| Term | Definition |
|---|
| Licensed physician, osteopath, dentist, or chiropractor | Who can treat an industrial injury? |
| A. Nondisability Claim: Person is injured or ill, is treated, and goes back to work. No disability from his/her job. B. Temporary Disability Claim: Person is injured or ill and cannot work at his/her job and is off work for a period of time. C. Permanent Disability Claim: Person is injured or ill and cannot work, and the problem results in permanent injury or illness. | Three types of workers' compensation claims and the differences among these are |
| work hardening | After suffering an industrial injury, Mr. Fields is in a treatment program in which he is given real work tasks for building strength and endurance. This form of therapy is called |
| A. Temporary Disability B. Permanent Disability C. Permanent and Stationary D. Comromise and Release | TD, PD, P & S, C & R |
| the employees' earnings at the time of the injury or illness. | Weekly temporary disability payments are based on |
| the state's industrial accident commission or workers' compensation board. | When an industrial case reaches the time for rating the disability, this is accomplished by |
| Yes. Workers' Compensation Appeals Board or Industrial Accident Commission. | May an injured person appeal his/her case if he/she is not satisfied with the rating? If so, to whom does he/she appeal? |
| the insurance carrier. | When fraud or abuse is suspected in a workers' compensation case, the physician should report the situation to |
| Occupational Safety and Health Administration (OSHA) Act of 1970. | Employers are required to meet health and safety standards for thier employees under federal and state statutes known as the |
| No. | A man takes his girlfriend to a roofing job and she is injured. Is she covered under workers' compensation insurance? |
| deposition. | A proceeding during which an attorney questions a witness who answers under oath but is not in open court is called a/an |
| lien. | The legal promise of a patient to satisfy a debt to the physician from proceeds recieved from a litigated case is termed a/an |
| litigation. | The process of carrying on a lawsuit is called |
| A third party is responsible for the injury (person is injured by an outside party). | Explain third party subrogation. |
| Notify his/her employer or immediate supervisor. | What is the first thing an employee should do after he/she is injured on the job? |
| ...Employer's Report of Occupational Injury or Illness... ... Medical Service Order... | When an individual suffers a work related injury or illness, the employer must complete and send a form called a/an _______ to the insurance company and the workers' compensation state offices, and if the employee is sent to a physician/s office for medical care, the employer must complete a form called a/an ____ that authorizes the physician to treat the employee. |
| Sends in a report to the insurance company, giving the date for return to work. | If the physician believes the injured employee is capable of returning to work after having been on temporary disability, what does the physician do? |
| ...monthly... ...at the time of termination of treatment... ...45 days... | In a workers' compensation case, bills should be submitted _____ or ___________, and a claim becomes delinquent after a time frame of ____. |
| The state (jurisdiction) where the claim originated and where the accident or injury occurred. | If an individual seeks medical care for a workers' compensation injury from another state, which state's regulations are followed? |
| ...First Treatment Medical Report or Doctor's First Report of Occupational Injury or Illness... A. Insurance Carrier B. Employer C. State Workers' Compensation Office D. His/Her Files (Retain a Copy) No; each copy must be signed in ink because it is a legal document. | When a physician treats an industrial injury, he/she must complete a/an _______ and send it to the following:_________. Is a stamped physician's signature acceptable on the form? |
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