ASCORERS STUVIA
QME - NUMBERS TO MEMORIZE
QUESTIONS WITH CORRECT ANSWERS
100% total disability is in what 4 conditions? ...ANS: lose both
EYES, lose both HAND use, total paralysis, incurable brain injury /
insanity
after QME has been requested, appointment date must be within __
days ...ANS: 60
AME must reschedule a cancelled appointment within __ days of the
original scheduled appointment, but can be extended to __ days if
both parties agree ...ANS: 60, 90 (30 more days)
AME, QME, APQME cannot cancel a QME eval less than __ days
before the appointment, except for a "good cause" that can be
appealed with WCAB ...ANS: 6 business days (also applies to
request for cancellation from ANY parties)
AOE vs COE? ...ANS: AaOE = arose from ACTIVITIES of
employment, COrE = course of REGULAR SITE of employment
apportionment can only be based on __ ...ANS: permanent
disability
can initial QME appointments be moved to a different
location? ...ANS: No (but subsequent visits can move to a location
ALREADY filed with the DWC Medical Unit)
can physician charge for record review in preparation for a
deposition? ...ANS: Yes
, ASCORERS STUVIA
Can QME contact PTP for records? ...ANS: Yes, but document
can you cancel a QME appointment due to not receiving
records? ...ANS: No, except for "DISPUTED PSYCH EVALUATIONS"
that state in the REPORT that records are necessary to conduct a full
and fair eval
Depositions are reimbursed to physicians at a rate of __ per hour,
rounded to nearest _ hour ...ANS: $250, 0.25 hour
difference between: light duty and modified duty, both of which are
"reasonable accommodations" ...ANS: light duty = totally different
job; modified duty = same job modified
disciplinary action against APQME or QME is done by __ ...ANS:
Administrative Director
Doctor's First Report form is __, which needs to be submitted within
__ days of the initial exam ...ANS: DLSR 5021, 5 days
Employees have __ days to dispute for a certain record to be
included in the evaluation, which is notified by the __. The objected
records/info is not sent to an evaluator, unless ordered by
__ ...ANS: 10 days, claims administrator, WCALJ (W/C Admin Law
Judge)
Employers can choose provider for __ days or __ to __ day for HCO,
afterwards IW can choose own provider from MPN ...ANS: 30
days; 90-180 days
Fee schedule for EACH OF THE YEARS or ANY PART OF THE YEAR:
__ for 0-10 evals, __ for 11-24 evals, __ for 25+ evals ...ANS: $110,
$125, $250
QME - NUMBERS TO MEMORIZE
QUESTIONS WITH CORRECT ANSWERS
100% total disability is in what 4 conditions? ...ANS: lose both
EYES, lose both HAND use, total paralysis, incurable brain injury /
insanity
after QME has been requested, appointment date must be within __
days ...ANS: 60
AME must reschedule a cancelled appointment within __ days of the
original scheduled appointment, but can be extended to __ days if
both parties agree ...ANS: 60, 90 (30 more days)
AME, QME, APQME cannot cancel a QME eval less than __ days
before the appointment, except for a "good cause" that can be
appealed with WCAB ...ANS: 6 business days (also applies to
request for cancellation from ANY parties)
AOE vs COE? ...ANS: AaOE = arose from ACTIVITIES of
employment, COrE = course of REGULAR SITE of employment
apportionment can only be based on __ ...ANS: permanent
disability
can initial QME appointments be moved to a different
location? ...ANS: No (but subsequent visits can move to a location
ALREADY filed with the DWC Medical Unit)
can physician charge for record review in preparation for a
deposition? ...ANS: Yes
, ASCORERS STUVIA
Can QME contact PTP for records? ...ANS: Yes, but document
can you cancel a QME appointment due to not receiving
records? ...ANS: No, except for "DISPUTED PSYCH EVALUATIONS"
that state in the REPORT that records are necessary to conduct a full
and fair eval
Depositions are reimbursed to physicians at a rate of __ per hour,
rounded to nearest _ hour ...ANS: $250, 0.25 hour
difference between: light duty and modified duty, both of which are
"reasonable accommodations" ...ANS: light duty = totally different
job; modified duty = same job modified
disciplinary action against APQME or QME is done by __ ...ANS:
Administrative Director
Doctor's First Report form is __, which needs to be submitted within
__ days of the initial exam ...ANS: DLSR 5021, 5 days
Employees have __ days to dispute for a certain record to be
included in the evaluation, which is notified by the __. The objected
records/info is not sent to an evaluator, unless ordered by
__ ...ANS: 10 days, claims administrator, WCALJ (W/C Admin Law
Judge)
Employers can choose provider for __ days or __ to __ day for HCO,
afterwards IW can choose own provider from MPN ...ANS: 30
days; 90-180 days
Fee schedule for EACH OF THE YEARS or ANY PART OF THE YEAR:
__ for 0-10 evals, __ for 11-24 evals, __ for 25+ evals ...ANS: $110,
$125, $250
