QME Examination Test Questions FINAL
Study online at https://quizlet.com/_cy1lf8
Treating physician reports and med-
ical-legal evaluations are used to estab- eligibility for benefits
lish
Unrepresented worker - if the employee
does not inform the employer of the se-
lection within ____ days of the assign-
10
ment of a panel of qualified medical eval-
uators, then the employer may select the
physician from the panel
SB-228 reforms of 2003 (Governor
Davis) primarily addressed the following ACOEM Guidelines - 24 visit limit
issues
For a QME evaluation for compensabil-
ity only (AOE/COE), DO NOT send the Local DEU
QME report to the following Part(ies)?
SB-899 reforms of 2004 (Governor
Schwarzenegger) primarily addressed AMA Impairment Guides and MPNs
the following issues?
Which of the following is not a term used
Often
in California as ratable "word of art"?
Who selects the QME Patient
Required most employers to have work-
In 1913, the Boynton Act
ers' compensation coverage
A trade-off between Employers and Em-
The Historic Compromise
ployees is referred to as
You are required to keep and maintain
all the medical-legal BILLINGS for _____ 3 years
years from the date of examination
The employer provides workers' com-
regardless of fault
pensation BENEFITS
A copy of the notice to request time ex-
tension to file a QME report must be sent Medical Unit at DWC
to
, QME Examination Test Questions FINAL
Study online at https://quizlet.com/_cy1lf8
The employer is required to pay benefits
no matter who caused the injury, as long AOE/COE
as the injury is
If there is a serious and willful miscon-
decreased by 1/2
duct by the employEE the award may be
If the employer is UNINSURED for work- Sue in Civil Court, Receive punitive dam-
ers' compensation the injured worker ages for pain and suffering, have the Dis-
can trict Attorney fine the Employer
American Medical Association Guide to
For dates of injuyr AFTER 01/01/2005, a
the Evaluation of Permanent Impair-
QME must use
ment, 5th edition
Unlawful discrimination for reporting a
L.C. 132a
work injury is protected under
The chief method to apportion perma-
subtraction method
nent disability is to use the
If the injured worker is not hospital-
ized and misses seven (7) days of work the first three (3) days
he/she is not paid TD for
"Any person who knowingly presents a
false or fraudulent claim for the payment
of a loss is guilty of a crime and may
five (5) years
be subject to imprisonment in the state
prison for up to ____ years or a fine of
up to $50,000 or both
Payments to compensate an employee
who does not completely recover from PD
an injury
"Disability = Impairment + Loss earning
Formula for PD
capacity + Occupational title + Age"
Means approximately 90-100 percent of
Constant
the time, as a ratable "word of art"
For injuries on or after January 1, 1994
and before 01/01/2004 most workers will
$16,000
be limited to a _____ cap on Vocational
Rehabilitation benefits under that plan
Study online at https://quizlet.com/_cy1lf8
Treating physician reports and med-
ical-legal evaluations are used to estab- eligibility for benefits
lish
Unrepresented worker - if the employee
does not inform the employer of the se-
lection within ____ days of the assign-
10
ment of a panel of qualified medical eval-
uators, then the employer may select the
physician from the panel
SB-228 reforms of 2003 (Governor
Davis) primarily addressed the following ACOEM Guidelines - 24 visit limit
issues
For a QME evaluation for compensabil-
ity only (AOE/COE), DO NOT send the Local DEU
QME report to the following Part(ies)?
SB-899 reforms of 2004 (Governor
Schwarzenegger) primarily addressed AMA Impairment Guides and MPNs
the following issues?
Which of the following is not a term used
Often
in California as ratable "word of art"?
Who selects the QME Patient
Required most employers to have work-
In 1913, the Boynton Act
ers' compensation coverage
A trade-off between Employers and Em-
The Historic Compromise
ployees is referred to as
You are required to keep and maintain
all the medical-legal BILLINGS for _____ 3 years
years from the date of examination
The employer provides workers' com-
regardless of fault
pensation BENEFITS
A copy of the notice to request time ex-
tension to file a QME report must be sent Medical Unit at DWC
to
, QME Examination Test Questions FINAL
Study online at https://quizlet.com/_cy1lf8
The employer is required to pay benefits
no matter who caused the injury, as long AOE/COE
as the injury is
If there is a serious and willful miscon-
decreased by 1/2
duct by the employEE the award may be
If the employer is UNINSURED for work- Sue in Civil Court, Receive punitive dam-
ers' compensation the injured worker ages for pain and suffering, have the Dis-
can trict Attorney fine the Employer
American Medical Association Guide to
For dates of injuyr AFTER 01/01/2005, a
the Evaluation of Permanent Impair-
QME must use
ment, 5th edition
Unlawful discrimination for reporting a
L.C. 132a
work injury is protected under
The chief method to apportion perma-
subtraction method
nent disability is to use the
If the injured worker is not hospital-
ized and misses seven (7) days of work the first three (3) days
he/she is not paid TD for
"Any person who knowingly presents a
false or fraudulent claim for the payment
of a loss is guilty of a crime and may
five (5) years
be subject to imprisonment in the state
prison for up to ____ years or a fine of
up to $50,000 or both
Payments to compensate an employee
who does not completely recover from PD
an injury
"Disability = Impairment + Loss earning
Formula for PD
capacity + Occupational title + Age"
Means approximately 90-100 percent of
Constant
the time, as a ratable "word of art"
For injuries on or after January 1, 1994
and before 01/01/2004 most workers will
$16,000
be limited to a _____ cap on Vocational
Rehabilitation benefits under that plan
