1|Page
HCC QME Exam 2025/2026 | Key
Terms, Dates & Core Concepts | 100%
Verified Study Guide
Medical legal expenses means any cost or expenses used to do what?-correct-
answer-Prove or disprove a contested claim
A Follow Up Medical Legal Report (ML 101) is done ____ months after the first
evaluation, and _____ days to deliver the report?-correct-answer-- 9 months from
the prior evaluation
- delivered within 30 days
When a PTP writes a permanent and stationary report, it is not considered a
medical legal report unless?-correct-answer-The claim is contested or disputed
The QME Appointment Notification Form must be sent within how many days?-
correct-answer-5 days
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How many days does a PQME or agreed PQME have to reschedule an
appointment if the initial appointment is canceled?-correct-answer-30 calendar
days to reschedule
True or false: A QME who has not paid their recertification fees or let their QME
certification lapse cannot perform a reevaluation of the patient, however, they can
perform a supplemental report where the worker is not examined?-correct-
answer-True
True or false: No PTP, AMA, QME shall accept gifts with a value in the aggregate of
$360 or more from any single source that handles Worker's Compensation
matters?-correct-answer-True
How how long does a QME have to submit a progress report (Form PR-2) from
their previous report?-correct-answer-45 days to submit a progress report
True or false: An AME cannot be used in an unrepresented case ?-correct-answer-
True
True or false: The final impairment rating should be rounded to the nearest whole
number?-correct-answer-True
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What guidelines are used to determine impairment ratings for Psychiatric
Injuries?-correct-answer-Global Assessment of Function (GAF) Scores
True or false: A 1% to 3% add on rating for pain can only be added if there is a
ratable impairment?-correct-answer-True
True or false: All communications with a QME's must be in writing?-correct-
answer-True
True or false: QME's do not resolve treatment disputes, the IMR process resolves
them?-correct-answer-True
True or false: A physician must be a QME to perform medical legal evaluation and
reports?-correct-answer-False: PTP and AME do not have to be a QME to write a
legal report
True or false: an AME must be a QME?-correct-answer-False
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What are the continuing education requirements for a QME?-correct-answer-6
hours a year, or 12 hours every two years
True or false: Medical research does not include reading or reading about the
AMA guides, treatment guidelines (MTUS/ACOEM), labor codes, regulations or
other legal materials?-correct-answer-True
True or false: In the AMA guides, in situation where impairment ratings are not
provided for a particular condition, an analogy to a similar condition should be
provided?-correct-answer-True
True or false: Up to 3% whole person impairment may be increased for the effects
of treatment or lack of treatment (medication)?-correct-answer-True
Which method is used to apportion PD?-correct-answer-The subtraction method
"Any person who knowingly presents a false claim for the payment of a loss, is
guilty of a crime and may be for up to ______ years or a fine up to $______, or
both"-correct-answer-5 years, $50,000
HCC QME Exam 2025/2026 | Key
Terms, Dates & Core Concepts | 100%
Verified Study Guide
Medical legal expenses means any cost or expenses used to do what?-correct-
answer-Prove or disprove a contested claim
A Follow Up Medical Legal Report (ML 101) is done ____ months after the first
evaluation, and _____ days to deliver the report?-correct-answer-- 9 months from
the prior evaluation
- delivered within 30 days
When a PTP writes a permanent and stationary report, it is not considered a
medical legal report unless?-correct-answer-The claim is contested or disputed
The QME Appointment Notification Form must be sent within how many days?-
correct-answer-5 days
,2|Page
How many days does a PQME or agreed PQME have to reschedule an
appointment if the initial appointment is canceled?-correct-answer-30 calendar
days to reschedule
True or false: A QME who has not paid their recertification fees or let their QME
certification lapse cannot perform a reevaluation of the patient, however, they can
perform a supplemental report where the worker is not examined?-correct-
answer-True
True or false: No PTP, AMA, QME shall accept gifts with a value in the aggregate of
$360 or more from any single source that handles Worker's Compensation
matters?-correct-answer-True
How how long does a QME have to submit a progress report (Form PR-2) from
their previous report?-correct-answer-45 days to submit a progress report
True or false: An AME cannot be used in an unrepresented case ?-correct-answer-
True
True or false: The final impairment rating should be rounded to the nearest whole
number?-correct-answer-True
,3|Page
What guidelines are used to determine impairment ratings for Psychiatric
Injuries?-correct-answer-Global Assessment of Function (GAF) Scores
True or false: A 1% to 3% add on rating for pain can only be added if there is a
ratable impairment?-correct-answer-True
True or false: All communications with a QME's must be in writing?-correct-
answer-True
True or false: QME's do not resolve treatment disputes, the IMR process resolves
them?-correct-answer-True
True or false: A physician must be a QME to perform medical legal evaluation and
reports?-correct-answer-False: PTP and AME do not have to be a QME to write a
legal report
True or false: an AME must be a QME?-correct-answer-False
, 4|Page
What are the continuing education requirements for a QME?-correct-answer-6
hours a year, or 12 hours every two years
True or false: Medical research does not include reading or reading about the
AMA guides, treatment guidelines (MTUS/ACOEM), labor codes, regulations or
other legal materials?-correct-answer-True
True or false: In the AMA guides, in situation where impairment ratings are not
provided for a particular condition, an analogy to a similar condition should be
provided?-correct-answer-True
True or false: Up to 3% whole person impairment may be increased for the effects
of treatment or lack of treatment (medication)?-correct-answer-True
Which method is used to apportion PD?-correct-answer-The subtraction method
"Any person who knowingly presents a false claim for the payment of a loss, is
guilty of a crime and may be for up to ______ years or a fine up to $______, or
both"-correct-answer-5 years, $50,000
