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QME Exam Prep p2 Exam Questions with Answers A+ Rated
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QME Exam Prep p2 Exam Questions with Answers A+ Rated
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QME Exam Prep p2 Exam Questionswith Answers A+ Rated
How is the disability rating made? - -QMEs rate the impairment (NOT
DISABILITY), and then raters use the impairment rating to make a disability
rating
-What are the two exceptions to using the AMA guides 5th ed. to the
evaluation of permanent impairment? - -Psych cases and cases prior to
1/1/2005 (the latter use the 1997 PDRS)
-What are the two exceptions to the requirement that QMEs have 1/3 of
their time devoted to direct clinical practice? - -1) if the QME has been an
AME at least 8 times in the past year
2) if the QME is retired or a teaching physician
-Can acupuncturists issue opinions on permanent disability? - -No
-What are the limitations to apportionment? - -1) Apportionment applies
only to permanent disability and is based on causation
2) only permanent disability is apportioned, never treatment, work
restrictions, etc.
-What is the signing date for QME reports? - -the date the report is
completed, not the evaluation date. include the county of the report
-What are the five major categories of QME disciplinary action? - -1)
consistent late reports
2) lack of availability
3) ex parte communications
4) self-referral
5) reports do not meet DWC minimum standards
-What must be included with the HPI? - -A discussion of the mechanism of
injury
-What are the 5 main types of workers comp benefits? - -1) Medical
treatment
2) temporary disability benefits
3) permanent disability benefits
4) death benefits
5) supplemental job displacement benefits (SJDB)
, -What is the Boynton Act of 1913? - -Requires CA employees to have
worker's comp insurance
-what is the definition of a medical-legal report? - -to prove or disprove an
aspect of a contested claim
-What is the impairment rating? - -Rates the degree to which the
impairment decreases a person's ability to perform ADLs, excluding work
-What are AOE and COE? - -AOE: arising out of employment
COE: through the course of employment
-What is ex parte communication? - -Occurs when a party to a case
communicates with one side only. a QME CANNOT do this (but can speak
with the treating MD if questions arise)
-What is the difference between exacerbation and aggravation? - -
Exacerbation: temporary worsening
Aggravation: permanent worsening (new injury)
-Define permanent, temporary partial and temporary total disability. - -
Permanent: irreversible residual of an injury
Temp partial: can work, but earn less than previously
Temp total: cannot work at all
-Do psych injuries after termination count as injury? - -No
-Define apportionment - -Estimate of the % of permanent disability was
caused by work-related injury
-What are temporary disability payments? - -2/3 of average weekly pay,
limited to 104 weeks (2 years)
-when are supplemental job displacement benefits offered? - -if the
employer doesn't offer a RTW (return to work), a voucher can be offered to
the IW, but must be used within 2 years of offer or 5 years from date of
injury (DOI)
-When are non-psych vs psych injuries compensable? - -Non-psych: if 1% or
more of the injury is industrial
Psych: if >50% is industrial (some exceptions)
-What are the known presumptions for worker's comp? - -1) Firefighters &
peace officers cancer, if known exposures
2) Peace officers with heart trouble, PNA, hernia, infectious diseases, lower
back issues if >5 years work
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