Exam (elaborations)
QME EXAM QUESTIONS AND ANSWERS
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QME EXAM QUESTIONS AND ANSWERS
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QME EXAM QUESTIONS AND ANSWERSHolds authority to appoint physicians as QME evaluators - answer- Administrative
Director (AD) (LC 139.2)
Term of appointment as QME evaluator - answer- 2 years (LC 139.2)
3 requirements when seeking appointment as QME - answer- (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 - answer- (1) Licensing
board suspends/revokes/terminates license to practice
(2) Failure to pay required fee (upon appointment and yearly thereafter)
First right to request a QME examination to determine compensability - answer- Injured
worker, regardless of representation
First right to specify specialty of the QME panel - answer- Injured worker, regardless of
representation
Admissible reports before a WCJ to resolve the issue of compensability - answer- (1)
Properly acquired QME
(2) Primary treating physician
Permanent disability rating (determination) - answer- (1) The disability evaluation
(2) A rating schedule that correlates impairment with disability (Schedule for Rating
Permanent Disabilities)
Impairment rating (determination) - answer- Physician, using AMA Guides
Responsibility of assigning the permanent disability rating - answer- A rating specialist
in the Disability Evaluation Unit (DEU)
of the DWC (***not physicians***)
Right to invoke evaluation of permanent disability - answer- Injured worker
OR
Claims administrator
Trigger for permanent disability dispute - answer- Termination of temporary disability by
treating physician (via report)
, Cause for termination of temporary disability - answer- Finding of permanent and
stationary (P&S) OR maximum medical improvement (MMI) by the primary treating
physician
Only admissible reports before a WCJ on the issue of permanent disability - answer-
QME report
Evaluation(s) prepared by treating physician(s)
Apportionment - answer- Estimate of approximate percentage of permanent disability
caused by a work-related injury (& approximate percentage caused by other factors)
Only applies to permanent disability
Regions of the body - answer- (1) Hearing
(2) Vision
(3) Mental and behavioral disorders
(4) Spine
(5) Upper extremities, including shoulders
(6) Lower extremities, including hip joints
(7) Head
(8) Face
(9) CV system
(10) Respiratory system
(11) All other systems/regions
Criteria for presumptive 100% awards - answer- (1) Loss of both eyes or sight in both
eyes
(2) Loss of both hands or use of both hands
(3) Injury resulting in practically total paralysis
(4) Injury to the brain, resulting in incurable mental incapacitiy or insanity
Trigger for a comprehensive medical evaluation of permanent disability by an
AME/QME - answer- Injured worker or employer wishes to contest treating physician's
evaluation
Impairment (AMA Guides definition) - answer- Loss, loss of use, or derangement of any
body part, organ system or organ function
Change from a normal/pre-existing state implied in def'n
Disability (AMA Guides definition) - answer- Alteration of an individual's capacity to meet
personal, social, or occupational demands or statutory or regulatory requirements
because of an impairment
Combined Values Chart - answer- Used to combine multiple impairment ratings into a
summary value or WPI
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