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Practice Management > Quizzes- PM3 > Flashcards

Quizzes- PM3 Flashcards

1
Q

True or False: Protected Health Information (PHI) does not include oral communication.

A

False

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2
Q

True or False: A culture of Cyber Security for a business includes systems that include all aspects of the business including PHI, Financial Data, Intellectual Property and Employee Data.

A

True

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3
Q

True or False: The penalty for violation of the Health Insurance Portability and Accountability Act (HIPAA) is $100-50,000 per violation with an annual maximum up to $1.5 million.

A

True

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4
Q

True or False: According to Mr. Howell, 80% of large data breaches began with an employee.

A

True

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5
Q

True or False: HIPAA rules mandate staff training in securing PHI.

A

True

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6
Q

True or False: OSHA, the Occupational Safety and Health Administration is most concerned with patient safety through workplace rules.

A

False, OSHA is for employees!

“occupational” is a clue

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7
Q

True or False: ODH, the Ohio Department of Health, is the agency concerned with the radiology equipment in a dental office including the dental radiographers license for dental assistants.

A

False, State Dental Board

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8
Q

True or False: Ohio EPA, the Ohio Environmental Protection Agency, is the agency that sets the rules for dental office infectious waste disposal including the rule that all “sharps” containers must be properly sealed, labeled, weighed and disposed of by a licensed contractor.

A

False: EPA is infectious waste and only >5 pounds need special disposal

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9
Q

True or False: OSDB, the Ohio State Dental Board, has as its mission to advocate for dental office employees to ensure their safety.

A

False, OSDB = patients, OSHA = employees

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10
Q

True or False: The practice owner is the one person required to know the legal obligations that occur with regard to the dental practice, not necessarily the staff or other non-owner dentists.

A

True

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11
Q

True or False: Having dental benefits is not a significant reason that patients seek dental care.

A

False

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12
Q

True or False: Fee for Service continues to be the most common and most available reimbursement model. A high majority of plans are FFS.

A

False

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13
Q

True or False: With Fee for Service reimbursement plans, patients can choose to see the dentist of their choice. With the Managed Care reimbursement model, reimbursement levels are controlled

A

True

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14
Q

Which statement is True about Indemnity insurance (aka: FFS)?

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

-The insurance company is financially at risk

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15
Q

True or False: Patients must go to a dentist on the list of “preferred provider” dentists that are part of the PPO plan.

A

False

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16
Q

Many PPO’s now set fees for services they do not actually cover. Senate Bill 87, known as the ______ __________ and sponsored by the ODA, is being considered now. Once passed by the Senate and signed by our Governor, this practice will be unlawful thanks to efforts by the ODA on our behalf.

A

non-covered services legislation

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17
Q

True or False: Any dentist considering contracting with a PPO or Capitation plan could benefit from a knowledgeable and objective review of the contract before it is signed.

A

True

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18
Q

True or False: The Ohio Dental Association provides a PPO/Capitation contract review at no charge to ODA members.

A

True

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19
Q

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 one item that would NOT be an appropriate reason for the OSDB to recommend discipline:

Standard of Care violations
Workplace safety violations
Failure to renew license
Infection Control violations
Substance abuse
A

Workplace safety violation (would be OSHA)

20
Q

True or False: As dental professionals, we have an obligation to treat all patients and cannot discriminate in any way.

A

False

21
Q

True or False: Termination can happen at any time during the dentist/patient relationship: before, during or after treatment is completed.

A

False

22
Q

True or False: If a patient requests original documents and not copies, you must transfer the originals

A

False

23
Q

True or False: We have an obligation to report suspicion of abuse and neglect of minors. If reported in good faith, we have immunity from legal proceedings against us.

A

True

24
Q

True or False: We have an obligaton to report gross or continued faulty treatments by another dentist. Mr. Owsiany encouraged that you shouldn’t jump to conclusions on the selection of treatment or the apparent quality of care. Perhaps the perceived lesser quality of care or incomplete treatment plan was what the patient wanted

A

True

25
Q

_________ is defined as “The intentional and fraudulent taking of another person’s property by one who has been entrusted with the property for his or another’s own use”.

A

Embezzlement

26
Q

Traits of the embezzler include all of the following Except:

  1. 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.
  2. They are extremely well liked by other staff and by the patients. They are one of the family.
  3. They easily share responsibility and work duties with other employees and are great team players.
  4. 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.
  5. They can be extremely defensive when questioned about irregularities and always have a plausible excuse for missing funds or incorrect balances.
A
  1. They easily share responsibility and work duties with other employees and are great team players.

**hide their secret intentions

27
Q

True or False: Embezzlement often occurs due to lack of proper office systems, checks and balances to make it difficult and inadequate staff training in possible consequences of embezzlement in the workplace

A

True

28
Q

True or False: If an employee falsifies an insurance claim, they are the one held responsible for the fraud, not the practice owner dentist.

A

False

29
Q

True or False: Be sure only your office manager handles all the practice finances so others won’t be tempted to embezzle

A

False

30
Q

True or False: Have a background check done on all potential employees done by a private company, even though most dental practices do not do this.

A

True

31
Q

True or False: Once embezzlement occurs, most dentists file a civil complaint against the former employee and change office policy to help prevent it from happening again

A

False

32
Q

A decrease in collections, a decrease in an employee’s job performance or evidence of significant lifestyle changes like _____, might indicate embezzlement and should be investigated.

A

living beyond the employees means (or salary level)

33
Q

Please select the best definition of Malpractice:

  1. Improper, illegal or negligent professional activity or treatment, especially by a medical practitioner, lawyer or public official.
  2. Medical malpractice occurs when a patient is harmed by a doctor (or other medical professional) who fails to competently perform his or her medical duties.
  3. A doctor’s failure to exercise the degree of care and skill that a physician or surgeon of the same medical specialty would use under similar circumstances.
  4. Deviation from standards of care that results in patient injury or death due to negligent treatment or failure to diagnose and/or treat.
  5. There is no best definition, all the above are good definitions of malpractice.
A
  1. There is no best definition, all the above are good definitions of malpractice.
34
Q 
Please select the options of medical/dental malpractice insurance policies that are available: 
A. Claims-Made
B. Indemnity
C. Occurrence
A and C
All the above
A

A and C

Claims-Made or Occurence

35
Q

With Claims-Made coverage, the policy needs to be in effect when _______.

A

the lawsuit is filed

36
Q

With Occurrence coverage the policy needs to be in effect when _______.

A

the treatment occurred

37
Q

Malpractice coverage limits are generally written by convention as two numbers, for example: $1 million/$3 million. What does each number stand for?

A
  1. The first number indicates how much the insurance company will pay (up to that amount) for the first claim.
  2. The second number indicates the total amount the insurance company will pay (and not exceed) within any given year.
38
Q

True or False: It is important to understand the difference between being an employee and an independent contractor. As an employee, taxes are not withheld.

A

False

39
Q

True or False: In Ohio, employers are obligated to provide fringe benefits to employees.

A

False

40
Q

True or False: A written contract is more important for an employee than an independent contractor.

A

False, both important

41
Q

True or False: Being a dentist “at will” employee is a desirable relationship for the employee dentist and is also beneficial for the practice owner.

A

False

42
Q

True or False: Staff employees are not “at will” employees.

A

False, typically they are

43
Q

True or False: 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.

A

False

44
Q

True or False: 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 any negotiation.

A

True

45
Q

True or False: When considering entering an employment relationship as an associate dentist with a practice owner, several aspects must be considered, including the practice facility and age of the dental equipment.

A

False

Practice Management (4 decks)

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