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QME COMPETENCY EXAMINATION GUIDE WITH COMPLETE SOLUTIONS

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QME COMPETENCY EXAMINATION GUIDE WITH COMPLETE SOLUTIONSQME COMPETENCY EXAMINATION GUIDE WITH COMPLETE SOLUTIONSQME COMPETENCY EXAMINATION GUIDE WITH COMPLETE SOLUTIONS QME Accreditation - ANSWER-Process for QME approval under Labor Code section 139.2 Permanent Disability Determination - ANSWER...

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  • November 21, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • QME COMPETENCY
  • QME COMPETENCY
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QME COMPETENCY EXAMINATION
GUIDE WITH COMPLETE SOLUTIONS
QME Accreditation - ANSWER-Process for QME approval under Labor Code section
139.2

Permanent Disability Determination - ANSWER-Assessment of lasting impairment
affecting work capacity

Substantial Evidence - ANSWER-Sufficient proof to support a claim or decision

Rating by Analogy - ANSWER-Assigning disability rating based on similar cases

Industrial Cancer - ANSWER-Work-related cancer due to occupational exposure

Apportionment Determinations - ANSWER-Allocation of disability causes in a claim

Causation - ANSWER-Establishing the link between an event and its outcome

Risk Factors - ANSWER-Conditions increasing the likelihood of harm or injury

Unlawful Discrimination - ANSWER-Illegitimate differentiation leading to unfair treatment

QME Selection Process - ANSWER-Procedure for choosing a Qualified Medical
Evaluator

Examination Process - ANSWER-Steps involved in medical evaluations by QMEs

Conflict of Interest Disclosure - ANSWER-Revealing any personal interests that may
affect judgment

Ethical Obligations of the QME - ANSWER-Moral duties and responsibilities of the
medical evaluator

Evaluation Protocols - ANSWER-Set rules and procedures for medical assessments

Qualified Medical Evaluator (QME) - ANSWER-Physician appointed to resolve disputes
in workers' compensation cases

Labor Code section 139.2 - ANSWER-Enacted in 1991, authorizes the QME program
and sets evaluation laws

, Permanent Disability Determinations - ANSWER-Laws governing long-term injury
compensation eligibility

QME Examination Process - ANSWER-Includes appointment scheduling, examination,
and post-exam procedures

Workers' Compensation Case Law - ANSWER-Legal precedents related to workers'
compensation disputes

California Labor Code - ANSWER-Regulations governing labor practices in California

Physician's Guide - ANSWER-Resource detailing medical evaluation procedures for
QMEs

Scheduled PDRS Adjustments - ANSWER-Changes made to AMA Guides-based
ratings based on age and occupation.

Clinical Judgment - ANSWER-Medical expertise used to evaluate an injured worker's
permanent impairment.

Reasonable Medical Probability - ANSWER-Basis for substantial evidence in medical
opinions in disability cases.

Comprehensive Medical Examination - ANSWER-Thorough evaluation required by
physicians for impairment determinations.

QME Rules - ANSWER-Regulations found in title 8 of the California Code of
Regulations

Physician Specialties - ANSWER-Recognized based on board certification or
postgraduate training

Accreditation Requirements - ANSWER-Include passing the QME competency exam
and report writing course

Appointment Criteria - ANSWER-Varies based on physician type, detailed in Labor
Code section 139.2

Specialty Designation - ANSWER-Recognition of a physician's specialized area of
practice

QME - ANSWER-Qualified Medical Evaluator appointed for workers' compensation
cases.

Reappointment Requirements - ANSWER-Original appointment criteria, 12 hours CE,
no rejected evaluations, no board issues.

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