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CALIFORNIA CHIROPRACTIC ETHICS EXAM 202 5/ 2026
EXAM QUESTIONS AND ANSWERS A+ GRADE
Who do you notify if a Chiropractic friend is committing billing fraud? - ANSWER--Executive board Any patient shall be granted their results electronically if they are requested in what form? The healthcare professional must deem this way appropriate as well. - ANSWER--Written If a patient or representative requests their records for INSPECTION, in what time frame should they be made available? Can they be charged? - ANSWER-- 5 days within receipt of request; yes If the patient provides a written request and proof that a COPY of their records is needed regarding an appeal, can they be charged? Also, the health care provider should ensure the COPIES are transmitted within how many days? - ANSWER-- NO; 15 What can the patient write if he or she believes that information in there notes in incomplete or incorrect? - ANSWER--a 250 word addendum per incorrect statement Should health facilities and primary care clinics include that patients primary spoken language on their health records? - ANSWER--Yes How would a primary care provider safe guard for confidentiality and unauthorized access to electronic records? - ANSWER--By utilizing electronic signature keys and systems maintenance. A pt has an open Worker's comp case but says that they would like to pay out of pocket and settle at a later date with their company. How do you proceed? - ANSWER--Have pt sign an affidavit ( check this answer) But most likely illegal.
If a worker's comp case arises from a current patient and you treat and charge as normal, what is the consequence? - ANSWER--Fined triple the amount of unlawful billed services Incorrectly utilizing the terms "DC, Dr., or chiropractor" are considered what type of offense? What's the punishment? - ANSWER--Misdemeanors, and can be fined between $100-$750 or jailed for <6 months Violating the security of an exam, or impersonating somebody during an exam is considered a and shall be fined how much? (Same punishment goes for counterfeiting a diploma or transcripts). - ANSWER--A felony, and shall be fined $2,000-$, If a chiro decides to refer out pts to their spouses practice what must they do? - ANSWER-- Make sure this information is posted in the reception area and the pt must agree to an understanding of that relationship in WRITING. If a oc has been convicted of a felony involving fraud in conjunction with worker's comp or Med-Cal, what will happen to their license? - ANSWER-- Automatic suspension The employment of runners, cappers, or steerers constitutes as.... - ANSWER-- unprofessional conduct A 2nd conviction of employment of individuals to procure patients will result in... - ANSWER-- 10 years revocation. A Chiropractic corporation must contain the of one or more shareholders, the word , and the word/abbreviation. - ANSWER--last name, chiropractic, corporation In a Chiro Corporation, he/she must always own at least % of the corporation - ANSWER--51% Is a homeless or unaccompanied child grounds for reporting child abuse? - ANSWER--No
Shares of a Chiro Corporation must be transferred to the surviving doc or the
. - ANSWER--Issuing Corporation If a minor has been removed from their parents, can they obtain their child's mental health records? - ANSWER--NO IF a pt is charged for copies of their records, what is the price? - ANSWER-- 25 cents/pg;or 50 cents/pg for microfilm Within 5 days of and initial exam you should send copies of the report for every occupational illness/injury to the employer's workers' compensation insurance carrier or . - ANSWER-- 2 ; insured employer Exam results for workers comp should be sent to the within days. - ANSWER--Claims adjuster; 5 working days INACTIVE patient records shall be available upon days notice to any board representative. And how long for ACTIVE records? - ANSWER--10; ASAP (the LOCATION of inactive files must be provided immediately). Patient records should be maintained for how long following DISCHARGE? Also, how long for un-emancipated minors after they reach 18 YOA? - ANSWER--c) No less than 7 years; at least 1 year You must keep Active and Inactive patient records for years from last treatment unless.... - ANSWER-- 5 ; state or federal law requires a longer period. The Proof of Appeal Public Benefit Program prevents a patient from being charged a and allows them a ANSWER--Fee; free initial copy Incompetence or excessive treatment is considered - ANSWER--Unprofessional conduct
Failure to report financial abuse shall result in a fine not exceeding. And if the failure to report is willful, a fine not exceeding shall be paid by the financial institution that is the employer of the mandated reporter. - ANSWER-- $1,000; $5, An extreme departure from the standard of practice of Chiropractic is considered
. - ANSWER--Gross negligence Multiple misdemeanors is grounds for. - ANSWER--License suspension. Can co-payments be waived? - ANSWER--Yes if the insurer is notified in writing What must a treatment file contain (10)? - ANSWER--Name, DOB, SSN, gender, height, weight, history, complaint, diagnosis, and treatment rendered. After a treatment, the file must contain...(4) - ANSWER--patient signature, date of visits, x- rays, and billing. Report elder abuse within. - ANSWER-- 2 days One way a patient is considered "new" is if they have not been seen in . - ANSWER-- 3 years Vicarious liability means.... - ANSWER--The doctor is responsible for everyone What is licensure by reciprocity? - ANSWER--Granting a license to a DC who is licensed in another state
Can you call yourself a physician in CA? - ANSWER--no In what circumstance can DCs use physical therapy? - ANSWER--1. they have a physical therapy license 2. in the course of chiropractic adjustments/manipulations T/F. Chiropractors can administer supplements or vitamins. - ANSWER--true When can x-ray and thermography be used? - ANSWER--for diagnosis (not treatment) T/F. Chiropractors can use diagnostic ultrasound. - ANSWER--true; for NMSK disorders only Can you use the term "physical therapy" in advertisement? - ANSWER--no (unless you have a PT license) Can chiropractors use laser? - ANSWER--yes; as long as the laser has been FDA approved and it is not being used for any surgical procedures, ablations or to treat allergies How long do you have to notify the Board of address changes? - ANSWER-- 30 days T/F. Disciplinary action to licenses in other states, is grounds for action in CA. - ANSWER--true
When can the Board or its designees inspect your practice? - ANSWER--during regular business hours Can you get a refund on any fees? - ANSWER--no Where are license certificates displayed? - ANSWER--Primary at the primary and satellite at satellite If you sponsor an event, you must be able to provide records within how many days? - ANSWER--15 (and you must submit report 15 days after event) How does an out-of-state practitioner apply to work a sponsored event? - ANSWER--fill out application, pay fee, fingerprints/criminal record (hear back in 20 days) When must you notify the Board of a name change? - ANSWER--Within 10 days (with written request and proof) Can you get a replacement license? - ANSWER--Yes, with request and $50 (and how other license was lost or return of mangled license) What can unlicensed professionals do? - ANSWER--history, examinations, physical therapies, mark x-rays, (no adjusting, no analysis/diagnosis)
A Dr's license goes inactive for 2 years what do they do? - ANSWER--Same as annual fee, 250$ and 24 hours of continuing education Who sends the letter of admonishment (warning) or abatement (lessening) of something? - ANSWER--The executive officer Can a chiropractor refer a patient for PT if the PT is immediate family? - ANSWER--No, children, parents, spouses, are not allowed for referral. This is a misdemeanor and a fine of 5000$ for first offense If the husband is a chiropractor and the wife owns an MRI what do they have to do? - ANSWER--Make the patients aware and confirm in writting and have the information posted in a conspicuous place. This is a misdemeanor and 5000$ fine for each offense How can you waive co-payment? - ANSWER--When you send it in writing to the insurance company Can you pay insurance companies to turn around your account more quickly? - ANSWER--Yes, if agreement for payment is in a timely manner Where do you display your license? - ANSWER--at the primary office in a conspicuous place. It does not need to made available immediately upon request If a chiropractor wants to create a corporation with other professionals what percent can the other professionals not own? - ANSWER--the chiropractor must own 51% of all shares and the other professionals all together cannot exceed 49% of the corporation
What do you have to do with a patient who only speaks one language? - ANSWER--Document their principle language in the file Who determines if treatment is excessive? - ANSWER--Standard of the community of licensees What is the consquence of excessive treatment? - ANSWER--Misdemeanor, 100 - 600$ fine, 60 - 180 days in jail Is the chiropractor responsible for sexual misconduct if the CA is the one doing the misconduct? - ANSWER--Yes. Every licensee is responsible for the conduct of employees What happens if the chiropractor dies? - ANSWER--Practice must be supervised by a practicing chiropractor and they have 6 months to dispose of the practice but can request and additional 4 months. When can a chiropractor promise a job after graduation? - ANSWER--Only if they are preceptoring in a board approved office Insurance company requests records of your patient, what do you have to include?
- ANSWER--History of mental illness, any disease they have is doctor-patient confidentiality so you don't tell them that
- Report to local authorities within 24 hours. Patient reports being physically abused what do you do? - ANSWER--Report by telephone or confidentail internet reporting tool immediately or as soon as possible. If the chiropractor is mentally unstable to practice what happens? - ANSWER-- Licensing agency may order you to be examined by one or more physicians or psychologists. The doctor hires someone to procure patients what is the consequence? - ANSWER--License to practice revoked for 10 years upon the second conviction Active and inactive Dc patient records must include: - ANSWER---Full Name, DOB, SS#,
- Gender, Height, Weight
- pt hx, complaint, Dx, Pt signature, every visit date, signed informed written consent X-ray and Thermography can be used for what? - ANSWER--Diagnosis but not for the use of treatment Can Diagnostic Ultrasound be used for Diagnosis? - ANSWER--Yes, for Neuromuscular skeletal diagnosis Do not use laser for - ANSWER--Ablations, Surgical Procedures, treatment for allergies
Sponsoring Entity Registration and Recordkeeping Requirements - ANSWER-- Must register 90 calendar days prior to date on which event is scheduled. The board will inform entity if application is approved within 15 after receipt. The entity is required to send any corrections back 30 days prior to start of event. How long must the sponsoring entity of an event maintain records for? - ANSWER-- 5 years; must provide copies upon request within 15 days Entity of a sponsored event must give report to the board including what? - ANSWER--1. Dates of event
- Location
- Types & general description of health services provided
- List of each out of state practioner and their license number Needs to be sent within 15 days of conclusion of event Each out of state practitioners needs to have have a written notice - ANSWER--it shall be in at least 48 point arial font: I hold a current valid license to practice chiropractic in a state other than california. I have been authorized by the california board of chiropractic examiners to provide chiropractic services in california only at this specific health fair. Chiropractic referral services are allowed as long as - ANSWER--there are at least 5 participating offices, and each represents no more than 20% of bureau's available practioners.
Consist of 5,000 volumes, 2,000 of which shall be less than 10 years of age. Xray room - ANSWER--Equipped with machine that as capacity of no less than 125 KV plus #)) M.A What is the maximum number of continuing education hours that may be completed through distance learning? - ANSWER-- 12 a licensee may earn up to how many hours of cpr aed training? - ANSWER-- 2 hours a licensee may earn a maximum of how many hours for attending a board meeting
- ANSWER-- 4 hours Any person, company or association violating fraud of medical records will pay a fine of - ANSWER--not less than $2,000 but not more than $6,000 dollars false advertising penalty - ANSWER--misdemeanor; not exceeding 6 months prison; not exceeding $2,500 fine What safeguards must be in place to protect patient's electronic files? - ANSWER--
- Offsite backup storage
- Image mechanism that is able to copy signature documents
- mechanism ensuring the record is unalterable What is the penalty for not reporting child abuse? - ANSWER--Misdemeanor, 1000$ fine, 6 months in jail What is child abuse? - ANSWER--Endangering a child or the health of a child When is a patient considered inactive? - ANSWER-- 12 months since the date of the last patient treatment A chiropractor is charged with a DUI what action will the board take? - ANSWER-
- Charge with unprofessional conduct Is a homeless child considered child abuse? - ANSWER--No If a patient files his care as a work-comp case, but you adjust and charge normally what will happen? - ANSWER--A fine of up to 3 times the amount unlawfully collected In what case will a license be automatically suspended? - ANSWER--convicted of a felony involving Medi-Cal or workers compensation
What lab test results can never be disclosed to a patient by internet posting or other electronic means? - ANSWER--HIV, Hepatitis, Drug Abuse, Skin biopsies, Pap smears, Bone Marrow aspirations You are doing screenings and offer a free exam but they need X-rays when they get to your office that are not included what do you do? - ANSWER--Prior to any charges, the patient needs to be informed of the cost of additional services and has to agree to pay them. Can you hire a referral service? Is this Legal? - ANSWER--Yes if the service registers with the State Board of Chiropractic Examiners providing its name and address What is a legal form of advertisement? - ANSWER--Using before and after photos with what procedures were performed on the patient. How many days do you have to report a name change? - ANSWER-- 10 days, with proof of the name change How many days do you have to report change of address? - ANSWER-- 30 days, with both old and new address Price of a lost, stolen, damaged license? - ANSWER--25$ Patient wants to review files how long do you have? - ANSWER-- 5 days from written request
Notify the board within how many days of your change of address? - ANSWER-- 30 The display of your license should be in a... - ANSWER--conspicuous space in the primary office Register a change of name with the executive board within how many days? - ANSWER-- 10 Advertising "fabulous statements" results in... - ANSWER--Suspension, probation, or revocation for 1 year The board only recognizes specialties recognized by the... - ANSWER--ACA and ICA An unlicensed individual can take history but cannot... - ANSWER--Consult or perform and heart and lung exam If a licensee is mentally ill, the board can suspend their right to practice for how long? - ANSWER--Up to a year Regardless if a CA commits sexual misconduct after hours... - ANSWER--The DC is responsible for ALL actions that occur at all times.
