QME Exam Prep p2 Questions And Answers With 100% Correct Answers
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Course
QME
Institution
QME
What is the Verga Decision? - An exception for psych compensability:
Can acupuncturists issue opinions on permanent disability? - No
Define apportionment - Estimate of the % of permanent disability was caused by work-related
injury
Define permanent, temporary partial and temporary total disabil...
QME Exam Prep p2
What is the Verga Decision? - An exception for psych compensability:
Can acupuncturists issue opinions on permanent disability? - No
Define apportionment - Estimate of the % of permanent disability was caused by work-related
injury
Define permanent, temporary partial and temporary total disability. - Permanent: irreversible
residual of an injury
Temp partial: can work, but earn less than previously
Temp total: cannot work at all
Do psych injuries after termination count as injury? - No
For how long must reports be kept? - 5 years
Form 100 - Employee's Disability Questionnaire (include for unrepresented workers for
permanent disability or apportionment)
Form 101 - Request for Summary Rating Determination (include for unrepresented workers for
permanent disability or apportionment)
Form 109 - Notice of Unavailability Form
Form 110 - Appointment Notification Form (QME must send to all parties within 5 days of the
appt being made)
Form 111 - QME Findings Summaary
, Form 112 - QME Report Time Frame Extension Request (has to be filed at least 5 days before
report deadline; there is a 15 day good cause extension and 30 day extension for pending test results)
Form 120 - Psych IW wants the report sent to their MD instead of themselves
Form 121 - Send if the injured worker wants the report sent to themself AND viewing it is a
danger to them
Note: if viewing it isn't a danger to them, you can just send them the finished report
Form 122 - Medical Legal Declaration of Service Form (must be included with all represented IW
reports)
How long does a first treating MD have to complete a "Doctors First Report of Occupational Injury of
Illness?" - 5 days of the worker's first visit
What are AOE and COE? - AOE: arising out of employment
COE: through the course of employment
What are temporary disability payments? - 2/3 of average weekly pay, limited to 104 weeks (2
years)
What are the 5 main types of workers comp benefits? - 1) Medical treatment
2) temporary disability benefits
3) permanent disability benefits
4) death benefits
5) supplemental job displacement benefits (SJDB)
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