QME EXAMINATION TEST FINAL EXAM // ACTUAL EXAM {GRADED A+} // VERIFIED ANSWERS. LATEST UPDATE NEW!!! NEW!!! NEW!!!
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Course
QME
Institution
QME
QME EXAMINATION TEST
FINAL EXAM // ACTUAL EXAM
{GRADED A+} // VERIFIED
ANSWERS. LATEST UPDATE
NEW!!! NEW!!! NEW!!!
The employer provides workers' compensation BENEFITS - ANS-regardless of
fault
A copy of the notice to request time extension to file a QME report must be sent
to - ANS-Me...
QME EXAMINATION TEST
FINAL EXAM // ACTUAL EXAM
{GRADED A+} // VERIFIED
ANSWERS. LATEST UPDATE
NEW!!! NEW!!! NEW!!!
The employer provides workers' compensation BENEFITS - ANS✔✔-regardless of
fault
A copy of the notice to request time extension to file a QME report must be sent
to - ANS✔✔-Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as
long as the injury is - ANS✔✔-AOE/COE
If there is a serious and willful misconduct by the employEE the award may be -
ANS✔✔-decreased by 1/2
In panel QMEs, the evaluator is not allowed to communicate with either party
outside the evaluation exam, except in writing, and any written communication
must be served on the opposing party within ___ days - ANS✔✔-20 days
In the case of Jones v Target Stores, because the referral was for physical
therapy, the referral was disallowed by the board because of the absence of
preauthorization - ANS✔✔-pre-authorization
,Self-referral and cross referral violations are prospected by - ANS✔✔-District
Attorney's Office
Making a false or fraudulent workers' compensation claim is a felony subject to
up to ____ years in prison or a fine of up to $______ or double the value of the
fraud, whichever is greater, or by both imprisonment and fine - ANS✔✔-five (5),
$50,000
The legislative reforms of 2012 required the physician fee schedule to be based
on the ___ fee schedule, which is maintained by the Centers for Medicare and
Medicaid Services (CMS) - ANS✔✔-RBRVS
The conversion factor beginning in 2017 is calculated at ____% of Medicare
(using the conversion factor in effect in July 2012 as the base year), updated for
inflation - ANS✔✔-120%
The RBRVS fee schedule has three basic elements - ANS✔✔-RVUs, CF, GAF
If the employer is UNINSURED for workers' compensation the injured worker can
- ANS✔✔-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 - ANS✔✔-American
Medical Association Guide to the Evaluation of Permanent Impairment, 5th
edition
Unlawful discrimination for reporting a work injury is protected under - ANS✔✔-
L.C. 132a
The chief method to apportion permanent disability is to use the - ANS✔✔-
subtraction method
If the injured worker is not hospitalized and misses seven (7) days of work
he/she is not paid TD for - ANS✔✔-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 - ANS✔✔-five (5)
years
Payments to compensate an employee who does not completely recover from an
injury - ANS✔✔-PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
ANS✔✔-Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" -
ANS✔✔-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 - ANS✔✔-$16,000
If there are no surviving dependents, the death benefit is paid to - ANS✔✔-
Department of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called - ANS✔✔-
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 - ANS✔✔-
response within five (5) working days, not to exceed fourteen (14)
The DWC Unit that rates your panel QME reports - ANS✔✔-DEU
Who appoints and monitors Qualified Medical Evaluators, and can suspend or
terminate QME status - ANS✔✔-DWC Medical Unit
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