HIS CHAPTER 11 EXERCISES

1.  Administration of workers’ compensation programs is under the control of the U.S. Department of Labor

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2.  There is more than one program under the federal umbrella of compensation

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3.  9.  The First Report of Injury may be filed any time during the care and treatment process.

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4.  The name of the program that covers miners is ______________________________

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5.  The program for people who load and unload ships is _________________________

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6.  To qualify for compensation, employees must be

 

a.  ___________________________ or

 

b.  ___________________________ while on the job.

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7.  Workers’ compensation claims may include:  (circle one)

 

a.  Medical claims with no disability

b.  Vocational rehabilitation

c.  Death of the worker

d.  All of the above

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8.  Both the

a.     ______________________ and his/her

b.     ______________________ may file a claim.

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9.  Providers are required to accept payment _______________ with balance billing prohibited.

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10.  When an employee is denied benefits, an ___________ may be filed.

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11.  Injured workers are entitled to coverage for medical care and __________________ wages.

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12.  The filing deadline for The First Report of Injury is _______________________________

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13.  The payment schedule is determined with an

_____________________ system

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14.  The fiscal agent may be: (circle one)

 

a.  the state fund itself

b.  the person in charge of payments

c.  the federal government

d.  Blue Cross Blue Shield

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15.  If an employee lies about an illness, it is called _____________________

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16.  Underwriters classify workers by assessing _________________ on the job description

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17.  Permanent total disability occurs where the wage-earning capacity is _______________ and totally lost (no limit on the number of weeks).

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18.  Under permanent disability, if the employee does work, the wages, combined with the weekly benefit cannot exceed ___________________ established by law.

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19.  Temporary disability covers treatment and _______________________.

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20.  Permanent partial disability is where the employee’s wage-earning ______________ has been permanently lost.

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21.  When there is a Schedule of Loss determination, compensation is limited to a certain number of ____________ as set by law.

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22.  Disfigurement falls under the category of __________________________________.

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23.  Vocational _________________ is a benefit for retraining ill or injured workers so they may return to the workforce
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24.  The checkoff in Block 1 of the CMS-1500 is called
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SCORING:  There are 24 questions.  Take your total number of correct answers and divide by 24 to get your score.

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