Exam (elaborations)
QME Competency Exam Prep Guide questions with correct answers
- Course
- Institution
QME Competency Exam Prep Guide questions with correct answers
[Show more]
Content preview
QME Competency Exam Prep Guidequestions with correct answers
Who holds authority to appoint physicians as QME evaluators? - ANSWER: ➡ Administrative
m m m m m m m m m m mm m
Director (AD) (LC 139.2)
m m m m
What is the term of appointment as QME evaluator? - ANSWER: ➡ 2 years (LC 139.2)
m m m m m m m m m m mm m m m m
What are the 3 requirements when seeking appointment as QME? - ANSWER: ➡ (1) Pass the
m m m m m m m m m m m mm m m m
QME competency exam; (2) Complete a 12-hour course in disability eval report writing; (3)
m m m m m m m m m m m m m m
Devote at least 1/3rd of total practice time to providing direct medical treatment (or have
m m m m m m m m m m m m m m m
served as a AME on 8+ occasions in past 12 mos prior to application)
m m m m m m m m m m m m m m
What are the 2 reasons for termination/suspension of a QME without a hearing? - ANSWER:
m m m m m m m m m m m m m m m
➡ (1) Licensing board suspends/revokes/terminates license to practice; (2) Failure to pay
m m m m m m m m m m m m
required fee (upon appointment and yearly thereafter)
m m m m m m m
What are the 6 reasons for discipline (suspension/termination) of QMEs after a hearing? -
m m m m m m m m m m m m m
ANSWER: ➡ (1) Violation of material statutory or administrative duty; (2) Failure to follow
m mm m m m m m m m m m m m m
medical procedures or qualifications; (3) Failure to comply with the timeframe standards;
m m m m m m m m m m m m
(4) Failure to meet licensing/certification requirements; (5) Preparation of medical-legal
m m m m m m m m m m
evaluations that fail to meet the minimum standards for those reports as established by the
m m m m m m m m m m m m m m m
administrative director or the appeals board; (6) Making material misrepresentations or
m m m m m m m m m m m
false statements in an application for appointment or reappointment as a qualified medical
m m m m m m m m m m m m m
evaluator.
m
What are the 3 types of substantive medical disputes resolved by QMEs? - ANSWER: ➡ (1)
m m m m m m m m m m m m m mm m
Compensability of the claim; (2) Permanent disability; (3) 'Catch-all' (temporary disability,
m m m m m m m m m m m
work restrictions, new and further disabilities after permanent disability (deterioration of
m m m m m m m m m m m
original injury), compensability of new body part added to claim)
m m m m m m m m m m
, What is the definition of 'injury' in compensability claims? - ANSWER: ➡ (1) An injury or
m m m m m m m m m m mm m m m m
disease arising out of employment; (2) A 'derivative' injury caused by treatment of an injury
m m m m m m m m m m m m m m m
arising out of employment; (3) Any reaction to or side effect from preventative health care
m m m m m m m m m m m m m m m
the employer provides
m m m
Time frame in which either party in unrepresented cases may object to a medication
m m m m m m m m m m m m m
determination by the treating physician - ANSWER: ➡ 30 days, in writing
m m m m m m m mm m m m m
Time limit for unrepresented injured worker to submit request for a QME panel after
m m m m m m m m m m m m m
receiving form from employer - ANSWER: ➡ 10 days
m m m m m m mm m m
Time frame after which unrepresented worker has the right to obtain an evaluation from any
m m m m m m m m m m m m m m
QME within a reasonable geographic area - ANSWER: ➡ After 20 days, if request for QME
m m m m m m m m mm m m m m m m m
panel is not issued
m m m m
Time frame in which an injured worker is required to select a physician from the QME panel,
m m m m m m m m m m m m m m m m
make an appointment for the exam and inform the claims administrator of the selection and
m m m m m m m m m m m m m m m
appointment - ANSWER: ➡ Within 10 days after the panel is issued
m m m mm m m m m m m m m
Rights of the claim administrator in selecting the QME and arranging the appointment -
m m m m m m m m m m m m m
ANSWER: ➡ If injured worker does not inform the claims administrator of the selection or
m mm m m m m m m m m m m m m m
date of appointment
m m m
Time frame in represented cases during which each party may strike one name from the
m m m m m m m m m m m m m m
QME panel - ANSWER: ➡ 10 days after the assignment of the panel
m m m m mm m m m m m m m m
Time frame in which selected QME must schedule an appointment to see the injured worker -
m m m m m m m m m m m m m m m
ANSWER: ➡ Within 60 days of a request for an appointment (up to 90 days)
m mm m m m m m m m m m m m m m
Time frame to submit the QME Appointment Notification Form - ANSWER: ➡ Within 5
m m m m m m m m m m mm m m
business days of making the appointment
m m m m m m
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Fordenken. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72964 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now