ASCORERS STUVIA
QME COMPETENCY EXAM PREP GUIDE
NEWLY UPDATED QUESTIONS WITH
CORRECT ANSWERS A+ GRADED
Causes for issuance of a replacement panel ...ANS: (1) Failure to
serve the QME Appointment Notification Form; (2) Disclosure of COI
by an evaluator after an appointment has been made; (3) Necessity
for subsequent examination by a QME in a different specialty (due to
limitations in scope of practice or clinical competency)
Decider of disputes about whether a COI may affect the integrity and
impartiality of the evaluation or supplemental reports ...ANS:
WCALJ assigned to the case
Face - to - face time ...ANS: Only time evaluator is present with an
injured worker, taking a history, performing a physical exam or
discussing the worker's medical condition with the worker
Good cause for discontinuing a comprehensive medical - legal
evaluation by a QME ...ANS: (1) Injured worker/representative
uses abusive language towards the evaluator/evaluator's staff;
(2) Injured worker/representative deliberately attempts to disrupt
the operation of the evaluator's office in any way;
(3) Injured worker is intoxicated or under the influence of any
medication which impairs the injured worker's ability to participate
in the evaluation/process.
Good cause for discontinuing the evaluation by an injured
worker ...ANS: (1) Discriminatory conduct, based on race, sex,
national origin, religion or sexual preference;
, ASCORERS STUVIA
(2) Abuse, hostile or rude behavior, including behavior
demonstrating a bias against injured workers;
(3) Requests that the worker submit to an unnecessary exam or
procedure.
Minimum face - to - face time requirements for uncomplicated
evaluations ...ANS: 20 minutes for neuromusculoskeletal
evaluations
Options of represented workers after disclosure of COI by evaluator
...ANS: (1) Waive the COI
(2) Replace the evaluator's name on the panel (if COI discovered
before any names have been stricken)
(3) Request a new panel (if COI discovered after appt made)
Parties receiving service of the QME Appointment Notification Form
...ANS: Employee (+ representative) AND Employer/claims
administrator (+ representative)
Required exam disclosures ...ANS: (1) Injured worker may ask
the evaluator and evaluator shall promptly answer questions about
any matter concerning the evaluation process;
(2) Injured worker may discontinue the evaluation based on *good
cause*;
(3) Disclosure of probationary status, if required as a condition of
probation.
Rights of the claim administrator in selecting the QME and arranging
the appointment ...ANS: If injured worker does not inform the
claims administrator of the selection or date of appointment
Time frame after which unrepresented worker has the right to
obtain an evaluation from any QME within a reasonable geographic
area ...ANS: After 20 days, if request for QME panel is not issued
QME COMPETENCY EXAM PREP GUIDE
NEWLY UPDATED QUESTIONS WITH
CORRECT ANSWERS A+ GRADED
Causes for issuance of a replacement panel ...ANS: (1) Failure to
serve the QME Appointment Notification Form; (2) Disclosure of COI
by an evaluator after an appointment has been made; (3) Necessity
for subsequent examination by a QME in a different specialty (due to
limitations in scope of practice or clinical competency)
Decider of disputes about whether a COI may affect the integrity and
impartiality of the evaluation or supplemental reports ...ANS:
WCALJ assigned to the case
Face - to - face time ...ANS: Only time evaluator is present with an
injured worker, taking a history, performing a physical exam or
discussing the worker's medical condition with the worker
Good cause for discontinuing a comprehensive medical - legal
evaluation by a QME ...ANS: (1) Injured worker/representative
uses abusive language towards the evaluator/evaluator's staff;
(2) Injured worker/representative deliberately attempts to disrupt
the operation of the evaluator's office in any way;
(3) Injured worker is intoxicated or under the influence of any
medication which impairs the injured worker's ability to participate
in the evaluation/process.
Good cause for discontinuing the evaluation by an injured
worker ...ANS: (1) Discriminatory conduct, based on race, sex,
national origin, religion or sexual preference;
, ASCORERS STUVIA
(2) Abuse, hostile or rude behavior, including behavior
demonstrating a bias against injured workers;
(3) Requests that the worker submit to an unnecessary exam or
procedure.
Minimum face - to - face time requirements for uncomplicated
evaluations ...ANS: 20 minutes for neuromusculoskeletal
evaluations
Options of represented workers after disclosure of COI by evaluator
...ANS: (1) Waive the COI
(2) Replace the evaluator's name on the panel (if COI discovered
before any names have been stricken)
(3) Request a new panel (if COI discovered after appt made)
Parties receiving service of the QME Appointment Notification Form
...ANS: Employee (+ representative) AND Employer/claims
administrator (+ representative)
Required exam disclosures ...ANS: (1) Injured worker may ask
the evaluator and evaluator shall promptly answer questions about
any matter concerning the evaluation process;
(2) Injured worker may discontinue the evaluation based on *good
cause*;
(3) Disclosure of probationary status, if required as a condition of
probation.
Rights of the claim administrator in selecting the QME and arranging
the appointment ...ANS: If injured worker does not inform the
claims administrator of the selection or date of appointment
Time frame after which unrepresented worker has the right to
obtain an evaluation from any QME within a reasonable geographic
area ...ANS: After 20 days, if request for QME panel is not issued
