EEOICPA
This amount of money is the maximum amount awarded under both parts of the program.
What is $400,000?
This person is assigned the task of making calls in the post-intake process
Who is the Outreach Coordinator?
This is a claim that can be connected to an approved condition.
What is a consequential?
This should be discussed with the patient and medical provider during the appointment
What are the goals of the appointment and explanation of the DEEOIC program?
This person is responsible for adjudicating the claim at the district level
Who is the Claims Examiner (CE)?
This group of people are our focus, and the OC role ensures that they are properly educated on the EEOICPA program’s qualification requirements and available resources.
Who are DoE employees, contractors, and subcontractors?
The Project Coordinator should follow up with the Authorized Representative (AR) after this many days post-filing.
What is 60 days?
This person is notified to draft a response upon receipt of an industrial hygienist report.
Who is the PD Technical Write?
This is critical to ensure relationships between offices remain in a good standing.
What is maintaining regular communication?
This means the claim was not approved and will not move forward unless additional medical evidence is presented
What is a Final Decision of Denial (FDD)?
This is the amount of employment time required for eligibility under Part B.
What is 250 days?
The initial medical appointment should be scheduled around this far out from the intake.
What is 60 days?
One of the primary roles of the Physician Liaison in Patient Development.
What is “To provide exceptional customer service and coordinate with medical providers” ?
What is “Ensure seamless communication and collaboration to facilitate the approval and delivery of home health care services”?
After WH verification, this entity is responsible for reviewing the confirmed WH and determining an amount of exposure the claimant would have experienced during their tenure at the site.
Who is the Industrial Hygienist?
This process typically occurs every two years, though the addition of another body system on a patient’s white card will trigger another.
What is an Impairment Rating?
These three roles are notified upon the final decision of acceptance.
Who are the Care Team Member, Outreach Coordinator, and Impairment Specialist?
All letters require these two items to submit to the AR.
What is a provider signature and office letterhead?
These are the steps the Physician Liaison should do immediately after conducting a medical appointment.
What is document all discussions and necessary follow-up steps?
The claims examiner should weigh the evidence presented in accordance with guidelines outlined by the PPM. If they do not feel their requests for information are being adequately responded to, the claims examiner has the ability to consult this entity.
Who is the Contracted Medical Consultant (CMC)?
____ is a lump sum of 150k for specific conditions and work requirements. ____ is for any exposure-related condition.
What are Part B and Part E?
The Physician Liaison coordinates to facilitate home health care services with these three entities
Who are GHHC Internal staff, Authorized Representatives (AR), and external medical facilities?
These letters are priority for PCs to process.
What are RFIs, RDDs FDDs?
This should be done if additional materials are required as per the medical provider's preferences before an appointment.
What is gather and prepare the additional materials prior to the appointment to cater to the medical provider’s standards?
A claim was sent for recommended decision of acceptance and the patient was sent to the clinical team. A month after being sent to the clinical team, the DOL sent a letter, advising the claim was ________ and is still being adjudicated. This halted the continuation of the claim, and we need to await continued development.
What is remanded?