Vocabulary
Define Applicant Attorney
Lawyer who represents an injured worker in a worker’s comp case to protect the rights and advocate for the applicant.
In which one note do we find provider preferences?
Intake and Scheduling
Where do we find the MPN spreadsheet One Note?
Intake under MAA and MPN Contact Spreadsheet
What does NCM stand for?
Nurse Case Manager
Under what tab in IMS do we find a list of all the patients demographics?
Sheet
Face Sheet
Define Defense Attorney
Lawyer who represents the employers and insurance company.
In which one note and tab do we find case note detail?
Intake and work comp tab
What other resource do you have to check MPNs?
DaisyBill
MAA
Adjusters
What does MPN stand for?
Medical Provider Network
Where in IMS do you check if the patient is scheduled?
Under Scheduler
Define Delayed Claim
When an injured worker’s claim has not been officially accepted or denied by the insurance carrier, it is in delay status. This is due to the need for further investigation to determine if the injury is work-related or not. During this time, there is $10,000 allocated for medical care while the claim is in delay status.
In which one note do we find requesting OONA tab?
Intake one note under the Work Comp Templates
If a provider is not in the MPN, what would we need in order to schedule the patient?
OONA Authorization
What does QME stand for?
Qualified Medical Examiner
What information do you need to create the chart?
Patient Demographics
Define Cumulative Trauma
refers to physical, emotional, or psychological damage that develops gradually from repeated stress or repetitive motions over an extended period, rather than a single sudden incident
In which one note do we find the USDOL workflow?
Intake under Work Comp
What are the different ways that we can search an MPN?
Provider Name
Clinic Name
Specialty
Location
Tax ID
What does AME stand for?
Agreed Medical Examiner
On what tab do you click on to create the case detail note?
Note Tab
Define Permanent & Stationary and Meets Maximum Improvement (MMI)
This is a term used when a provider has determined that a patient’s condition is unlikely to improve further.
Who is the provider that does not take consult only referrals and what type of referrals do they take?
Dr Campbell
PTP, STP or Consult and Treat referral patients
Name 3 Non MPN Employers
ABP Freight Systems Inc
Adminsure
All West Construction
Apple Inc.
Auto Nation Inc
Bay Area Transit (BART)
BETA Healthcare Group
California State University (CSU)
CFSA (California Fair Services Authority)
City of Berkeley
City of Brentwood
City of Daly City
City of Fairfield
City of Fremont Police Department
City of Gilroy D
City of Lodi
City of Martinez
City of Mountain View
City of Oakley
City of Palo Alto
City of Pittsburg
City of Redwood City
City of Rocklin
City of Salinas
City of San Leandro
City/County of Santa Cruz
City of Vacaville
City of Watsonville
Contra Costa County Risk management (CCCRM)
Contra Costa County School Insurance Group
County of Alameda
County of Los Altos
County of Marin
County of Napa
County of Sacramento
County of San Bernardino
County of San Mateo
County of Santa Clara
Cuptertino Electric
Dignity Health
East Bay Municipal Utility District
Flagship Facilities
Fresno Unified School District (FUSD)
Fruitvale Health Care Center
Hayward USD
IHSS
Innovative Claims Solutions (ICS)
Lawson Roofing CO
Loma Linda University
Marshalls
Merced City School District
Municipal Pooling Authority (MPA)
Pacific Union of 7th Day Adventists
Parker Hannifin
Port Of Oakland
Redwood Empire Schools's Insurance Group
Saint Francis Memorial Hospital
Saint Mary's Medical Center
Sanmina SCI
School Insurance Authority (SIA)
Stanford University
Stanford University
Starbucks
State of California/IHSS
Sutter Health
UC Davis
UC Santa Cruz
UCSF (UC San Francisco Medical Center)
US Dept. of Labor/USDOL
United Ground
Montage Health
Watsonville Community Hospital
County of Ventura
Venture Christian Church
What does DWC stand for?
Division of Workers' Compensation
Name the locations where you put the approved body parts that the providers can see on their visit note?
Private note in the case