QME Exam Prep Latest Update 2024-2025 Questions and 100% Verified Correct Answers Guaranteed A+
2 reasons for termination/suspension of a QME w/o a hearing - CORRECT ANSWER:
(1) Licensing board suspends/revokes/terminates license to practice (2) Failure to pay required fee (upon appointment and yearly thereafter)
2 requirements for a condition to be considered an injury - CORRECT ANSWER: (1)
Cause disability OR (2) Result in a need for medical treatment
- factors to establish in making a causation determination - CORRECT ANSWER: (1)
Presence of pathological conditions and disability (2) Relevant work exposures (3) Non-industrial exposures (other causes of disease)
3 requirements when seeking appointment as QME - CORRECT 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)
3 types of substantive medical disputes resolved by QMEs - CORRECT ANSWER: (1)
Compensability of the claim (2) Permanent disability (3) "Catch-all" (temporary disability, work restrictions, new and further disabilities after permanent disability (deterioration of original injury), compensability of new body part added to claim))
4 basic conditions to establish a workers' compensation claim - CORRECT ANSWER:
(1) *Injury* (physiological or psychological harm) (2) Employment relationship (3) Injury caused by the employment (This is also referred to as arising out of employment [AOE]) (4) Occurred in the course of the employment (COE)
5 major types of causation - CORRECT ANSWER: (1) Direct
(2) Contributing (3) Acceleration (4) Precipitation (5) Aggravation
- / 2
- reasons for discipline (suspension/termination) of QMEs after a hearing - CORRECT
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.
7 types of excluded injuries - CORRECT ANSWER: (1) Caused by employee's use of
alcohol or illegal controlled substances (2) Intentionally self-inflicted injuries (3) Suicide (4) Resulting from altercations, in which the injured employee is the *initial physical aggressor* (5) Resulting from the employee's commission of a felony, for which the employee has been convicted (including "wobbly felonies," which are crimes that may be prosecuted as misdemeanors or felonies (6) Resulting from off-duty recreational activities, in which participation in the activities does not constitute part of the employee's work-related duties and the activity is not an expressed or implicit condition of employment (7) Psychiatric injuries claimed after notice of termination/layoff unless certain conditions exist
Acceleration - CORRECT ANSWER: Disease process is accelerated by virtue of work
exposure. The date of the onset of the disease is much sooner than it would have been in the absence of the exposure
Admissible reports before a WCJ to resolve the issue of compensability - CORRECT
ANSWER: (1) Properly acquired QME (2) Primary treating physician
Aggravation - CORRECT ANSWER: A medical condition may be present already, but
work exposure makes it worse
Aggravation of a pre-existing, non-industrial condition - CORRECT ANSWER: (1)
Causes a temporary or permanent increase in disability OR (2) Creates a new need for medical treatment OR (3) Requires a change in the existing course of treatment
Apportionment - CORRECT 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.
- / 2