Linda's QME Prep

This class was created by Brainscape user Linda Hoffman.

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Decks in this class (34)

Terms
Acoem 1,
Ad 2,
Ama 3
39  cards
Case Laws and Labor Codes
What is the boynton act of 1913 k...,
Name the 3 components of the hist...,
Define no fault in the context of...
19  cards
By the Numbers
How many working days does an emp...,
How many days does the claims adm...,
Within how many working days must...
60  cards
Advanced Questions
What is the role of the ptp in ma...
1  cards
Injury Ladder
What is the threshold that turns ...,
How does an occupational disease ...,
What are the two types of injury ...
14  cards
1 IW Timeline of Events: Injury
What are the two scenarios in whi...,
What is the time frame for a work...,
If an ee does not notify their er...
12  cards
2 IW Timeline of Events: The PTP
What is the role of the ptp in ma...,
What is the role of the ptp in ma...,
What is the role of the ptp in ma...
16  cards
3 IW Timeline of Events: Additional reports
What does rfa stand for in the co...,
What is the rfa form used for 2,
What is the rfa process 3
10  cards
4 IW Timeline of Events: Dispute (Enter AME or QME)
If the worker and claims administ...,
What are some bases of disagreeme...,
What happens if the compensabilit...
14  cards
5 IW Timeline of Events: Unrepresented worker QME process
What is the first step in the unr...,
How many days does the dwc have t...,
How many days does the injured wo...
8  cards
6 IW Timeline of Events: Represented worker QME process
What is the first step in the qme...,
In the qme process who gets to ch...,
What happens after the qme panel ...
6  cards
7 IW Timeline of Events: Represented & unrepresented worker QME process
A qme must schedule the initial a...,
If booked up the qme can schedule...,
Any appointment over 120 days mus...
19  cards
8A Eras: Date to Mnemonic
July 1 1988 first modern pdrs 1,
April 1 1997 second pdrs 2,
January 1 1991 qme program establ...
11  cards
8B Eras: Mnemonic to Facts
Subjective pain alone 1,
Middle april still subjective 2,
Pass one third two year title 8 3
11  cards
8C Eras: Fact to Date
Traditional vocational rehabilita...,
The ama guides 5th edition was ma...,
The sjdb voucher became a flat 6 ...
20  cards
Ch 2 Org of Worker's Comp System
The division of worker s comp is ...,
This division monitors the admini...,
The mission of this division is t...
14  cards
Ch3A Compensability (Injuries)
When is a condition considered an...,
What is an occupational disease 2,
True or false first aid treatment...
19  cards
Ch 3B Compensability Psych Injury
When is a psychiatric injury comp...,
Worker s comp for psychiatric cla...,
For a psychiatric claim to be acc...
12  cards
Ch3C AOE/COE
For an injury not just a conditio...,
What does aoe stand for mean 2,
What does coe stand for mean 3
11  cards
Ch3D Causation
Under california law on the job a...,
Define an aggravation 2,
Define an exacerbation 3
15  cards
Ch5A Medical Treatment
Ers are required to provide treat...,
What are the 5 wc benefits 2,
Ers are required to authorize med...
6  cards
Ch5B Temp & Perm Disability Benefits
What does td stand for 1,
What does tpd stand for 2,
What does ttd stand for 3
21  cards
Ch5C SJDB/Death Questions
What are the relevant dates for d...,
What bill created the sjcb vouche...,
What bill modified the sjcb vouch...
12  cards
Ch5D Initiating Benefits
Within how many days of the date ...,
Within how many working days must...,
What triggers the initiation of t...
10  cards
Ch6 MPN/HCO/Referrals
What are the three ways an employ...,
If an employer has established an...,
If an employer has contracted wit...
42  cards
Ch8 MTUS/EBMs
What is the medical treatment uti...,
What is evidence based medicine e...,
What is the presumption of correc...
20  cards
Ch9 UR/IMR
What is utilization review ur 1,
Who can approve a ur request for ...,
Who is the only person who can de...
30  cards
Ch10 Evaluating PD
When do treating and evaluating p...,
Who prepares final disability eva...,
What is the role of the disabilit...
31  cards
Ch11 Disputes/Roles of QME/AME
What are the three types of physi...,
Can an ame be used for an unrepre...,
Does an ame need to be a qme 3
23  cards
Ch12 Med-Legal Report Writing
What are the four qualities a med...,
What are the four most frequent p...,
Who must sign the medical legal r...
27  cards
Ch13 OMFS, Billing, IBR
What is the official medical fee ...,
What fee schedule is the californ...,
What are the three basic elements...
20  cards
Ch14 Compliance Enforcement
What unit conducts audits of clai...,
What notice must a claims adminis...,
What triggers a targeted investig...
15  cards
Ch15 Ethics
What is the primary responsibilit...,
What four tasks must the qme pers...,
What are the rules regarding inte...
26  cards
Ch16 Office Staff Info
What is the recommended appointme...,
When must the qme appointment not...,
What are the four most common are...
15  cards

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Linda's QME Prep

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