Treating physician reports and medical-legal evaluations are used to establish - ANSWER
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 - ANSWER 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
ANSWER 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)? - ANSWER Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - ANSWER AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
ANSWER Often
Who selects the QME - ANSWER Patient
In 1913, the Boynton Act - ANSWER Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ANSWER The Historic
Compromise
1
,You are required to keep and maintain all the medical-legal BILLINGS for _____ years from
the date of examination - ANSWER 3 years
The employer provides workers' compensation BENEFITS - ANSWER regardless of fault
A copy of the notice to request time extension to file a QME report must be sent to -
ANSWER Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as the
injury is - ANSWER AOE/COE
If there is a serious and willful misconduct by the employEE the award may be - ANSWER
decreased by 1/2
If the employer is UNINSURED for workers' compensation the injured worker can -
ANSWER 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 - ANSWER American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ANSWER L.C.
132a
The chief method to apportion permanent disability is to use the - ANSWER subtraction
method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not paid
TD for - ANSWER the first three (3) days
2
, "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 - ANSWER five (5) years
Payments to compensate an employee who does not completely recover from an injury -
ANSWER PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" - ANSWER
Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" - ANSWER
Constant
For injuries on or after January 1, 1994 and before 01/01/2004 most workers will be limited
to a _____ cap on Vocational Rehabilitation benefits under that plan - ANSWER $16,000
If there are no surviving dependents, the death benefit is paid to - ANSWER Department
of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called - ANSWER WCAB
Medical providers who request authorization in writing for a specific course of treatment for
an injured worker must receive a prompt response within ___ working days of receipt of the
report not to exceed ____ days - ANSWER response within five (5) working days, not to
exceed fourteen (14)
The DWC Unit that rates your panel QME reports - ANSWER DEU
3
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 - ANSWER 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
ANSWER 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)? - ANSWER Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - ANSWER AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
ANSWER Often
Who selects the QME - ANSWER Patient
In 1913, the Boynton Act - ANSWER Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ANSWER The Historic
Compromise
1
,You are required to keep and maintain all the medical-legal BILLINGS for _____ years from
the date of examination - ANSWER 3 years
The employer provides workers' compensation BENEFITS - ANSWER regardless of fault
A copy of the notice to request time extension to file a QME report must be sent to -
ANSWER Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as the
injury is - ANSWER AOE/COE
If there is a serious and willful misconduct by the employEE the award may be - ANSWER
decreased by 1/2
If the employer is UNINSURED for workers' compensation the injured worker can -
ANSWER 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 - ANSWER American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ANSWER L.C.
132a
The chief method to apportion permanent disability is to use the - ANSWER subtraction
method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not paid
TD for - ANSWER the first three (3) days
2
, "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 - ANSWER five (5) years
Payments to compensate an employee who does not completely recover from an injury -
ANSWER PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" - ANSWER
Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" - ANSWER
Constant
For injuries on or after January 1, 1994 and before 01/01/2004 most workers will be limited
to a _____ cap on Vocational Rehabilitation benefits under that plan - ANSWER $16,000
If there are no surviving dependents, the death benefit is paid to - ANSWER Department
of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called - ANSWER WCAB
Medical providers who request authorization in writing for a specific course of treatment for
an injured worker must receive a prompt response within ___ working days of receipt of the
report not to exceed ____ days - ANSWER response within five (5) working days, not to
exceed fourteen (14)
The DWC Unit that rates your panel QME reports - ANSWER DEU
3
