Qme Definitions/Questions with Answers A+
Graded
Aggravation - -A change in of pre-existing condition/disability = new injury
-Appeals Board - -A group of 7 commissioners appointed by the governor.
-Recurrence - -Also referred to as a flare-up, exacerbation
-Flare-up - -Refers to symptoms the re-occurs, exacerbation.
-AME - -A medical examiner selected by agreement.
-QME - -a physician who has been appointed by DWC
-IME - -a physician appointed by DIR/DWC before 01/01/91
-AOE - -Refers to how the activities led to the injury in question, Arising Out
Of Employment
-COE - -determined by judge that the injury was work related. Coming Out
Of Employment.
-Apportionment - -portion of disability not related to current injury.
-Escobedo Case - -En banc, pre-existing substantial medical evidence.
-LC 132(a) - -prohibits discrimination for filing a work comp claim.
-EAMS - -A computerized system to improve the DWC case management.
-Compensable Injury - -any AOE/COE injury
-Med-Legal evaluation - -to prove or disprove a contested claim.
-Cumulative injury - -repetitive traumatic activities over a period time
-Date of Cumulative Injury - -date upon which the employee knew of the
work injury.
-Date of Specific Injury - -one incident of exposure.
-Specific Injury - -one incident of exposure.
-Disability - -alteration to meet personal and occupational demands.
, -Impairment - -loss, loss of use or derangement of body part/function.
-First Aid - -Any one time treatment and any one follow-up visit.
-Future Medical Treatment - -may be needed in the future not currently
scheduled.
-Continuing Medical Treatment - -occurring or presently planned treatment
-Ghost Writing - -report is prepared by someone else.
-Boilerplate - -automatically inserted into the report. ILEGAL.
-Template - -outline to fill in the blanks. LEGAL
-Supplemental Med-Legal Report - -review of records without face to face
eval
-Lien - -claim as security for payment of services rendered
-Subjective Factors - -pain
-Objective Factors - -ROM, grip strength
-Loss of Pre-Injury Capacity - -Compared to activities before the injury.
-Work Restrictions - -Limitations on activities
-Ex Parte - -private communication with an AME/QME unless both parties
are contacted in writing, illegal. 8 CCR 35, Lc 4062.3. Its ok to communicate
with the PTP.
-PTS - -condition plateaued with residuals
-PD - -residual impairment after P&S
-TD - -Condition not yet P&S
-TTD - -prevents worker from performing part of work
-TPD - -prevent worker from performing part of work duties
-Physician - -defended under LC 3209.3. includes physicians and surgeons
holding an MD or DO degrees, psychologists, acupuncturists, optometrists,
dentists, podiatrists and chiropractic practitioners licensed by CA.
Graded
Aggravation - -A change in of pre-existing condition/disability = new injury
-Appeals Board - -A group of 7 commissioners appointed by the governor.
-Recurrence - -Also referred to as a flare-up, exacerbation
-Flare-up - -Refers to symptoms the re-occurs, exacerbation.
-AME - -A medical examiner selected by agreement.
-QME - -a physician who has been appointed by DWC
-IME - -a physician appointed by DIR/DWC before 01/01/91
-AOE - -Refers to how the activities led to the injury in question, Arising Out
Of Employment
-COE - -determined by judge that the injury was work related. Coming Out
Of Employment.
-Apportionment - -portion of disability not related to current injury.
-Escobedo Case - -En banc, pre-existing substantial medical evidence.
-LC 132(a) - -prohibits discrimination for filing a work comp claim.
-EAMS - -A computerized system to improve the DWC case management.
-Compensable Injury - -any AOE/COE injury
-Med-Legal evaluation - -to prove or disprove a contested claim.
-Cumulative injury - -repetitive traumatic activities over a period time
-Date of Cumulative Injury - -date upon which the employee knew of the
work injury.
-Date of Specific Injury - -one incident of exposure.
-Specific Injury - -one incident of exposure.
-Disability - -alteration to meet personal and occupational demands.
, -Impairment - -loss, loss of use or derangement of body part/function.
-First Aid - -Any one time treatment and any one follow-up visit.
-Future Medical Treatment - -may be needed in the future not currently
scheduled.
-Continuing Medical Treatment - -occurring or presently planned treatment
-Ghost Writing - -report is prepared by someone else.
-Boilerplate - -automatically inserted into the report. ILEGAL.
-Template - -outline to fill in the blanks. LEGAL
-Supplemental Med-Legal Report - -review of records without face to face
eval
-Lien - -claim as security for payment of services rendered
-Subjective Factors - -pain
-Objective Factors - -ROM, grip strength
-Loss of Pre-Injury Capacity - -Compared to activities before the injury.
-Work Restrictions - -Limitations on activities
-Ex Parte - -private communication with an AME/QME unless both parties
are contacted in writing, illegal. 8 CCR 35, Lc 4062.3. Its ok to communicate
with the PTP.
-PTS - -condition plateaued with residuals
-PD - -residual impairment after P&S
-TD - -Condition not yet P&S
-TTD - -prevents worker from performing part of work
-TPD - -prevent worker from performing part of work duties
-Physician - -defended under LC 3209.3. includes physicians and surgeons
holding an MD or DO degrees, psychologists, acupuncturists, optometrists,
dentists, podiatrists and chiropractic practitioners licensed by CA.
