Florida Chiropractic Laws and Regulations Questions and Answers correct.

Florida Chiropractic Laws and Regulations Questions and Answers correct Chiropractic physicians may adjust, manipulate, or treat the human body by what ways Manual, mechanical, electral, or natural Physiotherapy ways of treating patients Light, heat, water, exercise, acupuncture, administrations of foods What three ways are chiropractors prohibited from treating patients Prescribing or administering drugs, performing surgery, practicing obstetrics For emergency purposes, chiropractors may order, store, and administer Prescription medical oxygen, topical anesthetic in aerosol form: 25% ethyl chloride, 75% dichlorodifluoromethane, 15%dichlorofluoromethane, 85% trichloromonofluromethane Definition of registered chiropractic assistant Person who is registered by the board to perform chiropractic services under the direct supervision of a chiropractic physician or certified chiropractic physician's assistant The board of chiropractic medicine is created within the department and shall consist of 7 members to be appointed by the governed and confirmed by the state What are the requirements of the 7 board members 5 must be licensed chiropractic physicians who are residents of the state and have been practicing for 4 years. The remaining 2 must be residents of the state who are not and have never been licensed as a chiropractic physician or related progression. 1 must be 60 years or older. How long is a board members term 4 years appointed by the governor What is the application fee to apply for a license $100 - non refundable What are the requirements to apply if you graduated chiropractic school before July 2nd, 1990 Completed 2 years of residence college work, minimum of 1/2 the work acceptable for a bachelors degree (based on a 4 year period of study) in a college accredited and approved by the US Department of Education What are the requirements to apply if you graduated chiropractic school after July 2nd, 1990 Granted a bachelors degree (based on 4 academic years of study) What board exams are required for licensing? Parts 1, 2, 3, 4 and PT What exam is necessary for an applicant who graduated from an institution more than 10 years before the date of application National Board of Chiropractic Examiners Special Purposes Examination for Chiropractic (or its equivalent) The department shall submit written notification within _ working days to applicants who have successfully completed the requirements and who has successfully passed the state licensure examination 5 The written notification of of completion of requirements of application shall act as evidence of licensure entitling the chiropractor to practice for a minimum period of _ days or until the licensing fee is received by the department 45 What is required to renew a license 1. Fee set by the board not to exceed $500 2. Submit a set of fingerprints along with payment If a chiropractor renewing their license fails to provide a set of fingerprints ... He department will issue a notice of noncompliance and the applicant will be given 30 additional days to comply If the applicant fails to comply to providing a set of fingerprints within the 30 days The board may issue a citation to the applicant and may fine the applicant up to $50 for each that that the applicant is not in compliance with the requirements If an applicant has submitted fingerprints to the department for a national criminal history check upon initial licensure and is renewing their license for the first time... The applicant need only submit the information and fee required for a statewide criminal history check How many CE hours are required upon each renewal 40 Whenever a chiropractic physician licensed under this chapter renders professional services to a patient, the chiropractic physician shall submit to the patient, to the patient's insurer, or to the administrative agency for any federal or state health program under which the patient is entitled to benefits an itemized statement of the specific services rendered and the charge for each, no later than the chiropractic physician's next regular billing cycle which follows the fifth day after the rendering of professional services. A chiropractic physician may not condition the furnishing of an itemized statement upon prior payment of the bill. The chiropractic physician - patient relationship is founded on what Mutual trust Xrays need to be retained for more than 4 years provided by rule of the board, money or other property entrusted to a chiropractic physician for a specific purpose, including advances for costs and expenses of examination or treatment which may not exceed the value of $1,500, is to be held where In a trust and must be applied only to that purpose The chiropractic physician may submit a written response to the information contained in such complaint or document within __ days after service to the chiropractic physician of the complaint or document. The chiropractic physician's written response shall be considered by the probable cause panel. 45 For chiropractic assistant: any basic program curriculum certified by the board must consist of a curriculum of at least __ didactic classroom hours. 200 A fee not to exceed __ set by the board shall accompany the application by a chiropractic physician for authorization to supervise a certified chiropractic physician's assistant. $100 A certified chiropractic physician's assistant may directly supervise a __ chiropractic assistant and other persons who are not licensed as chiropractic physicians who are employed or supervised by the chiropractic physician to whom the certified chiropractic physician's assistant is assigned. Registered A certified chiropractic assistant renewal must include 1. A renewal fee set by the board 2. A sworn statement of no felony convictions in the previous 2 years in any jurisdiction A certified CA shall biennially complete __ hours of CE 24 Upon employment as a certified chiropractic physician's assistant, a certified chiropractic physician's assistant must notify the department in writing within __ days after such employment or any change of the supervising chiropractic physician. 30 What must the notification of CA employment include Full name, Florida chiropractic medical license number, specialty, and address of supervising chiropractor How many CE hours are required each biennium? 40 The board may require that up to __ hour of the required 40 hours be in the area of risk management or cost containment 1 The boards, or the department when there is no board, shall require the completion of a __ hour course relating to prevention of medical errors as part of the biennial renewal process. 2 The prevention of medical errors course must be approved by the board or department, as appropriate, and must include a study of root-cause analysis, error reduction and prevention, and patient safety. Also must include information relating to the 5 most misdiagnosed conditions during the previous biennium An approved chiropractic physician or group of physicians may supervise certified chiropractic physician's assistants at a ratio no greater than __ certified chiropractic physician's assistants to one chiropractic physician. 10 A certified chiropractic physician's assistant may perform __, __, __, and __ under indirect supervision. case histories, diagnostic testing, physical examinations, and therapeutic procedures Applicants may qualify for certification as a CA by 1. Successfully completing a program approved 2. Graduating from a chiropractic college provided that the applicant has never had a license to practice as a chiropractor subject to disciplinary action 3. Successfully completing 24 months of chiropractic education For the CA training program, successful completion is deemed to mean obtaining a raw score of ___ %on a comprehensive examination covering the entire education and training program. 75% Upon approval of an application for certification in a specialty area for a CA the applicant shall be charged a ___ cerrtification fee for the first biennium. The biennial renewal fee for each subsequent biennial shall be __ $50, $50 The curriculum for a CA must include both clinical and didactic training and must consist of a minimum of __ classroom hours to be completed in no less than 24 months. 200 What specialties for CAs are there 1. Radiology 2. Nutrition 3. Orthopedics 4. Physiotherapy Certifications to supervise assistants shall remain valid for __ years and must be renewed biennially. 2 What diseases are chiropractors not allowed to treat Cancer, Leukemia, Tuberculosis, Syphilis, Gonorrhea, Hepatitis, Anthrax, Diphtheria, Hansen's Disease, Hookworm Disease, Malaria, Rabies, Typhoid Fever, AIDS, Prior to any licensed chiropractic physician engaging in acupuncture, such physician, shall complete a minimal educational background of__ hours of study in the practice of acupuncture with the courses or seminars being approved by this Board. 100 For patients and governmental entities, the reasonable costs of reproducing copies of written or typed documents or reports shall not be more than the following: First 25 pages = $1/page For each page in excess of 25 pages, the cost shall be 25 cents Reasonable costs of reproducing x-rays, and such other special kinds of records shall be the __ costs. Actual. The phrase "actual costs" means the cost of the material and supplies used to duplicate the record, as well as the labor costs and overhead costs associated with such duplication. The chiropractor who terminates his practice, places his licenses in a retired status or the executor, administrator, personal representative, survivor or succeeding practitioner of a deceased chiropractor shall retain the chiropractic records of any "patient of record" in existence upon date of termination of practice, or upon the death of the chiropractor for at least __ years from the date of the termination of practice, or death of the chiropractor. "Patient of record" for the purpose of this rule is a patient who has received treatment within the last two (2) years. 2 Within ___ from the date of termination of practice, or the chiropractor's death, the chiropractor who has terminated his practice, or the executor, administrator, personal representative, survivor or succeeding practitioner of the deceased chiropractor shall notify the Board Office who the new records owner is and where the medical records can be found, and shall notify the patient of record that the patient's chiropractic records are available to that patient or their duly constituted representative from a specific person at a certain location. 1 month A chiropractor in active practice shall retain chiropractic records for at least __ years from the date of the patient's last appointment with the chiropractor. 4 Obtaining and maintaining professional liability coverage in an amount not less than ___ per claim, with a minimum annual aggregate of not less than ____ from an authorized insurer $100,000 $300,000 Penalty for license fraudulently obtained $10,000 fine and permanent revocation of license Penalty for practicing without active license Minimum of $500 fine for each month of practice without an active license up to permanent renovation of license Penalty for sexual misconduct From a minimum of a PRN referral for evaluation, one (1) year suspension followed by two (2) years' probation including a chaperone, up to a maximum $7,500 fine and permanent revocation. Penalty for a misdemeanor From a minimum $1,500 fine and six (6) months' probation, up to a $3,000 fine and one (1) year suspension. Penalty for a felony From a minimum $5,000 fine and 1 year probation up to a maximum $7,500 fine and one (1) year suspension followed by two (2) years' probation or permanent revocation. penalty for false or misleading advertising From a minimum $1,000 fine and a letter of concern, up to a maximum $2,500 fine and 3 hours Laws, Rules and Ethics CE. Penalty for submitting claims for treatment not provided From a minimum $3,000 fine and two (2) year probation, up to a maximum $5,000 fine or one (1) year suspension, three (3) hours Laws and Rules, two (2) hours Ethics and six (6) hours Documentation and Coding CE as conditions of licensure reinstatement, followed by one (1) year probation with records monitoring. Penalty for timely and appropriate release of records In addition to three (3) hours Laws, Rules and Ethics CE, from a minimum $1,000 fine and a letter of concern up to a maximum $3,000 fine and one (1) year of probation. In cases where the Board of Chiropractic Medicine imposes an administrative fine and/or costs, the fine and/or costs shall be paid within ___ days from the date the order of the Board is filed with the Clerk of the Department unless otherwise noted in the order. 30 Citation of $500 for (a) Failure to notify the Department of change of address (b) Failure to review and correct any factual inaccuracies in the practitioner profile within fifteen (15) days of when furnished based upon any information provided by the practitioner (c) Failing to report to the Department any person whom the licensee knows is in violation of the laws and rules of the Department or Board. (d) Failing to provide, upon request of the insured, a copy of a claim submitted to any third-party payor for service of treatment of the insured Penalty of $2500 for following advertising citations 1. Any discounted or free service without including the required statement. 2. Failing to include in an advertisement for free x-rays and/or video fluoroscopy that x-rays or video fluoroscopy will be given only if medically necessary 3. Failing to specifically name each individual chiropractor participating in a referral service or bureau when advertising a chiropractic referral service or bureau 4. Failing to include a reference to the chiropractor by name and degree in any advertisement generated on behalf of the chiropractor 5. Failing to conspicuously identify the chiropractor(s) listed in the advertisement as a chiropractor 6. Disseminating an advertisement that contains a representation that identifies the chiropractic practice being advertised by a name that fails to include the terms "chiropractor," "chiropractic," "the initials, D.C.," "chiropractic physician," "doctor of chiropractic medicine," or similar derivative 7. Advertising that a chiropractor has received Diplomate status in a specialty area not recognized by the Board If the subject does not dispute the matter in the citation in writing withi ___ days after the citation is served by personal service or within thirty (30) days after receipt by certified mail, the citation shall become a final order of the Board. 30 The subject has __ days from the date the citation becomes a final order to pay the fine and costs. 30 The board finds that mediation is an acceptable method of dispute resolution for the following violations as they are economic in nature or can be remedied by the licensee: (A) Failure of the licensee to timely pay any assessed administrative fines or costs (b) Failure of the licensee to timely respond to a continuing education audit (c) Failure to promptly return a license or certificate (d) Issuance of a bad check to the Department (e) Failure to notify the Department of a change of address within 45 days Board shall issue a notice of noncompliance as a first response to a minor violation of a rule. Failure of a licensee to take action to correct the violation within __ days shall result in either the issuance of a citation when appropriate or the initiation of regular disciplinary proceedings. 15 The minor violations which shall result in a notice of noncompliance are: (1) Failure to notify of a change of address within 30 days (2) Issuance of a bad check to the Department The Board finds it misleading and deceptive to fail to include the fact that x-rays and/or video fluoroscopy will only be given if ___ ____ in an advertisement for free x-rays and/or video fluoroscopy. Medically necessary The Board also finds that it is misleading and deceptive for a chiropractor or a group of chiropractors to advertise a chiropractic referral service or bureau unless the advertisement specifically names each of the individual chiropractors who are participating in the referral service or bureau. Chiropractic Specialities recognized by the Board American Chiropractic Association, the International Chiropractic Association, International Academy of Clinical Neurology, or the International Chiropractic Pediatric Association. Each specialty requires a minimum of__ hours of post-graduate credit hours and passage of a written and oral examination approved by the American Chiropractic Association, International Chiropractic Association, International Academy of Clinical Neurology, or the International Chiropractic Pediatric Association. 300 A Diplomate of the National Board of Chiropractic Examiners is___ recognized by the Board as a chiropractic specialty status for the purpose of this rule. Not Any specialty not recognized by the board must contain this clause in advertising "The specialty recognition identified herein has been received from a private organization not affiliated with or recognized by the Florida Board of Chiropractic Medicine." Definition of trust fund unearned fees in the form of cash or property other than cash, which are received by a chiropractor prior to the chiropractor rendering his services or his selling of goods and appliances. The chiropractor shall cause to be made a reconciliation of his trust accounts balance at least____ and shall retain a copy of such reconciliation for at least ___ years Quarterly 6 years Those chiropractors practicing in Florida who receive or disburse trust money or property shall file with the Department of Health between June 1 and August 15 of each year a certificate stating: I certify that I have read the provisions of Section 460.413(1)(y), F.S., and the provisions of Rule 64B2-14.001, F.A.C., and that I am in substantial compliance with the minimum requirements as to trust accounting records and procedures set forth therein. The failure of any license holder to elect active or inactive status before the license expires shall cause the license to become Delinquent Certified Chiropractic Physicians Assistant must complete at least ___ contact classroom hours of continuing chiropractic education during the past two (2) years. 24