QME - numbers to memorize || Needed to Pass.
QME scheduling "Appointment Notification Form" to all parties sent out in __ days correct
answers 5
QME reports is due (served) __ days after face to face? (even if need additional records)
correct answers 30
supplement report (no face to face) is due __ days after the request correct answers 60
if pain even slightly affects ADLs, can give ratings of __% correct answers 1-3% add on
What is QME Form 120? correct answers Voluntary by patient to not release mental health
info directly to patient, but another to discuss with patient
What is QME Form 121? correct answers Protect from patient
AOE vs COE? correct answers AaOE = arose from ACTIVITIES of employment, COrE =
course of REGULAR SITE of employment
HIV patients need __ file correct answers fictitious name file
QME has to retain reports for __ years correct answers 5
Minimum face to face time for neuromuscular __, psych __, and all else __ minutes correct
answers 20 for NM, 60 for psych, 30 for all else
apportionment can only be based on __ correct answers permanent disability
difference between: light duty and modified duty, both of which are "reasonable
accommodations" correct answers light duty = totally different job; modified duty = same job
modified
total disability benefits for most workers last __ weeks for DOI from 1/1/2005 correct
answers 104
after QME has been requested, appointment date must be within __ days correct answers 60
option for dispute in UNREPRESENTED case? correct answers Panel QME
subjective, objective, and work exclusions are considered for disability rating for cases that
have __ date before 2005 correct answers DOI (not P&S!)
Packard Thurber's ROM is used for cases that have __ date before 2005 correct answers P&S
(not DOI)
IW can request __ other doctors within the MPN, if they do not like/agree with the opinion
correct answers 2
, if reasonable accommodation (light or modified duty) pays less than __% of the original
earnings, then they qualify for temporary disability compensation correct answers 85
IW can request to see what 3 things from the QME at the face to face eval? correct answers
CV, license, QME certificate
QME reports from unrepresented cases are sent to __ correct answers DEU (disability eval
unit)
Supplemental reports in unrepresented cases should not be sent to DEU until __ has been
issued correct answers Summary Rating Determination (SRD)
OMFS and MLFS? correct answers Official Medical Fee Schedule, Medical Legal Fee
Schedule
modifiers for medical legal billings? -92, -93, -94, -95 correct answers -92 is PTP, -93 is
interpreter, -94 is AME or APQME, -95 is panel QME ("'92 PIAP")
interpreters for QME need to be __ correct answers certified
PQME or APQME (but not AME): reschedule must be within __ days correct answers 30
Can QME contact PTP for records? correct answers Yes, but document
can initial QME appointments be moved to a different location? correct answers No (but
subsequent visits can move to a location ALREADY filed with the DWC Medical Unit)
starting date of __, for PHYSICAL injury cases, sleep, sex, and psych impairments are not
ratable without DIRECT cause. However, they can still be treated for them. correct answers
1/1/2013
SJDB stands for __, which is due within __ days of P&S and the employer does not offer the
worker a job based on restrictions correct answers Supplemental Job Displacement Benefits,
60 days
SJDB benefits are maxed at __ for DOI past 1/1/2013, but maxed at __ for DOI before
1/1/2013 correct answers $6000 (after 1/1/13), $4000-10000 (before 1/1/13)
new job offered based on QME or AME work restrictions must have salary at least __% of
pre-injury work correct answers 85%
SJDB can be used for which 5 things? correct answers (1) training at an approved school, (2)
for licensing/certification/testing fees, (3) for tools required in training, (4) for computers,
and (5) job placement agency or vocational counselor
Depositions are reimbursed to physicians at a rate of __ per hour, rounded to nearest _ hour
correct answers $250, 0.25 hour
100% total disability is in what 4 conditions? correct answers lose both EYES, lose both
HAND use, total paralysis, incurable brain injury / insanity
QME scheduling "Appointment Notification Form" to all parties sent out in __ days correct
answers 5
QME reports is due (served) __ days after face to face? (even if need additional records)
correct answers 30
supplement report (no face to face) is due __ days after the request correct answers 60
if pain even slightly affects ADLs, can give ratings of __% correct answers 1-3% add on
What is QME Form 120? correct answers Voluntary by patient to not release mental health
info directly to patient, but another to discuss with patient
What is QME Form 121? correct answers Protect from patient
AOE vs COE? correct answers AaOE = arose from ACTIVITIES of employment, COrE =
course of REGULAR SITE of employment
HIV patients need __ file correct answers fictitious name file
QME has to retain reports for __ years correct answers 5
Minimum face to face time for neuromuscular __, psych __, and all else __ minutes correct
answers 20 for NM, 60 for psych, 30 for all else
apportionment can only be based on __ correct answers permanent disability
difference between: light duty and modified duty, both of which are "reasonable
accommodations" correct answers light duty = totally different job; modified duty = same job
modified
total disability benefits for most workers last __ weeks for DOI from 1/1/2005 correct
answers 104
after QME has been requested, appointment date must be within __ days correct answers 60
option for dispute in UNREPRESENTED case? correct answers Panel QME
subjective, objective, and work exclusions are considered for disability rating for cases that
have __ date before 2005 correct answers DOI (not P&S!)
Packard Thurber's ROM is used for cases that have __ date before 2005 correct answers P&S
(not DOI)
IW can request __ other doctors within the MPN, if they do not like/agree with the opinion
correct answers 2
, if reasonable accommodation (light or modified duty) pays less than __% of the original
earnings, then they qualify for temporary disability compensation correct answers 85
IW can request to see what 3 things from the QME at the face to face eval? correct answers
CV, license, QME certificate
QME reports from unrepresented cases are sent to __ correct answers DEU (disability eval
unit)
Supplemental reports in unrepresented cases should not be sent to DEU until __ has been
issued correct answers Summary Rating Determination (SRD)
OMFS and MLFS? correct answers Official Medical Fee Schedule, Medical Legal Fee
Schedule
modifiers for medical legal billings? -92, -93, -94, -95 correct answers -92 is PTP, -93 is
interpreter, -94 is AME or APQME, -95 is panel QME ("'92 PIAP")
interpreters for QME need to be __ correct answers certified
PQME or APQME (but not AME): reschedule must be within __ days correct answers 30
Can QME contact PTP for records? correct answers Yes, but document
can initial QME appointments be moved to a different location? correct answers No (but
subsequent visits can move to a location ALREADY filed with the DWC Medical Unit)
starting date of __, for PHYSICAL injury cases, sleep, sex, and psych impairments are not
ratable without DIRECT cause. However, they can still be treated for them. correct answers
1/1/2013
SJDB stands for __, which is due within __ days of P&S and the employer does not offer the
worker a job based on restrictions correct answers Supplemental Job Displacement Benefits,
60 days
SJDB benefits are maxed at __ for DOI past 1/1/2013, but maxed at __ for DOI before
1/1/2013 correct answers $6000 (after 1/1/13), $4000-10000 (before 1/1/13)
new job offered based on QME or AME work restrictions must have salary at least __% of
pre-injury work correct answers 85%
SJDB can be used for which 5 things? correct answers (1) training at an approved school, (2)
for licensing/certification/testing fees, (3) for tools required in training, (4) for computers,
and (5) job placement agency or vocational counselor
Depositions are reimbursed to physicians at a rate of __ per hour, rounded to nearest _ hour
correct answers $250, 0.25 hour
100% total disability is in what 4 conditions? correct answers lose both EYES, lose both
HAND use, total paralysis, incurable brain injury / insanity
