Qualified Medical Evaluators (QMEs) help resolve medical disputes in the workers’ compensation system by evaluating examinees and issuing medical opinions. The panel of evaluators assists injured workers, claims administrators, medical provider networks (MPNs), and health care organizations (HCOs). Becoming a QME is a great way to add an additional source of income while maintaining your busy physician’s schedule. You register up to ten office locations, so you decide how busy you would like to be. You can perform examinations and do your reports at your convenience or on the weekends.
If you meet the Labor Code section 139.2 requirements, you can apply with the Division of Workers’ Compensation Medical Unit to take the QME Competency Examination. The test is held twice a year in April and October. The application and test registration form must be received or postmarked 45 days prior to the date of the exam. You have three tries to pass the exam, or you will need to complete six hours of an education course approved by the Council prior to taking again (see list of DWC approved course providers).
We can help you study for the exam and guide you on how to start your QME practice. Here are some study resources:
- Competency Examination Study Guide
- Competency Booklet
- Physician Guide to Medical Practice in the California Workers’ Compensation System
- Fee Schedule & Basic Report Tutorial (Powerpoint)
- Labor Codes Division 4. Workers’ Compensation and Insurance Index
- Article 2. Determination of Medical Issues [4060-4068]
- §35.5. Compliance by AMEs and QMEs with Administrative Director Evaluation and Reporting Guidelines (DIR Title 8 Industrial Relations, Division 1, Chapter 1, Article 3)
- § 9795. Reasonable Level of Fees for Medical Legal Expenses, Supplemental, Evaluations and Testimony (DIR Chapter 4.5, Subchapter 1, Article 5.6)
- Permanent Disability Rating Schedule (PDRS) FAQ and the Schedule Rating Permanent Disabilities
For more specific subjects to study, visit Crosspoint’s QME Exam Preparation – Recommended Topics.
For more information on the application process, visit:
You will also need to complete a 12 hour report writing course after the exam, here is a list of providers.
Contact us at 415.548.2070 or firstname.lastname@example.org for more information.