FLORIDA LAWS AND RULES CHIROPRACTIC BOARD EXAM QUESTIONS. COMPLETE SET QUESTIONS AND CORRECT DETAILED ANSWERS

FLORIDA LAWS AND RULES CHIROPRACTIC BOARD EXAM QUESTIONS. COMPLETE SET QUESTIONS AND CORRECT DETAILED ANSWERS (A+ VERIFIED ANSWERS) If you change your address, how many days do you have to notify the board - ANSWER >>>>30 How many hours of education is needed to sit for the acupuncture test - ANSWER >>>>100 How many hours of CE is needed every 2 years - ANSWER >>>>40 hours in risk management are needed of which hours are required for laws and rules - ANSWER >>>>3, 2 how many hours are required for record keeping/documentation and coding - ANSWER >>>>6 how many hours are needed in ethics - ANSWER >>>>2 how many hours are needed in HIV/AIDS - ANSWER >>>>3 how many hours are needed for prevention of medical errors - ANSWER >>>>2No more than hours of CE can be earned through online classes - ANSWER >>>>10 Trust fund account records must be kept for how many years - ANSWER >>>>6 Free services that are advertised require what - ANSWER >>>>verbal announcement or 15 second disclaimer exposure T/F- you can not advertise superiority over others but you can advertise diplomate status - ANSWER >>>>True What are the specialities recognized by the board - ANSWER >>>>ACA, ICA, International academy of clinical neurology, international chiropractic pediatric association Unrecognized specialities can be advertised but require what - ANSWER >>>>statement saying "specialty isnt recognized by florida chiropractic board of medicine" Failure of a license holder to elect active or inactive before expiration will cause the license to become what - ANSWER >>>>delinquent attending a disclipinary board meeting gives you how many hours in what - ANSWER >>>>5 hours in risk management An inactive license may be required to appear before the board if that license has been inactive for how long - ANSWER >>>>more than two consecutive biennial cyclesFines imposed by the board shall be paid within how many days - ANSWER >>>>30 Citations are to be corrected within how many days - ANSWER >>>>60 citations are to be disputed in within how many days - ANSWER >>>>writing, 30 minor violations of rule will be notified by noncompliance, and the licensee has days to take action - ANSWER >>>>15 T/F - making suggestive, lewd, or lascivious remarks to a patient is sexual misconduct - ANSWER >>>>true A person is considered a chiropractic patient until year has elapsed since the last date of treatment or examination - ANSWER >>>>1 T/F - Patient consent may be used by DC in defense of allegation of sexual misconduct - ANSWER >>>>FALSE for reproducing copies, the cost for the first 25 pages shall be per page, for each page in excess of 25 pages, the cost shall be - ANSWER >>>>1.00, 0.25cost of reproducing x-rays and other special records shall be the - ANSWER >>>>actual cost A DC who terminates practice, stops practicing, or dies (a representative would) shall keep patient records for how long - ANSWER >>>>2 years within _ month of termination, retirement, or death; said person shall notify the board of who record owner is and publish said information into newspaper on occassions. - ANSWER >>>>1, 2 A chiropractor in active practice shall retain records for at least years - ANSWER >>>>4 medical records are maintained to - ANSWER >>>>serve as a basis for planning patient care and for continuity in the evaluation of the patient's condition and treatment T/F - late entries are permitted, but must be clearly and accurately noted as late entries and date accurately when they are entered into the record - ANSWER >>>>True minimum insurance coverage in an amount not less than per claim and with minimum annual aggregate not less than - ANSWER >>>>100,000 300,000 what is the maximum ratio of DC:CCPA allowed? - ANSWER >>>>1:2CCPA can work under supervision while CAs must work under supervision - ANSWER >>>>indirect, direct indirect supervision for CCPAs means that the DC must have , or be within minutes away and able to talk by electronic communication - ANSWER >>>>easy availability, 30 what are the 4 areas of speciality for CCPAs? - ANSWER >>>>Radiology, nutrition, orthopedics, PT Each licensee shall provide written notification by mail or by electronic means with confirmation to the Department of a change of address within days - ANSWER >>>>30 The application fee shall be which shall be nonrefundable - ANSWER >>>>$100 A license must be renewed every years? - ANSWER >>>>2 The fee for biennial renewal of a chiropractic license is ? - ANSWER >>>>$350 The initial licensure fee is? - ANSWER >>>>$350 The fee for inactive status is?The fee for renewal of an inactive license? - ANSWER >>>>$250 & $250 ($500 total if you let it lapse) You have to be over the age of to apply for a license? - ANSWER >>>>18 If graduated before July 1, 2000 graduate must have completed years of college work, after July 1, 2000, graduate must have ? - ANSWER >>>>3 years (90 credits), bachelor's degree Must pass which NBCE boards? - ANSWER >>>>I, II, III, IV, PT & FL Laws & Rules If it's 10 years since graduation before application, applicant must sit for which exam? - ANSWER >>>>National Board of Chiropractic Examiners Special Purposes Examination for Chiropractic Applicant will receive notification within working days to applicants who have successfully completed the requirements. - ANSWER >>>>5 (Can use written notification shall act as evidence of licensure entitling the chiropractic physician to practice for a maximum period of 45 days or until the licensing fee is received by the department whichever is sooner) T/F Renewal of license requires a new set of fingerprints. - ANSWER >>>>True (Unless it is the first time renewing)If renewal applicant does not submit documentation and fingerprints after the 30 days since non-compliance was issued, the fine is per day. - ANSWER >>>>$50 What type of maintained malpractice coverage must a licensee applying for reactivation show coverage (unless granted an exemption by the board/dept)? - ANSWER >>>>Tail coverage (which provided liability coverage as of the initial date of state licensure and incidents occurring before the date the license became inactive) Medical Malpractice is known as what in the state of Florida? - ANSWER >>>>Financial Responsibility What amount of financial responsibility is a health care practitioner required to carry? - ANSWER >>>>An amount sufficient to cover claims that arise out of rendering or failure to render professional care and services Who must maintain financial responsibility in the state of Florida? - ANSWER >>>>Actively licensed chiropractors among other health care professionals (not Certified CA's or Registered CA's) How often must a licensee complete a 2hr CE course on domestic violence? - ANSWER >>>>Every 3rd biennial relicensure or recertification When must a health care provider complete at least 3 hr CE course onHIV/AIDS as part of the biennial relicensure or recertification? - ANSWER >>>>No later than the 1st (first) renewal What CE requirements does a licensee need to meet if their license becomes inactive or retired? - ANSWER >>>>They must meet the same CE requirements as an active licensee for ALL biennial licensure periods in which the license was inactive/delinquent or retired. What may be the penalty if a licensee does not meet the CE requirements for the first time? - ANSWER >>>>May be a Citation, a Fine, and in a addition a requirement to take (1) one additional hour of CE for each hour not completed or completed late. How many hours of CE are required by an applicant for the purpose of license renewal? - ANSWER >>>>40 (forty) classroom hours of Chiropractic CE What is the time frame for which the CE for chiropractic licensure renewal must be completed in? - ANSWER >>>>2 years (biennially) At least, three (3) hours of the forty (40) hours of CE required for Chiro license renewal, must be in what specific area? - ANSWER >>>>Risk Management: Two (2) of the three (3) hours shall be specifically related to laws and rules of the board and regulatory agency in which the board operatesSix (6) hours of the forty (40) required Chiro CE must be in what specific area? - ANSWER >>>>Record Keeping, Documentation, and coding Two (2) hours of the forty (40) required Chiro CE must be in what specific area? - ANSWER >>>>Ethics and Boundaries What is the maximum number hours Chiro CE may be obtained online? - ANSWER >>>>no more than ten (10) general hours each biennium may be attained online A chiropractor certified in acupuncture shall obtain how many CE hours each biennium? What is the breakdown of those hours? - ANSWER >>>>Four (4) hours of approved acupuncture CE. (Two (2) of which in safety and risk mgmt and two (2) in technique, with the four (4) applied to the forty (40) required each biennium) A chiropractor may attain five (5) hours of CE in the Risk Management by attending what? - ANSWER >>>>One (1) full day or eight (8) hours of a board meeting (which ever is shorter) at which disciplinary hearings are conducted Volunteer expert witnesses shall receive how many hours of CE in risk mgmt for each case reviewed? - ANSWER >>>>Five (5) hours for each case reviewed up to a max of ten (10) hours per biennium For license renewal what two (2) CE courses are required? - ANSWER >>>>Initial license requires a minimum of a 3hrHIV/AIDS course and for license renewal a 2hr course related to the prevention of medical errors What are chiros required to attend within their first twelve (12) months after initial licensure? - ANSWER >>>>Attend one (1) full day at a Florida Board of Chiropractic Medicine meeting at which disciplinary hearings are conducted. What are the CE requirements during initial licensure period (prior to first 1st renewal)? - ANSWER >>>>Attend one (1) full day of FBCM meeting, six (6) hours of record keeping, documentation, coding, and two (2) hours of ethics and boundaries. NO OTHER CE requirements are needed during the biennium! (The typical 40 hours does not apply in this case) What are the two types of CA's - ANSWER >>>>Certified and Registered What is the difference between a certified and a registered CA? - ANSWER >>>>A certified CA must go though training (200 hrs in 24 months), get approved and licensed from the board. They can directly supervise a registered CA. How many CE hours does a certified CA need to complete biennially? - ANSWER >>>>24 How long does a certified CA have to notify the board of changes of employment of supervising chiropractic physician? - ANSWER >>>>30 daysCertifications to supervise assistants shall remain valid for years and must be renewed . - ANSWER >>>>2, biennially How much is the initial fee for a certified CA? - ANSWER >>>>$100 How much is the application fee for a certified CA? - ANSWER >>>>$100 The fee for biennial renewal of an active license for a certified CA is . - ANSWER >>>>$55 T/F In order to work with a certified CA, the supervising chiropractor and the certified CA must meet in front of the board and have a written working agreement contract. - ANSWER >>>>True T/F If a certified CA misrepresents themselves, the supervising chiropractic practitioner can be held responsible. - ANSWER >>>>True The initial registration fee for a registered chiropractic assistant is . (Which is the same for biennial renewal) - ANSWER >>>>$25T/F Registered chiropractic assistants can perform duties that involve patient care management or treatment without the licensed practitioner or certified CA on the premise. - ANSWER >>>>F - the assistant will be under the direction of a chiropractor or a licensed certified chiropractic physician's assistant who is physically located on the premises at all times while a registered chiropractic assistant is performing assigned duties that involve patient care management or treatment. Registered chiropractic assistant assists with patient care management, executes administrative and clinical procedures, and often performs managerial and supervisory functions. They can do everything in the office under supervision except? - ANSWER >>>>Adjust/diagnose... use common sense here. The important thing is they need to be supervised. (Competence in the field also requires that a registered chiropractic assistant adhere to ethical and legal standards of professional practice, recognize and respond to emergencies, and demonstrate professional characteristics.) What must be on each medical record or would be grounds for disciplinary action by the board? - ANSWER >>>>Name and credential of the licensed chiro (clearly identifying and legible) How long must x-rays be retained? - ANSWER >>>>Not more than four (4) years The healthcare practitioner who generates a medical record after making a physical or mental exam, administeringtreatment is considered what? - ANSWER >>>>The "records owner." Who can request of a licensed healthcare practitioner to "furnish" reports and records? - ANSWER >>>>The individual for whom the record was created or their legal representative. Medical records may only be furnished to and conditions of the patient discussed with whom, without written authorization by the patient? - ANSWER >>>>The patient, patients legal representative, other healthcare practitioners/providers involved in their care/treatment (there are numerous exemptions, especially legal actions, research, abuse, negligence, Health Dept with subpoena, etc) Policies, procedures, and standards must be developed by the records owner to protect what? - ANSWER >>>>patient confidentiality When terminating, retiring, relocating and no longer available to patients, the record owner must notify whom? - ANSWER >>>>The patient(s) individually or by newspaper advertisement so they may obtain a copy of thier medical record and Florida State Board Can you charge for providing copies of a patients medical record? - ANSWER >>>>Yes (shall be no more than the actual cost of copying, including reasonable staff time, or specific admin rule by the board)A chiropractor can advertise in accordance with the Board's rules, regarding the ART and SCIENCE of Chiropractic and where and from whom chiropractic services may be obtained, so long as such information is in no way , , or . - ANSWER >>>>Fraudulent, false, deceptive, or misleading. What is the special condition for advertising free x-rays or fluoroscopy? - ANSWER >>>>It must include the fact that xrays and/or video fluoroscopy will only be given if medically necessary For a group of chiropractors to advertise a chiropractic referral service, the ad must... - ANSWER >>>>specifically name each of the individual chiropractors who are participating in the referral service or bureau (unless it's a nationwide one that has over 50 members) T/F Chiropractors can market their specialties to set them apart from each other. - ANSWER >>>>False, unless it's a specialty recognized by the board and required 300+ hours with written and oral examination, it can not be marketed. The only specialty that doesn't have to have a discloser in an ad is? - ANSWER >>>>Diplomate recognized by the board. T/F All advertising must clearly state it's a chiropractic office, or chiropractor(s). - ANSWER >>>>True A chiropractic physician must submit to the patient, to the patient's insurer, or any other health program under which the patient is entitled to benefits an itemized statement of the specific services rendered and the charge for each, no laterthan - ANSWER >>>>the chiropractic physician's next regular billing cycle which follows the fifth day after the rendering of professional services (and they can't hold the bill hostage for payment) Disciplinary actions will be taken if a chiropractor does not maintain the identity of funds and property of a patient over the amount of . - ANSWER >>>>$501 For any 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 must be held in a . - ANSWER >>>>Trust All trust funds must: - ANSWER >>>>1. Be a separate bank account 2. Have maintained record keeping 3. Be reconciled quarterly and keep records for 6 years 4. File with the Department of Health between June 1 and August 15 of each year a certificate Define "Practice of chiropractic medicine" - ANSWER >>>>a noncombative principle and practice consisting of the science, philosophy, and art of the adjustment, manipulation, and treatment of the human body in which vertebral subluxations and other malpositioned articulations and structures that are interfering with the normal generation, transmission, and expression of nerve impulse between the brain, organs, andtissue cells of the body, thereby causing disease, are adjusted, manipulated, or treated, thus restoring the normal flow of nerve impulse which produces normal function and consequent health by chiropractic physicians using specific chiropractic adjustment or manipulation techniques taught in chiropractic colleges accredited by the Council on Chiropractic Education. No person other than a licensed chiropractic physician may render chiropractic services, chiropractic adjustments, or chiropractic manipulations. Can a chiropractor use X-ray for diagnosis? - ANSWER >>>>yes By what methods may a chiropractor use adjust, manipulate, or treat the human body? - ANSWER >>>>Manual, mechanical, or natural, as well as Physiotherapy or physical means, acupuncture, foods (concentrates, extracts, and non prescription items), first aid and hygiene. What are chiropractors expressly prohibited from in the treatment of the human body? - ANSWER >>>>Prescribing or administering and legend drug (exceptions apply), performing surgery (exceptions), and practicing obstetrics. Chiropractors may order, store, and administer (but not prescribe) what in an emergency only? - ANSWER >>>>medical oxygen, aerosol forms of topical anesthetics (solution of 25% ethylchloride and 75% dichlorodifluoromethane ; 15 percent dichlorodifluoromethane and 85 percent trichloromonofluoromethane.)practice What are four (4) PT (physiotherapy) modalities chiros may use to treat patients? - ANSWER >>>>Light, heat, water, or exercise What is the intent of the "Patient Self-Referral Act of 1992?" - ANSWER >>>>To provide guidance to health care providers regarding prohibited patient referrals between health care providers and entities providing health care services and to protect the people of Florida from unnecessary and costly health care expenditures. What is the % limit of patients a group practice or sole provider may receive from outside referrals for imaging services? *This may not apply to chiropractors unless has an investment interest in radiology - ANSWER >>>>15% If you mess up and have disciplinary action taken against you, who is responsible for all costs? - ANSWER >>>>You, dummy... (that includes costs to protect the public or compensate the patient) If a complaint and investigation is taken on a chiropractor, they have days after receiving copy of complaint to submit a written response. - ANSWER >>>>45 If board deems chiropractor has committed "Gross malpractice," "repeated malpractice," and/or "failure to practice chiropractic medicine with that level of care, skill, andtreatment which is recognized as being acceptable under similar circumstances," disciplinary action may include? - ANSWER >>>>minimum and maximum fines, periods of supervision or probation, or conditions of probation or reissuance of a license. If the board imposes fines and/or costs, it needs to be paid within days of the order. - ANSWER >>>>$30 T/F If you mess up in another state, you don't have to notify FL board because it happened in a different state. - ANSWER >>>>False What is the administrative fee for practicing chiropractic without an active license? - ANSWER >>>>10,000 for each offense For noncompliance, failure to take action within days results in bad things... - ANSWER >>>>15 days If failure to notify a change of address within days, a noncompliance change will be filed. - ANSWER >>>>45 You have days to after a citation is served or received by certified mail to either dispute or pay fines. - ANSWER >>>>30 What individual(s) is a healthcare provider prohibited from engaging in verbal or physical sexual activity outside the scope of professional practice?*Not specific to chiropractors - ANSWER >>>>Violation of the professional relationship where the healthcare provider uses the relationship to engage (or attempt to engage) the: Patient, immediate family member, guardian, or representative of the patient. T/F : It is a requirement of a licensed HC practitioner to report allegations of sexual misconduct to the dept, regardless of the practice setting in which the misconduct occurred? - ANSWER >>>>TRUE How long after the incident or occurrence of administrative complaint, may a claim of be filed? (not withstanding any law to the contrary) - ANSWER >>>>6 years If an incident or occurrence leading to administrative complaint involved criminal actions, controlled substances, sexual misconduct, licensee impairment can a complaint be filed after 6 years? - ANSWER >>>>Yes If the an administrative complaint, can be shown that fraud, concealment, or intentional misrepresentation of fact prevented the discovery of the violation of law, how long may a claim be after the incident? - ANSWER >>>>12 years What is the chiropractic physician-patient relationship found on? - ANSWER >>>>Mutual trustWhat individual(s) is a chiropractor prohibited from engaging in sexual activity outside the scope of professional practice? *specific to chiropractors - ANSWER >>>>the patient What is it called when an active or inactive license is not renewed and it expires? - ANSWER >>>>license becomes delinquent How far back should you report previous legal violations on your history to the board? - ANSWER >>>>5 years back A chiropractor can not use acupuncture for a patient with what condition? - ANSWER >>>>AIDS What is the administrative fine for defaulting on government guaranteed student loans? - ANSWER >>>>All I can find is that fines are put into a Medical Quality Assurance Trust Fund, not sure how much the fine is. What person may be able to ask the board for an exemption for required active malpractice insurance? - ANSWER >>>>person practicing in another state? or person licensed but only using license to be on the board/representative? How much does malpractice need to cover you for? - ANSWER >>>>$100,000 per offense/ $300,000 aggregateHow much are you allowed to charge for printing off medical records? - ANSWER >>>>$1.00 per page for up to 25 pages, then 0.25 per page after that A certified Chiropractic Assistant can not obtain credits in ? - ANSWER >>>>Radiology or Acupuncture? What form of advertisement is illegal? - ANSWER >>>>Mass mailing letters to unknown people (really though that's like mail spam) Which organization is valid to say you have a diplomate from? - ANSWER >>>>NBCE, other options were ICPA, ACA, and ICA If an advertised price is discounted, what do you have to charge an insurance/third party for the service for an insurance patient? - ANSWER >>>>The discounted price (otherwise it's dual fee schedule which is illegal) What must your Report of Findings include? - ANSWER >>>>Benefits and Risks of treatment