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QME Qualified Medical Evaluator NexusExam Review Questions and Answers
100% Pass | Graded A+
David Mungai [Date] [Course title]
, QME Qualified Medical Evaluator Nexus
Exam Review Questions and Answers
100% Pass | Graded A+
Q.M.E - Answer>> Qualified Medical Evaluator
A.M.E - Answer>> Agreed Medical Evaluator
Who appoints a physician to become a QME? - Answer>> The
Administrative Director.
What is the term length for a QME? - Answer>> 2 years.
Per the DWC, the term "physician" includes what types of
practitioners? - Answer>> California licensed: MDs, DOs,
psychologists, acupuncturists, optometrists, dentists, podiatrists,
and chiropractors.
Even though the DWC considers psychologists, acupuncturists,
optometrists, dentists, podiatrists, and chiropractors "physicians,"
can these practitioners advertise, represent, or hold themselves
out as physicians? - Answer>> No
Per the Labor Code, is a QME allowed to advertise that they are a
QME in a legal journal? - Answer>> Yes. There are restrictions
regarding the contents but simply saying that "Dr. XYZ is
available to perform QME evaluations," is legal.
Who can become a QME? - Answer>> Only physicians as
defined by the Labor Code can be a QME (M.D., D.O.,
Psychologist, Acupuncturist, Dentist, Podiatrist, Chiropractor, or
Optometrist).
,What are the 4 requirements to become a QME? - Answer>> -
Pass the QME competency examination.
- Complete a 12-hour writing course.
- Submit a form regarding Disclosure of Specified Financial
Interests.
- Devote at least one-third of total practice time to providing direct
medical treatment.
True or false: QME's must disclose all financial interests, which
are defined as having 5% interest or more in any medical
operation that provides treatment or medical evaluation, goods or
services for use in the California Worker's Compensation system.
- Answer>> True
What are two alternative requirements to become a QME if a
physician does not have a sufficient amount of direct medical
treatment time/clinic? - Answer>> - The physician must have
served as an AME (Agreed Medical Evaluator) on eight or more
occasions in the 12 months prior to the end of their 2-year term.
- The physician must demonstrate that they are disabled, retired,
or teaching.
A minimum of ⅓ of a QME's time must involve direct medical
treatment; what are two exceptions? - Answer>> - The QME
served as an AME 8 or more times in the past year.
- The QME is disabled, retired, or is a teaching physician.
Name the 3 distinct ways a physician can list a specialty. -
Answer>> - Board certification in that specialty.
- Completed postgraduate specialty training (certificate of
completion).
- Grandfathered in: held an appointment as a QME in that
specialty on June 30, 2000.
, Besides meeting the original 3 requirements to become a QME,
after 2-years, what are the 4 additional requirements for QME
reappointment? - Answer>> - Compliance with all applicable
regulations and evaluation guidelines.
- Completion of at least 12 hours of continuing education.
- No more than 5 rejected reports by a Workers' Compensation
Judge.
- No termination, suspension, or probation by any licensing board.
What are the 2 ways a QME can be terminated or suspended? -
Answer>> - The QME's license to practice has been suspended
or revoked or terminated by their licensing board.
- The QME failed to pay the required fee for reappointment.
How many locations can a QME list for QME work? - Answer>>
10
Can a QME provide medical treatment to an injured worker? -
Answer>> No
During an evaluation, can the QME solicit the injured worker to
become their patient in the QME's private practice? - Answer>>
No
In what two circumstances can a QME provide medical treatment
to an injured worker? - Answer>> - The injured worker requests
it. (For instance, a QME sees an injured worker. The injured
worker then freely chooses the QME as their primary treating
provider (PTP). The QME must then excuse themself from future
QME evaluations with that injured worker).
- Under emergency situations.
Define: M.T.U.S. - Answer>> Medical Treatment Utilization
Schedule
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