Exam 9: Medical Utilization Issues in Workers Compensation

Most states have resisted calls to create some form of generic drug program.

What is evidence-based medicine?

What are preemployment screenings?

How could better training of claims handlers help improve the efficiency of the workers' compensation system?

Employers have begun to see the advantages of creating better and safer environment for their employees, not only as a way to reduce claims, but also to improve working conditions.

A schedule or code of all possible treatments, therapies, and medical services provided along with a maximum payment authorized for each.

What is evidence-based medicine?

Why is it important to update fee schedules?

A chemical and molecular duplicate of a drug that has an expired patent:_______.

Many employers now use preemployment screening to discover potential physical problems in employees before they are officially hired.

Explain the issues surrounding training physicians in disability ratings.

Why is it important to track medical costs in workers' compensation cases?

Medical utilization has become an important aspect of all workers' compensation cases.

Medical compounds that have the same molecular structure as brand name drugs, but are significantly cheaper

What are generic drugs?

A near miss report is used to describe an accident that almost happened, but did not.

What is the medical utilization issue in this case?

Why is fraud such a big concern in workers' compensation cases?

What determination did the expert witness in this case make about the 114 office visits for chiropractic care?

What is medical utilization?