Causation
This term refers to a type of claim connecting the claimant's exposures to their condition.
What is causation?
A condition submitted as causation can later be resubmitted as this without reopening the original claim.
What is a consequential?
If this type of request is not responded to, it can result in an RDD.
What is a Request for Information (RFI)?
To qualify for SEC cancer benefits, a patient must have at least 250 aggregate workdays at a DOE site before this date.
What is February 1, 1992?
All care, including doctor's visits and medications, is covered for approved conditions under this
What is a white card?
This form acts as a 'cover' page and needs to be submitted alongside all causation claims.
What is an EE-1 form?
Newly approved researched conditions must be submitted here. This process flow step ensures that newly researched conditions are available for use across all offices.
What is PDU (Patient Development University)?
This is the final outcome of an RDD if no new evidence is presented and the claim is denied.
What is a Final Decision of Denial (FDD)?
This non-SEC primary cancer can have its treatment covered if it metastasizes to an SEC site.
What is prostate cancer?
This is the term used for when a claim is recommended for denial by a Claims Examiner
What is a Recommended Decision of Denial (RDD)?
This online database houses information pertinent to reviewing possible toxic substance exposures based on job category, building, and site.
What is the site exposure matrix (SEM)?
This form acts as a 'cover' page and needs to be submitted alongside all consequential claims.
What is an EE-1A form?
This timeframe is allotted for claimants and their physicians to respond to requests for additional information from the DOL
What is 30 days?
SEC cancers must onset at least this many years after initial exposure, except for leukemia
What is 5 years?
These are housed in the main server folder and divided by body system to prevent repeat work on research topics
What are templates?
This condition was identified and claimed using a Chest X-Ray B-Read with an ILO perfusion of 1/1. The claimant worked at the NSO from 1980-1984.
What is Asbestosis?
This common cardiovascular condition is usually treated by amlodipine at the beginning stages and is typically written as a CQ. Additionally, it rates well on impairment and shares a strong connection with multiple other conditions.
What is hypertension (HTN)?
These types of studies are constantly scrutinized by the DOL and are not recognized as supportive research
What are animal studies?
This is the required latency period for leukemia to qualify as an SEC cancer.
What is 2 years?
This type of consultant reviews the medical evidence to determine if a claim meets the “at least as likely as not” criteria.
What is a Contract Medical Consultant (CMC)?
This patient is experiencing a sudden decline in health due to dementia. We completed his intake yesterday, and we are sending his CXR off for B-Read interpretation. This type of claim may be pursued in the interim while we await the results of the B-Read.
What is a non-pulmonary causation for dementia?
Patient Linda Test has Colon Cancer, HTN, and DM approved on 7/16/21, 9/14/22, and 5/11/10, respectively. She has increasing bilateral cataracts, neuropathy, and suffers from sleep-related breathing issues. Ms. Test informed her care team that she is having trouble driving. Additionally, she is needing an increase in care due to repeated falls within the past month. These two conditions would be pursued to aid both the needed increase in care and the patient’s request.
What are cataracts and OSA?
This term describes when the DOL suggests approval, but the Final Adjudication Board sends the claim back for further review.
What is a remand?
This type of leukemia is excluded from SEC cancers
What is Chronic Lymphocytic Leukemia (CLL)?
This document defines how SEC cancers and consequential conditions are managed and compensated.
What is the Department of Labor Policy and Procedure Manual (PPM)?