QME Exam Prep Self Test EXAM COMPLETE
300+ QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Opinions/conclusions must be made with reasons constituting:
A. Medical Probability
B. Medical Possibility
C. Medical Certainty - answer-A. Medical probability
An IW having had 3 similar jobs at 3 different employers, but realized she had a
problem/injury of a cumulative nature while working for the most recent
employer would place liability for any resultant disability/impairment on:
A. The most recent employer with WC insurance
B. The employer where the problem/injury first began
C. Liability for disability/impairment shared based upon apportionment
D. A & B - answer-D. A and B
When a QME completes a report in an unrepresented case where the IW is
found to be permanent & stationary and has been given a final impairment
,rating, where should the report be sent besides providing copies to the IW and
to the insurance carrier?
A. DWC-Medical Unit
B. WCAB
C. Information & Assistance Office
D. DEU - answer-D. DEU
In an unrepresented case, if the DEU has not issued a summary rating
determination, where should a QME's supplemental report be sent to?
A. Only to the parties to the case
B. A supplemental report should not be issued until a determination is made
C. Only to the WCAB
D. Only to the DWC-Medical Unit - answer-B. A supplemental report should not
be issued until a determination is made
Does a QME need authorization to refer out an IW for medically reasonable
and necessary consultations and/or diagnostic testing?
A. Yes
B. No - answer-A. Yes
Which of the following provider services and fee schedules match ups are
correct?
,A. Treatment - Official Medical Fee Schedule
B. Medical Legal Evaluations - Official Medical Fee Schedule
C. Medical Legal Evaluations - Medicare Fee Schedule
D. Treatment - Medicare Fee Schedule - answer-A. Treatment - Official Medical
Fee Schedule
In a represented case, both attorneys received the same QME panel list with
three QMEs listed on it in the specialty requested. Both attorneys agreed to
the same QME from list, therefore:
A. The panel QME was agreed to and can charge 25% more for their QME
services
B. Because the evaluator is a panel QME and not an AME, the QME cannot
charge any additional amount over and above the normal ML code charges
C. The panel QME cannot be considered to be agreed upon unless two of the
other names on the list were stricken by the attorneys
D. The panel QME's charge is not bound by the Official Medical Legal Fee
Schedule because the QME was agreed to. - answer-A. The panel QME was
agreed to and can charge 25% more for their QME services
In 2008 a workers' compensation claim with a Date of Injury (DOI) in 2001 was
re-evaluated and the IW was finally found by the QME to be permanent &
stationary for purposes of providing a final rating. Given the DOI, which of the
following is most correct and applicable in this situation?
, A. Under SB899, all cases made permanent & stationary after 2005 are rated
using the AMA Guide (5th Ed.) impairment rating system
B. Under SB899, only cases with a DOI of 01/01/05 forward can be rated using
the AMA Guide (5th
Ed.)
C. IWs with a DOI before 2005 but made permanent & stationary from
01/01/05 forward should be rated with the system that provides the highest
disability rating
D. None of the above is correct. - answer-A. Under SB899, all cases made
permanent & stationary after 2005 are rated using the AMA Guide (5th Ed.)
impairment rating system
A medical legal expense under LC4662 must be paid within how many days?
A. 30
B. 45
C. 60
D. 90 - answer-C. 60
Under SB899, a limit was placed on how many visits an IW may have to which
of the following?
A. Chiropractors only
B. Psychologists only
C. Chiropractors and psychologists only
300+ QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Opinions/conclusions must be made with reasons constituting:
A. Medical Probability
B. Medical Possibility
C. Medical Certainty - answer-A. Medical probability
An IW having had 3 similar jobs at 3 different employers, but realized she had a
problem/injury of a cumulative nature while working for the most recent
employer would place liability for any resultant disability/impairment on:
A. The most recent employer with WC insurance
B. The employer where the problem/injury first began
C. Liability for disability/impairment shared based upon apportionment
D. A & B - answer-D. A and B
When a QME completes a report in an unrepresented case where the IW is
found to be permanent & stationary and has been given a final impairment
,rating, where should the report be sent besides providing copies to the IW and
to the insurance carrier?
A. DWC-Medical Unit
B. WCAB
C. Information & Assistance Office
D. DEU - answer-D. DEU
In an unrepresented case, if the DEU has not issued a summary rating
determination, where should a QME's supplemental report be sent to?
A. Only to the parties to the case
B. A supplemental report should not be issued until a determination is made
C. Only to the WCAB
D. Only to the DWC-Medical Unit - answer-B. A supplemental report should not
be issued until a determination is made
Does a QME need authorization to refer out an IW for medically reasonable
and necessary consultations and/or diagnostic testing?
A. Yes
B. No - answer-A. Yes
Which of the following provider services and fee schedules match ups are
correct?
,A. Treatment - Official Medical Fee Schedule
B. Medical Legal Evaluations - Official Medical Fee Schedule
C. Medical Legal Evaluations - Medicare Fee Schedule
D. Treatment - Medicare Fee Schedule - answer-A. Treatment - Official Medical
Fee Schedule
In a represented case, both attorneys received the same QME panel list with
three QMEs listed on it in the specialty requested. Both attorneys agreed to
the same QME from list, therefore:
A. The panel QME was agreed to and can charge 25% more for their QME
services
B. Because the evaluator is a panel QME and not an AME, the QME cannot
charge any additional amount over and above the normal ML code charges
C. The panel QME cannot be considered to be agreed upon unless two of the
other names on the list were stricken by the attorneys
D. The panel QME's charge is not bound by the Official Medical Legal Fee
Schedule because the QME was agreed to. - answer-A. The panel QME was
agreed to and can charge 25% more for their QME services
In 2008 a workers' compensation claim with a Date of Injury (DOI) in 2001 was
re-evaluated and the IW was finally found by the QME to be permanent &
stationary for purposes of providing a final rating. Given the DOI, which of the
following is most correct and applicable in this situation?
, A. Under SB899, all cases made permanent & stationary after 2005 are rated
using the AMA Guide (5th Ed.) impairment rating system
B. Under SB899, only cases with a DOI of 01/01/05 forward can be rated using
the AMA Guide (5th
Ed.)
C. IWs with a DOI before 2005 but made permanent & stationary from
01/01/05 forward should be rated with the system that provides the highest
disability rating
D. None of the above is correct. - answer-A. Under SB899, all cases made
permanent & stationary after 2005 are rated using the AMA Guide (5th Ed.)
impairment rating system
A medical legal expense under LC4662 must be paid within how many days?
A. 30
B. 45
C. 60
D. 90 - answer-C. 60
Under SB899, a limit was placed on how many visits an IW may have to which
of the following?
A. Chiropractors only
B. Psychologists only
C. Chiropractors and psychologists only
