Mix It Up
Medical Management
Reserves
Medicare
Latest at Liberty
100

The current/new location of the IME Cost Tool.

What is Power BI?

100

The two types of strokes.

What are ischemic and hemorrhagic?

100

T/F: Reserve and Incurred are the same thing.

What is false?

100

Y/N: Is an MSA referral necessary for Class I beneficiary if total settlement is under $25k?

What is Yes? There is no safe harbor per CMS.

100
What year was Liberty Mutual founded?

What is 1912?

200

Frequency of telephonic activity checks.

What is annually?

200

Who has taken CCMU Deb Gross' place for NE Region jurisdictions?

Who is Bethany Caviello?

200

T/F - SSI supersede Quality Standards?

What is true?

200
Response is due back to the CRC after receiving a CPN (Conditional Payment Notice) within what time period?

What is 30 days? (If no response is received, CRC will automatically move the file into demand status)

200

How many ERG's do we currently have?

What is 8?

300

What is the payment code for LM telephonic nurse case management?

What is M404?

300

T/F: All burns are to be referred to CCMU?

What is False?

300

When is a net reserve indicator permitted on a claim?

What is when SIF or supplemental benefit fund reimbursements are being received?

300

When does interest begin to accrue for a Conditional Payment Demand letter?

What 60 days from date received?

300

Liberty's current standing in the Fortune 100?

What is 77th?

400

The 7 new fields that NCCI will audit include 3 Bocomp and 4 Claim Overview fields.

What are: Loss of Earnings Capacity %, Pre existing Disability %, Type of Settlement, Discontinued TTD/TPD code, Lump Sum, Reduction Code (+ reduced by SSDI), Voc Rehab IND Code 44/344.

400

Two preferred onsite vendors for CAT claims.

What are GENEX and Paradigm?

400

Type of payments made to the employee for damages resulting from the employer's negligence.

What is Coverage B (Part II) payments?

400

T/F: After settlement, BCRC (Benefits Coordination Recovery Contractor) will only work with the Conditional Payment Unit if there is a signed POR (Proof of Representation) form signed by the IW on file.

What is True?

400

What is the primary criteria for the NE Region "MMU Small Bet" that will role out 5/3/2021?

What is the IW is on mod duty with clear TD for FD of no more than 60 day?

500

Organization that is a 501 (c) established to help children of workers seriously or fatally injured on the job to seek educational and scholarship opportunities.

What is Kid's Chance?

500

What is the name of the primary clinical tool used to evaluate the severity of brain injury?

What is the Glasgow Coma Scale?

500
Two loss estimate reports generated by Bocomp that are used to establish premium charges, retro premium adjustments, or cash flow billings to the customer.

What are 51 Unit Notes and 53 Annual Reconciliation Notes?

500

For an MSA, if the IW has not treated with an authorized provider in the past two years, what records are necessary?

 What are -

 * personal pharmacy history for the prior 2 years

*  PCP records for the prior 2 years

* letter from each authorized provider confirming date of last treatment on their letterhead, signed and dated.

500

What year did Liberty Mutual launch the new ad campaign featuring Doug and Limu?

What is 2019?