QME EXAM 2 NEWEST 2025 ACTUAL EXAM|
COMPLETE 200 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
Holds authority to appoint physicians as QME evaluators
.....ANSWER..... Administrative Director (AD) (LC 139.2)
Term of appointment as QME evaluator .....ANSWER..... 2 years
(LC 139.2)
3 requirements when seeking appointment as QME
.....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)
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2 reasons for termination/suspension of a QME w/o a hearing
.....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 .....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;
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(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
.....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 .....ANSWER..... (1)
An injury or disease arising out of employment;
(2) A *derivative* injury caused by treatment of an injury arising
out of employment;
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(3) Any reaction to or side effect from preventative health care
the employer provides to health care workers
*Specific injury* .....ANSWER..... Occurs as the result of a single
incident or exposure
*Cumulative injury* .....ANSWER..... Results from repetitive trauma
(mental or physical) over a period of time
2 requirements for a condition to be considered an injury
.....ANSWER..... (1) Cause disability; or
(2) Result in a need for medical treatment
Occupational disease .....ANSWER..... Disease that in whole or
part is caused by work
7 types of excluded injuries .....ANSWER..... (1) Caused by
employee's use of alcohol or illegal controlled substances;
(2) Intentionally self-inflicted injuries;
(3) Suicide;