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?
- 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?
- 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?
- Coordinating medical treatment, monitoring recovery, and facilitating a safe and timely return to work for an injured employee
- What is maximum medical improvement (MMI)?
- 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)?
- 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)?
- A structured assessment measuring a patient's physical ability to perform work-related tasks
- What is the purpose of a transitional (modified) duty program?
- 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?
- 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?
- Wage replacement paid to an employee who can work in a limited capacity at reduced wages during recovery
- What is permanent partial disability (PPD)?
- A disability rating indicating a lasting impairment that does not completely prevent the employee from working
- What is permanent total disability (PTD)?
- 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?
- Social Security Disability Insurance (SSDI)
- What federal program provides disability benefits based on financial need rather than work history?
- Supplemental Security Income (SSI)
- What federal law protects eligible employees' jobs during medical leave for a serious health condition?
- The Family and Medical Leave Act (FMLA)
- What federal law requires employers to provide reasonable accommodations to qualified employees with disabilities?
- The Americans with Disabilities Act (ADA)
FlashKeepers