j Treating physician reports and medical-legal evaluations are used to establish - eligibility for benefits
Unrepresented worker - if the employee does not inform the employer of the selection within ____ days
of the assignment of a panel of qualified medical evaluators, then the employer may select the physician
from the panel - 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues - ACOEM Guidelines -
24 visit limit
For a QME evaluation for compensability only (AOE/COE), DO NOT send the QME report to the following
Part(ies)? - Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following issues? - AMA
Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? - Often
Who selects the QME - Patient
In 1913, the Boynton Act - Required most employers to have workers' compensation coverage
A trade-off between Employers and Employees is referred to as - The Historic Compromise
You are required to keep and maintain all the medical-legal BILLINGS for _____ years from the date of
examination - 3 years
The employer provides workers' compensation BENEFITS - regardless of fault
, A copy of the notice to request time extension to file a QME report must be sent to - Medical Unit at
DWC
The employer is required to pay benefits no matter who caused the injury, as long as the injury is -
AOE/COE
If there is a serious and willful misconduct by the employEE the award may be - decreased by 1/2
If the employer is UNINSURED for workers' compensation the injured worker can - Sue in Civil Court,
Receive punitive damages for pain and suffering, have the District Attorney fine the Employer
For dates of injuyr AFTER 01/01/2005, a QME must use - American Medical Association Guide to the
Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - L.C. 132a
The chief method to apportion permanent disability is to use the - subtraction method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not paid TD for - the
first three (3) days
"Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a
crime and may be subject to imprisonment in the state prison for up to ____ years or a fine of up to
$50,000 or both - five (5) years
Payments to compensate an employee who does not completely recover from an injury - PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" - Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" - Constant
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