WITH VERIFIED SOLUTIONS 100% CORRECT | NEW
UPDATE 2024
How is the disability rating made? - ANSWER QMEs rate the impairment (NOT
DISABILITY), and then raters use the impairment rating to make a disability rating
What are the two exceptions to using the AMA guides 5th ed. to the evaluation of
permanent impairment? - ANSWER Psych cases and cases prior to 1/1/2005
(the latter use the 1997 PDRS)
What are the two exceptions to the requirement that QMEs have 1/3 of their time
devoted to direct clinical practice? - ANSWER 1) if the QME has been an AME
at least 8 times in the past year
2) if the QME is retired or a teaching physician
Can acupuncturists issue opinions on permanent disability? - ANSWER No
What are the limitations to apportionment? - ANSWER 1) Apportionment
applies only to permanent disability and is based on causation
2) only permanent disability is apportioned, never treatment, work restrictions,
etc.
What is the signing date for QME reports? - ANSWER the date the report is
completed, not the evaluation date. include the county of the report
What are the five major categories of QME disciplinary action? - ANSWER 1)
consistent late reports
, 2) lack of availability
3) ex parte communications
4) self-referral
5) reports do not meet DWC minimum standards
What must be included with the HPI? - ANSWER A discussion of the
mechanism of injury
What are the 5 main types of workers comp benefits? - ANSWER 1) Medical
treatment
2) temporary disability benefits
3) permanent disability benefits
4) death benefits
5) supplemental job displacement benefits (SJDB)
What is the Boynton Act of 1913? - ANSWER Requires CA employees to have
worker's comp insurance
what is the definition of a medical-legal report? - ANSWER to prove or disprove
an aspect of a contested claim
What is the impairment rating? - ANSWER Rates the degree to which the
impairment decreases a person's ability to perform ADLs, excluding work
What are AOE and COE? - ANSWER AOE: arising out of employment