Qme Definitions Latest Update
2024/2025
24 chiropractic visit - ANSWER-any injury on or after January 01, 2004
4062.3 (b) - ANSWER-if opposing party objects to non-medical records within 10 days, then the QME
will not get the records.
9785 - ANSWER-Reporting Duties of the Primary Treating Physician
9785(a)(8) Permanent & Stationary - ANSWER-- The point when the employee has reached MMI and
the condition is well stabilized and unlikely to change substantially in the next year with or without
treatment.
9793 - ANSWER-Medical-Legal Expenses and Comprehensive Medical-Legal Evaluations - Definitions
Aggravation - ANSWER-A change in of pre-existing condition/disability = new injury
AME - ANSWER-A medical examiner selected by agreement.
AOE - ANSWER-Refers to how the activities led to the injury in question, Arising Out Of Employment
Appeals Board - ANSWER-A group of 7 commissioners appointed by the governor.
Apportionment - ANSWER-portion of disability not related to current injury.
Boilerplate - ANSWER-automatically inserted into the report. ILEGAL.
Cancelation - ANSWER-Cannot cancel a QME appointment less than 6 days prior to the appointment
COE - ANSWER-determined by judge that the injury was work related. Coming Out Of Employment.
Communication with QME - ANSWER-In writing and served to opposing party
Compensable Injury - ANSWER-any AOE/COE injury
Comprehensive Medical-Legal Evaluation 9793(c) - ANSWER-an evaluation of an employee which
results in the preparation of a narrative medical report prepared and attested to in accordance with
Section 4628 of the LC.
Continuing Medical Treatment - ANSWER-occurring or presently planned treatment
Cumulative injury - ANSWER-repetitive traumatic activities over a period time
Date of Cumulative Injury - ANSWER-date upon which the employee knew of the work injury.
Date of Specific Injury - ANSWER-one incident of exposure.
Deposed - ANSWER-the evaluator shall make themself available within at least 120 days of notice of
deposition and shall be at location of evaluation or at a facility or office chosen by the deposing party
that is not more than 20 miles from the location of the evaluation.
Disability - ANSWER-alteration to meet personal and occupational demands.
DWC-AD Form 10133.36 - ANSWER-If the injured worker is P&S and the injury caused permanent
partial disability, the QME shall complete the physician's report of P&S status and work capacity
FORM and serve to claim administrator with report.
EAMS - ANSWER-A computerized system to improve the DWC case management.
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