Workers compensation case management and disability determination concepts tested on the CCM certification exam.
30 cards · basic cards · AI-written, checked twice. Edit anything.
- What is workers' compensation insurance designed to cover?
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Medical expenses and lost wages for employees injured or made ill in the course of their employment- What is the general legal principle behind workers' compensation regarding fault?
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It is a no-fault system, meaning benefits are provided regardless of who caused the workplace injury- What is the role of a workers' compensation case manager?
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Coordinating medical treatment, monitoring recovery, and facilitating a safe and timely return to work for an injured employee- What is maximum medical improvement (MMI)?
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The point at which a patient's condition has stabilized and is not expected to improve further with additional treatment- What is an independent medical examination (IME)?
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An evaluation performed by a physician not involved in the patient's ongoing treatment, often to assess the extent of injury or disability- What is a functional capacity evaluation (FCE)?
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A structured assessment measuring a patient's physical ability to perform work-related tasks- What is the purpose of a transitional (modified) duty program?
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To allow an injured employee to return to work in a limited or adjusted role while recovering- What is a temporary total disability (TTD) benefit?
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Wage replacement paid to an employee who is completely unable to work for a temporary period due to a work injury- What is a temporary partial disability (TPD) benefit?
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Wage replacement paid to an employee who can work in a limited capacity at reduced wages during recovery- What is permanent partial disability (PPD)?
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A disability rating indicating a lasting impairment that does not completely prevent the employee from working- What is permanent total disability (PTD)?
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A disability rating indicating the employee is permanently unable to return to any gainful employment- What federal program provides disability benefits to workers who become permanently and totally disabled and have sufficient work history?
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Social Security Disability Insurance (SSDI)- What federal program provides disability benefits based on financial need rather than work history?
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Supplemental Security Income (SSI)- What federal law protects eligible employees' jobs during medical leave for a serious health condition?
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The Family and Medical Leave Act (FMLA)- What federal law requires employers to provide reasonable accommodations to qualified employees with disabilities?
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The Americans with Disabilities Act (ADA)
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