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44 Cards in this Set
- Front
- Back
Federal Black Lung Program
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medical treatment benefits for former coal miners
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first report of injury
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workers compensation form
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when is First Report of Injury completed?
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after patient first seeks treatment for work-related illness or injury
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Adjudication
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judicial dispute process; appeal board makes final determination if claim is denied
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OSHA
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protects workers against job hazards
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Temporary Disability covers
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-covers health care treatment for illness & injuries
& payment of lost wages |
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sub divisions of Temporary Disability
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-temporary total disability
-temporary partial disability |
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classification of workers comp. cases
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-Medical Treatment
-Temporary Disability -permanent disability -Vocational rehab -Survivor benefits |
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Vocational Rehab
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covers expenses for vocational retraining for temporary & permanent disability cases
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The Jones Act
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gives seamen protection from employer negligence
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US Federal Mine Safety Laws
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Helps reduce deaths, injuries & illnesses
develops & enforces safety laws to all Us Mines. |
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Arbitration
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Dispute process;final determination is made by impartial person who doesnt have judicial powers
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Deposition
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legal proceeding; party answers questions under oath
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MSDS Sheets
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Contain info about chemical & hazardous substances used on site
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Permanent Disability
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ill or injured employee unable to return to work
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Survivor Benefits
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benefits to eligible dependents
-calculated by earnings during employment during injury or illness |
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Time limit for filling our First Report of Injury
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60 days after dr. has seen you (in michigan)
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how does dr. report change in condition ?
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filling out detailed progress report updating the status of the patient
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how does an employee qualify for Workers Comp. ?
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employers with work related injuries. injured while performing a service required by employer
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2 federal programs administrated by the office of Workers Compensation Pograms (OWCP)
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1. Federal Black Lung
2. Lakeshore & harbor workers Comp. Act |
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what is Material Safety Date Sheet (MSDS) ?
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contains info on chemical & hazardous substances in medical offices
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Disabilities can be classified as 2 things
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1 temporary or
2 permanent |
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what benefits are provided to federal workers who get a disease ?
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-wage benefits
-medical treatment -rehab |
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the US DOL Office of Workers Compensation Programs provide ?
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services & benefits to employees who are injured while working
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arbitration
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appeal process after work comp claim is denied,
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on CMS 1500 form , what is entered in box 21 ?
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ICD code of condition & diagnosis
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box 25 ?
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providers SSN or Employers Identification Number (EIN)
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State Program Coverage
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-state insurance
-employer self-insured programs -private, commercial workers comp -Combination programs |
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Workers Compensation Fraud
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knowingly obtaining benefits when your not eligible
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FELA stands for
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Federal Employment Liability Act
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programs designed to prevent work-related injuries & illnesses
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Mine Safety& Health Admin, & OSHA
Occupational Safety & Health Admin |
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Energy Employees Occupational Illness Compensation
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benefits to former energy contractors, subtractors & survivors of employees
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FECA
Federal Employees Compensation Act provides |
workers comp to all federal and postal workers w/ work related injuries
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what does MSHA
Mine Safety & Health Administration do |
enforces & develops saftey & health riles for miners; 1911
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Longshore & Harbor workers Compensation Program
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-medical benefits
-Lost wages & rehab to harbor workers injured |
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on-the-job injury
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injury while performing services required by employer
Includes off company property |
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Temporary Disability; TOTAL
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wage earning is totally lost on temp basis
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Temporary Disability; PARTIAL
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wage earning is partially lost on a temp basis
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Deductibles & copayments
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NO deductibles or copay for workers comp cases
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what is the documentation retention in the case of accidental exposure
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20 years
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how does workers comp protect the EMPLOYER
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by limiting the award an injured employee can recover
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who receives copy of First Report of Injury?
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1) STATE workers comp board
2) EMPLOYER-designated COMP PAYER 3) injured EMPLOYER 4)PATIENT work-related injury chart |
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why is signature not required for release info ?
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signature implied when filling out workers comp paperwork
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deposition
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testimony is given under oath & considered legal document
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