QME Examination Test Questions FINAL
EXAM AND ANSWERS
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
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
Means approximately 90-100 percent of the time, as a ratable "word of art" -
ANSWER>>Constant
For injuries on or after January 1, 1994 and before 01/01/2004 most workers will
be limited to a _____ cap on Vocational Rehabilitation benefits under that plan -
ANSWER>>$16,000
If there are no surviving dependents, the death benefit is paid to -
ANSWER>>Department of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called -
ANSWER>>WCAB
Medical providers who request authorization in writing for a specific course of
treatment for an injured worker must receive a prompt response within ___
working days of receipt of the report not to exceed ____ days -
ANSWER>>response within five (5) working days, not to exceed fourteen (14)
The DWC Unit that rates your panel QME reports - ANSWER>>DEU
Who appoints and monitors Qualified Medical Evaluators, and can suspend or
terminate QME status - ANSWER>>DWC Medical Unit
EXAM AND ANSWERS
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
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
Means approximately 90-100 percent of the time, as a ratable "word of art" -
ANSWER>>Constant
For injuries on or after January 1, 1994 and before 01/01/2004 most workers will
be limited to a _____ cap on Vocational Rehabilitation benefits under that plan -
ANSWER>>$16,000
If there are no surviving dependents, the death benefit is paid to -
ANSWER>>Department of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called -
ANSWER>>WCAB
Medical providers who request authorization in writing for a specific course of
treatment for an injured worker must receive a prompt response within ___
working days of receipt of the report not to exceed ____ days -
ANSWER>>response within five (5) working days, not to exceed fourteen (14)
The DWC Unit that rates your panel QME reports - ANSWER>>DEU
Who appoints and monitors Qualified Medical Evaluators, and can suspend or
terminate QME status - ANSWER>>DWC Medical Unit
