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OWCP Basic Training
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OWCP Structure and JurisdictionThe
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Information and RecordsIndividual c
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PenaltiesThe regulations set forth
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Program BenefitsFECA provides for f
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Compensation BenefitsFederal employ
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Compensation for Loss of WagesThe A
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Schedule AwardThe Act provides for
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Other BenefitsAttendant AllowanceUn
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Federal WorkersCompensationoClaims
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Traumatic Injuries (CA-1• Back st
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Agency Processing of Traumatic Inju
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Tips for CA-1 Form Completion- Agen
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Form CA-16• Only used in Traumati
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Form CA-16 Instructions cont.
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Occupational Diseases (Form CA-2)OW
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Agency Processing of an Occupationa
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Tips for CA-2 Form Completion- Agen
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Recurrence of Disability Cont.It do
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Form CA-2a Notice of Recurrence
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What if the wrong form issubmitted?
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Form CA-7 Claim for Compensation
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Tips for CA-7 Form Completion- Agen
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Form CA-7b Leave Buy Back
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The Basic Elements of a Claim
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Statements/Comments• In cases inv
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A note about property vs.premises (
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Pre-existing existing Conditions•
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Three Statutory ExclusionsWillful M
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Three Statutory ExclusionsIntoxicat
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Withdrawal of a Claim
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Continuation of Pay
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Continuation of Pay (COP)The 1974 a
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Controverting COP vs.Challenging th
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9 Reasons an Agency May Controvert
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CONTROVERTING COP (CONT’D)OTHER R
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INVESTIGATING ENTITLEMENT TO COP
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INVESTIGATIONS (CONT’D)SUBMIT OBJ
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INVESTIGATIONS (CONT’D)CREDIBLE W
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INVESTIGATIONS (CONT’D)Providing
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“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 and 114: AUTHORIZATION LEVELS• LEVEL 1: Pr
- Page 115 and 116: What requires authorization?• Whe
- 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: Unreported Earnings or ActivitiesFo
- 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
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COP/RTW Redesign Features‣ COP As