Anatomy
There are approximately 86 billion neurons in this organ
What is the brain?
EDI
Electronic Data Interchange
At what month do we review a claim (if still open) to pin down our reserve
What is month 10?
In New Jersey, a Section _____ closes out a claim once and for all.
What is 20?
The acronym for the unit responsible for investigating fraud
What is SIU?
This bone is commonly called the kneecap
What is the patella?
TPOC
Total Payment Obligation to Claimant
The name of the river that flows next to our office in Sharon
What is the Shenango?
The PA form to report wages earned from employment after the injury
What is the LIBC-750
The governmental agency where most fraud claims wind up being referred to
What is the attorney generals office?
The largest and strongest bone in the body
What is the femur
MRI
What is Magnetic Resonance Imaging?
What sets us apart as a claim team
What are our investigations and Code Red?
A South Carolina settlement that closes medical and indemnity exposure
What is a clincher
The intent to deceive is usually the hardest to prove when building a fraud case
What is true?
This connective tissue connects one bone to another bone
What is a ligament?
CPT
Current procedural terminology
One of the french words in the capitol of Louisiana and the code we go over on Monday (in French)
What is rouge?
What is the return to work rule in Georgia
Rule 240
A song by the Talking Heads and a type of arson
What is Burning Down The House
This is the longest nerve in the body
What is the sciatic nerve?
IBNR
What is incurred but not reported/reserved
What does Dean go on and on about when talking about an area we need to improve
What is Year 2 Reserve Development?
John Denver sang about this jurisdiction, referring to it as mountain mama.
What is West Virginia
The threshold that triggers fraud reporting in almost all states
What is suspected fraud?