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QUALIFIED MEDICAL EVALUATOR (QME) 2026
EXAM COMPLETE (100) CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
ANSWERS|GUARANTEED PASS.
QME
Ace your preparation with this Qualified Medical Evaluator (QME)
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.
Required contents of report ✓ ✓ ...... ANSWER ....... (1)
Date of examination;
(2) Street address at which examination was performed;
(3) All contested medical issues arising from all injuries
reported on one or more claim forms prior to the
appointment that are within the evaluator's scope of
practice and areas of clinical competence;
(4) Disputed issues beyond the evaluator's expertise;
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Parties who may participate in the non-clerical preparation
of the medical-legal report ✓ ✓ ...... ANSWER .......
Evaluating physician (who signs the report)
Unallowed referrals ✓ ✓ ...... ANSWER ....... (1) Outside
referrals in which the physician or physician's family has a
financial interest;
(2) Cross-referral rearrangement or other scheme whose
primary purpose is to ensure referrals;
(3) Any kind of compensation or inducement for referred
evaluations or consultations.
Exceptions to disallowed referrals ✓ ✓ ...... ANSWER .......
(1) Physician discloses financial interest in referred services
to patient;
(2) Physician obtains preauthorization in writing within 5
days for physical therapy, certain psychiatric testing or MRIs;
(3) No alternatives for service available within 25 miles or a
40-minute drive and physician makes full disclosure about
financial interests in these services.
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Substantial evidence ✓ ✓ ...... ANSWER ....... Concept by
which medical reports are measured
Standards for determining if a report is substantial evidence
✓ ✓ ...... ANSWER ....... (1) Predicated on reasonable
medical probability;
(2) Not based on facts no longer germane, inadequate
medical histories/exams, incorrect legal theories or on
surmise, speculation, conjecture or guess;
(3) Sets forth reasoning behind opinions (not merely
conclusions);
(4) Discloses familiarity with concept of apportionment, in
context of apportionment determinations.
Types of reports ✓ ✓ ...... ANSWER ....... Comprehensive
(first)
Follow-up
Supplemental
Factual correction ✓ ✓ ...... ANSWER ....... Type of
supplemental report confined to review of the medical
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records in possession of the QME at the time of the
evaluation
May be requested in cases involving determination of
*permanent disability* for *unrepresented* workers
Time limits for unavailability of QMEs ✓ ✓ ...... ANSWER
....... 14-90 days
Time frame in which QMEs must notify medical director of
unavailability ✓ ✓ ...... ANSWER ....... At least 30 days
before the period of unavailability is to begin
Good cause for periods of unavailability longer than 90 days
during the QME calendar year ✓ ✓ ...... ANSWER .......
Sabbaticals
Death/serious illness of an immediate family member
Time limit for an initial or follow-up comprehensive medical-
legal evaluation ✓ ✓ ...... ANSWER ....... 30 days after the
evaluation
QUALIFIED MEDICAL EVALUATOR (QME) 2026
EXAM COMPLETE (100) CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
ANSWERS|GUARANTEED PASS.
QME
Ace your preparation with this Qualified Medical Evaluator (QME)
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.
Required contents of report ✓ ✓ ...... ANSWER ....... (1)
Date of examination;
(2) Street address at which examination was performed;
(3) All contested medical issues arising from all injuries
reported on one or more claim forms prior to the
appointment that are within the evaluator's scope of
practice and areas of clinical competence;
(4) Disputed issues beyond the evaluator's expertise;
, Page 2 of 31
Parties who may participate in the non-clerical preparation
of the medical-legal report ✓ ✓ ...... ANSWER .......
Evaluating physician (who signs the report)
Unallowed referrals ✓ ✓ ...... ANSWER ....... (1) Outside
referrals in which the physician or physician's family has a
financial interest;
(2) Cross-referral rearrangement or other scheme whose
primary purpose is to ensure referrals;
(3) Any kind of compensation or inducement for referred
evaluations or consultations.
Exceptions to disallowed referrals ✓ ✓ ...... ANSWER .......
(1) Physician discloses financial interest in referred services
to patient;
(2) Physician obtains preauthorization in writing within 5
days for physical therapy, certain psychiatric testing or MRIs;
(3) No alternatives for service available within 25 miles or a
40-minute drive and physician makes full disclosure about
financial interests in these services.
, Page 3 of 31
Substantial evidence ✓ ✓ ...... ANSWER ....... Concept by
which medical reports are measured
Standards for determining if a report is substantial evidence
✓ ✓ ...... ANSWER ....... (1) Predicated on reasonable
medical probability;
(2) Not based on facts no longer germane, inadequate
medical histories/exams, incorrect legal theories or on
surmise, speculation, conjecture or guess;
(3) Sets forth reasoning behind opinions (not merely
conclusions);
(4) Discloses familiarity with concept of apportionment, in
context of apportionment determinations.
Types of reports ✓ ✓ ...... ANSWER ....... Comprehensive
(first)
Follow-up
Supplemental
Factual correction ✓ ✓ ...... ANSWER ....... Type of
supplemental report confined to review of the medical
, Page 4 of 31
records in possession of the QME at the time of the
evaluation
May be requested in cases involving determination of
*permanent disability* for *unrepresented* workers
Time limits for unavailability of QMEs ✓ ✓ ...... ANSWER
....... 14-90 days
Time frame in which QMEs must notify medical director of
unavailability ✓ ✓ ...... ANSWER ....... At least 30 days
before the period of unavailability is to begin
Good cause for periods of unavailability longer than 90 days
during the QME calendar year ✓ ✓ ...... ANSWER .......
Sabbaticals
Death/serious illness of an immediate family member
Time limit for an initial or follow-up comprehensive medical-
legal evaluation ✓ ✓ ...... ANSWER ....... 30 days after the
evaluation
