NCBTMB Exam Business and Practice Management 6

Question 1

A massage therapist operates as a sole proprietor and receives a $500 cash payment from a client for a series of prepaid sessions. Under generally accepted accounting practices, when should this revenue be recognized?

Accepted Answer

At the time each individual session is delivered

Answer

Revenue recognition requires that income be recorded when the service is actually performed (earned), not when payment is received. Prepaid session payments are a liability (deferred revenue) until each session is delivered. Recognizing it all upon receipt would overstate income and misrepresent the practice's financial position.

Question 2

A therapist's SOAP note from three years ago is subpoenaed as part of a personal injury lawsuit. The therapist had since relocated states and the records were stored digitally. Which obligation takes precedence?

Accepted Answer

Complying with the subpoena regardless of storage location or time elapsed

Answer

A valid court subpoena is a legal mandate that overrides normal confidentiality protections, including HIPAA privacy rules, which explicitly carve out court orders and subpoenas as permissible disclosures. The therapist must comply. HIPAA allows disclosure when required by law, and the statute of limitations governs legal claims — not record retention obligations.

Question 3

A massage therapist rents a booth in a spa and pays a flat weekly fee to use the space. The spa owner begins requiring the therapist to use only the spa's branded products and to follow the spa's scheduling system. How does this most likely affect the therapist's tax classification?

Accepted Answer

It suggests the therapist may be legally classified as an employee rather than an independent contractor

Answer

The IRS uses behavioral control, financial control, and type-of-relationship tests to classify workers. When a business dictates HOW work is performed (required products, scheduling systems), it indicates an employer-employee relationship — even if a flat rental fee is paid. Misclassification exposes both parties to back taxes, penalties, and liability.

Question 4

A therapist's professional liability (malpractice) policy has a $1,000,000 per-occurrence / $3,000,000 aggregate limit and a 'claims-made' structure. The therapist allows the policy to lapse in January 2026 after retiring. In March 2026, a former client files a claim for an incident that occurred in 2024. What is the most likely outcome?

Accepted Answer

The claim will not be covered because a claims-made policy requires active coverage when the claim is filed

Answer

Claims-made policies cover only claims filed while the policy is in force — unlike occurrence policies, which cover incidents that happened during the policy period regardless of when the claim is filed. Because the policy lapsed before the claim was filed, there is no coverage. Retired therapists must purchase 'tail coverage' (extended reporting period) to protect against late-filed claims.

Question 5

A therapist discovers that a front-desk employee has been offering clients a 'cash discount' and pocketing the difference without recording the transaction. Beyond terminating the employee, what is the therapist's PRIMARY business-management obligation?

Accepted Answer

Reconstruct accurate financial records, report the income correctly, and consult legal counsel about potential reporting obligations

Answer

Unrecorded cash transactions constitute income that may not have been properly reported to the IRS, creating potential tax liability and fraud exposure for the business owner. The primary obligation is accurate financial reconstruction and tax compliance. Legal counsel can advise on whether the theft triggers insurance claims, criminal referrals, or amended tax filings — all of which carry greater stakes than policy updates or client relations.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Exam Business and Practice Management 6