Treating physician reports and medical-legal evaluations are used to establish:
a. eligibility for benefits
b. membership in MPNs
c. data for California Worker's Compensation Institute
d. insurance for Third Party Administrators (TPA) - ANSWER a. 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?
a. 10
b. 15
c. 20
d. 30 - ANSWER a. 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues?
a. ACOEM Guidelines - 24 visit limit
b. Apportionment and family leave benefits
c. AMA Impairment Guides and MPNs
d. Med-legal costs and temporary disability - ANSWER a. ACOEM Guidelines - 24 visit
limit
For a QME evaluation for compensability only (AOE/COE), do not send the QME report to
the following party(ies)?
a. Local DEU
b. Injured Worker
1
,c. Claims administrator
d. A and C - ANSWER a. Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues?
a. ACOEM Guidelines - 24 visit limit
b. Apportionment and family leave benefits
c. AMA Impairment Guides and MPNs
d. Med-legal costs and temporary disability - ANSWER c. AMA Impairment Guides and
MPNs
Which of the following is not a term used in California as a ratable "word of art"?
a. Occasional
b. Intermittent
c. Frequent
d. Often
e. Constant - ANSWER d. Often
Who selects the QME?
a. PTP
b. Claims administrator
c. Patient
d. Defense attorney - ANSWER c. Patient
In 1913, the Boynton Act?
a. Amended the constitution to create subjective factors of disability
b. Required most employers to have workers' compensation coverage
c. Created a civil tort system to resolve disputes for work injuries
2
,d. Both a and b above - ANSWER b. Required most employers to have workers'
compensation coverage
A Trade-off between Employers and Employees is referred to as?
a. Civil Tort Reform Act of 1904
b. Workers' Compensation Insurance and Safety Act of 1961
c. The Historic Compromise
d. Boynton Act - ANSWER c. The Historic Compromise
You are required to keep and maintain all medical-legal billings for _____ years from the
date of the examination?
a. one
b. two
c. three
d. five
e. seven - ANSWER c. three
The employer provides workers' compensation benefits?
a. regardless of fault,
b. When the employee wins a jury award
c. When the employer is first sued
d. Only when the employer is at fault - ANSWER a. regardless of fault,
A copy of the notice to request time extension to file a QME report must be sent to?
a. Medical Unit at DWC
b. WCAB
c. CHSWC
d. DEU - ANSWER a. Medical Unit at DWC
3
, The employer is required to pay benefits no matter who caused the injury, as long as the
injury is?
a. AOE/COE
b. DWC/DIR
c. CHSWC/DLSR
d. AMA/ACOEM - ANSWER a. AOE/COE
If there is serious and willful misconduct by the employee the award may be?
a. decreased by 1/4th
b. decreased by 1/2
c. decreased by 3/4ths
d. decreased by full amount
e. Unless the employer is uninsured, the worker cannot pursue other forms of recovery -
ANSWER b. decreased by 1/2
If the employer is uninsured for workers' compensation the injured worker can?
a. Sue in civil court
b. Receive punitive damages for pain and suffering
c. Have the district attorney fine the employer
d. All of the above - ANSWER d. All of the above
For dates of injury after 1/1/05, a QME must use?
a. Evaluation of Industrial Disability by Packard Thurber
b. American Medical Association Guide to the Evaluation of Permanent Impairment, 5th
edition
c. American Medical Association Guide to the Evaluation of Permanent Impairment, 4th
edition
4
a. eligibility for benefits
b. membership in MPNs
c. data for California Worker's Compensation Institute
d. insurance for Third Party Administrators (TPA) - ANSWER a. 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?
a. 10
b. 15
c. 20
d. 30 - ANSWER a. 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues?
a. ACOEM Guidelines - 24 visit limit
b. Apportionment and family leave benefits
c. AMA Impairment Guides and MPNs
d. Med-legal costs and temporary disability - ANSWER a. ACOEM Guidelines - 24 visit
limit
For a QME evaluation for compensability only (AOE/COE), do not send the QME report to
the following party(ies)?
a. Local DEU
b. Injured Worker
1
,c. Claims administrator
d. A and C - ANSWER a. Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues?
a. ACOEM Guidelines - 24 visit limit
b. Apportionment and family leave benefits
c. AMA Impairment Guides and MPNs
d. Med-legal costs and temporary disability - ANSWER c. AMA Impairment Guides and
MPNs
Which of the following is not a term used in California as a ratable "word of art"?
a. Occasional
b. Intermittent
c. Frequent
d. Often
e. Constant - ANSWER d. Often
Who selects the QME?
a. PTP
b. Claims administrator
c. Patient
d. Defense attorney - ANSWER c. Patient
In 1913, the Boynton Act?
a. Amended the constitution to create subjective factors of disability
b. Required most employers to have workers' compensation coverage
c. Created a civil tort system to resolve disputes for work injuries
2
,d. Both a and b above - ANSWER b. Required most employers to have workers'
compensation coverage
A Trade-off between Employers and Employees is referred to as?
a. Civil Tort Reform Act of 1904
b. Workers' Compensation Insurance and Safety Act of 1961
c. The Historic Compromise
d. Boynton Act - ANSWER c. The Historic Compromise
You are required to keep and maintain all medical-legal billings for _____ years from the
date of the examination?
a. one
b. two
c. three
d. five
e. seven - ANSWER c. three
The employer provides workers' compensation benefits?
a. regardless of fault,
b. When the employee wins a jury award
c. When the employer is first sued
d. Only when the employer is at fault - ANSWER a. regardless of fault,
A copy of the notice to request time extension to file a QME report must be sent to?
a. Medical Unit at DWC
b. WCAB
c. CHSWC
d. DEU - ANSWER a. Medical Unit at DWC
3
, The employer is required to pay benefits no matter who caused the injury, as long as the
injury is?
a. AOE/COE
b. DWC/DIR
c. CHSWC/DLSR
d. AMA/ACOEM - ANSWER a. AOE/COE
If there is serious and willful misconduct by the employee the award may be?
a. decreased by 1/4th
b. decreased by 1/2
c. decreased by 3/4ths
d. decreased by full amount
e. Unless the employer is uninsured, the worker cannot pursue other forms of recovery -
ANSWER b. decreased by 1/2
If the employer is uninsured for workers' compensation the injured worker can?
a. Sue in civil court
b. Receive punitive damages for pain and suffering
c. Have the district attorney fine the employer
d. All of the above - ANSWER d. All of the above
For dates of injury after 1/1/05, a QME must use?
a. Evaluation of Industrial Disability by Packard Thurber
b. American Medical Association Guide to the Evaluation of Permanent Impairment, 5th
edition
c. American Medical Association Guide to the Evaluation of Permanent Impairment, 4th
edition
4
