QUESTIONS AND 100% CORRECT ANSWERS |
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Where is the navicular joint? - ANSWER ✔✔- One of tarsal bones in
foot
What is a compound fracture? - ANSWER ✔✔- Bone broken and
extends past skin
Colles fracture involves which bone? - ANSWER ✔✔- Radius
How many days do you have to dispute a medical bill? - ANSWER ✔
✔- 60 days
When the self insured ER has their certificate to self administer
revoked who handles their claims? - ANSWER ✔✔- Director returns
jurisdiction until claim liability exhausted
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,Proof os service is mandatory with what type of notice? - ANSWER ✔
✔- Denial
Your client is a city. An EE is a police officer in the city and injures his
shoulder. He is placed on TTD for 6 months and is receiving 4850.
When he returns to work, he quits and starts working as a deputy
sheriff for the county. While he is working for the county, he decides
to have surgery on his shoulder and applies for 4850 through both
the city and the county. Who will The WCAB say is responsible for the
4850? - ANSWER ✔✔- The city.
If there is a new TPA, who is responsible for filing the report with the
Director of Industrial Relations and what is the fimeframe? - ANSWER
✔✔- New TPA no later than date of change.
Is an insurance company allowed to keep claim files out of state? If
so, when is it okay? - ANSWER ✔✔- Yes, if manager has granted
written approval.
When may an EE treat outside of the MPN? - ANSWER ✔✔- Terminal
illness, can't get better in 90 days, 3 doctors in 15 miles, 5 doctors in
25 miles
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,Annual report for private and public self insurer's due? - ANSWER ✔
✔- Private: March 1; Public: Oct 1
If you know an im pro per EE will have PD after a back Sx but are
unsure of ht ePD amount 14 days after EE return to work, you should:
Pay estimated benefits up to 50%; - ANSWER ✔✔- Pay estimated
benefits; Delay PD pending the QME report Pay estimated benefits
Is proof of service required on a delay? - ANSWER ✔✔- No
Administrative Director is A. the head of the DIR B. the head of the
DWC C. Head of WCAB board D. Assistant to Director - ANSWER ✔✔
- B. Head of the DWC
When is a document considered filed at the WCAB? A. Date it is
postmarked B. Date it is received C. Date of Express Mail pickup D.
Date of cover letter filing it - ANSWER ✔✔- B. Date it is received
The applicants attorney files an application for adjudication of Claim.
You choose not to be represented. What documents do you file with
the WCAB? A. Subpoenaed medical records B. Copies of medical
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, appointment letters. C. Copies of letter to opposing counsel. D.
Original medical reports - ANSWER ✔✔- D. Original Medical Reports
An applicant's attorney calls and wants his attorney's fee as provided
in the STIP. You should: A. Pay the attorneys fee from the far end of
the award. Pay the attorney first and then pay the injured EE C. Pay
the attorney so he will go away. D. Tell the AA to get an order from
the WCAB ordering the fee be commuted from the far end of the
award. - ANSWER ✔✔- D. Tell the AA to get an order from the WCAB
ordering the fee be commuted from the far end of the award.
You are paying TD pursurant to an award. How long do you have to
file a petition to terminate liability for TD after terminating payments?
A. 10 days. B. 14 days. C. 20 days D. 30 days - ANSWER ✔✔- A. 10
days
an injury occurs in late december, but is not reported until Janurary
of the next year. In which claim log is the injury reported? A. The year
which it occurred B. The year reported. C. The fiscal year the injury
occurred. D. The fiscal year the injury was reported. - ANSWER ✔✔-
B.The year it was reported
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