QME EXAMINATION TEST QUESTIONS
FINAL EXAM QUESTIONS AND
ANSWERS
"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 ...ANS: five (5) years
"Disability = Impairment + Loss earning capacity + Occupational
title + Age" ...ANS: Formula for PD
1911 - California adopted ...ANS: The development of the State
Compensation Insurance Fund (SCIF)
A check or Money Order is pain by the Physician for the IBR fee in
the amount of ...ANS: $195 ??
A copy of the notice to request time extension to file a QME report
must be sent to ...ANS: Medical Unit at DWC
A local work comp Judge's decisions may be appealed by a part
to ...ANS: WCAB Commissioners
A PTP has fulfilled his or her reporting duties by sending ___ copy of
a required report to the claims administrator ...ANS: one (1)
A trade-off between Employers and Employees is referred to
as ...ANS: The Historic Compromise
,A violation of L.C. 139(a) conflict of interest referral is a
misdemeanor subject to civil penalties up to $____ per
offense ...ANS: $5,000
A worker who is nor represented by an attorney is referred to
as ...ANS: an unrepresented worker
An application for IBR (DWC form IBR-1) can be completed and
submitted electronically by registering as a user on the ___ IBR
tracking system ...ANS: Maximus Federal
An attorney or a court reporter may NOT be present at ___
exams ...ANS: Psychiatric
An employer must report injuries to Cal/OSHA of any death or
serious injury within _____ ...ANS: 24 hours
An employer with an MPN which of the following CANNOT be pre-
designated ...ANS: D.C.
An injured worker may not be kept waiting for more than ___ after
the scheduled appointment time ...ANS: one (1) hour
Apportionment is included in which of the following
reports ...ANS: PR-4
California passed its first workers' compensation act (voluntary) in
___ ...ANS: 1911
California passed its first workers' compensation act after a
devastating fire at the ____ in New York City claimed the lives of 146
young workers ...ANS: Triangle Shirtwaist Company
Chronic Pain Guidelines went into effect ___ ...ANS: 07/18/2009
, Death benefits are payments to a spouse, the children, or other
dependents, including reasonable burial expenses, not exceeding
$____ for injuries before 01/01/2013 and $_____ for injuries on or
after 01/01/2013 ...ANS: Before 01/01/2013 $5,000
After 01/01/2013 $10,000
Disputes over medical treatment for all dates of injury are now
resolved by physicians through ____ ...ANS: IMR
Electronic bills are paid within ___ days of receipt of the bill and
supporting documentation ...ANS: 15 days
Employers are not required to pay for .... ...ANS: Self Inflicted
injuries
Ex Parte communication with an agreed Medical Evaluator or s QME
selected from a panel .... ...ANS: Is PROHIBITED
Factors of Disability include the following ...ANS: Subjective
Factors
Objective Factors
Work Restrictions
Loss Pre-Injury Capacity
Failure to file a DFR could delay benefits to patients, prevent
payment to physician, and could result in a civil penalty of not less
than $___ ...ANS: $50
For a QME evaluation for compensability only (AOE/COE), DO NOT
send the QME report to the following Part(ies)? ...ANS: Local DEU
FINAL EXAM QUESTIONS AND
ANSWERS
"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 ...ANS: five (5) years
"Disability = Impairment + Loss earning capacity + Occupational
title + Age" ...ANS: Formula for PD
1911 - California adopted ...ANS: The development of the State
Compensation Insurance Fund (SCIF)
A check or Money Order is pain by the Physician for the IBR fee in
the amount of ...ANS: $195 ??
A copy of the notice to request time extension to file a QME report
must be sent to ...ANS: Medical Unit at DWC
A local work comp Judge's decisions may be appealed by a part
to ...ANS: WCAB Commissioners
A PTP has fulfilled his or her reporting duties by sending ___ copy of
a required report to the claims administrator ...ANS: one (1)
A trade-off between Employers and Employees is referred to
as ...ANS: The Historic Compromise
,A violation of L.C. 139(a) conflict of interest referral is a
misdemeanor subject to civil penalties up to $____ per
offense ...ANS: $5,000
A worker who is nor represented by an attorney is referred to
as ...ANS: an unrepresented worker
An application for IBR (DWC form IBR-1) can be completed and
submitted electronically by registering as a user on the ___ IBR
tracking system ...ANS: Maximus Federal
An attorney or a court reporter may NOT be present at ___
exams ...ANS: Psychiatric
An employer must report injuries to Cal/OSHA of any death or
serious injury within _____ ...ANS: 24 hours
An employer with an MPN which of the following CANNOT be pre-
designated ...ANS: D.C.
An injured worker may not be kept waiting for more than ___ after
the scheduled appointment time ...ANS: one (1) hour
Apportionment is included in which of the following
reports ...ANS: PR-4
California passed its first workers' compensation act (voluntary) in
___ ...ANS: 1911
California passed its first workers' compensation act after a
devastating fire at the ____ in New York City claimed the lives of 146
young workers ...ANS: Triangle Shirtwaist Company
Chronic Pain Guidelines went into effect ___ ...ANS: 07/18/2009
, Death benefits are payments to a spouse, the children, or other
dependents, including reasonable burial expenses, not exceeding
$____ for injuries before 01/01/2013 and $_____ for injuries on or
after 01/01/2013 ...ANS: Before 01/01/2013 $5,000
After 01/01/2013 $10,000
Disputes over medical treatment for all dates of injury are now
resolved by physicians through ____ ...ANS: IMR
Electronic bills are paid within ___ days of receipt of the bill and
supporting documentation ...ANS: 15 days
Employers are not required to pay for .... ...ANS: Self Inflicted
injuries
Ex Parte communication with an agreed Medical Evaluator or s QME
selected from a panel .... ...ANS: Is PROHIBITED
Factors of Disability include the following ...ANS: Subjective
Factors
Objective Factors
Work Restrictions
Loss Pre-Injury Capacity
Failure to file a DFR could delay benefits to patients, prevent
payment to physician, and could result in a civil penalty of not less
than $___ ...ANS: $50
For a QME evaluation for compensability only (AOE/COE), DO NOT
send the QME report to the following Part(ies)? ...ANS: Local DEU
