QME Examination Test Questions FINAL and answers

QME Examination Test Questions FINAL and answers


Treating physician reports and medical-legal evaluations are used to establish - ans-
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eligibility for benefits nb nb




Unrepresented worker - nb nb




if the employee does not inform the employer of the selection within ____ days of the assig
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nment of a panel of qualified medical evaluators, then the employer may select the physici
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an from the panel - ans-10
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SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues - ans-
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ACOEM Guidelines - 24 visit limit nb nb nb nb nb




For a QME evaluation for compensability only (AOE/
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COE), DO NOT send the QME report to the following Part(ies)? - ans-Local DEU
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SB-
899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following issues
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? - ans-AMA Impairment Guides and MPNs
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Which of the following is not a term used in California as ratable "word of art"? - ans-Often
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Who selects the QME - ans-Patient
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In 1913, the Boynton Act - ans-
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Required most employers to have workers' compensation coverage nb nb nb nb nb nb nb




A trade-off between Employers and Employees is referred to as - ans-
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The Historic Compromise nb nb




You are required to keep and maintain all the medical-
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legal BILLINGS for _____ years from the date of examination - ans-3 years
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The employer provides workers' compensation BENEFITS - ans-regardless of fault
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A copy of the notice to request time extension to file a QME report must be sent to - ans-
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Medical Unit at DWC nb nb nb




The employer is required to pay benefits no matter who caused the injury, as long as the inj
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ury is - ans-AOE/COEnb nb nb




If there is a serious and willful misconduct by the employEE the award may be - ans-
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decreased by 1/2 nb nb

, If the employer is UNINSURED for workers' compensation the injured worker can - ans-
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Sue in Civil Court, Receive punitive damages for pain and suffering, have the District Attor
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ney fine the Employernb nb nb




For dates of injuyr AFTER 01/01/2005, a QME must use - ans-
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American Medical Association Guide to the Evaluation of Permanent Impairment, 5th editi
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on

Unlawful discrimination for reporting a work injury is protected under - ans-L.C. 132a
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The chief method to apportion permanent disability is to use the - ans-subtraction method
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If the injured worker is not hospitalized and misses seven (7) days of work he/
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she is not paid TD for - ans-the first three (3) days
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"Any person who knowingly presents a false or fraudulent claim for the payment of a loss is
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guilty of a crime and may be subject to imprisonment in the state prison for up to ____ years
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or a fine of up to $50,000 or both - ans-five (5) years
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Payments to compensate an employee who does not completely recover from an injury -
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ans-PD
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"Disability = Impairment + Loss earning capacity + Occupational title + Age" - ans-
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Formula for PD nb nb




Means approximately 90-100 percent of the time, as a ratable "word of art" - ans-Constant
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For injuries on or after January 1, 1994 and before 01/01/2004 most workers will be limited
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to a _____ cap on Vocational Rehabilitation benefits under that plan - ans-$16,000
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If there are no surviving dependents, the death benefit is paid to - ans-
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Department of Industrial Relations (DIR) nb nb nb nb




The independent JUDICIAL BODY in California work comp is called - ans-WCAB
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Medical providers who request authorization in writing for a specific course of treatment for
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an injured worker must receive a prompt response within ___ working days of receipt of the
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report not to exceed ____ days - ans-
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response within five (5) working days, not to exceed fourteen (14) nb nb nb nb nb nb nb nb nb nb




The DWC Unit that rates your panel QME reports - ans-DEU
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Who appoints and monitors Qualified Medical Evaluators, and can suspend or terminate Q
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ME status - ans-DWC Medical Unit
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