QME Competency Exam Prep Guide Questions With Complete Solutions.

QME Competency Exam Prep Guide
Questions With Complete Solutions

Who holds authority to appoint physicians as QME evaluators? - CORRECT
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ANSWER✔✔-Administrative Director (AD) (LC 139.2) | | | |




What is the term of appointment as QME evaluator? - CORRECT ANSWER✔✔-2
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years (LC 139.2) | |




What are the 3 requirements when seeking appointment as QME? - CORRECT
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ANSWER✔✔-(1) Pass the QME competency exam; (2) Complete a 12-hour course | | | | | | | | | | |


in disability eval report writing; (3) Devote at least 1/3rd of total practice time to
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providing direct medical treatment (or have served as a AME on 8+ occasions in
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past 12 mos prior to application)
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What are the 2 reasons for termination/suspension of a QME without a hearing?
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- CORRECT ANSWER✔✔-(1) Licensing board suspends/revokes/terminates license
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to practice; (2) Failure to pay required fee (upon appointment and yearly
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thereafter)


What are the 6 reasons for discipline (suspension/termination) of QMEs after a
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hearing? - CORRECT ANSWER✔✔-(1) Violation of material statutory or
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administrative duty; (2) Failure to follow medical procedures or qualifications; (3)
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Failure to comply with the timeframe standards; (4) Failure to meet
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licensing/certification requirements; (5) Preparation of medical-legal evaluations
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that fail to meet the minimum standards for those reports as established by the
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, administrative director or the appeals board; (6) Making material
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misrepresentations or false statements in an application for appointment or | | | | | | | | | |


reappointment as a qualified medical evaluator. | | | | |




What are the 3 types of substantive medical disputes resolved by QMEs? -
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CORRECT ANSWER✔✔-(1) Compensability of the claim; (2) Permanent disability;
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(3) 'Catch-all' (temporary disability, work restrictions, new and further disabilities
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after permanent disability (deterioration of original injury), compensability of
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new body part added to claim)
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What is the definition of 'injury' in compensability claims? - CORRECT
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ANSWER✔✔-(1) An injury or disease arising out of employment; (2) A 'derivative'
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injury caused by treatment of an injury arising out of employment; (3) Any
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reaction to or side effect from preventative health care the employer provides
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Time frame in which either party in unrepresented cases may object to a
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medication determination by the treating physician - CORRECT ANSWER✔✔-30
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days, in writing
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Time limit for unrepresented injured worker to submit request for a QME panel
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after receiving form from employer - CORRECT ANSWER✔✔-10 days
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Time frame after which unrepresented worker has the right to obtain an
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evaluation from any QME within a reasonable geographic area - CORRECT
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ANSWER✔✔-After 20 days, if request for QME panel is not issued | | | | | | | | | |




Time frame in which an injured worker is required to select a physician from the
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QME panel, make an appointment for the exam and inform the claims
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