Maryland jurisprudence exam Chiro QUESTIONS & ANSWERS., Exams of Law

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Maryland jurisprudence exam Chiro

QUESTIONS & ANSWERS.

Fee Splitting - ANSWER The practice of sharing fees with colleagues, especially for making referrals Stark Law - ANSWER Prohibits physicians or their family members who own health care facilities from referring patients to those entities if the federal government, under Medicare or Medicaid, will pay for treatment. Fiduciary Duty - ANSWER That duty owed by an agent to act in the highest good faith toward the principal and not to obtain any advantage over the latter by the slightest misrepresentation, concealment, duress or pressure. "Do the best for the patient" Legal answer - ANSWER a response a defendant files to a plaintiff's complaint. Admit, deny, or raise affirmative defenses, counter-claims deposition - ANSWER the testimony of a witness made under oath but not in open court How is the doctor-patient relationship usually established? - ANSWER by affirmative action: Examining, diagnosing, providing treatment/recommendations. Exceptions for independant medical examiners abandonment - ANSWER Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training. Fully informed consent - ANSWER gives information to the patient involving their diagnosis, plan of management, prognosis. PARQ

Procedures, alternatives, risks, questions costs right to revoke consent at anytime Maryland scope of practice: Chiro - ANSWER (1) "Practice chiropractic" means to use a drugless system of health care based on the principle that interference with the transmission of nerve impulses may cause disease. (2) "Practice chiropractic" includes the diagnosing and locating of misaligned or displaced vertebrae and, through the manual manipulation and adjustment of the spine and other skeletal structures, treating disorders of the human body. (3) Except as otherwise provided in this title, "practice chiropractic" does not include the use of drugs or surgery, or the practice of osteopathy, obstetrics, or any other branch of medicine. (4) The definition of "practice chiropractic" does not prohibit a chiropractor from selecting diet and hygiene measures for an individual. For testimonials in advertising: - ANSWER Identify source; document permission maintain records for required time period disclose expected/typical results advertising prohibitions - ANSWER Prohibitions. An advertisement may not contain statements that: A. Contain a misrepresentation of facts or do not reasonably identify the practice as chiropractic; B. Are likely to mislead or deceive because in context the statement makes only a partial disclosure of relevant facts; C. Intend to, or are likely to, create false or unjustified expectations of favorable results; D. Relate to fees, other than a standard consultation fee or a range of fees for specific types of services, without fully disclosing all variables and other relevant factors; E. Convey the impression that the chiropractor could influence improperly any public body, official, corporation, or any person on behalf of a patient; F. Contain representations or implications that in reasonable probability can be expected to cause an ordinary prudent person to misunderstand or to be deceived; G. Contain representations that the chiropractor is willing to perform any procedure which is illegal under the laws or regulations of Maryland or the United States;

H. Contain representations regarding the use of any equipment, treatment, or procedure not within the accepted, prudent practice of chiropractic; I. Promise payment, compensation, prizes, or remuneration of any intrinsic value; or Fees from Maryland for breaking code of conduct - ANSWER not more than $ maryland renewal period and CE requirement - ANSWER 2 years and 48 hours of CE including: (1) 3 hours in approved communicable-disease and sanitary procedures; (2) 1 hour in diversity education; (3) 3 hours in risk management; and (4) 1 hour in jurisprudence. How long do you have to keep CE information? - ANSWER 4 years Hour requirements for CA? - ANSWER Within 120 days of hire, CA needs CPR, enrollment in 103-hour course and submit proof. Within 1 year of hire: a min of 520 in-service training hours including 20 observation hours and 500 of direct supervision. Completion of the 103-hour course (which includes 24 hours of A&P and terms, 3 hours of jurisprudence, and 76 hours of PT mods. CA exams and reg. max CAs for DC - ANSWER They need to take a board proficiency and jurisprudence exam, pay a fee, and submit transcripts 30 days before the exam date. No more than 5 CAs CA activites which don't need to be supervised - ANSWER Vitals, assisting with dressing/undressing/draping, assisting with supportive devices, observing treatments/modalities authorized by DC, providing preprinted non-specific health and chiro concepts which have been pre- approved by DC Taking Hx

CA activities which need to be supervised - ANSWER Must be treating an established pt. Not more than 10% of treatment time in any given 30 days and not more than 3 days in a week. Functional activities, gait and ambulation practice, therapeutic exercise demo/admin., massage, all PT modalities, examination procedures which collect data (the info needs to be interpreted by dc and the exam can't require dx as part of collection) CA no-no's - ANSWER Communicate a eval or Dx to a pt. Perform act requiring professional skill of DC Perform neuro or orthos Engage in dietary or nutritional advice or counseling Or act outside of CA scope CA xray priv. - ANSWER CA's need 60 hours of didactic training in board approved course on xrays additionally 46 X-ray studies under supervision of DC including 1 of each view on each anatomical area. Dry needling requirements - ANSWER 60 hours of coursework at DC college, and 20 hours hands on dry needling instruction medical record requirements general - ANSWER Clear, Legible, Complete, Accurate Dead doctor rule Medical record requirements identifying info - ANSWER Pt. name, DOB/medical record #, date of service, clinic/provider name, author of record. medical record requirements clinical component - ANSWER CC, ROS, PMH, social hx, SOAP, Treatment/proceedures Medical records correspondence - ANSWER Patient interactions through phone or mail other providers, expert reports

Medical records for billing requirements - ANSWER justification for LOS CPT modifiers Dx and related codes possibly other requirements Medical record modifications - ANSWER Legitimate addendums are allowable; rectify errors, omissions, sign and date NEVER DELETE, CONCEAL, OR FALSIFY RECORDS Medical records xrays - ANSWER log each exposure: all the info (Name, date, operator, type of study, reason for repeated exposures) Image notations report of findings/interpretation records of periodic maintenance/calibration exposure settings for most common studies (technique chart) Medical records: retention requirements - ANSWER 5 years in Maryland or 5 years after they turn 18. (Oregon is 7 years) statute of limitations in MD - ANSWER 3 years