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QME Examination Final Exam Questions With Complete Solutions(100%pass!!)
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QME Examination Final Exam Questions With Complete Solutions(100%pass!!) Treating physician reports and medical-legal evaluations are used to establish - correct answer...eligibility for benefits Unrepresented worker - if the employee does not inform the employer of the selection within ____ ...

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  • August 4, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
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QME Examination Final Exam Questions
With Complete Solutions(100%pass!!)
Treating physician reports and medical-legal evaluations are used to establish - correct
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 - correct answer...✔✔10

SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
correct 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)? - correct answer...✔✔Local DEU

SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - correct answer...✔✔AMA Impairment Guides and MPNs

Which of the following is not a term used in California as ratable "word of art"? - correct
answer...✔✔Often

Who selects the QME - correct answer...✔✔Patient

In 1913, the Boynton Act - correct answer...✔✔Required most employers to have
workers' compensation coverage

A trade-off between Employers and Employees is referred to as - correct answer...✔✔
The Historic Compromise

You are required to keep and maintain all the medical-legal BILLINGS for _____ years
from the date of examination - correct answer...✔✔3 years

The employer provides workers' compensation BENEFITS - correct answer...✔✔
regardless of fault

A copy of the notice to request time extension to file a QME report must be sent to -
correct answer...✔✔Medical Unit at DWC

The employer is required to pay benefits no matter who caused the injury, as long as
the injury is - correct answer...✔✔AOE/COE




A GRADESOLUTIONS

, If there is a serious and willful misconduct by the employEE the award may be - correct
answer...✔✔decreased by 1/2

If the employer is UNINSURED for workers' compensation the injured worker can -
correct 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 - correct answer...✔✔
American Medical Association Guide to the Evaluation of Permanent Impairment, 5th
edition

Unlawful discrimination for reporting a work injury is protected under - correct answer...
✔✔L.C. 132a

The chief method to apportion permanent disability is to use the - correct answer...✔✔
subtraction method

If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for - correct answer...✔✔the first three (3) days

"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 - correct answer...✔✔five (5) years

Payments to compensate an employee who does not completely recover from an injury
- correct answer...✔✔PD

"Disability = Impairment + Loss earning capacity + Occupational title + Age" - correct
answer...✔✔Formula for PD

Means approximately 90-100 percent of the time, as a ratable "word of art" - correct
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 - correct
answer...✔✔$16,000

If there are no surviving dependents, the death benefit is paid to - correct answer...✔✔
Department of Industrial Relations (DIR)

The independent JUDICIAL BODY in California work comp is called - correct 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


A GRADESOLUTIONS

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