QME (Qualified Medical Evaluator)
Competency Exam Study Guide
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
The Examination Process
A. Scheduling and Cancellation of Appointments
B. Information to be Provided to the QME
C. Ex Parte Contact
D. Conflict of Interest Disclosure (Cal. Code Regs., tit. 8, §§ 41.5, 41.6.)
E. Examination Disclosures (Cal. Code Regs., tit. 8, § 40.).
F. Ethical Obligations of the QME (Cal. Code Regs., tit. 8, § 41.).
G. Evaluation Protocols (Cal. Code Regs., tit. 8, §§ 43-47.).
H. Face to Face Time (Cal. Code Regs., tit. 8, §§ 49-49.9.)
I. Report Content, Report Disclosures, Fraud Reporting, and Substantial Medical Evidence.
J. The Types of Reports and Reevaluations.
K. QME Unavailability (Cal. Code Regs., tit. 8, § 33.).
L. Additional, Replacement Panels and Consultations.
M. Additional, Replacement Panels and Consultations.
N. Service of Reports (Cal. Code Regs., tit. 8, § 36.).
O. Retention of Reports and Return of Records (Cal. Code Regs., tit. 8, § 39.5.)
1. Define: medical-legal cost. - Correct Answer: Specified services incurred
to prove or disprove a contested case.
,2. How many days prior to the appointment date can an appointment be
canceled by the QME evaluator or by any party? - Correct Answer: 6
business days prior to the appointment date.
3. What must an evaluator do when the evaluator cancels a scheduled
appointment course? - Correct Answer: The evaluator must advise the
parties in writing the reason for the cancellation. The evaluator must
reschedule the appointment to a date within 30 calendar days of the date
of cancellation (the rescheduled appointment date may not be more than
60 calendar days from the date of the initial request for an appointment,
unless the parties agree in writing to accept the date beyond the 60 day
limit).
4. When a QME cancels a scheduled QME evaluation appointment, the QME
evaluation appointment must be rescheduled within how many calendar
days? - Correct Answer: 30 calendar days.
5. When a party or a party's attorney cancels a QME evaluation appointment,
what must happen? - Correct Answer: The cancellation can be made
verbally to the QME physician and then must be followed by a written
confirmation letter that is faxed or mailed to the QME physician within 24
hours of the verbal cancellation.
6. Is an injured worker liable for any missed appointment for when a QME
evaluation appointment is canceled for good cause? - Correct Answer:
No.
, 7. Who has jurisdiction to resolve disputes among parties regarding whether
an appointment cancellation less than 6 days prior to the QME evaluation
appointment date was for good cause? - Correct Answer: The Worker's
Compensation Appeals Board (W.C.A.B.).
8. Who is responsible for disciplinary action against a QME for violations
regarding appointment cancellations? - Correct Answer: The
Administrative Director.
9. Can an evaluator cancel an appointment because of a failure to receive
relevant medical records? - Correct Answer: No, unless the evaluation is
by a psychiatrist or psychologist under certain stipulations.
10.Can an evaluator decide to schedule appointment (or not schedule an
appointment) based on whether or not an employee is represented? -
Correct Answer: No, the evaluator must schedule appointments without
regard to whether or not an employee is represented.
11.How are communications between parties and a QME conducted prior to
an examination? - Correct Answer: All communications prior to an
examination by the parties with a QME must be in writing and served on
the QME at the same time as the opposing party.
12.In regards to all records prepared or maintained by the employee's treating
physician(s), which party may provide this information to the QME? -
Correct Answer: Any party.
Competency Exam Study Guide
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
The Examination Process
A. Scheduling and Cancellation of Appointments
B. Information to be Provided to the QME
C. Ex Parte Contact
D. Conflict of Interest Disclosure (Cal. Code Regs., tit. 8, §§ 41.5, 41.6.)
E. Examination Disclosures (Cal. Code Regs., tit. 8, § 40.).
F. Ethical Obligations of the QME (Cal. Code Regs., tit. 8, § 41.).
G. Evaluation Protocols (Cal. Code Regs., tit. 8, §§ 43-47.).
H. Face to Face Time (Cal. Code Regs., tit. 8, §§ 49-49.9.)
I. Report Content, Report Disclosures, Fraud Reporting, and Substantial Medical Evidence.
J. The Types of Reports and Reevaluations.
K. QME Unavailability (Cal. Code Regs., tit. 8, § 33.).
L. Additional, Replacement Panels and Consultations.
M. Additional, Replacement Panels and Consultations.
N. Service of Reports (Cal. Code Regs., tit. 8, § 36.).
O. Retention of Reports and Return of Records (Cal. Code Regs., tit. 8, § 39.5.)
1. Define: medical-legal cost. - Correct Answer: Specified services incurred
to prove or disprove a contested case.
,2. How many days prior to the appointment date can an appointment be
canceled by the QME evaluator or by any party? - Correct Answer: 6
business days prior to the appointment date.
3. What must an evaluator do when the evaluator cancels a scheduled
appointment course? - Correct Answer: The evaluator must advise the
parties in writing the reason for the cancellation. The evaluator must
reschedule the appointment to a date within 30 calendar days of the date
of cancellation (the rescheduled appointment date may not be more than
60 calendar days from the date of the initial request for an appointment,
unless the parties agree in writing to accept the date beyond the 60 day
limit).
4. When a QME cancels a scheduled QME evaluation appointment, the QME
evaluation appointment must be rescheduled within how many calendar
days? - Correct Answer: 30 calendar days.
5. When a party or a party's attorney cancels a QME evaluation appointment,
what must happen? - Correct Answer: The cancellation can be made
verbally to the QME physician and then must be followed by a written
confirmation letter that is faxed or mailed to the QME physician within 24
hours of the verbal cancellation.
6. Is an injured worker liable for any missed appointment for when a QME
evaluation appointment is canceled for good cause? - Correct Answer:
No.
, 7. Who has jurisdiction to resolve disputes among parties regarding whether
an appointment cancellation less than 6 days prior to the QME evaluation
appointment date was for good cause? - Correct Answer: The Worker's
Compensation Appeals Board (W.C.A.B.).
8. Who is responsible for disciplinary action against a QME for violations
regarding appointment cancellations? - Correct Answer: The
Administrative Director.
9. Can an evaluator cancel an appointment because of a failure to receive
relevant medical records? - Correct Answer: No, unless the evaluation is
by a psychiatrist or psychologist under certain stipulations.
10.Can an evaluator decide to schedule appointment (or not schedule an
appointment) based on whether or not an employee is represented? -
Correct Answer: No, the evaluator must schedule appointments without
regard to whether or not an employee is represented.
11.How are communications between parties and a QME conducted prior to
an examination? - Correct Answer: All communications prior to an
examination by the parties with a QME must be in writing and served on
the QME at the same time as the opposing party.
12.In regards to all records prepared or maintained by the employee's treating
physician(s), which party may provide this information to the QME? -
Correct Answer: Any party.
