CALIFORNIA QME EXAM 2024 - BASED ON ICAC COURSE
MATERIAL LATEST EXAM UPDATED QUESTIONS WITH
CORRECT ANSWERS A+ GRADED
_____________ officers assist in the resolution of misunderstandings,
disputes, and complaints and conduct monthly seminars at each of
the 24 local district offices. ...ANS: Information and Assistance
(I&A)
California passed first workers compensation act in what year?
What event caused this? ...ANS: 1. 1911
2. Fire at Triangle Shirtwaist Company Factory
Distinct from the local "boards" the WCAB is a judicial body
consisting of _________ commissioners, appointed by the __________, and
confirmed by the _______________. ...ANS: 1. Seven
2. Governor
3. Senate
Federal, Maritime, and Railroad workers are covered under
what? ...ANS: Federal Work Comp
For benefits to be paid from the SIBTF, the combined effect of the
injury and the previous disability or impairment must result in a
permanent disability of at least _____% ...ANS: 70%
How are claims paid when illegally uninsured employers fail to pay
workers' compensation benefits awarded to their injured
employees? ...ANS: Through UninsuredEmployers Benefits Trust
Fund (UEBTF)
, ASCORERS STUVIA
How do you appeal local decisions to a statewide panel of
commissioners? ...ANS: Through a Petition for Reconsideration
How many DWC districts offices are there? ...ANS: 24
In 1989 and 1993, measures were enacted to address the QME
process including.... ...ANS: 1. Med Legal fee schedule
2. Physician referral
3. QME advertising
4. Compensability of psychiatric and post termination
5. Fraud deterrence
6. Benefit payments for injured workers
In 2003 and 2004, measures were enacted that allowed employers
to... ...ANS: 1. establish medical provider networks (MPN)
2. Conduct utilization review to ensure that medical care is
consistent with evidence based guidelines
3. limit the amount of physical therapy and chiropractic
4. increase PD ratings and benefit payments to employees
5. require UR and MTUS guidelines
In 2013, measures were enacted... ...ANS: 1. increasing PD and
simplifying PD rating method
2. Resolving medical treatment disagreements through IMR and IBR
3. Improving MPNs
4. Updating Official Medical Fee Schedule (OMFS)
5. establishing fee schedules for copy services, interpreters,
vocational experts, and in-home health care
In what year did the California State Senate allow for subjective
factors such as pain and mental disturbances? ...ANS: 1951
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