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week 3
worker compsation
| Question | Answer |
|---|---|
| What are the penalties for committing worker's compensation fraud. | Felony punishable by fines, orders for restitution, and imprisonment. |
| If WC claim is denied, who can the provider request a review from | An independent review or organization |
| What is the time limit to submit a WC claim to the insurance carrier | 95 days of the date of service |
| To qualify for Social security disability Insurance (SSDI), individuals must be unable to work for how long | one year |
| Who pays for Social Security Disability Insurance (SSDI) | Worker's payroll deductions matched by employer contributions |
| What are the maximum weeks paid for Supplemental income benefits | 401 weeks |
| How many days must you have missed work to be eligible to receive temporary income benefits | 7 days |
| What are the four types of workers compensation benefit? | Medical, income, death, and burial |
| What can the Ombudsmen provide | Information to assist the injured worker in making a decision, a presentation of facts and evidence at dispute-resolution proceeding, information about how to appeal a dispute resolutin decision |
| Define impairment | The permanent physical damage to a worker's body from a work-related injury or illness |
| What is the final report | The report that affirms that the worker has been released from medical treatment and is fit to return to work and resume normal job responsibilities. |
| Define impairment rating. | A determination made by the treating doctor that describes the degree describes of permanent damage done to a worker's body as the result of a job-related injury. |
| When a worker dies from on-the-job injury, won are the WC death benefits paid to | The spouse and dependent children |
| What is an occupational disease. | Health problems that result from exposure to a workplace health hazard. |
| What state is the only state that allows private employers to choose whether or not to provide Worker's Compensation | Texas |
| Who should the employee file a complaint with if he/she feels that hes/her work environment is unsafe | Occupational Safety Health Administration |
| List five categories of work-related injuries. | Injury without disability, injury with temporary disability, injury with permanent disability, injury resulting in death |
| What are the three primary rights of worker injured on the job or suffering from a job related illness | The rights to receive medical care necessary to treat the work-related injury. The right to an initial chose OFDA |
| What is meant by insurance fraud | any act committed to obtain an outcome that is favorable, but fraudulent during an insurance claim. |
| OSHA stands for what | Occupational Safety and Health Administration |
| Explain the different categories of , temporary disability, | Temporary disability: describes an employee who is injured on the job,but is not able to return to work within several days. Permanent disability: an employee who is injured on the job, is not able to return to work, and is not expected to be able to per |
| Explain the different categories of permanent disability, | Permanent disability: an employee who is injured on the job, is not able to return to work, and is not expected to be able to perform his regular job in the future. |
| Explain the different categories of without disability. | without disability: an employee is injured on the job, requested treatment, and is able to return to work within several days. |
| What is the primary responsibility of an injure worker with regard to his employer. | Has the responsibility to tell his employer of a work related injury or illness within 30 day of realizing the injury/illness may be the result of her employment |
| What is work status report | A form used to report information about the employee's limitation in performing his/ her job duties. |
Created by:
vpolosukhina
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