Workers' Compensation
Refunds, Follow up, and Appeals
Documentation
Vocabulary
History
100
Federal Employees' Compensation Act
What is an act that provides workers' compensation benefits to millions of civilian employees of the United States, members of the Peace Corps, and AmeriCorps VISTA volunteers.
100
Prepare claims that will be approved
What is the goal of a medical office specialist?
100
chronological recording of pertinent facts and observations
What is documentation?
100
Reimburse a covered individual for lost wages that occur because of a disability.
What is the Disability compensation programs?
100
The Congress passed a limited workers' compensation law for federal employees
What is 1908?
200
Medical expense, Disability pay, vocational rehabilitation
What are the three major components to workers' compensation.
200
The wrong diagnosis codes or procedure
What is a reason a carrier may ask for rebilling
200
Subjective, objective, Assessment, Plan
What is the SOAP format?
200
division employees that can help the worker with his claim.
What is Ombudsmen?
200
All states required employers to purchase workers' compensation insurance
What is 1947?
300
In the form of wage replacement
What is one way compensation is paid for?
300
Find out exactly what is the problem
What is the first step in answering a patient's question about claims.
300
Includes the chief complaint, history of the present illness
What is subjective?
300
earlier of the point in time that an injured worker's injury or illness has improved
What is maximum medical improvement?
300
The year the Occupational Safety and Health Act was signed into law
What is the year 1970?
400
Repetitive motion/stress injury
What is an example of a compensable injury?
400
The submission of additional clinical information
What is an appeal?
400
the physical examination of the patient
What is objective?
400
the acknowledgment to the employee of a successful workers' compensation claim
What is the Admission of Liability?
400
Wisconsin become the first state to successfully establish a workers' compensation program
What is the year 1911?
500
90 days
What is the time frame to dispute the notice of the rating?
500
Qualified independent contractors
What is the name of the persons that handle the second level of appeals?
500
Universal claim forms
What is the CMS-1500 and UB-04?
500
the government's authority to set and enforce safety and health standards.
What is the Occupational Safety and Health Act
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