Answers Already Passed
How is the process for determining disability ratings carried out?
✔✔QMEs evaluate the level of impairment first, rather than the disability itself. This impairment
assessment is then utilized to establish the disability rating.
What are the exceptions to applying the 5th edition of the AMA Guides for assessing permanent
impairments?
✔✔Exemptions apply to mental health cases and injuries occurring before January 1, 2005,
which should follow the 1997 Permanent Disability Rating Schedule (PDRS).
In what situations can QMEs be exempt from the requirement to spend one-third of their
professional time in direct clinical care?
✔✔1) When a QME has acted as an AME at least eight times over the past year.
2) When a QME is retired or engaged in teaching roles.
Can acupuncturists provide evaluations on permanent disability?
✔✔No
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, What limitations are there for apportioning disability?
✔✔1) Apportionment is applicable only to permanent disabilities and is based on causation
factors.
2) Apportionment does not apply to treatment or work restrictions.
When should QME reports be signed?
✔✔The report should be signed on the date it is completed, not the date of the evaluation, and
should include the county where it was prepared.
What are the five main reasons QMEs can face disciplinary actions?
✔✔1) Habitually late submission of reports.
2) Inconsistent availability.
3) Involvement in one-sided communications.
4) Self-referrals.
5) Reports not meeting the minimum standards set by DWC.
What must be included in the History of Present Illness (HPI) section?
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