COMPETENCY EXAM STUDY GUIDE X.
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
No medical records are received by a QME prior to or after the evaluation. The QME
issues a report within the 30-day time limit. Medical records are then received. What
should the QME do? - ans--Review the records and issue a supplemental report
detailing the new findings and updating any opinions that the new information may have
affected.
No medical records are received by a QME prior to or after the evaluation. Must the
QME still issue a medical-legal report? How many days does the QME have to issue the
report? - ans--Yes. 30 days as per usual.
No medical records are received by a QME prior to or after the evaluation. Technically,
can the QME contact the injured worker's primary treating physician to get the records?
- ans--Yes
If an injured worker does not speak English, then they're entitled to a certified (by the
state of California) interpreter. What must the QME document in the report? - ans--The
name and the certification number of the interpreter.
Modifiers are added to billing codes. A -92 modifier means what? - ans--That the
evaluation was performed by the primary treating physician (PTP).
Modifiers are added to billing codes. A -93 modifier means what? - ans--That the
evaluator had the help of a certified interpreter.
Modifiers are added to billing codes. A -94 modifier means what? - ans--That the
evaluation was an AME.
Modifiers are added to billing codes. A -95 modifier means what? - ans--That the
evaluation was an QME.
Define: precipitation. - ans--Precipitation is when work exposure causes a previously
asymptomatic condition or problem to manifest.
Define: acceleration. - ans--Acceleration is when work exposure makes a previously
asymptomatic condition or problem manifest sooner than without work. It also refers to
work exposure rapidly worsening a condition.
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
No medical records are received by a QME prior to or after the evaluation. The QME
issues a report within the 30-day time limit. Medical records are then received. What
should the QME do? - ans--Review the records and issue a supplemental report
detailing the new findings and updating any opinions that the new information may have
affected.
No medical records are received by a QME prior to or after the evaluation. Must the
QME still issue a medical-legal report? How many days does the QME have to issue the
report? - ans--Yes. 30 days as per usual.
No medical records are received by a QME prior to or after the evaluation. Technically,
can the QME contact the injured worker's primary treating physician to get the records?
- ans--Yes
If an injured worker does not speak English, then they're entitled to a certified (by the
state of California) interpreter. What must the QME document in the report? - ans--The
name and the certification number of the interpreter.
Modifiers are added to billing codes. A -92 modifier means what? - ans--That the
evaluation was performed by the primary treating physician (PTP).
Modifiers are added to billing codes. A -93 modifier means what? - ans--That the
evaluator had the help of a certified interpreter.
Modifiers are added to billing codes. A -94 modifier means what? - ans--That the
evaluation was an AME.
Modifiers are added to billing codes. A -95 modifier means what? - ans--That the
evaluation was an QME.
Define: precipitation. - ans--Precipitation is when work exposure causes a previously
asymptomatic condition or problem to manifest.
Define: acceleration. - ans--Acceleration is when work exposure makes a previously
asymptomatic condition or problem manifest sooner than without work. It also refers to
work exposure rapidly worsening a condition.
