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QME Exam Prep p2 questions with correct answers
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QME Exam Prep p2 questions with correct answers
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QME Exam Prep p2 questions with correctanswers
How is the disability rating made? - ANSWER: ➡ QMEs rate the impairment (NOT
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DISABILITY), and then raters use the impairment rating to make a disability rating
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What are the two exceptions to using the AMA guides 5th ed. to the evaluation of permanent
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impairment? - ANSWER: ➡ Psych cases and cases prior to 1/1/2005 (the latter use the
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1997 PDRS)
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What are the two exceptions to the requirement that QMEs have 1/3 of their time devoted to
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direct clinical practice? - ANSWER: ➡ 1) if the QME has been an AME at least 8 times in the
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past year
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2) if the QME is retired or a teaching physician
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Can acupuncturists issue opinions on permanent disability? - ANSWER: ➡ No
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What are the limitations to apportionment? - ANSWER: ➡ 1) Apportionment applies only to
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permanent disability and is based on causation
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2) only permanent disability is apportioned, never treatment, work restrictions, etc.
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What is the signing date for QME reports? - ANSWER: ➡ the date the report is completed,
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not the evaluation date. include the county of the report
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What are the five major categories of QME disciplinary action? - ANSWER: ➡ 1) consistent
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late reports
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2) lack of availability
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3) ex parte communications
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4) self-referral
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, 5) reports do not meet DWC minimum standards
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What must be included with the HPI? - ANSWER: ➡ A discussion of the mechanism of injury
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What are the 5 main types of workers comp benefits? - ANSWER: ➡ 1) Medical treatment
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2) temporary disability benefits
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3) permanent disability benefits
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4) death benefits
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5) supplemental job displacement benefits (SJDB)
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What is the Boynton Act of 1913? - ANSWER: ➡ Requires CA employees to have worker's
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comp insurance
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what is the definition of a medical-legal report? - ANSWER: ➡ to prove or disprove an aspect
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of a contested claim
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What is the impairment rating? - ANSWER: ➡ Rates the degree to which the impairment
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decreases a person's ability to perform ADLs, excluding work
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What are AOE and COE? - ANSWER: ➡ AOE: arising out of employment
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COE: through the course of employment
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What is ex parte communication? - ANSWER: ➡ Occurs when a party to a case
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communicates with one side only. a QME CANNOT do this (but can speak with the treating
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MD if questions arise)
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What is the difference between exacerbation and aggravation? - ANSWER: ➡ Exacerbation:
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temporary worsening
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Aggravation: permanent worsening (new injury) m m m m
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