NCMIC Alerts D.C.s to Texas Board Inspections

As an NCMIC policyholder, you need to be aware that the Texas Board of Chiropractic Examiners (TBCE) has been conducting unscheduled inspections of chiropractic offices. All Texas D.C.s are subject to these inspections.


NCMIC Alerts D.C.s to Texas Board InspectionsAs an NCMIC policyholder, you need to be aware that the Texas Board of Chiropractic Examiners (TBCE) has been conducting unscheduled inspections of chiropractic offices. All Texas D.C.s are subject to these inspections.

If you have not already received such a visit, they may stop by your practice at any time. You must allow inspection of your facility; they are not required to give doctors notice, per the Chiropractic Act. In addition, if they ask to inspect and/or copy your records, it is not a HIPAA violation.

If an investigator appears at your practice, they should be considerate of your patients and not cause a disruption. If the visit is at an inconvenient time, you can politely and respectfully request that the TBCE inspector return at a time that doesn’t interfere with patient care. 

If, however, you refuse to see the inspector without a reasonable request for a better time or intentionally avoid the inspection, you will be in violation of the Act and subject to disciplinary action. 

Check your practice and make necessary changes. Ensure that the items listed are taken care of. For example, when it comes to equipment, there have been instances of unsanitary hydrocollator heating units. Review your unit’s manual for proper cleaning instructions and maintenance. Another example would be to make sure cold packs are stored separately; they should not be kept in the same freezer as your staff’s lunches. 

If you fail the inspection, you may receive a disciplinary complaint with the enforcement committee, which could result in disciplinary action including fines and possible suspension of your license.

As always, advance preparation is worthwhile. We trust you will find this information helpful. By learning of these unannounced inspections now, you can take action to be in compliance and avoid issues with the enforcement division of the TBCE. 

If you have any questions or need additional information, contact the Texas Board of Chiropractic Examiners directly at 512-305-6700. Or, visit https://www.tbce.state.tx.us/.


About the Author

Mike Whitmer

Mike Whitmer

Mike Whitmer, assistant vice president of NCMIC's Chiropractic Insurance Programs, has more than 25 years' experience in the business world to share with D.C.s who are starting their chiropractic careers. By day, Mike leads the corporate relations team at NCMIC Group, Inc., teaching at chiropractic colleges about business practices and risk management, and attending trade shows and homecoming events. Mike is also the cofounder of a property management company and a restoration firm that have provided his "real world" experience on writing business plans and dealing with small business finance and operations.

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