100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
QME EXAM |100 QUESTIONS WITH 100%VERIFIED SOLUTIONS(GUARANTEED PASS) $11.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. Course QME
  4.  
  5. Course QME

Exam (elaborations)

QME EXAM |100 QUESTIONS WITH 100%VERIFIED SOLUTIONS(GUARANTEED PASS)
 16 views  0 purchase
  • Course
  • Course QME
  • Institution
  • Course QME

QME EXAM |100 QUESTIONS WITH 100%VERIFIED SOLUTIONS(GUARANTEED PASS) 1911, SEVENTEEN DAYS AFTER THE DEVISTATING FIRE AT THE TRIANGLE SHIRTWAIST COMPANY FACTORY IN NEW YORK TOOK 146 LIVES - correct answer...when was the 1st work comp act passed? 1. NO FAULT 2. EXCLUSIVE REMEDY 3. ASSURED FIX...

[Show more]

Preview 2 out of 7  pages

Document information

  • August 4, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • qme exam 100 questions with 100verified solution

Written for

  • Course QME
  • Course QME

Seller

avatar-seller
agradesolutions

Reviews received

Content preview

QME EXAM |100 QUESTIONS WITH 100%VERIFIED
SOLUTIONS(GUARANTEED PASS)
1911, SEVENTEEN DAYS AFTER THE DEVISTATING FIRE AT THE TRIANGLE
SHIRTWAIST COMPANY FACTORY IN NEW YORK TOOK 146 LIVES - correct
answer...✔✔when was the 1st work comp act passed?

1. NO FAULT
2. EXCLUSIVE REMEDY
3. ASSURED FIXED BENEFIT - correct answer...✔✔WHAT ARE THE 3
COMPONENTS OF THE WORK COMP SYSTEM

e employer is required to pay benefits no matter who caused the injury, as long as the
injury arose out of or occurred in the course of employment. - correct answer...✔✔NO
FAULT

less the employer is uninsured, the worker cannot pursue other forms of recovery from
the employer, even if the employer was grossly negligent. - correct answer...✔✔
EXCLUSIVE REMEDY

The workers' compensation system establishes defined benefits, which must be paid for
by the employer. Workers' compensation awards are typically far less than comparable
negligence awards in a civil suit. For example, although the maximum workers'
compensation death benefit may be far less than the possible award in a civil wrongful
death suit, a civil action may take years to resolve while a death claim can be re-solved
in as little as a few months. Additional recoveries are available to employees for an
employer's serious and willful misconduct and unlawful discrimination (Labor Code §
132a and § 4553). Although group health coverage may include arbitrary limits on the
extent of treatment covered, workers' compensation is a statutory benefit with no
arbitrary limits on the frequency, duration, or extent of services. - correct answer...✔✔
ASSURED AND FIXED BENEFIT

deliberately self-inflicted injuries are excluded from coverage - correct answer...✔✔
WHAT TYPE OF INJYURIES ARE EXCLUDED

For injuries that result from the serious and willful misconduct of the employer, the
employee's compensation is increased by half - correct answer...✔✔WHAT HAPPENS
IF THE INJURY IS DUE TO SERIOUS MISCONDUCT OF THE EMPLOYER?

For injuries that result from the serious and willful misconduct of the injured employee,
benefits are reduced by half, unless the injury resulted in death or a per-manent
disability of 70% or more; the injury resulted from failure of the employer to comply with
the law or safety and health regulations; or the employee was under 16 years old at the




A GRADESOLUTIONS

, time of in-jury - correct answer...✔✔WHAT HAPPENS IF THE INJURY IS DUE TO
SERIOUS MISCONDUCT OF THE EMPLOYEE?

measures were enacted that allowed employers (1) to establish medical pro-vider
networks—from which injured workers are required to select treating doctors, (2) to
conduct utilization review to ensure that medical care was consistent with evidence-
based guidelines, and (3) to limit the amount of physical therapy and chiropractic
treatment. These measures also affect-ed permanent disability ratings and benefit
payments to injured workers. An evidence-based medi-cal treatment utilization schedule
(MTUS), or set of guidelines, was also adopted. - correct answer...✔✔WHAT
MEASURES WERE ENACTED IN 2003 AND 2004

In 2013, measures were enacted that made wide-ranging changes, which included (1)
increasing permanent disability paid to injured workers and simplifying the permanent
disability rating meth-od, (2) resolving medical treatment disagreements through
independent medical review and bill payment disputes through independent bill review,
(3) improving medical provider networks, and (4) updating the Official Medical Fee
Schedule and establishing fee schedules for copy services, in-terpreters, vocational
experts, and in-home health care. - correct answer...✔✔WHAT MEASURES WERE
ENACTED IN 2013

Which unit investigates complaints filed against QMEs con-cerning violations of the
Labor Code and regulations as well as other statutes for misconduct com-mitted in the
QME process - correct answer...✔✔MEDICAL UNIT

• How to Take a Complete Occupational History
• How to Define:
o An Injury
o First Aid
• Aggravation
• Recurrence
• Arising Out of Employment (AOE)
• Occurring in the Course of Employment (COE)
• Causation
• Presumptions
• Psychiatric Injuries - correct answer...✔✔WHAT ARE THE KEY COMPONENTS OF
COMPENCABILITY

• Any injury or disease arising out of employment (Labor Code § 3208)
• Any "derivative" injury caused by the treatment of an injury arising out of employment
• Any reaction to or side effect from preventive health care the employer provides to
health-care workers (Labor Code § 3208.05). - correct answer...✔✔the Labor Code
defines an injury as:

1 cause disability



A GRADESOLUTIONS

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller agradesolutions. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79373 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.49
  • (0)
  Add to cart