1) The VDI minimum benefit is $50 after adjustments (50 net beneift). a) True b) False 2) How many days are in the CA VDI EP if the employer does not differ from the state? a) 0 days b) 7 days c) 7 days and waived for hospitalization d) 14 days 3) What is the standard product code in SystemOne for a VDI Claim a) STAT b) STDCP c) STDVDI d) CAVDI 4) How many days does LFG have to notify the EDD of a new VDI claim? a) 5 days b) 10 days c) 15 days d) 30 days 5) How many days does an employee have to file a VDI claim in order for it to be timely? a) 30 days b) 49 days c) 60 days d) 365 days 6) How long is the standard EWP for CA VDI Claims a) 0 days b) 7 days c) 30 days d) 49 days 7) At what 3 points in a CA VDI claim do you need to submit or retrieve information from the online EDD site (2523 forms)? a) Initial Claim b) 24-48 hours after initial EDD submission c) Final Claim d) All of the above 8) How long do you have to submit the final notice of VDI claim to the EDD through the online 2523 form? a) 5 days b) 15 days c) 25 days d) 35 days 9) How many attempts do you need to make to the treating provider to confirm medical information over the phone? a) 0 attempts b) 1 attempt within 3 business days c) 2 attempts within 3 business days 10) Which of the following providers can certify a VDI claim? a) Therapist b) Nurse Practitioner (no exam performed) c) For pregnancy: Midwife, Nurse-Midwife, Nurse Practitioner 11) What 4 pieces of information are needed to be considered a complete medical certification? a) Start date, IDC 10 code, OV dates, Duration b) DX & DX code, FOV, LOV, NOV c) Start date, ERTW or duration, Medical history, All treating providers names d) Start date, DX & DX code, Statement of medical facts, ERTW or duration 12) How long is initial N&P for a CA VDI claim assuming there are no customer specific timeframes? a) 20 days b) 30 days c) 45 days d) 60 days 13) How many days does LFG have to make an initial payment or denial from receipt of a "completed claim"? a) 5 dyas b) 7 days c) 10 days d) 14 days 14) Which of the following factors would disqualify VDI benefits? a) A mental nervous disability b) receiving WC benefit that is greater than the VDI amount c) Partial Disability 15) If WC is paying $1000/weekly and the CA VDI benefit amount is $956/weekly, is WC an exclusion or an offset? a) Exclusion b) Offset 16) The initial Approval Process for Certain Diagnoses can be applied to CA VDI claims. a) True b) False 17) How do we determine the approval duration for CA VDI claims? a) MD Guidelines b) Claims examiner picks a date based on claim specifics c) Based on treating provider certification d) Based on the Initial Approval for Certain Diagnoses 18) The employer can choose to make the EP shorter than 7 days or waive the EP a) True b) False 19) How many days are allowed between absences in order for the dates to be counted toward the Elminination Period? a) 0 days b) 15 days c) 30 days d) 60 days 20) Are VDI benefits taxable? a) Yes b) No c) Depends on the ER % 21) When retrieving the state award amount from EDD online, when would a Gross Benefit Override (GBO) be needed? a) When the award amount from EDD is less than the VDI benefit b) When the VDI benefit is less than the EDD award amount.  22) If the weekly benefit amount is $1492, what is the Initial Bank of Dollars Amount? a) $77,916 b) $77,584 c) $82,784 d) $100,984 23) When does the Claims Examiner need to track the bank of dollars amount in the claim notes? a) Always b) When the claimant is receiving the full weekly benefit c) When the claimant is receiving a partial weekly benefit d) Never. 24) When calculating partial disability, if the wage loss is greater than the VDI weekly benefit, you will: a) Issue the full weekly VDI benefit b) Pay the wages loss amount and calculate the PTDS offset 25) When a claim is closed, when should you submit the final 2523 to EDD online? a) After the final check issues b) The date the claim is closed c) 2 weeks after the claim is closed d) 35 days after the claim is closed - no sooner 26) 4 weeks pre-partum is allowed on VDI claims without the presence of complications. a) True b) False 27) Medical Certification is required in writing for maternity claims. a) True b) False 28) What is the successive timeframe for CA VDI claims? a) 2 weeks b) 60 days c) 90 days d) 52 weeks 29) To whom should the claimant send their CA VDI appeal? a) LFG b) Administrative Law Judge (ALJ) c) The Employment Development Department (EDD) d) The Employer

S1 - CA VDI Review

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