QME EXAMINATION TEST QUESTIONS
FINAL CORRECT 100%
Treating physician reports and medical-legal evaluations are used to establish -
ANSWEReligibility for benefits
Unrepresented worker - if the employee does not inform the employer of the selection
within ____ days of the assignment of a panel of qualified medical evaluators, then the
employer may select the physician from the panel - ANSWER10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
ANSWERACOEM Guidelines - 24 visit limit
For a QME evaluation for compensability only (AOE/COE), DO NOT send the QME
report to the following Part(ies)? - ANSWERLocal DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - ANSWERAMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
ANSWEROften
Who selects the QME - ANSWERPatient
In 1913, the Boynton Act - ANSWERRequired most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ANSWERThe Historic
Compromise
You are required to keep and maintain all the medical-legal BILLINGS for _____ years
from the date of examination - ANSWER3 years
The employer provides workers' compensation BENEFITS - ANSWERregardless of
fault
A copy of the notice to request time extension to file a QME report must be sent to -
ANSWERMedical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as
the injury is - ANSWERAOE/COE
If there is a serious and willful misconduct by the employEE the award may be -
ANSWERdecreased by 1/2
, If the employer is UNINSURED for workers' compensation the injured worker can -
ANSWERSue in Civil Court, Receive punitive damages for pain and suffering, have the
District Attorney fine the Employer
For dates of injuyr AFTER 01/01/2005, a QME must use - ANSWERAmerican Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ANSWERL.C.
132a
The chief method to apportion permanent disability is to use the - ANSWERsubtraction
method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for - ANSWERthe first three (3) days
"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 - ANSWERfive (5) years
Payments to compensate an employee who does not completely recover from an injury
- ANSWERPD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
ANSWERFormula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" -
ANSWERConstant
For injuries on or after January 1, 1994 and before 01/01/2004 most workers will be
limited to a _____ cap on Vocational Rehabilitation benefits under that plan -
ANSWER$16,000
If there are no surviving dependents, the death benefit is paid to - ANSWERDepartment
of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called - ANSWERWCAB
Medical providers who request authorization in writing for a specific course of treatment
for an injured worker must receive a prompt response within ___ working days of receipt
of the report not to exceed ____ days - ANSWERresponse within five (5) working days,
not to exceed fourteen (14)
The DWC Unit that rates your panel QME reports - ANSWERDEU
FINAL CORRECT 100%
Treating physician reports and medical-legal evaluations are used to establish -
ANSWEReligibility for benefits
Unrepresented worker - if the employee does not inform the employer of the selection
within ____ days of the assignment of a panel of qualified medical evaluators, then the
employer may select the physician from the panel - ANSWER10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
ANSWERACOEM Guidelines - 24 visit limit
For a QME evaluation for compensability only (AOE/COE), DO NOT send the QME
report to the following Part(ies)? - ANSWERLocal DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - ANSWERAMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
ANSWEROften
Who selects the QME - ANSWERPatient
In 1913, the Boynton Act - ANSWERRequired most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ANSWERThe Historic
Compromise
You are required to keep and maintain all the medical-legal BILLINGS for _____ years
from the date of examination - ANSWER3 years
The employer provides workers' compensation BENEFITS - ANSWERregardless of
fault
A copy of the notice to request time extension to file a QME report must be sent to -
ANSWERMedical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long as
the injury is - ANSWERAOE/COE
If there is a serious and willful misconduct by the employEE the award may be -
ANSWERdecreased by 1/2
, If the employer is UNINSURED for workers' compensation the injured worker can -
ANSWERSue in Civil Court, Receive punitive damages for pain and suffering, have the
District Attorney fine the Employer
For dates of injuyr AFTER 01/01/2005, a QME must use - ANSWERAmerican Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ANSWERL.C.
132a
The chief method to apportion permanent disability is to use the - ANSWERsubtraction
method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for - ANSWERthe first three (3) days
"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 - ANSWERfive (5) years
Payments to compensate an employee who does not completely recover from an injury
- ANSWERPD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
ANSWERFormula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" -
ANSWERConstant
For injuries on or after January 1, 1994 and before 01/01/2004 most workers will be
limited to a _____ cap on Vocational Rehabilitation benefits under that plan -
ANSWER$16,000
If there are no surviving dependents, the death benefit is paid to - ANSWERDepartment
of Industrial Relations (DIR)
The independent JUDICIAL BODY in California work comp is called - ANSWERWCAB
Medical providers who request authorization in writing for a specific course of treatment
for an injured worker must receive a prompt response within ___ working days of receipt
of the report not to exceed ____ days - ANSWERresponse within five (5) working days,
not to exceed fourteen (14)
The DWC Unit that rates your panel QME reports - ANSWERDEU
