workers comp Flashcards

1
Q

provides wage replacement and medical benefits to employees injured during the course of employment (COE), arising out of employment (AOE) or within the scope of employment (WSE)

A

workers compensation

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2
Q

the trade off between assured, limited coverage and the lack of recourse outside of the system is known as
STATE runs program

A

the compensation bargain

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3
Q

what leads to most work related injuries

A

long hours of keyboarding
lifting boxes or weights repetitively without appropriate back/core strength, endurance or support
improper body mechanics during work activities
most work injuries are cumulative microtraumas

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4
Q

the injury must meet a standard of the accident or exposure being the prevailing factor in causing the medical condition and/or disability (KS/MO)
Burden that an injured worker has to prove that the injury, which is a medical condition, was caused by the work accident

A

medical causation

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5
Q

employers with ___ or more employees must insure their workforce

A

5

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6
Q

benefits to compensate for the workers loss of income or earning capacity

A

indemnity benefits

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7
Q

pay that supplements and injured worker returning to light or modified duty at a lower rate of pay then their normal wages

A

temporary partial disability (TPD)

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8
Q

pay for an injured worker who is completely off work

A

temporary total disability TTD

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9
Q

if an injured worker does not get back to some form of work within ___ of the injury there is 50% chance of them NEVER returning to ANY form of gainful employment

A

6 mo

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10
Q

if an injured worker’s injury permanently effects their ability to perform SOME job tasks but they can still work they receive payment based on the nature and extent of the injury

A

Permanent Partial Disability

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11
Q

if an injured worker’s injury permanently limits them from returning to ANY form of work they receive either weekly payments or a lump sum

A

Permanent total disability

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12
Q

income benefits are not paid for the first

if an injured worker is unable to work for more than 14 days the wait period is paid

A

3 days or less of an injury

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13
Q

when an employee dies the total dependents (defined as wife and children) receive weekly death benefits for the year immediately preceding the death and up to $5000 burial benefits
receives this for life or until they re marry at which point they get a lump sum equal to 2 years benefits

A

death benefits

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14
Q

if the treating MD determines the injury was so severe to permanently interfere with occupational functioning
cannot exceed 26 weeks

A

vocational rehabilitation

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15
Q

note writing DO NOTs for workers comp

A

WFL, WNL, tolerates treatment

patient is unable to…/patient cannot perform…

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