TEXAS TBCE JURISPRUDENCE TEST PAPER 2025/2026
QUESTIONS WITH ANSWERS RATED A+
✔✔What is considered healthcare fraud - ✔✔wantonly misleading or misrepresenting
patient treatment circumstances or any other dynamic of the healthcare industry,
resulting in any type of financial gain for the doctor, patient, or any other third party or
entity.
✔✔What does the board consider fraud - ✔✔(1) there must be a cause of deception;
(2) the act or acts must show an intentional misrepresentation of fact; and
(3) the provider must stand to gain financially from the deception and misrepresentation.
✔✔What does the board consider unprofessional conduct. - ✔✔(1) maintaining
unsanitary or unsafe equipment;
(2) failing to use the word "chiropractic", "chiropractor," "Doctor, D.C.," or "Doctor of
Chiropractic, D.C." in all advertising medium, including signs and letterheads;
(3) engaging in sexual misconduct with a patient within the chiropractic/patient
relationship;
(4) exploiting patients through the fraudulent use of chiropractic services which result or
are intended to result in financial gain for a licensee or a third party. The rendering of
chiropractic services becomes fraudulent when the services rendered or goods or
appliances sold by a chiropractor to a patient are clearly excessive to the justified needs
of the patient as determined by accepted standards of the chiropractic profession;
(5) submitting a claim for chiropractic services, goods or appliances to a patient or a
third-party payer which contains charges for services not actually rendered or goods or
appliances not actually sold;
(6) failing to disclose, upon request by a patient or his or her duly authorized
representative, the full amount charged for any service rendered or goods supplied.
✔✔if a patient consents to sex, is that a good enough reason - ✔✔nope
✔✔Can you ever have sex with a patient, anywhere? - ✔✔nope
✔✔how long has to go by before you can date a previous patient - ✔✔6 months without
being their doctor
✔✔How long do you have to inform the board of a felony? - ✔✔30 days after judgement
✔✔Serious crimes by the boards rules - ✔✔(1) practicing chiropractic without a license
and other violations of the Chiropractic Act;
,(2) deceptive business practices;
(3) medicare or medicaid fraud;
(4) a misdemeanor or felony offense involving:
(A) murder;
(B) assault;
(C) burglary;
(D) robbery;
(E) theft;
(F) sexual assault;
(G) injury to a child;
(H) injury to an elderly person;
(I) child abuse or neglect;
(J) tampering with a governmental record;
(K) forgery;
(L) perjury;
(M) failure to report abuse;
(N) bribery;
(O) harassment;
(P) insurance claim fraud, including under the Penal Code §32.55;
(Q) solicitation under the Penal Code §38.12(d) or Occupations Code, Chapter 102; or
(R) mail fraud;
(5) delivery, possession, manufacture, or use of or the dispensing or prescribing a
controlled substance, dangerous drug, or narcotic; or
(6) other misdemeanors or felonies, including violations of the Penal Code, Titles 4, 5,
7, 9, and 10, which indicate an inability or tendency for the person to be unable to
perform as a licensee or registrant or to be unfit for licensure or registration if action by
the board will promote the intent of the Chiropractic Act, board rules including this
chapter, and Occupations Code, Chapter 53.
✔✔t/f
Doctors of Chiropractic may use the term "Chiropractic Physician" when filing a claim for
services if the billing has universally applied predetermined coding or description
requirements that are a prerequisite to appropriate reimbursement. - ✔✔true
✔✔non licencees can NOT (included CA's) - ✔✔(1) rendering a diagnosis and
prescribing a treatment plan; or
(2) performing a chiropractic adjustment or manipulation.
✔✔When can a Chiro student adjust?
Does the DC need to be present? - ✔✔qualified for admission to the outpatient clinic at
the aforementioned college
licensee who need not be physically present in the treating room at the time of the
adjustment or manipulation, but must be on-site at the time of the adjustment or
manipulation.
, ✔✔Can a recent grad adjust? - ✔✔Yes- within past 12 months
Overseeing doctor must notify board of hire within 10 days and must send in copy of
diploma
✔✔Who determines if assistant is quilified - ✔✔DC decides
(1) Requisite education may be determined by a license, degree, coursework, on-the-
job training, or relevant general knowledge.
(2) Requisite training may be determined by instruction in a specific task or procedure,
relevant experience, or on-the-job training.
(3) Requisite skill may be determined by a person's talent, ability, and fitness to perform
a specific task or procedure.
(4) A licensee may delegate a specific task or procedure to an unlicensed person if the
specific task or procedure is within the scope of chiropractic and if the delegation
complies with the other requirements of this section, the Chiropractic Act, and the
board's rules.
✔✔What can an assistant do? - ✔✔1) taking the patient's medical history;
(2) taking or recording vital signs;
(3) performing radiologic procedures;
(4) taking or recording range of motion measurements;
5) performing other prescribed clinical tests and measurements;
(6) performing prescribed physical therapy modalities, therapeutic procedures, physical
medicine and rehabilitation, or other treatments as described in the American Medical
Association's Current Procedural Terminology Codebook, the Centers for Medicare and
Medicaid Services' Health Care Common Procedure Coding System, or other national
coding system;
(7) demonstrating prescribed exercises or stretches for a patient; or
(8) demonstrating proper uses of dispensed supports and devices.
✔✔What can an unlicensed DC or CA NOT do? - ✔✔(1) to perform activities that are
outside the licensee's scope of practice;
(2) to perform activities that exceed the education, training, and skill of the person or for
which a person is not otherwise qualified and properly trained; or
(3) to exercise independent clinical judgment unless the person holds a valid Texas
license or certification that would allow or authorize the person to exercise independent
clinical judgment.
✔✔if you have assistants working for you, do you hav to be there? - ✔✔No- can be on
call (15 minutes away) for consultation
✔✔Do you need to specify if the DC or assistant did the service - ✔✔yes
QUESTIONS WITH ANSWERS RATED A+
✔✔What is considered healthcare fraud - ✔✔wantonly misleading or misrepresenting
patient treatment circumstances or any other dynamic of the healthcare industry,
resulting in any type of financial gain for the doctor, patient, or any other third party or
entity.
✔✔What does the board consider fraud - ✔✔(1) there must be a cause of deception;
(2) the act or acts must show an intentional misrepresentation of fact; and
(3) the provider must stand to gain financially from the deception and misrepresentation.
✔✔What does the board consider unprofessional conduct. - ✔✔(1) maintaining
unsanitary or unsafe equipment;
(2) failing to use the word "chiropractic", "chiropractor," "Doctor, D.C.," or "Doctor of
Chiropractic, D.C." in all advertising medium, including signs and letterheads;
(3) engaging in sexual misconduct with a patient within the chiropractic/patient
relationship;
(4) exploiting patients through the fraudulent use of chiropractic services which result or
are intended to result in financial gain for a licensee or a third party. The rendering of
chiropractic services becomes fraudulent when the services rendered or goods or
appliances sold by a chiropractor to a patient are clearly excessive to the justified needs
of the patient as determined by accepted standards of the chiropractic profession;
(5) submitting a claim for chiropractic services, goods or appliances to a patient or a
third-party payer which contains charges for services not actually rendered or goods or
appliances not actually sold;
(6) failing to disclose, upon request by a patient or his or her duly authorized
representative, the full amount charged for any service rendered or goods supplied.
✔✔if a patient consents to sex, is that a good enough reason - ✔✔nope
✔✔Can you ever have sex with a patient, anywhere? - ✔✔nope
✔✔how long has to go by before you can date a previous patient - ✔✔6 months without
being their doctor
✔✔How long do you have to inform the board of a felony? - ✔✔30 days after judgement
✔✔Serious crimes by the boards rules - ✔✔(1) practicing chiropractic without a license
and other violations of the Chiropractic Act;
,(2) deceptive business practices;
(3) medicare or medicaid fraud;
(4) a misdemeanor or felony offense involving:
(A) murder;
(B) assault;
(C) burglary;
(D) robbery;
(E) theft;
(F) sexual assault;
(G) injury to a child;
(H) injury to an elderly person;
(I) child abuse or neglect;
(J) tampering with a governmental record;
(K) forgery;
(L) perjury;
(M) failure to report abuse;
(N) bribery;
(O) harassment;
(P) insurance claim fraud, including under the Penal Code §32.55;
(Q) solicitation under the Penal Code §38.12(d) or Occupations Code, Chapter 102; or
(R) mail fraud;
(5) delivery, possession, manufacture, or use of or the dispensing or prescribing a
controlled substance, dangerous drug, or narcotic; or
(6) other misdemeanors or felonies, including violations of the Penal Code, Titles 4, 5,
7, 9, and 10, which indicate an inability or tendency for the person to be unable to
perform as a licensee or registrant or to be unfit for licensure or registration if action by
the board will promote the intent of the Chiropractic Act, board rules including this
chapter, and Occupations Code, Chapter 53.
✔✔t/f
Doctors of Chiropractic may use the term "Chiropractic Physician" when filing a claim for
services if the billing has universally applied predetermined coding or description
requirements that are a prerequisite to appropriate reimbursement. - ✔✔true
✔✔non licencees can NOT (included CA's) - ✔✔(1) rendering a diagnosis and
prescribing a treatment plan; or
(2) performing a chiropractic adjustment or manipulation.
✔✔When can a Chiro student adjust?
Does the DC need to be present? - ✔✔qualified for admission to the outpatient clinic at
the aforementioned college
licensee who need not be physically present in the treating room at the time of the
adjustment or manipulation, but must be on-site at the time of the adjustment or
manipulation.
, ✔✔Can a recent grad adjust? - ✔✔Yes- within past 12 months
Overseeing doctor must notify board of hire within 10 days and must send in copy of
diploma
✔✔Who determines if assistant is quilified - ✔✔DC decides
(1) Requisite education may be determined by a license, degree, coursework, on-the-
job training, or relevant general knowledge.
(2) Requisite training may be determined by instruction in a specific task or procedure,
relevant experience, or on-the-job training.
(3) Requisite skill may be determined by a person's talent, ability, and fitness to perform
a specific task or procedure.
(4) A licensee may delegate a specific task or procedure to an unlicensed person if the
specific task or procedure is within the scope of chiropractic and if the delegation
complies with the other requirements of this section, the Chiropractic Act, and the
board's rules.
✔✔What can an assistant do? - ✔✔1) taking the patient's medical history;
(2) taking or recording vital signs;
(3) performing radiologic procedures;
(4) taking or recording range of motion measurements;
5) performing other prescribed clinical tests and measurements;
(6) performing prescribed physical therapy modalities, therapeutic procedures, physical
medicine and rehabilitation, or other treatments as described in the American Medical
Association's Current Procedural Terminology Codebook, the Centers for Medicare and
Medicaid Services' Health Care Common Procedure Coding System, or other national
coding system;
(7) demonstrating prescribed exercises or stretches for a patient; or
(8) demonstrating proper uses of dispensed supports and devices.
✔✔What can an unlicensed DC or CA NOT do? - ✔✔(1) to perform activities that are
outside the licensee's scope of practice;
(2) to perform activities that exceed the education, training, and skill of the person or for
which a person is not otherwise qualified and properly trained; or
(3) to exercise independent clinical judgment unless the person holds a valid Texas
license or certification that would allow or authorize the person to exercise independent
clinical judgment.
✔✔if you have assistants working for you, do you hav to be there? - ✔✔No- can be on
call (15 minutes away) for consultation
✔✔Do you need to specify if the DC or assistant did the service - ✔✔yes
