HOW TO PREPARE FOR YOUR QME (QUALIFIED MEDICAL EVALUATOR) EXAM

A Qualified Medical Evaluator Exam, or QME, is an exam conducted by a physician who is certified by the Division of Workers’ Compensation — Medical Unit. The QME physician examines a worker’s injury to prepare medical reports that are used to determine eligibility for workers’ compensation. We want you to be as prepared as possible for both the exam and, later on, the court hearing. These tips will help you walk into the exam room calm, confident, and ready.

Know The Doctor’s Bias

When an insurance company asks you to undergo a QME exam, the doctor who performs the exam is chosen by the insurance company. Although medical professionals typically attempt to work without bias, the truth is that the doctor is most likely going to work in favor of the insurance company. While you shouldn’t inherently distrust the examining physician, you should definitely walk into the exam room with the reality of the situation in mind.

Stick to The Facts Of Your Injury

During the exam, the doctor will ask you questions about the injury as well as your prior medical history. While you must volunteer certain information about your prior medical history, it’s important to stick to the facts and not “over answer” the questions. Statements made during the exam could be brought up during your case — and in some cases, depending on the information you give, may be used as testimony against you. For this reason, it’s crucial to have an attorney to assist with your workers’ compensation claim. A workers’ compensation attorney can prepare you for the QME exam and explain what you should expect. For any concerns about your exam and the questions you are asked, it’s important to relay this to your workers’ compensation attorney.

Bring a Friend or Relative to the Exam

There are several reasons to bring someone you trust along to your QME exam. First, having a trusted friend nearby is a good way to stay calm and focus on answering all questions correctly. Second, your friend’s presence ensures accountability on the part of the examining physician. Have your friend take notes during the exam; they should write down what tests the doctor performs and what questions they ask you.

Immediately after the QME exam, confer with your friend and take notes of your own. This will help ensure that you remember the events correctly during your workers’ compensation hearing.

Don’t Sign Any Documents

Signed documents can be used as legal evidence, so don’t sign off on anything without your attorney’s permission. Remember, even if the doctor is attempting to maintain a neutral perspective, they are still summoned to do your exam at the request of the insurance company. Should you be asked to sign any documents, ask to take them home with you and show them to your workers’ compensation attorney for further direction.

QME exams are a standard part of your workers’ compensation case. As long as you remain professional and cooperative, you should find the process relatively straightforward.

If you’ve been injured on the job or and need assistance with filing a workers’ compensation claim or appeal a denial, we are here to help. Contact Law Offices of Bo Katzakian today at (844) 311-7793 for a free case evaluation today.

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