Exam 18: Workers Compensation

An employee who is injured on the job, requires treatment, is NOT able to return to work, and is NOT expected to be able to perform his or her regular job in the future is categorized as having an injury: A)without disability. B)with temporary disability. C)with permanent disability. D)requiring vocational rehabilitation.

The only state that allows private employers to choose whether or not to provide workers' compensation is: A)Maryland. B)New York. C)Texas. D)Wisconsin.

When the workers' compensation policy is NOT a managed care plan, fees for services are based on: A)capitation rates. B)charge-based fees. C)the Medicare Fee Schedule. D)usual and customary charges.

are Workers' Compensation Department employees who can help the worker with his or her claim once a proceeding has been scheduled.

The CMS-1500 and UB-04 universal claim forms are used to file workers' compensation claims for medical and hospital services.

An injured worker may sue his or her employer after receiving workers' compensation benefits.

Ombudsmen can help present facts and evidence at dispute-resolution proceedings but cannot give legal advice in a workers' compensation case.

If the workers' compensation insurance requires preauthorization for certain services, the preauthorization must be obtained before services are rendered; this does NOT apply if the services were provided in an emergency situation.

A health problem that results from exposure to a workplace health hazard such as chemical fumes is a(n): A)terminal disease. B)workplace injury. C)workers' compensation accident. D)occupational disease.

The programs administered by the Office of Workers' Compensation Programs include all of the following EXCEPT the: A)Federal Employees' Compensation Act. B)District of Columbia Workers' Compensation Act. C)Energy Employees Occupational Illness Compensation Program Act. D)Occupational Safety and Health for Private Employers Act.