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Chapter 17

QuestionAnswer
Worker's compensation is the same program as Workman's Compensation
Worker's Compensation laws protect employers and fellow workers by limiting the award that an injured employee can recover from an employer
Federal and state laws require employers to maintain worker's compensation coverage for employees for work-related illnesses and injuries
The employer must be notified.....when an injured worker presents for the first visit without a written or personal referral from the employer immediately
The first report of injury form is completed in quadruplicate when the patient first seeks treatment
The worker does not have to be on company property to qualify for worker's compensation
Providers are required to accept worker's compensation reimbursements as payment in full
Medical treatment claims are the easiest to process because they are filed for minor illnesses or injuries
Comprehensive records of all vaccinations administered and any accidental exposure incidences must be retained for 20 years
Permanent disability refers to an employee's diminished capacity to return to work
OSHA was created to protect employees against injuries from occupational hazards in the workplace
Schedule loss of use ( eyesight, hearing, or body part) compensation is limited to a certain number of weeks, according to a schedule set by law
The first report of injury form does not contain a signature line
A....should personally sign the original and all photocopies of progress reports before they are filed Physician
If the employer disputes the legitimacy of the claim a first report of injury must be filed anyway
A detailed narrative progress/supplemental report is filed to document any significant change in the worker's medical or disability status
Monthly benefit checks are sent to coal miners who are totally disabled by pneumoconiosis
Office of Worker's Compensation Programs (OWCP) provides 1) wage replacement benefits 2) Vocation rehabilitation 3) Medical treatment
The Energy Employees Occupational Illness Compensation Program provides benefits to employees of the Department of Energy
OWCP programs include both Energy Occupational Illness Compensation Program and Federal Black Lung program
The Department of Labor manages programs designed to prevent work-related injuries and illness which include: 1) Mine Safety and Health Administration 2) Occupational safety and Health Administration 3) Jones Act
The Division of Federal Employee's Compensation Act (FECA) processes medical expenses and compensation benefits to injured workers and survivors
Survivor benefits are calculated according to the employee's earning capacity at the time of illness or injury
The Longshore and Harbor worker's compensation Program covers workers under contract with the U.S. government for defense projects outside the continental United States.
The employee's health care provider is responsible for determining the extent of disability of the employee
The State Insurance Fund is a quasi-public agency that provides workers' compensation insurance coverage to private and public employers. It also acts as an agent in state workers' compensation cases involving state employees
The following are examples of on-the -job injuries 1) Employee is injured while dropping off lab samples to the local laboratory 2) Employee attending an out-of state conference is involved in a car crash 3) Worker slips on ice when leaving the hospital after delivering something for the doctor
Worker's compensation insurance provides weekly cash payments and reimburses health care costs for covered employees who develop a work-related illness or sustain an injury while on the job.
Self-insurance plans are required to set aside a percentage of funds to cover medical expenses and have sufficient capital (money) to qualify
Office of workers' Compensation Programs administers programs that provide wage replacement benefits to federal workers
Survivor Benefits are death benefits that are calculated at the time of the employee's injury or illness
Adjudication is a dispute resolution process in which appeals board makes a final determination
Deposition is a legal proceeding during which a party answers questions under oath
MSDS (Material Safety Data Sheets) are documents containing information about chemical and hazardous substances used on site
First Report of injury form is filed with the State Workers' Compensation Board/Commission
The Energy Employees Occupational Illness Compensation Program is a federal program
Workers' Compensation Board of Commission is the state agency responsible for providing payment to dependents of the deceased covered worker
Budget chargeback process is the transfer of funds from responsible federal agency's budget to the DFEC
Compensation file is created by providers for established patients injured on the job
Federal Employment Liability Act is a statue that provides railroad employees with protection from negligence
Employer Fraud is committed by an employer who misrepresents payroll amounts
Arbitrations is a dispute resolution process made by an impartial person with no judicial powers
State Insurance or Compensation Fund is the fiscal agent designated by state law and the corporation involved
Federal Black Lung Program provides monthly benefits to coal miners
Workers' Compensation does not pay benefits when the employee was negligent in performing assigned duties
Two benefits for the employer who incorporates managed care into the Workers' Compensation Program is 1) that managed care protects human resources 2) reduces workers' compensation costs
The Department of Labor manages both 1) the Mine Safety Health Administration as well as 2) OSHA (Occupational Safety and Health Administration) which exist to prevent work-related injuries and illnesses
Employees qualify for workers' compensation if they are injured while working within the scope of their job description or doing something the employer requested or develop a disease the can be directly linked to their work enviroment
Medical treatment claims are the easiest to process because they are filed for minor illnesses or injuries
Created by: drea08
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