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QME Examination Test Questions FINAL exam with verified answers.
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QME Examination Test Questions FINAL exam with verified answers.
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QME Examination Test Questions FINALexam with verified answers
Treating physician reports and medical-legal evaluations are used to establish - ANSWER: ➡
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eligibility for benefits
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Unrepresented worker - if the employee does not inform the employer of the selection within
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____ days of the assignment of a panel of qualified medical evaluators, then the employer may
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select the physician from the panel - ANSWER: ➡ 10
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SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
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ANSWER: ➡ ACOEM Guidelines - 24 visit limit
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For a QME evaluation for compensability only (AOE/COE), DO NOT send the QME report to
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the following Part(ies)? - ANSWER: ➡ Local DEU
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SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
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issues? - ANSWER: ➡ 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"? - ANSWER: ➡
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Often
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Who selects the QME - ANSWER: ➡ Patient
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In 1913, the Boynton Act - ANSWER: ➡ Required most employers to have workers'
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compensation coverage
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A trade-off between Employers and Employees is referred to as - ANSWER: ➡ The Historic
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Compromise
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,You are required to keep and maintain all the medical-legal BILLINGS for _____ years from the
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date of examination - ANSWER: ➡ 3 years
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The employer provides workers' compensation BENEFITS - ANSWER: ➡ 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 - ANSWER:
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➡ Medical Unit at DWC
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The employer is required to pay benefits no matter who caused the injury, as long as the
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injury is - ANSWER: ➡ AOE/COE
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If there is a serious and willful misconduct by the employEE the award may be - ANSWER: ➡
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decreased by 1/2
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If the employer is UNINSURED for workers' compensation the injured worker can -
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ANSWER: ➡ Sue in Civil Court, Receive punitive damages for pain and suffering, have the
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District Attorney fine the Employer
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For dates of injuyr AFTER 01/01/2005, a QME must use - ANSWER: ➡ American Medical
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Association Guide to the Evaluation of Permanent Impairment, 5th edition
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Unlawful discrimination for reporting a work injury is protected under - ANSWER: ➡ L.C.
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132a
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The chief method to apportion permanent disability is to use the - ANSWER: ➡ subtraction
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method
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If the injured worker is not hospitalized and misses seven (7) days of work he/she is not paid
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TD for - ANSWER: ➡ 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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mguilty of a crime and may be subject to imprisonment in the state prison for up to ____ years
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mor a fine of up to $50,000 or both - ANSWER: ➡ five (5) years
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Payments to compensate an employee who does not completely recover from an injury -
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ANSWER: ➡ PD
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"Disability = Impairment + Loss earning capacity + Occupational title + Age" - ANSWER: ➡
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Formula for PD
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Means approximately 90-100 percent of the time, as a ratable "word of art" - ANSWER: ➡
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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 - ANSWER: ➡ $16,000
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If there are no surviving dependents, the death benefit is paid to - ANSWER: ➡ Department
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of Industrial Relations (DIR)
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The independent JUDICIAL BODY in California work comp is called - ANSWER: ➡ 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 - ANSWER: ➡ response within five (5) working days, not to
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exceed fourteen (14)
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The DWC Unit that rates your panel QME reports - ANSWER: ➡ DEU
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Who appoints and monitors Qualified Medical Evaluators, and can suspend or terminate
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QME status - ANSWER: ➡ DWC Medical Unit
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