Definitions

Question 1

Define Aggravation

Answer 1

An actual worsening of the compensable condition after the last award of compensation which is established by medical evidence supported by objective findings.

Question 2

Define AP

Answer 2

AP is responsible for the treatment of a workers compensation injury

Question 3

Authorized Nurse Practitioner

Answer 3

Authorized to provider compensable medical services

Question 4

Define Claim

Answer 4

A written request for compensation by a subject worker for a compensable injury which a subject employer had knowledge of

Question 5

Define Combine Condition

Answer 5

Compensable injury combines with a preexisting condition to cause or prolong disability or need for treatment.

Question 6

Define Come Along Provider

Answer 6

When you AP is not on panel with an MCO and continues to treat by adhering to the MCO guidelines.

Question 7

Define Compensation

Answer 7

all benefits, including medical services provided for a compensable injury to a subject worker

Question 8

Define Consequential Condition

Answer 8

A condition that was a consequence of a compensable injury

Question 9

Define Disabling Injury

Answer 9

A disabling injury entitles the worker to compensation for a disability or death. Not disabling if no temporary benefits are due and payable unless there is a reasonable expectations that permanent disability will result from the injury

Question 10

Define Elective Surgery

Answer 10

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

Question 11

Define Impairment

Answer 11

A permeant loss or function of a body part related to the compensable condition.

Question 12

Define Initial Claim

Answer 12

First open period on a claim, immediately following the original filing of an injury until the worker is declared med stat.

Question 13

Define Medical Services

Answer 13

Any medical treatment …..

Question 14

Define Med Stat

Answer 14

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

Question 15

Objective Findings

Answer 15

Verifiable indications of injury or disease that can include ROM, atrophy, muscle strength, and palpable muscle spasm.

Question 16

Define OD

Answer 16

Any disease or infection arising out of and in the course of employment cause by substances or activities to which an employee is not subjected or exposed other than during a period of regular employment in which requires medical servicers or result in disability or death

Question 17

Define Palliative Care

Answer 17

Medical services rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition

Question 18

Define Permanent Partial Disability

Answer 18

permanent loss of us or function of a body part or system resulting in a compensable injury or permanent impairment and work disability resulting from the compensable injury or OD.

Question 19

Define Permanent Total Disability

Answer 19

Permanently incapacitated from regularly performing work in a suitable and gainful occupation

Question 20

Define Preexisting Condition

Answer 20

any injury or disease that contributes to a disability or need for treatment

Question 21

Define Temporary partial disability

Answer 21

when a worker is capable of returning to some form of work but is limited in number or hours or type of work performed

Question 22

Define Temporary Total Disability

Answer 22

Is when the work is temporarily unable to return to any employment

Question 23

Define Work Disability

Answer 23

Separate factoring of impairment based on age, education, and adaptability.