QME - Numbers To Memorize Exam Questions With Correct Answers
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Course
QME
Institution
QME
QME - Numbers To Memorize Exam Questions With Correct Answers
QME scheduling "Appointment Notification Form" to all parties sent out in __ days - ANSWER- 5
QME reports is due (served) __ days after face to face? (even if need additional records) - ANSWER- 30
supplement report (no face to f...
QME - Numbers To Memorize Exam
Questions With Correct Answers
QME scheduling "Appointment Notification Form" to all parties sent out in __ days -
ANSWER- 5
QME reports is due (served) __ days after face to face? (even if need additional
records) - ANSWER- 30
supplement report (no face to face) is due __ days after the request - ANSWER- 60
if pain even slightly affects ADLs, can give ratings of __% - ANSWER- 1-3% add on
What is QME Form 120? - ANSWER- Voluntary by patient to not release mental health
info directly to patient, but another to discuss with patient
What is QME Form 121? - ANSWER- Protect from patient
AOE vs COE? - ANSWER- AaOE = arose from ACTIVITIES of employment, COrE =
course of REGULAR SITE of employment
HIV patients need __ file - ANSWER- fictitious name file
QME has to retain reports for __ years - ANSWER- 5
Minimum face to face time for neuromuscular __, psych __, and all else __ minutes -
ANSWER- 20 for NM, 60 for psych, 30 for all else
apportionment can only be based on __ - ANSWER- permanent disability
difference between: light duty and modified duty, both of which are "reasonable
accommodations" - ANSWER- light duty = totally different job; modified duty = same job
modified
total disability benefits for most workers last __ weeks for DOI from 1/1/2005 -
ANSWER- 104
after QME has been requested, appointment date must be within __ days - ANSWER-
60
option for dispute in UNREPRESENTED case? - ANSWER- Panel QME
subjective, objective, and work exclusions are considered for disability rating for cases
that have __ date before 2005 - ANSWER- DOI (not P&S!)
, Packard Thurber's ROM is used for cases that have __ date before 2005 - ANSWER-
P&S (not DOI)
IW can request __ other doctors within the MPN, if they do not like/agree with the
opinion - ANSWER- 2
if reasonable accommodation (light or modified duty) pays less than __% of the original
earnings, then they qualify for temporary disability compensation - ANSWER- 85
IW can request to see what 3 things from the QME at the face to face eval? - ANSWER-
CV, license, QME certificate
QME reports from unrepresented cases are sent to __ - ANSWER- DEU (disability eval
unit)
Supplemental reports in unrepresented cases should not be sent to DEU until __ has
been issued - ANSWER- Summary Rating Determination (SRD)
OMFS and MLFS? - ANSWER- Official Medical Fee Schedule, Medical Legal Fee
Schedule
modifiers for medical legal billings? -92, -93, -94, -95 - ANSWER- -92 is PTP, -93 is
interpreter, -94 is AME or APQME, -95 is panel QME ("'92 PIAP")
interpreters for QME need to be __ - ANSWER- certified
PQME or APQME (but not AME): reschedule must be within __ days - ANSWER- 30
Can QME contact PTP for records? - ANSWER- Yes, but document
can initial QME appointments be moved to a different location? - ANSWER- No (but
subsequent visits can move to a location ALREADY filed with the DWC Medical Unit)
starting date of __, for PHYSICAL injury cases, sleep, sex, and psych impairments are
not ratable without DIRECT cause. However, they can still be treated for them. -
ANSWER- 1/1/2013
SJDB stands for __, which is due within __ days of P&S and the employer does not
offer the worker a job based on restrictions - ANSWER- Supplemental Job
Displacement Benefits, 60 days
SJDB benefits are maxed at __ for DOI past 1/1/2013, but maxed at __ for DOI before
1/1/2013 - ANSWER- $6000 (after 1/1/13), $4000-10000 (before 1/1/13)
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