The form used to report information about the employee's limitations in performing his or her job duties is the:
Work Capability Report.
Injury Status Report.
Work Status Report.
Disability Status Report.
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Q. 2) The determination made by the treating doctor that describes the degree of permanent damage done to a worker's body as a whole as the result of a job-related injury is the:
degree of injury.
injury rating.
disability rating.
impairment rating.
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Q. 3) In all categories of workers' compensation claims, the injured worker will receive compensation for:
medical expenses.
lost wages.
vocational rehabilitation.
pain and suffering.
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Q. 4) Workers' compensation death benefits paid when a worker has died as a result of an on-the-job injury are paid to the employee's:
designated beneficiary.
children under age 18 only.
spouse only.
spouse and dependent children.
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Q. 5) The TRICARE preferred provider organization (PPO) plan option is:
TRICARE Standard.
TRICARE Extra.
TRICARE Prime.
CHAMPVA.
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Q. 6) A claim that is manually reviewed by an insurance carrier can be denied for lack of required preauthorization.
Indicate whether this statement is true or false.
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Q. 7) TRICARE Senior Prime/TRICARE for Life acts as the primary payer when the covered individual also has Medicare coverage.
Indicate whether this statement is true or false.
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Q. 8) To submit claims to an insurance carrier, a billing service requires:
the patient's personal and insurance information.
a copy of the patient's insurance card.
the encounter form documenting the diagnosis and services provided.
all of the above.
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Q. 9) When a patient has more than one insurance policy, one policy is considered the primary coverage and the additional policy is:
secondary insurance.
supplementary insurance.
additional insurance.
individual insurance.
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Q. 10) On form locator 10 of the UB-04 form, the patient birth date is:
optional.
required.
not applicable.
not required.
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