Common Definitions

Question 1

Aggravation (Agg)

Answer 1

actual worsening of the compensable condition or conditions which is established by medical evidence supported by objective findings.

Question 2

Attending physician (AP)

Answer 2

primarily responsible for the treatment of a worker’s compensable injury or illness

Question 3

Type A medical provider:

Answer 3

• Med dr
• dr of osteopathic medicine
• podiatric physician and surgeon
• oral surgeon

Question 4

Type B medical provider:

Answer 4

• Chiropractic physician
• physician assistant
• naturopathic physician

Question 5

Authorized nurse practitioner (ANP, or just NP)

Answer 5

authorized to provide compensable medical services

Question 6

Claim

Answer 6

a written request for compensation from a subject worker or someone on the workers behalf or any compensable injury of which a subject employer has notice or knowledge.

Question 7

Combined condition

Answer 7

compensable injury combines qualified preexisting condition to cause or prolong disability or a need for treatment.

Question 8

Come-along provider

Answer 8

A primary care physician, chiropractic physician, or an authorized nurse practitioner who is not a managed care organization (MCO) panel provider and who continues to treat the worker when the worker becomes enrolled in an MCO.

Question 9

Compensable injury

Answer 9

A compensable injury is an accidental injury, or accidental injury to prosthetic appliances, arising out of and in the course of employment requiring medical services or resulting in disability or death. An injury is accidental if the result is an accident, whether or not due to accidental means, if it is established by medical evidence supported by objective findings.

Question 10

Compensation

Answer 10

all benefits, including medical services, provided for a compensable injury to a subject worker or the worker’s beneficiaries by an insurer.

Question 11

Consequential condition

Answer 11

This type of condition occurs as a consequence of a compensable injury.

Question 12

Curative care

Answer 12

stabilize a temporary and acute waxing and waning of symptoms.

Question 13

Disabling injury

Answer 13

• entitles the worker to compensation for disability or death
• An injury is not disabling if no temporary benefits are due and payable, unless there is a reasonable expectation that permanent disability will result from the injury.

Question 14

Elective surgery

Answer 14

may be required in the process of recovery from an injury or illness, but does not need to be done as an emergency to preserve life, function, or health.

Question 15

Impairment

Answer 15

A permanent loss of use or function of a body part or system related to the compensable condition

Question 16

Incarceration

Answer 16

when in pretrial detention or imprisoned following conviction for a crime

Question 17

Initial Claim

Answer 17

first open period on the claim immediately following the original filing of the occupational injury or disease claim until the worker is first declared medically stationary by an attending physician or authorized nurse practitioner.

Question 18

Inpatient

Answer 18

Admitted to a hospital prior to and extending past midnight for treatment and lodging.

Question 19

Managed Care Organization (MCO)

Answer 19

organization formed to provide medical services.

Question 20

Medical services

Answer 20

Any medical treatment or any medical, surgical, diagnostic, chiropractic, dental, hospital, nursing, ambulances, and other related services, and drugs, medicine, crutches and prosthetic appliances, braces and supports and where necessary, physical restorative services.

Question 21

Medically stationary (Med Stat)

Answer 21

No further material improvement is expected with either treatment or the passage of time.

Question 22

New condition

Answer 22

A condition that develops after the notice of acceptance is issued.

Question 23

Nondisabling injury (MO claim)

Answer 23

A nondisabling injury only requires medical services.

Question 24

Objective findings

Answer 24

These are verifiable indications of injury or disease that may include, but are not limited to, range of motion, atrophy, muscle strength, and palpable muscle spasm.

-“Objective findings” does not include physical findings or subjective responses to physical examinations that are not reproducible, measurable, or observable.

Question 25

Occupational disease (OD)

Answer 25

Occupational disease (OD)

Question 26

Omitted condition

Answer 26

A condition that was present at the time the notice of acceptance was issued but was omitted from the notice

Question 27

Palliative care

Answer 27

This is medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services rendered to diagnose, heal, or permanently alleviate or eliminate a medical condition.

Question 28

Permanent partial disability (PPD)

Answer 28

PPD is the permanent loss of use or function of a body part or system resulting from the compensable injury or occupational disease or permanent impairment and work disability resulting from the compensable injury or occupational disease.

Question 29

Permanent total disability (PTD)

Answer 29

A worker is permanently and totally disabled if permanently incapacitated from regularly performing work in a suitable and gainful occupation

Question 30

Preexisting condition

Answer 30

A preexisting condition is any injury, disease, congenital abnormality, personality disorder, or similar condition that contributes to disability or need for treatment.

Question 31

Qualifying preexisting condition

Answer 31

A qualifying preexisting condition is one where the worker has received prior medical treatment for the condition, was diagnosed with the condition prior to the injury, or is diagnosed as arthritis or an arthritic condition.

Question 32

Subject employer

Answer 32

This is an employer who is subject to the workers’ compensation laws found in ORS 656.

Question 33

Subject worker

Answer 33

This is a worker who is subject to the workers’ compensation law found ORS 656.

• See ORS 656.027 for a complete list of workers who are NOT considered subject workers.

Question 34

Temporary partial disability (TPD)

Answer 34

This is when the worker is capable of returning to some form of work but may be limited in the number of hours or the type of work performed

Question 35

Temporary total disability (TTD)

Answer 35

This is when the worker is temporarily unable to return to any employment

Question 36

Three-day wait (3DW)

Answer 36

This refers to the three consecutive calendar days beginning with the first day the worker loses time or wages from work as a result of the compensable injury.

Question 37

Work disability

Answer 37

This means the separate factoring of impairment as modified by age, education, and adaptability to perform the job at which the worker was injured