QME Exam Prep p2
1. How is the disability rating made? QMEs rate the impairment (NOT DISABILITY),
and then raters use the impairment rating to
make a disability rating
2. What are the two exceptions to using the Psych cases and cases prior to 1/1/2005 (the
AMA guides 5th ed. to the evaluation of latter use the 1997 PDRS)
permanent impairment?
3. What are the two exceptions to the re- 1) if the QME has been an AME at least 8 times
quirement that QMEs have 1/3 of their in the past year
time devoted to direct clinical practice? 2) if the QME is retired or a teaching physician
4. Can acupuncturists issue opinions on per- No
manent disability?
5. What are the limitations to apportion- 1) Apportionment applies only to permanent
ment? disability and is based on causation
2) only permanent disability is apportioned,
never treatment, work restrictions, etc.
6. What is the signing date for QME reports? the date the report is completed, not the eval-
uation date. include the county of the report
7. What are the five major categories of QME 1) consistent late reports
disciplinary action? 2) lack of availability
3) ex parte communications
4) self-referral
5) reports do not meet DWC minimum stan-
dards
8. What must be included with the HPI? A discussion of the mechanism of injury
9.
1/7
, QME Exam Prep p2
What are the 5 main types of workers 1) Medical treatment
comp benefits? 2) temporary disability benefits
3) permanent disability benefits
4) death benefits
5) supplemental job displacement benefits
(SJDB)
10. What is the Boynton Act of 1913? Requires CA employees to have worker's
comp insurance
11. what is the definition of a medical-legal to prove or disprove an aspect of a contested
report? claim
12. What is the impairment rating? Rates the degree to which the impairment
decreases a person's ability to perform ADLs,
excluding work
13. What are AOE and COE? AOE: arising out of employment
COE: through the course of employment
14. What is ex parte communication? Occurs when a party to a case communicates
with one side only. a QME CANNOT do this
(but can speak with the treating MD if ques-
tions arise)
15. What is the difference between exacerba- Exacerbation: temporary worsening
tion and aggravation? Aggravation: permanent worsening (new in-
jury)
16. Define permanent, temporary partial and Permanent: irreversible residual of an injury
temporary total disability. Temp partial: can work, but earn less than
previously
Temp total: cannot work at all
2/7
1. How is the disability rating made? QMEs rate the impairment (NOT DISABILITY),
and then raters use the impairment rating to
make a disability rating
2. What are the two exceptions to using the Psych cases and cases prior to 1/1/2005 (the
AMA guides 5th ed. to the evaluation of latter use the 1997 PDRS)
permanent impairment?
3. What are the two exceptions to the re- 1) if the QME has been an AME at least 8 times
quirement that QMEs have 1/3 of their in the past year
time devoted to direct clinical practice? 2) if the QME is retired or a teaching physician
4. Can acupuncturists issue opinions on per- No
manent disability?
5. What are the limitations to apportion- 1) Apportionment applies only to permanent
ment? disability and is based on causation
2) only permanent disability is apportioned,
never treatment, work restrictions, etc.
6. What is the signing date for QME reports? the date the report is completed, not the eval-
uation date. include the county of the report
7. What are the five major categories of QME 1) consistent late reports
disciplinary action? 2) lack of availability
3) ex parte communications
4) self-referral
5) reports do not meet DWC minimum stan-
dards
8. What must be included with the HPI? A discussion of the mechanism of injury
9.
1/7
, QME Exam Prep p2
What are the 5 main types of workers 1) Medical treatment
comp benefits? 2) temporary disability benefits
3) permanent disability benefits
4) death benefits
5) supplemental job displacement benefits
(SJDB)
10. What is the Boynton Act of 1913? Requires CA employees to have worker's
comp insurance
11. what is the definition of a medical-legal to prove or disprove an aspect of a contested
report? claim
12. What is the impairment rating? Rates the degree to which the impairment
decreases a person's ability to perform ADLs,
excluding work
13. What are AOE and COE? AOE: arising out of employment
COE: through the course of employment
14. What is ex parte communication? Occurs when a party to a case communicates
with one side only. a QME CANNOT do this
(but can speak with the treating MD if ques-
tions arise)
15. What is the difference between exacerba- Exacerbation: temporary worsening
tion and aggravation? Aggravation: permanent worsening (new in-
jury)
16. Define permanent, temporary partial and Permanent: irreversible residual of an injury
temporary total disability. Temp partial: can work, but earn less than
previously
Temp total: cannot work at all
2/7
