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QME Exam Test Final Questions and Correct Answers

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This document covers the core topics tested on the Qualified Medical Evaluator (QME) exam, including California workers' compensation laws, medical-legal evaluations, disability ratings, reporting requirements, utilization review, and permanent disability. It contains exam-style questions with correct answers covering QME procedures, AMA Guides, Labor Code, DWC regulations, IMR, IBR, apportionment, and claims administration. The material is presented in a question-and-answer format, making it an excellent resource for exam preparation and comprehensive review of California QME concepts.

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QME Exam Test Final Questions
And Correct Answers


Treating physician reports and medical-legal evaluations are used to establish

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

10




SB-228 reforms of 2003 (Governor Davis) primarily addressed the following
issues

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)?

Local DEU

,SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the
following issues?

AMA Impairment Guides and MPNs




Which of the following is not a term used in California as ratable "word of art"?

Often




Who selects the QME

Patient




In 1913, the Boynton Act

Required most employers to have workers' compensation coverage




A trade-off between Employers and Employees is referred to as

The Historic Compromise




You are required to keep and maintain all the medical-legal BILLINGS for _____
years from the date of examination

,3 years




The employer provides workers' compensation BENEFITS

regardless of fault




A copy of the notice to request time extension to file a QME report must be
sent to

Medical Unit at DWC




The employer is required to pay benefits no matter who caused the injury, as
long as the injury is

AOE/COE




If there is a serious and willful misconduct by the employEE the award may be

decreased by 1/2




If the employer is UNINSURED for workers' compensation the injured worker
can

, 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

American Medical Association Guide to the Evaluation of Permanent Impairment,
5th edition




Unlawful discrimination for reporting a work injury is protected under

L.C. 132a




The chief method to apportion permanent disability is to use the

subtraction method




If the injured worker is not hospitalized and misses seven (7) days of work
he/she is not paid TD for

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

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