QME EXAMINATION TEST QUESTIONS
FINAL WITH CORRECT SOLUTIONS
Treating physician reports and medical-legal evaluations are used to establish -
ANSWER-eligibility for benefits
Unrepresented worker - if the employee does not inform the employer of the selection
within ____ days of the assignment of a panel of qualified medical evaluators, then the
employer may select the physician from the panel - ANSWER-10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
ANSWER-ACOEM Guidelines - 24 visit limit
For a QME evaluation for compensability only (AOE/COE), DO NOT send the QME
report to the following Part(ies)? - ANSWER-Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - ANSWER-AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
ANSWER-Often
Who selects the QME - ANSWER-Patient
In 1913, the Boynton Act - ANSWER-Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ANSWER-The
Historic Compromise
You are required to keep and maintain all the medical-legal BILLINGS for _____ years
from the date of examination - ANSWER-3 years
The employer provides workers' compensation BENEFITS - ANSWER-regardless of
fault
A copy of the notice to request time extension to file a QME report must be sent to -
ANSWER-Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as
the injury is - ANSWER-AOE/COE
, If there is a serious and willful misconduct by the employEE the award may be -
ANSWER-decreased by 1/2
The employer is required to pay for "medical, surgical, chiropractic and hospital
treatment... which is reasonably required ____ from the effects of the injury - ANSWER-
to cure OR relieve
The Physician responsible to manage the care of the injured worker - ANSWER-Primary
Treating Physician (PTP)
Who CANNOT be Medical-Legal Evaluating Physician - ANSWER-Physical Therapist
(PT)
The three Physicians assigned by DWC Medical Unit to do a Med-Legal evaluation -
ANSWER-Qualified Medical Evaluators (QME)
When the payment for TREATMENT is not made as required, the "unreasonably
unpaid" amount can be increased by a penalty of - ANSWER-15%
If the employer is UNINSURED for workers' compensation the injured worker can -
ANSWER-Sue in Civil Court, Receive punitive damages for pain and suffering, have the
District Attorney fine the Employer
For dates of injuyr AFTER 01/01/2005, a QME must use - ANSWER-American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ANSWER-L.C.
132a
The chief method to apportion permanent disability is to use the - ANSWER-subtraction
method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for - ANSWER-the first three (3) days
"Any person who knowingly presents a false or fraudulent claim for the payment of a
loss is guilty of a crime and may be subject to imprisonment in the state prison for up to
____ years or a fine of up to $50,000 or both - ANSWER-five (5) years
Payments to compensate an employee who does not completely recover from an injury
- ANSWER-PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
ANSWER-Formula for PD
FINAL WITH CORRECT SOLUTIONS
Treating physician reports and medical-legal evaluations are used to establish -
ANSWER-eligibility for benefits
Unrepresented worker - if the employee does not inform the employer of the selection
within ____ days of the assignment of a panel of qualified medical evaluators, then the
employer may select the physician from the panel - ANSWER-10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
ANSWER-ACOEM Guidelines - 24 visit limit
For a QME evaluation for compensability only (AOE/COE), DO NOT send the QME
report to the following Part(ies)? - ANSWER-Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - ANSWER-AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
ANSWER-Often
Who selects the QME - ANSWER-Patient
In 1913, the Boynton Act - ANSWER-Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ANSWER-The
Historic Compromise
You are required to keep and maintain all the medical-legal BILLINGS for _____ years
from the date of examination - ANSWER-3 years
The employer provides workers' compensation BENEFITS - ANSWER-regardless of
fault
A copy of the notice to request time extension to file a QME report must be sent to -
ANSWER-Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as
the injury is - ANSWER-AOE/COE
, If there is a serious and willful misconduct by the employEE the award may be -
ANSWER-decreased by 1/2
The employer is required to pay for "medical, surgical, chiropractic and hospital
treatment... which is reasonably required ____ from the effects of the injury - ANSWER-
to cure OR relieve
The Physician responsible to manage the care of the injured worker - ANSWER-Primary
Treating Physician (PTP)
Who CANNOT be Medical-Legal Evaluating Physician - ANSWER-Physical Therapist
(PT)
The three Physicians assigned by DWC Medical Unit to do a Med-Legal evaluation -
ANSWER-Qualified Medical Evaluators (QME)
When the payment for TREATMENT is not made as required, the "unreasonably
unpaid" amount can be increased by a penalty of - ANSWER-15%
If the employer is UNINSURED for workers' compensation the injured worker can -
ANSWER-Sue in Civil Court, Receive punitive damages for pain and suffering, have the
District Attorney fine the Employer
For dates of injuyr AFTER 01/01/2005, a QME must use - ANSWER-American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ANSWER-L.C.
132a
The chief method to apportion permanent disability is to use the - ANSWER-subtraction
method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for - ANSWER-the first three (3) days
"Any person who knowingly presents a false or fraudulent claim for the payment of a
loss is guilty of a crime and may be subject to imprisonment in the state prison for up to
____ years or a fine of up to $50,000 or both - ANSWER-five (5) years
Payments to compensate an employee who does not completely recover from an injury
- ANSWER-PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
ANSWER-Formula for PD
