Page 1 of 35
QME FINAL EXAM PREP 2025/2026 ACCURATE
QUESTIONS WITH CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS <NEWEST VERSION>
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;
(6) Making material misrepresentations or false statements in an
application for appointment or reappointment as a qualified
medical evaluator.
,Page 2 of 35
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;
(3) Any reaction to or side effect from preventative health care
the employer provides to health care workers
Holds authority to appoint physicians as QME evaluators
.......Answer.........Administrative Director (AD) (LC 139.2)
,Page 3 of 35
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)
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)
*Specific injury* .......Answer.........Occurs as the result of a single
incident or exposure
, Page 4 of 35
*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;
(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
QME FINAL EXAM PREP 2025/2026 ACCURATE
QUESTIONS WITH CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS <NEWEST VERSION>
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;
(6) Making material misrepresentations or false statements in an
application for appointment or reappointment as a qualified
medical evaluator.
,Page 2 of 35
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;
(3) Any reaction to or side effect from preventative health care
the employer provides to health care workers
Holds authority to appoint physicians as QME evaluators
.......Answer.........Administrative Director (AD) (LC 139.2)
,Page 3 of 35
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)
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)
*Specific injury* .......Answer.........Occurs as the result of a single
incident or exposure
, Page 4 of 35
*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;
(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
