This is a question that when asked by a collector, will allow your opponent to kill you with one word.
What is a yes or no question?
Don't ask these when trying settle a lien....
100
The insurance company has 5 days to respond to this.
What is a request for authorization?
100
This acronym is used to state wether or not an injury is work related.
What is AOE/COE?
100
This is an injury that occurs over a period time as opposed to a sudden accident.
What is a CT Injury, Cumulative Trauma?
100
This document is filled out by the parties at a lien conference, once it has been determined that a case will be set for lien trial.
What is a Pre-Trial Conference Statement?
200
Once you have recieved an initial offer from the defense, always try to make them do this before you give a counter offer.
What is "Bid against themselves"?
200
This detail regarding the U/R Physician must be included with every Utilization Review in order for a U/R Denial to be valid in court?
What is the U/R Physician's Specialty?
200
This court document is used to settle the case in chief prior to the need for a trial. The insuarnce company need not admit liability to settle this way.
What is a Compromise and Release?
200
When a party to a lien trial does not agree with the findings of the judge and wants to appeal the decision, this is the document that must be filed with the court.
What is a Petition for Reconsideration?
200
This document is used to record who appeared and what happened at a lien conference.
What is Minutes of Hearing?
300
When faced with an initial low offer by your opponent, never respond with any argument or counter offer without asking this one question....
What is "WHY?"
300
Under this law, we can still be paid for our services, even on a denied claim, if we treated before the insurance company made thier decision to deny or accept liability.
What is the 1st $10,000 rule, Labor Code 5402?
300
This Case in Chief Settlement Document is used when the defense admits a work related injury occured to a specific body part.
What is a Stip and Award?
300
This form is submitted to the WCAB when a party wishes to place a hearing on calendar.
D.O.R. (DECLARATION OF READINESS)
300
Once a case has gone to trial, the judge will issue this document to announce his/her decision.
What is a Finding and Order / Finding and Award?
400
Having this mental state is often more important than having the right arguments....
What is CONFIDENCE?
400
This En Banc decision states the methods to be used to determine value of treatment when it is not listed in the OMFS.
What is the Kunz and/or Tapia decision?
400
This phrase is used to describe a case in which the applicant filed thier workers' comp claim after leaving thier job.
What is Post Term?
400
This is the initial form an employee completes to open a workers' compensation claim.
What is the DWC-1 form?
400
This is often closed following a lien conference that has been set for trial.
What is Discovery?
500
This acronym represents the process an attorney uses to build an effective argument.
What is I.R.A.C.?
Issue
Regulation
Argument
Conclusion
500
Under the new law, SB863, non-physician lien claimants are no longer entitled to these documents unless ordered by a judge.
What are medical reports?
For an Extra 100 points: In order for a judge to award medical reports to a non-physican lien claimant, what aspects of the case must be at issue?
500
P.Q.M.E.
What is PANEL QUALIFIED MEDICAL EXAMINER?
For an extra 100 points: What is the difference between an AME and a PQME?
500
This doctor is in charge of the patient's case and is responsibale for requesting all treatment.
What is the PTP? Primary Treating Physician.
For an extra 100 points: What labor code describes the duties of the PTP and is commonly used to describe the PTP Election Notice?
500
This is the maximum amount of time you can wait following the final date of service, to file a lien.
What is 3 years?
For an extra 100 points: What was the statute of limitations to file a lien prior to 1/1/2013?