Question 1

An employer who misrepresents the amount of payroll or classification of employees in order to reduce workers' compensation costs commits:

Accepted Answer

A)  premium abuse. 
B)  premium fraud. 
C)  benefit abuse. 
D)  benefit fraud. 
A)  premium abuse. 
B)  premium fraud. 
C)  benefit abuse. 
D)  benefit fraud.

Question 2

What is the time frame for receiving an approval for SSDI?

Accepted Answer

After submitting an

Question 3

Match the following
-A sign that suggests that some type of illegal behavior may be occurring; triggers a closer review of a claim or situation

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 4

The act that covers maritime workers injured or killed on or adjacent to navigable waters of the United States is known as the:

Accepted Answer

A)  Federal Employees' Compensation Act. 
B)  District of Columbia Workers' Compensation Act. 
C)  Energy Employees Occupational Illness Compensation Program Act. 
D)  Longshore and Harbor Workers' Compensation Act. 
A)  Federal Employees' Compensation Act. 
B)  District of Columbia Workers' Compensation Act. 
C)  Energy Employees Occupational Illness Compensation Program Act. 
D)  Longshore and Harbor Workers' Compensation Act.

Question 5

Temporary income benefits end:

Accepted Answer

A)  no later than 12 months from the date of the injury. After a year. 
B)  once the worker reaches maximum medical improvement. Medical benefits 
C)  once the employee is able to return to work. Income benefits 
D)  within 6 months of the injury or accident. Income and death benefits 
A)  no later than 12 months from the date of the injury. After a year. 
B)  once the worker reaches maximum medical improvement. Medical benefits 
C)  once the employee is able to return to work. Income benefits 
D)  within 6 months of the injury or accident. Income and death benefits

Question 6

All of the following are types of income benefits EXCEPT:

Accepted Answer

A)  temporary income benefits. 
B)  impairment income benefits. 
C)  surviving dependents' income benefits. 
D)  lifetime income benefits. 
A)  temporary income benefits. 
B)  impairment income benefits. 
C)  surviving dependents' income benefits. 
D)  lifetime income benefits.

Question 7

Medical records for workers' compensation cases are to be kept separate from a patient's regular medical records.

Accepted Answer

A) True 
 B)False

Question 8

How is reimbursement calculated for workers' compensation claims?

Accepted Answer

When the workers' compensation policy is

Question 9

The earliest workers' compensation programs were opposed by organized labor because they did not encourage a(n) ________ work environment.

Accepted Answer

The answer of The earliest workers' compensation programs were opposed...

Question 10

An injured worker is entitled to lifetime income benefits for all of the following conditions EXCEPT:

Accepted Answer

A)  loss of one foot at or above the ankle. 
B)  total and permanent loss of sight in both eyes. 
C)  a physically traumatic injury to the brain resulting in incurable insanity. 
D)  third-degree burns covering the majority of either both hands or one hand and the face. 
A)  loss of one foot at or above the ankle. 
B)  total and permanent loss of sight in both eyes. 
C)  a physically traumatic injury to the brain resulting in incurable insanity. 
D)  third-degree burns covering the majority of either both hands or one hand and the face.

Question 11

After the designated doctor has examined the worker, all communication with him or her about the worker's injury or condition must be made through the:

Accepted Answer

A)  injured worker. 
B)  employer. 
C)  workers' compensation office handling the claim. 
D)  treating doctor. 
A)  injured worker. 
B)  employer. 
C)  workers' compensation office handling the claim. 
D)  treating doctor.

Question 12

Name a few attorney and healthcare provider fraud indicators.

Accepted Answer

Submission of bills or Explanation of Be

Question 13

An injured worker may get impairment income benefits if the worker has a temporary impairment from a work-related injury or illness.

Accepted Answer

A) True 
 B)False

Question 14

Social Security Disability Insurance (SSDI) is paid for by:

Accepted Answer

A)  workers' payroll deductions matched by employer contributions. 
B)  income taxes paid by individuals. 
C)  taxes paid by corporations. 
D)  individuals who purchase SSDI policies. 
A)  workers' payroll deductions matched by employer contributions. 
B)  income taxes paid by individuals. 
C)  taxes paid by corporations. 
D)  individuals who purchase SSDI policies.

Question 15

Examples of compensable injuries include all of the following EXCEPT:

Accepted Answer

A)  falls in the company parking lot. 
B)  injuries incurred while working on a home improvement project using tools borrowed from work. 
C)  injuries that occur in a company restroom, break room, or cafeteria. 
D)  stress injuries caused by work conditions. 
A)  falls in the company parking lot. 
B)  injuries incurred while working on a home improvement project using tools borrowed from work. 
C)  injuries that occur in a company restroom, break room, or cafeteria. 
D)  stress injuries caused by work conditions.

Question 16

Which state became the first to successfully establish a workers' compensation program in 1911?

Accepted Answer

A)  Texas. 
B)  Maryland. 
C)  Wisconsin. 
D)  Iowa. 
A)  Texas. 
B)  Maryland. 
C)  Wisconsin. 
D)  Iowa.

Question 17

Name a few employer fraud indicators.

Accepted Answer

Classification codes not consistent with

Question 18

In which form locator would the medical specialist enter the date of injury or occupational illness?

Accepted Answer

A)  locator 1. 
B)  locator 4. 
C)  locator 10. 
D)  locator 14. 
A)  locator 1. 
B)  locator 4. 
C)  locator 10. 
D)  locator 14.

Question 19

An employee who is injured on the job, requires treatment, is NOT able to return to work, and is NOT expected to be able to perform his or her regular job in the future 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

An injured worker may sue his or her employer after receiving workers' compensation benefits.

Accepted Answer

A) True 
 B)False

An employer who misrepresents the amount of payroll or classification of employees in order to reduce workers' compensation costs commits:

What is the time frame for receiving an approval for SSDI?

Match the following -A sign that suggests that some type of illegal behavior may be occurring; triggers a closer review of a claim or situation

The act that covers maritime workers injured or killed on or adjacent to navigable waters of the United States is known as the:

Temporary income benefits end:

All of the following are types of income benefits EXCEPT:

Medical records for workers' compensation cases are to be kept separate from a patient's regular medical records.

How is reimbursement calculated for workers' compensation claims?

The earliest workers' compensation programs were opposed by organized labor because they did not encourage a(n) ________ work environment.

An injured worker is entitled to lifetime income benefits for all of the following conditions EXCEPT:

After the designated doctor has examined the worker, all communication with him or her about the worker's injury or condition must be made through the:

Name a few attorney and healthcare provider fraud indicators.

An injured worker may get impairment income benefits if the worker has a temporary impairment from a work-related injury or illness.

Social Security Disability Insurance (SSDI) is paid for by:

Examples of compensable injuries include all of the following EXCEPT:

Which state became the first to successfully establish a workers' compensation program in 1911?

Name a few employer fraud indicators.

In which form locator would the medical specialist enter the date of injury or occupational illness?

An employee who is injured on the job, requires treatment, is NOT able to return to work, and is NOT expected to be able to perform his or her regular job in the future is categorized as having an injury:

An injured worker may sue his or her employer after receiving workers' compensation benefits.

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

An employer who misrepresents the amount of payroll or classification of employees in order to reduce workers' compensation costs commits:

What is the time frame for receiving an approval for SSDI?

Match the following -A sign that suggests that some type of illegal behavior may be occurring; triggers a closer review of a claim or situation

The act that covers maritime workers injured or killed on or adjacent to navigable waters of the United States is known as the:

Temporary income benefits end:

All of the following are types of income benefits EXCEPT:

Medical records for workers' compensation cases are to be kept separate from a patient's regular medical records.

How is reimbursement calculated for workers' compensation claims?

The earliest workers' compensation programs were opposed by organized labor because they did not encourage a(n) ________ work environment.

An injured worker is entitled to lifetime income benefits for all of the following conditions EXCEPT:

After the designated doctor has examined the worker, all communication with him or her about the worker's injury or condition must be made through the:

Name a few attorney and healthcare provider fraud indicators.

An injured worker may get impairment income benefits if the worker has a temporary impairment from a work-related injury or illness.

Social Security Disability Insurance (SSDI) is paid for by:

Examples of compensable injuries include all of the following EXCEPT:

Which state became the first to successfully establish a workers' compensation program in 1911?

Name a few employer fraud indicators.

In which form locator would the medical specialist enter the date of injury or occupational illness?

An employee who is injured on the job, requires treatment, is NOT able to return to work, and is NOT expected to be able to perform his or her regular job in the future is categorized as having an injury:

An injured worker may sue his or her employer after receiving workers' compensation benefits.

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