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Exam (elaborations)

QME Examination Test Questions FINAL

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QME Examination Test Questions FINAL

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  • October 7, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • QME
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QME Examination Test Questions FINAL

j 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



"Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a
crime and may be subject to imprisonment in the state prison for up to ____ years or a fine of up to
$50,000 or both - five (5) years



Payments to compensate an employee who does not completely recover from an injury - PD



"Disability = Impairment + Loss earning capacity + Occupational title + Age" - Formula for PD



Means approximately 90-100 percent of the time, as a ratable "word of art" - Constant

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