Page 1 of 31
QUALIFIED MEDICAL EVALUATOR (QME) 2026
FINAL EXAM COMPLETE (154) CURRENT
TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS|GUARANTEED PASS.
QME
Ace your preparation with this Qualified Medical Evaluator (QME)
final Exam, designed to assess essential knowledge in medical-
legal evaluation and reporting. It focuses on disability
assessment, case analysis, documentation standards, and
regulatory guidelines. The exam strengthens clinical judgment
and decision-making in medico-legal practice. Suitable for
healthcare professionals pursuing QME certification.
Medical-Legal reports, which are generated with the intent to
resolve a dispute, are reimbursed according to the ___ ✓ ✓
...... ANSWER ....... Medical-Legal Fee Schedule
With the exception of employees who have predesignated a
physician, employers have MPN control medical treatment
for ___ ✓ ✓ ...... ANSWER ....... The life of the claim
, Page 2 of 31
When can an IW change PTP with in the MPN ✓ ✓ ......
ANSWER ....... After the 1st visit
An employer with an MPN which of the following CANNOT be
pre-designated ✓ ✓ ...... ANSWER ....... D.C.
Which of the following is okay for a physician to refer a
person ✓ ✓ ...... ANSWER ....... PT services provided in
your own clinic
A violation of L.C. 139(a) conflict of interest referral is a
misdemeanor subject to civil penalties up to $____ per
offense ✓ ✓ ...... ANSWER ....... $5,000
If you agree to refer patients to another clinic and they agree
to refer to you ✓ ✓ ...... ANSWER ....... This is subject to
$15,000 per violation and subject to revocation of
professional license
When workers are unable to perform any work, they receive
___ benefits ✓ ✓ ...... ANSWER ....... Temporary Total
Disability (TTD)
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If full wages are paid, an IW may still receive TD benefits ✓
✓ ...... ANSWER ....... FALSE
The employer has ___ days from the notification of the injury
to contest the claim ✓ ✓ ...... ANSWER ....... 90 days
From January 1, 2008, to the present, TD may last up to ___
weeks within five years from the DOI ✓ ✓ ...... ANSWER
....... 104
Supplement Job Displacement Benefits (SJDB) vouchers
apply to workers injured on or after January 1, ____ ✓ ✓ ......
ANSWER ....... 2004
SJDBs (Supplement Job Displacement Benefits) after
01/01/2013 are limited to ____ ✓ ✓ ...... ANSWER .......
$6,000
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
, Page 4 of 31
$_____ for injuries on or after 01/01/2013 ✓ ✓ ...... ANSWER
....... Before 01/01/2013 $5,000
After 01/01/2013 $10,000
For DOI after 01/01/1990 or DOI after 01/01/2003, DISABLED
MINORS receive benefits ✓ ✓ ...... ANSWER ....... For life
Maximum Death Benefit (3 or more dependents) is ___ ✓ ✓
...... ANSWER ....... $320,000
Which of the following reports are not completed by the PTP
✓ ✓ ...... ANSWER ....... QME or AME
The claims administrator will pay the medical costs of
approved medical services so the injured workers should ___
✓ ✓ ...... ANSWER ....... Never see a bill
If the claims administrator denies treatment recommended
by the PTP, the IW may request ___ using the request form
included with the claims administrator's written decision to
deny treatment ✓ ✓ ...... ANSWER ....... IMR
QUALIFIED MEDICAL EVALUATOR (QME) 2026
FINAL EXAM COMPLETE (154) CURRENT
TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS|GUARANTEED PASS.
QME
Ace your preparation with this Qualified Medical Evaluator (QME)
final Exam, designed to assess essential knowledge in medical-
legal evaluation and reporting. It focuses on disability
assessment, case analysis, documentation standards, and
regulatory guidelines. The exam strengthens clinical judgment
and decision-making in medico-legal practice. Suitable for
healthcare professionals pursuing QME certification.
Medical-Legal reports, which are generated with the intent to
resolve a dispute, are reimbursed according to the ___ ✓ ✓
...... ANSWER ....... Medical-Legal Fee Schedule
With the exception of employees who have predesignated a
physician, employers have MPN control medical treatment
for ___ ✓ ✓ ...... ANSWER ....... The life of the claim
, Page 2 of 31
When can an IW change PTP with in the MPN ✓ ✓ ......
ANSWER ....... After the 1st visit
An employer with an MPN which of the following CANNOT be
pre-designated ✓ ✓ ...... ANSWER ....... D.C.
Which of the following is okay for a physician to refer a
person ✓ ✓ ...... ANSWER ....... PT services provided in
your own clinic
A violation of L.C. 139(a) conflict of interest referral is a
misdemeanor subject to civil penalties up to $____ per
offense ✓ ✓ ...... ANSWER ....... $5,000
If you agree to refer patients to another clinic and they agree
to refer to you ✓ ✓ ...... ANSWER ....... This is subject to
$15,000 per violation and subject to revocation of
professional license
When workers are unable to perform any work, they receive
___ benefits ✓ ✓ ...... ANSWER ....... Temporary Total
Disability (TTD)
, Page 3 of 31
If full wages are paid, an IW may still receive TD benefits ✓
✓ ...... ANSWER ....... FALSE
The employer has ___ days from the notification of the injury
to contest the claim ✓ ✓ ...... ANSWER ....... 90 days
From January 1, 2008, to the present, TD may last up to ___
weeks within five years from the DOI ✓ ✓ ...... ANSWER
....... 104
Supplement Job Displacement Benefits (SJDB) vouchers
apply to workers injured on or after January 1, ____ ✓ ✓ ......
ANSWER ....... 2004
SJDBs (Supplement Job Displacement Benefits) after
01/01/2013 are limited to ____ ✓ ✓ ...... ANSWER .......
$6,000
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
, Page 4 of 31
$_____ for injuries on or after 01/01/2013 ✓ ✓ ...... ANSWER
....... Before 01/01/2013 $5,000
After 01/01/2013 $10,000
For DOI after 01/01/1990 or DOI after 01/01/2003, DISABLED
MINORS receive benefits ✓ ✓ ...... ANSWER ....... For life
Maximum Death Benefit (3 or more dependents) is ___ ✓ ✓
...... ANSWER ....... $320,000
Which of the following reports are not completed by the PTP
✓ ✓ ...... ANSWER ....... QME or AME
The claims administrator will pay the medical costs of
approved medical services so the injured workers should ___
✓ ✓ ...... ANSWER ....... Never see a bill
If the claims administrator denies treatment recommended
by the PTP, the IW may request ___ using the request form
included with the claims administrator's written decision to
deny treatment ✓ ✓ ...... ANSWER ....... IMR
