QME exam with correct 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 |(detereoration |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
*Specific |injury* |- |correct |answer | |Occurs |as |the |result |of |a |single |incident |or |exposure
*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
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)
(6) |Resulting |from |off-duty |recreational |activities, |in |which |participation |in |the |activities |does |not |
constitute |part |of |the |employee's |work-related |duties |and |the |activity |is |not |an |expressed |or |implicit |
condition |of |employment;
(7) |Psychiatric |injuries |claimed |after |notice |of |termination/layoff |unless |certain |conditions |exist
| | | |
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 |(detereoration |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
*Specific |injury* |- |correct |answer | |Occurs |as |the |result |of |a |single |incident |or |exposure
*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
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)
(6) |Resulting |from |off-duty |recreational |activities, |in |which |participation |in |the |activities |does |not |
constitute |part |of |the |employee's |work-related |duties |and |the |activity |is |not |an |expressed |or |implicit |
condition |of |employment;
(7) |Psychiatric |injuries |claimed |after |notice |of |termination/layoff |unless |certain |conditions |exist
