Question 1

List the five categories of work-related injuries.

Accepted Answer

The five categories are injury

Question 2

Match the following
-Billing by a provider for a more expensive service than the one performed

Accepted Answer

A)  The Energy Employees Occupational Illness Compensation Program Act 
B)  internal fraud 
C)  unbundling 
D)  underutilization 
E)  fraud indicator
F) overutilization
G) Occupational Safety and Health Act
H) kickbacks
I) Social Security Disability Insurance
J) upcoding 
A)  The Energy Employees Occupational Illness Compensation Program Act 
B)  internal fraud 
C)  unbundling 
D)  underutilization 
E)  fraud indicator
F) overutilization
G) Occupational Safety and Health Act
H) kickbacks
I) Social Security Disability Insurance
J) upcoding

Question 3

If a workers' compensation claim is denied, the injured worker or provider can request a review by:

Accepted Answer

A)  the state workers' compensation insurance fund. 
B)  the state insurance commissioner. 
C)  a medical examination review committee. 
D)  an independent review organization. 
A)  the state workers' compensation insurance fund. 
B)  the state insurance commissioner. 
C)  a medical examination review committee. 
D)  an independent review organization.

Question 4

Medical benefits for an injured worker begin:

Accepted Answer

A)  immediately and end 1 year after the date of the injury. 
B)  immediately and have no specific time limit. 
C)  after a 3-day waiting period and end 1 year after the date of the injury. 
D)  after a 3-day waiting period and have no specific time limit. 
A)  immediately and end 1 year after the date of the injury. 
B)  immediately and have no specific time limit. 
C)  after a 3-day waiting period and end 1 year after the date of the injury. 
D)  after a 3-day waiting period and have no specific time limit.

Question 5

If a worker failed to obey safety procedures and was injured on the job, he or she would be eligible for workers' compensation.

Accepted Answer

A) True 
 B)False

Question 6

Match the following
-Providers collude with the insurance company to defraud the employer

Accepted Answer

A)  The Energy Employees Occupational Illness Compensation Program Act 
B)  internal fraud 
C)  unbundling 
D)  underutilization 
E)  fraud indicator
F) overutilization
G) Occupational Safety and Health Act
H) kickbacks
I) Social Security Disability Insurance
J) upcoding 
A)  The Energy Employees Occupational Illness Compensation Program Act 
B)  internal fraud 
C)  unbundling 
D)  underutilization 
E)  fraud indicator
F) overutilization
G) Occupational Safety and Health Act
H) kickbacks
I) Social Security Disability Insurance
J) upcoding

Question 7

The four types of workers' compensation benefits are:

Accepted Answer

A)  medical, disability, health, and death. 
B)  medical, income, disability, and death. 
C)  medical, income, death, and burial. 
D)  disability, suffering, death, and burial. 
A)  medical, disability, health, and death. 
B)  medical, income, disability, and death. 
C)  medical, income, death, and burial. 
D)  disability, suffering, death, and burial.

Question 8

Match the following
-Law that provides the government with the authority to set and enforce safety and health standards for employers

Accepted Answer

A)  The Energy Employees Occupational Illness Compensation Program Act 
B)  internal fraud 
C)  unbundling 
D)  underutilization 
E)  fraud indicator
F) overutilization
G) Occupational Safety and Health Act
H) kickbacks
I) Social Security Disability Insurance
J) upcoding 
A)  The Energy Employees Occupational Illness Compensation Program Act 
B)  internal fraud 
C)  unbundling 
D)  underutilization 
E)  fraud indicator
F) overutilization
G) Occupational Safety and Health Act
H) kickbacks
I) Social Security Disability Insurance
J) upcoding

Question 9

Legislation that provides workers' compensation benefits to civilian employees of the United States government is the:

Accepted Answer

A)  Federal Health and Safety Act (FHS
A) . 
B)  Federal Employees' Compensation Act (FEC
A) . 
C)  Occupational Safety and Health Act (OSH
A) . 
D)  Employees Occupational Illness Compensation Program Act (EOICP
A) . 
A)  Federal Health and Safety Act (FHS
A) . 
B)  Federal Employees' Compensation Act (FEC
A) . 
C)  Occupational Safety and Health Act (OSH
A) . 
D)  Employees Occupational Illness Compensation Program Act (EOICP
A) .

Question 10

A workers' compensation claim will be paid by the carrier even if no case number is assigned.

Accepted Answer

A) True 
 B)False

Question 11

An injured worker may get temporary income benefits if the injury or illness causes the worker to lose some or all income.

Accepted Answer

A) True 
 B)False

Question 12

Medical benefits for a workers' compensation claim begin ________.

Accepted Answer

The answer of Medical benefits for a workers' compensation claim...

Question 13

The earliest point in time that an injured worker's injury or illness has improved as much as it is likely to improve is called the:

Accepted Answer

A)  maximum healing rating. 
B)  maximum medical improvement. 
C)  medical improvement status report. 
D)  medical progress report. 
A)  maximum healing rating. 
B)  maximum medical improvement. 
C)  medical improvement status report. 
D)  medical progress report.

Question 14

If the workers' compensation insurance requires preauthorization for certain services, the preauthorization must be obtained before services are rendered; this does NOT apply if the services were provided in an emergency situation.

Accepted Answer

A) True 
 B)False

Question 15

An independent review is not available in all the following circumstances EXCEPT:

Accepted Answer

A)  The employer's WC healthcare plan refuses to pay for a service the plan does not cover. 
B)  The employer's healthcare plan is not subject to the law related to the independent review organization (IRO) process. 
C)  The plan determines that the treatment was not medically necessary after treatment was received. 
D)  The employer's plan or its utilization review agent (UR
A)  determines that an ongoing treatment is medically unnecessary. 
A)  The employer's WC healthcare plan refuses to pay for a service the plan does not cover. 
B)  The employer's healthcare plan is not subject to the law related to the independent review organization (IRO) process. 
C)  The plan determines that the treatment was not medically necessary after treatment was received. 
D)  The employer's plan or its utilization review agent (UR
A)  determines that an ongoing treatment is medically unnecessary.

Question 16

When the workers' compensation policy is NOT a managed care plan, fees for services are based on:

Accepted Answer

A)  capitation rates. 
B)  charge-based fees. 
C)  the Medicare Fee Schedule. 
D)  usual and customary charges. 
A)  capitation rates. 
B)  charge-based fees. 
C)  the Medicare Fee Schedule. 
D)  usual and customary charges.

Question 17

The healthcare plan or the URA must give the injured worker the independent review request form again after denying an appeal.

Accepted Answer

A) True 
 B)False

Question 18

The report that affirms that a worker has been released from medical treatment and is fit to return to work and resume normal job responsibilities is the:

Accepted Answer

A)  interim report. 
B)  status report. 
C)  final report. 
D)  rehabilitation report. 
A)  interim report. 
B)  status report. 
C)  final report. 
D)  rehabilitation report.

Question 19

An employee who is injured on the job, requires treatment, and is able to return to work after retraining is categorized as having an injury:

Accepted Answer

A)  without disability. 
B)  with temporary disability. 
C)  with permanent disability. 
D)  requiring vocational rehabilitation. 
A)  without disability. 
B)  with temporary disability. 
C)  with permanent disability. 
D)  requiring vocational rehabilitation.

Question 20

What are the three primary rights of a worker injured on the job or suffering from a job-related illness?

Accepted Answer

The three primary rights are the right t

List the five categories of work-related injuries.

Match the following -Billing by a provider for a more expensive service than the one performed

If a workers' compensation claim is denied, the injured worker or provider can request a review by:

Medical benefits for an injured worker begin:

If a worker failed to obey safety procedures and was injured on the job, he or she would be eligible for workers' compensation.

Match the following -Providers collude with the insurance company to defraud the employer

The four types of workers' compensation benefits are:

Match the following -Law that provides the government with the authority to set and enforce safety and health standards for employers

Legislation that provides workers' compensation benefits to civilian employees of the United States government is the:

A workers' compensation claim will be paid by the carrier even if no case number is assigned.

An injured worker may get temporary income benefits if the injury or illness causes the worker to lose some or all income.

Medical benefits for a workers' compensation claim begin ________.

The earliest point in time that an injured worker's injury or illness has improved as much as it is likely to improve is called the:

If the workers' compensation insurance requires preauthorization for certain services, the preauthorization must be obtained before services are rendered; this does NOT apply if the services were provided in an emergency situation.

An independent review is not available in all the following circumstances EXCEPT:

When the workers' compensation policy is NOT a managed care plan, fees for services are based on:

The healthcare plan or the URA must give the injured worker the independent review request form again after denying an appeal.

The report that affirms that a worker has been released from medical treatment and is fit to return to work and resume normal job responsibilities is the:

An employee who is injured on the job, requires treatment, and is able to return to work after retraining is categorized as having an injury:

What are the three primary rights of a worker injured on the job or suffering from a job-related illness?

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Filters

Exam 17: Workers Compensation

List the five categories of work-related injuries.

Match the following -Billing by a provider for a more expensive service than the one performed

If a workers' compensation claim is denied, the injured worker or provider can request a review by:

Medical benefits for an injured worker begin:

If a worker failed to obey safety procedures and was injured on the job, he or she would be eligible for workers' compensation.

Match the following -Providers collude with the insurance company to defraud the employer

The four types of workers' compensation benefits are:

Match the following -Law that provides the government with the authority to set and enforce safety and health standards for employers

Legislation that provides workers' compensation benefits to civilian employees of the United States government is the:

A workers' compensation claim will be paid by the carrier even if no case number is assigned.

An injured worker may get temporary income benefits if the injury or illness causes the worker to lose some or all income.

Medical benefits for a workers' compensation claim begin ________.

The earliest point in time that an injured worker's injury or illness has improved as much as it is likely to improve is called the:

If the workers' compensation insurance requires preauthorization for certain services, the preauthorization must be obtained before services are rendered; this does NOT apply if the services were provided in an emergency situation.

An independent review is not available in all the following circumstances EXCEPT:

When the workers' compensation policy is NOT a managed care plan, fees for services are based on:

The healthcare plan or the URA must give the injured worker the independent review request form again after denying an appeal.

The report that affirms that a worker has been released from medical treatment and is fit to return to work and resume normal job responsibilities is the:

An employee who is injured on the job, requires treatment, and is able to return to work after retraining is categorized as having an injury:

What are the three primary rights of a worker injured on the job or suffering from a job-related illness?

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Filters