QUALIFIED MEDICAL EVALUATOR (QME) FINAL
EXAM 2025-2026 QUESTIONS AND CORRECT
ANSWERS
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 injuyr 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
EXAM 2025-2026 QUESTIONS AND CORRECT
ANSWERS
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 injuyr 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
