WC Basics Misc.
WC Basics Misc. II
Medical
WC Basics Misc. III
Benefits
100

What does EOR stand for?

What is Explanation of Review?

100

To whom do you apply for a Certificate of Consent to Self Insure?

What is The Director of Industrial Relations (DIR).

100

Is COVID a presumption injury?

What is no?

100

What benefit notice is due if TD is paid from 1/1/24 through 2/5/24 and the EE RTW (TD Start and stop have been sent).  The EE is then declared TTD starting 3/1/24?

What is the TD Resumption Letter?

100

Burial Expense amount for DOI 1/1/13.

What is $10,000.00?

200

What DOI period is entitled to the 15% increase/decrease in PD ratings?

What is 1/1/05 through 12/31/12?

200

The state audits an insurance company at least?

What is every 5 years?

200

A chiropractor is limited to how many visits per LC 4604.5 (c) (1) per industrial injury?

What is 24 visits?

200

The IW is receiving 4850 benefits in place of TTD benefits which are paid by the ER.  Is a DWC benefit notice letter due?

What is yes.  The Beg & End 4850 notice is due.

200

What is the minimum TD rate for 2021?

What is $203.44?

300

How long does an IW have to file a Serious & Willful Misconduct claim against their Employer?

What is 1 Year (LC 5407)?

300

When would an IW be justified for missing or refusing to attend a medical examination arranged by the employer?

What is when mileage isn't paid in advance?

300

A medical-legal bill is paid on day 65. What should you do?

What is Self-Impose the 10% penalty and 7% interest?

300

How many days do you have to object to a medical treatment bill if the IW is not litigated?

What is 30 days.

300

If a RFA request is non-certified by UR what is the IW's next step?

What is IMR

400

What is the timeframe for sending the UR decision notice after the decision date?

What is 24 hours?

400

Pain is not ratable when it is?

What is minimal?

400

How many days does a provider have to request an Independent Bill Review (IBR)?

What is 30 days?

400

Who is responsible for enforcing benefit notices and timeliness of first payments?

What is the Administrative Director?

400

What is the mileage rate for 2023?

What is $0.67 per mile?

500

A worker is in the course of employment while off the employer's premises if engaged in an activity that is expressly or impliedly authorized by the employer is what rule?

What is the Commercial Traveler Rule?

500

A private employer which has secured the payment of compensation.

What is a Private Self Insurer?

500

Upon receipt of an RFA marked and proven to be an Expediated Request how long do we have to respond?

What is 72 hours from receipt?

500

If a physician submitted a bill for payment but didn't perform a particular exam or prepare the report you should?

What is object to the report as inadmissable?

500

Numbness, weakness and pain in the hand, due to compression of the median nerve at the wrist.

What is carpal tunnel syndrome?

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