QME Competency Exam Prep Study
Guide with Complete Solution
Who holds authority to appoint physicians as QME
evaluators? - Correct Answer-Administrative
Director (AD) (LC 139.2)
What is the term of appointment as QME
evaluator? - Correct Answer-2 years (LC 139.2)
What are the 3 requirements when seeking
appointment as QME? - Correct Answer-(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)
What are the 2 reasons for termination/suspension
of a QME without a hearing? - Correct Answer-(1)
Licensing board suspends/revokes/terminates
license to practice; (2) Failure to pay required fee
(upon appointment and yearly thereafter)
What are the 6 reasons for discipline
(suspension/termination) of QMEs after a hearing?
, - Correct Answer-(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.
What are the 3 types of substantive medical
disputes resolved by QMEs? - Correct Answer-(1)
Compensability of the claim; (2) Permanent
disability; (3) 'Catch-all' (temporary disability, work
restrictions, new and further disabilities after
permanent disability (deterioration of original
injury), compensability of new body part added to
claim)
What is the definition of 'injury' in compensability
claims? - Correct Answer-(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
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