QME Actual Exam Study Guide (Questions
and Verified Answers) | Brand New Edition
1. QME Accreditation - ANSWER Process for QME approval under Labor
Code section 139.2
2. Permanent Disability Determination - ANSWER Assessment of lasting
impairment affecting work capacity
3. Substantial Evidence - ANSWER Sufficient proof to support a claim or
decision
4. Rating by Analogy - ANSWER Assigning disability rating based on similar
cases
5. Accreditation Requirements - ANSWER Include passing the QME
competency exam and report writing course
6. Appointment Criteria - ANSWER Varies based on physician type, detailed
in Labor Code section 139.2
7. Specialty Designation - ANSWER Recognition of a physician's specialized
area of practice
8. QME - ANSWER Qualified Medical Evaluator appointed for workers'
compensation cases.
,9. Reappointment Requirements - ANSWER Original appointment criteria, 12
hours CE, no rejected evaluations, no board issues.
10.Administrative Director - ANSWER Authority overseeing QME
appointments and reappointments.
11.License Revocation - ANSWER Prohibits reappointment if a QME's license
is revoked by their licensing board.
12.QME Termination - ANSWER Can occur without a hearing for license
suspension or failure to pay required fees.
13.QME Fee - ANSWER Paid upon appointment and yearly, based on offices
and evaluations.
14.Discipline - ANSWER May include suspension or termination based on
Labor Code violations.
15.PDRS - ANSWER Permanent Disability Rating Schedule with versions
from 1988 to 2005.
16.AMA Guides - ANSWER American Medical Association Guides used in
PDRS for impairment evaluation.
17.Global Assessment of Function (GAF) - ANSWER Psychiatric impairment
measurement method using DSM criteria.
18.Whole Person Impairment Percentage - ANSWER Assessment of total
impairment percentage in permanent disability cases.
,19.Scheduled PDRS Adjustments - ANSWER Changes made to AMA Guides-
based ratings based on age and occupation.
20.Clinical Judgment - ANSWER Medical expertise used to evaluate an
injured worker's permanent impairment.
21.Reasonable Medical Probability - ANSWER Basis for substantial evidence
in medical opinions in disability cases.
22.Comprehensive Medical Examination - ANSWER Thorough evaluation
required by physicians for impairment determinations.
23.Industrial Cancer - ANSWER Work-related cancer due to occupational
exposure
24.Apportionment Determinations - ANSWER Allocation of disability causes
in a claim
25.Causation - ANSWER Establishing the link between an event and its
outcome
26.Risk Factors - ANSWER Conditions increasing the likelihood of harm or
injury
27.Unlawful Discrimination - ANSWER Illegitimate differentiation leading to
unfair treatment
, 28.QME Selection Process - ANSWER Procedure for choosing a Qualified
Medical Evaluator
29.Examination Process - ANSWER Steps involved in medical evaluations by
QMEs
30.Conflict of Interest Disclosure - ANSWER Revealing any personal interests
that may affect judgment
31.Ethical Obligations of the QME - ANSWER Moral duties and
responsibilities of the medical evaluator
32.Evaluation Protocols - ANSWER Set rules and procedures for medical
assessments
33.Qualified Medical Evaluator (QME) - ANSWER Physician appointed to
resolve disputes in workers' compensation cases
34.Labor Code section 139.2 - ANSWER Enacted in 1991, authorizes the
QME program and sets evaluation laws
35.Permanent Disability Determinations - ANSWER Laws governing long-
term injury compensation eligibility
36.QME Examination Process - ANSWER Includes appointment scheduling,
examination, and post-exam procedures
37.Workers' Compensation Case Law - ANSWER Legal precedents related to
workers' compensation disputes
and Verified Answers) | Brand New Edition
1. QME Accreditation - ANSWER Process for QME approval under Labor
Code section 139.2
2. Permanent Disability Determination - ANSWER Assessment of lasting
impairment affecting work capacity
3. Substantial Evidence - ANSWER Sufficient proof to support a claim or
decision
4. Rating by Analogy - ANSWER Assigning disability rating based on similar
cases
5. Accreditation Requirements - ANSWER Include passing the QME
competency exam and report writing course
6. Appointment Criteria - ANSWER Varies based on physician type, detailed
in Labor Code section 139.2
7. Specialty Designation - ANSWER Recognition of a physician's specialized
area of practice
8. QME - ANSWER Qualified Medical Evaluator appointed for workers'
compensation cases.
,9. Reappointment Requirements - ANSWER Original appointment criteria, 12
hours CE, no rejected evaluations, no board issues.
10.Administrative Director - ANSWER Authority overseeing QME
appointments and reappointments.
11.License Revocation - ANSWER Prohibits reappointment if a QME's license
is revoked by their licensing board.
12.QME Termination - ANSWER Can occur without a hearing for license
suspension or failure to pay required fees.
13.QME Fee - ANSWER Paid upon appointment and yearly, based on offices
and evaluations.
14.Discipline - ANSWER May include suspension or termination based on
Labor Code violations.
15.PDRS - ANSWER Permanent Disability Rating Schedule with versions
from 1988 to 2005.
16.AMA Guides - ANSWER American Medical Association Guides used in
PDRS for impairment evaluation.
17.Global Assessment of Function (GAF) - ANSWER Psychiatric impairment
measurement method using DSM criteria.
18.Whole Person Impairment Percentage - ANSWER Assessment of total
impairment percentage in permanent disability cases.
,19.Scheduled PDRS Adjustments - ANSWER Changes made to AMA Guides-
based ratings based on age and occupation.
20.Clinical Judgment - ANSWER Medical expertise used to evaluate an
injured worker's permanent impairment.
21.Reasonable Medical Probability - ANSWER Basis for substantial evidence
in medical opinions in disability cases.
22.Comprehensive Medical Examination - ANSWER Thorough evaluation
required by physicians for impairment determinations.
23.Industrial Cancer - ANSWER Work-related cancer due to occupational
exposure
24.Apportionment Determinations - ANSWER Allocation of disability causes
in a claim
25.Causation - ANSWER Establishing the link between an event and its
outcome
26.Risk Factors - ANSWER Conditions increasing the likelihood of harm or
injury
27.Unlawful Discrimination - ANSWER Illegitimate differentiation leading to
unfair treatment
, 28.QME Selection Process - ANSWER Procedure for choosing a Qualified
Medical Evaluator
29.Examination Process - ANSWER Steps involved in medical evaluations by
QMEs
30.Conflict of Interest Disclosure - ANSWER Revealing any personal interests
that may affect judgment
31.Ethical Obligations of the QME - ANSWER Moral duties and
responsibilities of the medical evaluator
32.Evaluation Protocols - ANSWER Set rules and procedures for medical
assessments
33.Qualified Medical Evaluator (QME) - ANSWER Physician appointed to
resolve disputes in workers' compensation cases
34.Labor Code section 139.2 - ANSWER Enacted in 1991, authorizes the
QME program and sets evaluation laws
35.Permanent Disability Determinations - ANSWER Laws governing long-
term injury compensation eligibility
36.QME Examination Process - ANSWER Includes appointment scheduling,
examination, and post-exam procedures
37.Workers' Compensation Case Law - ANSWER Legal precedents related to
workers' compensation disputes
