QME Competency Exam Prep Guide; Questions
and Answers 100% Correct
Who holds authority to appoint physicians as QME evaluators? Answer-Administrative
Director (AD) (LC 139.2)
What is the term of appointment as QME evaluator? Answer-2 years (LC 139.2)
What are the 3 requirements when seeking appointment as QME? 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? 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?
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? Answer-(1)
Compensability of the claim; (2) Permanent disability; (3) 'Catch-all' (temporary disability, work
, QME Competency Exam Prep Guide; Questions
and Answers 100% Correct
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? 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
Time frame in which either party in unrepresented cases may object to a medication
determination by the treating physician Answer-30 days, in writing
Time limit for unrepresented injured worker to submit request for a QME panel after receiving
form from employer Answer-10 days
Time frame after which unrepresented worker has the right to obtain an evaluation from any
QME within a reasonable geographic area Answer-After 20 days, if request for QME panel
is not issued
Time frame in which an injured worker is required to select a physician from the QME panel,
make an appointment for the exam and inform the claims administrator of the selection and
appointment Answer-Within 10 days after the panel is issued
and Answers 100% Correct
Who holds authority to appoint physicians as QME evaluators? Answer-Administrative
Director (AD) (LC 139.2)
What is the term of appointment as QME evaluator? Answer-2 years (LC 139.2)
What are the 3 requirements when seeking appointment as QME? 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? 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?
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? Answer-(1)
Compensability of the claim; (2) Permanent disability; (3) 'Catch-all' (temporary disability, work
, QME Competency Exam Prep Guide; Questions
and Answers 100% Correct
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? 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
Time frame in which either party in unrepresented cases may object to a medication
determination by the treating physician Answer-30 days, in writing
Time limit for unrepresented injured worker to submit request for a QME panel after receiving
form from employer Answer-10 days
Time frame after which unrepresented worker has the right to obtain an evaluation from any
QME within a reasonable geographic area Answer-After 20 days, if request for QME panel
is not issued
Time frame in which an injured worker is required to select a physician from the QME panel,
make an appointment for the exam and inform the claims administrator of the selection and
appointment Answer-Within 10 days after the panel is issued
