QME EXAMINATION TEST QUESTIONS FINAL
QUESTIONS AND ANSWERS
Treating physician reports and medical-legal evaluations are used to establish -
CORRECT ANSWER - 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 - CORRECT ANSWER - 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
CORRECT ANSWER - 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)? - CORRECT ANSWER - Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - CORRECT ANSWER - AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
CORRECT ANSWER - Often
Who selects the QME - CORRECT ANSWER - Patient
In 1913, the Boynton Act - CORRECT ANSWER - Required most employers to have
workers' compensation coverage
A trade-off between Employers and Employees is referred to as - CORRECT ANSWER
- The Historic Compromise
You are required to keep and maintain all the medical-legal BILLINGS for _____ years
from the date of examination - CORRECT ANSWER - 3 years
The employer provides workers' compensation BENEFITS - CORRECT ANSWER -
regardless of fault
A copy of the notice to request time extension to file a QME report must be sent to -
CORRECT ANSWER - Medical Unit at DWC
, The employer is required to pay benefits no matter who caused the injury, as long as
the injury is - CORRECT ANSWER - AOE/COE
If there is a serious and willful misconduct by the employEE the award may be -
CORRECT ANSWER - decreased by 1/2
If the employer is UNINSURED for workers' compensation the injured worker can -
CORRECT ANSWER - Sue 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 - CORRECT ANSWER -
American Medical Association Guide to the Evaluation of Permanent Impairment, 5th
edition
Unlawful discrimination for reporting a work injury is protected under - CORRECT
ANSWER - L.C. 132a
The chief method to apportion permanent disability is to use the - CORRECT ANSWER
- subtraction method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for - CORRECT ANSWER - 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 - CORRECT ANSWER - five (5) years
Payments to compensate an employee who does not completely recover from an injury
- CORRECT ANSWER - PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
CORRECT ANSWER - Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" - CORRECT
ANSWER - 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 -
CORRECT ANSWER - $16,000
QUESTIONS AND ANSWERS
Treating physician reports and medical-legal evaluations are used to establish -
CORRECT ANSWER - 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 - CORRECT ANSWER - 10
SB-228 reforms of 2003 (Governor Davis) primarily addressed the following issues -
CORRECT ANSWER - 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)? - CORRECT ANSWER - Local DEU
SB-899 reforms of 2004 (Governor Schwarzenegger) primarily addressed the following
issues? - CORRECT ANSWER - AMA Impairment Guides and MPNs
Which of the following is not a term used in California as ratable "word of art"? -
CORRECT ANSWER - Often
Who selects the QME - CORRECT ANSWER - Patient
In 1913, the Boynton Act - CORRECT ANSWER - Required most employers to have
workers' compensation coverage
A trade-off between Employers and Employees is referred to as - CORRECT ANSWER
- The Historic Compromise
You are required to keep and maintain all the medical-legal BILLINGS for _____ years
from the date of examination - CORRECT ANSWER - 3 years
The employer provides workers' compensation BENEFITS - CORRECT ANSWER -
regardless of fault
A copy of the notice to request time extension to file a QME report must be sent to -
CORRECT ANSWER - Medical Unit at DWC
, The employer is required to pay benefits no matter who caused the injury, as long as
the injury is - CORRECT ANSWER - AOE/COE
If there is a serious and willful misconduct by the employEE the award may be -
CORRECT ANSWER - decreased by 1/2
If the employer is UNINSURED for workers' compensation the injured worker can -
CORRECT ANSWER - Sue 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 - CORRECT ANSWER -
American Medical Association Guide to the Evaluation of Permanent Impairment, 5th
edition
Unlawful discrimination for reporting a work injury is protected under - CORRECT
ANSWER - L.C. 132a
The chief method to apportion permanent disability is to use the - CORRECT ANSWER
- subtraction method
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for - CORRECT ANSWER - 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 - CORRECT ANSWER - five (5) years
Payments to compensate an employee who does not completely recover from an injury
- CORRECT ANSWER - PD
"Disability = Impairment + Loss earning capacity + Occupational title + Age" -
CORRECT ANSWER - Formula for PD
Means approximately 90-100 percent of the time, as a ratable "word of art" - CORRECT
ANSWER - 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 -
CORRECT ANSWER - $16,000
