Deck 15: Workers Compensation

Question 1

The reason for workers' compensation laws is

A) to ensure a prompt return to work of any injured or ill employee.
B) to provide income to the injured or ill worker.
C) to encourage maximum employer interest in safety.
D) all of the above.

Answer 1

all of the above.

Question 2

An individualized program of therapy using simulated or real work tasks to build strength and improve the worker's endurance toward a full day's work is known as

A) work hardening.
B) physical therapy.
C) cognitive evaluation.
D) occupational therapy.

Answer 2

work hardening.

Question 3

Which is the correct procedure for keeping an industrial patient's financial and health records when the same physician is also seeing the patient as a private patient?

A) The same financial record may be used, but a separate health record must be maintained.
B) The same health record may be used, but a separate financial record must be maintained.
C) The same financial and health records may be used.
D) Separate financial and health records must be used.

Answer 3

Separate financial and health records must be used.

Question 4

In many states, workers' compensation laws have exemptions for certain occupations such as

A) file clerks, telephone operators, and typists.
B) administrative secretaries, receptionists, and bookkeepers.
C) domestic employees, babysitters, and gardeners.
D) all of the above.

Question 5

Premiums for workers' compensation insurance are paid by the

A) employee.
B) employer.
C) employee and employer in equal amounts.
D) state in which the employee works.

Question 6

State compensation laws that require each employer to accept its provisions and provide for specified benefits are

A) compulsory laws.
B) elective laws.
C) regional laws.
D) local laws.

Question 7

The statutes for workers' compensation laws fall under

A) federal compensation laws.
B) state compensation laws.
C) federal and state compensation laws.
D) state and county compensation laws.

Question 8

Final determination involving settlement of an industrial accident is known as

A) adjudication.
B) settlement.
C) release.
D) discharge.

Question 9

OSHA stands for

A) Occupational Services and Health Administration.
B) Outpatient Safety and Health Association.
C) Occupational Standards and Health Association.
D) Occupational Safety and Health Administration.

Question 10

The First Treatment Medical Report or Physician's First Report of Occupational Injury or Illness form should be signed

A) in ink by the physician's representative.
B) in ink by the physician.
C) using a certified signature stamp.
D) both a and b

Question 11

The form that contains authorization for the physician to treat the injured employee is the

A) Employer's Report of Occupational Injury.
B) Medical service order.
C) Physician's First Report of Occupational Injury or Illness.
D) Supplemental Report.

Question 12

An abnormal condition caused by exposure to environmental factors associated with employment is termed a/an

A) physical injury.
B) occupational illness.
C) temporary disability.
D) permanent disability.

Question 13

If a worker has a work-related injury or illness and is unable to perform the duties of his or her occupation for 2 months and then returns to modified work for 1 month before returning to full work, the claim is referred to as a

A) nondisability claim.
B) temporary disability claim.
C) permanent disability claim.
D) permanent and stationary claim.

Question 14

Videotapes made of the patient without his or her knowledge to document the extent of the patient's permanent disability are called

A) live action tapes.
B) case films.
C) photoplay documents.
D) sub rosa films.

Question 15

A proceeding in which an attorney asks a witness questions regarding a case and the witness answers under oath but not in open court is known as a/an

A) arbitration.
B) negotiation.
C) deposition.
D) hearing.

Question 16

Workers' compensation benefits include

A) medical care.
B) disability income.
C) death benefits.
D) all of the above.

Question 17

The simplest type of workers' compensation claim is

A) temporary disability.
B) permanent disability.
C) nondisability.
D) partial disability.

Question 18

In a PD claim, the physician's final report must include the words

A) compromise and stationary.
B) permanent and stationary.
C) stationary and release.
D) stationary and discharge.

Question 19

When a case is rated for permanent disability and settled, this is called

A) withdrawal and discharge.
B) relief of duty.
C) compromise and release.
D) surrender and release.

Question 20

In an industrial case, if the patient is experiencing pain that can be tolerated but will cause some handicap in the performance of the activity precipitating the pain, it is classified as

A) severe pain.
B) moderate pain.
C) slight pain.
D) minimal or mild pain.

Question 21

Any abnormal condition or disorder caused by exposure to environmental factors associated with employment, including acute and chronic illnesses or diseases that may be caused by inhalation, absorption, ingestion, or direct contact, is referred to as a/an ____________________.

Question 22

Under health reform legislation of 2010, what is the fee per employee for employers with more than 50 employees when the government subsidizes their workers' insurance coverage?

Question 23

In a workers' compensation case, the contract and financial responsibility exists between the

A) physician and the insurance company.
B) physician and the patient.
C) patient and the insurance company.
D) employer and the patient.

Question 24

What formal report is sometimes required to inform the insurance carrier that the patient is able to return to work?

Question 25

A ____________________ report is sent to the insurance carrier after 2-4 weeks of treatment to give information on the current status of the patient.

Question 26

The legal words _________________________ mean to substitute one person for another.

Question 27

A/An ____________________ expresses legal claim on the property of another for the payment of a debt.

Question 28

Name the five types of workers' compensation benefits.

Question 29

A form of self-insurance designed to serve a small manufacturing company is known as ____________________ insurance.

Question 30

A/An ____________________ is an unplanned and unexpected happening traceable to a definite time and place, causing injury (damage or loss) not due to any fault on the part of the person injured.

Question 31

Rehabilitation in the form of retraining, education, and job guidance and placement to assist an injured individual in finding work is called ____________________ rehabilitation.

Question 32

If a worker's occupation takes a person into another state, most compensation laws are ____________________ and effective outside the state by either specific provisions or court decision.

Question 33

A/An ____________________ evaluation of the worksite may be performed, and modifications may be instituted to lessen the possibility of future injury.

Question 34

A physician hired by the insurance company or appointed by the referee or appeals board to examine an injured worker and render an unbiased opinion regarding the degree of disability is referred to as a/an ____________________.

Question 35

An individualized program of therapy using simulated or real work tasks to build up strength and improve a worker's endurance toward a full day's work is called ____________________.

Question 36

Which types of employees fall under federal workers' compensation statutes?

Question 37

Supplemental report(s) for patients on temporary disability should be sent to the insurance carrier

A) after treatment is completed.
B) after every office visit.
C) if there is a change in the diagnosis.
D) on the first of every month.

Question 38

What is the name of the form that authorizes the physician to treat the employee?

Question 39

The three types of disability claims are ____________, ________________, and _____________.

Question 40

Sometimes a patient is released to ____________________ work to effect a transition between the period of inactivity due to disability and a return to full duty, especially when heavy work is involved.

Question 41

Waiting periods affect workers' compensation medical and hospital benefits.

Question 42

A physician who is incorporated is considered an employee under workers' compensation laws.

Question 43

In an industrial case, the physician's office may collect all amounts not covered by the workers' compensation fee schedule.

Question 44

A narrative industrial medical report should include only objective findings and not subjective factors.

Question 45

Minors are not covered by workers' compensation.

Question 46

It is believed that the longer the injured person remains out of work, the better the chance of recovery and return to the workplace.

Question 47

When coding for the office visit, patient injury, or illness evaluation and creating a report, use CPT code 99945, 99966, or 99980.

Question 48

All state workers' compensation laws are compulsory.

Question 49

Chiropractic care is a medical benefit offered with state workers' compensation.

Question 50

Workers' compensation benefits are subject to income tax.

Question 51

The OSHA Act provides that if a state submits an OSHA plan and it is approved by the government, then the state may assume responsibility for carrying out OSHA policies and procedures and is excluded from federal jurisdiction.

Question 52

A date of injury is a requirement for all workers' compensation insurance claims.

Question 53

Beginning in the 1990s, increases in fraudulent workers' compensation claims have been noted throughout many large metropolitan cities.

Question 54

Progress reports subsequent to the initial report for workers' compensation patients may be narrative and are not necessarily completed on the special forms available in most states.

Question 55

Authorization to treat a patient with an industrial injury may be obtained over the telephone.

Question 56

What are the differences in patient care between nondisability claims, temporary disability claims, and permanent disability claims?

Question 57

The injured worker does not have the right to be evaluated by a physician who is not assigned by the employer.