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QME EXAM WITH 100% CORRECT
ANSWER
Question : Holds authority to appoint physicians as
QME evaluators
Correct answer: Administrative Director (AD) (LC
139.2)
Question : Term of appointment as QME evaluator
Correct answer: 2 years (LC 139.2)
Question : 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
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as a AME on 8+ occasions in past 12 mos prior to application)
Question : 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)
Question : 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;
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(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.
Question : 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)
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Question : 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
Question : Specific injury
Correct answer: Occurs as the result of a single
incident or exposure
Question : Cumulative injury
Correct answer: Results from repetitive trauma
(mental or physical) over a period of time