If full wages are paid, an IW may still receive TD benefits
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FALSE
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues
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ACOEM Guidelines - 24 visit limit
If there is no MPN, an employee may pre-designate a Chiropractor or Acupuncturist
and may switch care to that Chiropractor or Acupuncturist _____ after notifying the
,employer
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Immediately
Who appoints and monitors Qualified Medical Evaluators, and can suspend or
terminate QME status
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DWC Medical Unit
Regulations require the QME to serve the medical-legal report and on the claims
administrator and the injured worker within 30 days from the _____
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Commencement of the examination
Treating physician reports and medical-legal evaluations are used to establish
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eligibility for benefits
,Payments to compensate an employee who does not completely recover from an
injury
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PD
Means approximately 90-100 percent of the time, as a ratable "word of art"
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Constant
Injuries that occurred on or after _____, may be evaluated by QMEs
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01/01/1009
The law specifies an Order of Medical Evidence Standards (place in order highest
standard to lowest standard)
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, (1) The guidelines, including the drug formulary, adopted by the
administrative director pursuant to Section 5307.27 (MTUS)
(2) Peer-Reviewed Scientific and Medical Evidence regarding the
effectiveness of the disputed service
(3) Nationally recognized professional standards
(4) Expert Opinion
(5) Generally accepted standards of medical practice
(6) Treatments that are likely to provide a benefit to a patient for conditions
for which other treatments are not clinically efficacious
Labor Code section 4600 refers to
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A Statute
Death benefits are payments to a spouse, the children, or other dependents, including
reasonable burial expenses, not exceeding $____ for injuries before 01/01/2013 and
$_____ for injuries on or after 01/01/2013
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Before 01/01/2013 $5,000
After 01/01/2013 $10,000
Maximum Death Benefit (3 or more dependents) is ___
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FALSE
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues
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ACOEM Guidelines - 24 visit limit
If there is no MPN, an employee may pre-designate a Chiropractor or Acupuncturist
and may switch care to that Chiropractor or Acupuncturist _____ after notifying the
,employer
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Immediately
Who appoints and monitors Qualified Medical Evaluators, and can suspend or
terminate QME status
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DWC Medical Unit
Regulations require the QME to serve the medical-legal report and on the claims
administrator and the injured worker within 30 days from the _____
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Commencement of the examination
Treating physician reports and medical-legal evaluations are used to establish
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eligibility for benefits
,Payments to compensate an employee who does not completely recover from an
injury
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PD
Means approximately 90-100 percent of the time, as a ratable "word of art"
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Constant
Injuries that occurred on or after _____, may be evaluated by QMEs
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01/01/1009
The law specifies an Order of Medical Evidence Standards (place in order highest
standard to lowest standard)
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, (1) The guidelines, including the drug formulary, adopted by the
administrative director pursuant to Section 5307.27 (MTUS)
(2) Peer-Reviewed Scientific and Medical Evidence regarding the
effectiveness of the disputed service
(3) Nationally recognized professional standards
(4) Expert Opinion
(5) Generally accepted standards of medical practice
(6) Treatments that are likely to provide a benefit to a patient for conditions
for which other treatments are not clinically efficacious
Labor Code section 4600 refers to
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A Statute
Death benefits are payments to a spouse, the children, or other dependents, including
reasonable burial expenses, not exceeding $____ for injuries before 01/01/2013 and
$_____ for injuries on or after 01/01/2013
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Before 01/01/2013 $5,000
After 01/01/2013 $10,000
Maximum Death Benefit (3 or more dependents) is ___
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