QME EXAM PREP P2 STUDY GUIDE WITH COMPLETE SOLUTIONS
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Qme
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Qme
QME EXAM PREP P2 STUDY GUIDE WITH COMPLETE SOLUTIONSQME EXAM PREP P2 STUDY GUIDE WITH COMPLETE SOLUTIONSQME EXAM PREP P2 STUDY GUIDE WITH COMPLETE SOLUTIONS
How is the disability rating made? - ANSWER-QMEs rate the impairment (NOT DISABILITY), and then raters use the impairment rating to make a di...
QME EXAM PREP P2 STUDY GUIDE
WITH COMPLETE SOLUTIONS
How is the disability rating made? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-No
What are the limitations to apportionment? - ANSWER-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? - ANSWER-the date the report is completed,
not the evaluation date. include the county of the report
When are non-psych vs psych injuries compensable? - ANSWER-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? - ANSWER-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
What are the medical treatment utilization schedule (MTUS) guidelines? - ANSWER-
ODG: chronic pain / post-surgical
ACOEM: everything else
What are the five major categories of QME disciplinary action? - ANSWER-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? - ANSWER-A discussion of the mechanism of
injury
What are the 5 main types of workers comp benefits? - ANSWER-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? - ANSWER-Requires CA employees to have worker's
comp insurance
what is the definition of a medical-legal report? - ANSWER-to prove or disprove an
aspect of a contested claim
What is the impairment rating? - ANSWER-Rates the degree to which the impairment
decreases a person's ability to perform ADLs, excluding work
What are AOE and COE? - ANSWER-AOE: arising out of employment
COE: through the course of employment
What is ex parte communication? - ANSWER-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? - ANSWER-
Exacerbation: temporary worsening
Aggravation: permanent worsening (new injury)
Define permanent, temporary partial and temporary total disability. - ANSWER-
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? - ANSWER-No
Define apportionment - ANSWER-Estimate of the % of permanent disability was caused
by work-related injury
What is the minimal required FaceTime for neuromusculoskeletal vs psych vs all else? -
ANSWER-Neuromusculoskeletal: 20 min
Psych: 60 min
All else: 30 min
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