This topic contains a solution. Click here to go to the answer

Author Question: Define and explain temporary disability claims. What is the role of the state in such claims? The ... (Read 54 times)

Chelseaamend

  • Hero Member
  • *****
  • Posts: 545
Define and explain temporary disability claims. What is the role of the state in such claims? The medical biller? The claims examiner?
 
  What will be an ideal response?

Question 2

Which of the following is the OIG responsible for?
 
  a. Reviewing agency spending plans prepared by HHS management
  b. Outlining steps that HHS management should take to obtain meaningful audit coverage
  c. Conducting risk assessments of HMOs receiving funding, including non-Medicaid programs
  d. Assessing providers' capability to manage funds in accordance with federal regulations



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Li Jun

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

Answer:
Temporary disability claims are when the patient is not able to perform her job requirements until she recovers from the injury involved. When a physician sees a patient in this situation, a First Report is submitted and ongoing reports are issued every two to three weeks until the patient is discharged to return to work.
Each state has a waiting period before temporary disability becomes effective, usually three to seven days. During temporary disability, the employee is paid a portion of her salary as a tax-free benefit. Temporary disability ends when the patient is able to return to work, even with limitations or to a different department, or when the patient's condition ceases to improve and the patient is left with a permanent disability. Most healthcare plans do not have a disability benefit or death benefits. Therefore, the medical biller should check the health insurance before submitting such a claim. The health claims examiner should not receive a disability claim unless otherwise provided in the insurance plan. If one is received, it should be denied as not a covered benefit.

Answer to Question 2

B




Chelseaamend

  • Member
  • Posts: 545
Reply 2 on: Jun 27, 2018
Wow, this really help


recede

  • Member
  • Posts: 315
Reply 3 on: Yesterday
Excellent

 

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

For a complete list of videos, visit our video library