QME Exam Prep Newest With complete
Questions & Correct detailed Answers
Holds authority to appoint physicians as QME evaluators - correct answer >>>>Administrative Director
(AD) (LC 139.2)
Term of appointment as QME evaluator - correct answer >>>>2 years (LC 139.2)
3 requirements when seeking appointment as QME - correct 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 providing direct medical treatment (or have served as
a AME on 8+ occasions in past 12 mos prior to application)
2 reasons for termination/suspension of a QME w/o a hearing - correct answer >>>>(1) Licensing board
suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
6 reasons for discipline (suspension/termination) of QMEs after a hearing - correct answer >>>>(1)
Violation of material statutory or administrative duty
(2) Failure to follow medical procedures or qualifications;(3) Failure to comply with the timeframe
standards
(4) Failure to meet licensing/certification 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.
, 3 types of substantive medical disputes resolved by QMEs - correct answer >>>>(1) Compensability of
the claim
(2) Permanent disability
(3) "Catch-all" (temporary disability, work restrictions, new and further disabilities after permanent
disability (deterioration of original injury), compensability of new body part added to claim))
Definition of *injury* in compensability claims - correct answer >>>>(1) An injury or disease arising out
of employment
(2) A *derivative* injury caused by treatment of an injury arising out of employment
(3) Any reaction to or side effect from preventative health care the employer provides to health care
workers
What is a specific injury - correct answer >>>>Occurs as the result of a single incident or exposure
What is a cumulative injury - correct answer >>>>Results from repetitive trauma (mental or physical)
over a period of time
2 requirements for a condition to be considered an injury - correct answer >>>>(1) Cause disability
OR
(2) Result in a need for medical treatment
What is an occupational disease - correct answer >>>>Disease that in whole or part is caused by work
7 types of excluded injuries - correct answer >>>>(1) Caused by employee's use of alcohol or illegal
controlled substances
(2) Intentionally self-inflicted injuries
(3) Suicide
(4) Resulting from altercations, in which the injured employee is the *initial physical aggressor*
(5) Resulting from the employee's commission of a felony, for which the employee has been convicted
(including "wobbly felonies," which are crimes that may be prosecuted as misdemeanors or felonies
Questions & Correct detailed Answers
Holds authority to appoint physicians as QME evaluators - correct answer >>>>Administrative Director
(AD) (LC 139.2)
Term of appointment as QME evaluator - correct answer >>>>2 years (LC 139.2)
3 requirements when seeking appointment as QME - correct 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 providing direct medical treatment (or have served as
a AME on 8+ occasions in past 12 mos prior to application)
2 reasons for termination/suspension of a QME w/o a hearing - correct answer >>>>(1) Licensing board
suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
6 reasons for discipline (suspension/termination) of QMEs after a hearing - correct answer >>>>(1)
Violation of material statutory or administrative duty
(2) Failure to follow medical procedures or qualifications;(3) Failure to comply with the timeframe
standards
(4) Failure to meet licensing/certification 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.
, 3 types of substantive medical disputes resolved by QMEs - correct answer >>>>(1) Compensability of
the claim
(2) Permanent disability
(3) "Catch-all" (temporary disability, work restrictions, new and further disabilities after permanent
disability (deterioration of original injury), compensability of new body part added to claim))
Definition of *injury* in compensability claims - correct answer >>>>(1) An injury or disease arising out
of employment
(2) A *derivative* injury caused by treatment of an injury arising out of employment
(3) Any reaction to or side effect from preventative health care the employer provides to health care
workers
What is a specific injury - correct answer >>>>Occurs as the result of a single incident or exposure
What is a cumulative injury - correct answer >>>>Results from repetitive trauma (mental or physical)
over a period of time
2 requirements for a condition to be considered an injury - correct answer >>>>(1) Cause disability
OR
(2) Result in a need for medical treatment
What is an occupational disease - correct answer >>>>Disease that in whole or part is caused by work
7 types of excluded injuries - correct answer >>>>(1) Caused by employee's use of alcohol or illegal
controlled substances
(2) Intentionally self-inflicted injuries
(3) Suicide
(4) Resulting from altercations, in which the injured employee is the *initial physical aggressor*
(5) Resulting from the employee's commission of a felony, for which the employee has been convicted
(including "wobbly felonies," which are crimes that may be prosecuted as misdemeanors or felonies
