FMLA Knowledge Crossword

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Across
  1. 3. A new claim determination is pending, and you receive the RTW form but no additional medical, what process should you follow?
  2. 5. After completing the incomplete process, if duration is not provided, the the following courtesy durations should be used as best practice for office visits.
  3. 6. Incomplete documentation not cured by the due date provided by the incomplete process, the case can be denied and should be ___ prior to the denial being finalized.
  4. 7. ____ or "life-long" conditions certified with a missing end date can be approved for six months without processing incomplete medical steps.
  5. 9. When an employee has a set work schedule, such as 8 hours a day, Monday through Friday, determining the amount of entitlement is easy, simply take the number of hours per week, and multiply by this number to determine their entitlement.
  6. 10. Medical is to acted on and reviewed within this many number of days.
  7. 12. The employee must do this (abbrv) in-between absences to end, or start a new episode.
  8. 13. After completing the incomplete process, if duration is not provided, the the following courtesy durations should be used as best practice for episodes (hours).
  9. 14. When the employee makes diligent good faith efforts but is still unable to meet the 17 calendar day deadline, they are entitled to additional time to provide the certification. The additional time provided will depend on the circumstances creating the delay. Case managers can provide a one-time extension for this many days.
Down
  1. 1. For intermittent pregnancy claims, the ___ date should be adjusted to the estimated date of delivery.
  2. 2. The certification may require this when the certification is complete and sufficient, however, information provided is unclear or confusing such as handwriting or the meaning of the response on the form.
  3. 4. Recertification should be processed on the ____ absence exceeding approved F&D.
  4. 7. If the employee works in this state, do NOT send the incomplete form to the doctor. We can ONLY send incomplete correspondence back to the employee.
  5. 8. Sedgwick’s best practice is to provide this many calendar days from the date the notice of the need for certification is sent to the employee. The day the notice is sent is considered day zero and the clock starts on the next day.
  6. 11. If there are no absences reported during case creation, the _____ event date must be adjusted upon first utilization as the leave year will begin on the first date of absence.