QME Qualified Medical Evaluator 2024
(UCLA) Final Exam Review with 100%
Correct Answers | Graded A+
David Mungai [Date] [Course title]
, QME Qualified Medical Evaluator 2024
(UCLA) Final Exam Review with 100%
Correct Answers | Graded A+
Holds 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)
6 reasons for discipline (suspension/termination) of QMEs after a
hearing - Answer>> (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 -
Answer>> (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 - Answer>> (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* - Answer>> Occurs as the result of a single
incident or exposure
*Cumulative injury* - Answer>> Results from repetitive trauma
(mental or physical) over a period of time
2 requirements for a condition to be considered an injury -
Answer>> (1) Cause disability; or
(2) Result in a need for medical treatment
Occupational disease - Answer>> Disease that in whole or part
is caused by work
7 types of excluded injuries - Answer>> (1) Caused by
employee's use of alcohol or illegal controlled substances;
(2) Intentionally self-inflicted injuries;
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