QME Exam Prep Self Test EXAM
COMPLETE 300+ QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
SECTION 1: QME APPOINTMENT & ADMINISTRATION (Questions 1-
25)
Question 1: Who holds authority to appoint physicians as QME evaluators?
A. California Medical Board
B. Administrative Director (AD) (LC 139.2)
C. Workers' Compensation Appeals Board (WCAB)
D. Division of Workers' Compensation (DWC)
Correct Answer: B
Rationale: The Administrative Director (AD) holds statutory authority under
Labor Code 139.2 to appoint physicians as Qualified Medical Evaluators.
Question 2: What is the term of appointment as a QME evaluator?
,A. 1 year
B. 2 years
C. 3 years
D. 5 years
Correct Answer: B
Rationale: The term of appointment as a QME evaluator is 2 years, as specified in
LC 139.2.
Question 3: What are the 3 requirements when seeking appointment as a
QME?
A. (1) Pass the QME competency exam; (2) Complete a 12-hour course in
disability eval report writing; (3) Devote at least 1/3rd of total practice time to
providing direct medical treatment (or have served as an AME on 8+ occasions in
past 12 months)
B. (1) 5 years of practice experience; (2) Board certification; (3) $500 application
fee
C. (1) Complete 40 hours of CME; (2) Pass background check; (3) Submit 3
references
D. (1) Be a California resident; (2) Have malpractice insurance; (3) Complete
ethics course
Correct Answer: A
*Rationale: The three statutory requirements for QME appointment are: passing
the competency exam, completing a 12-hour disability evaluation report writing
course, and devoting at least one-third of practice time to direct medical treatment
or having served as an AME on 8+ occasions.*
,Question 4: What are the 2 reasons for termination/suspension of a QME
without a hearing?
A. (1) Incompetence; (2) Patient complaints
B. (1) Licensing board suspends/revokes/terminates license to practice; (2) Failure
to pay required fee (upon appointment and yearly thereafter)
C. (1) Late reports; (2) Billing violations
D. (1) Ex parte communication; (2) Conflict of interest
Correct Answer: B
*Rationale: A QME can be terminated or suspended without a hearing for: (1)
licensing board suspension/revocation/termination of license, or (2) failure to pay
required fees upon appointment and annually thereafter.*
Question 5: What are the 6 reasons for discipline (suspension/termination) of
QMEs after a hearing?
A. (1) Violation of material statutory or administrative duty; (2) Failure to follow
medical procedures or qualifications; (3) Failure to comply with timeframe
standards; (4) Failure to meet licensing/certification requirements; (5) Preparation
of medical-legal evaluations that fail to meet minimum standards; (6) Making
material misrepresentations or false statements in an application
B. (1) High fees; (2) Rude behavior; (3) Late appointments; (4) Poor handwriting;
(5) Missing records; (6) Staff complaints
C. (1) Treating family members; (2) Prescribing controlled substances; (3)
Accepting gifts; (4) Dual relationships; (5) Boundary violations; (6) Insurance
fraud
, D. (1) Overbooking patients; (2) Not accepting Medi-Cal; (3) Not having evening
hours; (4) Not providing interpreters; (5) Not having wheelchair access; (6) Not
accepting credit cards
Correct Answer: A
Rationale: The six statutory grounds for discipline after a hearing include
violations of statutory or administrative duties, failure to follow medical
procedures or qualifications, timeframe violations, licensing issues, inadequate
reports, and material misrepresentations.
Question 6: What are the 3 types of substantive medical disputes resolved by
QMEs?
A. (1) Treatment authorization; (2) Medication approval; (3) Surgery authorization
B. (1) Compensability of the claim; (2) Permanent disability; (3) 'Catch-all'
(temporary disability, work restrictions, new and further disabilities,
compensability of new body part)
C. (1) Fee disputes; (2) Billing disputes; (3) Payment disputes
D. (1) Return to work dates; (2) Light duty restrictions; (3) Accommodation
requests
Correct Answer: B
*Rationale: QMEs resolve three substantive medical disputes: (1) compensability
of the claim, (2) permanent disability, and (3) a "catch-all" category including
temporary disability, work restrictions, new and further disabilities, and
compensability of new body parts.*
COMPLETE 300+ QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
SECTION 1: QME APPOINTMENT & ADMINISTRATION (Questions 1-
25)
Question 1: Who holds authority to appoint physicians as QME evaluators?
A. California Medical Board
B. Administrative Director (AD) (LC 139.2)
C. Workers' Compensation Appeals Board (WCAB)
D. Division of Workers' Compensation (DWC)
Correct Answer: B
Rationale: The Administrative Director (AD) holds statutory authority under
Labor Code 139.2 to appoint physicians as Qualified Medical Evaluators.
Question 2: What is the term of appointment as a QME evaluator?
,A. 1 year
B. 2 years
C. 3 years
D. 5 years
Correct Answer: B
Rationale: The term of appointment as a QME evaluator is 2 years, as specified in
LC 139.2.
Question 3: What are the 3 requirements when seeking appointment as a
QME?
A. (1) Pass the QME competency exam; (2) Complete a 12-hour course in
disability eval report writing; (3) Devote at least 1/3rd of total practice time to
providing direct medical treatment (or have served as an AME on 8+ occasions in
past 12 months)
B. (1) 5 years of practice experience; (2) Board certification; (3) $500 application
fee
C. (1) Complete 40 hours of CME; (2) Pass background check; (3) Submit 3
references
D. (1) Be a California resident; (2) Have malpractice insurance; (3) Complete
ethics course
Correct Answer: A
*Rationale: The three statutory requirements for QME appointment are: passing
the competency exam, completing a 12-hour disability evaluation report writing
course, and devoting at least one-third of practice time to direct medical treatment
or having served as an AME on 8+ occasions.*
,Question 4: What are the 2 reasons for termination/suspension of a QME
without a hearing?
A. (1) Incompetence; (2) Patient complaints
B. (1) Licensing board suspends/revokes/terminates license to practice; (2) Failure
to pay required fee (upon appointment and yearly thereafter)
C. (1) Late reports; (2) Billing violations
D. (1) Ex parte communication; (2) Conflict of interest
Correct Answer: B
*Rationale: A QME can be terminated or suspended without a hearing for: (1)
licensing board suspension/revocation/termination of license, or (2) failure to pay
required fees upon appointment and annually thereafter.*
Question 5: What are the 6 reasons for discipline (suspension/termination) of
QMEs after a hearing?
A. (1) Violation of material statutory or administrative duty; (2) Failure to follow
medical procedures or qualifications; (3) Failure to comply with timeframe
standards; (4) Failure to meet licensing/certification requirements; (5) Preparation
of medical-legal evaluations that fail to meet minimum standards; (6) Making
material misrepresentations or false statements in an application
B. (1) High fees; (2) Rude behavior; (3) Late appointments; (4) Poor handwriting;
(5) Missing records; (6) Staff complaints
C. (1) Treating family members; (2) Prescribing controlled substances; (3)
Accepting gifts; (4) Dual relationships; (5) Boundary violations; (6) Insurance
fraud
, D. (1) Overbooking patients; (2) Not accepting Medi-Cal; (3) Not having evening
hours; (4) Not providing interpreters; (5) Not having wheelchair access; (6) Not
accepting credit cards
Correct Answer: A
Rationale: The six statutory grounds for discipline after a hearing include
violations of statutory or administrative duties, failure to follow medical
procedures or qualifications, timeframe violations, licensing issues, inadequate
reports, and material misrepresentations.
Question 6: What are the 3 types of substantive medical disputes resolved by
QMEs?
A. (1) Treatment authorization; (2) Medication approval; (3) Surgery authorization
B. (1) Compensability of the claim; (2) Permanent disability; (3) 'Catch-all'
(temporary disability, work restrictions, new and further disabilities,
compensability of new body part)
C. (1) Fee disputes; (2) Billing disputes; (3) Payment disputes
D. (1) Return to work dates; (2) Light duty restrictions; (3) Accommodation
requests
Correct Answer: B
*Rationale: QMEs resolve three substantive medical disputes: (1) compensability
of the claim, (2) permanent disability, and (3) a "catch-all" category including
temporary disability, work restrictions, new and further disabilities, and
compensability of new body parts.*
