Ch 11: True and False

Question 1

T/F: All employers must purchase workers’ compensation policies from the state in which their business operates

Answer 1

False

Question 2

T/F: In the United States, any employee who is injured on the job or develops an employment-related illness that prevents the individual from working is likely to be eligible to collect workers’ compensation benefits

Answer 2

True

Question 3

T/F: If an employee is injured on the job, the employer can be penalized if the cause of injury or illness was conspicuous negligence on the part of the employer

Answer 3

True

Question 4

T/F: Most state workers’ compensation laws include coverage for injuries sustained when an employee is commuting to and from work

Answer 4

False

Question 5

T/F: If a workers’ compensation claim is denied, the worker may file a claim with his or her health insurance carrier only after all workers’ compensation appeals have been exhausted

Answer 5

True

Question 6

T/F: The first thing an injured employee must do is call his or her family physician

Answer 6

False

Question 7

T/F: Workers’ compensation claims must be submitted on the universal CMS-1500 claim form

Answer 7

False

Question 8

T/F: As long as a workers’ compensation claim is pending, the provider cannot bill the patient

Answer 8

True

Question 9

T/F: Workers’ compensation patients are not required to sign a release of information form for a claim form to be filed

Answer 9

True

Question 10

T/F: An individual may receive benefits from only one federal disability program even if he or she meets all the eligibility requirements for several

Answer 10

False

Question 11

T/F: The SSI program provides monthly cash payments to low-income aged, blind, and disabled individuals

Answer 11

True

Question 12

T/F: The health insurance professional typically does not get involved in the SSDI or SSI claim process

Answer 12

False

Question 13

T/F: The SSDI and SSI programs share various concepts and terms; however, there are many important differences in the rules affecting eligibility and benefit payments

Answer 13

True

Question 14

T/F: The HIPAA privacy rule does not permit covered entities to disclose PHI to workers’ compensation insurers without patients signing a release or information

Answer 14

False

Question 15

T/F: The premium costs of a managed care option cannot be less than a fee-for-service (FFS) option that states offer for workers’ compensation insurance

Answer 15

False