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CPB CHAPTER 14: WORKERS' COMPENSATION EXAM QUESTIONS WITH SOLUTIONS

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CPB CHAPTER 14: WORKERS' COMPENSATION EXAM QUESTIONS WITH SOLUTIONS

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1



CPB CHAPTER 14: WORKERS'
COMPENSATION EXAM QUESTIONS
WITH SOLUTIONS



Which option is NOT a covered entity under HIPAA?



a. Blue Cross Blue Shield HMO

b. Physicians

c. Aetna PPO

d. Workers' Compensation - correct-answer - d. Workers' Compensation




Which program provides lump-sum compensation and health benefits for eligible

Department of Energy nuclear weapons workers injured on the job?



a. Energy Employees Occupational Illness Compensation Program

b. Federal Employees' Compensation Program

, 2


c. Longshore and Harbor Workers' Compensation Program

d. Federal Black Lung Program - correct-answer - a. Energy Employees

Occupational Illness Compensation Program




What information is needed to file a Worker's Compensation claim?

I. Patient name, address, and phone number

II. Patient Social Security number

III. Employer's name, address, and phone number

IV. Patient's employment position

V. Injury details

VI. Workers' Compensation carrier address and phone number

VII. Workers' Compensation claim number

VIII. Patient's insurance carrier and subscriber ID



a. I, III, V, VI

b. I, II, III, V

c. I, III, IV, V, VI, VIII

d. I, II, III, V, VI, VII - correct-answer - d. I, II, III, V, VI, VII

, 3




Which statement is TRUE regarding Workers' Compensation reimbursement for

providers?



a. Providers can balance bill the patient for any amounts Workers' Compensation

does not pay.

b. Providers are paid 100% of the providers charge for the services provided in the

Workers' Compensation case.

c. Providers are required to accept reimbursement from Workers' Compensation

payers in full.

d. Providers can determine whether or not to accept payment from the Workers'

Compensation payer or from the patient's commercial insurance. - correct-answer

- c. Providers are required to accept reimbursement from Workers' Compensation

payers in full.




Which program provides compensation and medical coverage for treatment to

coal miners who are totally disabled by pneumoconiosis arising out of coal mine

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