QME Examination Test Questions Final Solutions
Q1: What is the purpose of treating physician reports and medical-legal evaluations?
A1: They are used to establish eligibility for benefits. ---
Q2: If the employee does not inform the employer of their selection within how many days of the
...
Q1: What is the purpose of treating physician reports and medical-legal evaluations?
A1: They are used to establish eligibility for benefits.
---
Q2: If the employee does not inform the employer of their selection within how many days of the
assignment of a panel of qualified medical evaluators, may the employer select the physician?
A2: The employee must inform the employer within 10 days.
---
Q3: What issues did the SB-228 reforms of 2003 (Governor Davis) primarily address?
A3: The SB-228 reforms primarily addressed ACOEM Guidelines, particularly the 24 visit limit for
treatments.
---
Q4: When the QME evaluation is for compensability only (AOE/COE), to whom should the QME report
NOT be sent?
A4: The QME report should NOT be sent to the Local Disability Evaluation Unit (DEU).
---
Q5: What issues did the SB-899 reforms of 2004 (Governor Schwarzenegger) primarily address?
A5: The SB-899 reforms primarily addressed the use of AMA Impairment Guides and the establishment
of Medical Provider Networks (MPNs).
---
,Q6: Identify a term that is NOT considered a ratable "word of art" in California.
A6: The term "Often" is not a ratable "word of art."
---
Q7: Who selects the Qualified Medical Evaluator (QME)?
A7: The patient selects the QME.
---
Q8: What was the significance of the Boynton Act of 1913?
A8: The Boynton Act required most employers to have workers' compensation coverage.
---
Q9: What is the trade-off between employers and employees commonly referred to as?
A9: This trade-off is referred to as The Historic Compromise.
---
Q10: For how many years are you required to keep and maintain all medical-legal billings from the date
of examination?
A10: You must keep and maintain all medical-legal billings for 3 years.
---
Q11: Do employers provide workers' compensation benefits regardless of fault?
A11: Yes, employers provide benefits regardless of fault.
, ---
Q12: Where must a copy of the notice to request an extension to file a QME report be sent?
A12: It must be sent to the Medical Unit at the Division of Workers' Compensation (DWC).
---
Q13: The employer is required to pay benefits as long as the injury is referred to as AOE/COE. What does
this mean?
A13: The employer must pay benefits as long as the injury arose out of employment (AOE) and occurred
in the course of employment (COE).
---
Q14: What may happen to the award if there is serious and willful misconduct by the employee?
A14: The award may be decreased by 1/2.
---
Q15: What options does an injured worker have if the employer is uninsured for workers'
compensation?
A15: The injured worker can:
- Sue in civil court
- Receive punitive damages for pain and suffering
- Have the District Attorney fine the employer.
---
Q16: For dates of injury after January 1, 2005, what must a QME use?
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