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Arts and Humanities
Fl Laws & Rules Chiropractic
Terms in this set (87)
Each licensee shall provide written notification by mail or by electronic means with confirmation to the Department of a change of address within ______ days
The application fee shall be _____ which shall be nonrefundable
A license must be renewed every ___ years?
The fee for biennial renewal of a chiropractic license is _______?
The initial licensure fee is?
The fee for inactive status is?
The fee for renewal of an inactive license?
$250 & $250 ($500 total if you let is lapse)
You have to be over the age of ____ to apply for a license?
If graduated before July 1, 2000 graduate must have completed ____ years of college work, after July 1, 2000, graduate must have _________?
3 years (90 credits), bachelor's degree
Must pass which NBCE boards?
I, II, III, IV, PT & FL Laws & Rules
If it's 10 years since graduation before application, applicant must sit for which exam?
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.
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.
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.
What type of maintained malpractice coverage must a licensee applying for reactivation show coverage (unless granted an exemption by the board/dept)?
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?
What amount of financial responsibility is a health care practitioner required to carry?
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?
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?
Every 3rd biennial relicensure or recertification
When must a health care provider complete at least 3 hr CE course on HIV/AIDS as part of the biennial relicensure or recertification?
No later than the 1st (first) renewal
What CE requirements does a licensee need to meet if their license becomes inactive or retired?
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?
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?
40 (forty) classroom hours of Chiropractic CE
What is the time frame for which the CE for chiropractic licensure renewal must be completed in?
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?
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 operates
Six (6) hours of the forty (40) required Chiro CE must be in what specific area?
Record Keeping, Documentation, and coding
Two (2) hours of the forty (40) required Chiro CE must be in what specific area?
Ethics and Boundaries
What is the maximum number hours Chiro CE may be obtained online?
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?
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?
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?
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?
Initial license requires a minimum of a 3hr HIV/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?
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)?
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
Certified and Registered
What is the difference between a certified and a registered CA?
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?
How long does a certified CA have to notify the board of changes of employment of supervising chiropractic physician?
Certifications to supervise assistants shall remain valid for ____ years and must be renewed _____.
How much is the initial fee for a certified CA?
How much is the application fee for a certified CA?
The fee for biennial renewal of an active license for a certified CA is _____.
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.
T/F If a certified CA misrepresents themselves, the supervising chiropractic practitioner can be held responsible.
The initial registration fee for a registered chiropractic assistant is ____. (Which is the same for biennial renewal)
T/F Registered chiropractic assistants can perform duties that involve patient care management or treatment without the licensed practitioner or certified CA on the premise.
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?
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?
Name and credential of the licensed chiro (clearly identifying and legible)
How long must x-rays be retained?
Not more than four (4) years
The healthcare practitioner who generates a medical record after making a physical or mental exam, administering treatment is considered what?
The "records owner."
Who can request of a licensed healthcare practitioner to "furnish" reports and records?
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?
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?
When terminating, retiring, relocating and no longer available to patients, the record owner must notify whom?
The patient(s) individually or by newspaper advertisement so they may obtain a copy of thier medical record
Florida State Board
Can you charge for providing copies of a patients medical record?
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 _________.
Fraudulent, false, deceptive, or misleading.
What is the special condition for advertising free x-rays or fluoroscopy?
It must include the fact that x-rays 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...
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.
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?
Diplomate recognized by the board.
T/F All advertising must clearly state it's a chiropractic office, or chiropractor(s).
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 later than _______
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 _______.
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 ______.
All trust funds must:
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"
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, and tissue 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?
By what methods may a chiropractor use adjust, manipulate, or treat the human body?
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?
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?
medical oxygen, aerosol forms of topical anesthetics (solution of 25% ethylchloride and 75% dichlorodifluoromethane ; 15 percent dichlorodifluoromethane and 85 percent trichloromonofluoromethane.)
What are four (4) PT (physiotherapy) modalities chiros may use to treat patients?
Light, heat, water, or exercise
What is the intent of the "Patient Self-Referral Act of 1992?"
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 practice
If you mess up and have disciplinary action taken against you, who is responsible for all costs?
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.
If board deems chiropractor has committed "Gross malpractice," "repeated malpractice," and/or "failure to practice chiropractic medicine with that level of care, skill, and treatment which is recognized as being acceptable under similar circumstances," disciplinary action may include?
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.
T/F If you mess up in another state, you don't have to notify FL board because it happened in a different state.
False, you have to rat yourself out homeboy
For noncompliance, failure to take action within ____ days results in bad things...
If failure to notify a change of address within ____ days, a noncompliance change will be filed.
You have ___ days to after a citation is served or received by certified mail to either dispute or pay fines.
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
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?
TRUE (just remember snitches get stitches)
How long after the incident or occurrence of administrative complaint, may a claim of be filed? (not withstanding any law to the contrary)
6 years!!! Holy cow, i cant remember what i had for breakfast
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?
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?
What is the chiropractic physician-patient relationship found on?
What individual(s) is a chiropractor prohibited from engaging in sexual activity outside the scope of professional practice?
*specific to chiropractors
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