Question 1

Admission of Liability

Accepted Answer

Carrier’s determination that an employer is responsible for an employee’s claim under workers’ compensation.

Question 2

automobile insurance policy

Accepted Answer

A contract between an insurance company and an individual under which the individual pays a premium in exchange for coverage of specified car-related financial losses.

Question 3

disability compensation program

Accepted Answer

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.

Question 4

Federal Employees’ Compensation Act (FECA)

Accepted Answer

A federal law that provides workers’ compensation insurance for civilian employees of the federal government.

Question 5

Federal Insurance Contribution Act (FICA)

Accepted Answer

The federal law that authorizes payroll deductions for the Social Security Disability Program.

Question 6

final report

Accepted Answer

A document filed by the physician in a state workers’ compensation case when the patient is discharged.

Question 7

first report of injury

Accepted Answer

A document 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 injury, and patient’s description of what happened.

Question 8

independent medical examination (IME)

Accepted Answer

Examination by a physician conducted at the request of a state workers’ compensation office or an insurance carrier to confirm that an individual is permanently disabled.

Question 9

liens

Accepted Answer

Written, legal claims on property to secure the payment of a debt.

Question 10

Notice of Contest

Accepted Answer

Carrier’s notification of determination to deny liability for an employee’s workers’ compensation claim.

Question 11

occupational disease or illness

Accepted Answer

Condition caused by the work environment over a period longer than one workday or shift; also known as nontraumatic injuries.

Question 12

Occupational Safety and Health Administration (OSHA)

Accepted Answer

Federal agency that regulates workers’ health and safety risks in the workplace.

Question 13

Office of Workers’ Compensation Programs (OWCP)

Accepted Answer

The office of the U.S. Department of Labor that administers the Federal Employees’ Compensation Act which covers work-related injuries or illnesses suffered by civilian employees of federal agencies.

Question 14

personal injury protection (PIP)

Accepted Answer

Insurance coverage for medical expenses and other expenses related to a motor vehicle accident.

Question 15

physician of record

Accepted Answer

Provider under a workers’ compensation claim who first treats the patient and assesses the level of disability.

Question 16

progress report

Accepted Answer

A document filed by the physician in state workers’ compensation cases when a patient’s medical condition or disability changes; also known as a supplemental report.

Question 17

Social Security Disability Insurance (SSDI)

Accepted Answer

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.

Question 18

subrogation

Accepted Answer

Action by payer to recoup expenses for a claim it paid when another party should have been responsible for paying at least a portion of that claim.

Question 19

Supplemental Security Income (SSI)

Accepted Answer

Government program that helps pay living expenses for low-income older people and those who are blind or have disabilities.

Question 20

vocational rehabilitation

Accepted Answer

Retraining program covered by workers’ compensation to prepare a patient for reentry into the workforce.

MED112 CODE/BILL

MED112 KEY TERMS CH 12

Term	Definition
MED112 CH 12 KEY TERMS
Admission of Liability	Carrier’s determination that an employer is responsible for an employee’s claim under workers’ compensation.
automobile insurance policy	A contract between an insurance company and an individual under which the individual pays a premium in exchange for coverage of specified car-related financial losses.
disability compensation program	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 document filed by the physician in a state workers’ compensation case when the patient is discharged.
first report of injury	A document 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 injury, and patient’s description of what happened.
independent medical examination (IME)	Examination by a physician conducted at the request of a state workers’ compensation office or an insurance carrier to confirm that an individual is permanently disabled.
liens	Written, legal claims on property to secure the payment of a debt.
Notice of Contest	Carrier’s notification of determination to deny liability for an employee’s workers’ compensation claim.
occupational disease or illness	Condition caused by the work environment over a period longer than one workday or shift; also known as nontraumatic injuries.
Occupational Safety and Health Administration (OSHA)	Federal agency that regulates workers’ health and safety risks in the workplace.
Office of Workers’ Compensation Programs (OWCP)	The office of the U.S. Department of Labor that administers the Federal Employees’ Compensation Act which covers work-related injuries or illnesses suffered by civilian employees of federal agencies.
personal injury protection (PIP)	Insurance coverage for medical expenses and other expenses related to a motor vehicle accident.
physician of record	Provider under a workers’ compensation claim who first treats the patient and assesses the level of disability.
progress report	A document 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.
subrogation	Action by payer to recoup expenses for a claim it paid when another party should have been responsible for paying at least a portion of that claim.
Supplemental Security Income (SSI)	Government program that helps pay living expenses for low-income older people and those who are blind or have disabilities.
vocational rehabilitation	Retraining program covered by workers’ compensation to prepare a patient for reentry into the workforce.

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