Medical Insurance Ch 13

Medical insurance

25 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
Admission of liability
Carrier's determination that an employer is responsible for an employee's claim under workers' compensation.
Disability compensation programs
A plan that reimburses the insured for lost income when the insured cannot work because of an illness or injury, whether or not it is work related.
Federal Employees' Compensation Act (FECA)
A federal law that provides workers' compensation insurance for civilian employees of the federal government.
Federal Insurance Contribution Act (FICA)
The federal law that authorizes payroll deductions for the Social Security Disability Program.
Final report
A report filed by the physician in a state workers' compensation case when the patient is discharged.
First report of injury
A report filed in state workers' compensation cases that contains the employer's name and address, employee's supervisor, date and time of accident, geographic location of injuiry, and patient's description of what happened.
Independent medical examination (IME)
Examination by a physician to confirm that an individual is permanently disabled that is conducted at the request of a state workers' compensation office or an insurance carrier.
Notice of Contest
Carrier's determination to deny liability for an employee's workers' compensation claim.
Occupational Diseases or Illnesses
Conditions caused by the work environment over a period longer that one workday or shift; also known as nontraumatic injuries.
Occupational Safety and Health Administration (OSHA)
Federal agency that regulates workers' health and safety risks ain the workplace.
Office of Workers' Compensation Programs (OWCP)
The office of the U.S. Department of Labor that administers the Federal Employees Compensation Act.
Physician of record
Provider under a workers' compensation claim who first treats the patient and assesses the level of disability.
Progress report
A report filed by the physician in state workers' compensation cases when a patient's medical condition or disability changes; also known as a supplemental report.
Social Security Disability Insurance (SSDI)
The federal disability compensation program for salaried and hourly wage earners, self-employed people who pay a special tax, and widows, widowers, and minor children with disabilities whose deceased spouse/parent would qualify for Social Security benefits if alive.
Supplemental Security Income (SSI)
Government program that helps pay living expenses for low-income older people and those who are blind or have disabilities.