The Tumor of Jim Alain - American Association of Oral and ... · regulatory agencies and insurance/...

Meeting the candidates for AAOMS officer positions.

PAGE 14The 2015 Day on the Hill was another advocacy success.

MAY/JUNE 2015VOLUME 13, ISSUE 3

A publication of the American Association of Oral and Maxillofacial Surgeons

In This IssueAAOMS President’s Column ................... 2Treasurer’s Account ..............................16Coding Corner .......................................26Practice Management Matters ............33Calendar ................................................48

JOMS Seeks Nominations for Section Editor PositionsThe 5-year terms of the seven Section Editors of the JOMS expire at the end of 2015. The JOMS is now accepting nominations for these 5-year term positions. Section editors have several important responsibilities that require some work most days of the year. Their chief duty is to take submissions to their section and determine if peer review is in order, and for those articles qualifying for peer review, invite expert reviewers. Section editors then use the peer review results to make recommendations to the editor-in-chief and associate editor. Section editors are also expected to help advise journal leadership on matters related to the journal and attend a once a year editorial board meeting. Those interested in nominating someone or themselves must send an email making the nomination, signifying the section for which the nomination is being made, and discuss the nominee’s expertise in the section for which they are being nominated. The nominee’s curriculum vitae must be attached to the email and be sent to [email protected]. Nominations are open until September 1, 2015. Final decisions on Section Editor positions are made by the AAOMS Board of Trustees. T

PAGE 22Treloar and Heisel offers food for thought on portfolio diversification.

AAOMS fellow Tim Bartholomew, DDS, and his wife, Huyen, an anesthesiologist, spend the majority of each year in Africa caring for those in need. Dr. Bartholomew provides periodic updates on their work to AAOMS and other interested parties, in which he highlights unusual and intriguing cases. One such case is that of Cameroonian Jim Alain, whom the Bartholomews encountered in October 2014.

We met Pastor Thomas during our time in Cameroon several years ago and have

kept in touch since then. He wrote us before we left for Chad last October for our cleft lip and palate trip asking if we could operate on Jim Alain, a friend of his from church who had a jaw tumor since he was 17 years old.

After seeing Jim’s pictures, there was no possible way we weren’t going to try. So, we took every imaginable piece of surgical and anesthesia equipment we normally use for these difficult cases that would fit in our suitcases.

We arrived in Chad on a Thursday night, did our greetings and such Friday, then

continued on page 18

The Tumor of Jim Alain

Clockwise from top left: X-ray of the tumor; pre-operative photo of Mr. Alain; left to right, Dr. Bartholomew, Dr. Osee, Mr. Alain, and Pastor Thomas.

2 AAOMS Today | aaoms.org

Collaboration Achieves Successful Outcomes“Alone we can do so little; together we can do so much.” —Helen Keller

There are nine recognized dental specialties, and more than 120 medical specialties

and subspecialties. Each of these groups consistently advocates for patients and members to a relatively homogenous and interrelated audience comprised of public stakeholders, legislative and regulatory agencies and insurance/third party organizations. The resultant clamor can be daunting, particularly if you are a relatively small dental or medical specialty with a compelling message that needs to be heard.

AAOMS has been able to break away from the crowd and accomplish many of its goals for the oral and maxillofacial surgery specialty through a philosophy guided by teamwork and collaborative ventures with allied organizations and partners that share our vision and value our input. In recent years, we have reached out specifically to allies in healthcare, government, industry and insurance/third party organizations.

The American Dental Association, which has supported the specialty from its earliest years, continues to strengthen our voice on national issues and foster our collegial rapport with allied dental specialties. AAOMS members serve with distinction on numerous ADA committees, as officers and trustees on the ADA Board and in the ADA House of Delegates.

AAOMS officers meet and collaborate with dental and medical groups, including the American Society of Anesthesiologists (ASA) and the American College of Surgeons. These efforts have been very beneficial to the training of our surgeons and the advancement of the specialty.

Through meetings such as the annual Insurance Industry Open Forum and the States Advocates Forum, we are able to advocate our position on key issues to those groups who may advance our message.

AAOMS TODAYMAY/JUNE 2015 VOLUME 13, ISSUE 3AAOMS Today is published six times a year by the American Association of Oral and Maxillofacial Surgeons. Unless specifically stated otherwise, the opinions expressed and statements made in AAOMS Today do not imply endorsements by, nor official policy of, AAOMS.

“The American Dental Association continues to strengthen our voice on national issues.”

IN MY VIEWWilliam J. Nelson, DDS, AAOMS President

TRUSTEES

Lawrence J. Busino, DDS District I (Northeastern) 518/446-1001 Fax 518/446-0802 [email protected] Albany OMS Group 2 Executive Park Drive Albany, NY 12203

Louis K. Rafetto, DMD District II (Middle Atlantic) 302/477-1800 Fax 302/477-0343 [email protected] 3512 Silverside Road, Suite 12 Wilmington, DE 19810-4941

J. David Johnson, Jr., DDS District III (Southeastern) 865/482-1319 Fax 865/481-3067 [email protected] OMS Specialists, PC, 420 Laboratory Road Oak Ridge, TN 37830

Paul M. Lambert, DDS District IV (Great Lakes) 208/422-1102 Fax 208/422-1157 [email protected] Boise VAMC 500 Fort Street Boise, ID 83702-4598

Douglas W. Fain, DDS, MD, FACS District V (Midwestern) 912/381-5194 Fax 913/381-5215 [email protected] Oral & Facial Surgical Assoc. 3700 W. 83rd St. Ste 203 Prairie Village, KS 66208-5120

A.Thomas Indresano, DMD District VI (Western) 510/437-4026 Fax 510/437-5128 [email protected] University of the Pacific Sch. of Dentistry, Dept. of OMS 2155 Webster St., Suite 522F San Francisco, CA 94115-2399

OFFICERS

Miro A. Pavelka, DDS, MSD President 972/231-6661 Fax 972/231-3161 [email protected] 400 S. Cottonwood Richardson, TX 75080-5708

Eric T. Geist, DDS President-elect 318/388-2621 Fax 381/388-2835 [email protected] Oral Surgery Associates 2003 Forsythe Avenue Monroe, LA 71201-4938

William J. Nelson, DDS Vice President 920/336-0989 Fax 920/347-0868 [email protected] 480 St. Mary’s Blvd. Green Bay, WI 54301

Brett L. Ferguson, DDS Treasurer 816/404-4355 Fax 816/404-4359 [email protected] Truman Medical Center Department of Dentistry, OMS 2301 Holmes Street Kansas City, MO 64108

Arthur C. Jee, DMD Immediate Past President 301/498-3900 Fax 301/317-4758 [email protected] 13934 Baltimore Avenue Laurel, MD 20707

Robert C. Rinaldi, PhD, CAE Executive Director and Secretary 847/678-6200 Fax 847/678-4302 [email protected] 9700 W. Bryn Mawr Avenue Rosemont, IL 60018-5701

Steven R. Nelson, DDS, MS Speaker, House of Delegates 303/758-6850 Fax 303/758-0729 [email protected] 6850 E. Hampden Ave. Suite 202 Denver, CO 80224

AAOMS ASSOCIATE EXECUTIVE DIRECTORS

Mark Adams General Counsel ext. 4350

Randi V. Andresen Advanced Education and Professional Affairs ext. 4337

Barbara S. Choyke Continuing Education, Meetings and Exhibits ext. 4309

Scott C. Farrell Chief Financial Officer, Business and Operations ext. 4352

Janice K. Teplitz Communications and Publications ext. 4336

Karin K. Wittich Practice Management and Governmental Affairs ext. 4334

AAOMS

9700 W. Bryn Mawr Avenue Rosemont, Illinois 60018-5701

847/678-6200 Fax 847/678-6286

www.aaoms.org

Daniel M. Laskin, DDS, MS Editor

Robert C. Rinaldi, PhD, CAE Executive Director

Janice K. Teplitz Associate Executive Director

Janie K. Dunham Manager, Editorial

TRUSTEES

Victor L. Nannini, DDS Trustee, District I (Northeastern) [email protected]

Vincent E. DiFabio, DDS, MS Trustee, District II (Middle Atlantic) [email protected]

J. David Johnson, Jr., DDS Trustee, District III (Southeastern) [email protected]

Paul M. Lambert, DDS Trustee, District IV (Great Lakes) [email protected]

B.D. Tiner, DDS, MD, FACS Trustee, District V (Midwestern) [email protected]

A. Thomas Indresano, DMD Trustee, District VI (Western) [email protected]

OFFICERS

William J. Nelson, DDS President [email protected]

Louis K. Rafetto, DMD President-Elect [email protected]

Douglas W. Fain DDS, MD, FACS Vice President [email protected]

Brett L. Ferguson, DDS Treasurer [email protected]

Eric T. Geist, DDS Immediate Past President [email protected]

Robert C. Rinaldi, PhD, CAE Executive Director [email protected]

Steven R. Nelson, DDS, MS Speaker, House of Delegates [email protected]

AAOMS ASSOCIATE EXECUTIVE DIRECTORS

Mark Adams General Counsel ext. 4350

Mary E. Allaire-Schnitzer Advanced Education and Professional Affairs ext. 4315

Barbara S. Choyke, CAE Continuing Education, Meetings and Exhibits ext. 4309

Scott C. Farrell Chief Financial Officer, Business and Operations ext. 4352

Janice K. Teplitz Communications and Publications ext. 4336

Karin K. Wittich, CAE Practice Management and Governmental Affairs ext. 4334

ADVERTISING

Advertising inquiries other than classifieds should be directed to Ms. Joan A. Coffey, Account Manager, Integrated Solutions, Leader Specialty–Surgery, Elsevier, 360 Park Avenue South, New York, NY 10010; Tel: 551/580-4018; Fax: 212/633-3820; e-mail: [email protected]. The publication of an advertisement is not to be construed as an endorsement or approval by the American Association of Oral and Maxillofacial Surgeons of the product or service being offered in the advertisement unless the advertisement specifically includes an authorized statement that such approval or endorsement has been granted.

AAOMS

9700 W. Bryn Mawr Avenue Rosemont, Illinois 60018-5701

847/678-6200 Fax 847/678-6286

www.aaoms.org

Daniel M. Laskin, DDS, MS Editor

Robert C. Rinaldi, PhD, CAE Executive Director

Janice K. Teplitz Associate Executive Director

Janie K. Dunham Manager, Editorial

MAY/JUNE 2015 | VOLUME 13, ISSUE 3

AAOMS Today | aaoms.org 3

In other areas, AAOMS is working with federal agencies to advance several drug-related initiatives. We support the National Take Back Initiative developed by the Drug Enforcement Agency’s Office of Diversion Control, which seeks to educate the public

about the potential for medication abuse while providing options for the safe, convenient, and responsible disposal of prescription drugs. Later this year, AAOMS will make available for member download and purchase a patient-focused f lyer that discusses the proper disposal of prescription medications.

We have also joined a coalition of groups working with the National Institute on Drug Abuse (NIDA) on a series of continuing education programs designed to help clinicians screen patients for substance use disorder risk factors before prescribing, and identify patients who may be

abusing their medications. Karin Wittich, AAOMS associate executive director, Practice Management & Government Affairs, and I had an excellent meeting with NIDA officials in Washington, DC in April. I will report on this exchange in an upcoming issue of AAOMS Today.

These are a sample of the collaborative activities in which AAOMS engages every day to advance the specialty of oral and maxillofacial surgery and its member practices. We maintain our seat at a number of tables where the training and practice of health-care providers are debated and decided.

In today’s busy and sometimes chaotic healthcare environment, it may be difficult for dental and medical specialties to break through the clutter and advance their message. At AAOMS, we have found that collaboration with organizations of good will and similar objectives may circumvent the noise and achieve a successful outcome. T

IN MY VIEW

AAOMS has been able to accomplish many of its goals for the specialty through a

philosophy guided by teamwork and collaborative ventures with allied organizations

and partners that share our vision and value our input.William J. Nelson, DDS, AAOMS President

“We maintain our seats at a number of tables where the training and practice of health-care providers are debated and decided.”

All-New PIPs and PEGs!Introducing updated and redesigned Patient Information Pamphlets (PIPs) and Patient Education Guides (PEGs) that complement the AAOMS public Web site, MyOMS.org.

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Staff Employment Anniversaries RecognizedAt a special board-staff luncheon on April 13, AAOMS recognized 11 staff members celebrating employment anniversaries ranging from 5 to 25 years.

5 YEARS

Adam Brenman, Government Affairs associate

10 YEARS

Dick Berry, staff attorney

Cory Breeden, network support technician

Kyle Smith, senior associate, Advanced Education and Professional Affairs

15 YEARS

Cristina Iosup, senior finance associate

Gary Low, senior membership associate

Debbie Skrzypek, senior exhibition associate

25 YEARS

Julie Carr, senior design and production associate

Janie Dunham, editorial manager

Lisa Marino, senior accounting associate

Ron Skiba, human resources director

Seated, left to right: Adam Brenman, Lisa Marino, Janie Dunham, Julie Carr and Richard Berry. Standing, left to right: Kyle Smith, Debbie Skrzypek, Ron Skiba, Cory Breeden, Cristina Iosup and Gary Low.

Applying for OMSF Funding? OMSF Announces New Online Award Application System

The Oral and Maxillofacial Surgery Foundation (OMSF) has launched a new online

application process for research awards and fellowships, including Research Support Grants, Student Research Training Awards and Clinical Surgery Fellowships. The new system’s improved functionality allows applicants to log into the system and complete the application process all at once or over several visits to the Web site. The new system will also store applicants’ information, making it easier to apply for funding in future years.

The online application system also facilitates application collection, review, and progress reports by OMSF staff and application reviewers.

It is very important to read the guidelines for each award, which have been revised since the last application cycle.

For Clinical Surgery Fellowships, go to: www.omsfoundation.org/fellowships

For Research Support Grants and Student Research Training Awards, go to: www.omsfoundation.org/research

The deadline to apply for research awards and fellowships is July 15, 2015 at 11:59 p.m. CDT. If you have any questions about the new application procedure, please contact Patti Gillespie, program and project manager, at 847/233-4363 or via e-mail at [email protected]. T

OMS FOUNDATION NEWS


Legislative and Regulatory UpdateFEDERAL ISSUES

n On March 4, the US Supreme Court finished hearing oral arguments in King v. Burwell, the case brought by challengers to the healthcare law’s system of distributing insurance subsidies. The court appeared divided as the justices heard almost 90 minutes of arguments in the case, which will be decided by the end of June. A ruling against the government could upend the nation’s health insurance system and make coverage unaffordable for millions of Americans in the 34 states without a state-run exchange.

n On March 26, US Health and Human Services Secretary Sylvia M. Burwell announced a targeted initiative aimed at reducing prescription opioid and heroin-related overdose, death and dependence. She noted that the president’s FY 2016 budget includes critical investments to intensify efforts to reduce opioid misuse and abuse, including $133 million in new funding to address the issue. Among other things, the initiative will focus on providing training and educational resources, including updated prescriber guidelines, to assist health professionals in making informed prescribing decisions and address the over-prescribing of opioids.

n On April 14, the Senate approved legislation (HR 2) to permanently repeal the sustainable growth rate (SGR) formula for physician reimbursement under Medicare. The legislation, which passed in the House on March 26, was signed into law by President Obama on April 16. The measure replaces the SGR with an increase of 0.5% in Medicare physician reimbursement starting in July 2015 through December 2015, and then annual 0.5% increases through 2019. It also consolidates various reporting programs, such as the Meaningful Use program for electronic health records and several quality reporting programs, into a new, merit-based incentive payment system, and would incentivize physicians to participate in alternative payment models such as accountable care organizations (ACOs). While the bill retains some aspect of Medicare’s fee-for-service model for those who choose not to participate in an alternative payment model, the bill’s impact on this reimbursement model remains uncertain.

n Since the last edition of the AAOMS Today, AAOMS has either sent or signed onto six comment letters to Congress on the following issues: support for the Action for Dental Health Act (HR 539), the Student

Loan Interest Deduction Act (HR 509), the RAISE Health Benefits Act (HR 1185), the Indian Health Services Health Professional Tax Fairness Act (S 536), the Competitive Health Insurance Reform Act (HR 494), and the Dental Insurance Fairness Act (HR 1677).

STATE ISSUES

n The North Carolina Board of Dental Examiners isn’t entitled to invoke state-action antitrust immunity from potential liability under federal antitrust laws because the board is controlled by dentists who are active market participants and because the board isn’t subject to active supervision by the state, the US Supreme Court ruled Feb. 25. The Supreme Court in a 6-3 decision made it clear that state occupational boards controlled by members of the same occupation are subject to federal antitrust laws unless the state actively supervises the board’s decisions.

n New York Governor Andrew Cuomo (D) signed legislation (SB 2486) that delays the electronic prescribing requirement in the state until March 27, 2016. Legislation enacted in 2013 required all practitioners to electronically prescribe all prescriptions as of March 27, 2015.

CAPITOL CONNECTION



Reports leading up to the deadline, however, indicated that less than 2% of prescribers had the ability to transmit the prescriptions through required DEA certified software, necessitating the delay.

n In a 5-4 decision, the US Supreme Court ruled that healthcare providers may not sue states to raise Medicaid reimbursement rates. The case originated when a provider in Idaho filed a lawsuit against the state’s Health and Welfare Department for holding Medicaid reimbursement rates at 2006 levels despite rising costs. In 2011, a US district judge agreed with the providers and ordered the state to raise Medicaid rates, a decision that was also upheld by the 9th US Circuit Court of Appeals in 2013. The US Supreme Court Justices ultimately sided with the state during the appeals process, noting that only federal agencies have the ability to determine if states comply with federal Medicaid statutes. The ruling will have implications on whether private parties can bring such suits in the future.

OMSPAC

n As of March, OMSPAC raised $489,492 in contributions from AAOMS members. Additionally, OMSPAC had contributed $72,500 to federal candidates as of March 31, 2015. For additional information on contribution totals or for a list of candidates to whom OMSPAC has contributed, please visit www.omspac.org. T

n The Joint Commission has issued a sentinel event alert regarding inherent risks found in health information technology. In the document, the Joint Commission cautions, “incorrect or miscommunicated information entered into health IT systems may result in adverse events.” According to information submitted by participating hospitals, more than 120 health IT-related sentinel events were reported between January 1, 2010 and June 30, 2010, stemming from issues such as usability issues, workf low and communication, and clinical decision-making support.

n CMS has released proposed rules for Stage 3 of Meaningful Use, the

final stage of the federal incentive program developed to encourage practitioners to adopt and utilize electronic health records (EHRs). In addition to increased thresholds for the utilization of functions found in EHRs, the proposal will require all Medicare practitioners to operate at the Stage 3 level by 2018, regardless of prior participation in the program. The proposed regulations will also require a new version of certified EHRs to be offered, requiring currently certified programs to be re-certified to the revised criteria. The comment period on these regulations runs until May 29, 2015, with final regulations expected before the end of the year.T

HEALTH IT BYTES

Highlighting health information technology (health IT) issues affecting OMS practices

YOU

YOU ARE OMSPAC!

Oral and maxillofacial surgeons’ voice in national politics for over 40 years. 9700 West Bryn Mawr | Rosemont, Illinois 60018 | 800/822-6637 | www.omspac.org

What is OMSPAC Doing to Protect the Specialty?


MEET THE CANDIDATES

Dr. Ferguson is completing his second, two-year term as AAOMS Treasurer. A Kansas City, MO, native, he received his DDS from the University of Missouri–Kansas City (UMKC) School of Dentistry with honors in 1981, and subsequently entered full time academics at the UMKC School of Dentistry. He then completed a fellowship year in general anesthesia under the tutelage of Dr. Nina Beatty at Truman Medical Center.

Dr. Ferguson is program director of the UMKC OMS Graduate Training Program, and chairman of OMS at Truman Medical Center and of Hospital Dentistry at the UMKC School of Dentistry. In January 2006, he was appointed chairman of OMS at the UMKC School of Dentistry as well.

Prior to serving as AAOMS Treasurer, Dr. Ferguson chaired the AAOMS Committee on Residency Education and Training, and served on the AAOMS Faculty Recruitment and Retention Committee and the Committee on Hospital and Interprofessional Affairs. Additionally, he was appointed to the AO/ASIF maxillofacial trauma educators of North America and served on the Examiner Committee of the ABOMS.

Dr. Ferguson is a diplomate of the American Board of Oral and Maxillofacial Surgery, and a member of the International Association of OMS, American College of Dentists, Midwest Society of OMS, Missouri Society of OMS, American Dental Association, Missouri Dental Association, and Greater Kansas City Dental Society. He is a past-president of the Greater Kansas City Society of OMS, and a former member of the Fifth District Caucus and delegate to the AAOMS House of Delegates. In

addition, Dr. Ferguson is a past president of the Rinehart Foundation, the endowment of UMKC School of Dentistry.

STATEMENT

It has been a distinct pleasure and a privilege to represent you as AAOMS treasurer for the last three and a half years. I am happy to report that your association is in an excellent financial position. During my two terms as treasurer we have maintained balanced budgets that have resulted in a positive revenue-over-expense ratio. And, while we raised member dues in 2013, we significantly increased the level of member services with the addition of a clinical research program that will provide evidence-based data to support the scope of the specialty; the Informational Campaign, which promotes OMS training and skills to the public, the dental and medical professions, insurance and third party providers, legislators and regulators, and other communities of interest; and our new award-winning public Web site, MyOMS.org, and the redesigned member site, AAOMS.org.

We have also increased our educational offerings through onsite meetings like the new three-part Research and Education Conference, which was held May 6-9, in Rosemont, Illinois; issue-focused webinars led by renowned experts in the topic area; and innovative print and online publications, including the Web-based Office Anesthesia Evaluation program.

AAOMS officer elections will be held during the 2015 annual meeting on Wednesday, September 30, immediately preceding the third session of the House of Delegates. At press time, Douglas W. Fain, DDS, MD, FACS, Prairie Village, KS, and Steven R. Nelson, DDS, MS, Denver, CO are running unopposed for the offices of president-elect and speaker of the House of Delegates, respectively. Two candidates, AAOMS Treasurer Brett Ferguson, DDS, Kansas City, MO, and District III Trustee J. David Johnson, DDS, are completing their terms of office this year and seeking election to new positions. Dr. Ferguson is running unopposed for the office of vice president. Dr. Johnson is running unopposed for the office of treasurer.

To better acquaint fellows and members with the candidates and their positions, AAOMS asked Drs. Ferguson and Johnson to provide a platform statement to AAOMS Today. In addition to the material presented here, members are encouraged to meet the candidates at their state and regional society meetings, and at the annual meeting open forum on Tuesday, September 29, from 4:30 to 5:30 pm, at the Marriott Marquis Washington, DC.



Brett Ferguson, DDS

Candidate for Vice President

Having been a key participant in the planning and development of these specialty-altering projects, I believe I am armed with the necessary background, knowledge and experience to offer my services as your vice president. Moreover, as a practicing surgeon and chairman of the Department of Oral and Maxillofacial Surgery at the UMKC School of Dentistry, I am in a unique position to appreciate all sides of the issues confronting the association and our membership. In recent years we have witnessed a number of challenges with the potential to gain traction and affect the specialty.

For example, we are all aware of the current OMS faculty shortage. Not only is this a concern in our OMS residency programs, it also affects the dental schools where many of our nation’s more than 20,000 dental students graduate with little interaction with an oral and maxillofacial surgeon faculty member. As a result, they may be unfamiliar with the breadth of procedures offered by the specialty. Once in practice, they may prefer to send patients to those specialties they know from dental school.

AAOMS is working diligently to address this problem. We are evaluating the recommendations made by our Task Force on Faculty Workforce, beefing up our Faculty Educator Development Awards program to encourage more OMSs to commit to an academic career, and offering opportunities that encourage surgeons who may be reducing their practice load to consider a second career in academia. Additionally, we are utilizing the power of the AAOMS Informational Campaign to acquaint dental students with oral and maxillofacial surgery and how our surgeons may assist them in their future practices. As an AAOMS officer, I have been involved in the development of these strategies and, as your vice president, I will continue these efforts and seek opportunities to expand on their success.

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James David Johnson, Jr., DDS, earned a BS Degree from Rhodes College and graduated with highest honors from the University of Tennessee College of Dentistry. He completed his residency in oral and maxillofacial surgery at the University of Tennessee Medical Center at Knoxville in 1990. Dr. Johnson was certified by the American Board of Oral & Maxillofacial Surgery (ABOMS) in 1992. He recertified in 2002 and 2012, and has served on the ABOMS Examination Committee. Dr. Johnson is an associate professor at the University of Tennessee Graduate School of Medicine and has served as chair of the AAOMS Committee on Public and Professional Communication (CPPC) and as a member of numerous other AAOMS committees including the Faculty Educator Development Awards Committee, the Special Committee on Implant Dentistry, the Special Committee on Cosmetic Surgery, the Special Committee on Priorities and Strategic Plan, and the Committee on Practice Management. He is a past president of both the Southeastern Society of Oral and Maxillofacial Surgeons (SSOMS) and the Tennessee Society of Oral and Maxillofacial Surgeons (TSOMS). Dr. Johnson currently serves as AAOMS District III trustee. He is the recipient of the 2003 AAOMS Presidential Achievement Award, the 2003 TSOMS Outstanding Service Award, the 2004 Tennessee Dental Association Fellowship Award, and the 2004 Second District Dental Society Dentist of the Year Award. He is a fellow of the American College of Dentists and the International College of Dentists.

The Affordable Care Act and its accompanying regulatory and legislative initiatives are reinventing dental and medical practice in the US. Evidence-based data gleaned from solid PBRN-sanctioned research is the key to reimbursement and the future of specialty practice. Last year AAOMS launched a clinical research project to obtain the necessary data to support the procedures performed in the OMS operatory. With the launch of our initial research study on third molar surgery last fall, we became the first dental specialty to establish a Practice-based Research Network, or PBRN. We expect to have preliminary data from this study later this summer. I fully support AAOMS’s entry into the clinical research arena. It is good for our association and even better for our specialty. As vice president, I will continue the association’s efforts in this area and encourage future projects that speak to the needs of our members’ practices.

As treasurer, I am keenly aware of the need to balance our budget and monitor expenditures in order to ensure that AAOMS remains a strong and vital advocate for the specialty in the decades to come. I am particularly appreciative of the board’s determination that all major projects be regularly evaluated in terms of their performance, value to the membership and financial results. Whether it is an annual meeting, dental implant conference or other

educational venue, the Informational Campaign, or the clinical research initiative, no AAOMS program is exempt from this board evaluation. It is my firm belief that this rolling oversight keeps our programs fresh, relevant and cost-effective.

Before I close, please allow me to express my sincere appreciation for the support you have given me over the last four years as AAOMS treasurer. I believe my collaborations with AAOMS CFO Scott Farrell have helped solidify the association’s financial independence and enabled us to pursue new and exciting initiatives that will keep AAOMS and its fellows and members at the forefront of dentistry and medicine. I humbly ask for your continued support as I seek election to the position of AAOMS vice president at the 2015 annual meeting. With your help, I pledge to continue the dedication and commitment of the last four years and to take our association and specialty to even higher levels of greatness. T

Candidate: Dr. FergusonContinued from page 9



James David Johnson, Jr., DDS

Candidate for Treasurer

STATEMENT

Some of you have heard me tell a favorite story from many years ago. While driving my preschool son and his friend, I overheard their conversation:

My son, Andy, asked, “What do you want to be when you grow up?” Richard replied, “I think I want to be a dentist. They help people and I think it would be cool.” Then Andy said, “Me too! That would be cool!” At that moment, as I began to puff up with pride, a garbage truck with a man hanging on the back passed, and both boys simultaneously exclaimed, “Or a garbage man!”

Sometimes, “Out of the mouths of babes comes wisdom,” and this story is revealing in two ways. First, oral and maxillofacial surgery is a specialty of dentistry. Whether we hold single or dual degrees, we must never forget our dental origins and the strength derived from our affiliation with organized dentistry. Second, we must be ever vigilant in our efforts to protect and advance the reputation of our specialty. My father taught me that work well done is honorable, but it is my fervent hope that our children will always clearly see that the value and benefits of a career in the profession of dentistry exceed those offered by most other professions. I am proud to be an oral and maxillofacial surgeon. The specialty has allowed me to provide for my family while making a real difference in the lives of my patients.

This fall, I seek your support for my candidacy for AAOMS treasurer. My decision to run for the treasurer position was not made in haste, but with a deep and abiding respect for the outstanding legacy forged by previous AAOMS treasurers. Four years ago, as a candidate for AAOMS District III trustee, I made a conscious effort to avoid platitudes because, “Platitudes are a poor basis for policy… No matter how melodious they sound.” The mission of the AAOMS has real meaning that can make real differences in people’s lives. It is my steadfast conviction that the AAOMS should base its every programmatic and financial decision on our ability to assure, “excellence in patient care by advancing, promoting, and protecting the specialty of oral and maxillofacial surgery, and the skill and professionalism of AAOMS members.”

Just as the AAOMS strategic plan identifies our mission, the AAOMS budget determines if we are “putting our money where our mouth is.” Each and every line item variance in the revenue and expense columns of the AAOMS budget serves as a red f lag that demands further examination to make certain we are staying true to our organizational priorities.

Volatile markets and costly initiatives may make the next AAOMS treasurer’s term a rigorous roller coaster ride. It is that ride—that challenge of implementing grand visions within the constraints of our financial reality—that, for me, makes the job of treasurer

appealing. While our major initiatives (Clinical Research and PBRN, AQI OMS Registry, Simulation and the Informational Campaign) are exciting, perhaps even visionary—they are also expensive! How are we going to pay for them and maintain the quality of core programs and member benefits?

AAOMS must continue to fund these core activities in education, advocacy, research and information dissemination. Key to the successful performance of these activities is the performance and commitment of our headquarters’ staff. It is vital that we safeguard this extraordinary culture by continuing to attract and retain the best-qualified professionals by offering meaningful, interesting and instructive opportunities and fair compensation—both in salary and benefits. The AAOMS treasurer must always act in a manner that is compatible with the efforts of AAOMS Executive Director Bob Rinaldi and his senior management team.

AAOMS initiatives, core activities, staff compensation and other operational expenses will require significant funding in the future. Further, it is absolutely essential that AAOMS maintain sufficient operational reserves that will enable the association to quickly and effectively respond to potential challenges and investment opportunities. Without question, future AAOMS budgets will be tight.



When my oldest son recently asked me what one single sentence of advice I would give him as he began his professional career, I replied, “Live within your means.” This is good advice not only for a doctor, but also for an association of doctors. When one lives within one’s means, the best decisions can be made for the best reasons. As I contemplate the future of the AAOMS, my concerns extend beyond the cost of our more expensive initiatives. AAOMS members are shrewd, and they will always give the “big-ticket” items close scrutiny. But as Benjamin Franklin said, “Beware of little expenses. A small leak can sink a great ship.” With every AAOMS expense, we must consider value – in terms of member benefit. Working closely with the AAOMS executive director, chief financial officer, Finance and Audit Committee, and Board of Trustees, the treasurer must handle the association’s money with the highest standards and integrity; manage investments with the appropriate balance of risk and growth; and prepare and execute an annual budget that realistically funds appropriate AAOMS expenditures.

Candidate: Dr. JohnsonContinued from page 11

What makes me uniquely qualified to serve as AAOMS treasurer? The fact that I have served as treasurer for local non-profit/charitable organizations as well as for state and regional societies of oral and maxillofacial surgeons is certainly not unique. My financial and business background would no doubt mirror that of most AAOMS members. The hard realities of living within a budget—making payroll and covering other overhead expenses—are familiar to all of us. Perhaps it is my experience as a private practitioner of oral and maxillofacial surgery that best qualifies me to serve as your treasurer. I have a clear understanding of your bottom line, both literally and figuratively.

Two key attributes that I could best apply to the job of AAOMS treasurer are associated with communication and perseverance. Any capacities that I possess in those areas are born of considerable effort. My 13-year service as both the American Dental Association Oral and Maxillofacial Surgery Spokesperson and as an AAOMS spokesdoctor has been invaluable to my growth as a communicator. I am grateful to the ADA and to the AAOMS for the media training they provided as well as for the opportunity to inf luence news stories of national importance to our specialty. My enthusiasm and determination to speak out on such topics as OMS educational standards, anesthesia safety, scope of practice, evidence-based care, and access to care has not abated.

Throughout the years of my involvement with AAOMS, I have had the opportunity to serve on a number of standing and special committees. My time as AAOMS District III trustee under the leadership of four great presidents has been both stimulating and educational. During this time, I have served two terms on the Finance and Audit Committee. I have carefully studied the exemplary work of our current treasurer, Brett Ferguson, and I have paid close attention to the valuable input of our CFO, Scott Farrell. In addition, I have taken substantial time to study our association and the central documents of our organization. The AAOMS Bylaws define our organizational process; our Strategic Plan identifies our aspirations; and our budget verifies our actions. If elected AAOMS treasurer, I will work hard to keep these three pillars of our association reconcilable, and I will embrace the role of providing accurate financial information while serving as a voice of fiscal responsibility. Further, I am confident that the team of AAOMS officers that I would join will effectively protect and advance the reputation of our specialty. I hope to earn your support during the course of the campaign, and I welcome your comments and questions. T

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AAOMS Celebrates 15 Successful Years of Day on the Hill

Over 130 OMSs and guests from 34 states traveled to Washington, DC, in March

to advocate on behalf of the specialty to their members of Congress during the 15th Anuual AAOMS Day on the Hill. What started out in 2000 with approximately 60 participants has nearly doubled in size over the past 15 years.

This year’s event took place Tuesday, March 17 and Wednesday, March 18, 2015 at the Grand Hyatt Hotel in Washington, DC. About 40 attendees were either first-time Day on the Hill participants, or had not been to the event in at least five years.

Elizabeth A. Kutcipal, DDS, a first-time attendee, had this to say about the meeting: “Day on the Hill 2015 was a truly eye-opening experience. I learned so much about the inner workings of our government, especially in regard to healthcare issues. I look forward to attending in the future to use my 2015 experience as a building block to be more effective and ensure my voice is heard.”

TUESDAY TIPS AND TRAINING AND KICK-OFF DINNER

Tuesday afternoon’s Tips and Training Session included a mock congressional meeting. Conducted by Dr. Charles Crago, chair of the AAOMS Committee on Governmental Affairs, and staff, the session explained the protocol for conducting a proper congressional visit and gave tips on what to expect during such a visit. Later that day, AAOMS’s Washington lobbyists Bill Applegate and Chris Rorick of Bryan Cave, LLP discussed the political climate in Congress and reviewed ways to present AAOMS’s priority legislative issues during congressional visits.

CNN political analyst Gloria Borger, the keynote speaker at Tuesday evening’s dinner program, offered an “insider’s”

view on the state of American politics and political issues in Washington.

THE DAY ON THE HILL

Wednesday morning kicked off with a breakfast session featuring guest speakers US Senator Ron Johnson (R-WI), member of the Senate Budget, Homeland Security, and Governmental Affairs and Foreign Relations Committees, and Congresswoman Michelle Lujan-Grisham (D-NM), member of the House Committee on Oversight and Government Reform.

Sen. Johnson, a small business owner, noted that the increasing size of the

federal government propelled him into running for elected office. He expressed his desire to return power to the local level and stated that doctors shouldn’t be criticized for being small business owners in addition to saving lives.

Rep. Lujan-Grisham, whose father was a dentist and who previously led the New Mexico Department of Health, discussed her childhood experience helping her father in his dental office. She also spoke about the need to enhance the Affordable Care Act through passage of such legislation as the RAISE Act (HR 1185), which would expand the use of f lexible savings accounts (FSAs). She further acknowledged the need to provide relief to new dentists graduating with significant student loan debt.

After the morning program, AAOMS members headed to Capitol Hill for scheduled visits with more than 150

AAOMS President William J. Nelson, DDS addresses attendees during a dinner program on March 17, 2015.

AAOMS resident members gather for a picture during a cocktail reception for attendees on March 17, 2015.




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2014 Financial Audit Complete

Each May, the Finance and Audit Committee of the Board of Trustees meets with the

association’s outside auditors to review the audited financial statements for the preceding year. The audit field work was completed in late March, and Plante Moran, the association’s auditors, have indicated that another clean opinion (“unqualified” per the accounting profession) will be forthcoming in regard to our 2014 Financial Statements.

Following are some of the highlights related to 2014 activity. As far as the association’s balance sheet, consolidated assets in total grew slightly during the year to $24.54 million. Cash and investments, the largest asset category, grew from $18.10 million at the end of 2013 to $18.85 million at December 31, 2014. Liabilities increased 3.0% during 2014, to a total of $8.98 million at year end. Deferred income, the largest liability category, totaled $6.41 million at the end of 2014 and is comprised of 2015 membership dues that were collected in the fourth quarter of 2014, and advance payments by exhibitors for booth space at the 2015 annual meeting in Washington, D.C. Consolidated net assets remained relatively f lat during 2014, totaling $15.55 million at the end of the year.

Consolidated revenues were $14,000 less than expenses in 2014. AAOMS’s operating revenues exceeded expenses by $167,000, which was $56,000 better than budget (this is discussed in more detail later in this column). After-tax results for AAOMS Services, Inc. contributed another $126,000 to the bottom line. However, offsets to the positive financial results included: depreciation expense on fixed assets of $150,000; expenditures from the Technology Reserve (primarily for the enhanced member Web site that will debut in 2015) totaling $45,000; OMSPAC administrative expenses, which are paid by AAOMS, exceeded soft-dollar contributions by $54,000; and the House of Delegates Reserve Fund declined by $58,000, primarily due to the funding of $120,000 for the Faculty Educator Development Awards.

Other significant budget variances include:

• Revenues over expenses for the annual meeting in Hawaii fell short of budget by $359,000, as member attendance lagged our budget expectations, and fewer exhibitors elected to participate given the logistical costs. As I mentioned in a previous column, the association is evaluating whether any future

meetings will be held in Hawaii given the financial ramifications;

• Governance and administration expenses were $212,000 less than budget. Contributing to this savings were headquarters administration expenses - $102,000 (mainly staff salaries and wages) under budget; Board of Trustees expenditures - $34,000 under budget; and $85,000 in unspent Contingency Fund monies;

• Net revenues for our headquarters building operations exceeded budget by $81,000. The new lease for the remaining space on the second f loor commenced on January 1, 2014, but was not finalized until the fourth quarter of 2013, after the 2014 budget had been finalized. And the association’s outside counsel was successful in contesting our property tax assessments, resulting in tax savings; and

• Strong attendance at the courses offered the day before the Dental Implant Conference generated surplus net revenues of $68,000.

Brett L. Ferguson, DDS, Treasurer

TREASURER’S ACCOUNT



members of Congress and/or congressional staffers, during which they discussed the scope and practice of oral and maxillofacial surgery, sought to cultivate relationships with congressional key contacts, and advocate for the co-sponsorship/support of AAOMS’s 2015 legislative priorities - the repeal of the excise tax on medical devices (HR 160, S 149), expanded use of Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) (HR 1185) and (HR 1196), and student loan repayment reform. AAOMS’s Governmental Affairs staff and Washington, DC lobbyists will utilize the valuable relationships built and feedback provided by participants to advance our Day on the Hill priority issues.

EXTENDING THE MESSAGE’S REACH

AAOMS also sought to involve OMSs who were unable to join their colleagues at Day on the Hill in the association’s advocacy efforts. In the days leading up to the meeting, AAOMS sent out a grassroots campaign alert urging members to ask their constituent members of Congress to support the

Day on the Hill priority legislative issues. AAOMS members across the country sent more than 850 messages to Congress.

Be sure to mark your calendars for next year’s Day on the Hill event on Wednesday, April 13, 2016, at the Grand Hyatt Hotel in Washington, DC. T

US Senator Ron Johnson (R-WI) addresses attendees during a breakfast program on March 18, 2015.

Darren R. Cross, DDS, MD, Sarah E. Proulx, DMD, Thomas F. Rollar, DMD, and Ann M. Holzhauer, DDS meet with a congressional office staffer on Capitol Hill.

Day on the HillContinued from page 14

The Board of Trustees was thankful that there were enough positive budget variances to offset the poor financial results related to the annual meeting in Hawaii. We are confident that the upcoming meeting in Washington, DC will contribute to strong financial returns, consistent with our actual experience for meetings prior to 2014. This is strategically important given that the financial results for the annual meeting fund many other association programs during the year. I hope to see you in Washington, DC in late September. T

CPC ANNOUNCES RECENT DECISIONSBased on a careful review of the complete record of the case, the Commission on Professional Conduct (CPC) on November 10, 2014 advised Dr. Jennifer L. Lamphier of Hopatcong, New Jersey of its decision finding her in violation of Chapter V, Advisory Opinion G.1.04 of the Code of Professional Conduct. As a result of this finding, the Commission issued a letter of censure.

Based on a careful review of the complete record of the case, the Commission on Professional Conduct on November 10, 2014 advised Dr. W. Scott Harrington of Tulsa, Oklahoma of its decision finding him in violation of Chapter V, Section A.1,

Advisory Opinion A.1.01, Section A.2, Advisory Opinion C.1.02, Section F.1 and Advisory Opinion G.1.04 of the Code of Professional Conduct. As a result of this finding, the Commission imposed the sanction of expulsion.

Based on a careful review of the complete record of the case, the Commission on Professional Conduct on March 12, 2015 advised Dr. John D. Stover of Hilo, Hawaii of its decision finding him in violation of Chapter V, Advisory Opinion G.1.04 of the Code of Professional Conduct. As a result of this finding, the Commission issued a letter of censure. T


did a ton of blood organizing (with Huyen as usual, among others, giving a unit) and X-rays, and were in the operating room on Saturday. No complaints from the hospital staff. Actually, I think, they were all wanting to see what in the world we could do for this guy. He had been told he’d have to be evacuated to Europe for help. We have done so many of these types of cases that we just didn’t think that was good advice. It turns out we were right.

There were four of us for the procedure—me, Huyen, and Drs. Osee and Djonga from Chad. Amazingly, from start to finish, we were done in six hours. Having eight skilled hands made things go quickly.

Huyen did an amazing job of perfectly sedating the patient so that he would accept all the nasal tubes I

Jim Alain storyContinued from page 1

Dr. Huyen gives blood, as usual, for jaw tumors.

essentially, we were his last ditch hope made him more than ready to do whatever we asked.

Everyone’s arms got pretty tired from holding the tumor up while I slowly

Dr. Bartholomew does flex fiberoptic intubation. Dr. Huyen does sedation for it.

Drs. Bartholomew and Huyen with about 12 pounds of tumor.

Before surgery, a wrap had to be worn to avoid attracting unwanted attention.

was inserting. Typically, one doesn’t lay a person like this on his back for anesthesia induction, but with some very slow and methodical anesthesia, he was intubated in less than eight minutes! I think my telling him that,

have been able to deal with any major issues. This 17-year-old tumor tipped the scales at 12.1 lbs. It turned out to be an ameloblastoma on histology as suspected. This was my first time to see a lip stretched this far out of shape after tumor removal. A friend of mine on the Mercy Ship admonished me to never remove any excess skin. I was tempted, but did not. Sure enough, post op weeks later, his lip is perfect now!

We can’t help but wonder what in the world it is like to have your life back. I have seen in my training that after major changes to their face from surgery, people sometimes need psychological counseling and sometimes they get it before surgery. I can only imagine that Jim must be taking a while to acclimate to his newfound man-in-the-mirror!

After our time in Congo, we went to Cambodia, on the other side of the world for a few months. While there, I made a solo trip back to Chad to do Jim’s second surgery, an ICBG. That took place in February, just a few

got it exposed. Incredibly, we had an abundant amount of skin inside the mouth to close with. Normally, we have a little issue with that, but not this time.

After surgery, Jim went to a sort of “ICU” where we monitored him and did all our usual post-op care. What is remarkable to me is that his swelling went down in a few days and he didn’t get infected! This was a major blessing as Huyen had to leave four days after surgery and I left six days later for our family to go to Congo. No one would

months ago. It was interesting to see Jim again as if we were old friends. He was all smiles, speaking clearly in French to me and ready to go for surgery #2. I love the trust. A friend of mine from North Carolina, Dr. Larry Parworth, secured a donation of BMP and cancellous bone chips for us from Medtronics, so that was used too. As you can see in the picture, Jim healed quite well after tumor resection. I almost didn’t want to do any more surgery, but I know this reconstruction plate won’t last forever. I stayed for two weeks doing cleft lip and palates and then midway through my visit, Larry came and he and I did Jim’s bone graft—bilateral posterior ICBG’s with BMP. That

second surgery again went amazingly well. We left about a week later. Jim is doing well and is being watched by our trusted pastor friend. He does have a small wound on his chin, but we are hoping and praying it dries up and heals. He has the thickest height of mandible I think I have ever put in in my life. In his latest picture, he is still swollen from his reaction to the BMP, as some folks experience.

Our plan is to go back again to Chad near the end of the summer. For now, are working with OMFS residents in Cambodia while things settle down in sub-Saharran Africa.

We want to say a HUGE thank you for all the equipment, advice, biopsy reading and more that so many of you do for our work. You’re also a part of Jim Alain’s case. T



Although still stretched and swollen here, Mr. Alain’s lip retracted back to normal after a month.

Mr. Alain approximately 45 days after ICBG surgery.

Two weeks after bilateral posterior ICBG


2015 Annual MeetingONLINE MEETING REGISTRATION AND HOTEL RESERVATIONS NOW AVAILABLE

The 2015 AAOMS annual meeting, held in conjunction with the Canadian Association of Oral and Maxillofacial Surgeons, will convene September 28–October 3, in Washington, DC. Registration is now open online at aaoms.org/washingtondc. There you will find details on business sessions, all symposia, limited attendence sessions and social events scheduled for the meeting. Hard copy meeting programs will mail in May.

EXCELLENT ACCOMMODATIONS AT GREAT RATES AWAIT YOU IN DC

AAOMS has reserved some of the best hotel rooms in Washington, DC– all a short walk from the Walter E. Washington Convention Center.

Marriott Marquis Washington, DC Headquarters Hotel$345 per night - standard single/double 901 Massachusetts Avenue NW Washington, DC 20001 202/824-9200

Grand Hyatt Washington $359 per night - standard single/double 1000 H Street, NW Washington, DC 20001 202/582-1234

Hampton Inn Washington-Downtown-Convention Center $269 per night – standard single; $279 per night – standard double 901 6th Street, NW Washington, DC 20001-2646 202/842-2500

Renaissance Washington, DC Downtown $339 per night - standard single/double 999 9th Street NW Washington, DC 20001 202/898-9000

Embassy Suites Washington DC Convention Center $299 per night - standard single/double 900 10th Street Northwest Washington, DC 20001 202/739-2001

In order to save our members time and money, AAOMS has not contracted with a hotel reservation service this year. Please make your hotel reservations for the 2015 AAOMS Annual Meeting directly with the hotels reserved by AAOMS for its members and guests.

OMSKU V: New Chapter Available

Hot on the heels of the recently released chapter on Pathology comes the OMSKU V chapter on Dental Implants! The

chapter offers 10 CDE/CME credits and can be purchased through aaoms.org/omsku.

This first Dental Implant chapter in the OMSKU series includes eight sections of content written by leaders in the field including Michael Block, DMD, Tara Aghaloo, DDS, MD, Craig Misch, DDS, MDS and others.

The recently released Pathology chapter features five sections, including Odontogenic and Nonodontogenic Cysts by Eric Carlson, DMD, MD, FACS and Eugene Kang, DMD, MD and Salivary Gland Pathology by R.A. Ord, DDS, MD and Donita Dyalram, DDS, MD.

CONTINUING EDUCATION, MEETINGS AND EXHIBITS

CE&ME



2016 Annual Meeting Clinical Course ApplicationThe 2016 annual meeting clinic applications will be accepted on a variety of clinical topics and in variable course formats, including Hands On sessions. Applications will be available July 6 through September 7. Check aaoms.org/speakers for updates and to apply.

Joint ProvidershipHas your state or regional OMS society considered Joint Providership with AAOMS? This program offers non-accredited component societies the opportunity to provide participants continuing dental and medical education credit for their educational activities and is the only vehicle by which they can offer CDE/CME through AAOMS.

The application, FAQs and other information can be accessed at www.aaoms.org/jointprovidership. Please contact Shannon Murray at [email protected] with any questions. T

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merchants who are AAOMS members, merchants who did not receive a like offer within the past 12 months, or merchants to whom other special consideration is paid or given related to transaction processing activities or support. Offer is non-transferrable and is subject to change without notice. Merchant must activate their Bank of America Merchant Services’ account within 30 days of receipt of Equipment (“Transition Window”). Account activation is defined as a single batch of more than $20.00 in Visa® or MasterCard® transactions. If merchant fails to complete the transition to our authorization system within the Transition Window or if merchant terminates the merchant services relationship with us within a year from the Effective Date of the merchant processing agreement (“Agreement”), merchant is required to pay $350.00 for Equipment, plus applicable shipping, handling and taxes, which will constitute amounts due us and collectable by us as permitted under the Agreement with the merchant. Minimum monthly processing amount is not required. Limit one offer per merchant relationship/business entity. To the extent required by law, Banc of America Merchant Services, LLC will report the value of the offer to the IRS. Any applicable taxes are the responsibility of the account holder. Certain merchant restrictions and eligibility requirements apply.

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The Stock Market is Not Your PortfolioJeffrey E. Wherry, CFP©, ChFC, CLU Managing Director, Treloar & Heisel Financial Group

In 2014, US stocks, as measured by the Morningstar Large US Index, earned a healthy 13.6% (1).

However, if you opened your year-end account statement you might have cried, “What’s going on? If the stock market returned over 14% why is my return so much lower?” The answer is simply that large US stocks are not your portfolio – they are only a component of a diversified portfolio.

Portfolio diversification seeks to blend different types of investments that are not perfectly correlated in order to smooth our returns and reduce risk. Over time each component of the portfolio will experience good and bad years as markets naturally cycle. Better performing components in a given year neutralize the poor performing ones.

A diversified portfolio may commonly be comprised of asset classes such as:

• Stocks of large, midsized and small companies domiciled in the U.S.

• Large, mid-sized and small stocks located in developed countries overseas.

• Stocks from less developed emerging market countries.

• Government and corporate bonds of varying length, quality from both the U.S. and international issuers.

• Cash

Each of these asset classes tends to respond differently to various economic events. Correlation, which measures how closely the return of one asset

mirrors another, can also vary among these investment categories. The idea behind diversification is to use these asset classes to build an investment portfolio that will provide a return with a lower average level of risk.

However, a common problem among investors is what financial behaviorists call “home country bias.” We tend to be more aware of how the stock market performs in our own country than world markets because we follow domestic media reporting and recognize the companies that make up our home country indexes. 2014 is a good representation of this bias.

Let’s look at the returns of common asset classes for 2014 and since the year 2000:

Clearly, a portfolio consisting solely of U.S. stocks would have been a great investment in 2014 but would have significantly underperformed over the last 14 years. Unfortunately, it’s impossible to predict which investment will outperform in any given year. That’s what makes portfolio diversification such a compelling strategy. Although a well-diversified portfolio can’t guarantee a return or protect you against loss, it can help steady the ride through market cycles.

So you when you open your next investment statement, don’t judge your returns against just one market index. Instead, measure your performance of the portfolio in its entirety.

For more information on financial planning, and other financial service’s needs, contact Jeffrey Wherry, Managing Director of Treloar & Heisel Financial Group at 800/300-2451 or visit www.tandhfinancial.com. T

1. Source – Morningstar Asset Class Winners and Losers 2015 as of 12/31/2014.

2. Source – Morningstar Asset Class Winners and Losers 2015 as of 12/31/2014. Index categories – Morningstar US Large Company Index, Morningstar US Small Company Index, Morningstar Develop Company Ex-US Index, Morningstar Emerging Markets Index, Morningstar Intermediate US Govt. Bond Index, Morningstar US Corp Bond Index, Barclays US High Yield Bond Index. Investors cannot invest directly in an index.

Asset allocation does not guarantee a profit or protect against loss in declining markets. There is no guarantee that a diversified portfolio will outperform a non-diversified portfolio or that diversification among asset classes will reduce risk.

Securities, investment advisory and financial

planning services offered through qualified registered Representatives of MML Investors Services, LLC, Member SIPC. 6 PPG Place, Suite 600, Pittsburgh, PA 15222. (412) 562-1600. Treloar & Heisel Financial Group is not a subsidiary or affiliate of MML Investors Services, LLC or its affiliated companies. T

Asset Class(2) 2014 Return

Annual Return since 2000

Large US Stocks 13.60% 3.50%

Small US Stocks 6.90% 9.20%

Developed International Stocks -3.90% 3.80%

Emerging Market Stocks -0.80% 7.40%

Intermediate US Govt. Bonds 3.90% 5.70%

Intermediate US Corp Bonds 4.50% 5.70%

High Yield Bonds 2.50% 7.50%



Financial Services for the Dental and Medical Professional


Would You Lie to Help Your Patient?

An announcement by the Departments of Justice and Health and Human Services

in 2013 indicated that 89 medical professionals had been charged with fraudulently billing Medicare for more than 223 million dollars by upcoding, charging for services that they had not provided, and falsifying medical records. Few, if any would defend such actions. Yet, a survey of practicing physicians published in 2000 indicated that 39% admitted to manipulating reimbursement rules such as exaggerating the severity of the patients’ condition, changing the billing diagnosis, or reporting signs and symptoms that the patients did not have in order to help them receive insurance coverage for needed care. As oral and maxillofacial surgeons, as well as patient advocates, we often find ourselves faced with similar altruistic situations ranging from the patient wanting an excuse for extended absence from work or school to justification that a cosmetic procedure is medically necessary. How would you act in such situations?

An article published on Medscape in 2013 provides some interesting replies that they received from physicians in response to this question. One answered, “Misrepresentation or

exaggeration is sometimes the only way to get things covered that I truly feel are medically necessary for the patient.” Another stated “I don’t feel that this constitutes fraud because I’m doing what is appropriate for the patient, not something frivolous or extravagant.” A third physician noted that he exaggerates or even lies to get his patients the best care. “The bottom

line for me is that I have to play games with the insurance company to get the best for my patient.” Unfortunately, whether or not to do such altruistic things is not a moral or ethical question—it can be fraud, which is a felony!

There are two main factors that encourage some doctors to falsify the information that they send to the insurance carrier. The first one that leads them to exaggerate the severity of symptoms, change the billing

diagnosis, or report symptoms that the patient does not have is their desire to obtain a service that they believe is best for a patient even though it is not covered by the patient’s insurance. The other, which has been termed “the hassle factor,” involves the exorbitant amount of time and low success rate involved in the appeals process. The only remaining alternatives are either not to tell patients that there is a better treatment available, or to tell them there is a better treatment, but that it is not available to them under their insurance plan, neither of which is a viable solution. To resolve this dilemma will require both doctors and insurance carriers to cooperate in reasonable cost control while, at the same time, assuring that cost is not the determining factor in providing evidence-based best treatments to patients. T

Daniel M. Laskin, DDS, MS, Editor

EDITOR’S CORNER

“Unfortunately, whether or not to do such altruistic things is not a moral or ethical question—it can be fraud, which is a felony!”



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The AAOMS Coding and Reimbursement department receives quite a few requests for

assistance with coding OMS fracture repairs. This article will address the different types of fracture repair, CPT codes used to report fracture repairs, how to report multiple fracture repairs, and the modifiers that are needed to report multiple fracture repairs.

To successfully code for a fracture repair you will first need to understand the difference between “Closed” and “Open” treatment of the repair.

Closed treatment indicates that no incisions are made to access, reduce, stabilize or otherwise treat the underlying fractured bony elements. Closed treatment usually indicates use of arch bars with interdental wiring, with or without intermaxillary wiring, a bonded splint, or acrylic splint. The following codes are used to report closed treatment of mandibular fractures:

1440: CLOSED treatment of mandibular or maxillary alveolar ridge fractures

Example: The OMS bonds a splint to stabilize a maxillary alveolar fracture involving the anterior maxilla

21450: CLOSED treatment of mandibular fracture, WITHOUT manipulation

Example: The OMS utilizes non-surgical management of a minimally displaced condylar fracture with close observation, non-chew diet, etc.

21451: CLOSED treatment of mandibular fracture WITH manipulation:

Example: the doctor manipulates a displaced fracture for purposes of reducing or stabilizing the fracture, but then manages the condition using non-surgical modalities such as observation, diet modification, etc.

21453: CLOSED treatment of mandibular fracture with interdental fixation

Example: The OMS uses arch bars and intermaxillary fixation to treat a fracture of the left angle of the mandible

Percutaneous treatment indicates that an external fixation device is applied through small skin incisions without soft tissue dissection. There is only one code for percutaneous treatment of a mandibular fracture:

21452: PERCUTANEOUS treatment of mandibular fracture with external fixation

Open treatment indicates than one or more incisions are made to access, reduce, stabilize, or otherwise treat the underlying fractured bony elements. Some of the open treatment codes specify the type of stabilization/fixation used. Unless otherwise specified, the stabilization/ fixation may be accomplished with interdental wiring, bonded splints, acrylic splints, fixation plates, etc.

21445: OPEN treatment of mandibular or maxillary alveolar ridge fractures

Example: The OMS makes an incision to reduce a fracture involving the anterior maxilla, then bonds a splint to the teeth to stabilize the fracture

21454: OPEN treatment of mandibular fracture with external fixation

Note: this code specifies that an external fixation device is used to stabilize and fix the fracture

21461: OPEN treatment of mandibular fracture without interdental fixation

Example: The OMS makes a mucosal or skin incision to reduce a minimally displaced fracture of the left body of the mandible, and then places a bone plate to stabilize the fracture. No interdental fixation is used

CODING CORNER



21462: OPEN treatment of mandibular fracture with interdental fixation

Example: The OMS makes a mucosal or skin incision to reduce a minimally displaced fracture of the left body of the mandible, and then places a bone plate to stabilize the fracture. Interdental fixation is used to help reduce and align the fracture segments.

21465: OPEN Treatment of mandibular condylar fracture

Example: The OMS makes a skin incision to reduce a moderately displaced fracture of the right condylar neck of the mandible, and then places a bone plate to stabilize the fracture. Interdental fixation is used to help reduce and align the fracture segments.

21470: OPEN treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation and/or wiring of splints

Example: The OMS treats a severely comminuted fracture of the anterior mandible with an acrylic splint and open reduction and mini-plate fixation.

CODING TIPS:

Single Fracture. When reporting treatment rendered for one fracture, use the appropriate code that most accurately ref lects the procedure performed.

Multiple Fractures. Using modifier -51(multiple procedures): When treatment is rendered for multiple fractures, and separate, identifiable procedures are

performed, the highest dollar value code is listed as the primary procedure, and then the subsequent procedures are listed with the modifier -51 (multiple procedures). This lets the insurance company know that two or more procedures are being performed on the same day. In some instances the insurance company will apply a multiple procedure payment formula to the CPT codes that are linked to the modifier -51. It is important to remember that all the reported codes must be “stand alone codes” that are not inclusive of each other.

Example: The OMS treats a minimally displaced fracture of the left body of the mandible with open reduction and internal rigid fixation. There is a minimally displaced fracture of the right condylar neck that is treated with


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arch bars and intermaxillary fixation.

21461 and 21453-51

Using modifier -50 (bilateral procedure): This modifier is used to report identical procedures performed at the same time on the matching right and left anatomical areas. Most payers prefer that the code is listed once with the modifier -50 (bilateral procedure); however there are payers that request a two line submission. In this case the code is listed twice with modifier -50 added to the second code entry.

Example: The OMS treats closed reduction of left and right angles fractures of the mandible with intermaxillary fixation.

21453-50 (one line entry) OR 21453 and 21453-50 (two line entries)

Using modifier -59(distinct procedure): When treatment is rendered for multiple fractures and separate, identifiable procedures are performed, the highest dollar value code is listed as the primary procedure, and then the subsequent procedures are listed with the modifier -59 (distinct procedure). Modifier -59 is used to report a different procedure or surgery ONLY when modifier -51 (multiple procedures) or -50 (bilateral procedures) will not explain the situation to the payer. Modifier -59 is used to identify surgical procedure codes that are not normally reported together but may be appropriate under the circumstance. In order to report -59, the surgeon must document that he/she performed the second surgery

at a different site, or used a separate incision, and/or treated a separate injury.

When reporting multiple fractures, the -59 modifier is needed on the second fracture repair code. Appending the -59 modifier to the second fracture repair code lets the carrier know that the second fracture repair is a separate procedure. If you are reporting multiple fractures that require interdental fixation, the -52 modifier (reduced services) should also be appended to the second fracture repair code. The fixation is only being applied once and captured in the first fracture procedure code reported.

Example: an OMS provides an open treatment of a mandibular fracture with interdental fixation and a closed treatment of a condylar fracture with interdental fixation,

21462, 21453,-59, -52

CMS created four new modifiers to curb the abuse of modifier -59 (Distinct Procedural Service). Each of the new modifiers is based on a specific aspect of the unbundled procedure – when the procedures took place, the anatomical locations where they were performed, who performed the services or what made the second service unusual:

1. XE (Separate encounter, a service that is distinct because it occurred during a separate encounter).

2. XS (Separate structure, a service that is distinct because it was performed on a separate organ/structure).

3. XP (Separate practitioner, a service that is distinct because it was performed by a different practitioner).

4. XU (Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service).

If one of these modifiers applies, it should be used in place of modifier -59. For more information on these new modifiers visit the CMS Web site at www.cms.gov.

CMS TIPS

CMS does not allow the bilateral modifier with a number of mandibular fracture codes and has also assigned “1” Medically Unlikely Edit (MUE) to many of these codes, which would prevent an OMS from billing the same procedure code with the modifier 50. The AAOMS advises two options when billing multiple fractures to Medicare and other carriers that may follow Medicare’s guidelines:

1. code each mandibular fracture separately with the modifier -59 to override the MUE (or one of the new modifiers listed above) or

2. report the code once and append the modifier -22 (increased procedural service) to capture the additional work required with the two fracture sites.

Please note, documentation must support the use of any modifier.

Note: The assignment of ICD-9-CM fracture codes has no relationship to the method of repair. For example, an open repair (CPT code) of a fracture does not automatically mean the diagnosis code should represent an open fracture.

Coding CornerContinued from page 27



Q & AQuestion: Our office recently began restoring fully edentulous arches with a fixed hybrid prosthesis using the “All-on-4”technique. How should we code for the implants and the prosthesis?

Answer: A series of codes is required to properly report this procedure. The implant placement is reported using D6010 – surgical placement of implant body: endosteal implant. If a prefabricated abutment is also placed use D6056 to report that component; for a custom abutment, use code D6057. The prosthesis is reported using a code in the D6114-D6117 range for complete or partial edentulous arch.

Some facilities are charging one fee and coordinating payment after treatment. If this is being done or considered in your office we recommend discussing the practice with your attorney. The arrangement, however structured, should be put in writing and it should be made very clear to the patient which provider is billing for which service. If reporting to a third party, the OMS should bill only for what he/she performed.

The Time for In-Depth Coding Education is NOW!Are you prepared for ICD-10-CM implementation?

The last ICD-10-CM Coding Workshop before the code set’s October 15 implementation date will be held September 30, 2015 in conjunction with the AAOMS Annual Meeting in Washington, DC. The workshop can help you make the transition to ICD-10-CM as seamless as possible. In this course you will learn:

• How ICD-10-CM compares to ICD-9-CM

• How to assign accurate codes to OMS-related diagnoses when ICD-10-CM takes effect in October

• How to apply the new coding guidelines to OMS diagnostic code assignment

The newly revised Beyond the Basics Coding Workshop will also be held at this location October 1-2, 2015. This dynamic two-day workshop will:

• Explain key healthcare reimbursement issues, the Correct Coding Initiative (CCI), the Health Insurance Portability and Accountability Act (HIPAA), and fraud and abuse;

• Show how to achieve compliance through appropriate documentation for services provided (eg, use of E/M guidelines);

• Teach how to follow guidelines for coding anesthesia, applying associated modifiers and other coding trends;

• Analyze clinical case studies to code OMS-specific procedures such as fractures and biopsies;

• Describe common coding and billing auditing techniques currently used in healthcare; and

• Identify key elements of managed care contract negotiations.

Don’t wait! Register today at www.aaoms.org/ CodingBilling to guarantee your spot today!

Become an AAOMS Allied Staff Member and save! Receive discounted rates on these educational programs and more. Visit AAOMS.org/AlliedStaff or more information. T

Coding decisions are personal choices to be made by individual oral and maxillofacial surgeons exercising their own professional judgment in each situation. The information provided to you in this article is intended for educational purposes only. In no event shall AAOMS be liable for any decision made or action taken or not taken by you or anyone else in reliance on the information contained in this article. For practice, financial, accounting, legal or other professional advice, you need to consult your own professional advisers. CPT only © 2015 American Medical Association Current Dental Terminology copyright © 2015 American Dental Association. All rights reserved.


Managed Care Contracting

Negotiating a managed care contract requires preparation, collaboration, and

compromise. It is vitally important that doctors fully understand exactly what is included in their provider contracts such as fee schedules and termination clauses. AAOMS encourages members to discuss their particular situation with their practice attorney, and to thoroughly review and understand the contracts before signing them. This article addresses some not-so-obvious clauses that OMSs should watch for in some managed care contracts.

Non-Covered Services – Many OMSs may have encountered situations in which the payer indicated they may only bill their patient the contracted rate for services that are deemed “non-covered.” This is because some managed care contracts contain clauses stating the OMS must follow the payer’s fee schedule, even if the procedure is considered a “non-covered service.” As a result of ADA and state dental association lobbying efforts, 35 states now prohibit a payer from limiting the fee a dentist or OMS may charge for a service unless the service is covered under the insurer’s plan or contract. If you practice in one of the other 15 states, you may wish

to address this issue in your contract negotiations.

Prompt Payment – Despite the existence of prompt payment laws in almost every state, health care providers and patients continue to experience delays in reimbursement from Managed Care Organizations (MCOs). Some MCOs may engage in a variety of tactics that result in delayed reimbursement to the provider or patient. They may, for example, request additional documentation beyond what was originally required for submission, make the remark codes or reasons for denial on the Explanation of Benefits unclear or present them in a non-standardized format causing confusion on the part of the provider and the patient, or claim they have no record of receiving the claim. OMSs can do their part by ensuring they submit “clean claims,” ie, reporting proper NPI numbers, using correct place of service codes and modifiers (when applicable), reporting correct CPT®, CDT® and ICD-9 codes, and making sure that claims are clear and legible. The AAOMS encourages all its members to be familiar with their state’s prompt-payment law, and any prompt-payment language within their MCO contracts.

Recoupment – Is it legal for insurance carriers to request refunds? The answer is “Yes.” Insurance carriers can conduct retrospective audits and frequently do. Retrospective audits are mechanisms used by insurance carriers to detect fraudulent billing behavior and to recoup costs associated with administrative oversights. Carriers may also conduct retrospective audits if they have “red f lagged” a doctor because of what they believe is over-utilization of certain procedures or modifiers. Over 30 states have laws specifying the time frame in which insurers can detect and recoup overpayments. Medicare has extended the statute of limitations for recovering overpayments from 3 years to 5 years.

Carrier Fees – All doctors entering into a contract with a MCO should be aware of the fee schedule for all procedures they perform. Determine if the contract provides enough information regarding what will be reimbursed for the services provided as well as the methodology for determining reimbursement (UCR, a percentage of Medicare or Medicaid, or some other formula). Insist that the MCO provide, at the least, the fee schedule for the most commonly billed procedures. Also be aware of the MCO’s appeals process in the event a claim is denied.

HEALTH POLICY PERSPECTIVES



All-Products Clause – “All product clauses” typically state that if the doctor participates in a particular plan offered by the MCO, then the doctor must participate in all of the MCO’s health plans. As patients who are insured through state marketplaces present to your practice, keep in mind that your current managed care contracts may automatically make you a participating provider within the marketplace plan if an “all products clause” is in your contract. Be aware that coverage and fee schedules may differ from one plan to the next. At present, only 10 states prohibit “all products clauses” from being written into provider contracts.

Silent and Rental Network PPO’s – Many doctors may have unknowingly signed a contract with a rental network PPO, which allows multiple payers to access its network’s

lowest contracted discount rates. In doing so they may also unknowingly have agreed to accept discounted rates with “affiliated” plans or networks. This is why it is important to thoroughly review MCO contracts for the possibility of silent PPO and rental network activity. Providers unknowingly involved with silent PPOs and rental networks often receive discounted reimbursement they never intentionally agreed to instead of typically higher in or out-of network fees they had expected.

Contract Termination – Be aware of the provisions for terminating the contract and of the rights and obligations of both parties. Is the contract renegotiated annually or does it automatically renew.

Reviewing and understanding a managed care contract before signing is vitally important to ensure you receive proper reimbursement for the services you perform. For additional information, visit the AAOMS Web site for a number of coding and billing articles and resources as well as registration details for the AAOMS Coding and Billing Courses, which address all of these issues and more. AAOMS members may also be interested in purchasing the AAOMS Insurance and Reimbursement Manual through the AAOMS E-Store. ADA members may also be interested in the ADA’s model contract language on the ADA’s Web site, and AMA members can visit the AMA Private Sector Advocacy Web site for their resources. T

As an AAOMS member you are eligible for a complimentary HIPAA Risk Assessment. It takes less than 5 minutes, and it’s mandatory.

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All About HIPAAQuestion: Why should my practice undergo a HIPAA risk assessment?

Answer: A risk assessment is required by the US Department of Health and Human Services (HHS) under HIPAA Security Rule § 164.308(a)(1)(ii)(A). HIPAA mandates that organizations review the systems they have in place to protect information security—this includes technical, administrative and physical safeguards. Any covered entity handling health information is required to follow this rule, and a risk assessment helps ensure the entity is compliant. It also identifies where protected health information (PHI) could be at risk. The Security Rule is also a requirement for providers who participate in the Electronic Health Record Incentive Program. In 2014, HHS released a security risk assessment (SRA) tool to assist smaller offices. For more information about security risk assessments, see this issue’s Practice Management Notes and visit http://www.healthit.gov/providers-professionals/security-risk-assessment.

Question: What is the PCI Data Security Standard?

Answer: PCI stands for Payment Card Industry. Any entity that accepts electronic payments, and transmits or stores cardholder data must comply with the PCI data security standard (DSS). The PCI DSS effectively restricts access to cardholder data in order to minimize the risk of theft.

While HIPAA has its own guidelines on data security with which doctors must comply, PCI DSS compliance is considered more rigorous. Failure

to be PCI compliant, in addition to increasing the risk of a data breach, could result in significant fees from merchant banks and even loss of the ability to process credit cards.

To become PCI compliant you must, at a minimum, complete an annual Self-Assessment Questionnaire (SAQ). In addition, you must perform a scan of your IP address every quarter to insure it is not under attack. Often your credit card processor will charge you additional fees if you have not provided documentation that you are PCI compliant. For more information about PCI and compliance, visit https: //www.pcisecuritystandards.org/.

Question: What is a Business Associate (BA) and why should I execute Business Associate Agreements?

Answer: HHS defines a Business Associate as “a person or entity that performs certain functions or activities that involve the use or disclosure of protected health information on behalf of, or provides services to, a covered entity.” The HIPAA Privacy Rule requires that any business associates must assure, in writing, that they will safeguard any protected health information they receive or create on behalf of the covered entity, eg, your practice. For example, a business associate of an OMS practice may perform data analysis, claims processing, billing, practice management, etc. In doing so, they may access patient PHI. For this reason, a contract or agreement must exist between the business associate and the practice to ensure the business associate is properly

protecting patient information. The business associate must also help the practice comply with the practice’s duties as mandated by the Privacy Rule. For more information on who is a business associate, what must be included in the business associate contracts and additional Privacy Rule information, visit the HHS Web page at http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/businessassociates.html.

Question: What are the HIPAA data backup requirements?

Answer: The HIPAA Security Rule protects individual electronic personal health information created, received, used or maintained by a covered entity, eg, an OMS practice. Administrative, physical, and technical safeguards for this information are required by the Security Rule. A data backup plan that establishes and implements procedures to create and maintain retrievable exact copies of electronic protected health information is required. A disaster recovery plan that establishes procedures to restore any loss of data is also required. In addition, a backup copy of data must be stored in a separate location to ensure data is properly secured.

Question: Who enforces the HIPAA Privacy and Security Rules and what are the fines for non-compliance?

Answer: The Rules are enforced by the Office of Civil Rights (OCR). The fines range from $100 to $50,000 per violation, and up to $1.5M annually if the practice knowingly neglects to correct a HIPAA violation. T

PRACTICE MANAGEMENT MATTERS



Important Membership Reminders

Candidates seeking election to provisional or active fellowship and membership

status in the association must meet their respective application requirements by July 31. If you are unsure of your application status, please e-mail [email protected] for more information.

Current fellows and members who last completed an office anesthesia evaluation (OAE) in 2009, are due for recertification. Please contact your state society for information

on scheduling your next evaluation. If you are grandfathered from state society membership and the OMS society in your state is unable to evaluate you, please contact Mr. Kyle Smith in the AAOMS Department of Professional Affairs for assistance at 847/233-4330. Members who are due for evaluation were sent letters in December and again in March. Information regarding exemption from the requirement was also included. Please note that eligibility for exemption, including reconfirmation of faculty-only status,

must be reconfirmed every five years, in accordance with the AAOMS OAE program cycle. Confirmation of successful completion of the re-evaluation is due to the AAOMS Membership Department no later than July 31. Noncompliance with the Office Anesthesia Evaluation Program will result in cancellation of your AAOMS membership. Questions regarding your membership status should be referred to the AAOMS Membership Department at [email protected] or by calling 800/822-6637. T

MEMBERSHIP MINUTE

your clinical skills your goals your future

AAOMS Allied Staff Membership Benefits OMS Staff and the PracticeAAOMS Allied Staff Membership has something to enhance the knowledge and skills of every staff member in the practice and is a bargain at just $40*! • Reimbursement staff have first-hand access to coding and

billing advice that can reduce claim errors. • Practice managers learn the latest management strategies

to help them excel in their many roles in the practice.• Clinical staff education includes anesthesia courses and

protocols for managing office emergencies.• Allied Staff Members receive direct online access to

AAOMS Today and other important publications and communications.

• The exclusive AAOMS Allied Staff Member Group on LinkedIn offers the opportunity to network with colleagues from OMS practices across the country.

• Participation in the AAOMS Career Line, the official job board of the AAOMS.

Download an application at aaoms.org/alliedstaff and become a member today!

MEMBERSHIP DESIGNED FOR

Allied Staff Members receive discounted registration rates on the many programs available through AAOMS. More than 1,000 Allied Staff Members are already taking advantage of the benefits of AAOMS membership. Join today!

*Applications received January 1 to September 30, pay $40 for membership through the end of the calendar year. Applications received October 1 to December 31, pay $55 for membership through the following calendar year. These rates apply only to new applicants. To reinstate a lapsed membership, please contact [email protected] or call 800/822-6637, ext.4381.


Invited lecturers at the 25th Annual Daniel E. Waite Lectureship. Left to right, front row: Drs. Jonathan Fillmore, Daniel Waite, Elisabeth Peterson, Reda Taleb, Jim Swift, Tom MacKenzie. Middle row: Drs. Peter Larsen, William Nelson, Leon Assael, Harold Tu. Back row: Drs. James Van Ess, Martin J. Koop, Lance Svoboda, Kevin Arce, Michael Downie.

DR. GUTTENBERG RECEIVES CAPEN AWARD

Steven Guttenberg, DDS, MD, Washington, DC, received the University of Buffalo Alumni Association’s highest honor, the Samuel P. Capen Award, in March 2015.

Dr. Guttenberg is a past recipient of the District of Columbia Dental Society’s prestigious Sterling V. Mead Award. He is a senior attending surgeon and teaching staff member at the Washington Hospital Center. He also is a diplomate of the International Congress of Oral Implantologists and immediate past president of the American College of Oral and Maxillofacial Surgeons.

DR. LEWIS RECEIVES MUNCHMEYER AWARD

Jeffrey S. Lewis, MD, DMD, is the recipient of the 2015 Louis Munchmeyer Award for Excellence at the Cayuga Medical Center Medical Staff Annual Meeting. The award honors those whose practices emulate Dr. Munchmeyer’s principles of excellence of care for patients, concern for patient quality of life, and community involvement.

Dr. Lewis is chairman of the Department of Dentistry and Oral Surgery at Cayuga Medical Center, as well as the founder and director of the Cayuga Medical Center Cleft Palate and Facial Deformities Team and Clinic.

THE 25TH ANNUAL DANIEL E. WAITE LECTURESHIP

The 25th Annual Daniel E. Waite Lectureship was held on Friday and Saturday, March 27-28, 2015 on the campus of the University of Minnesota in Minneapolis. The guest of honor, Dr. Daniel E. Waite, as well as his son, Dr. Peter Waite and his granddaughter, Dr. Elisabeth Peterson, three generations of oral and maxillofacial surgeons, gave presentations at the event. The Minnesota Society of Oral and Maxillofacial Surgeons, The Mayo Clinic Division of OMS and the University of Minnesota Division of OMS hosted the event. Residents from Gundersen Health System, the Mayo Clinic and the University of Minnesota gave presentations on the first day of the meeting. The invited lecturers were:

Dr. Daniel E. Waite Guest of Honor and Presenter

Dr. Peter Waite Professor, OMS, University of Alabama

Dr. Elisabeth Peterson Private Practice, OMS

Dr. William Nelson President, AAOMS

Dr. Peter Larsen Professor, OMS, Ohio State University President ABOMS

Dr. Harold Tu Professor and Division Director, OMS University of Minnesota

Dr. Leon Assael Professor OMS and Dean University of Minnesota

Dr. R. Bruce MacIntosh Private Practice OMS, and First Daniel E. Waite Lecturer

T

NAMES IN THE NEWS



Faculty PositionsDISTRICT OF COLUMBIA:

The Department of OMS at Howard University College of Dentistry is seeking applications for a full-time tenure track or clinical track position at the assistant/associate professor level. The applicant must have a DDS/DMD recognized by the Council on Dental Education of the American Dental Association and must have successfully completed advanced training in oral and maxillofacial surgery at an accredited institution. Applicants must be eligible for licensure in the District of Columbia. Applicants must be board certified by the American Board of Oral and Maxillofacial Surgery or be a candidate for board certification. Responsibilities include didactic and clinical teaching in the predoctoral and postdoctoral program with some teaching responsibility for residents of the AEGD, GPR and pediatric programs. Independent research and scholarly activity are expected and collaboration with other faculty in both research and teaching is strongly encouraged. Academic rank and salary are commensurate with experience and qualifications. Send a letter of inquiry, curriculum vitae and names of three references to Dr. Andrea Bonnick, DDS, program director, Oral and Maxillofacial Surgery Training Program, Howard University Hospital, 2041 Georgia Ave., Suite 2066, Washington, DC 20060. Upon offer of employment, successful applicants for this position must undergo a national background check and pre-employment drug screen as required by Howard University.

Howard University is an equal opportunity employer and strongly encourages applications from minorities and women.

DISTRICT OF COLUMBIA:

Howard University Hospital College of Dentistry is actively recruiting a director of residency training in the Department of Oral and Maxillofacial Surgery at Howard University College of Dentistry. This position is at the assistant or associate professor level. Candidates must have a DMD/DDS degree, be a diplomate of the American Board of Oral and Maxillofacial Surgery and be eligible for licensure in the District of Columbia. The college is affiliated with Howard University Hospital, one of the three Level 1 trauma centers in the diverse and metropolitan city of Washington, DC. This position offers the opportunity to develop a diverse and challenging academic oral and maxillofacial surgery curriculum, mentor residents and dental students and participate in professional collaboration and leadership development activities. Flexibility and commitment to program goals, office staff and faculty management, and high standards of ethical and professional conduct will be necessary characteristics of the right candidate. Salary and rank are commensurate with experience. Please send a letter of inquiry, curriculum vitae, and names of three references to Dr. Leo Rouse, dean, Howard University College of Dentistry, 600 W. Street, Washington, DC 20001. Upon offer of employment, successful applicants for this position must undergo a national background check and pre-employment drug screen as required

by Howard University. Howard University is an equal opportunity employer and strongly encourages applications from minorities and women.

FLORIDA:

The Department of Oral and Maxillofacial Surgery at Nova Southeastern University, College of Dental Medicine, located in Ft. Lauderdale, FL, is seeking applications for a full-time faculty position at the assistant/associate professor level. The applicants must have a DDS/DMD recognized by the Council on Dental Education of the ADA or equivalent, and must have successfully completed advanced training in oral and maxillofacial surgery at an accredited institution. Applicants must be board certified by the American Board of Oral and Maxillofacial Surgery or active candidates for board certification. Responsibilities included supervision of residents at two Level 1 adult and pediatric trauma centers, didactic education and clinical teaching of residents in both clinic and hospital settings, patient care and the pursuit of scholarly activities. The opportunity exists for participation in continuing education and intramural faculty practice. Academic rank and salary will be commensurate with qualifications and experience. Interested individuals must submit electronic applications at www.nsujobs.com. Refer to position #996528. E-mail inquiries regarding this positon to Dr. Steven Kaltman, chair, Department of Oral and Maxillofacial Surgery at [email protected].

GEORGIA:

The Division of Oral and Maxillofacial Surgery at the Emory University School of Medicine, is seeking applicants for a full-time faculty position at the assistant or associate professor level. The applicants must have a DDS/DMD recognized by the Council on Dental Education of the American Dental Association or equivalent, and must have successfully completed advanced training in oral and maxillofacial surgery at an accredited institution. An MD is desirable as is fellowship training in oncology and microvascular surgery. Applicants must be eligible for licensure in Georgia. Applicants must be board certified by the American Board of Oral and Maxillofacial Surgery or candidates for board certification. Responsibilities will include supervision of residents at Grady Memorial Hospital, a Level I Trauma Center, and at the Emory Healthcare faculty practice. Pursuit of scholarly activities will also be required. Salary and academic rank are to be commensurate with experience and qualifications. Please send a letter of intent, curriculum vitae, and the names of three references to: Steven Roser, DMD, MD, FACS, chief, Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, 1365 Clifton Road NE, Building B, Suite 2300, Atlanta, Georgia 30322. Applications will be accepted until the position is filled. Emory University is an equal opportunity employer and encourages applications from minorities and women.

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CLASSIFIEDSReply to a classified ad in the following manner:

AAOMS Classified Box9700 W. Bryn Mawr AvenueRosemont, IL 60018-5701

May/June 2015


ILLINOIS-CHICAGO:

The Department of Oral and Maxillofacial Surgery in the College of Dentistry at the University of Illinois at Chicago is seeking applications for a full-time, 12-month, tenure-track, faculty position at the rank of assistant professor or higher. Salary and rank will be commensurate with experience. Applicants must be board-certified/active candidates for certification and have a DDS or DMD degree from a CODA-accredited institution, preferably also an MD degree, and be eligible for licensure in Illinois. Completion of a full-scope oral and maxillofacial surgery residency program, with additional fellowship training, and advanced research experience are desirable. Responsibilities include resident and dental student training and education, participation in an intramural practice, professional service, and scholarly activity, including basic and clinical research. For full consideration, applicants should submit a letter of intent, a current curriculum vitae, and the names of three professional references to http://jobs.uic.edu/job-board/job-details?jobID=26920. Inquiries regarding this position may be addressed to: Michael Miloro, DMD, MD, Search Committee chairperson, University of Illinois at Chicago, Department of Oral and Maxillofacial Surgery, College of Dentistry MC 835, 801 S. Paulina St., Chicago, IL 60612, Phone: 312/996-1052, e-mail: [email protected]. The University of Illinois is an affirmative action/equal opportunity employer. The College encourages applications from minorities, women, and persons with disabilities.

ILLINOIS:

Southern Illinois University School of Dental Medicine is seeking applications for a full-time tenure or clinical-track position at the assistant/associate professor level in the Department of Applied Dental Medicine, section of oral and maxillofacial surgery. Responsibilities include didactic and clinical teaching in the predoctoral program, with some teaching responsibilities for residents in the AEGD, periodontics and implant programs, and service to the university. For tenure-track appointments, independent research and scholarly activity are also expected. Collaboration with other faculty, both in research and teaching, is strongly encouraged. A DMD/DDS degree or equivalent, completed accredited oral and maxillofacial surgery residency, board certification or active candidate for certification are required. Previous teaching experience and/or a record of research accomplishment through publication and external funding are desirable. Applicants must be eligible for licensure in Illinois. Academic rank and salary are commensurate with experience and qualifications. Opportunity for extramural private practice is available. SIU/SDM’s suburban campus is located in the St. Louis metropolitan area. Send a letter of intent, curriculum vitae, and three letters of reference to Dr. Bruce Rotter, dean, Southern Illinois University, School of Dental Medicine, 2800 College Avenue, Alton, Illinois 62002. For further information, contact Dr. Dwight McLeod, chair, at [email protected]. Review of applications will begin immediately and continue until the position is

CLASSIFIEDS May/June 2015 (continued)

filled. SIU/SDM is an EOE/AA employer committed to diversity in education and employment. SIU/SDM is a state university – benefits under state-sponsored plans may not be available to holders of F-1 or J-1 visas.

INDIANA:

The Indiana University School of Dentistry seeks a visionary academic leader to serve as the chair of the Oral and Maxillofacial Surgery Department. The school of dentistry is the only dental school in the Hoosier state and educated 80% of the dentists practicing in Indiana. During the 2013-2014 academic year, 682 students are pursuing degree and/or certificate programs in dental assisting, dental hygiene, dentistry, graduate dentistry, and hospital residencies. It is situated at Indiana University-Purdue University Indianapolis (IUPUI), one of eight campuses in the IU system. IUPUI shares its location with the world-renowned IU School of Medicine and clinical partner IU Health. Many of the dental school’s faculty members have established strong collaborative ties with physicians and other scientists in the medical center facilities. The successful candidate should have academic leadership experience, a national reputation in the discipline of oral and maxillofacial surgery, documented success in leading strategic initiatives and demonstrate a record of scholarship and research in oral and maxillofacial surgery. To learn more about the position visit: http://www.iupui.edu/~oeo/academicjobs/IN-DENT14010htm.HTM. Applicants should send materials to [email protected] with the subject line #IN-DENT 14010 to apply. Please include one PDF containing the following: (1) a short letter of interest noting key leadership experiences and/or approaches and (2) a curriculum vitae.

Indiana University is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, age, sex, sexual orientation or identity, national origin, disability status, or protected veteran status.

LOUISIANA-NEW ORLEANS:

The Department of Oral and Maxillofacial Surgery at Louisiana State University Health Sciences Center in New Orleans is seeking applicants for two full-time positions at the assistant or associate professor level. Responsibilities will include education of undergraduates and residents as well as research in this very busy and expanding program. The faculty participates in a faculty practice supported by the LSU Healthcare Network. The program is an integrated 6-year residency that currently has 32 residents, 9 full-time faculty, and 16 part-time faculty working in both New Orleans and Baton Rouge. The facilities are state-of-the art with a new 1.5 million square foot Level 1 trauma center hospital in New Orleans and a progressive private partner hospital in Baton Rouge. The current staff boasts 6 fellowship-trained faculty who practice the fullest scope of OMS. Minimum qualifications include a DDS/DMD and MD degrees from accredited US or Canadian schools, completed residency training in oral and maxillofacial surgery from an accredited program, and ABOMS certification or active candidacy for certification. Applicants should also be eligible for licensure in Louisiana. Competitive salary with benefits and academic rank are commensurate with experience and qualifications. Applicants should submit via e-mail a letter of intent and current curriculum vitae to John P. Neary, MD, DDS, FACS, Department of OMS, LSUHSC-New Orleans to



e-mail: [email protected]. LSUHSC is an EEO/AA employer for females, minorities, individuals with disabilities and protected veterans ( Job #930).

MASSACHUSETTS:

The Department of Oral and Maxillofacial Surgery at Massachusetts General Hospital and Harvard School of Dental Medicine is seeking an oral and maxillofacial surgeon board certified or active candidate for board certification to augment the department’s clinical, educational and research programs. In addition to practicing the full-scope of oral and maxillofacial surgery, candidates must have an interest and expertise in temporomandibular joint surgery and reconstruction. The department has an active division of oral and maxillofacial pain. Academic rank and salary will be commensurate with the candidate’s CV. Massachusetts General Hospital is an affirmative action/equal opportunity employer. We place a strong emphasis on the values of equality, diversity and compassion. Interested candidates should send a letter of interest, curriculum vitae and two letters of recommendation to: Leonard B. Kaban, DMD, MD, chief, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit Street, Warren 1201, Boston, MA 02114. E-mail: [email protected].

MASSACHUSETTS:

The Department of Oral and Maxillofacial Surgery at the Boston University Henry M. Goldman School of Dental Medicine and Boston University Medical Center invites applications for a full-time faculty position to augment its Oncological Surgery services. This position requires graduation in oral and maxillofacial surgery from an ADA-accredited program and formal, fellowship training in oncological and microvascular

surgery. Applicants must be eligible for independent, full medical and/or dental licensure in the Commonwealth of Massachusetts and be board certified or active candidates for certification. The department has an expanded scope training program and enrolls four residents per year. Responsibilities will include resident and dental student education, scholarly activity, and participation in the intramural faculty practice. Multiple opportunities for research are readily available on campus. A competitive salary and generous benefits package, commensurate with experience and qualifications is available. Interested candidates should submit a letter of interest including career goals, curriculum vitae, and three professional reference letters to: Pushkar Mehra, DMD, chairman, Oral and Maxillofacial Surgery, 100 E. Newton Street, Suite G-407, Boston , MA 02118, or e-mail: pmehra @bu.edu. Boston University is an equal opportunity employer and encourages applications from minorities and women.

NEW YORK:

The Columbia University College of Dental Medicine invites applications for a full-time clinical track faculty position at the assistant professor/associate professor level and as director, Oral and Maxillofacial Surgery Clinic Director within the Section of Hospital Dentistry. The position is available immediately. Reporting to the chair, Section of Hospital Dentistry and director, Division of Oral and Maxillofacial Surgery, the incumbent’s responsibilities will include, but are not limited to: didactic and clinical teaching in the oral and maxillofacial surgery clinic; scheduling and supervision of attending’s, residents, dental students, and staff in the oral and maxillofacial surgery

clinic; active participation in scholarly research. Requirements include a DDS degree from an ADA-accredited dental school, completion of an accredited oral and maxillofacial surgery training program, eligibility for licensure in New York, and American Board of Oral and Maxillofacial Surgery certification or an active candidate for certification. Academic rank and salary are commensurate with qualifications and experience. For more information and to apply for this position, please visit the following link: academicjobs.columbia.edu/applicants/Central?quickFind=60788. Columbia University is an equal opportunity and affirmative action employer.

OHIO:

The University of Cincinnati is currently seeking an oral and maxillofacial surgeon for a full-time non-tenure track position. Responsible for clinical, research and teaching activities of oral and maxillofacial surgery residents. Patient care responsibilities include diagnosis of problems of the oral and maxillofacial regions and performing surgery for maxillofacial trauma, orthognathic surgery, TMJ disorders, dental implants, pathology of the jaws, ambulatory anesthesia and dentoalveolar surgery. Plan, direct and coordinate research activities. Participate in operating room and ward teaching, and advise, train and direct activities of surgical trainees and medical students. Minimum qualifications: DDS or DMD; completion of a four-year CODA-accredited residency in oral and maxillofacial surgery, board certification by the American Board of Oral and Maxillofacial Surgery by time of appointment; licensure by Ohio Dental Board by time of appointment. Apply online at www.jobsatuc.com. Review of CVs will

commence upon application. For additional information, contact Robert Marciani, MD, professor and division director, Oral and Maxillofacial Surgery, Department of Surgery, Attn: Julie Valente, University of Cincinnati College of Medicine, 231 Albert Sabin Way, P.O. Box 670558, Cincinnati, Ohio 45267-0558. The University of Cincinnati is an affirmative action//equal opportunity employer.

PENNSYLVANIA-PHILADELPHIA:

The University of Pennsylvania School of Dental Medicine in the Department of Oral and Maxillofacial Surgery and Pharmacology is seeking an oral and maxillofacial surgeon board certified or an active candidate for board certification for a full-time position on the clinician educator track at the assistant or associate professor level. The position will be a joint recruitment by the University of Pennsylvania, School of Dental Medicine and by the Philadelphia Veterans Affairs Medical Center. The successful applicant will have experience in the full-scope of oral and maxillofacial surgery. Fellowship or training in surgical oncology, microvascular f lap and craniofacial reconstruction is an advantage. Responsibilities include surgical patient care as well as instruction and supervision of dental students and surgery residents. Participation in clinical and/or basic science research in topics related to oral and maxillofacial surgery is expected. Applicants must have a current unrestricted MD and DMD/DDS license to practice medicine/dentistry in a state, territory or commonwealth of the Unites States or in the District of Columbia. Candidates must be US citizens and proficient in spoken and written English. For further information regarding the above position, contact: Anh D. Le, DDS, PhD,



professor and chair, Department of Oral and Maxillofacial Surgery, Penn Medicine, 3400 Spruce Street/5 White, Philadelphia, PA 19104 or e-mail: [email protected]. Applicants must apply at PENN: http://pa443.peopleadmin.com/applicants/Central?quickFind=51212; for their application to be considered. The University of Pennsylvania and the PVAMC are equal opportunity, affirmative action employers.

TENNESSEE:

The University of Tennessee Health Science Center is seeking applicants for a tenure track position at the rank of assistant/associate professor in the department of oral and maxillofacial surgery. This position entails responsibilities in both predoctoral and postdoctoral programs of the department. Primary duties include teaching, research and patient care. Intramural practice opportunities are available. Qualifications include a DDS or DMD degree from an ADA-accredited program. The candidate must be board certified by the American Board of Oral and Maxillofacial Surgery or an active candidate for certification and must be committed to obtaining a Tennessee dental license. Salary and academic rank are commensurate with experience and qualifications. Applicants should submit curriculum vitae and two letters of recommendation to: Dr. Larry Weeda, chairman, Department of Oral and Maxillofacial Surgery, 875 Union Ave., Memphis, TN 38163.

TEXAS-HOUSTON:

The University of Texas Health Science Center at Houston - School of Dentistry invites applicants for one full-time (1.0 FTE) funded, non-tenured, clinical educator position at the assistant/associate professor level in the Department of Oral and Maxillofacial Surgery. Predoctoral educational experience is highly desirable. Responsibilities will include supervision of students and residents in both clinic and hospital settings. Participation in the department’s intramural practice and pursuit of scholarly activities is strongly encouraged. The applicant must have a dental degree recognized by the Commission on Dental Education of the American Dental Association, or equivalent, and must have successfully completed advanced training in oral and maxillofacial surgery at an accredited institution. A current license to practice dentistry or be eligible for licensure in Texas, and board certification or an active candidate for board certification in oral and maxillofacial surgery are required. Academic rank and salary are commensurate with qualifications and experience. The UTHSC at Houston is an equal opportunity employer, M/F/V/D and a non-smoking environment. Women, minorities, veterans and disabled are encouraged to apply. This is a security-sensitive position and subject to Texas Education Code #51.215. A background check will be required for the final candidate. Please submit letters of application, curriculum vitae and three letters of references to the UTHSC at Houston online job application site at: jobs.uth.tmc.edu/applicants/Central?quickFind=93461. Requisiton #131290, Dr. James Wilson, vice chairman,


Faculty Search Committee, The University of Texas Health Science Center at Houston-School of Dentistry, 7500 Cambridge St., Suite 6510, Houston, TX 77054.

WISCONSIN-MILWAUKEE:

The Medical College of Wisconsin is seeking applications for two oral and maxillofacial surgery faculty positions at the assistant or associate /full professor levels. These positions offer integration of a vibrant OMS practice with teaching responsibilities in a well-respected, accredited residency training program. MCW is a private academic institution dedicated to leadership and excellence in accordance with superior education, research, and patient care. The OMFS practice encompasses the full-scope of the specialty and is a tertiary care center serving both adult and pediatric populations. Our affiliations include Froedtert Hospital and Children’s Hospital of Wisconsin, both Level 1 trauma centers and the Zablocki Veterans Administration Hospital. Responsibilities include didactic/clinical teaching and supervision of residents in the oral and maxillofacial surgery program, providing direct patient care as part of the faculty practice, including on-call coverage, and shared responsibility for staffing the VA hospital’s OMFS service. Applicants must have completed advanced training in oral and maxillofacial surgery at a Commission of Dental Accreditation (CODA) accredited program. The applicant must be board certified or an active candidate for certification by the American Board of Oral and Maxillofacial Surgery and hold a current state license within the United States. Please submit a letter of intent, CV and the names of three professional references to: Steven Sewall, DDS, Oral and

Maxillofacial Surgery, 840 N. 87th Street, Milwaukee, WI 53226. For additional inquiries, contact Steven Sewall, DDS at [email protected] or 414/805-5781.

WISCONSIN:

Gundersen Health System, based in La Crosse, WI is recruiting for an oral and maxillofacial surgeon. The successful candidate will be board certified or actively seeking board certification. Applicant will have a Wisconsin and Minnesota dental license or be eligible to obtain one. The candidate will join a busy clinical practice with teaching responsibilities in our fully accredited OMS residency program. We seek a champion in innovation with the ability to extensively collaborate with others. We offer state-of-the-art equipment, highly trained staff, and outstanding compensation potential in our physician-led health system. The Dental Specialties Department is composed of a tem of dental specialists in orthodontics, oral and maxillofacial surgery, endodontics, periodontics, prosthodontics and pediatric dentistry. Our teams work collaboratively within and across clinical departments to provide excellent care and high quality treatment to meet our patient needs. We have recently expanded our services with two new clinics and a third is in the planning phase. Gundersen Health Systems is a physician led, multispecialty health system that employs nearly 750 medical, dental specialty and associate staff based in La Crosse, Wisconsin. Our service to the area includes over 20 regional clinics throughout southwestern Wisconsin, southwestern Minnesota, and northeastern Iowa. LaCrosse has an area population of nearly 100,000, and is unequaled for its natural beauty in the upper Mississippi River Valley and bluffs region. Contact John Nevala, manager,



Physician Support Services at 608/775-4224 or e-mail: [email protected], GundersenHealth.org/MedCareers.

Fellowship Non-Coda AccreditedFLORIDA:

A fellowship in cleft and craniofacial surgery is available at the Florida Craniofacial Institute. We are now taking applications for July 2016. This one-year fellowship is in a private practice environment in Tampa, Florida and the focus is congenital craniofacial anomalies. The primary goal of the practice’s cleft lip/palate and craniofacial fellowship is to educate and provide additional surgical training in the management and treatment of patients with craniofacial and/or facial differences. The fellow will work in conjunction with the cleft lip/palate and craniofacial team and will gain comprehensive experience and instruction in team-focused treatment information on the Florida Craniofacial Institute, visit www.f loridacranio.com. Please e-mail CV to [email protected].

MARYLAND/DISTRICT OF COLUMBIA:

A one-year postgraduate fellowship in orthognathic surgery is offered to recent graduates of accredited OMS programs. The fellowship is sponsored by: Posnick Center for Facial Plastic Surgery. If accepted, the fellow will be required to obtain an active medical or dental license in the State of Maryland and the District of Columbia. A clinical appointment in the Department of Otolaryngology/Head and Neck Surgery at Georgetown University Hospital will be obtained. The philosophy of

the fellowship is to enhance skills in: facial esthetic analysis; assessment of head and neck functions, including the upper airway; the patient-doctor relationship; and surgical skills. Clinical activities primarily revolve around the evaluation and treatment of dentofacial deformities, the airway, and secondary cleft lip and palate issues. Each patient is followed through their initial consultation, further evaluation, collaborative treatment, immediate preoperative workup, operation, postoperative care and long-term follow-up. The fellow will be Dr. Posnick’s right-hand person, evaluating and managing the patient through all phases of care. There will be an opportunity for clinical research and publication of papers. A salary allowance is provided. Send inquiries to Jeffrey C. Posnick, DMD, MD, e-mail: [email protected] or phone: 301/986-9475.

MISSOURI-ST. LOUIS:

Oral and maxillofacial fellowship 2016-2017. Sponsored by: The Oral Facial Surgery Institute (www.ofsinstitute.com). Accredited by: Department of Graduate Medical Education at Mercy. This advanced accredited opportunity is a year of hospital-based oral and maxillofacial surgery centered at Mercy, a Level 1 trauma center in suburban St. Louis. This intensive fellowship program will focus on facial cosmetic, reconstructive, orthognathic, and TMJ surgery, facial trauma and complex dental implantology. Candidates must have completed an approved OMS residency. Missouri dental and/or medical licensure is required. Salary, benefits and continuing education allowance are included. Please address curriculum vitae and letters of interest to: Dr. Michael W. Noble, chairman and director of oral and maxillofacial surgery, Attention: Scott E. Graham, MA, CMPE, FAADOM

administrator, 621 South New Ballas Road, Suite 16A, St. Louis, MO 63141, phone: 314/251-6725, fax: 314/251- 6726, e-mail: [email protected]. or visit our Web site at www.ofsinstitute.com.

NATIONWIDE:

The American Academy of Cosmetic Surgery (AACS) provides comprehensive General Cosmetic Surgery Fellowship training programs to advance a physician’s post-residency education in cosmetic surgery of the face, neck, body, breast and extremities. These fellowships require an MD or DO degree and applicants must have completed a formal residency training program accredited by the ACGME, AOA-BOS, the Royal College of Physicians and Surgeons of Canada, or the CODA. The AACS post-residency fellowships are located around the country and provide comprehensive cosmetic surgery training from some of the most experienced and well recognized surgeons in the specialty. Each AACS fellow is involved in a minimum of 300 cosmetic procedures and many programs provide experience from over 1000 procedures in one year. To learn more about the AACS Fellowship Programs and application details, please visit our Web site: hhtps://cosmeticsurgery.site-ym.com/?page-Fellowship.

TEXAS:

Postgraduate fellowship in orthognathic and TMJ surgery offered to recent graduate from accredited OMS program. Expand your skills while working with an accomplished surgeon. Exposure to all aspects of OMS practice is included. All applicants must be eligible to receive a Texas dental license. Contact Dr. Sinn at 817/225-3223 or e-mail: [email protected].

WEST VIRGINIA:

Charleston Area Medical Center and the Department of Surgery are pleased to offer a one-year post-residency fellowship in craniomaxillofacial surgery available July 1, 2016-June 30, 2017. The post involves the care of cleft/craniofacial and pediatric maxillofacial patients in all aspects of surgical and multi-disciplinary management. Exposure to craniomaxillofacial trauma and reconstruction, orthognathic surgery, orofacial cancer, pathology, TMJ reconstruction, and cosmetic surgery is also provided. Approximately half of the time is spent caring for pediatric patients. The fellowship is funded at the PGY sixth or seventh year and has an attractive benefits package. Send inquiries to: Bruce B. Horswell, MD, DDS, MS, FACS, director, FACES-CAMC, 830 Pennsylvania Ave., Suite 302, Charleston, WV 25302; e-mail: [email protected] or fax 304/388-2951.

Positions AvailableCALIFORNIA:

Multiple OMS opportunities currently available throughout California. Full- and part-time positions. Interested parties please contact Scott Price at Brady Price & Associates at 925/935-0890 or e-mail CV to [email protected].

CALIFORNIA:

Modesto and Stockton oral surgery and implantology practice is seeking an OMS for a full-time position leading to partnership. Excellent salary with bonus incentive plus benefits. Interested parties send CV to e-mail: southbayoralsurgery@ gmail.com.



CALIFORNIA:

Oral surgery practice located in a high traffic, upper-class San Francisco neighborhood is offering an immediate part-time or full-time ownership. Please send CV to be followed by a personal interview to: [email protected].

DELAWARE:

Wonderful opportunity in southern Delaware. Established OMS practice seeking motivated, energetic, and personable OMS for associate position leading to partnership and/or early buy-out. Lucrative, fun practice with excellent referral base and unlimited potential. Reply by e-mail: [email protected].

FLORIDA:

Two-surgeon, full-scope, fee-for-service practice in north central Florida looking for a surgeon to join practice. Senior partner planning to slow down. Two locations, great dedicated staff and generous compensation package. E-mail: [email protected].

FLORIDA-EAST COAST-AVENTURA-MELBOURNE:

Oral surgeon needed for 35-year-old, multi-speciality and general group practice. Full or part time. Modern, fully equipped, efficiently designed offices. Huge patient base assures excellent income. Call Kelly Oliver at 954/461-0172; fax resume to: 954/678-9539 or e-mail [email protected].

FLORIDA:

Longstanding practice with excellent reputation seeks associate leading to partnership in southwest Florida coastal community on the Gulf of Mexico. Great school systems in family oriented community with large network of referral dentists. All phases of oral surgery available to a surgeon board certified or an active candidate for certification. Come live the dream with us. E-mail: [email protected].

FLORIDA:

An excellent opportunity exists to join Pensacola’s first oral and maxillofacial surgery practice that has been serving the community for almost 50 years. High-quality, full-scope practice with emphasis on dentoalveolar, orthognathic and implants. Trauma and reconstructive pursuits are also available. Seeking a motivated and personable OMS who is board certified or an active candidate for board certification. Position available immediately. Please reply to [email protected] or fax: 850/479-5809.

FLORIDA:

Two-surgeon, two location practice in beautiful growing area of central Florida seeking ABOMS certified OMS or active candidate for certification for associate position. Very busy practice encompassing all aspects of oral and maxillofacial surgery with heavy implant component. Excellent income potential with fast track to partnership. Generous salary and benefit package. Please send resume to AAOMS Classified Box A-4574.


FLORIDA:

Outstanding opportunity to join an established OMS practice in Tampa, Florida. We are looking for a part-time associate with excellent interpersonal skills. Reply to AAOMS Classified Box A-4576. Serious inquiries please e-mail: [email protected].

FLORIDA- NORTHEAST COAST:

Excellent opportunity in northeast Florida for an OMS who is board certified or an active candidate for board certification. Well-established, high-quality, full-scope practice. Senior partner retiring 2-3 years. Two surgeon, three office practice. Seeking motivated and personable associate leading to partnership. Position available summer 2015. Please reply with CV to AAOMS Classified Box A-4454.

FLORIDA-ORLANDO/DAYTONA BEACH/JACKSONVILLE/TAMPA REGION:

Join our 60-office group practice. Hospital privileges NOT required. Our current oral surgeons exceed $300,000/year. Contact Dr. Andy Greenberg at 407/772-5120 or [email protected]. All contacts kept confidential. www.greenbergdental.com.

GEORGIA:

Oral surgeon needed for large, multi-specialty, multi-location group practice in Atlanta suburbs. No managed care. Full- or part-time positions available. Contact Ashley Shelnutt at 770/446-8000, ext. 0003, or e-mail: [email protected]. Visit us online at www.dentfirst.com.

GEORGIA:

Excellent opportunity for an oral surgeon to join an established and growing practice. Practice located in Atlanta suburb area. Opportunity to earn based on production. Production is $40K plus a month. Contact Kendra Crum at 770/713-3627 or e-mail: [email protected].

ILLINOIS-CHICAGO:

Excellent opportunity for an oral surgeon who is board certified or an active candidate for certification to join state-of-the-art multi-specialty practice in Chicago and southwest suburb. Established referral base and limitless growth potential. Please reply to AAOMS Classified Box A-4357.

ILLINOIS:

Fantastic opportunity. Well-established, state-of-the-art, multi-office group practice with loyal referral base. Suburban Chicago. Seeking associateship leading to early partnership in a full-scope practice affiliated with Level 1 trauma hospital/teaching possibilities. Please reply to AAOMS Classified Box A-4539.

ILLINOIS:

Excellent opportunity. Established 48-year-old practice, three OMSs with retiring partner in Moline, Illinois. 2.5 hrs. to Chicago. Large referral base. Full-scope with dentoalveolar and anesthesia emphasis. Light trauma call. Looking for board certified surgeon or an active candidate for board certification. Early partnership track. Please respond with letter of interest and CV to [email protected].

ILLINOIS:

Outstanding opportunity in a well-established solo practice! Board certified OMS looking for a partner in a top-rated western suburb of Chicago—great schools and family



friendly. State-of-the-art, unusually well-equipped office (next to hospital) is designed for two surgeons and support staff. Proven well-educated patient base and distinguished practice reputation require an energetic, ambitious surgeon who cares about patients and their surgical results. Applicants should be willing to develop their presence within our vibrant dental/medical community. This is a buy-in opportunity with planned partnership and eventual buy-out. Please forward your letter of interest and CV to: [email protected].

INDIANA:

Multi-office OMS practice in Indiana seeking highly motivated 2015 or 2016 graduate for associate position leading to early partnership. Practice emphasis is dentoalveolar surgery, implants, bone grafting and anesthesia. Wide open opportunity to expand into other areas such as esthetic surgery. Light trauma call. Competitive salary and benefits. Reply to AAOMS Classified Box A-4565.

INDIANA:

Work for another surgeon, sign a covenant not to compete, and receive 30% of collections. Work for yourself, have complete control and receive 100% of collections. Retiring doctor established practice in 1976, and it is available for purchase at a fair print in 2015 or 2016. Everything is in place for immediate care of patients. Live and work along Lake Michigan new Chicago, the Indiana Dune, Notre Dame and Harbor Country, Michigan. Reply by e-mail: [email protected] or phone: 219/879-4551.

IOWA:

Well-established three surgeon practice with one office, seeking associate leading to partnership to replace retiring senior partner on December 31, 2015. Practice emphasis is dentoalveolar surgery, implants, bone grafting and anesthesia. Opportunity to expand into other full-scope areas wide open. Excellent compensation and benefit package. Please respond with letter of interest and CV to [email protected].

MARYLAND:

Spectacular opportunity to live in some of the most beautiful country the Mid-Atlantic region has to offer. Well-established, two-office practice in western Maryland and south central Pennsylvania, in continuous operation over 35 years. A short 75-minute drive to Baltimore/Washington areas but without the congestion. We have a full-scope practice. This is an excellent opportunity for an OMS board certified or an active candidate for board certification to establish a career. Associateship leading to partnership. E-mail: [email protected].

MASSACHUSETTS:

Career Opportunity for OMS board certified or active candidate for certification. Associate position, fast-tracked to partnership, in well-established, full-scope, two location OMS group. Desire outgoing, friendly personality. Excellent compensation. Close to Boston and its renowned cultural, educational and recreational offerings. E-mail CV to: [email protected].

MASSACHUSETTS:

Modern practice in Southeast Massachusetts is looking for a part time and/or full time OMS to join our team. Practice focus is dentoalveolar surgery, anesthesia, and implants. Opportunity is available to new graduates and experienced

surgeons. Minimum base compensation of $300,000 guaranteed for full time service with excellent bonus provided. Excellent opportunity to work in modern practice with easy access to Boston, Cape Cod and Newport, RI. Call 774/644-1321 or e-mail: [email protected].

MASSACHUSETTS:

Well-established, successful, three doctor oral and maxillofacial surgery practice in southeastern Massachusetts seeking a motivated, personable OMS for associate position leading to partnership. Candidate must be board certified or an active candidate for certification. Excellent compensation and benefit package with a four-day work week. Large, efficient full-scope practice with emphasis on maxillofacial/dentoalveolar surgery, implants, pathology and office general anesthesia. Experienced surgical staff. Close to Boston and Cape Cod. Please reply to AAOMS Classified Box A-4564 or e-mail: [email protected].

MASSACHUSETTS:

Well-established oral surgery office on the North Shore/Greater Boston area is seeking a part-time associate to work 2-3 days/week. This is a newly constructed practice in a coastal town, about 45 minutes from Boston and New Hampshire mountains. The practice is located within a professional building with multiple referring doctors. Local hospitals about 1 mile away. Referral base is large and offers an opportunity for wide scope oral surgery procedures. Both single and dual degree candidates are encouraged to apply. Massachusetts dental and anesthesia licenses are mandatory. Please reply to AAOMS Classified Box A-4575.

MICHIGAN:

Well-established, very busy, full-scope OMS practice in southeast Michigan seeking an OMS ABOMS board certified or actively seeking certification for full-time employment. Send CV to Dr. Marvin Jabero at [email protected].

MICHIGAN:

Oral surgeon needed to join practice in southeast Michigan. Base compensation $250K. Our goal is to establish a long-term business relationship with an associate. We are a growing practice with a forward-thinking owner-doctor. Please send resumes to [email protected].

MINNESOTA:

Excellent opportunity for an OMS board certified or an active candidate for board certification, to join a highly respected, well-established practice as an associate, leading to partnership. The oral surgery center team shares a commitment to our patients and referring doctors to provide high quality oral surgery with integrity and pride. Our practice appreciates a wide and loyal referral base, with state-of-the-art facilities in western Wisconsin and the Twin Cities eastern suburbs. The oral surgery center participates with major insurance plans in a primarily fee-for-service practice. Our surgeons are on staff at local hospitals equipped to provide a full-scope of OMS services. The area offers a variety of housing and diverse recreation. With some of the best schools and colleges in the country, our communities are a great place to raise a family. The Oral Surgery Center offers a competitive compensation package and an outstanding collaborative environment. E-mail CV to our practice manager, Mel Olson at [email protected].



MISSOURI-ST. LOUIS:

If you are an outgoing and positive oral surgeon looking for career satisfaction and continuing educational opportunities, join a Heartland Dental affiliate! Heartland Dental affiliates are seeking self-motivated oral surgeons to provide high-quality, lifetime patient care in a fast-paced and well-established dental office. As an affiliated oral surgeon with Heartland Dental, you will perform surgery and related procedures on both hard and soft tissues of the oral and maxillofacial regions. For inquiries, please contact Heartland Dental at 855/475-6655, e-mail: [email protected], or visit us online at: www.heartland.com.

NEW JERSEY-ESSEX/MORRIS COUNTY:

Well-established, four-doctor OMS practice, strongly committed to quality patient care, seeking an OMS board certified or an active candidate for board certification for associateship and partnership if desired. Three state-of-the-art offices with surgical suite and I-cat. Excellent referral base with strong growth potential. Competitive salary with benefits including health and malpractice insurance and pension plan. Please forward CV to AAOMS Classified Box A-4560.

NEW JERSEY:

Excellent opportunity for ambitious OMS board certified or an active candidate, with excellent interpersonal skills. Quality, high tech paperless office with I-Cat scanner and laser. New Jersey/New York licensure is required. Reply by e-mail: [email protected] or AAOMS Classified Box A-4517.

NEW JERSEY-NORTHERN:

Part -ime positon with f lexible hours/days. Possibly opportunity for short-term buy-in. Salary negotiable. E-mail: [email protected].

NEW YORK:

Outstanding opportunity to join an innovative multi-location OMS practice in Manhattan. New York City is an excellent place to live/work with a vast array of cultural/ recreational activities. The ideal candidate must possess top skills and display excellent interpersonal skills. Practice is office-based full-scope, dentoalveolar and implant surgery under general anesthesia. High quality, high-tech digital office. Emergency room call and academic affiliations available. Competitive compensation and future partnership for ideal candidate. Will sponsor green card candidates. E-mail CV to: [email protected] or contact Robert Bodey at 212/567-5536.

NEW YORK:

Excellent opportunity, well-established OMS group located in the Mid-Hudson Valley region. Seeking an OMS board certified or an active candidate for certification to be a full-time associate and future partner. Please e-mail CV to: [email protected].

NEW YORK:

Established 43-year-old practice located in Merrick, New York seeking a hardworking OMS board certified or an active candidate for board certification for part-time positon leading to possible partnership for the right individual. E-mail


CV and cover letter to sdmerrickoralsurgery@ yahoo.com.

NEW YORK:

Excellent opportunity for an OMS board certified or an active candidate for certification to join a well-established multi-office practice in the beautiful Hudson Valley. Strong referral-based practice that offers full-scope of oral and maxillofacial procedures including implants and general anesthesia, etc. in a state-of-the-art facility. I-cat and surgical suite on premises. Association leading to partnership for a well-motivated, personable, patient friendly and ethical OMS doctor. Interested parties forward CV to AAOMS Classified Box A-4572.

NEW YORK- LONG ISLAND:

Excellent opportunity, multi-office OMS practice. Seeking an OMS who is board certified or an active candidate for certification for associateship leading to partnership. Reply to AAOMS Classified Box A-4487.

NEW YORK-LONG ISLAND:

Seeking energetic person to join a unique multi-doctor practice. Association leading to partnership for motivated, personable, and ethical OMS. Our group is office/hospital-based and provides a full scope of oral and maxillofacial surgery, including cosmetic procedures. A full-time esthetician also provides nonsurgical cosmetic services in our medical spa. We offer an excellent salary plus a comprehensive benefit package that includes malpractice, health, life insurance, 401(k) and profit sharing. Reply to AAOMS Classified Box A-4442.


Busy multi-office oral and maxillofacial surgery practice in Suffolk County looking for a surgeon board certified or an active candidate for board certification to practice full-scope surgery, including: dental implants, dentoalveolar surgery, orthognathic surgery and TMJ surgery. Affiliated with local hospital and dental residency program. Potential for fast track to partner for motivated doctor. Please e-mail resume or CV to [email protected].


Well-established, full-scope, two-office, OMS practice in Long Island. Seeking an OMS for associateship leading to partnership. Emphasis on dentoalveolar, implants, grafting, sedation, orthognathics and trauma. Hospital affiliations with some resident teaching responsibilities. Please e-mail CV to [email protected]; call: 516/822-7880 or fax: 516/822-5010.


OMS practice seeking an oral surgeon part-time 1/2 days or full-day with future full-time. Association leading to partnership/ownership for motivated candidate. Area saturated with DDS and MD’s, contemporary practice located near major hospitals. Send CV to fax: 516/681-8230 or reply to AAOMS Classified Box A-4521.

NORTH CAROLINA:

Multi-office practice in Eastern North Carolina seeking a personable, confident, and motivated board certified OMS or active candidate for certification to join our practice. Currently seven partners and two associates are in the practice with one partner retiring. Generous compensation and benefits package is available in writing. Pathway is open to partnership



and the compensation and benefits package is also available. E-mail: [email protected].

NORTH CAROLINA:

Oral and maxillofacial surgeon desired for well-established, f lourishing, oral surgery and dental implant practice. Applicant should be board certified or an active candidate for certification and possess excellent interpersonal skills, work ethic and be motivated to succeed. The practice is located in the Sandhills region of North Carolina and is centrally located to the North Carolina Mountains and coast. Please respond by e-mail with cover letter and CV to: [email protected].

NORTH CAROLINA:

Successful oral and maxillofacial surgery practice looking for a board certified or an active candidate for certification and enthusiastic associate to join our team in North Carolina. Beautiful beaches, lakes, and mountains are all close by. An outstanding place to raise a family! Our dental implant and oral surgery center is expanding our brand to a new location in the Triangle area and know there will be future expansions as well. Must be modest, possess leadership skills to direct, guide, and motivate the team. We thrive in our culture of excellence and established dental implant brand. Currently our practice concentrates on in-office procedures, mainly dentoalveolar, pathology, and dental implants. However, there are no limitations on practicing a full-scope if desired as the senior partner has full facial cosmetic privileges at local hospital. As one of the leading innovative practices in the state we place a very large number of implants per year. We provide multiple AGD/continuing education courses yearly as we truly value educating our referrals and colleagues. Full-time position is 4 days per week with full benefits including but

not limited to medical, dental, 401k, full marketing budget and support, and more. We have full hospital privileges with no hospital call! Life is good! Salary is based on experience of the surgeon. Serious inquiries only please! Please send inquiries to [email protected].

OHIO-NORTHERN:

Well-established, two-doctor practice in transition due to retirement of senior partner seeking OMS who is board certified or an active candidate for certification to join practice. Newly built office, early partnership available. Please reply to AAOMS Classified Box A-4519.

OKLAHOMA:

Excellent opportunity for a motivated and personable OMS in a fast growing practice located in south central Oklahoma. Practice focus is on implant and dentoalveolar surgery. Great income potential with guaranteed beginning salary leading to eventual partnership. Reply to AAOMS Classified Box A-4573.

PENNSYLVANIA:

Quality, well-established, two-doctor, three-office practice located in a medium-sized town in central Pennsylvania, 1.5 hour drive from Pittsburgh. One doctor planning to retire in 1-3 years. Practice healthy, stable area, very low crime rate. Trauma as desired. Great place to raise family, lots of opportunities for recreation and education. Fast commute times. Board certified or active candidate for certification. Please e-mail cover letter and CV to [email protected].

PENNSYLVANIA/NEW JERSEY:

Fantastic opportunity for an OMS to join a state-of-the-art offices full or part time in Northeastern Pennsylvania and Central New Jersey. Full-scope oral and maxillofacial surgery.

Compensation $300K and benefits package. E-mail CV to: [email protected].

PENNSYLVANIA:

Well-established, two office, three doctor practice seeks an energetic, well-trained surgeon to join our practice as an associate leading to partnership. Located in the Philadelphia suburbs, this area affords an excellent quality of life with award winning schools, housing and endless cultural, dining and sporting activities. Convenient to New York City and Washington, DC as well as the Jersey Shore and Pocono Mountain vacation areas. You would be welcomed into a family friendly community with endless growth potential. Please respond with resume/CV to AAOMS Classified Box A-4550.

TEXAS:

Opportunity to transition into a busy oral surgery practice with a multi-disciplined practice. Present oral surgeon is retiring. Practice is private fee-for-service. New I-cat (3D) in office. For information contact Paul Kennedy, DDS by e-mail: [email protected] or call 361/960-6484.

TEXAS:

Associate position available at a highly successful multi-doctor, multi-specialty group with three current offices, plus two more opening in the next two months. Option for practice buy-in with one year. Excellent career opportunity in our proficient and efficient practice located in San Antonio-a great place to raise a family with lots of opportunities for recreation and education. Large referral base and chance to practice all aspects of oral and maxillofacial surgery with an emphasis on complex implant surgeries. Applicant must be board certified or an active candidate for certification.

All communications will remain confidential. Contact us at 210/491-0015 or e-mail: [email protected].

TEXAS:

Well-established practice in Houston Metro Area. Solo OMS with two busy offices looking for a go-getter OMS. Full- or part-time position available for associateship. Quality of life is what it’s all about. Board certified or active candidate for certification. E-mail resume/CV to [email protected].

TEXAS- DALLAS/FT. WORTH/AUSTIN/HOUSTON:

Multi-office, multi-specialty group practice seeking a motivated and energetic OMS to work 1-4 days per month or more. Dentoalveolar, bone grafting and implant-focused procedures. This will instantly augment the income from your private practice without the expense of establishing a satellite office. Please send letter of interest and CV to [email protected].

VERMONT:

Board certified surgeons offering unparalleled long-term career opportunity: associate to equal partnership, competitive guaranteed salary with benefits and a winning future. Full-scope practice includes orthognathics, pathology, trauma, TMJ, dentoalveolar surgery and implants. Honesty, high integrity and commitment to community are the key to this practice success. Listed as the “healthiest” city in the US by the CDC, Burlington, VT is 2 hours from Montreal, 3.5 hours from Boston and 3 hours from the Maine seacoast. State-of-the-art office includes I-Cat, electronic medical records, six full operatories and two rooms with vaporizers capable of delivering anesthesia



for advanced procedures. All communications will remain confidential. Contact our practice manager at [email protected] or call 802/862-9196.

WASHINGTON:

Excellent opportunity to practice in beautiful Puget Sound and western Washington. Our state-of-the-art practice is currently seeking an OMS who is board certified or an active candidate for certification for an associateship position. Busy practice with multiple locations and high-tech equipment, including digital radiography, chartless system and cone beam CT. Please send resumes to [email protected] or leave message at 206/234-4044.

WASHINGTON:

A rare opportunity in beautiful eastern Washington for an OMS. Seeking a full-time, full-scope associate to join our successful 3-office practice to replace a productive position. The ideal candidate is highly skilled, dedicated to providing unmatched patient care and has a desire to transition to a partnership. Eastern Washington is ideal for enjoying outdoor activities from snow skiing to water skiing to f ly-fishing, it’s ideal for starting a career and raising a family. E-mail your CV to: [email protected].

WISCONSIN:

Excellent opportunity for an OMS to secure their financial and professional future. Very busy, two-doctor, two-office practice seeks a personable and energetic OMS with a strong work ethic for association leading to partnership. Senior

partner looking to phase out over the next few years. The practice has an exceptionally large referral base that is implant-trained and oriented. Candidate must be well-trained in all phases of our specialty. Offices are located in beautiful southeast Wisconsin. If you enjoy golf, fishing, hunting or any of the wonderful activities that the outdoors has to offer and also enjoy being close to the arts, please send resume with references to Dr. Guy Jensen, 464 S. Hickory St., Suite A, Fond du Lac, WI 54935 or fax CV to 920/923-0366.

WISCONSIN:

Exciting opportunity for an OMS who is board certified or an active candidate for certification, to join a well-established and collegial group of three oral and maxillofacial surgeons. Practice in state-of-the-art facilities with multiple offices with the latest in dental and surgical technology. Competitive compensation and benefits with partnership track, or employed physician opportunity. BayCare Clinic is a successful and democratic multi-specialty group with 18 specialties. BayCare is a physician owned and operated system developed to promote and maintain the independent practice of medicine. Located in Green Bay, Wisconsin, a beautiful, safe, and family oriented “All-American City,” known for its outstanding quality of life and superb education systems. Contact Lesley O’Connell at 877/269-9895, or e-mail: [email protected].

CLASSIFIEDS May/June 2015 (continued) MiscellaneousMAXSURGE HEALTHCARE SOLUTIONS:

Proven revenue cycle management company specializing in prompt and efficient claim filing for OMS. Dedicated payment posting, claim filing/status follow-up and patient AR teams focused on helping you achieve the highest possible ROI for your practice. E-mail: [email protected] or call 877/629-7874.

PRACTICE ADVISORY GROUP:

Whether your focus is on starting your own practice or relieving yourself of the management challenges of your existing practice, The Practice Advisory Group is uniquely qualified to help you achieve your goals. We understand how valuable your time is. Our goal is to allow you to focus on patient care while we provide the comprehensive practice management required to maximize your productivity and profitability. Our team will become an extension of your practice with billing and timely collections, cash-f low management, accounting and human resources, and long-term planning, including practice growth and development. To find out more about The Practice Advisory Group, contact us today! Call Kathy at 405/615-3929 or Michele at 832/202-4770.

MEDICAL FACILITY FOR SALE:

This real estate in Lake Charles, LA located at 1625 Wolf Circle is being offered at $917,200. Custom built medical facility less than 2-years old in beautiful Medical Park in South Lake Charles. Amenities galore. See photos at: eramoffett.com or latter-blum.com. Offered by: ERA Moffett Latter & Blum Inc. Realtors at 337/436-6639.

Practices For SaleARIZONA:

Established oral surgery practice for sale in the Metropolitan West Phoenix area. Doctor retiring. Newly updated office. Busy mixed-use location with retail and office conveniently located near two major freeways. Please contact Crystal Smith with KHOT at 480/229-9733 or e-mail: [email protected].

CALIFORNIA:

Multiple northern and southern California oral surgery practices currently available for sale or with associateship opportunities. CA dental licensure by credentialing and financing available to qualified parties. Contact Brady Price & Associates, specializing in oral surgery practice sales via e-mail at [email protected] or call Scott Price, 925/935-0890.

CALIFORNIA:

Coastal North San Diego County OMS practice for sale. Mature dentoalveolar practice. Owner is retiring. Beautiful new office in highly desirable area. Retiring doctor willing to stay for transition if buyer requests. Reply to AAOMS Classified Box S-2285.

FLORIDA:

Multi-office oral and maxillofacial surgery practice for sale with transition period and immediate partnership. Offices are located throughout south Florida. E-mail: [email protected].



MINNESOTA:

Exceptional Minneapolis location. A beautiful building in the right spot. I will be the second OMS to retire here. Fantastic existing opportunities to again expand the practice. Professional connections to nationally known hospitals will offer even more production. A unique opportunity to obtain a practice that has produced over a million a year for decades. Contact by e-mail: [email protected].

MISSOURI:

40-year practice in southeast Missouri. OMS retiring. Gross $1.2M, 3.5 days/week. Satellite practice with potential to double. Two large office buildings with room for expansion of practice. Contact B.L. Ogborn, DDS at [email protected] or 800/333-8179.

MISSOURI:

State-of-the-art practice for sale. This is a modern digital office in a wonderful community. The practice produces $1.5M on four days/week. Reply to AAOMS Classified Box S-2278.

NEVADA:

Busy denture practice grossing $1.44 million in 2014. Doctor retiring and wishes to sell practice. Our current oral surgeon is retiring in June. Reno is a great place for skiing and outdoors. Contact Suzanne or Dr. Stasiewicz at 775/829-8222 or e-mail: [email protected].


Excellent opportunity. Well-established, well-equipped office in prime location. Looking for someone to buy-in as full partner immediately and eventually buy-out. Owner will help with financing. Reply to AAOMS Classified Box S-2284.

NORTH CAROLINA:

35-year-old high-profile practice in Metro Charlotte for sale (transition possible). Walk to strong independent 400-bed regional hospital with adjacent ambulatory surgicenter. Modern 2500 sq. ft. office with three operatories, large storage and conference rooms. $1.0-1.2M collections last five years on 150 days/per year. Practice draws from 100 mile radius population 2.5 million. Excellent schools, churches, and recreational opportunities (90 minutes to mountains; 3 hrs. to beaches, great hunting and fishing minutes away). 20 minutes from busy international airport, 30 minutes to downtown Charlotte without big-city pace. Current financials and projections proformas just ready. Reply to AAOMS Classified Box S-2265.

OHIO:

Successful practice is updated, modern and ready to transition. A full-scope OMS practice located 35 minutes from Pittsburgh in the lovely Ohio valley. Flexible transition. Gross receipts exceed national average. The practitioner is ready to scale back by taking in a full-time partner or selling the entire practice. Great referral base and great staff. Reply to [email protected].

OHIO:

Practice in a growing community in the central Ohio area. Excellent opportunity grossing $1M, 3.5 days/week. Practice-owned building with recently upgraded digital technology. Excellent referral base in place. Office established in 1999 and operating conti-nuously. For additional inform-ation, please contact practice manager at 614/885-3339 or e-mail: [email protected].

FLORIDA:

Well-established, mature, full scope practice. Excellent staff, facility, referral base, opportunity. Can accommodate one or two talented surgeons. Professional Practice Planners at 412/673-3144; 412/621-2882 (after normal hours); or e-mail: [email protected].

IDAHO:

OMS practice for sale in beautiful Coeur d’ Alene, Idaho. An excellent opportunity for this well-established practice. The single purpose building may be leased or purchased. The practice has a skilled cohesive staff. Purchase and transition terms are f lexible. Call Wendy at 208/870-8623.

IDAHO:

Ideal lifestyle or semi-retirement OMS practice in an upscale ski resort area in Idaho. Modern facility. Only OMS in valley wishes to retire, offering an immediate opportunity for full-scope practice. Excellent hospital and everything for the outdoor enthusiast. Reply to AAOMS Classified Box S-2286.

ILLINOIS-CHICAGO:

Highly successful, well-established, two doctor OMS practice along with fully equipped 4500+ sq. ft. building in prime Lincoln Park location for sale. Contact Dan Welch at [email protected].

ILLINOIS:

Established two-doctor, two-office, full scope practice just north of St. Louis, Missouri, with a strong referral base. Seeking buyer who is board certified or an active candidate for certification. Call Guy at ADS Midwest 800/221-6927; 314/997-0535 or [email protected].

INDIANA:

Oral surgeon retiring in 2015 or 2016 from practice established in 1976. Practice, equipment and building for sale at a fair price. Everything in place for immediate care of patients. Retiring doctor will acquaint you with the community and dental colleagues. Staff available to continue with new doctor, if desired. Ideal for continued solo practice or as satellite office. Along Lake Michigan; near Chicago, the Indiana Dunes, Notre Dame and Harbor Country, Michigan. Reply by e-mail: [email protected] or phone: 219/879-4551.

MICHIGAN:

Right practice, location and price in southwest Michigan. Well-established, solo oral surgeon retiring after 37 years. Practice, equipment and office with well-established referral base and excellent collections will provide a great opportunity. E-mail: [email protected] or call 269/962-8505.

MICHIGAN:

$2.4+ Million/year net collections with potential for more, on 3-4 days/week and 10+ weeks off. Practice for Sale in rural Michigan. 5 rooms: Two surgery suites, one OR suite, two consultation/simple procedure rooms. Digital imaging and 100% EMR. No Medicare/Medicaid. Outdoor activities abound in this University town with great opportunities for hiking, biking, lake activities, skiing and snowboarding. Great family town. Opportunity for cosmetics. Supportive hospital if you are fellowship trained and wish to complete more complex cases with freedom to refer out if need be. Solid referral base. Send resume and cover letter to [email protected].



OKLAHOMA:

Outstanding opportunity to buy a portion of an established two doctor OMS practice in Edmond, a desirable part of the Oklahoma City area. Beautiful 5,700 sq. ft. office 12-years old, practice over 20-years old. Staff is very skilled and cohesive. Transition plan in place and terms are f lexible. Excellent growth potential. Reply to AAOMS Classified Box S-2283.

OREGON:

Wonderful OMS practice for sale in western Oregon’s beautiful Willamette Valley. Very nice, spacious office in an excellent location with plenty of off-street parking. For additional information contact Randy Harrison at [email protected].

RHODE ISLAND-WARWICK:

Enjoy the best of nearby major cities while living in a relaxed, cheaper coastal environment! Paperless, well-equipped, sunny office, 3 ops. Great staff, loyal referral base, implant growth potential. $800,000 collections. Phone: 978/561-1407 or e-mail: [email protected].

SOUTH CAROLINA:

Solo practice in mid-state South Carolina. Easy drive to Charleston and Mountains. Excellent gross on two 1/2 days/week but could easily expand. Free-standing building

and some owner financing available. Owner offering short or long-range transition. For additional questions, send contact information and CV to AAOMS Classified Box S-2272.

TENNESSEE:

Well-established OMS practice, 30-years in Memphis. Full-scope with wide referral base, particular interest in implants. Recent new office build-out in upscale east Memphis location adjacent to several hospitals. Transition term negotiable. E-mail: [email protected].

TEXAS:

Oral surgeon retiring. Flexible transition. Seller phase out; work for purchaser PRN. Ideal for retired military (local base). $3 Million+ collected past three years; room for two surgeons. Mid-sized community. All confidential. Gary Clinton, oral surgery appraiser at 800/583-7765.

TEXAS:

7-year old solo practice in Frisco for sale. Ready to transition in a timely manner. Modern digital office with cone beam. Wide referral base with skilled and cohesive staff. Willing to discuss all options. Contact Steve at 678/662-5795.


VIRGINIA:

Excellent opportunity in the northern part of Virginia for an oral surgeon to take over a great practice. The owner is ready to transition the practice in a timely manner. Contact McNor Group at 410/321-4444 or [email protected].

Practice TransitionsOMS EXCLUSIVELY- ASSOCIATES, PARTNERSHIPS, PRACTICE SALES, RETIREMENT TRANSITION:

Leader since 2004 in the recruitment of oral surgeons nationwide. We understand oral surgery, this is our specialty. Time to sell, transition into retirement, add associate/partner? We work with all residents, confidential surgeons and military. Practice sales/retirement transitions-We are not practice brokers, do not charge 10%, do not sign exclusive agreements, no risk. We have buyers/associates, tremendous success! You have seen us at AAOMS/40 years’ experience. Web page/National OMS Job Board-www.OMS-Exclusively.com, Marla: [email protected], call: 866/241-9003 (married to OMS).

PRACTICE TRANSITION:

If you are considering valuing-merging-arranging an associateship-selling-buying, contact a transition specialist. OMS-certified in all areas. Professional Practice Planners, 332 Fifth Ave., #213, McKeesport, PA 15132. E-mail: [email protected]; Call 412/673-3144 or 412/621-2882 (after normal hours, eastern).

PRACTICE TRANSITION:

Great opportunities available - Associateships Available: Florida (Miami area), Indiana, Maine, New Jersey, Ohio, and Pennsylvania (western) - all excellent opportunities. Professional Practice Planners, 332 Fifth Ave., #213, McKeesport, PA 15132. E-mail: [email protected] or Call: 412/673-3144.

Classified Advertising Deadlines (The issue to which the deadline applies is indicated in bold type)

September/October 2015 issue: July 14, 2015

November/December 2015 issue: September 16, 2015

January/February 2016 issue: November 2015



SEPTEMBER/OCTOBER 2012 | VOLUME 10, ISSUE 5


CLASSIFIEDS

Classified Advertising Order Form

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OMS Training Program

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For more information, contact Mary Allaire-Schnitzer at 847/678-6200, ext. 4315, or via e-mail at [email protected] and/or AAOMS Communications & Publications at 847/678-6200, ext. 4366, via e-mail at [email protected] or fax to 847/678-6279

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9700 West Bryn Mawr Avenue Rosemont, Illinois 60018-5701

American Association of Oral and Maxillofacial Surgeons

EDUCATIONAL OPPORTUNITIES

2015SEPTEMBER 28–OCTOBER 3AAOMS 97th Annual Meeting, Scientific Sessions and Exhibitionin conjunction with the Canadian Association of Oral and Maxillofacial SurgeonsWashington Convention Center and Washington Marriott MarquisWashington, DC

DECEMBER 3–5AAOMS Dental Implant ConferenceSheraton Chicago Hotel & TowersChicago, IL

REGIONAL & STATE SOCIETY MEETINGS

2015APRIL 11–12Virginia Society of Oral and Maxillofacial Surgeons Annual MeetingWestin Virginia Beach Town CenterVirginia Beach, VA

APRIL 16–19Southwest and Texas Societies of Oral and Maxillofacial Surgeons Joint MeetingThe Westin Kierland ResortScottsdale, AZ

APRIL 24–26Oral and Facial Surgeons of California 15th Annual MeetingThe Claremont Hotel Club & Spa, Berkeley, CA

JULY 12Colorado Society of Oral and Maxillofacial Surgeons

JULY 17-19Florida Society of Oral and Maxillofacial SurgeonsNaples, FL

JULY 18Ohio Society of Oral and Maxillofacial Surgeons

JULY 18–20Western Society of Oral and Maxillofacial Surgeons,in collaboration with the Osteo Science Foundation

SEPTEMBER 3–6Midwestern Society of Oral and Maxillofacial Surgeons

SEPTEMBER 17Washington DC Society of Oral and Maxillofacial SurgeonsWashington, DC

OCTOBER 20Washington Society of Oral and Maxillofacial Surgeons

OCTOBER 30–NOVEMBER 1Florida Society of Oral and Maxillofacial SurgeonsOrlando. FL

NOVEMBER 4Middle Atlantic Society of Oral and Maxillofacial SurgeonsEllicott City, MD

Protecting Office Records from Cyber Criminals

What would you do if your patient data were stolen or a fire or f lood destroyed

your office? Suppose your IP address was hacked by a cyber criminal and all of your patient information was compromised. What would be your first step?

With most medical records being stored digitally, it’s not a matter of if you’ll experience an incident regarding your electronic patient information; it’s a matter of when. We read about data breaches everyday. If Target, JP Morgan Chase, Neiman Marcus, and Sony can be breached, so can your practice.

YOUR PATIENT DATA IS VALUABLE

Do you know why a medical practice is a prime target for cybercrime? It’s because patient files are worth between $500 and $1,000 per record to a hacker. They contain social security numbers, birthdates, and everything necessary for identity theft. How many patient files do you store? Multiple that by $1,000, and that’s what your data could be worth on the black market.

Technology is evolving rapidly in every industry. But in the medical industry, technology advancements are leading to more and more patient health information (PHI) theft and data breaches. Patient information is not being adequately

protected. Computers, laptops, e-mail, mobile devices, and thumb drives all store and transmit PHI electronically. Without the proper controls in place, your patient information can easily fall into the wrong hands, exposing your practice to liability. There are a number of new HIPAA requirements, like having Business Associate Agreements, properly training employees, and creating policies and procedures, so that your practice is prepared for a data-related incident.

HIPAA REQUIRES AN INCIDENT RESPONSE PLAN

Because of the many “incidents” being reported, HIPAA has clearly defined the steps that every practice must take when one occurs.

45 CFR § 164.304 defines a security incident as the attempted or successful unauthorized access, use, disclosure, modification, or destruction of information or interference with system operations in an information system. The Security Incident Procedures standard at § 164.308(a)(6)(i) requires a covered entity to:

1. Implement policies and procedures to address security incidents;

2. Identify and respond to suspected or known security incidents, and mitigate, to the extent practicable, the harmful effects of security incidents that are known to the covered entity, and

3. Document the security incidents and their outcomes.

Most practices are caught unprepared in the event of a data loss. HIPAA requires Emergency Disaster Recovery and Incident Response Plans to clearly document the steps the practice will take in response to an emergency. Failing to properly respond to a data-related incident is a HIPAA violation and it leaves your practice exposed. For example, if a patient accuses you of a breach, there’s a theft, or your practice is notified by Visa/MC that credit card information was stolen from your office, you must know how to respond properly. This is where most practices run into trouble. Unfortunately, many practices are completely unprepared for instances such as these.

Proactive planning and a clearly documented Incident Response Plan (IRP) are required by HIPAA and will help maintain continuity if an incident occurs. Putting in place an IRP may initially seem overwhelming, however, some simple steps can be taken to better prepare your practice:

1. Designate a Security Officer to document an IRP;

2. Appoint an Incident Response Team;

3. Clearly define roles and responsibilities for each member and how they will react to a reported incident; and

4. Purchase data breach insurance to ensure your practice has the resources to act on a data breach and maintain operability; and

5. Complete a MANDATORY HIPAA Risk Assessment.

PRACTICE MANAGEMENT NOTES


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THE MANDATORY HIPAA RISK ASSESSMENT

The HIPAA Risk Assessment asks a series of questions designed to identify areas of vulnerability to a data breach, including, but not limited to, technical controls, policies and procedures, emergency and incident response and other key areas. HIPAA does not provide a certificate of compliance. The only way to know that you are properly securing your PHI, according to HIPAA guidelines, is to complete the Risk Assessment. If you have not undergone the assessment, you are not in compliance with HIPAA guidelines.

AVAILABLE FREE – HIPAA RISK ASSESSMENT

New AAOMS Services Inc. partner PCIHIPAA will provide you with a free HIPAA Risk Assessment. You can take the Risk Assessment now at http://www.pcihipaa.com/aaoms. A risk score will be provided and a corrective action plan that clearly defines any areas of weakness on which the practice should focus.

You will also receive a free 30-minute consultation on the importance of creating an Incident Response Plan and how to easily insure your practice against a data breach.

Only when you understand your vulnerabilities can you correct them. Take the first step now and go to http://www.pcihipaa.com/aaoms.

Article written by Jeff Broudy, CEO, PCIHIPAA

This is number 143 in a series of articles on practice management and marketing for oral and maxillofacial surgeons developed under the auspices of the Committee on Practice Management and Professional Allied Staff and AAOMS staff. Practice Management Notes from 2002 to present are available online at aaoms.org.

All articles in Practice Management Notes are published only with the consent of the authors, who have expressly warranted that their works are original and do not violate copyright or trademark laws. AAOMS is not responsible for any violations of copyright/trademark law on the part of these authors.

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