QME Examination Test Questions FINAL
1. Treating physician reports and medical-legal evalua- eligibility for benefits
tions are used to establish
2. Unrepresented worker - if the employee does not in- 10
form the employer of the selection within days of
the assignment of a panel of qualified medical evalua-
tors, then the employer may select the physician from
the panel
3. SB-228 reforms of 2003 (Governor Davis) primarily ACOEM Guidelines - 24
addressed the following issues visit limit
4. For a QME evaluation for compensability only Local DEU
(AOE/COE), DO NOT send the QME report to the fol-
lowing Part(ies)?
5. SB-899 reforms of 2004 (Governor Schwarzenegger) AMA Impairment Guides
primarily addressed the following issues? and MPNs
6. Which of the following is not a term used in California Often
as ratable "word of art"?
7. Who selects the QME Patient
8. In 1913, the Boynton Act Required most employers
to have workers' compen-
sation coverage
9. A trade-off between Employers and Employees is re- The Historic Compromise
ferred to as
10. You are required to keep and maintain all the med- 3 years
ical-legal BILLINGS for years from the date of
examination
, QME Examination Test Questions FINAL
11. The employer provides workers' compensation BENE- regardless of fault
FITS
12. A copy of the notice to request time extension to file a Medical Unit at DWC
QME report must be sent to
13. The employer is required to pay benefits no matter AOE/COE
who caused the injury, as long as the injury is
14. If there is a serious and willful misconduct by the decreased by 1/2
employEE the award may be
15. If the employer is UNINSURED for workers' compen- Sue in Civil Court, Receive
sation the injured worker can punitive damages for pain
and suttering, have the
District Attorney fine the
Employer
16. For dates of injuyr AFTER 01/01/2005, a QME must use American Medical Associ-
ation Guide to the Evalua-
tion of Permanent Impair-
ment, 5th edition
17. Unlawful discrimination for reporting a work injury is L.C. 132a
protected under
18. The chief method to apportion permanent disability is subtraction method
to use the
19. If the injured worker is not hospitalized and misses the first three (3) days
seven (7) days of work he/she is not paid TD for
20. five (5) years
, QME Examination Test Questions FINAL
Study online at https://quizlet.com/_cy1lf8
"Any person who knowingly presents a false or fraud-
ulent 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
21. Payments to compensate an employee who does not PD
completely recover from an injury
22. "Disability = Impairment + Loss earning capacity + Formula for PD
Occupational title + Age"
23. Means approximately 90-100 percent of the time, as a Constant
ratable "word of art"
24. For injuries on or after January 1, 1994 and before $16,000
01/01/2004 most workers will be limited to a cap
on Vocational Rehabilitation benefits under that plan
25. If there are no surviving dependents, the death bene- Department of Industrial
fit is paid to Relations (DIR)
26. The independent JUDICIAL BODY in California work WCAB
comp is called
27. Medical providers who request authorization in writ- response within five (5)
ing for a specific course of treatment for an injured working days, not to ex-
worker must receive a prompt response within ceed fourteen (14)
working days of receipt of the report not to exceed
days
28. The DWC Unit that rates your panel QME reports DEU
29. DWC Medical Unit
1. Treating physician reports and medical-legal evalua- eligibility for benefits
tions are used to establish
2. Unrepresented worker - if the employee does not in- 10
form the employer of the selection within days of
the assignment of a panel of qualified medical evalua-
tors, then the employer may select the physician from
the panel
3. SB-228 reforms of 2003 (Governor Davis) primarily ACOEM Guidelines - 24
addressed the following issues visit limit
4. For a QME evaluation for compensability only Local DEU
(AOE/COE), DO NOT send the QME report to the fol-
lowing Part(ies)?
5. SB-899 reforms of 2004 (Governor Schwarzenegger) AMA Impairment Guides
primarily addressed the following issues? and MPNs
6. Which of the following is not a term used in California Often
as ratable "word of art"?
7. Who selects the QME Patient
8. In 1913, the Boynton Act Required most employers
to have workers' compen-
sation coverage
9. A trade-off between Employers and Employees is re- The Historic Compromise
ferred to as
10. You are required to keep and maintain all the med- 3 years
ical-legal BILLINGS for years from the date of
examination
, QME Examination Test Questions FINAL
11. The employer provides workers' compensation BENE- regardless of fault
FITS
12. A copy of the notice to request time extension to file a Medical Unit at DWC
QME report must be sent to
13. The employer is required to pay benefits no matter AOE/COE
who caused the injury, as long as the injury is
14. If there is a serious and willful misconduct by the decreased by 1/2
employEE the award may be
15. If the employer is UNINSURED for workers' compen- Sue in Civil Court, Receive
sation the injured worker can punitive damages for pain
and suttering, have the
District Attorney fine the
Employer
16. For dates of injuyr AFTER 01/01/2005, a QME must use American Medical Associ-
ation Guide to the Evalua-
tion of Permanent Impair-
ment, 5th edition
17. Unlawful discrimination for reporting a work injury is L.C. 132a
protected under
18. The chief method to apportion permanent disability is subtraction method
to use the
19. If the injured worker is not hospitalized and misses the first three (3) days
seven (7) days of work he/she is not paid TD for
20. five (5) years
, QME Examination Test Questions FINAL
Study online at https://quizlet.com/_cy1lf8
"Any person who knowingly presents a false or fraud-
ulent 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
21. Payments to compensate an employee who does not PD
completely recover from an injury
22. "Disability = Impairment + Loss earning capacity + Formula for PD
Occupational title + Age"
23. Means approximately 90-100 percent of the time, as a Constant
ratable "word of art"
24. For injuries on or after January 1, 1994 and before $16,000
01/01/2004 most workers will be limited to a cap
on Vocational Rehabilitation benefits under that plan
25. If there are no surviving dependents, the death bene- Department of Industrial
fit is paid to Relations (DIR)
26. The independent JUDICIAL BODY in California work WCAB
comp is called
27. Medical providers who request authorization in writ- response within five (5)
ing for a specific course of treatment for an injured working days, not to ex-
worker must receive a prompt response within ceed fourteen (14)
working days of receipt of the report not to exceed
days
28. The DWC Unit that rates your panel QME reports DEU
29. DWC Medical Unit
