Guides / The QME exam
Guide · 5 min read

What Happens at a QME Exam — and Why It Sets Your Money

The QME appointment is where your permanent-disability money gets measured: what the evaluator does, what to bring, what the report will contain (WPI, apportionment, work restrictions), and how to check it afterward.

The QME appointment is the most consequential hour of most comp cases — not because of what happens in the room, but because of the report that comes out of it: the WPI, apportionment, and restrictions that become your rating. Here is what to expect and what to do with it.

Before: the paper

The evaluator gets your medical records and, often, advocacy letters from both sides. Your part: know your own history cold — prior injuries and conditions will surface, and they feed the apportionment analysis. Bring your medication list and be ready to describe symptoms concretely (what you can’t do, how long you can sit/stand/lift).

During: the exam

History, then examination — range-of-motion measurements, strength, sensation, whatever the injured parts call for. Answer honestly and completely; the exam has internal consistency checks, and the report will say whether your presentation matched the objective findings. Neither minimizing nor amplifying helps you.

After: the report is the case

Weeks later the report lands, and five numbers in it set the money: WPI per body part, apportionment, the job description (it picks the occupational variant), your age, and whether every claimed part was actually rated. Run the WPI through the calculator the day it arrives — the dollars follow mechanically. If a rating string comes back from the DEU or the other side, the decoder verifies it step by step.

If the report is wrong

Factual errors (wrong job, missed body part, history mistakes) can be addressed through supplemental reports and, in represented cases, depositions — the AME/QME guide covers the machinery. What you should never do is accept a number without checking the arithmetic behind it; the math half is free to verify. Estimates for informational use; not legal or medical advice.

FAQ

What happens at a QME exam?
The evaluator reviews your records, takes a history, examines the injured parts (measurements, strength, motion), and writes a medical-legal report assigning whole-person impairment, addressing apportionment, and describing work restrictions. That report — not the appointment itself — is what turns into your rating.
How should I prepare for a QME appointment?
Know your history (dates, treatments, prior injuries — they WILL come up on apportionment), bring your medication list, describe your worst-day and average-day symptoms honestly, and don’t minimize or exaggerate: the exam includes consistency checks, and credibility drives the report.
What should I look for in the QME report?
Five things set the money: the WPI for each body part, the apportionment percentages, whether every injured part was addressed, the accuracy of your job description, and the work restrictions. Run the WPI through a rating calculator and you know what the report is worth before anyone calls you.
Is the QME the same as an AME?
A QME comes from a state panel when the parties dispute medical issues; an AME is one evaluator both sides agree on (represented cases only) whose findings are harder to challenge. Same exam, different selection and weight.
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