1. Who holds authority to ap- Administrative Director (AD) (LC 139.2)
point physicians as QME
evaluators?
2. What is the term of ap- 2 years (LC 139.2)
pointment as QME evalua-
tor?
3. What are the 3 require- (1) Pass the QME competency exam; (2) Complete a 12-hour course
ments when seeking ap- in disability eval report writing; (3) Devote at least 1/3rd of total
pointment as QME? practice time to providing direct medical treatment (or have served
as a AME on 8+ occasions in past 12 mos prior to application)
4. What are the 2 reasons for (1) Licensing board suspends/revokes/terminates license to prac-
termination/suspension of tice; (2) Failure to pay required fee (upon appointment and yearly
a QME without a hearing? thereafter)
5. What are the 6 reasons for (1) Violation of material statutory or administrative duty; (2) Failure
discipline (suspension/ter- to follow medical procedures or qualifications; (3) Failure to comply
mination) of QMEs after a with the timeframe standards; (4) Failure to meet licensing/certifica-
hearing? tion requirements; (5) Preparation of medical-legal evaluations that
fail to meet the minimum standards for those reports as established
by the administrative director or the appeals board; (6) Making
material misrepresentations or false statements in an application for
appointment or reappointment as a qualified medical evaluator.
6. What are the 3 types of (1) Compensability of the claim; (2) Permanent disability; (3)
substantive medical dis- 'Catch-all' (temporary disability, work restrictions, new and further
putes resolved by QMEs? disabilities after permanent disability (deterioration of original in-
jury), compensability of new body part added to claim)
7. (1) An injury or disease arising out of employment; (2) A 'derivative'
, injury caused by treatment of an injury arising out of employment;
point physicians as QME
evaluators?
2. What is the term of ap- 2 years (LC 139.2)
pointment as QME evalua-
tor?
3. What are the 3 require- (1) Pass the QME competency exam; (2) Complete a 12-hour course
ments when seeking ap- in disability eval report writing; (3) Devote at least 1/3rd of total
pointment as QME? practice time to providing direct medical treatment (or have served
as a AME on 8+ occasions in past 12 mos prior to application)
4. What are the 2 reasons for (1) Licensing board suspends/revokes/terminates license to prac-
termination/suspension of tice; (2) Failure to pay required fee (upon appointment and yearly
a QME without a hearing? thereafter)
5. What are the 6 reasons for (1) Violation of material statutory or administrative duty; (2) Failure
discipline (suspension/ter- to follow medical procedures or qualifications; (3) Failure to comply
mination) of QMEs after a with the timeframe standards; (4) Failure to meet licensing/certifica-
hearing? tion requirements; (5) Preparation of medical-legal evaluations that
fail to meet the minimum standards for those reports as established
by the administrative director or the appeals board; (6) Making
material misrepresentations or false statements in an application for
appointment or reappointment as a qualified medical evaluator.
6. What are the 3 types of (1) Compensability of the claim; (2) Permanent disability; (3)
substantive medical dis- 'Catch-all' (temporary disability, work restrictions, new and further
putes resolved by QMEs? disabilities after permanent disability (deterioration of original in-
jury), compensability of new body part added to claim)
7. (1) An injury or disease arising out of employment; (2) A 'derivative'
, injury caused by treatment of an injury arising out of employment;
