Objective findings are the:
a. opinion of the patient.
b. findings of the provider.
c. treatment plan.
d. planned assessment.
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Q. 2) When the employer is covering the costs related to work injuries, the privacy rules for the employee's medical record (related to the injury) are:
a. waived for the employer.
b. waived for the employee.
c. determined in the courts.
d. stopped until the injury is healed.
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Q. 3) The main purpose of a Medical Service Order is to establish:
a. who will pay the bill.
b. who will be the patient.
c. who to bill for supplies.
d. when to bill the carrier.
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Q. 4) Which block on a CMS-1500 form indicates the workers' compensation claim number?
a. 10
b. 1a
c. 2b
d. 2d
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Q. 5) If fees outside of the standard fee schedule are charged, who will determine if these fees are justified?
a. Insurance company
b. Employer
c. Employee
d. Medical biller
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Q. 6) Typically a ______________________ performs a medicallegal evaluation.
a. lawyer
b. legal nurse
c. medical examiner
d. judge
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Q. 7) Fee schedules prevent:
a. dual coding.
b. overcharging for services.
c. upcoding.
d. unbundling.
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Q. 8) The types of work status usually fall into one of three categories: full duty, off work, and:
a. modified duty.
b. disabled.
c. fired.
d. deceased.
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Q. 9) Which of the following are included in the provider's Final Report?
a. Established level of permanent disability, if any
b. Final bill
c. An indication that the patient has been discharged
d. All of the above
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Q. 10) Insurance carriers often attempt to get the injured worker:
a. back to work as soon as possible.
b. reimbursed as soon as possible.
c. to drop the claim.
d. to admit to fraud.
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