QME Examination Actual Exam 2026 QME
Exam Latest Update 2026 Questions and
Correct Answers Rated A+
1. Treating physician reports and medical-legal evaluations are used to
establish - Answer - eligibility for benefits
2. Under California workers' compensation, if the employee does not inform
the employer of their QME selection within ___ days of the panel
assignment, the employer may select the physician from the panel - Answer
- 10 days
3. The ACOEM Guidelines are primarily associated with which of the
following issues? - Answer - 24-visit limit for treatment
4. For a QME evaluation requested for compensability only (AOE/COE), you
should NOT send the QME report to which of the following? - Answer
- Local DEU (Disability Evaluation Unit)
5. SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed
which issues? - Answer - AMA Impairment Guides and Medical
Provider Networks (MPNs)
6. Which of the following is NOT a term used in California as a ratable "word
of art"? - Answer - Often
7. Who selects the QME when the employee is represented by an attorney? -
Answer - The parties mutually agree, or if no agreement, the DWC
Medical Unit assigns
,8. Who selects the QME when the employee is unrepresented? - Answer - The
employee (patient) selects from a panel of three
9. In 1913, the Boynton Act - Answer - Required most employers to have
workers' compensation coverage
10.The trade-off between employers and employees (employer gets limited
liability, employee gets no-fault benefits) is referred to as - Answer - The
Historic Compromise
11.You are required to keep and maintain all medical-legal billing records for
___ years from the date of examination - Answer - 3 years
12.The employer provides workers' compensation benefits - Answer
- Regardless of fault
13.A copy of the notice to request a time extension to file a QME report must
be sent to - Answer - The Medical Unit at the DWC
14.If there is serious and willful misconduct by the employee, the award may be
- Answer - Decreased by one-half (50%)
15.If the employer is UNINSURED for workers' compensation, the injured
worker can - Answer - Sue in civil court, receive punitive damages for
pain and suffering, and have the District Attorney fine the employer
16.For dates of injury AFTER January 1, 2005, a QME must use which edition
of the AMA Guides? - Answer - American Medical Association Guide to
the Evaluation of Permanent Impairment, 5th Edition
17.Unlawful discrimination for reporting a work injury is protected under -
Answer - Labor Code Section 132a
, 18.The chief method to apportion permanent disability in California is to use
the - Answer - Subtraction method
19.If the injured worker is not hospitalized and misses seven (7) days of work,
he/she is not paid Temporary Disability (TD) for - Answer - The first three
(3) days (3-day waiting period)
20."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" -
Answer - Five (5) years
21.Payments to compensate an employee who does not completely recover
from an injury are called - Answer - Permanent Disability (PD)
22."Disability = Impairment + Loss of earning capacity + Occupational title +
Age" is the - Answer - Formula for determining Permanent Disability
(PD)
23.In workers' compensation rating, "Constant" means approximately - Answer
- 90-100 percent of the time (ratable word of art)
24.For injuries on or after January 1, 1994 and before January 1, 2004, most
workers were limited to a cap on Vocational Rehabilitation benefits of -
Answer - $16,000
25.If there are no surviving dependents, the death benefit is paid to - Answer
- The Department of Industrial Relations (DIR)
26.The independent judicial body in California workers' compensation is called
the - Answer - Workers' Compensation Appeals Board (WCAB)
Exam Latest Update 2026 Questions and
Correct Answers Rated A+
1. Treating physician reports and medical-legal evaluations are used to
establish - Answer - eligibility for benefits
2. Under California workers' compensation, if the employee does not inform
the employer of their QME selection within ___ days of the panel
assignment, the employer may select the physician from the panel - Answer
- 10 days
3. The ACOEM Guidelines are primarily associated with which of the
following issues? - Answer - 24-visit limit for treatment
4. For a QME evaluation requested for compensability only (AOE/COE), you
should NOT send the QME report to which of the following? - Answer
- Local DEU (Disability Evaluation Unit)
5. SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed
which issues? - Answer - AMA Impairment Guides and Medical
Provider Networks (MPNs)
6. Which of the following is NOT a term used in California as a ratable "word
of art"? - Answer - Often
7. Who selects the QME when the employee is represented by an attorney? -
Answer - The parties mutually agree, or if no agreement, the DWC
Medical Unit assigns
,8. Who selects the QME when the employee is unrepresented? - Answer - The
employee (patient) selects from a panel of three
9. In 1913, the Boynton Act - Answer - Required most employers to have
workers' compensation coverage
10.The trade-off between employers and employees (employer gets limited
liability, employee gets no-fault benefits) is referred to as - Answer - The
Historic Compromise
11.You are required to keep and maintain all medical-legal billing records for
___ years from the date of examination - Answer - 3 years
12.The employer provides workers' compensation benefits - Answer
- Regardless of fault
13.A copy of the notice to request a time extension to file a QME report must
be sent to - Answer - The Medical Unit at the DWC
14.If there is serious and willful misconduct by the employee, the award may be
- Answer - Decreased by one-half (50%)
15.If the employer is UNINSURED for workers' compensation, the injured
worker can - Answer - Sue in civil court, receive punitive damages for
pain and suffering, and have the District Attorney fine the employer
16.For dates of injury AFTER January 1, 2005, a QME must use which edition
of the AMA Guides? - Answer - American Medical Association Guide to
the Evaluation of Permanent Impairment, 5th Edition
17.Unlawful discrimination for reporting a work injury is protected under -
Answer - Labor Code Section 132a
, 18.The chief method to apportion permanent disability in California is to use
the - Answer - Subtraction method
19.If the injured worker is not hospitalized and misses seven (7) days of work,
he/she is not paid Temporary Disability (TD) for - Answer - The first three
(3) days (3-day waiting period)
20."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" -
Answer - Five (5) years
21.Payments to compensate an employee who does not completely recover
from an injury are called - Answer - Permanent Disability (PD)
22."Disability = Impairment + Loss of earning capacity + Occupational title +
Age" is the - Answer - Formula for determining Permanent Disability
(PD)
23.In workers' compensation rating, "Constant" means approximately - Answer
- 90-100 percent of the time (ratable word of art)
24.For injuries on or after January 1, 1994 and before January 1, 2004, most
workers were limited to a cap on Vocational Rehabilitation benefits of -
Answer - $16,000
25.If there are no surviving dependents, the death benefit is paid to - Answer
- The Department of Industrial Relations (DIR)
26.The independent judicial body in California workers' compensation is called
the - Answer - Workers' Compensation Appeals Board (WCAB)
