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| Workers' Compensation | A no-fault insurance system that provides benefits to employees injured or made ill because of their work. |
| No-Fault Insurance System | A system where eligible injured workers can receive benefits without having to sue their employer. |
| Workplace Injury | An injury that occurs because of, or during, a person's work. |
| Work-Related Illness | An illness or condition that develops because of workplace exposure or work duties. |
| Medical Treatment Coverage | Workers' compensation benefit that covers medical care related to an accepted workplace injury or illness. |
| Wage Replacement Benefits | Payments that help replace lost income when a worker cannot work because of an accepted workplace injury or illness. |
| Rehabilitation Services | Services that help an injured worker recover and return to function or employment. |
| Return-to-Work Assistance | Support used to help an injured worker safely return to suitable work. |
| Permanent Impairment Benefits | Benefits that may be provided when a workplace injury or illness causes lasting impairment. |
| Workers' Compensation Board | The provincial organization that manages workplace injury claims and related benefits. |
| Workplace Safety and Insurance Board (WSIB) | Ontario's workers' compensation organization. |
| Workers' Compensation Board of Nova Scotia (WCB) | Nova Scotia's workers' compensation organization. |
| WorkSafe NB (WSNB) | New Brunswick's workers' compensation organization. |
| Accepted Claim | A workers' compensation claim approved for benefits or payment by the compensation board. |
| Claim Adjudication | The compensation board's process of reviewing claim information and deciding eligibility or payment. |
| Treatment Authorization | Approval for treatment related to a workers' compensation claim. |
| Return-to-Work Planning | Planning focused on safe work duties, restrictions, accommodations, and recovery. |
| MOA Role in Workers' Compensation | The MOA helps collect claim information, complete forms, submit reports, track payments, and communicate with stakeholders. |
| Injured Worker Registration | Collecting the required patient, employer, and claim information for a workplace injury visit. |
| Claim Information Verification | Checking claim details such as injury date, employer information, claim number, and patient information for accuracy. |
| Submitted Report | A completed form or report sent to the compensation board. |
| Rejected Claim | A claim or report returned or unpaid because of missing, incorrect, or incomplete information. |
| Workers' Compensation Documentation | Medical and administrative documentation used to support a workplace injury claim. |
| Acute Injury | A workplace injury that occurs suddenly, such as a fall, fracture, burn, sprain, or strain. |
| Repetitive Strain Injury (RSI) | A gradual-onset injury related to repeated movements or strain, such as tendonitis or carpal tunnel syndrome. |
| Occupational Disease | A disease or illness caused by workplace exposure, such as hearing loss, lung disease, or chemical exposure illness. |
| Work-Related Mental Health Condition | A mental health condition connected to work, such as post-traumatic stress or stress related to bullying, harassment, or traumatic events. |
| Duty to Report | A provider's obligation to report certain workplace injuries or illnesses according to provincial rules or safety concerns. |
| Patient Consent in Reporting | Some provinces may consider patient consent for reporting unless the injury is critical, severe, or creates serious safety risk. |
| Patient Visit | The first step in the workers' compensation billing workflow when the injured worker is seen for care. |
| Physician Assessment | The provider's evaluation of the workplace injury or illness. |
| Form Completion | Completing required workers' compensation forms or reports after assessment. |
| Claim Submission | Sending the workers' compensation claim, form, or report to the appropriate payer or system. |
| Compensation Board Review | The workers' compensation board's review of claim details, reports, and eligibility. |
| Payment Processing | The stage where payment is issued or adjusted after claim review. |
| Reconciliation | Comparing submitted claims and reports with payments received to confirm accuracy and follow up on issues. |
| Initial Physician Report / Incident or Injury Report | A report completed after the first assessment of a workplace injury or illness. |
| Functional Abilities | The worker's safe work capabilities, such as lifting, sitting, standing, and modified work abilities. |
| Return-to-Work Form / Functional Abilities Form (FAF) | A form that communicates abilities, restrictions, and limitations to support safe return to work. |
| Progress Report | A report that updates the compensation board on the patient's recovery, treatment, and return-to-work status. |
| Narrative Report | A detailed written report requested by the compensation board about the patient's condition, treatment, restrictions, or prognosis. |
| Specialist Report | A report from a specialist that provides additional medical information, opinions, or treatment recommendations. |
| Mechanism of Injury | Documentation describing how the workplace injury occurred. |
| Treatment Plan | The provider's plan for managing the workplace injury or illness. |
| Restrictions | Work-related limits based on the patient's injury, condition, or recovery. |
| Functional Limitations | Limits on what the patient can safely do because of the injury or illness. |
| Claim Number | A unique number assigned to a workers' compensation claim. |
| Out-of-Province Worker | A worker injured outside their home province who may require paper claim submission or special billing procedures. |
| Claim Tracking | Monitoring claim numbers, submitted reports, outstanding reports, payment status, and appeals. |
| Outstanding Report | A required report that has not yet been submitted or completed. |
| Payment Status | The current state of a claim payment, such as paid, pending, adjusted, or unpaid. |
| Appeal | A request to review or reconsider a denied workers' compensation claim or decision. |
| Reconsideration | A review process used when a workers' compensation decision is challenged or clarified. |
