QME ACTUAL EXAM LATEST 2024/2025 QUESTIONS AND VERIFI
n n n n n n n
ED CORRECT ANSWERS/ ALREADY GRADED A++
n n n n n
Anrequestnfornextension nof ntimentonservenanreportnmustnbenfiled
A. Atnleastn20ndaysnpriorntonthenduendate.
B. Atnleastn15ndaysnpriorntonthenduendate.
C.nAtnleastn5ndaysnpriorntonthenduendate.
D.nOnlynif nthenevaluatorndoesnnotnhavenoncensquarenof ntheirnschedulentonsparenwithin na
14-daynspan.n-nANSWER C.nAtnleastn5ndaysnpriorntonthenduendate.
ThenrequirednLabornCoden§4628ndisclosurenatnthenendnof neverynreport:
Isnmadenundernpenaltynof nperjury.
Can nbensignednbynthenclerical nstaff nof nan nevaluator.
Isnnotnrequiredntonbenmadenundernpenaltynof nperjury.
Includesnan nclausennotntonviolatenEMTALAnlaws.n-nANSWER A.nIsnmadenunder
penaltynof nperjury.
How nisnthendisabilitynratingnmade?n-
nANSWER n QMEsnratenthenimpairmentn(NOTnDISABILITY),nandnthennratersnusenthen
impairment rating to make a disability rating
WhatnarenthentwonexceptionsntonusingnthenAMAnguidesn5thned.ntonthenevaluationnof npe
rmanentnimpairment?n-nANSWER
Psych ncasesnandncasesnpriornton1/1/2005n(thenl
atternusenthen1997nPDRS)
WhatnarenthentwonexceptionsntonthenrequirementnthatnQMEsnhaven1/3nofntheirntimendevoted
ntondirectnclinical npractice? n-nANSWER
1)nif nthenQMEnhasnbeennannAMEnatnleastn
8ntimesnin nthenpastnyear
2)nif nthenQMEnisnretirednornanteachingnphysician
Can nacupuncturistsnissuenopinionsnon npermanentndisability?n-nANSWER No
Whatnarenthenlimitationsntonapportionment?n-nANSWER n n 1)nApportionmentnappliesnonly
tonpermanentndisabilitynandnisnbasednon ncausation
2)nonlynpermanentndisabilitynisnapportioned,nneverntreatment,nworknrestrictions,netc.
WhatnisnthensigningndatenfornQMEnreports?n-nANSWER n n thendatenthenreportnis
completed,nnotnthenevaluation ndate.nincludenthencountynof nthenreport
,Whatnarenthenfivenmajorncategoriesnof nQMEndisciplinarynaction?n-
nANSWER n 1)nconsistentnlatenreports
,1.n lacknof navailability
2) exnpartencommunications
3) self-referral
4) reportsndonnotnmeetnDWC nminimumnstandards
Whatnmustnbenincludednwith nthenHPI?n-nANSWER Andiscussionnofnthenmechanismnof
injury
Whatnarenthen5nmain ntypesnof nworkersncompnbenefits?n-nANSWER n n 1)nMedical ntreatment
2) temporaryndisabilitynbenefits
3) permanentndisabilitynbenefits
4)ndeath nbenefits
5)nsupplementalnjobndisplacementnbenefitsn(SJDB)
WhatnisnthenBoyntonnActnof n1913?n-nANSWER n n RequiresnCAnemployeesntonhave
worker'sncompninsurance
whatnisnthendefinition nof nanmedical-legal nreport?n-nANSWER tonprovenorndisprovenan
aspectnof nancontestednclaim
Whatnisnthenimpairmentnrating?n-nANSWER Ratesnthendegreentonwhichnthenimpairment
decreasesnanperson'snabilityntonperformnADLs,nexcludingnwork
WhatnarenAOEnandnCOE?n-nANSWER n n AOE:narisingnoutnof nemployment
COE:nthrough nthencoursenof nemployment
Whatnisnexnpartencommunication?n-
nANSWER n Occursnwhennanpartyntonancasencommunicatesnwith nonensidenonly.nanQME nCA
NNOTndonthisn(butncan nspeaknwith nthentreatingnMDnif nquestionsnarise)
Whatnisnthendifferencenbetweennexacerbationnandnaggravation?n-nANSWER
Exacerbation:ntemporarynworsening
Aggravation:npermanentnworseningn(new ninjury)
Definenpermanent,ntemporarynpartial nandntemporaryntotal ndisability.n-nANSWER
Permanent:nirreversiblenresidual nof nan ninjury
Tempnpartial:ncan nwork,nbutnearn nlessnthan npreviously
Tempntotal:ncannotnworknatnall
Donpsych ninjuriesnafterntermination ncountnasninjury?n-nANSWER n n No
, Definenapportionmentn-nANSWER n n Estimatenof nthen%nof npermanentndisabilitynwas
causednbynwork-relatedninjury
Whatnarentemporaryndisabilitynpayments?n-nANSWER n n 2/3nof naveragenweeklynpay,
limitednton104nweeksn(2nyears)
when narensupplemental njobndisplacementnbenefitsnoffered?n-nANSWER if nthenemployer
doesn'tnoffernanRTWn(return ntonwork),nanvoucherncan nbenofferedntonthenIW,nbutnmustnbe
usednwithin n2nyearsnof noffernorn5nyearsnfromndatenof ninjuryn(DOI)
When narennon-psych nvsnpsychninjuriesncompensable?n-nANSWER n n Non-psych:nif n1%nor
morenof ntheninjurynisnindustrial
Psych:nif n>50%nisnindustrial n(somenexceptions)
Whatnarenthenknown npresumptionsnfornworker'sncomp?n-
nANSWER n 1)nFirefightersn& npeacenofficersncancer,nif nknown nexposures
2)nPeacenofficersnwithnheartntrouble,nPNA,nhernia,ninfectiousndiseases,nlowernbacknissuesnif
n>5nyearsnwork
Whatnarenthenmedical ntreatmentnutilization nschedulen(MTUS)nguidelines?n-nANSWER
ODG:nchronicnpain n/npost-surgical
ACOEM:neverythingnelse
When ndidnSB899ngonintoneffect,nsonwenusenthenAMAnguidesntontheneval nof npermanent
impairmentn5th nedition nnow?n-nANSWER n n Jan n1,n2005
When narenreportsndue?n-nANSWER n n 30ndaysnfromnevaluation
When narensupplemental nreportsndue?n-nANSWER n n 60ndays
Fornhow nlongnmustnreportsnbenkept?n-nANSWER
5nyears
nWhatnisnthentimeframenfornappointmentnscheduling?
Whatnisnthentimeframenfornformn110n(apptnnotification)?n-
nANSWER n Apptnmustnbenmadenwithin n60ndaysnfromnthendatenof nthencall.
Formn110n(apptnnotification)nsentnwithin n5ndaysnof nmakingnthenappt.
Whatnisnthentimeframenforndisclosingnanconflictnof ninterest?n-nANSWER 5ndaysnfrom
learningnof nthenconflict,nin nwritingntonall npartiesninvolved
Whatnarenthentwonconditionsnandntimelinesnfornanmedical neval nextension?n-nANSWER n n 1)
30ndaysnif nwaitingnforntestnresults
2)n15ndaysnfornall nelsen("with ngoodncause")
n n n n n n n
ED CORRECT ANSWERS/ ALREADY GRADED A++
n n n n n
Anrequestnfornextension nof ntimentonservenanreportnmustnbenfiled
A. Atnleastn20ndaysnpriorntonthenduendate.
B. Atnleastn15ndaysnpriorntonthenduendate.
C.nAtnleastn5ndaysnpriorntonthenduendate.
D.nOnlynif nthenevaluatorndoesnnotnhavenoncensquarenof ntheirnschedulentonsparenwithin na
14-daynspan.n-nANSWER C.nAtnleastn5ndaysnpriorntonthenduendate.
ThenrequirednLabornCoden§4628ndisclosurenatnthenendnof neverynreport:
Isnmadenundernpenaltynof nperjury.
Can nbensignednbynthenclerical nstaff nof nan nevaluator.
Isnnotnrequiredntonbenmadenundernpenaltynof nperjury.
Includesnan nclausennotntonviolatenEMTALAnlaws.n-nANSWER A.nIsnmadenunder
penaltynof nperjury.
How nisnthendisabilitynratingnmade?n-
nANSWER n QMEsnratenthenimpairmentn(NOTnDISABILITY),nandnthennratersnusenthen
impairment rating to make a disability rating
WhatnarenthentwonexceptionsntonusingnthenAMAnguidesn5thned.ntonthenevaluationnof npe
rmanentnimpairment?n-nANSWER
Psych ncasesnandncasesnpriornton1/1/2005n(thenl
atternusenthen1997nPDRS)
WhatnarenthentwonexceptionsntonthenrequirementnthatnQMEsnhaven1/3nofntheirntimendevoted
ntondirectnclinical npractice? n-nANSWER
1)nif nthenQMEnhasnbeennannAMEnatnleastn
8ntimesnin nthenpastnyear
2)nif nthenQMEnisnretirednornanteachingnphysician
Can nacupuncturistsnissuenopinionsnon npermanentndisability?n-nANSWER No
Whatnarenthenlimitationsntonapportionment?n-nANSWER n n 1)nApportionmentnappliesnonly
tonpermanentndisabilitynandnisnbasednon ncausation
2)nonlynpermanentndisabilitynisnapportioned,nneverntreatment,nworknrestrictions,netc.
WhatnisnthensigningndatenfornQMEnreports?n-nANSWER n n thendatenthenreportnis
completed,nnotnthenevaluation ndate.nincludenthencountynof nthenreport
,Whatnarenthenfivenmajorncategoriesnof nQMEndisciplinarynaction?n-
nANSWER n 1)nconsistentnlatenreports
,1.n lacknof navailability
2) exnpartencommunications
3) self-referral
4) reportsndonnotnmeetnDWC nminimumnstandards
Whatnmustnbenincludednwith nthenHPI?n-nANSWER Andiscussionnofnthenmechanismnof
injury
Whatnarenthen5nmain ntypesnof nworkersncompnbenefits?n-nANSWER n n 1)nMedical ntreatment
2) temporaryndisabilitynbenefits
3) permanentndisabilitynbenefits
4)ndeath nbenefits
5)nsupplementalnjobndisplacementnbenefitsn(SJDB)
WhatnisnthenBoyntonnActnof n1913?n-nANSWER n n RequiresnCAnemployeesntonhave
worker'sncompninsurance
whatnisnthendefinition nof nanmedical-legal nreport?n-nANSWER tonprovenorndisprovenan
aspectnof nancontestednclaim
Whatnisnthenimpairmentnrating?n-nANSWER Ratesnthendegreentonwhichnthenimpairment
decreasesnanperson'snabilityntonperformnADLs,nexcludingnwork
WhatnarenAOEnandnCOE?n-nANSWER n n AOE:narisingnoutnof nemployment
COE:nthrough nthencoursenof nemployment
Whatnisnexnpartencommunication?n-
nANSWER n Occursnwhennanpartyntonancasencommunicatesnwith nonensidenonly.nanQME nCA
NNOTndonthisn(butncan nspeaknwith nthentreatingnMDnif nquestionsnarise)
Whatnisnthendifferencenbetweennexacerbationnandnaggravation?n-nANSWER
Exacerbation:ntemporarynworsening
Aggravation:npermanentnworseningn(new ninjury)
Definenpermanent,ntemporarynpartial nandntemporaryntotal ndisability.n-nANSWER
Permanent:nirreversiblenresidual nof nan ninjury
Tempnpartial:ncan nwork,nbutnearn nlessnthan npreviously
Tempntotal:ncannotnworknatnall
Donpsych ninjuriesnafterntermination ncountnasninjury?n-nANSWER n n No
, Definenapportionmentn-nANSWER n n Estimatenof nthen%nof npermanentndisabilitynwas
causednbynwork-relatedninjury
Whatnarentemporaryndisabilitynpayments?n-nANSWER n n 2/3nof naveragenweeklynpay,
limitednton104nweeksn(2nyears)
when narensupplemental njobndisplacementnbenefitsnoffered?n-nANSWER if nthenemployer
doesn'tnoffernanRTWn(return ntonwork),nanvoucherncan nbenofferedntonthenIW,nbutnmustnbe
usednwithin n2nyearsnof noffernorn5nyearsnfromndatenof ninjuryn(DOI)
When narennon-psych nvsnpsychninjuriesncompensable?n-nANSWER n n Non-psych:nif n1%nor
morenof ntheninjurynisnindustrial
Psych:nif n>50%nisnindustrial n(somenexceptions)
Whatnarenthenknown npresumptionsnfornworker'sncomp?n-
nANSWER n 1)nFirefightersn& npeacenofficersncancer,nif nknown nexposures
2)nPeacenofficersnwithnheartntrouble,nPNA,nhernia,ninfectiousndiseases,nlowernbacknissuesnif
n>5nyearsnwork
Whatnarenthenmedical ntreatmentnutilization nschedulen(MTUS)nguidelines?n-nANSWER
ODG:nchronicnpain n/npost-surgical
ACOEM:neverythingnelse
When ndidnSB899ngonintoneffect,nsonwenusenthenAMAnguidesntontheneval nof npermanent
impairmentn5th nedition nnow?n-nANSWER n n Jan n1,n2005
When narenreportsndue?n-nANSWER n n 30ndaysnfromnevaluation
When narensupplemental nreportsndue?n-nANSWER n n 60ndays
Fornhow nlongnmustnreportsnbenkept?n-nANSWER
5nyears
nWhatnisnthentimeframenfornappointmentnscheduling?
Whatnisnthentimeframenfornformn110n(apptnnotification)?n-
nANSWER n Apptnmustnbenmadenwithin n60ndaysnfromnthendatenof nthencall.
Formn110n(apptnnotification)nsentnwithin n5ndaysnof nmakingnthenappt.
Whatnisnthentimeframenforndisclosingnanconflictnof ninterest?n-nANSWER 5ndaysnfrom
learningnof nthenconflict,nin nwritingntonall npartiesninvolved
Whatnarenthentwonconditionsnandntimelinesnfornanmedical neval nextension?n-nANSWER n n 1)
30ndaysnif nwaitingnforntestnresults
2)n15ndaysnfornall nelsen("with ngoodncause")
