Chapter 17
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| Worker's compensation is the same program as | Workman's Compensation
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| Worker's Compensation laws protect employers and fellow workers by | limiting the award that an injured employee can recover from an employer
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| Federal and state laws require employers to maintain | worker's compensation coverage for employees for work-related illnesses and injuries
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| The employer must be notified.....when an injured worker presents for the first visit without a written or personal referral from the employer | immediately
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| The first report of injury form is | completed in quadruplicate when the patient first seeks treatment
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| The worker does not have to be | on company property to qualify for worker's compensation
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| Providers are required to | accept worker's compensation reimbursements as payment in full
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| Medical treatment claims are | the easiest to process because they are filed for minor illnesses or injuries
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| Comprehensive records of all vaccinations administered and any accidental exposure incidences must be retained for | 20 years
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| Permanent disability refers to | an employee's diminished capacity to return to work
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| OSHA was created to protect | employees against injuries from occupational hazards in the workplace
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| 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
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| The first report of injury form does not contain a | signature line
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| A....should personally sign the original and all photocopies of progress reports before they are filed | Physician
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| If the employer disputes the legitimacy of the claim | a first report of injury must be filed anyway
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| A detailed narrative progress/supplemental report is | filed to document any significant change in the worker's medical or disability status
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| Monthly benefit checks are sent to | coal miners who are totally disabled by pneumoconiosis
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| Office of Worker's Compensation Programs (OWCP) provides | 1) wage replacement benefits
2) Vocation rehabilitation
3) Medical treatment
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| The Energy Employees Occupational Illness Compensation Program provides | benefits to employees of the Department of Energy
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| OWCP programs include | both Energy Occupational Illness Compensation Program and Federal Black Lung program
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| 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
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| The Division of Federal Employee's Compensation Act (FECA) processes | medical expenses and compensation benefits to injured workers and survivors
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| Survivor benefits are calculated according to the employee's | earning capacity at the time of illness or injury
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| 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.
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| The employee's health care provider is responsible for | determining the extent of disability of the employee
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| 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
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| 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
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| 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.
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| Self-insurance plans are required to | set aside a percentage of funds to cover medical expenses and have sufficient capital (money) to qualify
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| Office of workers' Compensation Programs administers programs that | provide wage replacement benefits to federal workers
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| Survivor Benefits are | death benefits that are calculated at the time of the employee's injury or illness
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| Adjudication is | a dispute resolution process in which appeals board makes a final determination
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| Deposition is | a legal proceeding during which a party answers questions under oath
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| MSDS (Material Safety Data Sheets) are | documents containing information about chemical and hazardous substances used on site
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| First Report of injury form is | filed with the State Workers' Compensation Board/Commission
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| The Energy Employees Occupational Illness Compensation Program is | a federal program
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| Workers' Compensation Board of Commission is | the state agency responsible for providing payment to dependents of the deceased covered worker
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| Budget chargeback process is | the transfer of funds from responsible federal agency's budget to the DFEC
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| Compensation file is | created by providers for established patients injured on the job
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| Federal Employment Liability Act is | a statue that provides railroad employees with protection from negligence
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| Employer Fraud is | committed by an employer who misrepresents payroll amounts
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| Arbitrations is | a dispute resolution process made by an impartial person with no judicial powers
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| State Insurance or Compensation Fund is | the fiscal agent designated by state law and the corporation involved
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| Federal Black Lung Program provides | monthly benefits to coal miners
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| Workers' Compensation does not pay benefits when | the employee was negligent in performing assigned duties
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| 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
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| 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
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| 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
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| Medical treatment claims are | the easiest to process because they are filed for minor illnesses or injuries
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