Zero Tolerance from TBCE for Regulatory Violations
All Texas chiropractors need to be aware that the Texas Board of Chiropractic
Examiners is operating at a zero tolerance level with respect to regulatory
Even if a totally meritless complaint that has nothing to do with the doctor’s
medical records is filed against a doctor, the Board, on its own, can (and most
often does) request copies of the doctor’s medical records (even if the doctor’s
medical records have no relevance to the stated nature of the complaint filed
against the doctor) and use them to try to identify a regulatory violation.
If the Board requests copies of your records the Board will carefully review those
records to determine if you have adhered to all regulatory requirements imposed
under the Texas Chiropractic Act.
The vast majority of doctors I represent DO NOT adhere to all regulatory requirements imposed by the Board – because Texas Board Rule 80.5(f) requires that ALL of your medical records must be signed or initialed by the you, the licensee, OR by the person that actually provided the treatment (that means your CA MUST sign or initial all records reflecting those services actually provided by the CA). An electronic signature is sufficient.
My experience is that doctors, themselves, do not always sign their own records
and that your chiropractic assistants rarely sign those records pertaining to
the services they provide.
If this type of regulatory oversight occurs it could result in a costly administrative sanction imposed by the Texas Board. Take all appropriate measures to ensure that you are properly complying with the Board’s rules and regulations with respect to your medical records.