QME Examination Test Questions and Answers Final
100% Accurate 2025
Treating physician reports and medical-legal evaluations are used to establish --Correct
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 --Correct Answer--10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues --Correct
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)? --Correct Answer--Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? --Correct Answer--AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? --Correct
Answer--Often
Who selects the QME --Correct Answer--Patient
In 1913, the Boynton Act --Correct Answer--Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as --Correct Answer--The
Historic Compromise
,You are required to keep and maintain all the medical-legal BILLINGS for _____ years from
the date of examination --Correct Answer--3 years
The employer provides workers' compensation BENEFITS --Correct Answer--regardless of
fault
A copy of the notice to request time extension to file a QME report must be sent to --Correct
Answer--Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as the
injury is --Correct Answer--AOE/COE
If there is a serious and willful misconduct by the employEE the award may be --Correct
Answer--decreased by 1/2
If the employer is UNINSURED for workers' compensation the injured worker can --Correct
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 --Correct Answer--American
Medical Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under --Correct Answer--
L.C. 132a
The chief method to apportion permanent disability is to use the --Correct Answer--
subtraction method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not paid
TD for --Correct 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 --Correct Answer--five (5) years
Payments to compensate an employee who does not completely recover from an injury --
Correct Answer--PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" --Correct
Answer--Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" --Correct 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 --Correct Answer--
$16,000
If there are no surviving dependents, the death benefit is paid to --Correct Answer--
Department of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called --Correct 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 --Correct Answer--response within five (5) working days, not
to exceed fourteen (14)
The DWC Unit that rates your panel QME reports --Correct Answer--DEU
Who appoints and monitors Qualified Medical Evaluators, and can suspend or terminate
QME status --Correct Answer--DWC Medical Unit
100% Accurate 2025
Treating physician reports and medical-legal evaluations are used to establish --Correct
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 --Correct Answer--10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues --Correct
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)? --Correct Answer--Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? --Correct Answer--AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? --Correct
Answer--Often
Who selects the QME --Correct Answer--Patient
In 1913, the Boynton Act --Correct Answer--Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as --Correct Answer--The
Historic Compromise
,You are required to keep and maintain all the medical-legal BILLINGS for _____ years from
the date of examination --Correct Answer--3 years
The employer provides workers' compensation BENEFITS --Correct Answer--regardless of
fault
A copy of the notice to request time extension to file a QME report must be sent to --Correct
Answer--Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as the
injury is --Correct Answer--AOE/COE
If there is a serious and willful misconduct by the employEE the award may be --Correct
Answer--decreased by 1/2
If the employer is UNINSURED for workers' compensation the injured worker can --Correct
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 --Correct Answer--American
Medical Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under --Correct Answer--
L.C. 132a
The chief method to apportion permanent disability is to use the --Correct Answer--
subtraction method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not paid
TD for --Correct 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 --Correct Answer--five (5) years
Payments to compensate an employee who does not completely recover from an injury --
Correct Answer--PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" --Correct
Answer--Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" --Correct 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 --Correct Answer--
$16,000
If there are no surviving dependents, the death benefit is paid to --Correct Answer--
Department of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called --Correct 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 --Correct Answer--response within five (5) working days, not
to exceed fourteen (14)
The DWC Unit that rates your panel QME reports --Correct Answer--DEU
Who appoints and monitors Qualified Medical Evaluators, and can suspend or terminate
QME status --Correct Answer--DWC Medical Unit
