20 terms

Workers' Compensation

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
A man takes his girlfriend to a roofing job and she is injured. Is she covered under workers' compensation insurance?
A proceeding during which an attorney questions a witness who answers under oath but is not in open court is called a/an
The legal promise of a patient to satisfy a debt to the physician from proceeds recieved from a litigated case is termed a/an
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?