered by

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

Workers' compensation insurance covers:

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

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

Compensation for work-related illnesses and injuries may come from which of these occurrences?

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

Which of the following is true regarding workers' compensation claims and HIPAA?

Which program covers an employee at a military base, whose primary responsibility was to construct atomic bombs?

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

The report for a disability claim should include which of the following?

In workers' compensation cases, what states the employer's name/address, employee's supervisor, date and time of the accident, and the patient's description of events?

How do states determine wage loss benefits?

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 Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Claim Processing, Payments, and Collections

Hospital Insurance

Filters

Exam 12: Workers Compensation and Automobiledisability Insurance

Which of the following demonstrates a repetitive stress injury?

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

Which type of coverage covers damages to the policyholder's vehicle that do not involve a collision with another car?

What is required on the billing forms?

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

In workers' compensation cases, patients' records are kept

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

Workers' compensation programs are administered by

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

Workers' compensation insurance covers:

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

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

Compensation for work-related illnesses and injuries may come from which of these occurrences?

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

Which of the following is true regarding workers' compensation claims and HIPAA?

Which program covers an employee at a military base, whose primary responsibility was to construct atomic bombs?

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

The report for a disability claim should include which of the following?

In workers' compensation cases, what states the employer's name/address, employee's supervisor, date and time of the accident, and the patient's description of events?

How do states determine wage loss benefits?

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 Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Claim Processing, Payments, and Collections

Hospital Insurance

Filters