ESTUDY
QME EXAM QUESTIONS WITH 100% CORRECT ANSWERS
1. Who has the authority to appoint physicians as QME evaluators?
- a) Governor
- b) Chief of Staff
- c) Administrative Director (AD)
- d) Medical Board
- **Answer: c) Administrative Director (AD)** (LC 139.2)
2. What is the term of appointment for a QME evaluator?
- a) 1 year
- b) 2 years
- c) 3 years
- d) 4 years
- **Answer: b) 2 years** (LC 139.2)
3. What are the three requirements when seeking appointment as a QME?
- a) Pass the QME competency exam, complete a 12-hour course in disability eval report writing,
devote at least 1/3rd of total practice time to providing direct medical treatment or have served as an
AME on 8+ occasions in the past 12 months prior to application
- b) Pass the QME competency exam, complete a 24-hour course in disability eval report writing,
devote at least 1/2 of total practice time to providing direct medical treatment
- c) Complete a 12-hour course in disability eval report writing, pass the QME competency exam, have
served as an AME on 5+ occasions in the past 12 months prior to application
- d) Devote at least 1/3rd of total practice time to providing direct medical treatment, pass the QME
competency exam, complete a 24-hour course in disability eval report writing
- **Answer: a)** Pass the QME competency exam; complete a 12-hour course in disability eval report
writing; devote at least 1/3rd of total practice time to providing direct medical treatment (or have
served as an AME on 8+ occasions in the past 12 months prior to application)
4. What are two reasons for the termination/suspension of a QME without a hearing?
- a) Licensing board suspends/revokes/terminates license to practice, failure to meet
licensing/certification requirements
- b) Failure to comply with the timeframe standards, licensing board suspends/revokes/terminates
license to practice
- c) Licensing board suspends/revokes/terminates license to practice, failure to pay the required fee
(upon appointment and yearly thereafter)
- d) Preparation of medical-legal evaluations that fail to meet the minimum standards, failure to pay
the required fee (upon appointment and yearly thereafter)
- **Answer: c)** Licensing board suspends/revokes/terminates license to practice; failure to pay
required fee (upon appointment and yearly thereafter)
, ESTUDY
5. What are six reasons for the discipline (suspension/termination) of QMEs after a hearing?
- a) Violation of material statutory or administrative duty, failure to follow medical procedures or
qualifications, failure to comply with the timeframe standards, failure to meet licensing/certification
requirements, preparation of medical-legal evaluations that fail to meet the minimum standards,
making material misrepresentations or false statements in an application for appointment or
reappointment as a qualified medical evaluator
- b) Violation of material statutory or administrative duty, failure to comply with the timeframe
standards, failure to meet licensing/certification requirements, preparation of medical-legal evaluations
that fail to meet the minimum standards, making material misrepresentations or false statements in an
application for appointment or reappointment as a qualified medical evaluator, failure to pay the
required fee
- c) Failure to follow medical procedures or qualifications, failure to comply with the timeframe
standards, preparation of medical-legal evaluations that fail to meet the minimum standards, making
material misrepresentations or false statements in an application for appointment or reappointment as
a qualified medical evaluator, failure to meet licensing/certification requirements, failure to pay the
required fee
- d) Violation of material statutory or administrative duty, failure to follow medical procedures or
qualifications, preparation of medical-legal evaluations that fail to meet the minimum standards, making
material misrepresentations or false statements in an application for appointment or reappointment as
a qualified medical evaluator, failure to pay the required fee, failure to comply with the timeframe
standards
- **Answer: a)** Violation of material statutory or administrative duty; failure to follow medical
procedures or qualifications; failure to comply with the timeframe standards; failure to meet
licensing/certification requirements; 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;
making material misrepresentations or false statements in an application for appointment or
reappointment as a qualified medical evaluator.
6. What are three types of substantive medical disputes resolved by QMEs?
- a) Permanent disability, compensability of the claim, temporary disability
- b) Temporary disability, compensability of the claim, "catch-all" (work restrictions, new and further
disabilities after permanent disability, compensability of new body part added to claim)
- c) Compensability of the claim, permanent disability, "catch-all" (temporary disability, work
restrictions, new and further disabilities after permanent disability, compensability of new body part
added to claim)
- d) Permanent disability, compensability of the claim, new and further disabilities after permanent
disability
- **Answer: c)** Compensability of the claim; permanent disability; "catch-all" (temporary disability,
work restrictions, new and further disabilities after permanent disability, compensability of new body
part added to claim)
7. What is the definition of an *injury* in compensability claims?