Download CDMS test 2024-25 exam review questions and answers and more Exercises Nursing in PDF only on Docsity!
questions and answers
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
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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
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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 A series of motions performed every few seconds with a little variation may produce which of the following conditions: - correct answer ✅Muscle and tendon fatigue Beneficence - correct answer ✅The principle that refers to deciding what is good for as opposed to what is harmful to the worker Incidental absence - correct answer ✅A large cost driver for employers that is the least monitored and managed A CDMS has an affirmative legal and ethical duty to safeguard the confidentiality of an employee's: - correct answer ✅Healthcare information
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Participative programs - correct answer ✅May enhance employee quality of work life Under workers compensation systems, employees who will be compensated for their occupational injuries no longer have - correct answer ✅A right to sue their employers Workers' compensation - correct answer ✅A benefit system that is responsible for both medical costs and loss earnings The critical success factor for employer sponsored programs focused on alteration of lifestyle to improve physical and mental health include - correct answer ✅Buy- in at all levels Purpose - correct answer ✅The mission of an organization Ergonomics reduces the risk of injury by - correct answer ✅Adapting the work to fit the person Monthly payments to partially replace lost income - correct answer ✅If an employee whose company carries LTD insurance should become totally disabled, the employee can expect to receive
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In a CDMS's documentation of cost savings, an example of "hard savings" is the - correct answer ✅Change to a contracted PPO Myers-Briggs Type Indicator - correct answer ✅The test that would reveal that a sensing-judging person would be drawn to a service occupation When considering vocational choices for a former data entry clerk with rheumatoid arthritis, whose hands have become too painful to perform the job, the disability management specialist should first take into account - correct answer ✅The probable progressive nature of the disability Functional silos - correct answer ✅The tendency where organizations establish isolated departments that communicate poorly with each other and lead to lapses in quality and increase costs work hardening - correct answer ✅Simulated a real work activities in a clinical setting are most appropriately referred to as Which of the following conditions is not a disability protected under the ADA Amendments Act (ADAAA) of 2008? - correct answer ✅Current illegal substance use When an employee who is covered under a health plan, governed by Employee Retirement Income Security Act (ERISA), receives a denial for a surgery, the CDMS's next step is to - correct answer ✅Explain the employees appeal rights under ERISA
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The Social Security Act provides a trial work period for workers with disabilities who attempted to return to work, during which time their benefits are continued. The duration of the trial work period is: - correct answer ✅9 months Determine a rental versus purchase cost - correct answer ✅Prior to implementation of durable medical equipment (DME), the certified disability management specialist should first 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.
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- 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 employers 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 employees 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
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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:
- Employers
- Employees
- Employers AND employees
- 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
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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.
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With the right data and programs, employees are now able to.: - correct answer ✅Reduce disability days by between 10 and 35% and improve return to work rates by at least 6%. Sick leave may be used for all but the following: - correct answer ✅To extend personal days Integrating non-occupational STD & LTD programs has all of the following characteristics and goals, except: A. Reducing employee related costs, resulting in improved morale. B. Streamlining management of non-occupational disability, resulting in customer satisfaction. C. Initiating claims and care management as early as possible, resulting in earlier return to work. D. Coordinating for concurrent management of FMLA. - correct answer ✅Reducing employee related costs, resulting in improved morale. Total health management is also known as: - correct answer ✅Health and productivity management. The Veterans Rehabilitation Legislation is the responsibility of which agency. - correct answer ✅US Department of Veterans Affairs. True or false, according to the Americans with Disabilities Act, an individual with a disability is a person who has:
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True or false, contingency planning begins with a probability assessment. - correct answer ✅True All of the following are planning tools used in managing a project, except: A. Goal B. Gantt chart C. Work Breakdown Structure D. Contingency Plan - correct answer ✅Goal True or false, a disability management program should consider all of the following things:
- Characteristics of the organization and its employees.
- Types of psychometric tests available on site.
- Workforce characteristics.
- Availability of community resources. - correct answer ✅False True or false, policy is the foundation of the disability management program. - correct answer ✅True Workplaces that have the ability to provide jobs to accommodate functional limitations will need to consider which two alternatives: - correct answer ✅1. Physical changes to the work site
- changed work.
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Cost drivers associated with disability management include all the following except:
- Aging workforce.
- Benefits plan design.
- Efficient claims administration. - correct answer ✅Efficient claims administration. Factors employers need to consider an incenting their employees to remain healthy and return to work as soon as possible include: A. Job guarantee period. B. Release time for medical care. C. Developing return-to-work incentives. D. All of the above - correct answer ✅A. Job guarantee period. B. Release time for medical care. C. Developing return-to-work incentives. All of the above 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
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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
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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
