QME Examination Test Questions Final
Exam with Complete Solutions
Which individual or entity is responsible for determining if a worker is eligible for benefits using
medical and legal reports?
✔✔The eligibility for benefits is determined by the reports from treating physicians and medical-
legal evaluations.
If an unrepresented worker does not notify their employer about their selection from a panel of
medical evaluators within how many days, can the employer choose a physician instead?
✔✔The employer may select a physician if the worker does not notify them within 10 days of
the panel assignment.
What key issues did the SB-228 reforms of 2003, enacted by Governor Davis, focus on?
✔✔The SB-228 reforms primarily addressed the ACOEM Guidelines, including limiting visits to
24.
When a QME evaluation concerns only compensability (AOE/COE), which entity should not
receive the QME report?
✔✔The QME report should not be sent to the Local Disability Evaluation Unit (DEU).
1
,What were the primary concerns addressed by the SB-899 reforms of 2004 under Governor
Schwarzenegger?
✔✔The SB-899 reforms mainly addressed the AMA Impairment Guides and the establishment
of Medical Provider Networks (MPNs).
Which term is not commonly used as a legal "word of art" in California?
✔✔"Often" is not used as a legal term in California.
Who is responsible for choosing the Qualified Medical Evaluator (QME)?
✔✔The patient is responsible for selecting the QME.
What requirement did the Boynton Act of 1913 impose on employers regarding workers'
compensation?
✔✔The Boynton Act required most employers to obtain workers' compensation insurance.
What is the term used to describe the historical agreement between employers and employees
regarding workers' compensation?
✔✔This agreement is known as the Historic Compromise.
2
, For how many years must medical-legal billing records be kept after the examination date?
✔✔These records must be retained for three years.
What is the employer's obligation concerning workers' compensation benefits regardless of who
caused the injury?
✔✔The employer must provide benefits regardless of the fault in the injury.
Where should a request for an extension to submit a QME report be sent?
✔✔The request should be sent to the Medical Unit at the Division of Workers' Compensation
(DWC).
Under what condition must employers provide benefits regardless of who caused the injury?
✔✔Benefits must be provided if the injury occurred in the course of and arose out of
employment (AOE/COE).
What happens to the compensation if serious and willful misconduct by the employee is proven?
✔✔The compensation may be reduced by half.
3
Exam with Complete Solutions
Which individual or entity is responsible for determining if a worker is eligible for benefits using
medical and legal reports?
✔✔The eligibility for benefits is determined by the reports from treating physicians and medical-
legal evaluations.
If an unrepresented worker does not notify their employer about their selection from a panel of
medical evaluators within how many days, can the employer choose a physician instead?
✔✔The employer may select a physician if the worker does not notify them within 10 days of
the panel assignment.
What key issues did the SB-228 reforms of 2003, enacted by Governor Davis, focus on?
✔✔The SB-228 reforms primarily addressed the ACOEM Guidelines, including limiting visits to
24.
When a QME evaluation concerns only compensability (AOE/COE), which entity should not
receive the QME report?
✔✔The QME report should not be sent to the Local Disability Evaluation Unit (DEU).
1
,What were the primary concerns addressed by the SB-899 reforms of 2004 under Governor
Schwarzenegger?
✔✔The SB-899 reforms mainly addressed the AMA Impairment Guides and the establishment
of Medical Provider Networks (MPNs).
Which term is not commonly used as a legal "word of art" in California?
✔✔"Often" is not used as a legal term in California.
Who is responsible for choosing the Qualified Medical Evaluator (QME)?
✔✔The patient is responsible for selecting the QME.
What requirement did the Boynton Act of 1913 impose on employers regarding workers'
compensation?
✔✔The Boynton Act required most employers to obtain workers' compensation insurance.
What is the term used to describe the historical agreement between employers and employees
regarding workers' compensation?
✔✔This agreement is known as the Historic Compromise.
2
, For how many years must medical-legal billing records be kept after the examination date?
✔✔These records must be retained for three years.
What is the employer's obligation concerning workers' compensation benefits regardless of who
caused the injury?
✔✔The employer must provide benefits regardless of the fault in the injury.
Where should a request for an extension to submit a QME report be sent?
✔✔The request should be sent to the Medical Unit at the Division of Workers' Compensation
(DWC).
Under what condition must employers provide benefits regardless of who caused the injury?
✔✔Benefits must be provided if the injury occurred in the course of and arose out of
employment (AOE/COE).
What happens to the compensation if serious and willful misconduct by the employee is proven?
✔✔The compensation may be reduced by half.
3
