Question 1

What are preemployment screenings?

Accepted Answer

The purpose of this testing is to ensure that the worker can perform the routine tasks associated with the job, as well as determine individuals who are at risk for potential workers' compensation claims.

Question 2

What types of sanctions can be brought against employers or insurance carriers for wrongfully denying benefits?

Accepted Answer

Some states are allowed to assess a 10% of the total medical costs as a penalty, even for a relatively minor violation.

Question 3

What are generic drugs?

Accepted Answer

Generic drugs are medical compounds that have the same molecular structure as brand name drugs, but are significantly cheaper.

Question 4

What limitation did the judge place on the utilization review requests?

Accepted Answer

The answer of What limitation did the judge place on...

Question 5

Why did the workers' compensation judge determine that chiropractic treatment in this case was necessary and related to the work injury received by the employee?

Accepted Answer

The answer of Why did the workers' compensation judge determine...

Question 6

Why is it important to track medical costs in workers' compensation cases?

Accepted Answer

The answer of Why is it important to track medical...

Question 7

What are some of the proposals to streamline the workers' compensation process?

Accepted Answer

The answer of What are some of the proposals to...

Question 8

What did the petitioner argue about the utilization review and how it should be limited?

Accepted Answer

The answer of What did the petitioner argue about the...

Question 9

List and explain various proposals to change the workers' compensation system.

Accepted Answer

The answer of List and explain various proposals to change...

Question 10

What determination did the expert witness in this case make about the
114 office visits for chiropractic care?

Accepted Answer

The answer of What determination did the expert witness in...

Question 11

Should employers be forced to institute policies such as mandatory child day care or emotional counseling, instead of allowing individual employers to decide if they should implement such programs?

Accepted Answer

The answer of Should employers be forced to institute policies...

Question 12

What is the medical utilization issue in this case?

Accepted Answer

The answer of What is the medical utilization issue in...

Question 13

What is evidence-based medicine?

Accepted Answer

The answer of What is evidence-based medicine?...

Question 14

Does your state's Workers' Compensation Board have medical utilization as part of its claims process?

Accepted Answer

The answer of Does your state's Workers' Compensation Board have...

Question 15

What is medical utilization?

Accepted Answer

The answer of What is medical utilization?...

Question 16

Why is it important to update fee schedules?

Accepted Answer

The answer of Why is it important to update fee...

Question 17

Based on what you have read in this chapter, which of the proposals to change the workers' compensation system make the most sense to you?

Accepted Answer

The answer of Based on what you have read in...

Question 18

How could better training of claims handlers help improve the efficiency of the workers' compensation system?

Accepted Answer

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Question 19

Why is fraud such a big concern in workers' compensation cases?

Accepted Answer

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Question 20

Explain the issues surrounding training physicians in disability ratings.

Accepted Answer

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Quiz 9: Medical Utilization Issues in Workers Compensation