AAPC CHAPTER 14 ACTUAL EXAM SCRIPT Questions with
Correct Answers (Grade A+)
Question 1: According to OSHA, who has the highest rate of work-related musculoskeletal disorders?
A. Movers
B. Welders
C. Nurses' aides
D. Manufacturers.
Answer: c. Nurses' aides
Question 2: 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.
Answer: d. No, the employer is required by law to pay the premiums for coverage
Question 3: 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.
Answer: c. They are covered regardless of who is at fault
Question 4: 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.
Answer: d. First Report of Injury form, CMS-1500 claim form, and office encounter note
Page 1
, Question 5: What kind of workers are covered under the Longshore and Harbor Workers'
Compensation Program? I. Shipbuilders II. Seamen III. Government worker IV. Longshore worker
A. I, II, III, and IV
B. II and III
C. I and IV
D. I, II, and IV.
Answer: c. I and IV
Question 6: 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.
Answer: c. Medicare only
Question 7: 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.
Answer: b. Will vary by payer
Question 8: 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.
Answer: b. Federal Employees' Compensation Program
Question 9: 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.
Answer: a. Part B Energy Employees Occupational Illness Compensation Program
Page 2
Correct Answers (Grade A+)
Question 1: According to OSHA, who has the highest rate of work-related musculoskeletal disorders?
A. Movers
B. Welders
C. Nurses' aides
D. Manufacturers.
Answer: c. Nurses' aides
Question 2: 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.
Answer: d. No, the employer is required by law to pay the premiums for coverage
Question 3: 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.
Answer: c. They are covered regardless of who is at fault
Question 4: 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.
Answer: d. First Report of Injury form, CMS-1500 claim form, and office encounter note
Page 1
, Question 5: What kind of workers are covered under the Longshore and Harbor Workers'
Compensation Program? I. Shipbuilders II. Seamen III. Government worker IV. Longshore worker
A. I, II, III, and IV
B. II and III
C. I and IV
D. I, II, and IV.
Answer: c. I and IV
Question 6: 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.
Answer: c. Medicare only
Question 7: 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.
Answer: b. Will vary by payer
Question 8: 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.
Answer: b. Federal Employees' Compensation Program
Question 9: 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.
Answer: a. Part B Energy Employees Occupational Illness Compensation Program
Page 2
