Quiz Questions

Question 1

1. Having dental benefits is not a significant reason that patients seek dental care.
2. Without dental benefits, patients are very unlikely to go see a dentist unless it is an emergency.

Answer 1

1. False

2. True

Question 2

When comparing Fee for Service (FFS) reimbursement to a Managed Care model, which statement is false?

a. Fee for Service continues to be the most common and most available reimbursement model. A high majority of plans are FFS.
b. With Fee for Service reimbursement plans, patients can choose to see the dentist of their choice.
c. With the Managed Care reimbursement model, reimbursement levels are controlled
d. Traditional Fee for Service Indemnity insurance is on the way out of the marketplace.
e. Benefits paid on behalf of the patient can differ depending on whether a dentist has agreed to participate in a Managed Care plan or has chosen not to participate

Answer 2

A

Question 3

Which statement is True about Indemnity Insurance?

a. The insurance company is financially at risk
b. Patients are not liable for any unpaid balance after insurance has paid
c. The dentist signs a contract with the insurance company in order to be able to see a patient covered by that particular insurance
d. Patients are financially incentivized to see a dentist on the insurance companies provider list
e. Reimbursement is based on the fees set by the insurance company

Answer 3

A

Question 4

Which statement is True about Indemnity Insurance?

a. The insurance company is financially at risk
b. Patients are not liable for any unpaid balance after insurance has paid
c. The dentist signs a contract with the insurance company in order to be able to see a patient covered by that particular insurance
d. Patients are financially incentivized to see a dentist on the insurance companies provider list
e. Reimbursement is based on the fees set by the insurance company

Answer 4

A

Question 5

Which statement is False regarding Preferred Provider Organizations (PPO’s)?

a. Dentists sign a contract with the PPO and typically agree to accept fee discounts of 20-30% of “normal” office fees
b. When dentists contract with a PPO, they agree that the PPO payment for services rendered will be considered payment in full
c. Patients must go to a dentist on the list of “preferred provider” dentists that are part of the PPO plan
d. Many PPO’s now set for services they do not actually cover. Ohio House Bill 95, known as the non-covered services legislation and sponsored by the ODA, has passed the Ohio House of Representatives. Once passed by the Senate and signed by our Governor, this practice will by unlawful thanks to efforts by the ODA on our behalf.

Answer 5

C

Question 6

1. Any dentist considered contracting with a PPO or Capitation plan could benefit from a knowledgable and objective review of the contract before it is signed.
2. The Ohio Dental Association provides this PPO/Capitation contract review at no charge to ODA members.

Answer 6

Both True

Question 7

1. Most new associateships are successful because they are all well planned out.
2. A contract between the associate and the practice owner is not generally recommended before they work together for a while and see how things work out.

Answer 7

Both False

Question 8

Regarding associateships, which statement is False:

a. Practice owners bring in younger associates to attract younger patients to become new patients of the office.
b. Often, associates are brought into a practice that does not have enough patients to support two doctors, so the associate essentially builds a practice within the current practice.
c. Even without a contract in place, the practice owner will take into account the role the associate played in the increased value of the practice and that will be reflected in the purchase price.
d. It is common for an associate to sign a “covenant not to compete”
e. A covenant not to compete may be very limiting if you desire to continue to live in the community but want to leave the current practice for another opportunity

Answer 8

C

Question 9

Key elements of a properly planned associateship include all of the following except:

a. a well designed and well communicated plan
b. a comprehensive contract between the practice owner and the associate
c. enough patients to keep the practice busy while the associate builds his/her own practice
d. decide if the end result of the associateship will lead to practice ownership
e. decide the timeline of the transition

Answer 9

C

Question 10

1. Practice ownership can take many forms from full (100%) ownership to a 50:50 ownership arrangement. Even a minority ownership relationship of

Answer 10

1. False

2. True

Question 11

1. Good debt provides the necessary funds to acquire an appreciating asset and also provides necessary immediate income.
2. Starting a practice from scratch will most likely new $200,000 to $500,000 more income in the first 5 years of practice if an existing practice was purchased.

Answer 11

1. True

2. False

Question 12

Please select the statement that is False regarding employees:

a. All profits and business generated go to the employer
b. The employer can assign patients and set working hours
c. You work for someone else
d. Taxes are not withheld
e. Fees charged to patients are set by the practice owner

Answer 12

D

Question 13

1. In Ohio, employers are obligated to provide fringe benefits to employees
2. A contract is required for either an employee or an independent contractor

Answer 13

1. False

2. True

Question 14

1. Being a dentist ‘employee at will’ is a desirable relationship for the employee dentist and is also beneficial for the practice owner.
2. Staff employees are not ‘employees at will’

Answer 14

Both False

Question 15

When considering entering an employment relationship as an associate dentist with a practice owner, several aspects must be considered before a decision is made to join the practice.

Please select the statement that would be the least important consideration:

a. Practice philosophy and approach to patient care
b. Discuss and agree on a compensation package
c. Practice facility including age of dental equipment
d. Decide if the position will be as an employee or independent contractor
e. Negotiate fringe benefits and non-compete clause

Answer 15

C

Question 16

Please select the statement that is False:

a. Under ‘assignment’ provisions in an associate dentist contract, it is possible that the associate dentist and their contract could be reassigned to a new owner of the practice without an negotiation
b. Termination notice is often 45-60 days, but should not be less than 30 days unless something egregious occurred that requires immediate dismissal
c. Contracts can always be ended by mutual agreement
d. Restrictive Covenants are generally enforced in Ohio
e. Restrictive Covenants give the practice owner an unfair advantage over the employee dentist’s choice in practice location after they leave the practice to go to a new location.

Answer 16

E

Question 17

The Ohio State Dental Board (OSDB) enforces the laws and regulations pertaining to the practice of dentistry in Ohio. Violation of the OSDB rules may lead to discipline. Please select from the list below the item that would NOT be an appropriate reason of the OSDB to recommend discipline:

a. standard of care violations
b. failure to renew liscense
c. infection control violations
d. substance abuse
e. workplace safety violations

Answer 17

E

Question 18

1. Mr. Owisany receommended that if an OSDB inspector comes to your office you should be cordial and provide only info that is asked for. Do not volunteer info.
2. As dental professionals, we have an obligation to treat patients and cannot discriminate in any way

Answer 18

Both True

Question 19

When terminating a dentist/patient relationship, please select the statement that is false:

a. termination can happen at any time during the dentist/patient relationship: before, during or after treatment is completed
b. you must terminate the relationship in writing
c. send the termination letter via certified mail or traceable email
d. inform the patient of their right to a copy of the patient record or offer to send the record to another office
e. you must make emergency service available for a reasonable period of time (30, 60, 90 days) to avoid abandonment claims

Answer 19

A

Question 20

1. Do not transfer patient records unless the patient has signed a written release form requesting the transfer
2. If a patient requests original documents and not copies, you must transfer the originals

Answer 20

1. True

2. False

Question 21

1. We have an obligation to report suspicion of abuse and neglect to minors. If reported in good faith, we have immunity from the legal proceedings against us.
2. Although we have an obligation to report gross or continued faulty treatments by another dentist, Mr. Owsainy encouraged that you shouldn’t jump to conclusions on the apparent quality of care. Perhaps the perceived lesser quality of care or incomplete treatment plan was what the patient wanted.

Answer 21

Both True

Question 22

1. Protected Health Information (PHI) is individually identifiable health information that is:
   - transmitted by electronic media
   - maintained by electronic media
   - transmitted or maintained in any other form or medium
2. A culture of cyber security for a business includes systems that apply security tests and standards to all aspects of the business including PHI, Financial data, intellectual property, and Employee data

Answer 22

Both True

Question 23

Listed below are several legitimate reasons why we should protect health information. Please select the one that would not be a good reason to protect PHI

a. to prevent potential harm to patients by allowing their health information to get into the wrong hands
b. to make it more difficult to share information with other health providers or insurance companies even if it affects patient care
c. to help avoid Federal, State and/or Local fines if there is a breach
d. to reduce lost work time, loss of equipment and minimize recovery costs in the event of a breach
e. to minimize chances of damage to your personal or your business reputation if a breach becomes public

Answer 23

B

Question 24

A ‘hacker’ might gain access to your computer or network by a virus or malware. Ways to help counter this from happening are all the following except:

a. don’t open unknown emails or pop-ups
b. use anti-virus/anti-malware scans at least weekly
c. schedule to run full anti-virus/anti-malware scans at least weekly
d. train your staff in cyber security issues
e. turn your computers off wen you are not in the office

Answer 24

E

Question 25

1. Perhaps the best way to prevent significant damage or costs to fix your computer network is to back up your system daily (nightly) using Back Up software on-site, off-site or both.
2. Theft of hardware (laptops, tablets, flash drives) can lead to an unintended breach, therefore systems must be in place to minimize the threat of theft in your office

Answer 25

Both True

Question 26

Ways to prevent theft or minimize the potential damage resulting from theft would be:

a. employee cyber awareness training
b. use of encrypted devices
c. facility locks and alarms
d. separate computer log in codes for each employee and systems in place for accountability if not following office protocols
e. all of the above

Answer 26

E

Question 27

Please select the correct answer:

a. according to dentistry IQ, 3 out of 5 dentists will be embezzlement victims
b. according to the US Dept of Justice, 80% of the nations employees will steal from their place of employment when no active monitoring is present
c. over 25% of those dentists victimized by embezzlement had been embezzled from on a prior occasion
d. only A and B are True
e. A, B, and C are True

Answer 27

E

Question 28

Traits of the embezzler include all of the following except:

a. they are very proficient at their job and are very hard working employees, often to the point of working extra hours and taking work home
b. they are extremely well liked by other staff and by the patients. They are one of the family
c. they easily share responsibilities and work duties with other employees and are great team players
d. they rarely take time off and prefer to let the work wait to get done until they return so there is continuity in the task and no confusion
e. they can be extremely defensive when questioned about irregularities and always have a plausible excuse for missing funds or imbalances

Answer 28

C

Question 29

There are many easy ways to embezzle and not easily get caught. Please select from the list the Least likely way to be successful when attempting to embezzle and most likely way to get caught:

a. falsify expense accounts by ordering unneeded supplies, then returning them and cash the refund check
b. print unauthorized checks made out for cash, forging the dentists signature and cashing the check
c. create fictitious vendor accounts. The practice writes a check to a company that sounds and look legitimate on the books, but the check is deposited into the embezzlers account.
d. paying an actual vendor twice, then claim it was a clerical error, then requesting a refund sent to the embezzler who cashes the check
e. fraudulent use of a signature stamp of the dentists signature

Answer 29

B

Question 30

Since embezzlement is so prevalent, office systems need to be set up to deter the possibility of it occurring. Please select from the list below the one statement that would NOT be a policy of your office to avoid embezzlement.

a. Make it clear when an employee is hired that embezzlement of any kind will not be tolerated and will be cause for immediate termination and prosecution.
b. have all employees sign the office policy of acknowledgement of embezzlement rules
c. be sure that only your office manager handles all of the practices finances so others won’t be tempted to embezzle
d. run a credit check on all potential employees to see how they handle their own money
e. have a background check done on potential employees done by a private company, even though 90% of dental practices do not do this

Answer 30

C

Question 31

1. A good way to prevent or minimize embezzlement is to have checks and balances in your office like separating financial duties between cross-trained employees, and rotating their responsibilities
2. A decrease in collections, a decrease in an employees job performance or evidence of significant lifestyles changes like living beyond the employees means (or salary level), might indicate embezzlement and should be investigated.

Answer 31

Both True