QME Exam: Terms, Dates, and Concepts (Latest 2025/2026 Update) Questions with Verified Answers | 100% Correct| Graded A.

QME Exam: Terms, Dates, and Concepts
(Latest 2025/2026 Update) Questions with
Verified Answers | 100% Correct| Graded A.

Question:

Who determines IW Impairment ratings??
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Answer:

A QME/PTP/AME
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Question:

Who has the responsibility of assigning the permanent disability rating??
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Answer:
The Disability Evaluation Unit (not physicians)
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Question:

What can cause a Permanent Disability dispute??
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Answer:
The termination of Temporary Disability by treating physician
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,Question:
What is the cause for termination of Temporary Disability benefits??
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Answer:

The finding of P&S / MMI by the primary treating physician.
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Question:
What is Apportionment??
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Answer:

Estimate of approximate percentage of permanent disability caused by a
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work-related injury and approximate percentage caused by non work-
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related injuries. i,-




Apportionment only applies to Permanent Disability. i,- i,- i,- i,- i,-




Question:

What regions of the body are evaluated by QME/AME for Impairment
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Ratings??

Answer:

(1) Hearing
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(2) Vision
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(3) Mental and behavioral disorders
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(4) Spine
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,(5) Upper extremities, including shoulders
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(6) Lower extremities, including hip joints
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(7) Head
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(8) Face
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(9) CV system
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(10) Respiratory system
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(11) All other systems/regions
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Question:
What 4 injuries would automatically give an IW a 100% PD rating??
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Answer:

(1) Loss of both eyes or sight in both eyes
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(2) Loss of both hands or use of both hands
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(3) Injury resulting in practically total paralysis
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(4) Injury to the brain, resulting in incurable mental incapacitiy or insanity
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Question:

What is the definition of "Impairment" in WC claims??
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Answer:

Amputation of, loss of use of, or derangement of any body part, organ
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system or organ function. i,- i,- i,-

, Ex: losing a finger or ability to speak
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Question:

What is the definition of "Disability" in WC claims??
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Answer:

Alteration of an individual's capacity to meet personal, social, or
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occupational demands or statutory or regulatory requirements because of
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an Impairment.
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Ex: Inability to type (Disability) due to loss of hand (Impairment).
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Question:

What is the purpose of the Combined Values Chart??
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Answer:
Used to combine multiple impairment ratings into a summary value or
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WPI, used so the WPI cannot exceed 100%
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Question:

Who is responsible for assigning QME panels??
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Answer:
The Executive Medical Director
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