Medical Insurance questions with
complete solutions
The healthcare provider who sees the patient for the first time and directs care
related to the workers, compensation injury or illness, is commonly referred to as
the... - correct answer ✔✔Physician of record (POR)
Volunteer workers are covered under Worker's Compensation in most states. -
correct answer ✔✔False
Captive insurance is a form of self insurance designed to serve who? - correct
answer ✔✔Smaller companies or midsize companies
Some states have adopted laws authorizing employers to contract with managed
care programs to insure their workers for work related accidents in illnesses. -
correct answer ✔✔True
What is an unplanned an unexpected happening traceable to 80 find time and
place causing injury damage or loss not due to any thoughts on the part of the
person injured. - correct answer ✔✔Accident
Video tapes made on the patient without his or her knowledge to document. The
extent of the patient permanent disability are called what? - correct answer
✔✔Sub-Rosa films
,Workers compensation programs are included under the definition of a health
plan under HIPAA, and must comply with all HIPAA standards. - correct answer
✔✔False
An individualized program of therapy using simulated or real work task to build
strength and improve the workers endurance towards a full days work is known...
- correct answer ✔✔Work hardening
If a worker has a work related injury or illness, and is unable to perform the duties
of his or her occupation for two months, and then returns to modified work for
one month before returning to full work, the claim is referred to as what type of
claim? - correct answer ✔✔Temporary disability claim
Beginning in the 1990s increases in fraudulent Worker's Compensation claims
have been noted throughout many large metropolitan cities. - correct answer
✔✔True
ERISA is a federal law which sets minimum requirements for workers
compensation and governs what? - correct answer ✔✔Self insured employees
Who would not be entitled to workers compensation? - correct answer
✔✔Anybody that is injured outside of work.
NAPD claim the physicians final report must include the word? - correct answer
✔✔Permanent and stationary
An abnormal condition caused by exposure to environmental factors associated
with employment is termed - correct answer ✔✔Occupational illness
, A form of self insurance designed to serve a small manufacturing company is
known as what type of insurance? - correct answer ✔✔Captive insurance
Worker's Compensation laws are the same in all states. - correct answer ✔✔False
A physician, hired by the insurance, company or appointed by the referee or
appeals board to examine an injured worker, and render an unbiased opinion,
regarding the degree of disability, is referred to as a? - correct answer ✔✔Agreed
medical valuator AME Independent medical evaluator IME
Qualified medical evaluator QME
When a case is rated for permanent disability and settle, this is called what -
correct answer ✔✔Compromise and release
If a patient is treated by her regular physician for a work related injury a separate
health record, and financial record should be set up for the work related injury. -
correct answer ✔✔True
In most states, children who are injured on the job are... - correct answer ✔✔Are
provided additional Worker's Compensation protection, over and above the
standard benefits paid for adults.
A proceeding in which an attorney asked a witness questions regarding a case in
the witness answers under oath, but not an open court, is known as? - correct
answer ✔✔Deposition
complete solutions
The healthcare provider who sees the patient for the first time and directs care
related to the workers, compensation injury or illness, is commonly referred to as
the... - correct answer ✔✔Physician of record (POR)
Volunteer workers are covered under Worker's Compensation in most states. -
correct answer ✔✔False
Captive insurance is a form of self insurance designed to serve who? - correct
answer ✔✔Smaller companies or midsize companies
Some states have adopted laws authorizing employers to contract with managed
care programs to insure their workers for work related accidents in illnesses. -
correct answer ✔✔True
What is an unplanned an unexpected happening traceable to 80 find time and
place causing injury damage or loss not due to any thoughts on the part of the
person injured. - correct answer ✔✔Accident
Video tapes made on the patient without his or her knowledge to document. The
extent of the patient permanent disability are called what? - correct answer
✔✔Sub-Rosa films
,Workers compensation programs are included under the definition of a health
plan under HIPAA, and must comply with all HIPAA standards. - correct answer
✔✔False
An individualized program of therapy using simulated or real work task to build
strength and improve the workers endurance towards a full days work is known...
- correct answer ✔✔Work hardening
If a worker has a work related injury or illness, and is unable to perform the duties
of his or her occupation for two months, and then returns to modified work for
one month before returning to full work, the claim is referred to as what type of
claim? - correct answer ✔✔Temporary disability claim
Beginning in the 1990s increases in fraudulent Worker's Compensation claims
have been noted throughout many large metropolitan cities. - correct answer
✔✔True
ERISA is a federal law which sets minimum requirements for workers
compensation and governs what? - correct answer ✔✔Self insured employees
Who would not be entitled to workers compensation? - correct answer
✔✔Anybody that is injured outside of work.
NAPD claim the physicians final report must include the word? - correct answer
✔✔Permanent and stationary
An abnormal condition caused by exposure to environmental factors associated
with employment is termed - correct answer ✔✔Occupational illness
, A form of self insurance designed to serve a small manufacturing company is
known as what type of insurance? - correct answer ✔✔Captive insurance
Worker's Compensation laws are the same in all states. - correct answer ✔✔False
A physician, hired by the insurance, company or appointed by the referee or
appeals board to examine an injured worker, and render an unbiased opinion,
regarding the degree of disability, is referred to as a? - correct answer ✔✔Agreed
medical valuator AME Independent medical evaluator IME
Qualified medical evaluator QME
When a case is rated for permanent disability and settle, this is called what -
correct answer ✔✔Compromise and release
If a patient is treated by her regular physician for a work related injury a separate
health record, and financial record should be set up for the work related injury. -
correct answer ✔✔True
In most states, children who are injured on the job are... - correct answer ✔✔Are
provided additional Worker's Compensation protection, over and above the
standard benefits paid for adults.
A proceeding in which an attorney asked a witness questions regarding a case in
the witness answers under oath, but not an open court, is known as? - correct
answer ✔✔Deposition
