Which statement best describes a Qualified Medical Evaluator?

Which statement best describes a Qualified Medical Evaluator?

• A. A physician appointed by the Administrative Director
• B. A nurse practitioner
• C. A chiropractor
• D. A physician employed by the employer

Answer: (A)

In California workers’ compensation, a Qualified Medical Evaluator is a physician who is appointed by the Administrative Director to perform medical-legal evaluations. These evaluators are chosen from a state panel and provide independent medical-legal opinions on issues like impairment, permanency, and recommended treatment when there’s a dispute. Because the appointment comes from the Administrative Director, the evaluator is not someone employed by the employer, and the role is limited to physicians (MDs or DOs) who meet the program’s qualifications. That’s why the statement describing a physician appointed by the Administrative Director is the best fit. A nurse practitioner or chiropractor is not eligible to serve as a QME, and a physician employed by the employer would not be considered an independent QME.

In California workers’ compensation, a Qualified Medical Evaluator is a physician who is appointed by the Administrative Director to perform medical-legal evaluations. These evaluators are chosen from a state panel and provide independent medical-legal opinions on issues like impairment, permanency, and recommended treatment when there’s a dispute. Because the appointment comes from the Administrative Director, the evaluator is not someone employed by the employer, and the role is limited to physicians (MDs or DOs) who meet the program’s qualifications.

That’s why the statement describing a physician appointed by the Administrative Director is the best fit. A nurse practitioner or chiropractor is not eligible to serve as a QME, and a physician employed by the employer would not be considered an independent QME.