What to Expect During Your QME Exam
The examining clinician should not show any bias toward you or the insurance carrier. Because of this you may feel that the QME is being a little distant with you. Understand that this appearance of distance is needed in order to protect the unbiased nature of the examination.
The evaluation may be somewhat lengthy, depending on the complexity of your case. Don't be surprised if the doctor spends a great deal of time with you in taking the history. Often the entire case and your current condition can only be assessed by a very thorough history. There may be details in particular of which the doctor has been asked to address. Do your best to take your time and answer any questions as honestly as you can remember. Words means a great deal during the history. Try to stay calm and remember that the doctor is merely trying to establish the facts as best as possible.
The TMD physical examination may also be somewhat lengthy. You will undergo a complete head, neck, jaw and dental examination. In some cases special tests may need to be ordered like TMJ tomograms, MRI's, CT Scans and additional tests. Such additional tests will only be required if the doctor is unable to render an opinion unless such tests are obtained.
Remember; the QME examination and the system which regulates the QME process is intended to protect all parties from biased or unfair treatment. I think it is fair to say that the majority of QME doctors try their best to be unbiased and to render opinions based on the facts presented.
How to Prepare for your QME Examination
After scheduling your QME examination, your examining QME doctor should send you a questionnaire for you to complete regarding your history, treatment and current status. Please fill this out as completely and accurately as possible. Do not wait until the day of the examination to do this, as often the questionnaire is quite long. Don't let your exam be determined by half fact and brief answers.
You should also have received a DEU form 100 "Employees' Disability Questionnaire". Make sure to fill this out and bring it with you to your examination.
Scheduling your QME Examination
After you have requested a QME examination, you will be sent a form on which you will specify which specialty you wish to have examine you. This may be a chiropractor, and orthopedic surgeon etc. Select which specialty you prefer. You may ask your treating physician for his or her advise on which specialty to select. After you file this form with the IMC, they will then send you a list of either 3 QME's in your area, or (depending on your case) a list of many QME's in your area. You may ask your treating physician for advice on which QME you select.