QME - NUMBERS TO MEMORIZE

QME - NUMBERS TO MEMORIZE
QME scheduling "Appointment Notification Form" to all parties sent out in __ days -
ANSWER-5

QME reports is due (served) __ days after face to face? (even if need additional
records) - ANSWER-30

supplement report (no face to face) is due __ days after the request - ANSWER-60

if pain even slightly affects ADLs, can give ratings of __% - ANSWER-1-3% add on

What is QME Form 120? - ANSWER-Voluntary by patient to not release mental health
info directly to patient, but another to discuss with patient

What is QME Form 121? - ANSWER-Protect from patient

AOE vs COE? - ANSWER-AaOE = arose from ACTIVITIES of employment, COrE =
course of REGULAR SITE of employment

HIV patients need __ file - ANSWER-fictitious name file

QME has to retain reports for __ years - ANSWER-5

Minimum face to face time for neuromuscular __, psych __, and all else __ minutes -
ANSWER-20 for NM, 60 for psych, 30 for all else

apportionment can only be based on __ - ANSWER-permanent disability

difference between: light duty and modified duty, both of which are "reasonable
accommodations" - ANSWER-light duty = totally different job; modified duty = same job
modified

total disability benefits for most workers last __ weeks for DOI from 1/1/2005 -
ANSWER-104

after QME has been requested, appointment date must be within __ days - ANSWER-
60

option for dispute in UNREPRESENTED case? - ANSWER-Panel QME

subjective, objective, and work exclusions are considered for disability rating for cases
that have __ date before 2005 - ANSWER-DOI (not P&S!)

, Packard Thurber's ROM is used for cases that have __ date before 2005 - ANSWER-
P&S (not DOI)

IW can request __ other doctors within the MPN, if they do not like/agree with the
opinion - ANSWER-2

if reasonable accommodation (light or modified duty) pays less than __% of the original
earnings, then they qualify for temporary disability compensation - ANSWER-85

IW can request to see what 3 things from the QME at the face to face eval? - ANSWER-
CV, license, QME certificate

QME reports from unrepresented cases are sent to __ - ANSWER-DEU (disability eval
unit)

Supplemental reports in unrepresented cases should not be sent to DEU until __ has
been issued - ANSWER-Summary Rating Determination (SRD)

OMFS and MLFS? - ANSWER-Official Medical Fee Schedule, Medical Legal Fee
Schedule

QMEs are limited to __ locations to evaluate IW - ANSWER-10

PQME are picked based on __ address - ANSWER-IW's home address

only 2 reports admissible at WCAB? - ANSWER-PTP and QME/AME (everything else
has to be commented on by one of these 2 parties)

WPI = - ANSWER-whole person injury (not combined in California)

can physician charge for record review in preparation for a deposition? - ANSWER-Yes

when interpreter is used, __ are required to be in the report - ANSWER-name and
certification#

Doctor's First Report form is __, which needs to be submitted within __ days of the initial
exam - ANSWER-DLSR 5021, 5 days

modifiers for medical legal billings? -92, -93, -94, -95 - ANSWER--92 is PTP, -93 is
interpreter, -94 is AME or APQME, -95 is panel QME ("'92 PIAP")

interpreters for QME need to be __ - ANSWER-certified

PQME or APQME (but not AME): reschedule must be within __ days - ANSWER-30

Can QME contact PTP for records? - ANSWER-Yes, but document