10/30/24, 6:33 PM 2024 update |QME exam|2024-2025 |COMPLETE MOST TESTED QUESTIONS AND VERIFIED ANSWERS |(100% correct …
2024 update |QME exam|2024-2025
|COMPLETE MOST TESTED QUESTIONS AND
VERIFIED ANSWERS |(100% correct
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Terms in this set (100)
Holds authority to Administrative Director (AD) (LC 139.2)
appoint physicians as
QME evaluators
Term of appointment as 2 years (LC 139.2)
QME evaluator
(1) Pass the QME competency exam;
(2) Complete a 12-hour course in disability eval
3 requirements when report writing;
seeking appointment as (3) Devote at least 1/3rd of total practice time to
QME providing direct medical treatment (or have served
as a AME on 8+ occasions in past 12 mos prior to
application)
(1) Licensing board suspends/revokes/terminates
2 reasons for
license to practice
termination/suspension
(2) Failure to pay required fee (upon appointment
of a QME w/o a hearing
and yearly thereafter)
,10/30/24, 6:33 PM 2024 update |QME exam|2024-2025 |COMPLETE MOST TESTED QUESTIONS AND VERIFIED ANSWERS |(100% correct …
(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
6 reasons for discipline
requirements;
(suspension/termination)
(5) Preparation of medical-legal evaluations that fail
of QMEs after a hearing
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.
(1) Compensability of the claim;
(2) Permanent disability;
3 types of substantive (3) "Catch-all" (temporary disability, work
medical disputes restrictions, new and further disabilities after
resolved by QMEs permanent disability (detereoration of original
injury), compensability of new body part added to
claim)
(1) An injury or disease arising out of employment;
(2) A derivative injury caused by treatment of an
Definition of injury in injury arising out of employment;
compensability claims (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
Results from repetitive trauma (mental or physical)
Cumulative injury
over a period of time
2 requirements for a (1) Cause disability; or
condition to be (2) Result in a need for medical treatment
considered an injury
Occupational disease Disease that in whole or part is caused by work
, 10/30/24, 6:33 PM 2024 update |QME exam|2024-2025 |COMPLETE MOST TESTED QUESTIONS AND VERIFIED ANSWERS |(100% correct …
(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
7 types of excluded
(including "wobbly felonies," which are crimes that
injuries
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
(1) Injury (physiological or psychological harm);
(2) Employment relationship;
4 basic conditions to
(3) Injury caused by the employment (This is also
establish a workers'
referred to as arising out of employment [AOE].);
compensation claim
(4) Occurred in the course of the employment
(COE)
(1) Causes a temporary or permanent increase in
Aggravation of a pre- disability;
existing, non-industrial (2) Creates a new need for medical treatment; or
condition (3) Requires a change in the existing course of
treatment
Flare-ups or recurrence of a previous industrial
Symptoms that don't
injury or illness; not been caused by the current
constitute a new injury
employment
Date of injury (DOI)- Date on which the incident or exposure occurred
specific injury
Date when the employee first suffered disability
Date of injury (DOI)- from the exposure, and either knew, or should have
cumulative injury known, that the disability was caused by present or
previous employment
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