QME Examination Test
Questions FINAL
Treating physician reports and medical-legal evaluations are used to
establish - -eligibility for benefits
-Unrepresented worker - if the employee does not inform the employer of
the selection within ____ days of the assignment of a panel of qualified
medical evaluators, then the employer may select the physician from the
panel - -10
-SB-228 reforms of 2003 (Governor Davis) primarily addressed the following
issues - -ACOEM Guidelines - 24 visit limit
-For a QME evaluation for compensability only (AOE/COE), DO NOT send the
QME report to the following Part(ies)? - -Local DEU
-SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed
the following issues? - -AMA Impairment Guides and MPNs
-Which of the following is not a term used in California as ratable "word of
art"? - -Often
-Who selects the QME - -Patient
-In 1913, the Boynton Act - -Required most employers to have workers'
compensation coverage
-A trade-off between Employers and Employees is referred to as - -The
Historic Compromise
-You are required to keep and maintain all the medical-legal BILLINGS for
_____ years from the date of examination - -3 years
-The employer provides workers' compensation BENEFITS - -regardless of
fault
-A copy of the notice to request time extension to file a QME report must be
sent to - -Medical Unit at DWC
-The employer is required to pay benefits no matter who caused the injury,
as long as the injury is - -AOE/COE
, -If there is a serious and willful misconduct by the employEE the award may
be - -decreased by 1/2
-If the employer is UNINSURED for workers' compensation the injured worker
can - -Sue in Civil Court, Receive punitive damages for pain and suffering,
have the District Attorney fine the Employer
-For dates of injuyr AFTER 01/01/2005, a QME must use - -American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
-Unlawful discrimination for reporting a work injury is protected under - -L.C.
132a
-The chief method to apportion permanent disability is to use the - -
subtraction method
-If the injured worker is not hospitalized and misses seven (7) days of work
he/she is not paid TD for - -the first three (3) days
-"Any person who knowingly presents a false or fraudulent claim for the
payment of a loss is guilty of a crime and may be subject to imprisonment in
the state prison for up to ____ years or a fine of up to $50,000 or both - -five
(5) years
-Payments to compensate an employee who does not completely recover
from an injury - -PD
-"Disability = Impairment + Loss earning capacity + Occupational title +
Age" - -Formula for PD
-Means approximately 90-100 percent of the time, as a ratable "word of art"
- -Constant
-For injuries on or after January 1, 1994 and before 01/01/2004 most
workers will be limited to a _____ cap on Vocational Rehabilitation benefits
under that plan - -$16,000
-If there are no surviving dependents, the death benefit is paid to - -
Department of Industrial Relations (DIR)
-The independent JUDICIAL BODY in California work comp is called - -WCAB
-Medical providers who request authorization in writing for a specific course
of treatment for an injured worker must receive a prompt response within ___
working days of receipt of the report not to exceed ____ days - -response
within five (5) working days, not to exceed fourteen (14)
Questions FINAL
Treating physician reports and medical-legal evaluations are used to
establish - -eligibility for benefits
-Unrepresented worker - if the employee does not inform the employer of
the selection within ____ days of the assignment of a panel of qualified
medical evaluators, then the employer may select the physician from the
panel - -10
-SB-228 reforms of 2003 (Governor Davis) primarily addressed the following
issues - -ACOEM Guidelines - 24 visit limit
-For a QME evaluation for compensability only (AOE/COE), DO NOT send the
QME report to the following Part(ies)? - -Local DEU
-SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed
the following issues? - -AMA Impairment Guides and MPNs
-Which of the following is not a term used in California as ratable "word of
art"? - -Often
-Who selects the QME - -Patient
-In 1913, the Boynton Act - -Required most employers to have workers'
compensation coverage
-A trade-off between Employers and Employees is referred to as - -The
Historic Compromise
-You are required to keep and maintain all the medical-legal BILLINGS for
_____ years from the date of examination - -3 years
-The employer provides workers' compensation BENEFITS - -regardless of
fault
-A copy of the notice to request time extension to file a QME report must be
sent to - -Medical Unit at DWC
-The employer is required to pay benefits no matter who caused the injury,
as long as the injury is - -AOE/COE
, -If there is a serious and willful misconduct by the employEE the award may
be - -decreased by 1/2
-If the employer is UNINSURED for workers' compensation the injured worker
can - -Sue in Civil Court, Receive punitive damages for pain and suffering,
have the District Attorney fine the Employer
-For dates of injuyr AFTER 01/01/2005, a QME must use - -American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
-Unlawful discrimination for reporting a work injury is protected under - -L.C.
132a
-The chief method to apportion permanent disability is to use the - -
subtraction method
-If the injured worker is not hospitalized and misses seven (7) days of work
he/she is not paid TD for - -the first three (3) days
-"Any person who knowingly presents a false or fraudulent claim for the
payment of a loss is guilty of a crime and may be subject to imprisonment in
the state prison for up to ____ years or a fine of up to $50,000 or both - -five
(5) years
-Payments to compensate an employee who does not completely recover
from an injury - -PD
-"Disability = Impairment + Loss earning capacity + Occupational title +
Age" - -Formula for PD
-Means approximately 90-100 percent of the time, as a ratable "word of art"
- -Constant
-For injuries on or after January 1, 1994 and before 01/01/2004 most
workers will be limited to a _____ cap on Vocational Rehabilitation benefits
under that plan - -$16,000
-If there are no surviving dependents, the death benefit is paid to - -
Department of Industrial Relations (DIR)
-The independent JUDICIAL BODY in California work comp is called - -WCAB
-Medical providers who request authorization in writing for a specific course
of treatment for an injured worker must receive a prompt response within ___
working days of receipt of the report not to exceed ____ days - -response
within five (5) working days, not to exceed fourteen (14)
