DWC Basics Flashcards

(7 cards)

1
Q

Who oversees the DWC?

A

The Administrative Director (AD)

The AD is responsible for appointing QMEs and adopting the Fee Schedule (OMFS) and MTUS.

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2
Q

What does the DWC Medical Unit handle?

A
  • QME exams
  • Applications
  • Disciplinary actions

This unit reports directly to the Administrative Director.

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3
Q

What is the role of the Workers Compensation Appeals Board (WCAB)?

A

It consists of 24 district offices with Workers’ Compensation Judges (WCJs) who preside over trials

The WCAB acts as an appellate body for decisions made by WCJs.

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4
Q

How many Commissioners are there in the WCAB?

A

7 Commissioners

They are appointed by the Governor and act like a ‘Supreme Court’ for appealed decisions.

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5
Q

What is a Petition for Reconsideration?

A

A process to appeal a judge’s decision in the WCAB

This allows for higher review by the Commissioners.

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6
Q

What does the DWC Audit and Enforcement Unit investigate?

A

Claims against insurance claims administrators

This unit ensures compliance and addresses misconduct.

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7
Q

Who is considered a physician under Workers Comp?

A
  • MDs
  • DOs
  • Psychologists
  • Acupuncturists
  • Optometrists
  • Dentists
  • Podiatrists
  • Chiropractors

Physical therapists are NOT included in this definition.

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