Exam (elaborations)
QME EXAM PREP P2 QUESTIONS AND ANSWERS
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QME EXAM PREP P2 QUESTIONS AND ANSWERS
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QME EXAM PREP P2 QUESTIONS ANDANSWERS
Howtistthetdisabilitytratingtmade?t-
tans✔✔QMEstratetthetimpairmentt(NOTtDISABILITY),tandtthentraterstusetthetimpairmenttr
atingttotmaketatdisabilitytrating
WhattaretthettwotexceptionsttotusingtthetAMAtguidest5thted.ttotthetevaluationtoftpermanentti
mpairment?t-
tans✔✔Psychtcasestandtcasestpriorttot1/1/2005t(thetlattertusetthet1997tPDRS)
WhattaretthettwotexceptionsttotthetrequirementtthattQMEsthavet1/3tofttheirttimetdevotedttot
directtclinicaltpractice?t-
tans✔✔1)tiftthetQMEthastbeentantAMEtattleastt8ttimestintthetpasttyear
2)tiftthetQMEtistretiredtortatteachingtphysician
Cantacupuncturiststissuetopinionstontpermanenttdisability?t-tans✔✔No
Whattaretthetlimitationsttotapportionment?t-
tans✔✔1)tApportionmenttappliestonlyttotpermanenttdisabilitytandtistbasedtontcausation
2)tonlytpermanenttdisabilitytistapportioned,tneverttreatment,tworktrestrictions,tetc.
WhattistthetsigningtdatetfortQMEtreports?t-
tans✔✔thetdatetthetreporttistcompleted,tnottthetevaluationtdate.tincludetthetcountytoftthetre
port
WhattaretthetfivetmajortcategoriestoftQMEtdisciplinarytaction?t-
tans✔✔1)tconsistenttlatetreports
2)tlacktoftavailability
3)textpartetcommunications
4)tself-referral
5)treportstdotnottmeettDWCtminimumtstandards
WhattmusttbetincludedtwithtthetHPI?t-tans✔✔Atdiscussiontoftthetmechanismtoftinjury
Whattaretthet5tmainttypestoftworkerstcomptbenefits?t-tans✔✔1)tMedicalttreatment
2)ttemporarytdisabilitytbenefits
3)tpermanenttdisabilitytbenefits
, 4)tdeathtbenefits
5)tsupplementaltjobtdisplacementtbenefitst(SJDB)
WhattistthetBoyntontActtoft1913?t-
tans✔✔RequirestCAtemployeesttothavetworker'stcomptinsurance
whattistthetdefinitiontoftatmedical-legaltreport?t-
tans✔✔totprovetortdisprovetantaspecttoftatcontestedtclaim
Whattistthetimpairmenttrating?t-
tans✔✔Ratestthetdegreettotwhichtthetimpairmenttdecreasestatperson'stabilityttotperformtA
DLs,texcludingtwork
WhattaretAOEtandtCOE?t-tans✔✔AOE:tarisingtouttoftemploymentt
COE:tthroughtthetcoursetoftemployment
Whattistextpartetcommunication?t-
tans✔✔Occurstwhentatpartyttotatcasetcommunicatestwithtonetsidetonly.tatQMEtCANNOTtd
otthist(buttcantspeaktwithtthettreatingtMDtiftquestionstarise)
Whattistthetdifferencetbetweentexacerbationtandtaggravation?t-
tans✔✔Exacerbation:ttemporarytworsening
Aggravation:tpermanenttworseningt(newtinjury)
Definetpermanent,ttemporarytpartialtandttemporaryttotaltdisability.t-
tans✔✔Permanent:tirreversibletresidualtoftantinjury
Temptpartial:tcantwork,tbuttearntlesstthantpreviously
Tempttotal:tcannottworktattall
Dotpsychtinjuriestaftertterminationtcounttastinjury?t-tans✔✔No
Definetapportionmentt-tans✔✔Estimatetoftthet
%toftpermanenttdisabilitytwastcausedtbytwork-relatedtinjury
Whattarettemporarytdisabilitytpayments?t-
tans✔✔2/3toftaveragetweeklytpay,tlimitedttot104tweekst(2tyears)
whentaretsupplementaltjobtdisplacementtbenefitstoffered?t-
tans✔✔iftthetemployertdoesn'ttoffertatRTWt(returnttotwork),tatvouchertcantbetofferedttotthetI
W,tbuttmusttbetusedtwithint2tyearstoftoffertort5tyearstfromtdatetoftinjuryt(DOI)
Whentaretnon-psychtvstpsychtinjuriestcompensable?t-tans✔✔Non-
psych:tift1%tortmoretoftthetinjurytistindustrial
Psych:tift>50%tistindustrialt(sometexceptions)
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