Exam (elaborations)
CDMS Exam - Questions and Answers
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CDMS Exam - Questions and Answers
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CDMS Exam - Questions and Answersproductivity Correct Ans-includes # lost workdays, rates of RTW after injury/illness, rates
of employee turnover, amount of overtime
ADA Correct Ans-requires reasonable accommodations that do not cause undue hardship
(cost, nature of business)
ADA company size Correct Ans-15+ employees
ADA cause for denying employment Correct Ans-very low risk but severe consequences, or
severe risk and minor consequences
ADA does NOT require Correct Ans-provide treatment, waive uniform disciplinary
standards, provide stress-free environment, eliminate performance evaluations, eliminate
essential job functions, provide irregular/indefinite leave, reduce performance standards,
create a new position, or arrange a transfer when no positions are available
ADA eligibility Correct Ans-SUBSTANTIALLY impaired to be eligible for ADA protection.
Includes conditions that cause differential treatment but do not otherwise impact job (e.g.
burn victims).
ADA requires employers to approach employees about accommodation when: Correct
Ans-knows about disability, knows it is causing problems on the job, and knows that disability
prevents employee from requesting accommodation.
, CDMS Exam - Questions and Answers
Most common conditions for discrimination complaint: Correct Ans-1) Orthopedic
problems (16%) 2) Depression 3) Hearing/vision impairments 4) Diabetes 5) Bipolar 6) Cancer
SSA categories of functioning Correct Ans-1) ADLs 2) Social Functioning 3) Concentration,
Persistence, Pace 4) Deterioration in work-like settings. *Significant impairment in any one
domain qualifies
SSA Claim Denial Reasons Correct Ans-Impairment does not prevent individual from doing
past relevant work; impairment does not prevent individual from doing other work;
impairment is not defined as severe by SSA
AMA disability definition Correct Ans-Disability defined as persisting 12+ months, OR after
treatment has been exhausted (MMI)
HIPAA (Health Insurance Portability and Accountability Act) Correct Ans-- Created a
program for detecting fraudulent health plans
- Protects health insurance coverage after losing jobs (does not waive pre-existing conditions);
may qualify after COBRA runs out. Limits exclusions for pre-existing conditions (can't exclude
for more than 12 months). Allows enrollment if health insurance lost, marriage, new
dependent, separation, divorce, death.
- Guarantees availability of health insurance coverage for small employers
- preserves states' role in regulating health insurance
- HIPAA National Security Rule sets standards for electronic PHI protection
, CDMS Exam - Questions and Answers
- HIPAA Breach Notification Rule
Nursing Home Reform Act (passed 1987, enacted 1990) Correct Ans-- minimum staffing
requirements for long term care facilities
Patient self-determination act (1990) Correct Ans-Requires giving patients written
summary of healthcare decision-making rights at time of admission and facility policies on
advance directives; ask about and document advance directives; cannot discriminate based
on advance directives; cannot require or prohibit advance directives; educate staff about
advance directives.
Consolidated Omnibus Budget Reconciliation Act (COBRA), 1985 Correct Ans-- established
standards for transfer and discharge of Medicare and Medicaid recipients
- let people stay on group health plans for limited periods of time after voluntary or
involuntary job loss, reduction of work hours, transition between jobs, death/divorce (of
enrolled spouse)
- may be required to pay entire premium, up to 102% of cost to the plan
-amendment to ERISA
Employee Retirement Income Security Act (ERISA), 1974 Correct Ans-- sets minimum
standards for health and pension plans in private companies
- Outside of open enrollment period, qualifying life event required for voluntary change to
benefits
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