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QME Examination Test Questions Final Exam with Complete Solutions Which individual or entity is responsible for determining if a worker is eligible for benefits using medical and legal reports? The eligibility for benefits is determined by the reports from treating physicians and medical- ...

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  • August 7, 2024
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  • 2024/2025
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QME Examination Test Questions Final
Exam with Complete Solutions
Which individual or entity is responsible for determining if a worker is eligible for benefits using

medical and legal reports?


✔✔The eligibility for benefits is determined by the reports from treating physicians and medical-

legal evaluations.




If an unrepresented worker does not notify their employer about their selection from a panel of

medical evaluators within how many days, can the employer choose a physician instead?


✔✔The employer may select a physician if the worker does not notify them within 10 days of

the panel assignment.




What key issues did the SB-228 reforms of 2003, enacted by Governor Davis, focus on?


✔✔The SB-228 reforms primarily addressed the ACOEM Guidelines, including limiting visits to

24.




When a QME evaluation concerns only compensability (AOE/COE), which entity should not

receive the QME report?


✔✔The QME report should not be sent to the Local Disability Evaluation Unit (DEU).


1

,What were the primary concerns addressed by the SB-899 reforms of 2004 under Governor

Schwarzenegger?


✔✔The SB-899 reforms mainly addressed the AMA Impairment Guides and the establishment

of Medical Provider Networks (MPNs).




Which term is not commonly used as a legal "word of art" in California?


✔✔"Often" is not used as a legal term in California.




Who is responsible for choosing the Qualified Medical Evaluator (QME)?


✔✔The patient is responsible for selecting the QME.




What requirement did the Boynton Act of 1913 impose on employers regarding workers'

compensation?


✔✔The Boynton Act required most employers to obtain workers' compensation insurance.




What is the term used to describe the historical agreement between employers and employees

regarding workers' compensation?


✔✔This agreement is known as the Historic Compromise.

2

, For how many years must medical-legal billing records be kept after the examination date?


✔✔These records must be retained for three years.




What is the employer's obligation concerning workers' compensation benefits regardless of who

caused the injury?


✔✔The employer must provide benefits regardless of the fault in the injury.




Where should a request for an extension to submit a QME report be sent?


✔✔The request should be sent to the Medical Unit at the Division of Workers' Compensation

(DWC).




Under what condition must employers provide benefits regardless of who caused the injury?


✔✔Benefits must be provided if the injury occurred in the course of and arose out of

employment (AOE/COE).




What happens to the compensation if serious and willful misconduct by the employee is proven?


✔✔The compensation may be reduced by half.



3

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