QME Exam with 100% Correct Answers
Who selects the QME - ✅✅ Patient
In 1913, the Boynton Act - ✅✅ Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ✅✅ The
Historic Compromise
You are required to keep and maintain all the medical-legal billings for _____
years from the date of examination - ✅✅ 3 years
The employer provides workers' compensation benefits - ✅✅ regardless of fault
A copy of the notice to request time extension to file a QME report must be sent to
- ✅✅ Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long
as the injury is - ✅✅ AOE/COE
If there is a serious and willful misconduct by the employee the award may be -
✅✅ decreased by 1/2
If the employer is uninsured for workers' compensation the injured worker can -
✅✅ Sue in Civil Court, Receive punitive damages for pain and suffering, have the
District Attorney fine the Employer
For dates of injury after 01/01/2005, a QME must use - ✅✅ American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ✅✅ L.C.
132a
The chief method to apportion permanent disability is to use the - ✅✅ subtraction
method
, If the injured worker is not hospitalized and misses seven (7) days of work he/she
is not paid TD for - ✅✅ the 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 - ✅✅ five (5) years
Payments to compensate an employee who does not completely recover from an
injury - ✅✅ PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
✅✅ Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" - ✅✅
Constant
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 -
✅✅ $16,000
Treating physician reports and medical-legal evaluations are used to establish -
✅✅ eligibility 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 - ✅✅ 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following
issues - ✅✅ ACOEM Guidelines - 24 visit limit
For a QME evaluation for compensability only (AOE/COE), do not send the QME
report to the following Part(ies)? - ✅✅ Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the
following issues? - ✅✅ AMA Impairment Guides and mpns
Which of the following is not a term used in California as ratable "word of art"? -
✅✅ Often
Who selects the QME - ✅✅ Patient
In 1913, the Boynton Act - ✅✅ Required most employers to have workers'
compensation coverage
A trade-off between Employers and Employees is referred to as - ✅✅ The
Historic Compromise
You are required to keep and maintain all the medical-legal billings for _____
years from the date of examination - ✅✅ 3 years
The employer provides workers' compensation benefits - ✅✅ regardless of fault
A copy of the notice to request time extension to file a QME report must be sent to
- ✅✅ Medical Unit at DWC
The employer is required to pay benefits no matter who caused the injury, as long
as the injury is - ✅✅ AOE/COE
If there is a serious and willful misconduct by the employee the award may be -
✅✅ decreased by 1/2
If the employer is uninsured for workers' compensation the injured worker can -
✅✅ Sue in Civil Court, Receive punitive damages for pain and suffering, have the
District Attorney fine the Employer
For dates of injury after 01/01/2005, a QME must use - ✅✅ American Medical
Association Guide to the Evaluation of Permanent Impairment, 5th edition
Unlawful discrimination for reporting a work injury is protected under - ✅✅ L.C.
132a
The chief method to apportion permanent disability is to use the - ✅✅ subtraction
method
, If the injured worker is not hospitalized and misses seven (7) days of work he/she
is not paid TD for - ✅✅ the 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 - ✅✅ five (5) years
Payments to compensate an employee who does not completely recover from an
injury - ✅✅ PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
✅✅ Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" - ✅✅
Constant
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 -
✅✅ $16,000
Treating physician reports and medical-legal evaluations are used to establish -
✅✅ eligibility 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 - ✅✅ 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following
issues - ✅✅ ACOEM Guidelines - 24 visit limit
For a QME evaluation for compensability only (AOE/COE), do not send the QME
report to the following Part(ies)? - ✅✅ Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the
following issues? - ✅✅ AMA Impairment Guides and mpns
Which of the following is not a term used in California as ratable "word of art"? -
✅✅ Often
