Exam 18: Workers Compensation
Exam 1: Introduction to Professional Billing and Coding Careers90 Questions
Exam 2: Understanding Managed Care: Insurance Plans92 Questions
Exam 3: Understanding Managed Care: Medical Contracts and Ethics91 Questions
Exam 4: Hipaa: Health Insurance Portability and Accountability Act of 199691 Questions
Exam 5: ICD-9-CM Medical Coding91 Questions
Exam 6: ICD-10-CM Medical Coding91 Questions
Exam 7: Introduction to Cpt and Place of Service Coding91 Questions
Exam 8: Coding Procedures and Services91 Questions
Exam 9: Hcpcs and Coding Compliance91 Questions
Exam 10: Auditing91 Questions
Exam 11: Physician Medical Billing91 Questions
Exam 12: Hospital Medical Billing90 Questions
Exam 13: Medicare Medical Billing89 Questions
Exam 14: Medicaid Medical Billing91 Questions
Exam 15: Tricare Medical Billing90 Questions
Exam 16: Explanation of Benefits and Payment Adjudication88 Questions
Exam 17: Refunds and Appeals91 Questions
Exam 18: Workers Compensation90 Questions
Exam 19: Electronic Medical Claims Processing91 Questions
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Maximum medical improvement is the earliest point in time that a worker's injury or illness has improved as much as it is likely to improve or:
A)52 weeks from the date the worker became eligible to receive income benefits.
B)60 weeks from the date the worker became eligible to receive income benefits.
C)90 weeks from the date the worker became eligible to receive income benefits.
D)104 weeks from the date the worker became eligible to receive income benefits.
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(Essay)
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Correct Answer:
104 weeks from the date the worker became eligible to receive income benefits.
What is occupational disease?
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(Essay)
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Correct Answer:
Occupational disease is a health problem or illness that results from exposure to a workplace health hazard, such as dust, gases, fumes, radiation, repetitive motion, and loud noises.
If a worker failed to obey safety procedures and was injured on the job, he or she would be eligible for workers' compensation.
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(True/False)
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Correct Answer:
False
The permanent physical damage to a worker's body from a work-related injury or illness is known as:
A)disease.
B)disability.
C)handicap.
D)impairment.
(Short Answer)
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A workers' compensation insurance carrier must pay, reduce, deny, or determine to audit a claim no later than the:
A)30th day after receipt of the claim.
B)45th day after receipt of the claim.
C)95th day after receipt of the claim.
D)120th day after receipt of the claim.
(Short Answer)
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Medical benefits for a workers' compensation claim begin __________ .
(Short Answer)
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An injured worker who disagrees with the maximum medical improvement date or the impairment rating assigned by a physician must dispute the rating within 90 days.
(True/False)
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In all categories of workers' compensation claims, the injured worker will receive compensation for:
A)medical expenses.
B)lost wages.
C)vocational rehabilitation.
D)pain and suffering.
(Short Answer)
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An employee who is injured on the job and requires treatment, but is NOT able to return to work within several days, is categorized as having an injury:
A)without disability.
B)with temporary disability.
C)with permanent disability.
D)requiring vocational rehabilitation.
(Short Answer)
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A worker may NOT receive benefits for a generally covered injury if any of the following are true EXCEPT the:
(Multiple Choice)
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Temporary income benefits are paid if the injury or illness causes the worker to lose income for more than 7 days.
(True/False)
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In regard to workers' compensation cases, patient health information and claim data are subject to the same confidentiality rules as regular medical records.
(True/False)
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To be eligible to receive temporary income benefits, an injured worker must have lost some or all income for more than:
A)3 days.
B)7 days.
C)2 weeks.
D)30 days.
(Short Answer)
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If an injured worker has an impairment rating of 8%, the worker would receive impairment income benefits for:
A)8 weeks.
B)16 weeks.
C)24 weeks.
D)52 weeks.
(Short Answer)
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Ombudsmen can provide all of the following services EXCEPT:
A)legal advice to the injured worker.
B)information to assist the injured worker in making decisions.
C)a presentation of facts and evidence at dispute-resolution proceedings.
D)information about how to appeal a dispute-resolution decision.
(Short Answer)
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Eligibility to receive supplemental income benefits ends 365 days from the date of injury.
(True/False)
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All of the following are types of income benefits EXCEPT:
A)temporary income benefits.
B)supplemental income benefits.
C)surviving dependents' income benefits.
D)lifetime income benefits.
(Short Answer)
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The provider from whom an injured worker receives medical care is referred to as the __________ doctor or __________ of record.
(Short Answer)
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The act that covers maritime workers injured or killed on or adjacent to navigable waters of the United States is known as the:
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.
(Short Answer)
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