QME testing 12 Flashcards
(15 cards)
What case established that apportionment can be based on genetics, pathology, or asymptomatic conditions?
Escobedo v. Marshalls (2005) en banc decision.
What case requires disability from multiple injuries to be apportioned separately unless inextricably intertwined?
Benson v. WCAB (2009).
What case supports using non-standard AMA rating methods when more accurate?
Almaraz-Guzman II (2009).
What Labor Code section defines the requirement for medical-legal reports to determine apportionment?
Labor Code §4663.
What section of the California Code of Regulations defines QME report formatting requirements?
8 CCR §49.
What Labor Code governs timelines and procedures for QME panel selection in represented cases?
Labor Code §4062.2.
What is a common test question trap about impairment ratings under AMA Guides?
Assuming subjective symptoms alone justify impairment ratings — they do not.
What is a common error in evaluating multiple body part injuries?
Double-counting impairments or failing to use the Combined Values Chart.
What mistake do candidates often make in causation questions?
Confusing apportionment of impairment with causation of injury.
Why is citing the AMA chapter important in your report?
To show proper methodology and support the validity of the impairment rating.
What form is used to object to a treating physician’s report and initiate the QME process?
DWC Form 105.
What is the main reason a QME’s report may be rejected by the WCAB?
Failure to address all required elements, such as apportionment or causation.
What must a QME include when rating mental health impairments under Chapter 14?
A multi-axis analysis including GAF replacement elements (activities of daily living, social functioning, etc.).
What case clarified that impairment ratings may be rebutted for being inaccurate under AMA Guides?
Almaraz-Guzman II.
What should you do on the QME exam if two answers both seem correct?
Choose the one that aligns most directly with California Labor Code or AMA 5th Edition methodology.
