Disability Management and Workers' Compensation: Key Concepts and Best Practices, Exams of Clinical Medicine

Download Disability Management and Workers' Compensation: Key Concepts and Best Practices and more Exams Clinical Medicine in PDF only on Docsity! CDMS test 2024 Questions with Complete Solution. According to HIPPA, when using electronic personal medical information, a Certified Disability Management Specialist (CDMS) must: - Correct answer limit access to those with a need to know. Transitional work program - Correct Answer an individualized program facilitating an injured worker's gradual progression from disability to modified work to the eventual vocational objective Cost containment for the employer and reduction in disability duration for the employee are considered successes of: - Correct Answer A disability management system One issue that is often overlooked in absence management efforts is: - Correct Answer Organizational barriers Sensorineural hearing loss may be the result of - Correct Answer Acoustic trauma National committee for quality assurance (NCQA) requires a health plan to report on its performance and access, quality of care, services, and: - Correct answer member satisfaction In earnings capacity calculations, life expectancy data are published by the US Department of: - Correct Answer Health and Human Services (DHHS). Under the Longshore and Harbor Worker's compensation act, an injured worker is entitled to have all related, reasonable medical and hospital bills paid without any personal outlay. These benefits are: - Correct Answer Unlimited in duration and monetary amount Examples of mood disorders are: - Correct Answer Dysthymic disorders, bipolar disorders, and major depression A component of disability management program data collection and analytics may include recording: - Correct Answer Case manager interventions Ethnocentrism - Correct Answer The belief that one's own culture is the most valid When designing a disability management education and training program for stakeholders within an organization, it is important to provide a learning environment for adults which allows for - Correct Answer Autonomy and self-direction Enabling - Correct Answer in the context of alcohol use disorder, this describes behaviors by others, which maintains the individual's denial system Individuals with obstructive, aortic disease are unable to perform most work activities that entail: - Correct Answer Walking According to FMLA, an eligible employee is entitled to unpaid leave in a 12-month period for which of the following reasons? - Correct Answer The birth of a son or daughter Disability management programs - Correct Answer Prevention and early intervention are characteristics of Under FMLA final rule changes of 2009, how many weeks is an eligible employee allowed to take for a Qualifying Exigency Leave? - Correct answer 12 weeks OSHA - Correct Answer A source that monitors cases of repetitive motion injuries, such as carpal tunnel and low back pain Which type of communication is considered a potential hindrance to accurate communication across cultures? - Correct Answer Nonverbal Which approach is most likely to provide long-term reduction of worker’s exposure to risk factors that could contribute to a back injury? - Correct Answer Altering job designs The Federal Employees Compensation Act (FECA) provides that employees who incur job related disabilities are entitled to: - Correct Answer Vocational rehabilitation including interest & aptitude testing & job placement services Presentism - Correct Answer Health related productivity loss while at work Reinsurance - Correct Answer A contract between the insurance company and a third party, who agrees to accept a certain share of the liability on a policy One risk factor associated with coronary artery disease is - Correct Answer Diabetes Job design or redesign is a process that can positively impact productivity and: - Correct Answer Employee satisfaction An insurance carrier is offering an injured worker a structured settlement. The most common option for structured settlement of Worker's Compensation benefits is: - Correct Answer The purchase of an annuity that will provide benefits over time rather than one payment Dictionary of Occupational Titles (DOT) - Correct Answer Standardized occupational information based on thousands of on-site job analysis is documented in the For job seekers, which of the following is the greatest benefit of networking? - Correct Answer to tap the hidden job market The purpose of the Job Analysis is to: - Correct answer 1. Understand the job 2. Find out if the employee can do the job with accommodations. 3. Understand the tasks within the job Dictionary of Occupational Titles (DOT) - Correct Answer in performing a Transferable Skills Analysis, each job must be reviewed in the DOT, which stands for: Which of the answers below are legitimate reasons to do a job tryout: - Correct Answer You want to see if an employee can perform a particular job following an injury AND you suspect the employee is a malingerer and want to see if his/her systems persist throughout the disability claim A functional capacity evaluation measures the ability of an individual to perform: - Correct Answer Functional or work related tasks and predicts the potential to sustain these tasks over a defined time frame. Which of the following is NOT an example of a psychometric test? - Correct answer WII- FM Short cycle motions can create what type of injury: - Correct Answer Repetitive motion injuries Anatomy and physiology are important in the field of ergonomics because: - Correct Answer We need to understand the environmental impact on the body True or false? Transitional duty emphasizes simulated work activities in order to improve someone's skills before they return to work. - Correct Answer False. It is a process for returning injured employees to work as quickly and as effectively as possible by offering work that is within the restrictions established by the doctor. Could be light duty. All of the following are important pieces of information used to establish disability patterns except: - Correct Answer Psychometric testing scores False - Correct Answer True or False: Compiling meaningful data and information on an aggregate basis can help shape overall disability policies, and procedures with a goal of resolving disability problems retrospectively 1. Requesting time off 2. Gaining approval 3. Providing documentation 4. Returning to work - Correct Answer The basic steps to managing time off include: 4 to 10% - Correct Answer According to the bureau of labor, statistics, what part of an employer’s workforce is "not at work" on any given day? In managing the connection between lost time and benefits, the salient questions should be: - Correct Answer How can I keep my employee productive? AND How can my injured or ill employee return to full productivity? Protection and accumulation oriented - Correct Answer Employee benefit programs can be categorized in a variety of ways, but most basically are referred to as: 37% - Correct Answer Employee benefits are an integral part of the general populations, financial security, representing a portion of an employee’s compensation, equal to an average amount of: A. HIPPA - Correct Answer All of the following are examples of integrated programs, except: A. HIPPA B. IDM C. TAM D. IHDM FMLA may be provided to the following entity types: A. Public sector employees whose companies employ 50 or more people for at least 20 weeks in the current or proceeding year B. Private sector employees whose companies employ 50 or more people for at least 20 weeks in the current or proceeding year C. All public sector employees regardless of size. - Correct Answer B and C. Private sector employees whose companies employ 50 or more people for at least 20 weeks in the current or proceeding year AND All public sector employees regardless of size. Reports and metrics are delivered as requested via an online interface - Correct answer "Pull reporting" refers to: Employers AND employees - Correct Answer in your role as a CDMS, you are to prevent and minimize the human and economic impact of illness and disability, for: 1. Employers 2. Employees 3. Employers AND employees 4. Employers and the insurance companies Days supplied - Correct answer CDMS' have access to a variety of data sources, and most of those have a variety of associated variables. All of the following are variables associated with short term disability, except: A. Days supplied B. claim summary level C. Cost D. injury date/type True or false, benefit program information should not be integrated with leave policies and other key organizational information - Correct Answer False Meetings can be used to: A. Gather information B. Make decisions C. Complete and* evaluation D. All of the above - Correct Answer D. All of the above To increase participation in a meeting, all of the following strategies could work except: A. Completing all work within the context of the meeting and not setting the expectation that some preparation will be necessary. B. Giving them an active role in the meeting. C. Respecting people's time. D. Inviting them personally. - Correct Answer Completing all work within the context of the meeting and not setting the expectation that some preparation will be necessary. True or false, voluntary benefits are offered by employers, but employees are responsible for the costs. - Correct Answer True True or false, within HIPPA, the Privacy Rule applies to all forms of an individual's protected health information, whether written or electronic, but excludes oral information. - Correct Answer False. It includes written, electronic and oral information Hidden costs, also referred to as indirect costs, may include all of the following except.: A. Medical coverage B. Recruitment costs. C. Lost productivity costs. D. Overtime payments to other workers. - Correct Answer Medical coverage Leave and benefits can be brought together to: - Correct Answer Support overall employer goals, improve the employee experience, and foster a higher level of employee engagement. As a team member, legal counsel supports the CDMS by: - Correct Answer Ensuring state and federal compliance. Regardless of the arrangement to manage data, it is essential to: - Correct Answer Document intake and claim information rigorously and thoroughly. The only city that currently requires mandatory sick leave policies is: - Correct answer San Francisco. Under the Employee Retirement Income Security Act (ERISA) plan, what is the only exception for an elective change to benefits outside of an enrollment period? - Correct Answer Due to a qualifying life event According to the Employee Retirement Income Security Act (ERISA) plan, CDMS are not usually considered fiduciary, and therefore cannot be sued for monetary damages because they are - Correct Answer in an advisory capacity, and therefore do not exercise authority over the management of financial assets Ergonomic risk factors associated with large sack and small, parcel bundle sorting work and male processing facilities include - Correct Answer Prolonged, understanding, heavy, lifting, and extended reach Productivity - Correct Answer Metrics reflecting the number of lost workdays in a workforce, the rates of return to work following injury or illness, the rates of employee turnover, and the amount of overtime or indicators of Leadership - Correct Answer A term that describes the process of influencing people to accomplish goals Leadership at all levels - Correct Answer A factor essential to transformative change within an organization Guides to the evaluation of permanent impairment are used to - Correct Answer Provide the employer with the degree of impairment that impacts the compensation due to a claimant By offering light duty to an injured worker, an employer is able to - Correct Answer Reduce worker’s compensation benefits facilitating - Correct Answer in a group therapy session, actively working to create a climate of safety/acceptance and encouraging open expression of conflict/controversy job rotation - Correct Answer an example of an administratively controlled job modification The CDMS's intensity and duration of contact with an injured worker, may be dictated by - Correct Answer A service agreement Temporary to permanent disability benefits - Correct Answer Maximum medical improvement with residual impairment triggers the benefits transition in a Worker's Compensation case noise - Correct Answer A risk factor that can be addressed by ergonomic intervention Employee assistance programs (EAP's) were originally conceived as - Correct Answer Alcohol abuse programs Making a budget - Correct Answer The first phase of the financial management process Under the family medical leave act FMLA, a key employee is defined as a - Correct Answer Salaried employee paid in the highest 10% of all company employees Presentism - Correct Answer When employees are on the job, but not working to their full potential and impacting productivity In documentation of cost savings, an example of "soft savings" is - Correct Answer The management of unnecessary home health visits apprenticeship training - Correct Answer A combination of formal instruction, and on the job training A labor market survey is a step in the vocational rehabilitation process when - Correct Answer Placement with a new employer is required The CDMS develops work samples that are realistic and responsive to local employment by utilizing which resource? - Correct Answer Job analysis A no cost national resource for employers to obtain information on job. Accommodation ideas for a specific employee is - Correct Answer Job Accommodation Network, JAN A CDMS would use a Self-Directed Search SDS to help a worker with a disability to - Correct Answer Explore vocational interests CDMS needs to understand the variables that impact their disability management programs, including all of the following except: A. variables related to the individual B. variables related to the group C. variables related to employment D. variables related to society. - Correct Answer B. variables related to the group Which of the following training formats could work as part of a wellness program? 1. Case study 2. simulation 3. behavior modeling 4. all of the above. - Correct answer all of the answers 1. Case study 2. simulation 3. behavior modeling True or false, defining your expectations for each vendor partner can only happen after the working relationship has begun. - Correct Answer False. And disability management. It is most important to _____________stakeholder goals? Control coerce invent align - Correct answer align True or false, prevention generally has two impetuses: response to data and anticipation of future organizational change. - Correct Answer True. Community resources work best with. - Correct Answer Formalized referral processes. Overall, the rate of disability is projected to increase in the coming years, with a subsequent anticipated increased need for: - Correct Answer Personal care assistance. There is evidence that prevention will: 1. Eliminate the incidence of illness and disability. 2. Ultimately have no impact on illness and disability. 3. Reduce the incidence of illness and disability. - Correct Answer Reduce the incidence of illness and disability. An often-overlooked cost to employers is: - Correct Answer Indirect costs of employee absence. All of the following are common health and wellness initiatives except: smoking cessation programs weight management and nutrition health risk assessment, biochemical engineering. - Correct answer biochemical engineering. An example of work/life programs. - Correct Answer Educational Assistance. The fundamental principle in ergonomics is to ensure the capacity of the worker matches: - Correct Answer Job demands. Mental illness ranks among illnesses that cause disability in the U. S. a. #1 b. #2 behind heart disease c. #2 behind cancer d. #3 behind heart disease and cancer - Correct answer a. #1 How much money a company spends and its expected rate of return. How much money a CDMS spends per program and its expected rate of return. How much money a training manager spends on annual training and its expected rate of return. Which of the following conditions triggers immediate triage to a disability case manager? - Correct Answer Traumatic brain injuries. All of the following are guidelines for presenting conclusions and recommendations, except. Tailor the presentation style to the culture of the organization. avoid using benchmarking data in the final report. use a cost benefit approach for the analysis. research the feasibility of all recommendations thoroughly and offer alternatives. - Correct answer avoid using benchmarking data in the final report. The three key parameters of a project that must be addressed are. Quality, cost, risk. Quality, cost, time. Quality., time, risk. Cost, time, risk. - Correct Answer Quality, cost, time. True or false contingency planning begins with a probability assessment. - Correct Answer True. How long do STD benefits last & what percentage of the employee’s pre-disability salary does it pay? - Correct answer 3-6 months & 40-65% pre-disability salary When do long-term disability benefits start? - Correct Answer Picks up after STD. Pays 50-60% & benefits last 2-5 years or until age 65. What is FMLA (Family and Medical Leave Act)? - Correct Answer Allows employees up to 12 (26 for military) weeks of protected leave during a 12-month period for maternity, care for family member, etc. Any process that has input and output relationships among an organization's departments is known as: - Correct answer cross-functional. In organizational training and development, the process of identifying and tracking potential management candidates is referred to as: - Correct answer succession planning Guides to the evaluation of permanent impairment are used to: - Correct answer provide the employer with the degree of impairment that impacts the compensation due to a claimant In selecting a disability management provider, initially, the referral source should consider: - Correct answer experience and fit The process of creating, planning and executing the conception, pricing, promotion, and distribution of ideas, goods, and services to create exchanges that satisfy individual and organizational objectives is: - Correct Answer Marketing When working with employees, families, and providers, a CDMS first consideration is the: - Correct answer safety of employees in light of their conditions and subsequent needs Employers that assume financial responsibility for group disability benefit payments are considered to be: - Correct answer self-funded with internal administration or through a third party administrator. When developing a transitional return to work plan, the disability management specialist should meet with the local union representative, as well as the supervisor, in a company with a(n): - Correct answer collective bargaining agreement The Occupational Outlook Handbook (OOH) provides information regarding: - Correct answer earnings The CDMS develops work samples that are realistic and responsive to local employment by utilizing which resource - Correct answer job analysis The review of a practitioner's clinical skills and professional conduct based on quality and utilization criteria by a committee composed of practitioners in a similar field is known as a: - Correct answer peer review In preparing a life care plan for an individual with a spinal cord injury, the life care planner should assume that the need for services and equipment: - Correct answer will change as the individual ages An employee with a disability has learned that he/she has been laid off. What act allows the individual to continue medical coverage for a defined period, under the group rate? - Correct Answer Consolidated Omnibus Budget Reconciliation Act (COBRA) The types of data needed for disability management program monitoring and evaluation are determined by: - Correct answer policy goals and procedures Which sector of the labor force is in greater demand in the United States? - Correct answer service workers In selecting a disability management provider, initially, the referral source should consider: - Correct answer experience and fit.