AAPC CPB - Chapter 14 Quiz 100% accurate answers

AAPC CPB - Chapter 14 Quiz 100% accurate answers What type of state worker's compensation coverage allows an employer to set aside money to cover medical expenses and other related benefits for its employees? a. State insurance fund b. Self-insurance plans c. Commercial workers' compensation insurance d. Combination program b. Self-insurance plans Under Workers' Compensation, when is a worker covered for an injury that occurred on-the-job? a. Only if the employer was negligent b. Only if the employee is not to blame c. They are covered regardless of who is at fault d. If there is a witness to the injury c. They are covered regardless of who is at fault A patient presents to be seen with chronic beryllium disease that he incurred while under government employment. What coverage would apply to him? a. Part B Energy Employees Occupational Illness Compensation Program b. Federal Black Lung Benefit c. Part E Energy Employees Occupational Illness Compensation Program d. Longshore and Harbor Workers' Compensation Program a. Part B Energy Employees Occupational Illness Compensation Program What kind of workers are covered under the Longshore and Harbor Workers' Compensation Program?I. ShipbuildersII. SeamenIII. Government workerIV. Longshore worker a. I, II, III, and IV b. I and III c. I and IV d. I, II, and IV c. I and IV What must be submitted to the workers' compensation payer after an initial employee injury visit? a. CMS-1500 claim form, office encounter note and a letter from the provider documenting the case b. CMS-1500 claim form and First Report of Injury form c. First Report of Injury form and office encounter note d. First Report of Injury form, CMS-1500 claim form, and office encounter note d. First Report of Injury form, CMS-1500 claim form, and office encounter note What is the timely filing limit for claims for workers' compensation services? a. 60 days b. Will vary by payer c. 120 days d. 90 days b. Will vary by payer Can an employer require an employee to pay a portion of the insurance premiums for the workers' compensation coverage? Why or why not? a. Yes, if the employee only works part-time b. No, if the employee only works part-time c. Yes, if the employee also pays a portion of the commercial insurance premium d. No, the employer is required by law to pay the premiums for coverage d. No, the employer is required by law to pay the premiums for coverage A 70-year-old patient with complex pneumoconiosis presents after a fall. X-rays are taken and are negative for fracture. The patient gives both a Medicare card and a Federal Black Lung ID card. How should this claim be billed? a. Federal Black Lung first, then Medicare b. Medicare first, then Federal Black Lung c. Medicare only d. Federal Black Lung only c. Medicare only According to OSHA, who has the highest rate of work-related musculoskeletal disorders? a. Movers b. Welders c. Nurses aids d. Manufacturers c. Nurses aids Which program covers postal workers for employment related injuries? a. Energy Employees Occupational Illness Compensation Program b. Federal Employees' Compensation Program c. Longshore and Harbor Workers' Compensation d. Federal Black Lung Benefits b. Federal Employees' Compensation Program