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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The Federal Employees' Compensation Act (FECA) is the act that gave the federal government the authority to set and enforce safety and health standards for most U.S. employers.
(True/False)
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A workers' compensation claim will be paid by the carrier even if no case number is assigned.
(True/False)
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An individual who becomes disabled due to a non-work-related injury may be eligible for which type of benefits paid by a private plan or government program?
A)Medical and income benefits
B)Medical benefits
C)Income benefits
D)Income and death benefits
(Short Answer)
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All states provide workers' compensation coverage for:
A)medical expenses only.
B)lost wages only.
C)medical expenses and lost wages.
D)death benefits only.
(Short Answer)
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Workers' compensation death benefits paid when a worker has died as a result of an on-the-job injury are paid to the employee's:
A)designated beneficiary.
B)children under age 18 only.
C)spouse only.
D)spouse and dependent children.
(Short Answer)
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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:
A)interim report.
B)status report.
C)final report.
D)rehabilitation report.
(Short Answer)
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Being injured in a car accident while on a business trip is NOT considered a covered injury under workers' compensation programs.
(True/False)
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The legislation that provides workers' compensation benefits to civilian employees of the United States government is the __________________.
A)Federal Health and Safety Act (FHSA)
B)Federal Employees' Compensation Act (FECA)
C)Occupational Safety and Health Act (OSHA)
D)Employees Occupational Illness Compensation Program Act (EOICPA)
(Short Answer)
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Workers' compensation claims must be submitted to the insurance carrier within:
A)30 days of the date of service.
B)45 days of the date of service.
C)95 days of the date of service.
D)120 days of the date of service.
(Short Answer)
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What are the three primary rights of a worker injured on the job or suffering from a job-related illness?
(Essay)
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The category of workers' compensation benefits that will pay for medical expenses only is injury:
A)without disability.
B)with temporary disability.
C)with permanent disability.
D)requiring vocational rehabilitation.
(Short Answer)
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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:
A)without disability.
B)with temporary disability.
C)with permanent disability.
D)requiring vocational rehabilitation.
(Short Answer)
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Employers that are regulated by OSHA include:
A)manufacturers.
B)church organizations.
C)independent contractors.
D)federal agencies.
(Short Answer)
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Dependent children of a worker killed on the job are eligible to receive death benefits until they:
A)obtain a full-time job.
B)reach age 18.
C)reach age 18, or 25 if enrolled as a full-time college student.
D)reach age 21.
(Short Answer)
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The __________ rating describes the degree of permanent damage done to the worker's body as a whole.
(Short Answer)
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An employer who misrepresents the amount of payroll or classification of employees in order to reduce workers' compensation costs commits:
A)premium abuse.
B)premium fraud.
C)benefit abuse.
D)benefit fraud.
(Short Answer)
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A worker who works full time at an unreported job while collecting workers' compensation benefits commits:
A)benefit abuse.
B)criminal abuse.
C)benefit fraud.
D)premium fraud.
(Short Answer)
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