MEDICAL BILLING & CODING......CHAPER 19 WORK's COMPENSATION....

1- Jake is a subcontractor of the U.S. Department of Energy. He fell and broke his leg while performing a job for them. Which of the following might ensure that he's covered? A. EEOICP B. LHWCA C. HIPAA D. FECA 2- Which of the following may be an indicator that an employee is trying to commit workers' compensation fraud? A. Mary comes to work on Monday with her arm in a cast and says she fell at work last Thursday. B. Mary comes in from the warehouse and says that she felt a pain in her back after lifting some boxes. C. Mary says she burned her hand on the coffee pot in the lunch room. D. Mary is claiming that she needs to be treated for carpal tunnel syndrome due to the amount of typing she does on the job. 3- Betty received a third-degree burn on the job and couldn't return to work for 4 weeks. Which classification would Betty probably fall under? A. Injury without disability. B. Injury with temporary disability. C. Injury with permanent disability. D. Injury requiring vocational rehabilitation. 4- An employer uses a state workers' compensation fund. Employer premiums are paid A. into the state fund. B. into the federal fund. C. to the employee. D. to the employer. Which of the following might not receive death benefits from an employee killed at work? A. Spouse still married to the deceased B. Minor child still living at home C. Cousin who relied on deceased to pay her bills D. Ex-wife who received 5% of her income in alimony Billing for more expensive procedures than those actually performed is an example of A. self-referral fraud B. upcoding. C. unbundling. D. creative billing fraud. Which of the following makes sure that federal workers are covered if injured on the job? A. HIPAA B. AMA C. OWCP D. IRO When a doctor is receiving a fixed fee for treating a patient but providing inadequate treatment, it could be viewed as A. underutilization. B. overutilization. C. a kickback. D. internal fraud. An employee was injured 8 days ago on the job and will be able to go back to work in 7 more days. The employee may be eligible for which of the following? A. Temporary income benefits B. Impairment income benefits C. Supplemental income benefit D. Lifetime income benefits Carpal tunnel syndrome is an example of a(n) A. nontraumatic illness. D. impairment. B. noncompensable injury. C. act of God. An employee was injured to such a degree on her job in California that she can no longer perform her old job duties. Which of the following state components will be beneficial to her? A. Maximum medical component C. Impairment B. Vocational rehabilitation D. Notice of contes Which of the following is a federal program designed to help the elderly who have disabilities? A. SSN B. SSI C. FICA D. FECA If an employee dies because of a work-related injury, what happens to the benefits? A. They're paid to the employee's family. B. They're retained by the employer. C. They're paid into the state fund. D. They're paid into the federal fund. Don was injured on his job with the Peace Corps. Which act provides workers' compensation for Don? A. EEOICP B. LHWCA C. HIPAA D. FECA A physician offers money to other physicians to refer patients back to his practice. This is an example of A. underutilization. B. overutilization. C. kickbacks. D. internal fraud. An employee has a permanent injury from work with a 5% rating. Which of the following may he be eligible for? A. Temporary income benefits B. Impairment income benefits C. Supplemental income benefits D. Lifetime income benefits An employee was injured on the job and was seen by the designated doctor. The next morning, the employee has another medical question. What should he do? A. Call the doctor directly. B. Call the medical office. C. Call the workers' compensation office. D. Call the ombudsman. Physicians who regularly charge for billing services not performed may be charged with A. self-referral fraud. B. upcoding. C. unbundling. D. creative billing fraud. Which of the following employers would not be regulated by OSHA? A. St. Mary's Church B. ABC Trucking C. Smith's Grocery Store D. Triple Gas Station Which of the following would probably be considered a compensable injury? A. An employee trips down stairs and breaks her arm after having drinks with her co-workers. B. An employee breaks his arm in a pick-up game of football at the company picnic in a park. C. A worker was struck by lightning while carrying trash to the outdoor trash receptacle at work. D. A worker hurts his back after lifting boxes in the warehouse at work