OGC/UC
The process to obtain information from another federal agency.
Submit an OGC ticket for assistance with a B-7 letter.
The billing component which describes the activities of the Physician or other Qualified Healthcare Provider separate from the payment component for Clinical Staff, heat, light, paper and data lines necessary for quality care.
Professional Component
What are the regulations set forth in 20 CFR 10.15 which address the rights of the employee as it relates to a waiver of compensation?
No employer or other person may require a claimant to enter into any agreement, to waive his or her right to compensation under the act. No waiver of compensation shall be valid.
In the TV Show, "Friends", what instrument does the character Phoebe play?
The Guitar
Loss of Wage Earning Capacity
Cameo Appearances are substantive Undercover contacts or communications with the individual under investigation and is limited to how many contacts?
Three contacts
How many minutes must be reached to bill for a 15-minute physical therapy unit?
8 - need to reach half the interval.
Per 20 CFR 10.801: How are medical bills submitted; this is one of the forms used to submit bills.
Form OWCP-1500 or CMS-1500 (for professional services or medicinal drugs dispensed in the office), Form OWCP-04 or UB-04 (for hospitals).
What is the name of the postal worker in the TV show "Cheers"?
Cliff Clavin
CPT
Current Procedural Terminology
This type of UC Operation generally lasts less than 6 months has expenses <15K and is the most common in claimant investigations.
Group II
Term which describes the maximum number of units of a services payable on a service date.
Medically unlikely edit - MUE
20 CFR 10.815 (i) allows for non-automatic exclusion if a provider "failed to inform OWCP of" what?
Any change in their provider status
What is the name of the Postal Worker on the Seinfeld TV show?
Newman
ECOMP
Employees' Compensation Operations & Management Portal
This is the practice in which a law enforcement agent or agent of the government induces a person to commit a "crime" that the person would have otherwise and must be considered in any UC Op.
Entrapment.
Changes to this specific code range in 2021 included that time was now an explicit factor in code selection
99202-99215 (Office Visit E&M)
While not a CFR, Title 5 Section 8101, states chiropractors acting as "physicians" per DOL are limited to treatments consisting of this.
Manual manipulation of the spine to correct subluxation as demonstrated by x-ray.
Baseball
HCPCS
Healthcare Common Procedure Coding System
This type of UC op requires AIGI approval.
Group I
This code associated with Platelet Rich Plasma Unit Transfusions was an emerging scheme, subsequently shut down by DOL and resulting in an over $10M cost avoidance.
P9020
Per 20 CFR 10.200 this is the maximum number of days for continuation of pay.
45 calendar days
The #1 longest running American TV show
The Simpsons (1989 - Present)
HIPPA
Health Insurance Portability and Accountability Act