Ch 11: True and False Flashcards Preview

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Flashcards in Ch 11: True and False Deck (15)
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1
Q

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

A

False

2
Q

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

A

True

3
Q

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

A

True

4
Q

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

A

False

5
Q

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

A

True

6
Q

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

A

False

7
Q

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

A

False

8
Q

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

A

True

9
Q

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

A

True

10
Q

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

A

False

11
Q

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

A

True

12
Q

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

A

False

13
Q

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

A

True

14
Q

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

A

False

15
Q

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

A

False