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Updated questions and answers related to the california chiropractic law exam (ccle) for 2025. It covers various aspects of chiropractic practice, including license reinstatement, responsibilities, patient care, record keeping, billing practices, and scope of practice. The material is designed to help chiropractic professionals understand and comply with california regulations, ensuring ethical and legal practice. It also addresses disciplinary actions, advertising rules, and referral guidelines, offering a comprehensive overview of the legal and ethical standards governing chiropractic in california. Useful for students and professionals preparing for the ccle exam.
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When does the board reinstate a license that becomes revoked d/t mental illness? ---------CORRECT ANSWER-----------------Evidence from one or more physician - designated by the board - that there is no more illness or the situation is under control What requirement may the board put upon a recovered mentally ill doctor in order to reinstate their license after they receive approval letter from physician that mental illness isn't problem anymore? ---------CORRECT ANSWER------------------ Oral or written, practical or clinical examination
When must you refer a patient to a different type of care? --------- CORRECT ANSWER-----------------When it's tx outside the scope of chiropractic How long must records be kept? ---------CORRECT ANSWER----------------- 5 years after date of last tx (1 year after minor turns 18) When is a patient considered inactive? ---------CORRECT ANSWER---------- -------12 months from the date of their last tx What is needed to release patient records? ---------CORRECT ANSWER---- -------------Written consent or valid legal order (court order) How long do you have to provide the board with records? --------- CORRECT ANSWER-----------------Active: immediately Inactive: 10 days (Records must be immediately accessible and shown as such to the Board Rep if requested) How long do you have to correct for inaccurate billing charges (specifically over billing) ---------CORRECT ANSWER-----------------30 days from the time you discovered it to reissue a full reimbursement When may a patient be MUA? ---------CORRECT ANSWER----------------- When anesthesia is administered by a CA licensed physician or surgeon
Can you appeal the Executive Officer's decision resulting from a conference contesting a letter of admonishment? ---------CORRECT ANSWER-----------------No. The decision is FINAL. How long do you have to comply or show proof of compliance with an order of abatement after a conference contesting the letter of admonishment if the final decision is that you comply with the letter? ---------CORRECT ANSWER-----------------30 days from the date it was mailed Do all citations have an associated fine? ---------CORRECT ANSWER-------- ---------No, a citation may be issued w/o the assessment of a fine How will a citation be served? ---------CORRECT ANSWER-----------------In writing Describe facts of violation ("...with particularity") Reference to law or regulation violated Served in person or certified US Mail Practicing w/o a license charge ---------CORRECT ANSWER----------------- Prohibit you from getting a license for a designated "fixed" period of time Fine up to $ Two options to contest a citation (different from letter of admonishment)? --- ------CORRECT ANSWER-----------------Written request to the board w/in 30 days from the DATE of the citation (not when you receive it) for a hearing May also w/in 14 days request an informal hearing with the Executive Officer
What is the process if you go through an informal hearing with the Executive Officer to contest a citation? ---------CORRECT ANSWER---------- -------Conference w/in 30 days of when they receive the request Written decision w/in 14 days from the date of the informal conference Decision is FINAL If citation is dismissed - hearing will be automatically withdrawn If citation is affirmed - proceed with hearing or withdraw hearing and comply with citation How can you get an extension on an order of abatement or citation? --------- CORRECT ANSWER-----------------After reasonable diligence, you can request, in writing, an extension from the Executive Officer. What happens if you do not comply with a citation or order of abatement from the CA board? ---------CORRECT ANSWER-----------------If you do not comply the CA board reports it to every other board in the nation. Is there a record of resolved board violations? ---------CORRECT ANSWER-----------------Once a violation is resolved, it is part of your public record file. If a buyer, in writing, cancels a contract on a solicitation sale that was deemed not w/in the code - how long do you have to fully refund their money (for services unused)? ---------CORRECT ANSWER----------------- 20 business days When can you advertise discounted or free service? ---------CORRECT ANSWER-----------------When you disclose the regular price
Use of drugs that is public safety concern Say you cure dx Treat dx If license is revoked/suspended - how long do you have to wait to get it re- issued? ---------CORRECT ANSWER-----------------2 years When does a license become forfeited? ---------CORRECT ANSWER-------- ---------60 days past renewal How do you renew license after renewal date but before 60 days has passed? ---------CORRECT ANSWER-----------------Completed application and double renewal fee When does a license become expired? ---------CORRECT ANSWER--------- --------Last day of the birth month of licentiate When do you receive a renewal notice from the board? ---------CORRECT ANSWER-----------------60 days prior to due date What is the license yearly renewal fee? ---------CORRECT ANSWER--------- --------$ Can a DC sign death certificates? ---------CORRECT ANSWER----------------
Who at the State Board do you contact regarding your license renewal, renewal notice, application fee and revocation? ---------CORRECT ANSWER-----------------Board Secretary What is the proper use of the title "doctor" as a chiropractor? --------- CORRECT ANSWER-----------------Must have the word "chiropractor" or D.C. in the name Ex: Dr. John Smith, D.C. or Dr. John Smith, chiropractor What parts of the body are w/in the scope of chiropractic? --------- CORRECT ANSWER-----------------Spine Joints Muscles Connective tissue What additional tools/methods can be used with chiropractic care? --------- CORRECT ANSWER-----------------Air - cold - diet Exercise - heat - light Massage - physical culture - rest - ultrasound Water - physical therapy When is it okay to diagnose using ultrasound? ---------CORRECT ANSWER-----------------When diagnosing NMSK (neuromuscular skeletal) When is it NOT okay to use ultrasound for txt or dx? ---------CORRECT ANSWER-----------------On a fetus (pregnant uterus)
Subpoenas file notice of defense Mail decisions on cases Where must a license be placed? ---------CORRECT ANSWER----------------- Conspicuous (obvious) place Can you copy your current license to place in a satellite office? --------- CORRECT ANSWER-----------------No. You have to get an approved board issued license for each satellite office. How many days in advance of a sponsored event must the event be registered with the board? ---------CORRECT ANSWER----------------- 90 days How long does the board have to respond after the initial application for a sponsored event? ---------CORRECT ANSWER-----------------15 days - either telling you registration is complete or that things need to be fixed For a sponsored event - how many days in advance does everything have to be corrected and completely registered with the board? --------- CORRECT ANSWER-----------------30 days How long must an event holder keep the records after the even has taken place? ---------CORRECT ANSWER-----------------5 years
How many days to provide the board with sponsored event records? --------
neuro ortho physical exam x-ray markings x-ray develop What qualifies as adequate supervision? ---------CORRECT ANSWER------- ----------Doctor in the office at least 50% of the workweek and available 100% time for questions How often are patients to be re-evaluated? ---------CORRECT ANSWER---- ------------- 30 days Who is legally allowed to own a chiropractic office/corporation? --------- CORRECT ANSWER-----------------A licensed chiropractor If the heirs of a chiro office are not licensed, what do they have to do with the office upon death of the owner? - --------CORRECT ANSWER-------------- ---Dispose of it w/in 6 months W/in 4 months they can request an extension of the 6 months if needed How long does one have to dispose of his/her shares of an office or of their practice if they become disqualified from practicing? ---------CORRECT ANSWER-----------------90 days It is illegal to offer a student a job in a chiro office ---------CORRECT ANSWER-----------------Yes, it is illegal to offer a student a job in a chiro office
What should a chiropractor do who knows of another chiropractor who is breaking the law according to California state board? ---------CORRECT ANSWER-----------------Report the other chiro to the executive officer of the Ca state board Consequences of a licensed doctor who becomes mentally ill --------- CORRECT ANSWER------------------ Board requires examination by board approved psychiatrist
If you are a CE approved course provider - how long do you have to provide the CA Board with a roster of students? ---------CORRECT ANSWER-----------------30 days How long does a CE approved provider have to keep records? --------- CORRECT ANSWER-----------------4 years When can a CE approved provider class instructor advertise material for students to purchase? ---------CORRECT ANSWER-----------------Outside of the classroom environment How long does a CE provider have to mail a licensee their certificate of completion of the course? ---------CORRECT ANSWER----------------- 30 days What length of time must CE classes be? ---------CORRECT ANSWER------ -----------50 minutes for 1 CE credit Can CE Course material endorse manufacturers, distributors, or sellers of chiro products? ---------CORRECT ANSWER-----------------No, endorsements are not allowed in CE material When is CE not needed? ---------CORRECT ANSWER-----------------Inactive status First year of licensure Instructor that has taught for 1 year, teaches 8 credits 6 months out of year CE instructor (1 hour of teaching = 1 CE credit up to 24)
How many CE can you earn as an examiner on Part IV of NBCE --------- CORRECT ANSWER-----------------6 CE credits When are your CE exempt? ---------CORRECT ANSWER----------------- When you have been a board member for 1 year How many CE's are needed to renew a revoked license? ---------CORRECT ANSWER-----------------The requirement (24 CE) for each year the license has not been active 1 year - 24 CE 2 years - 48 CE's ... When do you provide your CE credit certificates to the board? --------- CORRECT ANSWER-----------------They do random audits. How long do you keep your CE certificates? ---------CORRECT ANSWER--- --------------4 years What is the consequence for a CE provider if they provide the Board with false information about the CE credits of a licensee? ---------CORRECT ANSWER-----------------Lose their provider status for up to 10 years How much is the fee to file as a corporation with the board? --------- CORRECT ANSWER-----------------$
When does a license become cancelled? ---------CORRECT ANSWER------- ----------3 consecutive years past it's expiration date When does a license become forfeited? ---------CORRECT ANSWER-------- ---------60 days past it's renewal date Requirements to renew a forfeiture license? ---------CORRECT ANSWER--- --------------Forfeiture Notice form Application for Restoration form Double the annual renewal fee ONE OF THE FOLLOWING
Disclosure required for licensure renewal ---------CORRECT ANSWER------- ----------Any convictions in the US or any other country and any traffic violations over $ Consequence of fraud ---------CORRECT ANSWER-----------------Revoked license Who sends the letter of admonishment (scold) ---------CORRECT ANSWER-----------------Executive Officer When can you refer a patient to a lab where you have a financial gain if they go there? ---------CORRECT ANSWER------------------ When it is clearly disclosed to the patient that you have a financial gain if they go to this lab