QME Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. What is QME Form 120? - Correct Answer: Voluntary by patient to not
release mental health info directly to patient, but another to discuss with
patient
2. What is QME Form 121? - Correct Answer: Protect from patient
3. AOE vs COE? - Correct Answer: AaOE = arose from ACTIVITIES of
employment, COrE = course of REGULAR SITE of employment
4. HIV patients need __ file - Correct Answer: fictitious name file
5. QME has to retain reports for __ years - Correct Answer: 5
6. Minimum face to face time for neuromuscular __, psych __, and all else __
minutes - Correct Answer: 20 for NM, 60 for psych, 30 for all else
7. apportionment can only be based on __ - Correct Answer: permanent
disability
,8. difference between: light duty and modified duty, both of which are
"reasonable accommodations" - Correct Answer: light duty = totally
different job; modified duty = same job modified
9. total disability benefits for most workers last __ weeks for DOI from
1/1/2005 - Correct Answer: 104
10.after QME has been requested, appointment date must be within __ days -
Correct Answer: 60
11.option for dispute in UNREPRESENTED case? - Correct Answer: Panel
QME
12.subjective, objective, and work exclusions are considered for disability
rating for cases that have __ date before 2005 - Correct Answer: DOI
(not P&S!)
13.Packard Thurber's ROM is used for cases that have __ date before 2005 -
Correct Answer: P&S (not DOI)
14.IW can request __ other doctors within the MPN, if they do not like/agree
with the opinion - Correct Answer: 2
15.if reasonable accommodation (light or modified duty) pays less than __% of
the original earnings, then they qualify for temporary disability
compensation - Correct Answer: 85
,16.IW can request to see what 3 things from the QME at the face to face eval?
- Correct Answer: CV, license, QME certificate
17.QME reports from unrepresented cases are sent to __ - Correct Answer:
DEU (disability eval unit)
18.Supplemental reports in unrepresented cases should not be sent to DEU
until __ has been issued - Correct Answer: Summary Rating
Determination (SRD)
19.OMFS and MLFS? - Correct Answer: Official Medical Fee Schedule,
Medical Legal Fee Schedule
20.modifiers for medical legal billings? -92, -93, -94, -95 - Correct Answer: -
92 is PTP, -93 is interpreter, -94 is AME or APQME, -95 is panel QME ("'92
PIAP")
21.interpreters for QME need to be __ - Correct Answer: certified
22.PQME or APQME (but not AME): reschedule must be within __ days -
Correct Answer: 30
23.Can QME contact PTP for records? - Correct Answer: Yes, but document
, 24.can initial QME appointments be moved to a different location? -
Correct Answer: No (but subsequent visits can move to a location ALREADY
filed with the DWC Medical Unit)
25.starting date of __, for PHYSICAL injury cases, sleep, sex, and psych
impairments are not ratable without DIRECT cause. However, they can still
be treated for them. - Correct Answer: 1/1/2013
26.SJDB stands for __, which is due within __ days of P&S and the employer
does not offer the worker a job based on restrictions - Correct Answer:
Supplemental Job Displacement Benefits, 60 days
27.SJDB benefits are maxed at __ for DOI past 1/1/2013, but maxed at __ for
DOI before 1/1/2013 - Correct Answer: $6000 (after 1/1/13), $4000-
10000 (before 1/1/13)
28.new job offered based on QME or AME work restrictions must have salary
at least __% of pre-injury work - Correct Answer: 85%
29.SJDB can be used for which 5 things? - Correct Answer: (1) training at an
approved school, (2) for licensing/certification/testing fees, (3) for tools
required in training, (4) for computers, and (5) job placement agency or
vocational counselor
30.Depositions are reimbursed to physicians at a rate of __ per hour, rounded
to nearest _ hour - Correct Answer: $250, 0.25 hour
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. What is QME Form 120? - Correct Answer: Voluntary by patient to not
release mental health info directly to patient, but another to discuss with
patient
2. What is QME Form 121? - Correct Answer: Protect from patient
3. AOE vs COE? - Correct Answer: AaOE = arose from ACTIVITIES of
employment, COrE = course of REGULAR SITE of employment
4. HIV patients need __ file - Correct Answer: fictitious name file
5. QME has to retain reports for __ years - Correct Answer: 5
6. Minimum face to face time for neuromuscular __, psych __, and all else __
minutes - Correct Answer: 20 for NM, 60 for psych, 30 for all else
7. apportionment can only be based on __ - Correct Answer: permanent
disability
,8. difference between: light duty and modified duty, both of which are
"reasonable accommodations" - Correct Answer: light duty = totally
different job; modified duty = same job modified
9. total disability benefits for most workers last __ weeks for DOI from
1/1/2005 - Correct Answer: 104
10.after QME has been requested, appointment date must be within __ days -
Correct Answer: 60
11.option for dispute in UNREPRESENTED case? - Correct Answer: Panel
QME
12.subjective, objective, and work exclusions are considered for disability
rating for cases that have __ date before 2005 - Correct Answer: DOI
(not P&S!)
13.Packard Thurber's ROM is used for cases that have __ date before 2005 -
Correct Answer: P&S (not DOI)
14.IW can request __ other doctors within the MPN, if they do not like/agree
with the opinion - Correct Answer: 2
15.if reasonable accommodation (light or modified duty) pays less than __% of
the original earnings, then they qualify for temporary disability
compensation - Correct Answer: 85
,16.IW can request to see what 3 things from the QME at the face to face eval?
- Correct Answer: CV, license, QME certificate
17.QME reports from unrepresented cases are sent to __ - Correct Answer:
DEU (disability eval unit)
18.Supplemental reports in unrepresented cases should not be sent to DEU
until __ has been issued - Correct Answer: Summary Rating
Determination (SRD)
19.OMFS and MLFS? - Correct Answer: Official Medical Fee Schedule,
Medical Legal Fee Schedule
20.modifiers for medical legal billings? -92, -93, -94, -95 - Correct Answer: -
92 is PTP, -93 is interpreter, -94 is AME or APQME, -95 is panel QME ("'92
PIAP")
21.interpreters for QME need to be __ - Correct Answer: certified
22.PQME or APQME (but not AME): reschedule must be within __ days -
Correct Answer: 30
23.Can QME contact PTP for records? - Correct Answer: Yes, but document
, 24.can initial QME appointments be moved to a different location? -
Correct Answer: No (but subsequent visits can move to a location ALREADY
filed with the DWC Medical Unit)
25.starting date of __, for PHYSICAL injury cases, sleep, sex, and psych
impairments are not ratable without DIRECT cause. However, they can still
be treated for them. - Correct Answer: 1/1/2013
26.SJDB stands for __, which is due within __ days of P&S and the employer
does not offer the worker a job based on restrictions - Correct Answer:
Supplemental Job Displacement Benefits, 60 days
27.SJDB benefits are maxed at __ for DOI past 1/1/2013, but maxed at __ for
DOI before 1/1/2013 - Correct Answer: $6000 (after 1/1/13), $4000-
10000 (before 1/1/13)
28.new job offered based on QME or AME work restrictions must have salary
at least __% of pre-injury work - Correct Answer: 85%
29.SJDB can be used for which 5 things? - Correct Answer: (1) training at an
approved school, (2) for licensing/certification/testing fees, (3) for tools
required in training, (4) for computers, and (5) job placement agency or
vocational counselor
30.Depositions are reimbursed to physicians at a rate of __ per hour, rounded
to nearest _ hour - Correct Answer: $250, 0.25 hour
