CH 17
The State Insurance Fund is a quasi-public agency that A. provides workers compensation insurance coverage to private and public employers B. acts as a agent in state workers compensation cases involving state employees C. neither A or B. D. both A and B
D. both a and b
Self-insurance plans are required to A. set aside a percentage of funds to cover medical expenses B. purchase policies from commercial insurance companies for workers compensation C. have sufficient capital to qualify D. both A and C
D. both a and c
The worker must physically be on company property to qualify for workers' compensation.
False
Workers' compensation is standardized from state to state.
False
Permanent disability refers to an employee's diminished capacity to return to work.
True
The employer must be notified by mail when an injured worker presents for the first visit without a written or personal referral from the employer.
False
What was the previous name for workers' compensation? A. state workers comp B. workmans comp C. workpersons comp D. both B and C
B. Workmans' compensation
Providers who treat established patients for work-related disorders should create a compensation file separate from the established medical record.
True
All providers must accept the compensation payment as payment in full.
True
A detailed narrative progress/supplemental report is filed to document any significant change in the worker's medical or disability status.
True
Workers' compensation is not the same program as workmans' compensation.
false
Medical treatment claims are the most difficult to process because they are filed for minor illnesses or injuries.
False
Schedule loss of use (eyesight, hearing, or body part) compensation is a lifetime benefit.
False
How are survivor benefits calculated? A. according to the employee's years of service at the time of illness or injury B. according to the employee's earning capacity at the time of illness or injury C. according to the job classification's highest earning capacity D. according to the discretion of the employee's supervisor
B. According to the employee's earning capacity at the time of illness or injury
Federal agencies reimburse FECA for workers' compensation expenses through annual premiums charged to workers.
False
The Energy Employees Occupational Illness Compensation Program provides A. benefits to employees of the Dept of Energy B. benefits to employees of the nations coal mines C. benefits to employees of the postal system D. benefits to employees of the DEP
A. benefits to employees of the Department of Energy.
Which program covers workers under contract with the U.S. government for defense projects outside the continental United States? A. Mine Safety and Health Administration B. Longshore and Harbor Workers Compensation Program C. Federal Employees Compensation Act Program D. Energy Employees Occupational Illness Compensation Program
B. Longshore and Harbor Workers' Compensation Program
The Division of Federal Employees' Compensation Act processes A. inpatient claims benefits B. medical expenses and compensation benefits to injured workers and survivors C. return to work forms D. outpatient claims forms
B. medical expenses and compensation benefits to injured workers and survivors.
Workers' compensation insurance provides ____ cash payments and reimburses healthcare costs for covered employees who develop a work-related illness or sustain an injury while on the job. A. daily B. weekly C. bimonthly D. monthly
B. weekly
____ benefit checks are sent to coal miners who are totally disabled by pneumoconiosis. A. daily B. weekly C. bimonthly D. monthly
D. Monthly
Who is responsible for determining the extent of disability of an employee? A. union representative B. nurse at facility dispensary C. employee's healthcare provider D. workers compensation board
C. Employee's healthcare provider
____ and ____ laws require employers to maintain workers' compensation coverage for employees for work-related illnesses and injuries. A. state, local B. local, city C. federal, state D. federal, city
C. Federal, State
Office of Workers' Compensation Programs (OWCP) provides A. wage replacement benefits B. medical treatment C. vocation rehabilitation D. All of the above
D. all of the above
The Department of Labor manages programs designed to prevent work-related injuries and illnesses, which include A. Mine Safety and Health Administration B. Occupational Safety and Health Administration C. Jones Act D. All of the Above
D. all of the above
Which of the following is an example of an on-the-job injury? A. employee is injured while picking up reports for the office at the local hospital B. worker trips on the curb when taking a deposit to the bank C. employee attending a work seminar in another state falls down the stairs D. all of the above
D. all of the above
The programs of the OWCP include A. Energy Employees Occupational Illness Compensation Program B. Social Services Program C. Federal Black Lung Program D. Both A and C
D. both a and c
A health information specialist should personally sign the original and all photocopies of progress reports before filing them for the physician
False
According to the law, when a patient requests treatment for a work-related injury or disorder and has signed the first report of injury form, the patient has given consent for the filing of compensation claims and reports.
False
If the employer disputes the legitimacy of the claim, a first report of injury report must be filed anyway.
True
OSHA was created to protect employees against injuries from occupational hazards in the workplace.
True
Workers' compensation laws protect employers and fellow workers by limiting the award that an injured employee can recover from an employer.
True
The first report of injury form is completed in triplicate when the patient first seeks treatment.
false
A comprehensive record of all vaccinations administered and any accidential exposure incidences must be retained for 30 years.
false
