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HCC QME Exam: Terms, Dates, and Concepts UPDATED ACTUAL Questions and CORRECT Answers

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HCC QME Exam: Terms, Dates, and Concepts UPDATED ACTUAL Questions and CORRECT Answers

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HCC QME Exam: Terms, Dates, and
Concepts UPDATED ACTUAL
Questions and CORRECT Answers

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Terms in this set (337)


A QME 2 years (LC 139.2)
certification is
valid for how
may years?

(1) QME competency exam
What are 3
(2) 12-hour course in report writing
requirements a
(3) Devote at least 1/3rd of total
physician must
practice time to providing direct
complete to
medical treatment (or have served
become a
as a AME on 8+ occasions in past 12
certified QME?
months prior to application)

,What are 2 (1) Licensing board
reasons for suspends/revokes/terminates
termination/susp license to practice
ension of a QME (2) Failure to pay required fee (upon
without a appointment and yearly thereafter)
hearing?

(1) Violation of material statutory or
administrative duty;
(2) Failure to follow medical
procedures or qualifications;
(3) Failure to comply with the
timeframe standards;
What are the 6
(4) Failure to meet
reasons for
licensing/certification requirements;
discipline
(5) Preparation of medical-legal
(suspension/ter
evaluations that fail to meet the
mination) of
minimum standards for those
QME that would
reports as established by the
require a
administrative director or the
hearing?
appeals board;
(6) Making material
misrepresentations or false
statements in an application for
appointment or reappointment as a
qualified medical evaluator.

, (1) Injury or disease arising out of
What is the employment
definition of an (2) Injury caused by treatment of an
Injury in WC injury
claims? (3) Reaction to, or side effect from
care

What is the Injury from of a single incident or
definition of exposure
Specific Injury in
WC claims?

What is the Repetitive trauma over a period of
definition of time
Cumulative
Injury in WC
claims?

What are the 2 (1) Cause a disability
requirements for (2) Need for medical treatment
a condition to
be considered
an injury in WC
cases?

, What is the Disease/Injury that is caused by
definition of work
occupational
disease?

(1) Use of alcohol or illegal drugs
(2) Self inflicted injuries
(3) Suicide
What are the 7 (4) Altercations, in which the injured
types of employee is the initial physical
excluded injuries aggressor
in WC Cases? (5) Committing of a felony
(6) Off-duty recreational activities
(7) Psychiatric injuries claimed after
notice of termination

What are the 4 (1) Injury
basic conditions (2) Employment relationship
to establish a (3) Injury caused by the
workers' employment (AOE)
compensation (4) Occurred in the course of the
claim? employment (COE)

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