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HCC QME Exam: Terms, Dates, and Concepts questions well answered
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HCC QME Exam: Terms, Dates, and Concepts questions well answered
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HCC QME Exam: Terms, Dates,and Concepts questions well
answered
_____________ officers assist in the resolution of
misunderstandings, disputes, and complaints and conduct
monthly seminars at each of the 24 local district offices. -
answer ✅✅Information and Assistance (I&A)
"Any person who knowingly presents a false claim for the
payment of a loss, is guilty of a crime and may be for up to
______ years or a fine up to $______, or both" - answer ✅✅5
years, $50,000
,A _____ day extension will be given when asked by a QME
waiting for test results or reports - answer ✅✅30 day
extension
A _____ day extension will be given when asked by a QME
with "Good Cause" (natural disaster or medical emergency) -
answer ✅✅15 day extension
A claims administrator must submit all records
within_____________ days of the IMR request? - answer
✅✅15 days
A Follow Up Medical Legal Report (ML 101) is done ____
months after the first evaluation, and _____ days to deliver
the report? - answer ✅✅- 9 months from the prior evaluation
- delivered within 30 days
A medical-legal cost is defined as a cost for what? - answer
✅✅Specified services incurred to prove or disprove a
contested case
,A Non-AME (QME) must reschedule a CANCELLED
appointment within _____ days of the original scheduled
appointment and within _____ days of the initial request,
unless parties agree in writing to accept a date past that. -
answer ✅✅30 days, 60 days
A PQME or APQME (but not AME) must reschedule cancelled
appointments within ____ days? - answer ✅✅30 days to
reschedule
A QME certification is valid for how may years? - answer
✅✅2 years (LC 139.2)
A QME does not have to provide a copy of the psychiatric
report to an injured worker when? - answer ✅✅the report
may cause harm to the IW
A QME evaluation for compensability (AOE/COE), do not send
the QME report to the_____? - answer ✅✅Local DEU ???
Chat GPT says IW's Employer
A QME of an unrepresented IW, a copy of the report must be
sent to which parties? - answer ✅✅1. IW
, 2. Local DEU
3. Claims Administrator (insurance company)
A QME report is due _____ days after the completion of the
face-to-face evaluation - answer ✅✅30 days
A Supplemental QME report (no face-to-face evaluation) is
due _____ days after the QME received a request to do the
report? - answer ✅✅60 days
A violation of LC139(a) conflict of interest referral is a
misdemeanor subject to civil penalties up to $_________ per
offense. - answer ✅✅$5,000
A worker is injured on June 24, 2008, his vocational rehab
benefits are? - answer ✅✅Replaced by a supplemental job
displacement benefit.
After 01/01/2008, Temporary Disability benefits may last up
to _____ weeks within _____ years of DOI? - answer ✅✅1.
104 weeks
2. 5 year
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