Test Content
Question 1
Claims Administration: handling workers’ compensation claims bears some resemblance to handling professional-liability or general- liability claims, except fewer issues are subject to dispute and the payments are controlled by statutory schedules. The extensive medical knowledge gained from professional liability claims becomes very beneficial in workers’ compensation, because most issues are resolved by medical opinion.
True
False
Question 2
Duty of care requires the board to make responsible and informed decisions on behalf of the organization
True
False
Question 3
Duty of obedience is the obligation to further the purposes of the organization as set forth in its articles of incorporation or bylaws.
True
False
Question 4
In 2006, Lockee, Kroom, Zablocki, and Bader found direct correlations between which of the following practices and high performance in hospitals?
The CEO is held accountable for quality and safety goals.
The board participates in developing criteria to guide medical staff credentialing and privileging.
The board quality committee annually reviews patient- satisfaction scores.
The board sets the board agenda for quality.
All of the above
Question 5
Inherent risks are those risks that are associated with the activity. Appropriate risk control mitigation (including prevention, reduction, separation, and duplication) can have a positive effect on risk minimization.
True
False
Question 6
The Sarbanes– Oxley Act of 2002 (SOX) requires management of public companies, both large and small, to annually assess and report on the effectiveness of internal control over financial reporting.
True
False
Question 7
The supervisor of an employee who sustains a work- related injury is responsible for which of the following steps:
He or she must obtain immediate medical care for the injured employee.
The supervisor must report the work- related injury immediately.
The supervisor should investigate this incident and complete the incident- investigation report.
In analyzing the environmental factors that gave rise to this incident
All of the above
Question 8
Two federal laws that occasionally affect the management of workers’ compensation claims are the Americans with Disabilities Act and the Family Medical Leave Act.
True
False
Question 9
When a healthcare system provides workers’ compensation medical treatment to its own employees, it saves on expenses to the extent that it is not paying an external medical provider for the workers’ compensation medical treatment.
True
False
Question 10
Which areas could Risk Managers add value to the administration of Workers Compensation?
