Exam (elaborations)
QME EXAM |200 QUESTIONS| WITH ACTUAL ANSWERS 2024
- Course
- Institution
QME EXAM |200 QUESTIONS| WITH ACTUAL ANSWERS 2024
[Show more]
Content preview
QME EXAM |100 QUESTIONS| WITH ACTUALSOLUTIONS!!
Holds authority to appoint physicians as QME evaluators
Administrative Director (AD) (LC 139.2)
Term of appointment as QME evaluator
2 years (LC 139.2)
3 requirements when seeking appointment as QME
(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
(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
(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
(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
(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
Occurs as the result of a single incident or exposure
Cumulative injury
Results from repetitive trauma (mental or physical) over a period of time
2 requirements for a condition to be considered an injury
(1) Cause disability; or
(2) Result in a need for medical treatment
Occupational disease
Disease that in whole or part is caused by work
, 7 types of excluded injuries
(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
4 basic conditions to establish a workers' compensation claim
(1) Injury (physiological or psychological harm);
(2) Employment relationship;
(3) Injury caused by the employment (This is also referred to as arising out of
employment [AOE].);
(4) Occurred in the course of the employment (COE)
Aggravation of a pre-existing, non-industrial condition
(1) Causes a temporary or permanent increase in disability;
(2) Creates a new need for medical treatment; or
(3) Requires a change in the existing course of treatment
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Yongsam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73773 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now