click below
click below
Normal Size Small Size show me how
Chapter 17
| Question | Answer |
|---|---|
| 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 |