WORKERS COMPENSATION In California. Workers Compensation Online Test

Transcription

1 WORKERS COMPENSATION In California Workers Compensation Online Test DIRECTIONS: Simply list your answer in an . Write down your letter choice only (a, b, c, d) in a NUMBERED VERTICAL COLUMN. Please your answers to: marcusstrutzdc@gmail.com. PLEASE DO NOT SCAN TEST OR TEST ANSWERS. Just type in the answers in an as shown here: 1. A 2. B 3. C Etc. 1. The acronym MMI stands for: a. Maximum Medical Immunization b. Minimal Medical Improvement c. Maximum Medical Improvement d. Maximum Medical Involvement 2. The acronym MPN stands for: a. Medical Provider s Negligence b. Medical Practitioner s Network c. Medical Provider Network d. Medical Physician s Network 3. The acronym UR stands for: a. Unidentified Records b. Utilization Review c. Urgent Radiography d. Uncertain Rate 4. The first recorded incidence of compensation to injured workers was in the year: a BC b BC c AD d. 1950AD 5. Which of the following is NOT one of the three original principals developed to determine compensability? a. contributory negligence b. the fellow servant rule c. Vocational Rehabilitation d. the assumption of risk 6. Which of the following principals held that employers were NOT at fault or in any way responsible for an injury to an employee? a. Fair Employment and Housing Act b. the fellow servant rule c. the assumption of risk d. contributory negligence 1

2 7. Western nations began to adopt a model for Workers Compensation in: a. late 1400 s b. late 1800 s c. early 1600 s d. late 1900 s 8. The 1 st WC law was passed in Wisconsin in: a b c d The Guides to the Evaluation of Permanent Disability was first published in the: a s b s c s d s 10. A system that allows for an injured worker to be treated and compensated for an injury without negligence being allocated to the employer is termed: a. no fault b. non-negligent c. willful misconduct d. none of the above 11. In California, about how many WC claims are submitted each year? a. 300,000 b. 500,000 c. 750,000 d. 1,000, In California, what is the dollar amount spent on WC benefits each year? a. hundreds of thousands b. billions c. trillions d. millions 13. In California, the must prove that the injury arose out of and occurred in the course of employment. a. Employer b. WC judge c. injured worker d. none of the above 14. This principal holds that the employee knows of the hazards of the job when he/she takes employment and thereby agrees to all the inherent risks. a. contributory negligence b. assumption of risk c. fellow servant rule d. none of these 15. In California, WC injuries can be: a. specific b. cumulative c. psychiatric d. all of the above 16. Carpal Tunnel Syndrome is an example of a injury. a. cumulative b. specific c. emotional d. psychiatric 17. Which of the following is NOT a WC benefit in California? a. Temporary Disability b. lifetime Chiropractic treatment c. Permanent Disability d. Death Benefits 18. In California, the maximum Temporary Disability benefit per week is: a. $160 b. $500 c. $1, d. $1, In California, the minimum Temporary Disability benefit per week is: a. $750 b. $500 c. $360 d. $160 2

3 20. In California, Permanent Disability occurs: a. once the patient is determined to be P&S or MMI b. when the injury is first reported c. once a green lien is filed d. when the WC judge makes this decision 21. In California, if the IW is eligible for Vocational Rehabilitation benefits, a flat rate of is issued to a state accredited school. a. $9,000 b. $8,000 c. $7,000 d. $6, In California, if serious and willful misconduct is determined: a. no additional penalties are sustained by the employer b. the employer will not be responsible for Vocational Rehabilitation c. additional penalties are sustained by the employer d. the IW need not report the injury 23. SB states that an IW can change his/her provider after 30 days unless his/her employer has established an MPN. a. 899 b. 799 c. 863 d In California, Chiropractic visits for an IW are capped at: a. 17 b. 21 c. 24 d As of 2013, will be used to settle disputes regarding treatment. a. QME s b. IMR s c. AME s d. UR s 26. An Independent Medical Review can ONLY be requested by the: a. Injured Worker b. Worker s Comp Judge c. Defense Attorney d. Insurance Carrier 27. The Independent Medical Reviewer must make a decision regarding emergency treatment in less than days. a. 2 b. 3 c. 4 d The estimated cost of an IMR is. a. $500 b. $300 c. $250 d. $ Once the IMR decision is made, failure to pay for services results in an administrative penalty of up to for each day the decision is not implemented. a. $1,000 b. $5,000 c. $10,000 d. $15, As of 2013, the filing fee for a lien is. a. $150 b. $100 c. $75 d. $50 3

4 31. The treatment cap for Chiropractic visits applies for injuries occurring on or after. a. 1/1/2000 b. 1/1/2002 c. 1/1/2004 d. 1/1/ Physical Therapy treatments are capped at visits. a. 50 b. 45 c. 32 d Occupational Therapy visits are capped at. a. 24 b. 32 c. 45 d The acronym ACOEM stands for: a. Applied Chiropractic and Osteopathic Emergency Management b. American Chiropractic and Orthopedic Environmental Medicine c. American College of Occupational and Environmental Medicine d. Alliance of Chiropractic and Osteopathic Environmental Management 35. An MPN must be approved by the: a. Worker s Comp Judge b. DWC c. AMA d. CCA 36. The Doctor s First Report of Injury is also called: a. Form 2150 b. Form 5021 c. Form 112 d. Form The QME Panel is a randomly generated list of QME s issued to the IW. a. 2 b. 3 c. 4 d A QME is limited to offices in which he/she performs medical/legal evaluations. a. 2 b. 5 c. 10 d The IW must select the QME from their assigned panel within days. a. 30 b. 15 c. 10 d To request a time extension for submitting his/her report, the QME must complete: a. Form 5021 b. Form 100 c. Form 112 d. Form 1012 DIRECTIONS: Mark A for true or B for false. 41. A Chiropractor licensed by any state or the District of Columbia may act as an expert reviewer in California. 42. Once the Carrier authorizes more than 24 Chiropractic visits, treatment limits are waived. 43. The IMR is presumed to be correct unless there is clear and convincing evidence to the contrary. 44. A Chiropractor may continue to be the IW s PTP even if the 24 treatment limit has been reached. 4

5 45. DC s can join an MPN. 46. MPN s are NOT required to follow the medical treatment guidelines established by the DWC. 47. Authorization means assurance that appropriate reimbursement will be made for an approved course of treatment. 48. An APQME is an agreed upon QME from the panel list. 49. Interpreters taking part in the QME process must be state certified. 50. The interpreter is paid by the QME. 51. The Carrier chooses the specialty of doctors for the QME list. 52. A reviewer in the IMR system may also hold a QME appointment. 53. In some cases, the Carrier may authorize more than 24 Chiropractic visits. 54. A physician is required to pay $100 for every office in which he/she performs QME s. 55. The QME report must contain a medical diagnosis. 56. Permanent Impairment should be specific and referenced to the AMA Guidelines by page number. 57. Penalties for Provider fraud never include prison time. 58. One indicator that the IW may be committing fraud is that he/she has a history of WC claims. 59. The QME Report need not include the identification of information relied upon to form an opinion. 60. Opinions of an AME are binding. 5