Workers’ Compensation

JeopardyMaking Workers’

Compensation Fun!

Hosted By: Edward R. Carpenter, Jr., EsquireDistinguished Advisors:The Honorable John McTiernanMarla A. Joseph, EsquireChristopher A. DiMeo, Esquire

JeopardyWhat’s your diagnostic?

It’s all in the document

It gets unusual To pay, not pay, or it depends

That settles it

100 100 100 100 100

200 200 200 200 200

300 300 300 300 300

400 400 400 400 400

500 500 500 500 500

This imaging study is considered to be the gold standard for rendering a definitive diagnosis.

To Answer

What’s your diagnostic for 100

What is an MRI? Back to Jeopardy

The analysis of the electrical data for this study may support a diagnosis of carpal tunnel

syndrome.

To Answer

What’s your diagnostic for 200

What is an EMG?

Back to Jeopardy

This temperature sensitive study was thought to detect areas of injury within a patient's body.

To Answer

What’s your diagnostic for 300

What is thermography?

Back to Jeopardy

This study can be used to support a diagnosis of complex regional pain syndrome.

To Answer

What’s your diagnostic for 400

Back to Jeopardy

What is a bone scan?

This diagnostic study could be a central piece of evidence in establishing an intoxication defense.

To Answer

What’s your diagnostic for 500

What is a blood test?

Back to Jeopardy

This popular Bureau document allows an employer to continue investigation of a claim

without prejudice.

It’s all in the document for 100

To Answer

What is an NTCP?

Back to Jeopardy

It’s all in the document for 200

This seldom used document allows for continued payment of medical expenses while concluding the claim.

To Answer

What is a Final Receipt? Back to Jeopardy

It’s all in the document for 300

This unilateral document can stop wage loss benefits on an accepted injury.

• To Answer

What is a Notification of Suspension? Back to Jeopardy

It’s all in the document for 400

This EDI transaction should be filed within 21 days of notification of an accident to properly contest an injury.

• To Answer

What is a SROI-04 (Notice of Denial)?Back to Jeopardy

It’s all in the document for 500

This all-purpose document can be utilized to reinstate or cease the payment of workers' compensation benefits.

To Answer

Back to Jeopardy

What is a Supplemental Agreement?

It gets unusual for 100

An air quality study can be utilized to determine whether there has been exposure to this "growing" source of work-related injuries.

• To Answer

What is mold?

Back to Jeopardy

It gets unusual for 200

A kiss causing this severe medical condition has been determined to be compensable.

• To Answer

What is Hepatitis C?

Back to Jeopardy

It gets unusual for 300

Exposure to this formerly common construction product can result in both workers' compensation and general liability claims.

• To Answer

What is asbestos?Back to Jeopardy

It gets unusual for 400

Continued exposure to bromide in brick mortar may result in this defense not being valid.

To Answer

What is a return to baseline?

Back to Jeopardy

It gets unusual for 500

Stifling this otherwise normal bodily function can result in an award for benefits for an injury to an eye.

• To Answer

What is a sneeze?Back to Jeopardy

To pay, not pay, or it dependsfor 100

An NCP describes claimant’s compensable injury as “low back strain”. The claims representative receives a bill for a lumbar discectomy.

• To Answer

What is it depends?

Back to Jeopardy

To pay, not pay, or it dependsfor 200

An NCP mistakenly states the compensable injury as “right knee” but all medical records from the panel doctor note a left knee injury. The claims representative receives a bill for treatment of the left knee.

To Answer

What is pay?Back to Jeopardy

To pay, not pay, or it depends for 300

A claimant returns to work and the claims representative immediately mails a Notification of Suspension. On the last day a Challenge can be filed, the claimant calls the claims representative and states she is not working but can not find the Notification of Suspension to Challenge.

To Answer

What is it depends?

Back to Jeopardy

To pay, not pay, or it depends for 400In a final unappealed UR Determination, the reviewer concludes that treatment including prescriptions for Percocet were unreasonable and unnecessary. The claims representative receives a bill for Percocet from another doctor.

• To Answer

What is pay?Back to Jeopardy

To pay, not pay, or it depends for 500

Case resolves via a Compromise and Release. Both parties waive the appeal period. Fourteen days after the WCJ approves the agreement, the claims representative finds out the claimant died prior to that approval.

To Answer

What is it depends? Back to Jeopardy

That settles it for 100

A Mandatory Mediation cannot be conducted by this individual.

Answer

That settles it for 100

Who is the adjudicating judge?(See Judge Rules 131.59, 131.59a and 131.59b)

Back to Jeopardy

That settles it for 200

A Stipulation of Fact may resolvea dispute if it's signed and dated

by claimant and counsel and is this.

Answer

That settles it for 200

If it is fair and equitable to the parties?(See Judge Rule 131.91)

Back to Jeopardy

That settles it for 300

A WCJ, before approving a C&R Agreement, must determine this

Answer

That settles it for 300

Does the claimant understandit's full legal significance? (See Section 449(b))

Back to Jeopardy

That settles it for 400

Mediations may achieve a settlement but can also beused to achieve this.

Answer

That settles it for 400

Back to Jeopardy

What is narrow issues?(See Section 401 and 401.1; Rule 131.59)

That settles it for 500

Money paid pursuant to a C&R does not constituteconsideration for this.

Answer

That settles it for 500

Back to Jeopardy

What is a letter of resignation?