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Exam (elaborations)

QME exam Questions and Correct Answers | Latest Update

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  • Course
  • QME
  • Institution
  • QME

Holds authority to appoint physicians as QME evaluators ~:- Administrative Director (AD) (LC 139.2) Term of appointment as QME evaluator ~:- 2 years (LC 139.2) 3 requirements when seeking appointment as QME ~:- (1) Pass the QME competency exam; (2) Complete a 12-hour course in disability e...

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  • September 25, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • QME
  • QME
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Apluss
Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025




QME exam Questions and Correct
Answers | Latest Update
Holds authority to appoint physicians as QME evaluators


✓ ~:- Administrative Director (AD) (LC 139.2)




Term of appointment as QME evaluator


✓ ~:- 2 years (LC 139.2)




3 requirements when seeking appointment as QME


✓ ~:- (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)




2 reasons for termination/suspension of a QME w/o a hearing


✓ ~:- (1) Licensing board suspends/revokes/terminates license to

practice

(2) Failure to pay required fee (upon appointment and yearly thereafter)




~ 1 ~ for inquiry mail me @ supergrades12@gmail.com

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025


6 reasons for discipline (suspension/termination) of QMEs after a hearing


✓ ~:- (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.




3 types of substantive medical disputes resolved by QMEs


✓ ~:- (1) Compensability of the claim;

(2) Permanent disability;

(3) "Catch-all" (temporary disability, work restrictions, new and further

disabilities after permanent disability (detereoration of original injury),

compensability of new body part added to claim)




Definition of *injury* in compensability claims




~ 1 ~ for inquiry mail me @ supergrades12@gmail.com

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025


✓ ~:- (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 to health care workers




*Specific injury*


✓ ~:- Occurs as the result of a single incident or exposure




*Cumulative injury*


✓ ~:- Results from repetitive trauma (mental or physical) over a period of

time




2 requirements for a condition to be considered an injury


✓ ~:- (1) Cause disability; or

(2) Result in a need for medical treatment




Occupational disease


✓ ~:- Disease that in whole or part is caused by work




7 types of excluded injuries



~ 1 ~ for inquiry mail me @ supergrades12@gmail.com

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