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QME EXAM TEST QUESTIONS FINAL
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QME EXAM TEST QUESTIONS FINAL
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QME EXAM TEST QUESTIONS FINALTreating 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
The Physician responsible to manage the care of the injured worker - answer- Primary
Treating Physician (PTP)
Who CANNOT be Medical-Legal Evaluating Physician - answer- Physical Therapist
(PT)
The three Physicians assigned by DWC Medical Unit to do a Med-Legal evaluation -
answer- Qualified Medical Evaluators (QME)
When the payment for TREATMENT is not made as required, the "unreasonably
unpaid" amount can be increased by a penalty of - answer- 15%
The injured worker must inform the employer about the injury or illness within ____ of
the "date of injury" - answer- 30 days
, The employer must furnish the worker with a claim form (DWC-1) within ___ of learning
of the injury - answer- one (1) working day
The employee's claim is initiated once the employer learns of the injury from - answer-
Any source
The worker MUST complete and return the ____ to the employer to initiate a claim in
California - answer- DWC-1 Claim Form
If there is no MPN, an employee may pre-designate a Chiropractor or Acupuncturist and
may switch care to that Chiropractor or Acupuncturist _____ after notifying the employer
- answer- Immediately
An employer must report injuries to Cal/OSHA of any death or serious injury within
_____ - answer- 24 hours
Labor Code section 4600 refers to - answer- A Statute
A local work comp Judge's decisions may be appealed by a part to - answer- WCAB
Commissioners
To hear the case as a whole - answer- en bank
Who has the burden to prove that the injury or medical condition arises out of or in the
course of an injured worker's employment - answer- Employee
The DWC Medical Unit submits a QME panel list to the injured worker with ____ names
(QME's) - answer- three (3)
Who calls the QME, in an unrepresented case, to make the first appointment with the
Patient - answer- Patient
The appointment should be made within ___ days after the date the patient first
contacts the QME's office - answer- Appointment must be scheduled within 25-60 days
after the Patient first contacts the QME office
If the QME appointment cannot be made within 60 days of a phone call - answer- the
IW may accept a later appointment or as DEW Medical Unit for another name
When an unrepresented IW makes an appointment, the QME must complete a
notification form (QME Form 110) within ___ working days - answer- Five (5)
With the DOI before 1994, the QME must submit the evaluation report within ___ days
of the date of the exam - answer- 45 days
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