OWCP Basic Training - 15th Annual Federal Workers ...

More documents

Recommendations

Info

Overview• Services that requireauthorization• Submitting anauthorization i request• Information requiredin order to processauthorization• Timeframes es forCompletion
What requires authorization?• Whenever there is a question about treating aninjured worker, verify on the website if procedurerequires authorization• Or if you don’t have web access call 1-866-335-8319 for the IVR or the call center for services at850-558-1818558 1818.• Certain procedures require authorization prior toservices being rendered• Examples include surgery, physical therapy,occupational therapy, and some DME.
Page 1 and 2:
OWCP Basic Training
Page 3 and 4:
OWCP Structure and JurisdictionThe
Page 5 and 6:
Information and RecordsIndividual c
Page 7 and 8:
PenaltiesThe regulations set forth
Page 9 and 10:
Program BenefitsFECA provides for f
Page 11 and 12:
Compensation BenefitsFederal employ
Page 13 and 14:
Compensation for Loss of WagesThe A
Page 15 and 16:
Schedule AwardThe Act provides for
Page 17 and 18:
Other BenefitsAttendant AllowanceUn
Page 19 and 20:
Federal WorkersCompensationoClaims
Page 21 and 22:
Traumatic Injuries (CA-1• Back st
Page 23 and 24:
Agency Processing of Traumatic Inju
Page 25 and 26:
Tips for CA-1 Form Completion- Agen
Page 27 and 28:
Form CA-16• Only used in Traumati
Page 29 and 30:
Form CA-16 Instructions cont.
Page 31 and 32:
Occupational Diseases (Form CA-2)OW
Page 33 and 34:
Agency Processing of an Occupationa
Page 35 and 36:
Page 37 and 38:
Recurrence of Disability Cont.It do
Page 39 and 40:
Form CA-2a Notice of Recurrence
Page 41 and 42:
What if the wrong form issubmitted?
Page 43 and 44:
Form CA-7 Claim for Compensation
Page 45 and 46:
Page 47 and 48:
Form CA-7b Leave Buy Back
Page 49 and 50:
The Basic Elements of a Claim
Page 52 and 53:
Statements/Comments• In cases inv
Page 54 and 55:
A note about property vs.premises (
Page 56 and 57:
Pre-existing existing Conditions•
Page 58 and 59:
Three Statutory ExclusionsWillful M
Page 60 and 61:
Three Statutory ExclusionsIntoxicat
Page 62 and 63:
Withdrawal of a Claim
Page 64 and 65: Continuation of Pay
Page 66 and 67: Continuation of Pay (COP)The 1974 a
Page 69 and 70: Controverting COP vs.Challenging th
Page 71 and 72: 9 Reasons an Agency May Controvert
Page 73 and 74: CONTROVERTING COP (CONT’D)OTHER R
Page 75 and 76: INVESTIGATING ENTITLEMENT TO COP
Page 77 and 78: INVESTIGATIONS (CONT’D)SUBMIT OBJ
Page 79 and 80: INVESTIGATIONS (CONT’D)CREDIBLE W
Page 81 and 82: INVESTIGATIONS (CONT’D)Providing
Page 84: “NO TIME LOST” (NTL) CASES ANDC
Page 87 and 88: COUNTING COP DAYS
Page 89 and 90: Portion of DayIf the employee stops
Page 91 and 92: End of PeriodThe claimant's entitle
Page 93 and 94: Counting COP Entitlement - Example
Page 95 and 96: RETURNING INJURED EMPLOYEES TO MODI
Page 97 and 98: Requesting Medical ReportsA. The fi
Page 99 and 100: Weight of Medical EvidenceWhen OWCP
Page 101 and 102: Preparing the Job OfferHowever, if
Page 103 and 104: Suitable OffersTo find an offer of
Page 105 and 106: Disqualifying FactorsVerify that no
Page 107 and 108: What to do when a job offer is vali
Page 109 and 110: If the reasons for refusal are not
Page 111 and 112: Moving ExpensesMoving Expenses and
Page 113: AUTHORIZATION LEVELS• LEVEL 1: Pr
Page 117 and 118: Info Required for Auth Requests:Rou
Page 119 and 120: Info Required for DME Auth• Claim
Page 121 and 122: No Authorization• Certain procedu
Page 123 and 124: Authorization EOB Code• Your clai
Page 125 and 126: Authorization Approval• If a requ
Page 127 and 128: AUTHORIZATION LETTER
Page 129 and 130: Medical Bill Processing
Page 131 and 132: Claimant Eligibilityibilit• Each
Page 133 and 134: Treatment t Suite• Services that
Page 135 and 136: Unreported Earnings or ActivitiesFo
Page 137 and 138: The Road to ForfeitureIf the employ
Page 139 and 140: Evidence Required to Establish Forf
Page 141 and 142: Administrative ActionsOnce the offi
Page 143 and 144: Other ECAB cases…..• The Office
Page 145 and 146: Office Decision Affirmed• The Boa
Page 147 and 148: Office Decision Affirmed• Appella
Page 149 and 150: Cases that do NOT lead to Forfeitur
Page 151 and 152: FECA Fraudand Criminal Prosecution
Page 153 and 154: §8148 Forfeiture of benefits by co
Page 155 and 156: 18 U.S.C. 1920"§1920. False statem
Page 157 and 158: Pretrial DiversionDuring pretrial d
Page 159 and 160: FECA Program Highlightsht‣Electro
Page 161 and 162: CA-7 and CA-3 3e-Filing‣ Effectiv
Page 163 and 164: Overview• Forms to be filed via A
Page 165 and 166:
Benefits of E-filing‣ Early recei
Page 167 and 168:
How Will the ICS E-file forms?•Th
Page 169 and 170:
What the ICS will seeICS willcomple
Page 171 and 172:
How will the ICS know it worked?In
Page 173 and 174:
Major Differences Web form vs. Pape
Page 175 and 176:
Fields onCA-7aPre-Populated Populat
Page 177 and 178:
RequiredFields on CA-3Pre-Populated
Page 179 and 180:
CQS - Claimant Query SystemCQS will
Page 181 and 182:
CQS case summary and status will di
Page 183 and 184:
Description:DFEC Centralized IVRThe
Page 185 and 186:
IVR Continued‣ Reduced staff work
Page 187:
COP/RTW Redesign Features‣ COP As
show all

OWCP Basic Training - 15th Annual Federal Workers ...

Create successful ePaper yourself

Delete template?

Save as template?