1. What is the meaning of employer “control” of medical treatment of a workers’ compensation claim?
Answer: All of the above

2. Which of the following are potential obstacles to employer “control” of medical treatment?
Answer: Rogue doctors

3. What is the role of a nurse case manager?
Answer: Attends office visits with the injured worker and suggests treatment plans

4. Which of the following are helpful steps in selecting your designated medical clinic?
Answer: A & B above

5. What is a Medical Provider Network?
Answer: All of the above

6. How does an MPN work?
Answer: Employer subscribes through their carrier and communicates the MPN rules to the employees

7. What is a pre-designated physician?
Answer: A treating physician the employee selected in writing prior to injury and with whom they have treated previously

8. What is the role of a QME?
Answer: Resolves medical disputes and disagreements

9. Which of the following strategies can assist you with “control” of medical treatment?
Answer: All of the above

10. When should a QME be requested?
Answer: When a claim is not progressing

1. Which of the following is true of an AME?
Answer: The AME provides a medical evaluation and opinion

2. What does a C&R provide?
Answer: Full and final settlement of a workers’ compensation claim

3. Supplemental job displacement benefits are:
Answer: All of the above

4. The term MMI indicates the following:
Answer: The recovery from the injury or illness has been maximized (as good as it’s going to get)

5. Why is an MPN so important?
Answer: Employers maintain medical control for the life of the claim

6. PD benefits are determined at what point?
Answer: Once MMI status is reached

7. What is a pre-designated physician?
Answer: A treating physician the employee selected in writing prior to injury and with whom they have treated previously

8. TD benefits are:
Answer: Temporary payments made in lieu of salary while off work

9. A claim is considered AOE/COE when:
Answer: The injury is determined to be worked related and therefore compensable

10. What is Utilization Review?
Answer: A requirement for medical treatment requests to be reviewed by qualified personnel before being approved

Here is a list of the documents that were reviewed during the webinar. You can download any of them should you need a copy. If you require any of the MPN notifications you will need to contact your WC broker or insurance carrier contact as these are carrier specific and have been approved individually by the Administrative Director at the DWC.

1. DWC-7 – Notice to Employees-Injuries Caused by Work
DWC7
2. MPN Complete Notification (contact broker or insurance carrier contact)
3. Time of Hire Pamphlet
TimeOfHirePamphlet
4. MPN Implementation Notice (contact broker or insurance carrier contact)
5. MPN Acknowledgment Form
MPN_Acknowledgment
6. DWC-1 Form
DWC1
7. 5020 Form
5020Form
8. Employee Injury Report
Injury_Report
9. Offer of Medical Treatment – Declination Form
MedicalDeclination
10. OSHA 301 Report
OSHA301Report
11. Accident Investigation Report
Accident_Investigation
12. OSHA 300 Log
OSHA300Log
13. OSHA 300A Summary
OSHA300ASummary
14. RU-91 Form

RU91Form

Answer: Exclusive remedy

Answer: Injuries are compensable under workers’ compensation if employment has contributed by any means

Answer: Injured workers are eligible for workers’ compensation benefits, even if at fault in causing the injury

Answer: All of the above (Get injured worker back to work as soon as possible, Obtain maximum medical improvement [MMI] from treating doctor, Control medical treatment)

Answer: 2/3 of the injured employee’s average weekly wage – tax free

Answer: Workers’ Compensation Appeals Board (WCAB)

Answer: Evaluate and write medical legal opinions