Hygienists` Association Files ADHP Legislation
Transcription
Hygienists` Association Files ADHP Legislation
MDSCONNECTION Keeping You Connected with Your Society May - June 2013 Hygienists’ Association Files ADHP Legislation The Massachusetts Dental Hygienists’ Association has filed legislation to create an advanced dental hygienist practitioner (ADHP) level of practice in Massachusetts. Unfortunately, this isn’t the right issue, the right time, or the right model, and Massachusetts does not need ADHPs. The Massachusetts Dental Society (MDS) has worked closely with the legislature and MassHealth to expand access to care; in the last four years, we have doubled the number of our members who participate in MassHealth. The MDS supports ongoing efforts to increase access, but opposes the legislation creating an ADHP level of practice for many reasons. It Isn’t the Right Issue • According to MassHealth, 96 percent of all MassHealth members have two dental practices that are actively accepting MassHealth patients within five miles of their home; • A MassHealth survey of members who had not visited a dentist within the previous year revealed that 84 percent of respondents listed a reason other than the inability to find a dentist; • In fiscal year 2008, MassHealth averaged more than 5,000 calls per month from members looking for information about participating dentists; in February 2013, they received just 49 calls; • Massachusetts continues to be a national leader in the utilization of dental benefits by Medicaid (MassHealth) members; and • The issue is not a lack of providers, but rather the need to better connect patients with a dental home, and the ADHP model does not address this issue. It Isn’t the Right Time • Regulations expanding the practice of dental assistants, thus increasing efficiency, lowering costs, and providing more access opportunities, have still not been BORID Updates Botox Policy The Board of Registration in Dentistry (BORID) has adopted a new policy on the use of botulinum toxins (botox) or dermal fillers by licensed dentists. According to the new policy, which went into effect March 6, 2013, a dentist licensed under M.G.L. Chapter 112, Section 45, may use botox and/or dermal fillers with patients as long as it is part of the delivery of the patient’s comprehensive dental treatment plan, it is limited to the practice of dentistry, and the dentist holds ADA Board Certification in oral and maxillofacial surgery or the dentist has successfully completed training of a minimum of eight hours in administration of botox and/or eight hours in the administration of dermal fillers. Visit www.massdental.org/regs to learn more. this issue ➢ ➢➢ Page 3 Delta EPO Contract Analysis promulgated, despite the passage of an enabling statute over four years ago; • The Department of Public Health has not yet provided a detailed report on the Public Health Dental Hygienist (PHDH) Program and whether that program has been a success; • The Commission on Dental Accreditation (CODA) has not yet completed work on accreditation standards for dental therapists and it is unlikely that an educational program is going to invest in equipment and faculty until there are national accreditation standards in place; and • Until the above-mentioned work is completed, it is simply not the time to consider a mid-level provider model here in Massachusetts. It Isn’t the Right Model • The ADHP is not a natural extension of the PHDH. Where the PHDH delivers preventive care and dental education with a referral back to a permanent dental home, the ADHP would deliver limited restorative care without the continuum of care of a dental home; • The ADHP would need to complete a master’s-level program, or approximately six years of post-secondary education (only two less than a dentist); most hygienists have an associate’s degree, meaning that they would need four more years of education to become an ADHP, at an estimated additional cost of approximately $20,000 per year; and • A more effective model in Massachusetts would be the community dental health worker, who conducts community-based outreach to link residents with a permanent dental home and is the natural extension of the PHDH model. For more information, log on to www.massdental.org/legislation to read our issue paper on this and other important bills. Mass Dental Mobile App Launched FEATURES • Find Colleagues Near You • Quick Access to the MDS Calendar and CE • Contacts and Directions • • • • Laws and Regulations Advocacy Updates and Programs MDS Publications DOWNLOAD iPhone/iPad and Droid Search “Mass Dental” in Google Play or the iTunes App Store (iPhone App only) Page 4 How to File an Abuse or Neglect Concern Page 9 Insurance May Deny Class V Restorations Page 12 Updated Form I-9 Now Required for New Hires EXECUTIVE DIRECTOR’S MESSAGE Robert E. Boose, EdD, CAE The New Normal Continues . . . In March, I attended the New England Dental Leadership Conference (NEDLC) with our officers and board members. NEDLC is an annual professional meeting that brings together leaders in dental education, oral health policy, and organized dentistry. The focus of NEDLC this year was on the book Road to Relevance and a follow-up to last year’s presentation on its companion book, Race to Relevance. One theme prevalent in both books, which are co-authored by Harrison Coerver and Mary Byers, is reminding us that we are seeing fundamental shifts in the ways society views things of importance and value. This “new normal” impacts all professions, corporations, governments, and associations, as well as our daily life choices. The authors detail six challenges that we must face: time pressures; value expectations; member (patient) market structure; generational differences; competition; and technology. Each of these has implications for the Massachusetts Dental Society and for your practice; however, I will discuss three in this article: time pressures, member (patient) market structure, and generational differences. Certainly, time pressures cause people to not 2 want to participate in volunteer activities. Moreover, it causes them to cancel dental appointments or avoid making them at all because their own business and parenting schedules get in the way. Their oral health care is reduced to emergency situations and not ongoing preventive care. Associations are faced with declining volunteerism among members. Attendance at district meetings is declining across the nation. Everybody is too busy or does not see the value or rate of return of spending their limited personal time on such activities. The member (patient) market structure is another important challenge to the profession and organized dentistry. We are seeing dramatic changes in how many institutions hold on to their customer base. The Affordable Care Act (ACA) is going to challenge how you maintain or expand your patient base. Right now, the essential health benefits in the ACA include only pediatric dental care. “Stand-alone” dental coverage will be offered to adults, but it will be their option to purchase it. This has significant implications to the oral health of adults who don’t elect this coverage. We have data that shows—even without the impact of the ACA—that adults are not going to the dentist as often as they had been in the past. To underscore my point, the ADA News recently featured an article with the headline “Fewer Adults Visiting the Dentist.” The above-the-fold story summarized a review of data sources to conclude: “This decrease in utilization is a key driving force behind a decline in dentists’ income, one that’s been occurring since the mid-2000s. . . . Adult utilization is going one way while dental visits by children are going the other way, and dentists’ incomes are struggling to keep pace.” This finding is the major challenge organized dentistry faces in the coming years. When it comes to generational differences, the Society—in my view—has been ahead of the curve in this area. Our elected leaders have supported opportunities to expand pathways for involvement of younger dentists, women, and those wanting to get involved in leadership opportunities. Some examples of what we are doing to meet this challenge are the Guest Board Member Program, Leadership Institute, Standing Committee on Women in Dentistry, and Boston Collaborative Group. We have much work to do in realigning our governance procedures and Bylaws to make them more contemporary and responsive to the needs of our membership. In fact, MDS President Dr. Paula Friedman planned our Annual Retreat last year around the Race to Relevance. From that meeting, we developed our next steps to work on this past year, and one of those steps was to look at our Bylaws and recommend revisions to the 2013 House of Delegates. Those recommendations were submitted to the MDS Board in April. We will be celebrating the 150th anniversary of the MDS at Yankee Dental Congress 2014. If we want the Society to remain strong and recognized as the leader in oral health issues by meeting the emerging needs of our ever-changing membership, then we certainly must be prepared to meet all six of these challenges discussed in the Road to Relevance. By the same token, if you want to maintain a successful practice and be responsive to these challenges, you, too, must realign your business model and operational policies. A Bimonthly Newsletter of the Massachusetts Dental Society Paula K. Friedman, DDS, MSD, MPH President William R. Dennis, DDS Secretary Robert E. Boose, EdD, CAE Executive Director Scott G. Davis Chief Communications Officer Melissa Carman Director of Publications Jeanne M. Burdette Manager, Graphic Design Shelley Padgett Graphic Designer FIRST DISTRICT TRUSTEE REPORT Jeffrey Dow, DMD Later this spring, the ADA will launch the ADA Center for Professional Success (CPS), and the CPS online portal will become a home for webbased practice management resources. The basic premise behind this member benefit is simple: Dentists are trained for clinical excellence but often need assistance in managing the business side of the practice. The Center for Professional Success will provide relevant and impactful solutions to the problems dentists face every day in their offices. It will help fulfill the ADA’s commitment to provide support to dentists so they may succeed and excel throughout their careers. The Center for Professional Success will have three content “buckets.” The first is your practice and the opportunity to “build a better business.” As with all areas on the CPS portal, some content will be free to ADA members. Members will have the opportunity to take online courses and the ability to supplement them with inperson courses, as well. There will be practice business certificate programs for those who want a more formal, extensive experience. In addition to the practice management area, the CPS portal will also include areas to help members learn new skills and achieve personal development. I am excited about the opportunity the CPS will present for everyone. It is not meant to replace existing programs already out there, but rather to supplement and complement them. It also will provide a venue for those who, due to time and other constraints, are not able to travel to get the training they need. After 30 years of practice, I am looking forward to seeing what the CPS can offer even a seasoned dentist like myself. The CPA will be partnering with a nationally respected university, which will make the certificate programs of greater value. The ADA has committed the necessary resources to create a portal where the content is up to date, constantly evolving, and easy for the user to navigate. I hope you will check it out later this spring when it launches and let me know what you think. The best way for the ADA to develop and maintain products and services members want and need is for you to give us feedback. The more input we receive from you, the better we can serve you. Whether it is the CPS or any other ADA service, we want to be “best in class,” and your feedback is essential for that to happen. Email me anytime at [email protected] and I’ll be happy to share your comments and concerns. © Copyright 2013 Massachusetts Dental Society Follow us on: MDS Connection May - June 2013 Le g i s l ati o n Grassroots Spotlight: 11th Annual MDS Beacon Hill Day On April 3, 2013, more than 125 dentists and dental students convened at the State House in Boston for the 11th Annual MDS Beacon Hill Day. The event commenced at the Omni Parker House, where MDS Director of Governmental Affairs David White held a Morning Briefing Session to inform members of relevant political issues facing the practice of dentistry in Massachusetts. While several issues of significance in previous years were addressed once again, including the non-covered services bill and MassHealth adult dental benefit funding, attendees were also briefed on legislation that has been filed by the Massachusetts Dental Hygienists’ Association to create a new advanced dental hygiene practitioner (see page 1). After the Morning Briefing Session, dentists and students walked to the State House to attend indi- vidual meetings with their state representatives and senators to discuss non-covered services and restoring MassHealth adult dental benefits. A luncheon at the Omni Parker House, featuring guest speaker Jean Yang, executive director of the Massachusetts Health Connector Authority, rounded out the day. We are pleased that so many dentists and dental students were able to join us in lobbying to protect and promote oral health interests in the state legislature. Photos and more information from this year’s event can be viewed online at www.massdental.org/bhd. If you were unable to attend Beacon Hill Day but would still like to get involved in the MDS Grassroots Network, contact Victoria Ryan, MDS coordinator of grassroots advocacy, at (508) 449-6042 or vryan@ massdental.org. The MDS Offers Testimony on PMP Regulations MDS President Dr. Paula Friedman and MDS Executive Director Dr. Robert Boose attend the Morning Briefing Session at Beacon Hill Day. Dr. Nahal Panah (left) and MDS Assistant Secretary Dr. Janis Moriarty (right) meet with Senator Katherine Clark (D–Melrose) at Beacon Hill Day. Understanding EHBs and Stand-alone Dental Plans In late March, the Public Health Council held a public hearing on proposed amendments to the regulations governing use of the state’s Prescription Monitoring Program (PMP), which aims to curb the abuse of prescription drugs. While the MDS supported the overall goal of the bill, it raised concerns throughout the legislative process and offered several suggestions that were adopted in the final version. Unfortunately, the draft regulations do not reflect the MDS’s understanding of the intent of the bill and appear to go as far as requiring that a dentist review the PMP of every patient, regardless of the dentist’s professional judgment about whether such a review would be necessary. Read the MDS Testimony on PMP legislation at www.massdental.org/ testimony. Revisiting Infection Control As you are probably aware, there was widespread news coverage in late March involving the investigation of an Oklahoma oral surgeon for allegedly poor infection control practices and delegation of dental procedures. Dental offices in Massachusetts are required by the Board of Registration in Dentistry (BORID) to conform to the most recent Centers for Disease Control (CDC) recommendations for infection control as published in the CDC’s Guidelines for Infection Control in Dental Health-Care Settings—2003. These guidelines can be downloaded from the ADA website at www.ada.org/sections/professionalresources/ pdfs/guidelines_cdc_infection.pdf. For questions or clarification on complying with the regulations, contact the MDS at (800) 342-8747. MDS Connection Jean Yang, executive director of the Massachusetts Health Connector Authority, delivered the keynote address at the 11th Annual MDS Beacon Hill Day on April 3, 2013. The presentation, entitled “Essential Health Benefits, Stand-alone Dental Plans & Health Connector Certification,” educated attendees on Affordable Care Act implementation, essential health benefits (EHBs), and the addition of standalone dental plans to the Health Connector. Ms. Yang reviewed the key requirements that plans must meet in order to be offered on the Connector. She also took time to answer questions from the audience and expressed a desire to work with the MDS on several issues. You can view and download Ms. Yang’s presentation from Beacon Hill Day at www.massdental.org/healthreform. Delta Dental EPO Contract Analysis Available Members who are considering signing the participating agreement for the Delta Dental Exclusive Provider Organization (EPO) dental plan can obtain the American Dental Association (ADA) analysis of the contract. The analysis does not give advice as to whether or not a dentist should sign the agreement, but it does explain what the terms of the contract may mean for a dentist and it points out areas where clarification may be needed. The ADA’s analysis can be viewed and downloaded from the MDS website at www.massdental.org/ delta. Also, members should be aware that the ADA offers free contract analysis to members to help them obtain a clear understanding of contractual obligations. ADA Contract Analysis Service will provide analysis of dental provider contracts with third-party payers, dental management service organization contracts, and contracts that offer dental school students scholarships or loans in exchange for a commitment for future employment. For more information, visits www.ada.org/members/1308.aspx. www.massdental.org 3 M em b er sh i p Mandated Reporting—How to File a Concern On March 12, 2013, the MDS and the Massachusetts Medical Society joined forces for the first time to present “Recognizing Child Abuse and Neglect: The Providers’ Roles in Detection.” The sold-out program educated the 120 attending medical and dental doctors on their ethical and professional responsibility as mandated reporters. Many attendees said that the reason they came to the course was because they had not received any training on this subject since medical/dental school. The keynote speaker for the evening was Kayla Harrison, 2012 Olympic gold medalist in judo, who shared her account of the abuse she suffered at the hands of her coach. The abuse began when she was just 9 years old. Her coach made her promise not tell anyone: “It’s a secret” are the words he would say to her. Kayla was afraid to tell family, friends, or the medical community about her abuse, but hoped others might notice the changes in her personality and grow suspicious. Dentists are mandated reporters. Every time you renew your dental license in Massachusetts, you must attest to knowing your responsibility as a mandated reporter. Failure to report a suspected case of abuse and/or neglect can result in a fine of $1,000 or more. Reporting a suspicion of abuse and neglect is your legal responsibility, and also the 4 right thing to do. How to File a Suspicion of Abuse As a dentist, it is your legal responsibility to understand the reporting requirements when you suspect a case of abuse and/or neglect of a child, an elderly person, or a person with a disability. You ADA Recognizes the MDS for Membership Recruitment and Retention As associations nationwide struggle with decreasing membership numbers, the MDS Membership Department, headed by Membership Director Marc Kaplan, CAE, has been recognized by the American Dental Association with three awards for its success in both recruiting new members and retaining existing members. The MDS was recognized for: • Greatest Net Gain of New Dentists • Most Improved Active Member Retention Rate • Greatest Percentage of Nonmembers to Membership must make an oral report with the corresponding office and file a written report within 48 hours after the oral report has been made. report at any other time, call the Child-At-Risk Hotline at (800) 792-5200. Report a Suspicion of Child Abuse and/or Neglect Massachusetts law requires mandated reporters to immediately make either an oral or a written report to the Department of Children and Families (DCF) when, in your professional capacity, you have reasonable cause to believe that a child under the age of 18 is suffering from abuse and/or neglect. In addition to filing with the DCF, you may notify local law enforcement or the Office of the Child Advocate. You should report: any physical or emotional injury resulting from abuse and/or neglect; any instance in which a child is determined to be physically dependent upon an addictive drug at birth; or death as a result of abuse and/or neglect. When you suspect that a child is being abused and/or neglected, you should immediately call the DCF area office serving the child’s residence and ask for the Screening Unit. DCF offices are staffed weekdays between 9 a.m. and 5 p.m.; to make a Report a Suspicion of Elder Abuse and/or Neglect If you suspect an elder (60 and over) is being abused, neglected, or exploited, you are mandated to file an oral report. Call the Protected Services Hotline at (800) 922-2275 and follow the prompts to file a suspected abuse report with an intake specialist. The intake specialist will then send you a written report to be completed and returned within 48 hours, if possible. The report is always confidential. Report a Suspicion of Disabled Person Abuse and/or Neglect If you suspect a disabled person is being abused and/or neglected, you are mandated to file an oral report. Contact (800) 426-9009 to speak with an intake specialist, who will take your oral report and fax you a written report to complete. The written report should be completed and returned as soon as possible. Abuse and Neglect Oral Reporting Hotlines If you suspect one of your patients or their family member is the victim of abuse and/or neglect, you should contact the applicable agency ASAP. Child Elder Disabled Department of Children and Families . . . . . . . . . . . . . . . . . . . . . . . . . (800) 792-5200 Department of Protected Services . . . . . . . . . . . . . . . . . . . . . . . . . . . (800) 922-2275 Disabled Persons Protection Commission . . . . . . . . . . . . . . . . . . . . . . (800) 426-9009 Step It Up for the Miles and Smiles Team Last September, the MDS Standing Committee on Women in Dentistry’s Miles and Smiles Team pounded the pavement and raised $33,430 for cancer research as part of the Boston Marathon Jimmy Fund Walk. The team was recognized by the Dana-Farber Cancer Institute and the Jimmy Fund for being one of the top fundraising teams. Now, the Miles and Smiles Team is lacing up its sneakers to once again walk the 26.2-mile Boston Marathon route from Hopkinton to Boston on Sunday, September 8, 2013. Want to make a difference in the fight against cancer? Consider joining the MDS Miles and Smiles Team. All dentists, staff, and students are invited to join. Please visit www.massdental.org/women or contact Lisa Davis, MDS coordinator of district affairs and student events, at (800) 342-8747, ext. 207, or [email protected] to join the team or make a donation. Your Old Photos Needed As the MDS prepares to celebrate our 150th anniversary year in 2014, the MDS Anniversary Task Force is in the process of planning several projects to mark this important milestone in the Society’s history. Any historical photographs that members have relating to the MDS would be of great interest to the Task Force and the MDS Communications Department. In particular, we are interested in photos taken at major Society events, such as prior anniversary celebrations, Annual Sessions, and the early years of the Yankee Dental Congress, among others. If you have photos to contribute, mail them to Scott Davis at the MDS, Two Willow Street, Suite 200, Southborough MA 01745. All photos will be returned after their use. MDS Connection May - June 2013 I ns u r an c e & F i n a nce Financial Health and Gap Plans By George Gonser, CEO-Partner of MDSIS–Spring Insurance Group Financial health is at or near the top of most people’s minds these days. While at the supermarket recently, I was amazed to see a loaf of bread with a price in excess of $4.00—for plain, no-fluff white bread. Suffice it to say, everything costs more these days. In the insurance marketplace, we have seen a surge of health insurance costs since the mid-1990s. Even with a reprieve in health insurance premium increases over the past two or so years, projections for 2014 premiums and beyond are coming in at well over 10 percent. As premiums for health insurance have risen, many businesses (more than 80 percent) have been forced to downgrade their benefits. As a result, high-deductible health plans have been implemented with increased cost sharing and risk to subscribers, as they are now exposed to potentially higher out-of-pocket costs. In the event of an unexpected health event, people may or may not have the funds to cover the deductible. With more and more families living paycheck to paycheck, a health event may seriously affect their financial situation. MDSIS–Spring offers a few insurance plans that may help to bridge the gap and provide some financial assistance in the case of a health event. Critical Illness Insurance: This insurance plan provides financial protection against out-of-pocket expenses related to specific critical illnesses, including heart attacks, cancer, and stroke, among other conditions. This specific benefit insurance is typically offered on a group voluntary basis, in that the business sets up the plan and the employee purchases the plan with pre-tax monies through payroll deduction. If a claim involving one of the listed critical illnesses occurs, relief is seen in the form of lump-sum payments that can be used for related medical or non-medical expenses. Cancer-specific Insurance: This specific benefit plan helps to manage the risks associated with cancer. In the event of a cancer diagnosis, the policyholder receives a lump-sum payout that can be used in a variety of ways, including reducing deductible expenses and/or non-medical expenses, such as living expenses and more. Hospital Indemnity Insurance: In the event of a hospitalization, policyholders receive benefits that can be used to offset deductible and out-of-pocket medical-related expenses, as well as non-medical expenses, such as housing expenses and more. Accident Insurance: This insurance plan provides a lump-sum payment for a claim for an accidental injury. Additionally, life insurance and disability insurance can be used as a gap program, as well. MDSIS–Spring works closely with the industry’s leading insurers, such as Aflac, to avail members of these gap plans. These group voluntary plans help to mitigate the premium and non-premium cost burdens on subscribers. The programs are set up via payroll deduction with no cost to the employer. Availing employees of these plans will provide the means to bridge the health gap and improve the financial health of both subscribers and businesses alike. Contact MDSIS–Spring at (800) 821-6033 or visit us online at www.springgroup.com to learn more. The Economics of Borrowing from Your 401(k) When times are tough, that pool of dollars sitting in your 401(k) plan account may start to look attractive. But before you decide to take a plan loan, be sure you understand the financial impact. It’s not as simple as you think. The Basics of Borrowing A 401(k) plan will usually let you borrow as much as 50 percent of your vested account balance, up to $50,000. (Plans aren’t required to let you borrow, and may impose various restrictions, so check with your plan administrator.) You pay the loan back, with interest, from your paycheck. Most plan loans carry a favorable interest rate, usually prime plus one or two percentage points. Generally, you have up to five years to repay your loan, longer if you use the loan to purchase your principal residence. Many plans let you apply for a loan online, making the process quick and easy. You Pay the Interest to Yourself, But . . . When you make payments of principal and interest on the loan, the plan generally deposits those payments back into your individual plan account (in accordance with your latest investment direction). This means that you’re not only receiving back your loan principal, but you’re also paying the loan interest to yourself instead of to a financial institution. However, the benefits of paying interest to yourself are somewhat illusory. Here’s why. To pay interest on a plan loan, you first need to earn money and pay income tax on those earnings. With what’s left over after taxes, you pay the interest on your loan. That interest is treated as taxable earnings in your 401(k) plan account. When you later withdraw those dollars from the plan (at retirement, for example), they’re taxed again because plan distributions are treated as taxable income. In effect, you’re paying income tax twice on the funds you use to pay interest on MDS Connection www.massdental.org the loan. (If you’re borrowing from a Roth 401(k) account, the interest won’t be taxed when paid out if your distribution is “qualified”—i.e., it’s been at least five years since you made your first Roth contribution to the plan and you’re 59½ or disabled.) . . . Consider the Opportunity Cost When you take a loan from your 401(k) plan, the funds you borrow are removed from your plan account until you repay the loan. While removed from your account, the funds aren’t continuing to grow tax deferred within the plan. So the economics of a plan loan depend in part on how much those borrowed funds would have earned if they were still inside the plan, compared to the amount of interest you’re paying yourself. This is known as the “opportunity cost” of a plan loan, because by borrowing you may miss out on the opportunity for additional tax-deferred investment earnings. Continued on p. 6 5 Access to Care MDS Members Help “Give a Smile” to Bay State Kids As part of the American Dental Association’s Give Kids a Smile (GKAS) Program, 39 Massachusetts dentists teamed up with nearly 170 staff volunteers to provide treatment to children throughout the state this past February. Overall, it is estimated that approximately 2,000 Massachusetts children received some type of service—such as cleanings, sealants, and X-rays, as well as educational materials—thanks to the program. Dentists and volunteers set up shop all across the state, from Boston to Hudson, from Wareham to Wakefield, and in other surrounding communities, to provide access to care for children in need. An estimated $89,000 worth of services will be donated this year to help children in need receive the quality dental care they deserve. “I truly do not know who benefited the most, because it gave us such a great feeling helping the children and providing a free service,” says Lois Cosgrove-Fluegel, RDH, who is the GKAS program coordinator for Gateway Dental in Wareham. Hudson General Dentist Dr. Michael Gigliotti has been holding GKAS events for more than 15 years. As part of the annual event, he conducts five visits with the three elementary schools in Hudson, where he teaches third graders and preschool students about the importance of oral health. This year, approximately 320 students each received a small kit with dental-related items, totaling $1,600 in value, which Dr. Gigliotti feels is a small price to pay for laying the foundation for a lifetime of healthy smiles. While the official date for GKAS is February 1 of each year, that does not stop MDS members from providing treatment at other times. Currently, there are dental offices in Massachusetts that will be hosting their events throughout the year. If you are interested in hosting your own Give Kids A Smile event for 2014 or just want to lend a Dental hygienist Susan Anderson sends a young patient home with a smile and a sticker after receiving free dental care at Gateway Dental’s GKAS event in Wareham. helping hand, please visit the MDS volunteer page at www.massdental.org/giveasmile for more information. MASSHEALTH UPDATE The Importance of Quality Radiographs 6 MassHealth requires submission of radiographs for a variety of clinical review situations. We use these radiographs to evaluate treatment necessity during preauthorization, retrospective review, and provider and member appeals, as well as in our utilization review process. It is imperative that quality diagnostic radiographs are submitted the first time to avoid unnecessary staff time and expense to both the provider and MassHealth, and to avoid unnecessary delay in treatment of the member. Documentation requirements in the member record include quality and medically necessary radiographs used for diagnosis and treatment of the member’s dental conditions. Radiographic technique regarding angulation, developing, and image capture are key to this documentation. Many administrative and clinical denials are the direct result of poorly developed film, cone cuts, overlapping images, poor angulation, or the missing apex of a tooth on the periapical radiographic image. If the radiographs submitted are substandard for a third party to make a qualitative benefit decision, it would be best to retake the radiograph at no cost to the program or member in order to avoid the denial. By Tracy Chase, CDA, BS, Executive Director of DentaQuest for MassHealth As part of sound risk management, it is imperative to keep the patient’s treatment record intact, including the original radiographs. Submission of original radiographs is risky for many reasons, including the separation of the radiographs from the patient record by your staff, and handling of the radiographs by the U.S. postal system and MassHealth. Duplication of radiographs is one possible solution; however, duplicated radiographs are rarely of sound diagnostic quality. The use of radiographic doubles is a better option. It avoids unnecessary patient exposure to radiation, and misplacement of these radiographs would not compromise the original patient record. Digital radiographs and scanning technology have advanced the process of radiograph submission, but printed copies are not always of the highest diagnostic quality. Finally, electronic submission of radiographic images through our new MassHealth Provider Web Portal provides the most costeffective way to submit radiographs—it’s free—and assure diagnostic quality on the initial submission. If you have any questions, contact Provider Relations at (800) 207-5019. The Economics of Borrowing from Your 401(k), continued from p. 5 Other Factors There are other factors to think about before borrowing from your 401(k) plan. If you take a loan, will you be able to afford to pay it back and continue to contribute to the plan at the same time? If not, borrowing may be a very bad idea in the long run, especially if you’ll wind up losing your employer’s matching contribution. Also, if you leave your job, most plans provide that your loan becomes immediately payable. If you don’t have the funds to pay it off, the outstanding balance will be taxed as if you received a distribution from the plan, and if you’re not yet 55 years old, a 10 percent early payment penalty may also apply to the taxable portion of that “deemed distribution.” Still, plan loans may make sense in certain cases (e.g., to pay off high-interest credit card debt or to purchase a home). But make sure you compare the cost of borrowing from your plan with other financing options, including loans from banks, credit unions, friends, and family. To do an adequate comparison, you should consider: MDS Connection May - June 2013 • • • Interest rates applicable to each alternative Whether the interest will be tax deductible (e.g., interest paid on home equity loans is usually deductible, but interest on plan loans usually isn’t) The amount of investment earnings you may miss out on by removing funds from your 401(k) plan Eastern Dental Financial Insurance Agency, 200 Friberg Parkway, Suite 2002, Westborough, MA 01581 • (800) 898-3342 www.edic.com/financial-services.html Copyright © 2013 Forefield Inc. All rights reserved. RISK MANAGEMENT: A BROAD-BASED APPROACH YANKEE INSTITUTE REGISTER AT LEAST 10 DAYS BEFORE EACH SEMINAR TO PREVENT CANCELLATIONS Visit www.massdental.org/ce to register or for a complete list of upcoming courses and descriptions, as well as directions to the MDS. Saturday Seminar A WALK THROUGH CONSTRUCTING YOUR DENTAL OFFICE: FOR START-UPS AND EXPANSIONS Date: Saturday, October 19, 1013 Time: Registration: 8:00 a.m., Seminar: 8:30 a.m.–3:00 p.m. Complimentary continental breakfast and light lunch provided by Wells Fargo Practice Finance 1019B 1019C Fee: $15 MDS Dentist Member/Spouse Fee: $70 Non-MDS Dentist Member/MDS Auxiliary Member CE Hours: 6 Lecture Speakers: Bob Doyle and Brett Doyle, contractors with Doyle & Mattheson, specializing in all phases of constructing dental offices Rhonda Meyer, vice president and East regional manager, Wells Fargo Practice Finance, with more than 20 years of experience in the health care industry Edward Ferrero, branch manager, Patterson Dental Supply, with more than 25 years of experience with Patterson Dental Richard (Dick) McCarte, commercial real estate broker, Nagog Associates Carla Moynihan, JD, Robinson & Cole, has focused on disposition, acquisition, permitting, financing, and construction of commercial real estate for over 15 years LEARNING OBJECTIVES Create a healthy practice by developing a vision and understanding the business of dentistry Discover how to select the right location by understanding the role and importance of demographics Learn how to secure a successful lease for your location Become familiar with business planning, financial projections, and project financing options marketing into your practice Recommended Audience: D Dentist S Spouse The Wells Fargo Practice Finance Grant has been applied to this program. The Massachusetts Dental Society is an ADA CERP-recognized provider. Recommended Audience: D Dentist SUBSTANCE ABUSE DISORDERS: RECOGNITION AND RISK REDUCTION Date: Time: 710 710A CE Hours: Speaker: Wednesday, July 10, 2013 Registration: 4:30 p.m., Seminar: 5:00–8:00 p.m. Fee: $70 MDS Dentist Member/MDS Auxiliary Member Fee: $100 Non-MDS Member 3 Lecture James T. Reilly, DMD, MAGD, TTS-M, LADC-1, former program director of the MDS Dentist Health and Wellness Committee (CDAD); senior lecturer, school of psychology and addiction counseling certification program, Cambridge College; counselor/case manager and consultant to Eastern Middlesex Alcoholism Services, Malden LEARNING OBJECTIVES Understand the current medical disease model of substance abuse and dependence Identify drug-seeking behavior by patients and staff Discuss office procedures and strategies to appropriately treat patients with a history of substance abuse Understand effective pain management Be able to identify patients at high risk for substance abuse Learn how to counsel patients about the side effects, addictive nature, proper storage, and correct disposal of prescription medications Amy Smith, Amy Smith Consulting, financial and systems consultant Be able to integrate sound business practices and LEARNING OBJECTIVES Learn what constitutes proper informed consent Understand the importance of proper record keeping Identify potential liability issues with websites, blogs, and social networking sites Understand the differences between administrative and tort law Identify common errors that lead to licensing board disciplinary actions Recommended Audience: D Dentist William Pellicano, equipment specialist, Patterson Dental Supply Attendance at this seminar can count toward a 5 percent discount on your EDIC professional liability insurance. Date: Wednesday, June 5, 2013 Time: Registration: 8:30 a.m., Seminar: 9:00 a.m.–3:00 p.m., Complimentary light lunch included 605 Fee: $90 MDS Dentist Member/MDS Auxiliary Member 605A Fee: $150 Non-MDS Member CE Hours: 5 Lecture Speakers: Barry J. Regan, vice president, claims and risk management, Eastern Dentists Insurance Company Raymond K. Martin, DDS, trustee, Massachusetts Dental Society and the Academy of General Dentistry, and maintains a private practice in Boston Vincent P. Dunn, Esq., partner, Hamel, Marcin, Dunn, and Reardon, with nearly 20 years of trial experience advocating for health care professionals CODE CORRECTLY: RAISE INCOME WHILE MANAGING RISK Date: Time: 731 731A CE Hours: Speaker: Wednesday, July 31, 2013 Registration: 2:30 p.m., Seminar: 3:00–6:00 p.m. Fee: $70 MDS Dentist Member/MDS Auxiliary Member Fee: $100 Non-MDS Member 3 Lecture Brent Martin, DDS, dental director, Office of Clinical Affairs with Commonwealth Medicine LEARNING OBJECTIVES Learn how to maximize revenue while delivering optimal patient care Understand CDT codes with a review of the new ADA CDT codes Discuss dental insurance: “Inside the Hallowed Walls” Know audit and fraud triggers Recommended Audience: A Assistant D Dentist H Hygienist O Office Staff ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp. MDS Connection www.massdental.org 7 TO YOUR HEALTH MDS Foundation I’m Not an Addict or Alcoholic . . . I Just Got In a Bit Over My Head Grants Help Organizations Expand Access to Care Across the State In the March-April 2013 MDS Connection, we reported that the Massachusetts Dental Society (MDS) Foundation recently awarded its third annual Expanding Access to Dental Care grants, totaling $111,000, to five organizations in Massachusetts. That article highlighted two organizations that received MDS Foundation grants: Hillcrest Educational Center, Inc., in Pittsfield and HealthCare Options, Inc., in Attleboro for its Elder Dental Program. In this issue, we take a look at three other organizations that received grants. The MDS Foundation awarded a $16,000 grant to the Codman Square Health Center in Dorchester. Founded in 1979, Codman Square Health Center is a federally qualified health center that serves Boston’s Mattapan and Dorchester neighborhoods and provides more than 10,000 dental visits annually. The grant will be used to purchase equipment to expand the types of services the health center provides, such as endodontics. The Foundation also awarded a $21,000 grant to Hilltown Community Health Centers in Worthington. Hilltown Community Health Centers will use the funding to expand its outreach efforts through its Gator Grins mobile dental program for children, and will also increase access to dental care for physically disabled patients. In addition, the Foundation gave a $10,000 grant to the Forsyth Institute’s ForsythTeens program in Lynn. The Forsyth Institute will use the funding to expand access to preventive dental care to low-income high school students in Lynn. “Through the grant from the MDS Foundation, the ForsythKids School Oral Health Program will expand to provide preventive dental care to high school students,” says Kerry Maguire, DDS, MSPH, director of ForsythKids. “The 8 ForsythTeens pilot project will offer oral health screenings to Lynn Classical High School students in an effort to identify teens with oral disease and refer them for continuing care.” “ForsythTeens also includes tobacco-cessation and healthy living interventions for interested participants,” says Dr. Maguire. “Given the links between tobacco use, diet, and oral disease, we see this project as an opportunity to improve both the oral and systemic health of a high-risk population.” The MDS Foundation Grant Program focuses on the Foundation’s primary goals of improving the oral health of all the citizens of Massachusetts and increasing access to oral care for underserved populations in the state. “Because of the generosity of MDS members and their desire to support an active Foundation, we are able to do some good and hopefully improve the oral health of many Massachusetts residents who ordinarily might not receive care,” says Alan K. DerKazarian, DMD, chair of the MDS Foundation. “It is our most sincere hope that our Foundation will continue to grow so we can provide these services over the years.” For more information on all the grant recipients, please visit the Foundation website at www.mdsfoundation.org/grants. MDS Foundation Chair Dr. Alan DerKazarian (left) and North Shore District Dental Society Chair Dr. Daryl Smith (right) present the Forsyth Institute’s Moira Cahan with the Foundation Grant at the district’s April meeting. MDS Connection Maybe. Maybe not. Denial fuels the engine that keeps most alcoholics and addicts active. Many newcomers first arrive at our meetings certain that they are the victims of circumstance and bad luck (e.g., self-prescribing and getting caught, getting reported when some patient or staff member at work smells alcohol on their breath, taking a few too many pills for a legitimate medical reason and then acting weird at work), only to realize later that their problems went deeper than the single incident that brought them to us. None of us will try to convince you that you are an addict or alcoholic. That will be for you to decide. We only ask that you keep an open mind. Recovery programs are based on principles of personal responsibility, hope, love, and—above all—honesty. If these principles conflict with how you wish to live your life, then you probably won’t fit in. However, if you are inclined to embrace the aforementioned principles, you might benefit from coming to our meetings whether you are an addict, an alcoholic, or just someone who got in over your head. Don’t fume over what circumstance or person is responsible for bringing you to us, but instead focus on how we can help solve any problems you might be having with everyday living or the workplace. Many newcomers complain that they have family and professional responsibilities and they won’t have time for meetings. We respond by saying: “Sure you will.” We were all important, busy, and weighed down with family and job responsibilities when we first came around. The world couldn’t possibly spin without us. Or so we thought. Look at it this way: How much time and energy did you devote to thinking about your particular drug of choice, scheming to procure it, hiding your use from others, and then defending your use when you got caught? How much time has been wasted with lawyers because of legal problems and divorce or child custody hearings, or visits to the ER or doctor’s offices for health complications of your use? How much time has been diverted from intellectual or professional pursuits because of worry about your declining health or because you were high or hung over? See where we are going with this? If you add up all the hours related to the issues mentioned above and counter that with the few hours a week spent at meetings (or even a stay in a rehab facility), it seems like a bargain. Even if you have not yet faced many of the problems listed above, it is just a matter of time before you do if you continue to use. If you attend meetings and stay clean, your health will improve, your stress level will drop precipitously, your friends and family will stop avoiding you, and your whole outlook on life will improve. How much is that worth to you? You’ve really got nothing to lose. Contact the Dentist Health & Wellness Committee at (800) 468-2004 or visit www.cdad.org. May - June 2013 It All Starts Here! January 29 - February 2, 2014 Exhibits: January 30 - February 1, 2014 Boston Convention & Exhibition Center Connect with us: Terry Donovan, DDS RESTORATIVE First Look: Yankee 2014 James Dunn, DDS TECHNOLOGY ➤ This is your chance to discover new techniques and innovative approaches in treatment planning that will impact your practice. Robert Fazio, DMD ORAL MEDICINE Michael Ignelzi, DDS, PhD PEDIATRICS ➤ Elizabeth Somer, RD NUTRITION John West, DDS ENDODONTICS The Ritz-Carlton Leadership Center Promote performance and practice excellence by developing your leadership skills and creating the best possible service for your patients. Jeffrey Okeson, DMD OCCLUSION Shannon Pace Brinker, CDA AUXILIARY TECHNIQUES The Pankey Institute: Update 2014 ➤ Hands-On Courses with Cadavers Join in on this unique opportunity to participate in hands-on programs using cadavers to explore topics including anesthesia, crown lengthening, and anatomy. yankeedental.com MDS Council on Dental Care and Benefits Class V Restorations May Be Denied by Insurance Anabel Curiel-Franciskato, DMD Dr. Curiel-Franciskato operates a private practice in Beverly and recently became a member of the MDS Council on Dental Care and Benefits. She is also a clinical instructor in the department of prosthodontics and operative dentistry at Tufts University School of Dental Medicine. The MDS Council on Dental Care and Benefits wants members to be aware that Delta Dental denies Class V lesions due to erosion, abfraction, attrition, or abrasion. Other insurance companies might do the same. For that reason, reviewing the various insurance contracts in your practice is an excellent idea. Delta Dental has very specific guidelines allowing the reimbursement for services D2330 and D2391. American Dental Association (ADA) code defines these as a resin-based composite restoration-direct. “Resin-based composite” refers to a broad category of material including but not limited to composite. It may include bonded composite and light-cured composite, among other materials. Tooth preparation, acid etching, adhesives (including a resin bonding agent), liners and bases, and curing are included as part of the restoration. Glass ionomers, when used as restorations, should be reported with these codes.1 ADA code D2330 is defined as a resin-based composite–one surface restoration, anterior. ADA code D2391 is defined as a resin-based composite– one surface, posterior. This is used to restore a carious lesion into the dentin MDS Connection ➤ 877.515.9071 or a deeply eroded area into the dentin, and is not a preventive procedure.1 In dentistry, we do this type of treatment to repair decay or loss of dentin due to erosion or abrasion. In many cases, there is painless incipient decay or sensitivity, or the esthetic is affecting the patient. In the Delta Dental 2013 Policies and Procedures Reference Guide,1 the use of ADA codes D2330 and D2391 is limited. According to Delta Dental policy, the restoration of a Class V lesion may only be covered when there is decay or fracture. Delta will not pay to repair erosion, attrition, or abrasion. Therefore, document all your findings and reasons for doing any restoration. A good case note should include, but not be limited to, a chief complaint, medical and dental history, objective findings, assessment/diagnosis, treatment plan, informed consent, treatment performed, medication (e.g., local anesthesia), and the patient’s reaction, next visit, signature, and date. When explaining this to your patients, be aware of the following words: “disallow” and “denied.” If the dental insurance plan “disallows” a service, it will not pay for that service, and you may not bill the patient. A dental insurance plan may deny coverage without disallowing a service. In this case, it is allowable to bill the patient for the service rendered. However, remember to explain to the patient that there is an out-of-pocket expense before providing the service. That will help to maintain the patient’s sense of satisfaction with your treatment. In conclusion, knowing how your patients’ insurance plans will answer a claim before it is submitted is important, and following sound best practices for documenting a case will help you defend your actions. Reference 1. Delta Dental Massachusetts. 2013 Policies and procedures reference guide. 2013 Jan 1. Available from: https://onlineservices.deltadentalma.com. www.massdental.org 9 CLASSIFIEDS To advertise in the MDS Connection, contact Jennifer Hanlin at (508) 449-6076 or visit www.massdental.org to submit an ad online. Payment in advance, covering the number of insertions, is required. 50 words or less (per insertion).................. $55 50¢ each additional word Rate includes immediate web posting MDS Box........................................... $15 extra Upon publication, all classified advertisements are posted on the MDS website at www.massdental.org. Reply to an MDS Box classified advertisement by emailing [email protected] (include the Box Number as your subject line), or mail your response to: MDS Connection Classified Box ___________ Two Willow Street, Suite 200 Southborough, MA 01745. All responses will be promptly forwarded to the advertiser. EQUIPMENT TO BUY OR SELL RECENTLY RETIRED DENTIST—Air Techniques Inc. Peripro unit, 25 dental forceps, 20 dental elevators, doctor’s chair-side mobile dental chair, portable X-ray viewer, Castle operatory light, Peripro transport cleaning tub. Complete list available by calling (401) 658-1174 or (401) 658-1257. FOR SALE—CEREC A/C BLUE CAM 4.0 & MCXL Milling Unit. Currently under CEREC club maintenance. Like new. Approximately 250 millings. Must sell together. Many accessories and supplies included. Call (508) 478-8515. FOR SALE—ADEC Treatment Column 5580 w/ Cascade Assistant Surface 3175; in new condition, Miele G7781 Dental Disinfector. B/O. Please call (781) 775-0220. 10 SEEKING USED DENTAL CHAIRS for sale. Also seeking used digital X-ray unit. Please contact Dr. Glasier at [email protected]. FOR SALE—Biolase Waterlase iPlus. Pearl white. Several HPs and many extra tips. Lightly used and well maintained since new in June 2011. $38K. Contact Jay Wise, DDS, at (413) 243-1222 or email [email protected]. JOB OPPORTUNITIES AVAILABLE PEDIATRIC DENTIST WANTED—New state-of-theart children’s dental office seeks a pediatric dentist to join an established orthodontist in creating a dual specialty practice with multiple locations. Equity potential available. Please send your CV to MDS Box 1280 to arrange an interview. ASSOCIATES AND SPECIALIST NEEDED—Part-time endodontist, general dentist, and oral surgeon needed immediately for multispecialty office south of Boston. Superb office and staff in a thriving office. Gorgeous, state-of-the-art office in Metrowest seeking maternity coverage mid-September through October. All candidates please forward resumes to [email protected]. ESTABLISHED GENERAL PRACTICE IN CHELMSFORD: This is an exceptional opportunity to practice in a modern office with an established, yet growing, patient base. The practice offers a positive, fun work environment. Part-time or full-time associate considered. We are seeking a confident, experienced dentist to provide high-quality care to patients. Potential for this position does require some evenings and Saturdays. We are looking for a long-term relationship with future potential for buy-in for the right dentist. Interviewing now! Great community to live and raise a family. Fee-for-service and traditional insurance practice. Great technology, including digital X-ray. All newly equipped and updated operatory. Busy practice with unlimited earning potential, pay based on production. Well-trained staff, motivated Although the Massachusetts Dental Society believes that advertisements published in the MDS Connection are from reputable sources, the Society neither investigates the offers made nor assumes responsibility for them. The MDS reserves the right to decline and/or withdraw advertisements at its discretion. Issue Ad Deadline March-April.................................... February 1 May-June..............................................April 1 July-August...........................................June 1 September-October...........................August 1 November-December...................... October 1 January-February.......................... December 1 For the most current MDS Classified listings, please visit www.massdental.org/ publications/classified-ads. to provide exceptional care to patients. This opportunity is for a general dentist who is comfortable with all facets of general dentistry. Must be friendly, enthusiastic, and have the ability to develop rapport with patients. Quality dental care must be your top priority. Qualifications: Must be a DDS or DMD licensed to practice in MA. Successful candidate will have outstanding patient relations and excellent verbal communication skills. Make all inquiries directly to [email protected]. GENERAL DENTIST PT—Needed in the recently opened Wellfleet Dental Group office. Seeking a Cape Cod dentist for an associate position with future ownership potential. Please contact Kevin Toomey at [email protected] or (339) 927-4206. GENERAL DENTIST ASSOCIATE—Part-time/fulltime position. High-tech office. Lasers, Cerec, CT scan. New 10-operatory facility. Join 28-year-old fee-for-service practice that emphasizes restorative, cosmetic, and implant dentistry in Downtown Springfield. Finder’s fee of $1,000 after a 6-month employment for referral. Reply to [email protected]. DENTIST—Provide general dentistry and supervision of dental assistants and hygienists. Provide direct service to patients by ensuring that DPH, OSHA, and dental association requirements are strictly followed. Examine teeth, gums, and related tissues to evaluate dental health, diagnose diseases or abnormalities and plan appropriate treatments, and perform esthetic analysis for maximum predictability. Administer local anesthetics to regulate patient pain during procedures. Utilize dental instruments and software including: Dentrix, Vixwin, Altapoint Dental, MS Office software, X-rays, and other diagnostic equipment. Advise patients regarding preventive dental care services. Comply with departmental protocols and meeting productivity standards. Cope with sensitive information in a highly confidential manner. 40 hours/week. Must have Doctor of Dental Surgery or equivalent in dentistry, dental surgery, or a related field. Must have license or limited license to practice dentistry in the Commonwealth of Massachusetts. Mail resume to HR, Community Health Connections, Inc., 275 Nichols Road, Fitchburg, MA 01420. EXPERIENCED GENERAL DENTIST needed for busy multispecialty practice. Opportunity for growth. Great patients and staff. If interested, contact Dr. Goldberg or Danielle at Milford Smiles (508) 473-7632 or email [email protected]. HYGIENIST WANTED for Saturdays in our group practice in Worcester. If interested, please email [email protected] or call (508) 798-0627. PERIODONTIST needed 1 to 2 days a week in multispecialty office with two locations. Please respond to MDS Box 1277. MDS Connection SEEKING AN ASSOCIATE dentist to join our state-ofthe-art practice on Cape Cod. We have a well-established practice with a vision and tradition of providing excellent comprehensive oral health care and exceptional customer service. Achieving this objective requires a commitment to continuing education as well as exceptional technical and communication skills. This is a unique opportunity to live and practice in a wonderful area—great lifestyle, beautiful beaches, and access to major metropolitan areas. Please email [email protected]. DENTAL OFFICE IN METROWEST AREA seeking experienced orthodontist to replace retiring orthodontist. Schedule would be one day per week in a busy multispecialty practice. Experience with Invisalign a must. Please send resume to MDS Box 1279. WELL-ESTABLISHED DENTAL PRACTICE on the beautiful seacoast of New Hampshire. Looking for an associate to join our team (part- or full-time). Proficiency in endodontics a plus. Practice was established in 1957 with it being a father-and-son team for 29 years. Currently, there is one dentist, 5 hygienists, one front desk person, one floater, and an office manager. It is a general family practice specializing in implants, operative, esthetic, crown, bridgework, all extractions, and prosthetic. Contact Dr. Paul E. Harvey Jr., 610 Islington Street, Portsmouth, NH 03801, or email [email protected]. PERIODONTIST WANTED two days per month in established family practice 30 miles north of Boston. Surgery and implant placements. Contact MDS Box 1276. DENTAL DIRECTOR—Seeking a board-certified dentist who will provide leadership, management, and coordination of our multispecialty, multi-site dental operation. Responsible for budget forecasts, provider productivity, and patient safety. A dental degree from an accredited school of dentistry, current MA dental license in good standing, CPR certification, valid MA controlled substance/DEA licenses required; three to five years dental management or supervisory experience, preferably in a federally qualified health center site serving a medically underserved population. Position requires travel to HHC sites, demonstrated ability to effectively manage a large multispecialty dental practice, and excellent written and verbal communication skills. Ability to document care in an electronic dental record required. Demonstrates and maintains attitude, knowledge, and skills necessary to work respectfully and effectively with patients, community partners, and staff in a culturally diverse work environment. We offer a competitive salary and benefits package and a Monday through Friday work schedule. Please forward resumes to: Holyoke Health Center, P.O. Box 6260, Holyoke, MA 01041, Attn: Human Resources Director. EOE/AA. PART-TIME ORAL SURGEON needed in West Springfield location. We are looking for an individual to take the load of the general office demands for extractions and implants. Knowledge of implants a must. Please respond to [email protected]. GENERAL DENTIST WANTED—Looking for a personable general dentist to associate in private practice, full time (Monday–Thursday, 8-5), with buy-in potential. Some experience is preferred, although will consider all experience levels. We have two locations. (Malden, MA/Milford, NH); both are easy commutes from Boston. Ideally would like to split time, although will consider alternatives. Offices are quality driven, modern, well kept, equipped with digital X-ray and cameras, and getting close to going paperless. Compensation is negotiable. Please email [email protected]. GENERAL DENTIST AND SPECIALIST WANTED—Be part of a large, growing multispecialty dental practice with multiple sites in the Boston area. Brand-new facilities and dedicated team committed to exemplary service and best quality outcomes. Competitive compensation and benefits. Residency training preferred. Please respond to MDS Box 1274. May - June 2013 MASSACHUSETTS—NORTHBOROUGH. Looking for a highly motivated and energetic pediatric dentist for a part-time position with long-term potential. We are a friendly, quality-oriented dental practice with a diverse patient base providing a variety of dental services, including pediatric dentistry, orthodontics, and general dentistry. Our staff is well-trained and long-standing. We have new dental equipment, digital X-rays, and are chartless. Our practice is located 30 miles west of Boston. Opportunity is open to new or recent graduates, as well as experienced clinicians. Massachusetts dental license required with intent to secure board certification. Interested individuals should email a resume and cover letter to [email protected]. Visit our website at www.mychildrensdentist.com. ARE YOU A GREAT DENTIST? If you have the ability to treatment plan and connect with patients, you will be a top earner with our ample patient flow. Gentle Dental of Massachusetts has a 30year history of success with 27 multispecialty practices, with our newest location in Nashua, NH. We handle non-clinical headaches to allow you to focus on patient care and your lifestyle. You will earn more in our practices. Partnership is available. Send your CV to Dr. Sam Shames or Gretchen Bufo at [email protected]. SEEKING PART-TIME PEDIATRIC DENTIST with long-term potential for well-established, multidisciplinary, private practice in Boston suburb. We have two locations, well-trained staff, and a friendly work environment. Guaranteed salary, excellent compensation and benefits. Visit our website www.chestnutdental.com. Please contact Peter at (781) 444-6650 or email pmcnicholas@ chestnutdental.com for more information and to send your resume. PEDIATRIC OFFICE LOOKING FOR A PEDIATRIC DENTIST to join their team. Full-time and parttime positions available; modern office located in the Metrowest area. Candidate must possess great clinical and people skills. Guaranteed base associated with a 40 percent of collection reconciliation. Please email resume to aylabellucci@ yahoo.com. GENERAL DENTIST—FT associate dentist position available for Holyoke, MA, office. Guaranteed starting salary plus production-based bonus. No weekends; one evening. Ownership potential. Looking for a team player who’s good with patients and staff. Send resume to: info@oakdale dental.com. JOB OPPORTUNITIES WANTED PERIODONTIST—Experienced, kind, and empathetic, to work in your practice, part time with flexible scheduling. Experienced in extractions, implants (many systems), osseous surgery, and grafting, as well as nonsurgical modalities. Please call (781) 956-9152 or email [email protected]. BOARD-CERTIFIED PERIODONTIST seeking a position in Boston or surrounding areas, 1-2 days a week. Trained and experienced (5-plus years) in nonsurgical and surgical treatment, including implant, sinus, GBR, mucogingival plastic surgery, IV sedation, and third molar extractions. Good work ethics and interpersonal skills. CV and references are available upon request. Please contact [email protected] or call (617) 448-3756. PRACTICES/OFFICES FOR SALE OR RENT NORTH OF BOSTON—Exquisite turn-key office minutes from Routes 495 and 93. State-of-theart, digital, paperless, esthetically beautiful, less than 1.5 years old. Two ops with two additional plumbed. Active patient base with tremendous growth potential. Asking $550k. Metro-Boston area, part-time perio practice, $50k. General practice with enormous potential in outstanding location, $90k. Email [email protected] for information. NEW OFFICE ON A BUSY STREET IN WATERTOWN area looking for a specialist to rent one or two operatories twice a week. Flexible days. Call office at (617) 600-3442. TURNKEY DENTAL OFFICE CONDOMINIUM IN THE BACK BAY for sale or lease. Located in the prestigious Windsor complex at 390 Commonwealth Ave. in Boston, this offering is complete with deeded condominium and dental/office equipment. The 1,592-sq.-ft. condominium features three fully equipped dental operatories, exam room, laboratory, kitchen, waiting room, reception, records room, three consultation offices, and two bathrooms. Two deeded parking spaces available. Steps to the Hynes Auditorium Green Line station, Prudential Center, Newbury Street, and Mass Pike. $875K. Contact Chuck Hinds, Group Boston Real Estate., at chinds@ bostonrealestate.net or (617) 407-0574. DOWNTOWN MELROSE—467 MAIN STREET. 1,700 sq. ft. available with six renovated offices with windows. Great location, medically zoned. Public parking, and on bus route. Contact Steve Cefalo Real Estate at (781) 789- 5808. PERIODONTAL PRACTICE FOR SALE—Prime South Shore location 20 miles from Boston. Newer 1,584 sq. ft. class-A space. Two equipped R-H rear delivery operatories with three additional plumbed. Office condominium available for purchase or lease with option. Transition for retirement. Please respond to MDS Box 1270. AVAILABLE IMMEDIATELY—Belchertown medical office space for lease. One of the fastest-growing residential communities. Perfect for dental use. Street level and handicapped accessible. Main road with good visibility. Large parking area. 1,200-plus sq. ft. available with expansion potential on site. Recently renovated. Please contact bikervet2358@ gmail.com. WORCESTER DENTAL OFFICE CONDOMINIUM for sale in professional building. First floor,1,733 sq. ft., located near Elm Park. Furnished or unfurnished. Five treatment rooms, private office, sterilization and extra labs, business area, storage space, reception room, two bathrooms. Free parking on premises. Contact by email: [email protected]. ISN’T IT TIME YOU KEEP WHAT YOU PRODUCE FOR YOURSELF? Merrimack Valley dentist relocating South. Beautiful, turnkey, high-tech practice 30 years-old, priced to sell; owner motivated, serious inquiries only. Perfect satellite or start-up for an associate who wants to go out on his/her own and still keep the security of his/her current position a couple of days a week. Extremely low overhead. Loyal staff. Own a beautiful office with CEREC, I/O cameras, Shick Digital, Eaglesoft, workstations in every room, Odyssey Laser. Newly renovated. Much more. 2012 production $430K on average 24-hour week. Endo a plus. Reply to merrimacvalleydentalpractice@ comcast.net. BEACON STREET, BROOKLINE—One equipped operatory available in three-op ground-level brownstone office. General practice. Parking space. Share rent, overhead, staff, and hygienist. Possible buyin for right person. If interested, please contact [email protected]. MARSHFIELD—Space for lease. Office and medical location with easy access, quality, and location. Ideal for dental or other medical use. $13/sq. ft. 57 Forest Street. Contact Molisse Realty Group Commercial Division at (877) 631-0444. DENTAL OFFICE BUILDING FOR SALE—Office and dental equipment available with building for dentist or specialist. 850-sq.-ft. brick building. Great opportunity for start-up. Municipal parking, busy street. Three chairs. Putnam, CT, 20 minutes from Worcester. Call (781) 223-6035. EXCELLENT LOCATION FOR DENTAL OFFICE—Route 28, Randolph. Lease a former dental office. Built out and plumbed. First floor with great parking. Four treatment rooms, secretary and waiting area, private administrative office, private bathroom, and much more. Nice, bright, professional space. Easy access off Routes 128/95 and 24. Call MST Properties, Inc., at (781) 249-9555. PERFECT OPPORTUNITY FOR A GENERAL DENTIST OR PERIODONTIST to purchase and/or merge into an existing modern and digitized perio office. Selling doctor is willing to workback a few days a week and mentor the right buyer. Located in Bristol County, this office produces close to $600K with a very high hygiene efficiency ratio. For information on this practice, contact Tyla Permenter at tyla@ paragon.us.com. PERFECT MERGER OPPORTUNITY IN BACK BAY/ BEACON HILL. Practice is ideally suited to merge into an existing practice in the area. Production is over $300K per year and existing practitioner will workback a few days as needed to transition the goodwill. Please call Tyla Permenter at Paragon Dental Practice Transition at (860) 751-2282 for inquiries regarding this practice opportunity. NEW ENGLAND PRACTICE TRANSITIONS—Maine: Mid-Coast/Rockland/Camden–Buy-in opportunity. Massachusetts: HAVERHILL–3 ops, collections $200K, RE available; South Shore–Ortho practice, collections $422K, works 3 days/week, 2,000-sq.-ft. condo avail for sale or lease; Canton–Gross $200K, 2 ops, RE available; Braintree–Great South Shore location, 3 ops. Hudson–Great opportunity for growth, gross $454K, 3 ops plau 1 plumbed and ready to go. New Hampshire: Nashua area–Great opportunity, home office, 4 ops; Concord area–Modern, established, busy general practice, 4 ops, newer equip, RE avail for sale with private parking lot, gross $1.4M; Littleton–5 ops, gross $600K, modern office, RE avail for sale or lease; Seacoast area; Manchester area–3 ops w/ room for fourth, gross $800K, RE avail, new and modern equip. Vermont: Central VT–Gross $783K, 5 ops, new equip, digital, RE avail. Call (888) 888-6506 or visit www.newenglandpracticetransitions.com for more details. MEDFORD DENTAL OFFICE for sale or lease. Fully built-out. Includes income-generating two-bedroom apartment located on busy Route 60. Dental office: approx. 1,700-sq.-ft. build-out includes 4 ops, 2 bathrooms, 2 private offices, staff lounge, large reception room, lab, bus office, full basement. Ample on- and off-street parking. Great opportunity for recent graduate or experienced dentist looking to expand or relocate. Call (617) 548-3819 for details. WORCESTER—Mature practice with 2012 collections of $554K. Seller wants to retire; 900 active patients within the last 24 months. Approx. 1,400-sq.ft. office in medical professional building with four ops. Built in 2007. Contact [email protected]. OFFICE FOR LEASE IN LYNN—Small comfortable office with three operatories, possible expansion, free-standing building. Private parking for a doctor, all equipment included, immediate occupancy. If interested, please contact MDS Box 1278. HERE IS A CHANCE FOR A NEW DENTIST OR SPECIALIST to start a nice practice, very inexpensive. We have a newly renovated location in Framingham, with four ops, lab, X-rays, X-ray developer machine, and all office furniture. We bought a new location, and instead of moving the equipment, we prefer to sell it to a start-up dentist or a specialist. You will be ready to see patients the next day. Patients not included. Email [email protected] or call (508) 740-6846. FOR RENT—Operatories in a brand-new, stateof-the-art dental office at 1842 Beacon Street in Brookline. Lab on premises. Call Dr. Gavriel Shohet MDS Connection at (617) 232-2652. Dr. Shohet is an implant specialist, prosthodontist, periodontist, and professional technician, and will assist as necessary. Possibility to purchase in 4-5 years. PRACTICE FOR SALE—SOUTH BOSTON. Retired dentist is selling a controlling 51 percent interest in a seven-chair busy office with strong marketing techniques to bring in new patients and recall existing ones. $155K and financing is easily arranged by us if your personal credit is fine. The practice will pay your note and we split profits, 51 percent to you after all expenses plus your dental salary. You will be clinical supervisor and run the practice day to day with experienced staff we have. 100 percent buy-out possible in three years. Please call John at (978) 621-3501. DENTAL OFFICE FOR SALE—Satellite practice for past 25 years in Dracut, MA, for sale. Excellent small entry-level or second office opportunity. Financing available. Please contact Dorothy at (978) 448-5523. GENERAL DENTISTRY PRACTICE FOR SALE IN BANGOR, MAINE. Busy family practice with a dedicated staff and very loyal patients offers the opportunity to live, work, and play in America’s vacationland while enjoying all the amenities that historic Bangor has to offer. Yearly collections over $870K. Mutual confidentiality appreciated. Please respond to [email protected]. BLUE HILLS MEDICAL CENTER, 340 Wood Road, Braintree, MA. Excellent practice opportunity. 3,000 sq. ft. (can be subdivided). Adjacent medical offices: Milton Pediatrics (14 pediatricians), Blue Hills Medical Associates (9 MDs), Blue Hills Eye Associates, and several other health care specialists. Contact Jay Hirsh at (781) 740-1360. SERVICES PROFESSIONAL PRACTICE COVERAGE SINCE 1996. Personal, maternity, and disability leaves are our specialty. We know how. Keep your cash flowing, and overhead covered. Short notice okay. Fee is standard percent of production. All inquiries utterly confidential. Some on team seek partnership or buy-in. Join us. Host pays our fee. Doctors Per Diem. Register online at www.doctorsperdiem.com/register. Call (800) 600-0963 or email [email protected]. ARE YOU LOOKING TO BUY OR SELL A DENTAL PRACTICE? Are you looking for new ways to improve and grow your practice? Look no further than Command Dental Strategies. We specialize in acquisitions, transitions, consulting, and web design/ Internet marketing. Our group of dental business specialists is here to assist you in every aspect. We are at your command—what can Command do for you? For more information, call (774) 289-8411 or www.dentistrybrokers.com. NEED TECHNICAL SUPPORT? Soholistic Networks can help you. We have experience working with dentists and dental systems such as Easy Dental and Dexis, helping our clients replace computers, put in networks, prepare security, configure backups, and set up remote access. We are good at keeping our customers out of trouble, and fast and responsive when trouble happens. Contact us for a free consultation (worth $250). References available on request. Contact Ted Barnes, [email protected], www.soholistic.net, 888-SoHoNet (888-764-6638). LOCAL ANESTHESIA CERTIFICATION COURSE— Middlesex Community College, Lowell. This course is recommended for the RDH who would like to become certified in local anesthesia. This course complies with the Massachusetts Board of Registration in Dentistry regulations for the administration of local anesthesia. At completion, RDH will be able to administer safe, effective, and painless local anesthesia with confidence and competence and be prepared to take the NERB exam. The course consists of a 50-hour online study prior to the three-day clinical with 30 injection experiences. Clinical dates: October 12,13,14, 2013. Enrollment: July 8–August 28. Complete info: www.middlesex.mass.edu/ careertraining/dhla.aspx or please email morins@ middlesex.mass.edu. MASSACHUSETTS DENTISTS’ ATTORNEY—Experienced, affordable dentists’ legal services, including practice purchases, sales, and formations, licensing & discipline, partnership & associate contracts, other contracting, real estate, insurance, and estate planning. Initial telephone consultation without charge. Steven H. Jesser, Attorney at Law, PC. (800) 4240060, (617) 421-0020 (Boston), (847) 212-5620 (mobile), [email protected], www.sjesser.com. BUYERS—We offer more than 25 years of dental experience in the Greater Boston area to provide you with confidential professional advice to help locate and finance the proper practice for you, the buyer. We will guide you and the seller through the entire process, helping to structure a transition that makes sense. Because a practice worth buying should not have to be advertised, we have never had to advertise a practice. We make every attempt to show you only those practices that may be of interest to you, and all fees are paid by the seller. Please contact Arthur B. Gordon, Northeast Dental Consulting, Ltd. at (978) 774-2400. Fax: (978) 7501444. Email [email protected]. LOOKING FOR WORK OR NEED HELP IN YOUR PRACTICE? Dentists, dental assistants, dental hygienists, reception, office managers available now. Shortterm now, long-term soon. First three matches are free, then only $9.95 per match. Set up a worker or practice account today; go to: www.smileworkers.com. SELLERS—If you are considering the sale of your dental practice, we offer more than 25 years of dental experience to provide you confidential expert advice. We work closely with you, the seller, and your professional advisors to help mediate a transaction that makes good common sense while keeping professional fees as reasonable as possible. We take pride in the fact that we have never had to advertise a practice in order to sell it. We have sold some of the premier practices in the Greater Boston area and we look forward to helping you. Please contact Arthur B. Gordon, Northeast Dental Consulting, Ltd. at (978) 774-2400. Fax: (978) 7501444. Email [email protected]. H-1B VISA APPLICATIONS—Petitions for transfer, extension, and concurrent employment under H-1B Visa, $995 plus filing fees. New H-1B Petitions $1,295 plus filing fees. Experienced and efficient service, evening appointments or we can come to your office. The Law Offices of Anthony J. Voci at (781) 237-3030. SEEKING PRACTICES WANTED TO RENT IN WEST SUBURBAN BOSTON— Prosthodontist, fluent in Itero CAD/CAM, seeks space in existing dental practice. Requires two operatories. Will bring own equipment and patients. Contact [email protected]. Summer Hours The MDS is adopting summer hours on Fridays during the summer season. From May 24 (Memorial Day weekend) through August 30 (Labor Day weekend), MDS headquarters will operate from 7:30 a.m. to 3:00 p.m. on Fridays. The office will maintain normal business hours Monday through Thursday. www.massdental.org 11 Members in the Spotlight YDC 2013 Student Poster Contest Winners Students from area dental schools presented student table clinics at Yankee Dental Congress 2013. Winners were honored at an awards ceremony held on March 15, 2013, at the Harvard Club in Boston. The awards were sponsored by the American Academy of Dental Science (AADS). Post-Doctoral Division Khadijah Turkistani (Harvard School of Dental Medicine) From left: WDDS Trustee Dr. Edward Swiderski, Dr. Abraham Haddad, and MDS Executive Director Dr. Robert Boose Worcester periodontist Abraham W. Haddad, DMD, received the Isaiah Thomas Award at the Worcester Telegram & Gazette' s 2012 Visions Community Awards on March 11, 2013. The award is given to an outstanding citizen in Central Massachusetts who has volunteered his or her time and abilities to improve the quality of life in the Worcester area. By his own estimation, Dr. Haddad has donated more than 15,000 hours to community service, including working with the American Heart Association, the Greater Worcester Community Foundation, and the Worcester Art Museum. Dr. Haddad has also devoted his time to organized dentistry. He currently serves as editor of the Worcester District Dental Society (WDDS) and has been instrumental in communicating MDS legislative priorities to Worcester-area legislators, including the recent non-covered services bill. In presenting the award, Telegram & Gazette Editor Leah Lamson noted that “Abe knows how to get things done.” From left: EOHHS Secretary John W. Polanowicz, Department of Social Services Commissioner Dr. Elin M. Howe, and Dr. Steven Perlman Steven P. Perlman, DDS, MScD, was honored with the 2013 Allen Crocker, MD, Health Services Award from the Massachusetts Department of Developmental Services. Dr. Perlman is a pediatric dentist in Lynn and clinical professor of pediatric dentistry at the Boston University Henry M. Goldman School of Dental Medicine. The award honors an individual or organization that advocates for patients with developmental disabilities. In addition to being co-founder and president of the American Academy of Developmental Medicine and Dentistry, Dr. Perlman is past president of the Academy of Dentistry for Persons with Disabilities and the Massachusetts Academy of Pediatric Dentistry. He is also known for his extensive work with the Special Olympics. In 1993, he founded the Special Olympics Special Smiles Program, which provides free oral health screenings to Special Olympics athletes worldwide. “Epidemiological Estimates and Outcomes of Cleft Lip/Cleft Palate Procedures in the United States” Pre-Doctoral Division Sean O’Brien (University of Connecticut School of Dental Medicine) “Activation of EGFR Signaling Promotes Articular Chondrocyte Hypertrophy and Cartilage Matrix Degradation” Dr. Berdj Kiladjian and Dr. Abol Tehrani (left) and AADS President Dr. Patricia Brown and Dr. Phillip Millstein (right) flank award recipients Melanie Jones, Dr. Khadijah Turkistani, and Maureen O’Hern. Hygiene Division Maureen O’Hern and Melanie Jones (Mt. Wachusett Community College) “Stem Cell Therapy for the Regeneration of Periodontal Tissues” MDS Mourns Passing of Dr. Norman Diamond MDS Past President Dr. Norman H. Diamond of Newton passed away on February 27, 2013. Dr. Diamond, who served as president in 1994–1995, was an orthodontist who maintained a practice in West Roxbury before his retirement. A veteran of the U.S. Navy Dental Corps, Dr. Diamond was very active in organized dentistry and the Society. In addition to serving as MDS president, he held the offices of vice president and president-elect, and was a longtime delegate to the MDS House of Delegates. In 1989, he was chair of the MDS 125th Anniversary Committee. A member of the Metropolitan District Dental Society (MDDS), Dr. Diamond held many positions, including chair, vice chair, and secretary, and he served as MDDS representative on the MDS Peer Review and Constitution and Bylaws Committees. He was also active with the Yankee Dental Congress, serving as registration chair and chair-elect multiple times in the 1970s and 1980s. A cum laude graduate of Tufts University School of Dental Medicine—he received his DMD in 1957 and a Certificate in Orthodontics in 1964—Dr. Diamond stayed close to his alma mater. He was a clinical instructor in oral diagnosis and associate professor of orthodontics, and served as 25th Reunion co-chair for his class, as well as president of the Tufts Association of Orthodontists. New Form I-9 Now Required for New Hires Effective May 7, 2013, employers are required to use the new Form I-9 for all new hires. Form I-9 is used for verifying the identity and employment authorization of individuals hired for employment in the United States. Prior versions of Form I-9 will no longer be accepted. According to the Department of Homeland Security’s U.S. Citizenship and Immigration Services (USCIS), all U.S. employers must ensure proper completion of Form I-9 for each individual they hire for employment in the United States, including both citizens and noncitizens. The form must be completed by both employees and employers (or authorized representatives of the employer), and the employee must attest to his or her employment authorization and must also present his or her employer with acceptable documents evidencing identity and employment authorization. While the form is not filed with the USCIS or any government agency, employers are responsible for completing and retaining the form for a designated period and making it available for inspection by authorized government officers when requested. There is no fee to complete the form. For more information and to obtain the new I-9 form, visit www.uscis.gov and click on “I-9 Central” on the right side of the page in the “Verification” Section. If you have any questions, contact the MDS at (800) 342-8747.