TEST Questions and Answers for QME (ICA of
CA Industrial Injury Evaluator (I.I.E.)
Certification) Final Exam Complete and Rated
A.
The spine has ___ methods of impairment
Correct Answer -two (2)
Which method would you use for the spine, if there is multi-level or
bilateral radiculopathy
Correct Answer -ROM
A PTP has fulfilled his or her reporting duties by sending ___ copy of a
required report to the claims administrator
Correct Answer -one (1)
Failure to file a DFR could delay benefits to patients, prevent payment to
physician, and could result in a civil penalty of not less than $___
Correct Answer -$50
PTPs are required DURING periods of active treatment to file ___ with
the claims administer
Correct Answer -PR-2
When the PTP determines that the employee's condition is permanent
and stationary (P&S), the physician must (unless good cause is shown)
report within ___ days from the date of examination
Correct Answer -20 days
,Apportionment is included in which of the following reports
Correct Answer -PR-4
If the PTP finds that the employee is P&S with regard to all conditions
and that the injury has resulted in permanent partial disability, he/she
must also complete the ___
Correct Answer -Physician's Return-To-Work & Voucher Report
Medical-Legal reports, which are generated with the intent to resolve a
dispute, are reimbursed according to the ___
Correct Answer -Medical-Legal Fee Schedule
With the exception of employees who have predesignated a physician,
employers have MPN control medical treatment for ___
Correct Answer -The life of the claim
When can an IW change PTP with in the MPN
Correct Answer -After the 1st visit
An employer with an MPN which of the following CANNOT be pre-
designated
Correct Answer -D.C.
Which of the following is okay for a physician to refer a person
Correct Answer -PT services provided in your own clinic
, A violation of L.C. 139(a) conflict of interest referral is a misdemeanor
subject to civil penalties up to $____ per offense
Correct Answer -$5,000
If you agree to refer patients to another clinic and they agree to refer to
you
Correct Answer -This is subject to $15,000 per violation and subject to
revocation of professional license
When workers are unable to perform any work, they receive ___ benefits
Correct Answer -Temporary Total Disability (TTD)
If full wages are paid, an IW may still receive TD benefits
Correct Answer -FALSE
The employer has ___ days from the notification of the injury to contest
the claim
Correct Answer -90 days
From January 1, 2008, to the present, TD may last up to ___ weeks within
five years from the DOI
Correct Answer -104
Supplement Job Displacement Benefits (SJDB) vouchers apply to workers
injured on or after January 1, ____
Correct Answer -2004
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