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Carnegie Insurance R

workers compensation MA Fall 2014 11-10-14

purpose of workers compensation to provide medical care to injured employees provide income to injured employees while they are unable to work pay providers for medical services
compensation benefits include medical treatment income replacement rahabilitation treatments
Types of claims non-disability temporary disability, permanent disability
Physicians must do the following regarding Workers compensation: document the date of injury, how, and where the injury occurred
To verify insurance benefits, should you request a letter of eligibility? No
When a new patient arrives for an appointment you should: photocopy driver's licnse and both sides of the patients insurance ID card
How should you verify the patient's eligibility? call carrier or go to website
How are paper claims submitted? manually sent by U.S. Post Office
disadvantge of paper claims greater chance for rejection
What is any claim that has a mistake called? dirty claim
What is it called when we examine claims for completenesss before submitting? audit
in a workmans compensation claim what must the physician do? Document the date of injury how and where the injury occurred
Created by: ma2b