Insurance Billing 1
An Unintentional injury
What is an Accident?
The Initial period of time a disable person is NOT eligible to receive benefits.
What is a Waiting Period?
A contract that insures a person against on the job injury or illness.
What is Workers Compensation Insurance?
A therapy program using simulated or real job duties to build up straight.
What is Work Hardening?
Any trauma or damaged to a body part or disease sustained in the course of employment.
What is an Injury?
A formal writer request used to indicate in appeal.
What is a Petition?
Legal process in which insurance company seeks recovery of amount paid to the policy holder.
What is a Third Party Subrogation?
An agreement arrived at for settling a work compensation claim.
What is Compromise and Release (C and R)?
Science and technology that fits the anatomic and physical needs of the worker.
What is Ergonomics?
An authorization given to the physician to treat the injured or ill employee.
What is a Medical Service Order?
A report must be submitted with a claim with a notation BR
What is a By Report (BR)?
Process for taking sworn testimony from a witness out of court.
What is a Deposition?
What an entity is held liable for a medical cost for an injury occurring on the job.
What is a Third Party Liability?
Recovery Period in a work related injury when the employee is unable to work.
What is Temporary Disability?
A list of charges or established allowance for specific provisions or court decisions.
What is a Fee Schedule?
A claim on the property or another as security or debt.
What is a Lien?
Insurance Adjuster.
What is a Claim Examiner?
State laws effected outside the state by either specific previsions or court decisions.
What is Extraterritorial?
Provides Benefits for on the job injuries to all Federal Employees.
What is Federal Employees Compensation Act (FECA)?
AKA claim settlement, final determination of an insurance claim.
What is an Adjudication?
AKA claims adjuster. A representative of insurer who authorizes treatment and manages claims.
What is a Claims Examiner?
Modifiers that indicate the patients condition at the time anesthesia was given.
What is Physical Status Modifier?
Uses a specific dollar amount for each part of the fee schedule and may be changed annually.
Anesthesia through insertion of the tube into nose or mouth and past by the trachea.
What is Endotracheal Anesthesia?
Generally involves a minor injury in which the patient is seen by the physician but is still able to continue working.
What is a Non-disability (ND) Claim?