QME REPORT TERMINOLOGY QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Arising Out of Employment (AOE) - CORRECT ANSWERS-...means that an injury or illness was
work related in whole or in part. It is a medical determination based on the information collected by a
physician in obtaining a history related to the injury or illness.
Impairment Rating - CORRECT ANSWERS-A percentage estimate of how much normal use of
the worker's injured body parts has been lost. It is determined based on guidelines published by the
AMA.
Maximal Medical Improvement (MMI) - CORRECT ANSWERS-The injured worker's condition is
well stabilized and unlikely to change substantially in the next year, with or without medical treatment.
Non-Compensable Injury - CORRECT ANSWERS-An injury that resulted from the use of
alcohol or illicit drugs, was intentionally self-inflicted (including suicide), was due to an altercation in
which the injured person physically initiated the altercation, or arose while the injured person was
committing a felony for which the injured person was, or could be convicted, or related to off-duty
recreational activity participation in which was not required as work related, or an injury claimed after
the notice to the worker of termination or layoff.
Party/Parties - CORRECT ANSWERS-Normally this includes the insurance company, the
employer, attorneys, and any other person with an interest in the injured employee's claim (doctors or
hospitals that have not been paid).
Compensable - CORRECT ANSWERS-For a condition to be considered a compensable injury
there must be physical or psychological harm to an individual who is employed, suffered while the
individual was performing a service that was part of and was incidental to the individual's employment.
Cumulative Trauma - CORRECT ANSWERS-An injury that was caused by repeated events or
repeated exposures at work.
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
Arising Out of Employment (AOE) - CORRECT ANSWERS-...means that an injury or illness was
work related in whole or in part. It is a medical determination based on the information collected by a
physician in obtaining a history related to the injury or illness.
Impairment Rating - CORRECT ANSWERS-A percentage estimate of how much normal use of
the worker's injured body parts has been lost. It is determined based on guidelines published by the
AMA.
Maximal Medical Improvement (MMI) - CORRECT ANSWERS-The injured worker's condition is
well stabilized and unlikely to change substantially in the next year, with or without medical treatment.
Non-Compensable Injury - CORRECT ANSWERS-An injury that resulted from the use of
alcohol or illicit drugs, was intentionally self-inflicted (including suicide), was due to an altercation in
which the injured person physically initiated the altercation, or arose while the injured person was
committing a felony for which the injured person was, or could be convicted, or related to off-duty
recreational activity participation in which was not required as work related, or an injury claimed after
the notice to the worker of termination or layoff.
Party/Parties - CORRECT ANSWERS-Normally this includes the insurance company, the
employer, attorneys, and any other person with an interest in the injured employee's claim (doctors or
hospitals that have not been paid).
Compensable - CORRECT ANSWERS-For a condition to be considered a compensable injury
there must be physical or psychological harm to an individual who is employed, suffered while the
individual was performing a service that was part of and was incidental to the individual's employment.
Cumulative Trauma - CORRECT ANSWERS-An injury that was caused by repeated events or
repeated exposures at work.
