AAOMS
saving faces | changing lives®
Volume 9, Issue 5
September/October 2011
In This Issue
AAOMS President’s
Column.................................2
Coding Corner.....................8
Treasurer’s Account............18
Calendar.............................22
News Briefs
PAGE 4
AAOMS has joined dental
coalition and Ad Council in a
three-year advertising campaign
to improve children’s oral health.
PAGE 6
The distinctions between Medicare
enrollment options are explained
in Health Policy Perspectives.
PAGE 12
Read the latest on AAOMS
grassroots advocacy and how you
can participate in the OMS Action
Network.
AAOMS Today
Wins ICD Award
AAOMS Today and its
editor, Dr. Daniel M.
Laskin, received the
International College of
Dentists 2011 Newsletter
Award for newsletters
published in 2010. The
award is presented to
“the editor of a newsletter
that demonstrates an
overall quality of graphics,
design and content.”
today A publication of the American Association of Oral and Maxillofacial Surgeons
“Family is where the action is”
O
ne would think that a life
spent in a family with 14
children—eight biological,
six adopted, all between the ages
of nine and 24—would be eventful
enough for most people. But for Dr.
Scott Bulloch, an OMS in private
practice in St. George, Utah, a small
city nestled between the Arizona
and Nevada borders, the process of
building his family was a gateway to
even further adventure.
It all started 11 years ago when
Bulloch read in a Salt Lake City
newspaper about Foyer de Sion, an
orphanage in Haiti just outside
Port au Prince. Although he and his
wife Stephanie had recently adopted
two children from Guatemala, they
agreed to take two more girls from
Foyer de Sion.
It took two years to process the girls’
paperwork. During that time, the
Bullochs traveled to Haiti to meet
their new daughters. They were
shocked by the condition of the
orphanage: 40 children crammed
into a 630 square-foot space, with
more coming in all the time.
“Gesno, the director,
told us that when
people from outlying
communities found out
he ran an orphanage,”
says Bulloch, “they
would tell them they
had four or five kids
and start begging him
to take them.”
A woman in San
Francisco named
Annie Blackstone,
who had also adopted
a child from Foyer Dr. Bulloch and patients
de Sion, believed that
children would be better off living
with their parents instead of in the
orphanage, but the parents couldn’t
afford to feed them. Blackstone’s
solution was to build schools. In
addition to educating the kids,
the schools would take on the
responsibility of giving them one
meal a day.
Dr. Bulloch, left, at the Haitian school where he provides dental care
Bulloch immediately got involved
with Blackstone’s organization, Sion
Fondes. “The food makes such a
huge difference,” he says. Even after
his two daughters Jade and Shebree
came home to Utah, he agreed
to travel to Haiti twice a year to
provide dental care for the kids in
the schools, all of which are in
the countryside surrounding
Port-au-Prince.
“The children in the schools had
terrible dental care,” Bulloch recalls.
“The biggest problem was caries.
They survive on sugar cane. The
first time I went down with a team,
I had to extract the first and second
molars on 12-year-olds. On one
kid, I extracted all eight. They were
bombed-out teeth.”
“The kids were all lined up,” he
continues, “and I was extracting as
fast as I could go all day without
making a dent.”
None of the kids had ever seen
a toothbrush before. Bulloch
distributed brushes and gave lessons
in how to use them.
“In general,” he says, “there are very
few professionals in Haiti; very few
dentists and very few physicians.
Most are in Port-au-Prince. In
outlying areas, every once in a while
you see someone who’s been to a
dentist, but most people have had no
dental treatment at all.”
Over the past nine years, Bulloch has
made a practice of spending a week
to 10 days in Haiti every April and
November. He usually travels with
a pediatrician or two, a couple of
other dentists and a few members of
his own large brood. They spend a
day at each school—if they can get to
them, which in Haiti, Bulloch points
out, “is a big ‘if.’” The roads are old
and unpaved; one good rainstorm
can wash them out. One of the
schools is accessible only by a two-
mile hike up a steep trail. The older
students run down the hill and help
the doctors carry their equipment.
Continued on page 18
 AAOMS TODAY
Volume 9, Issue 5 IN MY VIEW
September/October 2011
AAOMS Today is published six times a year by the
American Association of Oral and Maxillofacial Surgeons.
Unless specifically stated otherwise, the opinions expressed
and statements made in AAOMS Today do not imply United we thrive
endorsements by, nor official policy of, AAOMS.

I
Daniel M. Laskin, DDS, MS, Editor t’s not a new idea. It has, in fact, or courtrooms. Our member surveys
Robert C. Rinaldi, PhD, CAE, Executive Director
Janice K. Teplitz, Associate Executive Director surfaced with some regularity repeatedly show that this type
Janie K. Dunham, Manager, Editorial since the first MD-integrated of advocacy is very important to
AAOMS
residency programs were established you, our membership. As a result,
9700 W. Bryn Mawr Avenue in the early 1970’s. The idea? That educational and political advocacy
Rosemont, Illinois 60018-5701
847/678-6200, fax 847/678-6286 given its scope of practice, oral appear prominently in the AAOMS
www.aaoms.org
and maxillofacial surgery would strategic plan.
OFFICERS be more appropriately classified as
Larry J. Moore, DDS, MS, President a medical-surgical specialty; or as To draw a degree-delineated line Larry J. Moore, DDS, MS
909/606-0160 Fax: 909/606-4061
E-mail: drljmoore@aol.com a variation on this theme, that the through the specialty would harm
4200 Chino Hills Pkwy, Suite 805
Chino Hills, California 91709 17% of AAOMS members who are those on both sides of the divide in
Arthur C. Jee, DMD, President-elect dual-degreed oral and maxillofacial immediate and far-reaching ways. exodontists to oral surgeons to
301/498-3900 Fax: 301/317-4758
E-mail: ajeeone@aol.com
surgeons should disaffiliate from Not the least of these would be to oral and maxillofacial surgeons.
13934 Baltimore Ave their single-degreed colleagues, jeopardize professional collegiality As our scope of practice evolved,
Laurel, Maryland 20707
Miro A. Pavelka, DDS, MSD, Vice President
thereby dividing our united and and generate public confusion. it did so as a group with a singular
972/231-6661 Fax: 972/231-3161 extraordinary specialty into two educational foundation: dentistry.
E-mail: mapavelka@msn.com
400 S. Cottonwood lesser groups. Far from evidence of our growth or That foundation gives us insight and
Richardson, Texas 75080-5708 evolution, such a division would only perspective into patient treatment
Edwin W. Slade Jr., DMD, JD, Treasurer
215/345-7373 Fax: 215/345-0242 Fortunately, this concept has never weaken the specialty. This is not just and procedures that simply cannot
E-mail: eslade@comcast.net
101 Progress Drive
gained a serious a dire prediction; we be matched by any other practitioner
Doylestown, Pennsylvania 18901-2509 toehold in specialty have seen it happen in group.
Ira D. Cheifetz, DMD, Immediate Past President
609/587-2900 Fax: 609/587-1749
thought. Oral and "The association other countries, and
E-Mail: iradc@aol.com maxillofacial surgery in other healthcare
2303 Whitehorse-Mercerville Road, Suite 5 has consistently Granted, oral and maxillofacial
Mercerville, New Jersey 08619-1994 has always followed the associations. The surgery is a unique dental specialty;
Robert C. Rinaldi, PhD, CAE, “Big Tent” philosophy supported the rights American Medical
Executive Director and Secretary
but then, oral and maxillofacial
847/678-6200 Fax: 847/678-4302
of leadership – remain of every fellow and Association represents surgery is a unique specialty, period.
flexible and expansive
member, irrespective significantly less than
E-Mail: brinaldi@aaoms.org
9700 W. Bryn Mawr Avenue
Rosemont, Illinois 60018-5701 enough to encompass 20% of the licensed This is my last AAOMS Today
Steven R. Nelson, DDS, MS and protect all of academic physicians in the United
Speaker, House of Delegates column as your AAOMS president.
303/758-6850 Fax: 303/758-0729 fellows and members. degrees." States due largely to I thank you for the trust and
E-Mail: snelson@rmoms.com
6850 E. Hampden Ave., Suite 202
AAOMS’s position the divisiveness of confidence you placed in me as a
Denver, Colorado 80224 continues to be that all subspecialty affiliation. leader of this great organization. It
TRUSTEES oral and maxillofacial I much prefer to see has been an incomparable honor and
Lawrence J. Busino, DDS, District I surgeons are uniformly us remain inclusive. pleasure to serve you. n
518/446-1001 Fax: 518/446-0802
E-mail: lawrencebusino@gmail.com trained to competence with the skill Currently AAOMS represents well
Albany OMS Group
2 Executive Park Drive
and knowledge to perform the full over 90% of the licensed oral and
Albany, New York 12203 core scope of specialty practice. maxillofacial surgeons in the United
Louis K. Rafetto, DMD, District II The association has consistently States. We must maintain our
302/477-1800 Fax: 302/477-0343
E-mail: lkrafetto@gmail.com supported the rights of every posture of welcoming and nurturing
3512 Siverside Road, Suite 12
Wilmington, Delaware 19810-4941
fellow and member, irrespective our members’ growth and expansion.
Eric T. Geist, DDS, District III of academic degrees, within the What better, more positive evidence
318/388-2621 Fax: 381/388-2835
E-mail: etgoms@comcast.net
scope of his/her education, training, of our specialty’s health could we
Oral Surgery Associates competence and experience. have?
2003 Forsythe Avenue
Monroe, Louisiana 71201-4938
William J. Nelson, DDS, District IV AAOMS has advocated its position Those who know me, know that I
920/336-0989 Fax: 920/347-0868
E-mail: wnelson445@gmail.com whenever and wherever the do not dwell on the past - but I do
480 St. Mary’s Blvd.
Green Bay, Wisconsin 54301
education and training of OMSs are respect and honor it. In the United
Douglas W. Fain, DDS, MD, District V called into question—whether in States and most other countries,
912/381-5194 Fax: 913/381-5215
E-mail: dfainddsmd@aol.com
hospital credentialing committees the roots of oral and maxillofacial
Oral and Facial Surgical Assoc. and boardrooms, state legislatures, surgery are deeply entrenched
3700 W. 83rd St. Ste 203
Prairie Village, Kansas 66208-5120 dental and medical board hearings in dentistry. It is the profession
Henry C. Windell, DMD, District VI where we began and from which
503/665-7882 Fax: 503/665-6983
E-mail: windellh@gmail.com
we evolved as a specialty – from
24850 SE Stark Street, Ste 100
Gresham, Oregon 97030-8317

AAOMS ASSOCIATE
EXECUTIVE DIRECTORS
Mark Adams, General Counsel, ext. 4350
Randi V. Andresen, Advanced Education
and Professional Affairs, ext. 4337
Barbara S. Choyke, Continuing Education, Meetings
and Exhibits, ext. 4309
Scott C. Farrell, Chief Financial Officer,
Business and Operations, ext. 4352
Janice K. Teplitz, Communications and Publications,
ext. 4336
Karin K. Wittich, Practice Management and
Governmental Affairs, ext. 4334

2 AAOMS Today • September/October 2011

 membership
HVO celebrates 25 years of service minute

to international health care AAOMS would like to thank all

T
his year Health Volunteers
Overseas, the private, nonprofit,
non-sectarian and voluntary
organization based in the United
States, is celebrating its 25th year
of improving the lives of half the
world’s population who do not have
access to healthcare services. The
AAOMS is proud to be an original
and continuing sponsor of HVO,
and oral and maxillofacial surgeons
continue to be well represented in the
organization’s pool of volunteers, but
more are needed.
HVO volunteers represent all areas of
medical and dental practice.
They spend up to a month
or more training, educating
and mentoring in developing
countries around the world.
HVO’s training programs
address important areas of
health care, including oral
health, and are designed
to increase the number of
healthcare workers in those
regions of the world where the health
care need is high, but the number of
providers is low.
HVO volunteers lecture, conduct ward
rounds and demonstrate techniques
and procedures in classrooms, clinics
and operating rooms. In addition,
they may be involved in teacher
training, curriculum development and
mentoring of students. Most programs
require that volunteers serve for one
month, but there are some sites
where volunteers may serve for as
little as two weeks. There are also
opportunities for longer placements,
if a volunteer has the time available.
Each program is managed by a
volunteer program director in North
America who is a health professional
with HVO experience. Program
directors screen and assist volunteers
in selecting a suitable site. They
also provide information about the
work sites, local customs, housing
arrangements, health conditions and
other subjects relating to a healthcare
tour. Volunteers are responsible
for their travel
arrangements and
expenses to and
from their site.
New program
established
HVO is pleased
to announce the
establishment of a
new oral health education program
in Managua, Nicaragua at the
Universidad Catolica (UNICA).
The medical school at UNICA was
founded in 1992, but the dental
program was just established three
years ago and will graduate its first
class of 28 in 2012.
Nicaragua is the largest country in
Central America with a population
of nearly 6 million people. Sixty
percent of the population lives
on the Pacific side of the country.
UNICA’s main focus is to train
dentists for this population. An
economically challenged country,
most people do not have access to
dental care. One estimate is that
only 30% of the population has
access to these services.
To address this need, HVO
volunteers will provide support
and assistance to the faculty at
UNICA with the development
of specialty training programs in
various aspects of oral health care.
General dentists, specialists and
oral and maxillofacial surgeons
are needed. Training will consist
of both didactic and clinical
components. Initial areas of focus
are: endodontics, oral and maxillo-
facial surgery, periodontics, and
prosthodontics. Volunteers are
needed for assignments of two
weeks or longer.
HVO’s oral health programs
are sponsored by the American
Association of Oral and
Maxillofacial Surgeons and the
American Dental Association.
If you are interested in volunteering
your services, review the complete
list of available volunteer
opportunities at www.hvousa.org,
or call the HVO office to speak with
a recruiter at 202/296-0928. n
of the fellows, members and
candidates who supported the
specialty and sponsored their staff
members for the new Allied Staff
membership category. Since its
inception in January, AAOMS has
welcomed more than 500 new
members.
It’s not too late to join! For a
minimal application fee, Allied Staff
members receive great discounts
on educational courses offered
through the end of the year. And
the following year’s dues are
still less than what you save by
sending your staff to a practice
management seminar, coding or
billing workshop or any of our
many well-received educational
sessions.
AAOMS 2012 membership
dues will be billed in October for
all membership categories and
payment is due by December
31. We are always in search of
new benefits to support the
membership, especially our
new allied staff members. If
you have any suggestions for
programs or services you would
like to see, please contact your
AAOMS Practice Management or
Membership Services Departments
at 800/822-6637. n

eLearning presenters
wanted
AAOMS is actively seeking to expand
its number of high quality, integrated
educational e-learning offerings. If you
are interested in presenting an e-learning
program on a clinical topic in which you
specialize, we invite you to complete the
Online Educational Program Application
Form at www.aaoms.org/speakers. As an AAOMS Buying Group member your catalog
Programs may be either live online features the AAOMS discount and rebate pricing.
presentations, such as a Webinar, or a
Prices listed in BLUE reflect the 5% AAOMS discount.
pre-recorded interactive program. For
more information, contact the continuing Prices listed in GREEN factor in the
education department at 800/822-6637. 3% annual AAOMS rebate your practice
View AAOMS’s current online offerings will earn after purchasing $10,000 or more
on the AAOMS Web site. philadelphia, pa from Southern Anesthesia and Surgical.
september 15-17, 2O11

AAOMS
B U Y I N G G R O U P
call 1.800.624.5926 m-f 8-6 est
fax 1.800.344.1237 24/7
join. save. invest. visit www.southernanesthesia.com 24/7

AAOMS Today • September/October 2011 3

 AAOMS collaborates with Ad Council Coalition
to improve children’s oral health
National three-year campaign
comprised of more than 20
leading dental organizations
The Ad Council, known for such The Partnership for Healthy Mouths, American Association for Dental
iconic public service advertising Healthy Lives dental coalition joins Research, American Association of
campaigns as McGruff the Crime other notable organizations that Orthodontists, American Association

T
he American Association
of Oral and Maxillofacial
Surgeons is proud to
partner with the Ad Council and
distinguished members of the
Partnership for Healthy Mouths,
Healthy Lives coalition on this three
year oral health literacy campaign.  Transportation’s National Highway
Oral and maxillofacial surgeons
are indispensable members of the
emergency room trauma teams who
surgically repair the face, mouth and
jaws of children and adults injured
in sporting activities, vehicular
accidents and other traumatic
occurrences. AAOMS, together
with the American Association of
Orthodontists and the American
Academy of Pediatric Dentistry,
annually sponsors April is National
Facial Protection Month to alert
children, their parents and guardians
and coaches to the importance of
wearing mouthguards and other
protective gear when engaging in
sports activities.
Dog’s “Take A Bite Out Of Crime,”
will conduct a national campaign to
improve children’s oral health. The
goal of the three-year campaign will
be to raise awareness and educate
parents and caregivers about the
value of good oral health for their
children and how it can be achieved.
The campaign is the brainchild of
the Partnership for Healthy Mouths,
Healthy Lives dental coalition, which
is made up of more than 20 dental
organizations led by the Dental
Trade Alliance Foundation. The
Ad Council accepted the coalition’s
proposal in June. The AAOMS is
a member of the coalition whose
members hope that the Ad Council’s
commitment to an extensive
multi-year, national public service
advertising campaign will help
improve the oral health of America’s
children through oral health
messages stressing prevention and
the ways parents and caregivers can
instill behaviors that will result in a
lifetime of good oral health.
have worked with the Ad Council
to address social issues through
public service campaigns. Some
unforgettable slogans from the Ad
Council’s previous campaigns include
the United Negro College Fund’s
“A Mind is a Terrible Thing to
Waste,” and the U.S. Department of
Traffic Safety Administration’s “You
Could Learn A Lot From A Dummy”
and “Friends Don’t Let Friends Drive
Drunk.”
The Partnership for Healthy
Mouths, Healthy Lives dental
coalition also includes the Academy
of General Dentistry, American
Academy of Oral and Maxillofacial
Pathology, American Academy
of Pediatric Dentistry, American
Academy of Periodontology,
Survey says membership likes
AAOMS Industry Update
of Public Health Dentistry, American
Association of Women Dentists,
American College of Prosthodontists,
American Dental Education
Association, Association of State
& Territorial Dental Directors,
California Dental Association,
Dental Trade Alliance, Hispanic
Dental Association, Medicaid SCHIP
Dental Association, National Dental
Association, National Network for
Oral Health Access, Oral Health
America, Organization for Safety,
Asepsis and Prevention, Society of
American Indian Dentists and the
U.S. Department of Health and
Human Services Office of Minority
Health. The campaign is slated to
begin appearing in national media
and on a customized Web site
in 2012. n

R
ecently in the President’s
Letter and as a separate
e-communicator, AAOMS
circulated a survey asking fellows
and members their opinion of the
AAOMS Industry Update, a weekly
www.dentalanesthesiaonline.com electronic newsletter that provides
links to news articles of interest to
oral and maxillofacial surgeons.
Since these articles are copyrighted
Anesthesia Lectures + CE credit --- Online and appear in other publications,
(for all levels of anesthesia providers and staff ) AAOMS is unable to edit them
for the OMS audience. Sometimes
• Choose your lectures; have access for up to 1 year after purchase articles featured in the Industry
• Avoid travel expenses and time away from home or office
Update are not flattering to
• No membership fees, no commitments
• Immediately download and print handouts
dentistry or OMS. They are
• License about to expire? Complete your CE immediately !! included, however, because the
• Instant, personalized certificate to document course completion and CE hours association feels it is important for
the membership to see what is being
Now Available !! published in the media.
14 HOUR ANESTHESIA ASSISTANT TRAINING PROGRAM
Approximately 400 fellows and
9 lectures, followed by a 5 hour hands-on members responded to the survey.
guided simulation training module with your anesthesia provider Of those responding, 44% read
the Industry Update every week.
Fulfill Anesthesia Assistant Training requirements More than 45% found the Industry
(Verify with your state board) Update articles appropriate for the
OMS audience, while another 40%
thought the articles were “somewhat
appropriate.” About 60% agreed the
amount of coverage given to articles
on anesthesia, dental implants,
facial cosmetic surgery, orthognathic
surgery, oral cancer, obstructive sleep
apnea and third molars was “just
right.” They also provided a lengthy
list of other topics that should
be considered for the electronic
newsletter.
Several respondents mentioned that
the AAOMS Industry Update was
similar to the electronic newsletter
circulated by the International
Association of Oral and
Maxillofacial Surgery (IAOMS). The
fact is that the IAOMS also works
with the MultiBriefs, the outside
company that produces the AAOMS
Industry Update. In general, there
are few crossover articles that appear
in the two electronic newsletters
as the interests of the US and
international OMS audiences are
unique.
Additional comments about
the AAOMS Industry Update
may be directed to the AAOMS
Communications Division. n

4 AAOMS Today • September/October 2011

Which field of view is right for your practice?
With up to seven selectable fields of view and image resolution up
to 90μm, the CS 9300* gives you greater flexibility and the optimum
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• Multiple fields of view ranging from 5 cm x 5 cm to 17 cm x 13.5 cm

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• Intelligent dose management through collimation and faster scan time
• Easy, intuitive imaging software that’s easily shareable

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© Carestream Health, Inc. 2011. The CS 9300 will come equipped with Kodak Dental Imaging
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* Work in Progress – not available for sale in the United States or Canada. Systems identified and
labeled as CS 9300-1 are available in the United States. 5/2 (CODE: 4580 OM 93 AD 0511)
 HEALTH POLICY PERSPECTIVES seeks to ensure that OMSs have the
information they need as they weigh
the options. For more information,
see the chart below and also view
the American Medical Association’s
Medicare enrollment options for patients or themselves. There is a
formal process that must be followed
Know Your Options: Medicare
providers treating Medicare beneficiaries in order be eligible for this third
Participation Guide.
option. More information about

O
ral and maxillofacial
surgeons treating Medicare
beneficiaries have three, and
only three, options when it comes
to their Medicare enrollment status.
An OMS may enroll in the program
as a participating provider, enroll
as a non-participating provider, or
formally opt out of the program
entirely in order to privately contract
with patients. An OMS who has not
completed the necessary paperwork
to satisfy one of these options may
not treat Medicare patients.
Some basic differences between the
three enrollment options pertain
to reimbursement rates, collecting
at the time of service, mandatory
claim submission requirements,
appeal rights and more. For
instance, participating providers
accept Medicare’s allowed charge
as payment in full for all of their
Medicare patients. Those providers
electing non-participation status
are permitted to make assignment
decisions on a case-by-case basis
and bill patients for more than the
Medicare allowance for unassigned
claims (up to the Medicare limiting
charge). Providers opting out of
the program may privately contract
with their Medicare patients, billing
patients directly and foregoing any
payments from Medicare to their
opting out may be found on the
AAOMS Web site.
Each year the Centers for
Medicare and Medicaid Services
(CMS) provides doctors with the
opportunity to change their status
with the Medicare program. OMSs
had until December 31, 2010 to do
this for 2011 (with the exception
of opting out which may be done
at various times during the year
depending on the provider's
current participation status with
the program). AAOMS does not
advise or recommend any of the
three enrollment options, but rather
Medicare enrollment applications
may be found on the CMS Web site.
Most doctors will complete the CMS
855I. An NPI (National Provider
Identifier) is required to enroll. You
may apply for an NPI at https://
nppes.cms.hhs.gov/. When you are
ready to enroll or make changes
to your enrollment information,
visit the CMS provider enrollment
Web site to access the Internet-
based Provider Enrollment, Chain,
and Ownership System (PECOS).
Additional information concerning
the PECOS may be found on the
AAOMS Web site. n

PARTICIPATING PROVIDERS NON-PARTICIPATING PROVIDERS OPTED OUT PROVIDERS

Reimbursement Accept Medicare’s allowed amount as
rates payment in full for all Medicare patients (ie,
agrees to take assignment on all Medicare
claims). The Medicare approved amount
is the 80% that Medicare pays plus a
20% patient co-payment. The patient or
patient’s secondary insurer is responsible
for the co-payment. The physician cannot
bill the patient for amounts in excess of the
Medicare allowance.
Participating providers are entitled to
higher reimbursement rates than non-
participating providers (non-participating
providers are reimbursed at 95% of the rates
applied to participating providers).
Permitted to make assignment decisions
on a case-by-case basis. (Note providers
should be consistent in making assignment
decisions for related visits or services
provided to the same patient on the same
occasion).
Non-participating providers are thus
able to bill patients for more than the
Medicare allowance for unassigned claims,
up to the Medicare limiting charge. The
limiting charge sets an upper limit on how
much a physician may charge in excess
of Medicare’s payment amount. The
limiting charge is 115% of the fee schedule
amount for non-participating providers, but
actually only 9.25% above the participating
provider-approved amounts for the services
given that the fee schedule amount for
non-participating providers is 95% of the
participating physician fee schedule.
May privately contract with Medicare patients,
billing the provider’s usual charge to patients
directly without regard to the program’s payment
limits and most other requirements. In turn, opted
out providers forego any payments from Medicare,
as do the patients who have agreed to the private
contract with the doctor.* There is an exception
for emergency patients, which prevents providers
from entering into a new private contract and in
turn allows submission of a Medicare claim in these
instances. The –GJ modifier (opt out physician or
practitioner emergency or urgent service) must
be appended to the procedure code on the claim
form to describe this situation. In these instances
the provider may not collect any more than the
Medicare limiting charge.
*Note there is a formal process that must be followed in
order be eligible for this option.

Payment/ Reimbursement is sent directly Reimbursement is sent directly to the Reimbursement is collected directly
Assignment of to the provider. provider only when accepting assignment. from the patient.
Benefits Otherwise, payment is sent to the
beneficiary, leaving the provider to seek
payment from the patient.

Collecting at the Unless the patient has not met the
time of service deductible or does not have a Medicare
supplement, providers most likely will not
need to collect money “up front” for any
covered services since Medicare and the
supplemental carrier’s payments should
cover payment in full. If it is known that
the patient’s deductible has not been met
and there is no supplemental insurance,
the provider may bill the patient the 20%
co-insurance at the time of service.
It may be best to collect payment at the Opted out providers collect directly from patients
time of service; however, providers must at the time of service or later.
be very careful to not exceed the limiting
charge amounts applied to non-participating
providers. If the payment collected exceeds
the limiting charge, the provider will not
only have to issue a refund to the patient,
but may risk being audited if multiple
limiting charge violations are detected.
Both of these scenarios may cause undue
administrative burden.

6 AAOMS Today • September/October 2011

 PARTICIPATING PROVIDERS
Mandatory Required to submit claims for covered services
Claim for reimbursement on the patient’s behalf.
Submission/Use Also required to issue the Advance Beneficiary
of the Advance Notice of Non-Coverage (ABN) form before
Beneficiary rendering a service that is likely to be denied
Notice of based on a lack of medical necessity or one
Non-Coverage that does not meet local Medicare coverage
(ABN) Form determination criteria. When the ABN is
required, the procedural code on the claim
form must be appended by the –GA modifier
(waiver of liability statement issued as required
by payer policy). While submission of a claim is
not required for procedures that are statutorily
excluded, such as many dental procedures, it
may be helpful to provide Medicare patients
with a written explanation of Medicare
exclusions. In such cases, the ABN may be
provided. If the patient insists the claim be
filed, the provider must do so appending both
the –GY (item or service statutorily excluded,
does not meet the definition of any Medicare
benefit) and –GX (notice of liability issued,
voluntary under payer policy) modifiers to the
procedural code on the claim form.
The CMS ABN and instructions may be
found on the CMS Web site.
Appeal Rights Participating providers are granted appeal
rights.
Marketing Participating providers are listed in a directory
available to Medicare beneficiaries through all
Social Security offices, at some senior citizen
organizations, and upon request.
Other Since participating providers agree to accept
Medicare’s allowed amount, they do not
receive limiting charge reports that are often
sent to non-participating providers who submit
claims exceeding Medicare’s fee schedule.
These limiting charge reports can “flag” the
provider and invite government audits.
Participating providers have the ability to
file claims electronically, resulting in faster
payment.
Carriers provide toll-free claims processing
lines to participating providers and process
their claims more quickly than non-
participating providers.
While participating providers must accept
assignment on all Medicare claims, Medicare
participation agreements do not require
providers to accept every Medicare patient
who seeks treatment from them.
All providers (regardless of participations
status) who are eligible to order items or
services, or refer Medicare beneficiaries
to other Medicare providers or suppliers
for services, are required to have current
enrollment records in Medicare's Internet-
based PECOS system. If not, claims for the
ordered or referred service will be denied.
Visit the AAOMS Web site for additional
information.
NON-PARTICIPATING PROVIDERS
Same as for Participating Providers -
required to submit claims for covered
services for reimbursement on the patient’s
behalf. Also required to issue the Advance
Beneficiary Notice of Non-Coverage (ABN)
form before rendering a service that is likely
to be denied based on a lack of medical
necessity or one that does not meet local
Medicare coverage determination criteria.
When the ABN is required, the procedural
code on the claim form must be appended
by the –GA modifier (waiver of liability
statement issued as required by payer
policy). While submission of a claim is not
required for procedures that are statutorily
excluded, such as many dental procedures,
it may be helpful to provide Medicare
patients with a written explanation of
Medicare exclusions. In such cases, the
ABN may be provided. If the patient insists
the claim be filed the provider must do so
appending both the –GY (item or service
statutorily excluded, does not meet the
definition of any Medicare benefit) and –GX
(notice of liability issued, voluntary under
payer policy) modifiers to the procedural
code on the claim form.
The CMS ABN and instructions may be
found on the CMS Web site.
Possible that no appeal rights may be N/A (since a claim is not submitted except in
granted to non-participating providers. emergency situations, in which case appeal rights are
In some instances, the Explanation of granted).
Medicare Benefits (EOMB) does not explain
why a procedure was denied; however, the
beneficiary’s EOMB does explain.
Non-participating providers are not
included in Medicare’s physician directory.
Since non-participating providers are not
obligated to accept Medicare’s allowed
amount and instead may collect up to
the limiting charge, they may receive
limiting charge reports if submitting claims
exceeding Medicare’s fee schedule. These
limiting charge reports can “flag” the
provider and invite government audits.
Carriers carefully monitor claims for
limiting charge violations. When violations
are detected, beneficiaries will be notified
of their right to a refund from their
provider. Knowingly and willfully charging
amounts exceeding Medicare’s limiting
charge invites civil monetary penalties
as well as exclusion from the Medicare
program.
All providers (regardless of participations
status) who are eligible to order items or
services, or refer Medicare beneficiaries
to other Medicare providers or suppliers
for services, are required to have current
enrollment records in Medicare's Internet-
based PECOS system. If not, claims for the
ordered or referred service will be denied.
Visit the AAOMS Web site for additional
information.
OPTED OUT PROVIDERS
Where an OMS elects to opt out, he or she is agreeing
to not submit claims or have claims submitted to
Medicare for virtually all covered services provided for
a two-year period. Private contracting decisions may
not be made on a case-by-case or patient-by-patient
basis. In addition, the ABN form does not apply.
Note: There is an exception for emergency patients,
which prevents providers from entering into a new
private contract and in turn allows submission of a
Medicare claim in these instances. The –GJ modifier
(opt out physician or practitioner emergency or urgent
service) must be appended to the procedure code
on the claim form to describe this situation. In these
instances the provider may not collect any more than
the Medicare limiting charge.
Opted out providers are not included in Medicare’s
physician directory.
To privately contract with a Medicare beneficiary, a
provider must enter into a private contract that meets
specific requirements. In addition to the private contract,
the provider must also file an affidavit that meets certain
requirements. Opt-Out privileges are for a two-year
period. A provider wishing to extend his or her opt-out
privileges must submit a new affidavit to Medicare before
the end of the current two-year period.
Sample private contracts, affidavit, and more
information on opting out may be found on the AAOMS
Web site. There is a 90-day period after the effective date
of the first opt-out affidavit during which physicians may
revoke the opt-out and return to Medicare as if they had
never opted out.
A participating provider may opt out of the program
at the beginning of any calendar quarter, provided that
the affidavits are submitted to the carriers at least 30 days
before the beginning of the quarter. A non-participating
provider’s opt out status begins on the date the affidavit
is signed and must be filed with the carrier(s) within
10 days after signing the first private contract with a
Medicare beneficiary. Those providers who have never
enrolled in Medicare may still opt-out of Medicare. It is
suggested that you contact your local Medicare Carrier
for a copy of their affidavit as the provider information
required (ie Tax ID, Degree, etc.) may vary among carriers.
All providers (regardless of participations status) who
are eligible to order items or services, or refer Medicare
beneficiaries to other Medicare providers or suppliers for
services, are required to have current enrollment records
in Medicare's Internet-based PECOS system. If not, claims
for the ordered or referred service will be denied. Visit the
AAOMS Web site for additional information.
AAOMS Today • September/October 2011 7
 CODING CORNER
Q
uestion: I saw a patient
on an emergency basis in
the office who was also
evaluated on the same day by the
referring dentist. Medicaid will not
reimburse me for D0140-limited
oral evaluation, stating the code
was already reported by another
provider that day. How may I obtain
reimbursement for my service?
Answer: In general, one evaluation
may be billed per day, per doctor
or doctor of the same specialty or
group practice, unless documentation
supports that the visits were rendered
for unrelated problems that could
not be provided during the same
encounter. Most Medicaid plans
will reimburse only one evaluation
per day, period. Typically, the
provider who submits a claim for the
evaluation first is the provider who is
reimbursed.
If you evaluated the patient for a
different problem than the referring
dentist or perhaps were asked by the
dentist to render an opinion or advice
you may, depending on your state
Medicaid’s reimbursement policy,
be successful in appealing the denial
by submitting a narrative and/or
documentation demonstrating such.
If successful in appealing, you should
not report a consultation code for
all Medicaid patients simply because
you know it will get paid. Your
documentation will dictate whether
it is appropriate to use code D0140-
“limited oral evaluation-problem
focused,” D0150- “comprehensive
oral evaluation-new or established
patient,” or even D9310-
“consultation- diagnostic service
provided by a dentist or physician
other than requesting dentist or
physician.”
One thing to remember when
reporting code D9310 is the purpose
of the consultation. A consultation is
to provide an opinion or advice, and
the request for an opinion or advice
must be documented by both you and
the referring doctor. The purpose of
the first patient encounter with the
referring dentist must be considered.
Though it’s not set in stone, a rule of
thumb to remember is:
• If the referral source has already
diagnosed the condition and the
need for surgical intervention, the
encounter needs to be coded as
a new patient (ie, removal of 3rd
molars).
8 AAOMS Today • September/October 2011
• If the referral source is in doubt
as to the patient’s diagnosis and
is uncertain whether surgical
intervention is needed, the
encounter may meet the criteria of
a consultation.
The consulting doctor may initiate
diagnostic or therapeutic services.
Documentation supporting the
doctor’s findings, diagnosis and
proposed treatment plan should be in
the patient record and the referring
doctor should be made aware of
those findings.
Question: How should our office
bill for a patient referred for a
workers compensation evaluation
for a second opinion on the need for
implants. The surgeon evaluated the
patient, conducted several hours of
chart review, and dictated a report.
The patient previously had multiple
surgeries for facial fractures and
tooth loss.
Answer: Special Evaluation and
Management Services codes- 99455-
99456 “Work Related or Medical
Disability Evaluation Services”
may be used to describe the services
rendered.
99455 Work related or medical
disability examination by the
treating doctor that includes:
– Completion of medical history
commensurate with the
patient’s condition;
– Performance of an examination
commensurate with the
patient’s condition;
– Formulation of a diagnosis,
assessment of capabilities and
stability, and calculation of
impairment;
– Development of future
treatment plans; and
– Completion of necessary
documentation/certificates and
report.
99456 Work related or medical
disability examination by other
than the treating physician that
includes:
– Completion of medical history
commensurate with the
patient’s condition;
– Performance of an examina-
tion commensurate with the
patient’s condition;
– Formulation of a diagnosis,
assessment of capabilities and
stability, and calculation of should be appended to the evaluation
impairment; and management service, if performed
on the same date.
– Development of future
treatment plans; and
Question: My practice has recently
– Completion of necessary become an accredited ambulatory
documentation/certificates and surgery center.  May I now submit a
report. facility fee for all services rendered in
the surgery center?
According to CPT guidelines,
these services are separate and Answer: You may not bill a facility
distinct from other evaluation and fee for every procedure rendered
management services. These codes in the ambulatory surgery center
are to be used to report evaluations (ASC), only for those that the carrier
performed in order to establish deems “approved” for the ASC. CMS
baseline information, prior to life or issues a list of “approved services”
disability insurance certificates being for the ASC setting every year in
issued. The service is performed in an the Hospital Outpatient Prospective
office or other setting, and applies to Payment System fee schedule.  In
both new and established patients. general, commercial payers tend to
When using these codes, NO active follow CMS guidelines and policies
management of the problem(s) is and, therefore, may also utilize this
undertaken during the encounter. list. CMS looks at historic billing,
If other evaluation and management billing trends and site of service
services and/or procedures are patterns from Medicare claims data
performed on the same date in determining which procedures they
for purposes different from the feel may be safely performed in the
workers compensation evaluation, office versus in the facility, such as
the appropriate evaluation and an ASC or hospital. Many medical/
management or procedure code(s) surgical services provided by an OMS
can be reported in addition to these fall onto the covered list of ASC
codes. In this case Modifier -25 Continued on page 10
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 Capitol Connection
AAOMS Governmental Affairs:
Advocating on behalf of the specialty
The following is a synopsis of the
recent government affairs activities
engaged in by AAOMS and
OMSPAC, the association’s political
action committee, on behalf of the
specialty:
Federal issues
• AAOMS recently sent nine
comment letters to Congress on
several bills introduced during
the 112th Congress, including HR
157, which seeks to reduce the
liability exposure for providers
of emergency trauma care; HR
1700/S 1042, which would allow
providers to freely privately
contract with their Medicare
patients without penalty, as well
as allow patients to use their
Medicare benefits to see providers
who are not enrolled with
Medicare; and HR 451, which
seeks to prohibit misleading
and deceptive advertising or
representation by healthcare
In 1971, oral and
maxillofacial
surgery gained a
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Join us this year in
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behalf of the
specialty.
10 AAOMS Today • September/October 2011
professionals when providing
healthcare services. AAOMS also
signed onto a joint letter with
other coalition groups in support
of the CARES Act in the 112th
Congress. These and all past issue
comment letters are available in
the governmental affairs section of
aaoms.org.
• On June 21, US Rep. Diana
DeGette (D-CO) introduced HR
2245, the House companion
bill to US Sen. Amy Klobuchar’s
(D-MN) “Preserving Access
to Life-Saving Medications
Act of 2011” bill (S. 296).
This legislation would amend
the Federal Food, Drug, and
Cosmetic Act to provide the Food
and Drug Administration with
improved capacity to prevent drug
shortages. S. 296 was an AAOMS
2011 Day on the Hill issue.
• On June 3, US Rep. Mary
Bono Mack (R-CA) introduced
a second bill intended to curb
prescription drug abuse by setting
specific training or certification
requirements for any practitioner
who dispenses controlled
substances in schedules II, III, IV,
or V. The Ryan Creedon Act of
2011 (H.R. 2119) was introduced
in June and currently has two
co-sponsors. AAOMS staff will be
tracking this bill and has already
submitted a letter of concern to
Rep. Bono Mack regarding a bill
with similar OMS implications that
she introduced at the beginning of
April.
State issues
• The New York state OMS scope
of practice bill, (SB 3059), passed
the state senate, marking the
second year in a row of achieving
this stage toward enactment.
Unfortunately the legislative session
ended before any movement could
be achieved in the Assembly. The
New York State Society of Oral
and Maxillofacial Surgeons remains
optimistic about efforts to enact the
legislation in 2012.
• Also in New York, due to the
enactment of S 2923, as of January
1, 2012 all dental facilities are
required to have an automatic
external defibrillator or other
defibrillator at the facility.
• Nevada enacted S 329, which
requires practitioners to post a sign
informing patients of the right to
have the symptom or purpose for
which a drug is prescribed included
on the label of the container of
the drug. The bill also revises
provisions relating to prescriptions
for schedule II controlled
substances.
• Twenty-three states have
introduced legislation in 2011
to prohibit caps on fees for non-
covered services. Legislation was
enacted in ten of those states:
Arkansas, Connecticut, Georgia,
Maryland, Minnesota, North
Dakota, New Mexico, Tennessee,
Texas and Wyoming. Over half of
the states now have a non-covered
services law on the books.
OMSPAC
• As of July, OMSPAC raised
$368,136 in contributions from
AAOMS members. Additionally,
OMSPAC has contributed to 42
federal candidates as of July 31,
2011. For additional information
on contribution totals or for a list
of candidates to whom OMSPAC
has contributed please visit www.
omspac.org. n
Coding Corner
continued from page 8
procedures, while a large number of
dental services do not. The entire list
of covered ASC procedure codes, as
well as their current payment rates,
can be found at http://www.cms.
gov/ASCPayment. When submitting
to a third party payer, you will first
want to determine how or if they
have developed a list of covered
procedures and how they recommend
submitting for the facility fee.   
As most OMSs know, reimbursement
for services rendered in the office
includes reimbursement for
practice expenses such as use of
the operatory, clinical staff time,
surgical equipment and supplies and
administrative record keeping and
documentation.  However, when
rendering services in a facility setting,
such as in the hospital or ASC, the
facility is considered a separate
entity from your office; therefore,
reimbursement for these expenses
may be captured in a facility fee.   
Keep in mind, CMS also maintains
a list of “Inpatient Only” codes
as well as a list of “Office-based
Procedures.” Therefore when
rendering a service that falls on
one of these lists in the ASC, it is
likely that the facility fee will not be
reimbursed. Depending on the terms
of your contract or participation
with the carrier, you may not be able
to bill the patient after being denied
payment by the carrier.
For additional information on billing
for services rendered in the ASC, you
may be interested in the AAOMS
Coding Paper on Ambulatory
Surgery Center Billing at http://
www.aaoms.org/docs/practice_
mgmt/coding_papers/asc_coding_
and_billing.pdf or visit the CMS
Web site at http://www.cms.gov/
center/asc.asp. n
Coding decisions are personal choices to be
made by individual oral and maxillofacial
surgeons exercising their own professional
judgment in each situation.  The information
provided to you in this article is intended for
educational purposes only.  In no event shall
AAOMS be liable for any decision made or
action taken or not taken by you or anyone
else in reliance on the information contained
in this article.  For practice, financial,
accounting, legal or other professional advice,
you need to consult your own professional
advisers.
CPT only © 2010 American Medical
Association
Current Dental Terminology
copyright © 2010 American Dental
Association. All rights reserved.
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AAOMS Today • September/October 2011 11

 Update on AAOMS grassroots advocacy certainly room for improvement. The
CapWiz grassroots communication

and the OMS Action Network system makes it very easy for
members to send pre-drafted
letters, which can be personalized

S
ince 2010, the OMS Action
Network program, which
was designed to provide a
comprehensive platform for AAOMS
members to participate in AAOMS
grassroots initiatives, has also been
used to showcase the need for greater
member involvement in AAOMS’s
advocacy activities. One measure
of the program’s success is member
participation in the association’s
grassroots advocacy issue campaigns.
Here are some interesting facts
and figures about the status of and
participation in such campaigns.
All statistics are based on data
since August 2009, when AAOMS
started using CapWiz, its most recent
grassroots communication software
program.
For starters, kudos to Pennsylvania’s
Dr. Frank Falcone. Dr. Falcone leads
his AAOMS colleagues in sending
over 30 advocacy messages via
CapWiz to his constituent members
of Congress on behalf of the
specialty. This demonstrates a great
attention to the legislative issues
that affect the specialty and will
hopefully motivate more members to
take grassroots action. Additionally,
since 2009, members have had the
opportunity to participate in 16
grassroots campaigns on behalf of
AAOMS issues. These campaigns
have enjoyed activity by 1,284
activists sending 3,673 advocacy
messages to lawmakers on Capitol
Hill (See Chart 1).
During the same time span, members
from nearly every state in the
country, the District of Columbia
and Puerto Rico have sent AAOMS
grassroots advocacy messages to
Congress. As of July 2011, the states
with the most individual grassroots
participants are: California, with
67 participants (large state category
with 131 members and above);
Wisconsin and Minnesota, with
16 participants each (medium state
category with 40 and 130 members);
and Vermont and Arkansas, with
5 participants each (small state
category with 39 members and
under). The issues that have received
the most member advocacy are
Medicare physician reimbursement
reform, repeal of the 1099 tax
form requirement, and opposition
to the expansion of Medicare in
conjunction with health reform. (See
Chart 2).
These data, however, also indicate to your constituent members of
that grassroots participation can be Congress. You can do your part
greatly enhanced. Comparatively, to advocate the concerns of the
overall member participation could specialty by responding to one of
be much higher and, therefore, our grassroots alerts or by visiting
more effective. Since 2009, only the OMS Action Network site
682 members have participated (www.aaoms.org/action) to see the
in AAOMS grassroots advocacy list of active grassroots campaigns.
initiatives out of the approximately You can also find out more
9,000 current practicing and non- information about other AAOMS
practicing AAOMS members. grassroots involvement activities
This means only 7% of AAOMS at the OMS Action Network Web
membership has participated in site or by contacting the AAOMS
at least one grassroots advocacy Governmental Affairs Department at
campaign in the last two years! 800/822-6637. n
(See Chart 3)
Chart 2
Similar results are
found when looking Number of Advocacy Messages Sent for
at these data based Top Three AAOMS Grassroots Issues
on participation Jan. 2009 – Jul. 2011
by district. On
average, we are
seeing an 8%
participation rate
per district (See
Chart 4).
Again, member
participation in
grassroots advocacy
has been valuable,
but there is
Chart 3

Chart 1
Total Number of Eligible AAOMS Members
Date Advocacy Who Participated in at Least One
Alert Title Created Activists Messages Grassroots Messaging Campaign
Urge Congress to Reform the Medical Malpractice System 4/15/2011 0 0 Jan. 2009 – Jul. 2011
Urge Congress to Repeal Restrictions on FSAs 4/15/2011 0 0
Urge Congress to Help Prevent Essential Drug Shortages 4/15/2011 0 0
Urge Congress to Reform Federal Antitrust Guidelines for Health 4/15/2011 0 0
Insurance Companies
Urge Congress to Pass a Long-Term Medicare Physician 4/15/2011 2 9
Reimbursement Solution
Urge Your US Senators to Vote for the 1099 Tax Form Repeal 11/24/2010 164 348
Urge Congress to Take Early Action to Repeal the 1099 Tax Form 11/10/2010 135 437
Requirement
Urge Congress to Pass a Long-Term Medicare Physician 11/10/2010 116 356 Chart 4
Reimbursement Solution
Number of Grassroots Advocacy Participants
Urge Congress to Take Early Action to Repeal Restrictions on FSAs 11/10/2010 115 371
Compared to Non-Participants by District
Urge Congress to Pass a Long-Term Medicare Physician 3/17/2010 368 1352 Jan. 2009 – Jul. 2011
Reimbursement Solution
Urge Your Senators to Pass Antitrust Reform 3/17/2010 135 284
Urge Your Senators to Oppose Medicare Expansion 12/10/2009 244 510
Urge Your Senators to Oppose Medicare Expansion 12/10/2009 2 0
Urge Your Members of Congress to Co-Sponsor the CARES Act 9/1/2009 1 3
Urge your Representative to Co-Sponsor the National Facial 8/31/2009 1 1
Protection Month Resolution
Urge your Representative to Co-Sponsor H.R. 1430 to Allow OMSs 8/31/2009 1 2
to Refer Patients for PT
Grand Total N/A 1,284 3,673

12 AAOMS Today • September/October 2011

T he editor ’ s corner

Making a psychiatric referral

S
tudies have shown that
patients with certain forms of
orofacial pain may benefit from
psychiatric treatment. However,
many patients find the idea of such
a referral unacceptable. In order to
deal with this situation, it is first
necessary to understand the reasons
why this may occur.
It has been suggested that there are at
least five main reasons why patients
may object to seeing a psychiatrist.
The first is the fear of social stigma.
Mental illness is generally viewed
by the public in negative terms and
persons do not want to be seen as
a psychiatric patient. The second
reason is that patients often consider
going to see a psychiatrist as a threat
to their self-esteem. They feel that
they are capable of dealing with
their own emotions and seeking help
is a sign of weakness and personal
failing.
A misconception about the
relationship between emotions and
physical symptoms is another reason
for not wanting to seek psychiatric
help. Most patients believe that
physical symptoms must have
physical causes and refuse to accept
the concept that their symptoms
may be a reaction to, rather than
caused by, a pathologic change. To
them, such a referral means that the
problem is not real and in their mind.
Some patients also look upon a
psychiatric referral as a rejection or
dismissal by their treating doctor.
This feeling may be triggered by
the inability of their doctor to find
any physical explanation for their
problem and the thought that he or
she is merely using this as an excuse
for discontinuing their care. Patients
need to be assured that the referral
is merely a consultation and that
you will continue to engage in their
care as needed. Finally, persons may
perceive a referral to a psychiatrist as
particularly threatening because they
believe that psychiatrists pry into
personal matters and
ask intrusive questions.
Getting a patient to
Daniel M. Laskin,
accept a psychiatric DDS, MS
referral requires
that you first develop an open
and trusting relationship with the
patient. This begins with a careful
and thorough evaluation and
examination so that the patient is
convinced that no possible causative
physical findings were overlooked,
or at least that the physical
findings did not entirely explain
the reasons for all the symptoms.
Once this has been accomplished,
the reasons for making a referral
should be explained. It is important
to emphasize that the consultation
is an attempt to treat the patient’s
discomfort and not to diagnose
a psychological cause for the
symptoms. Patients should be
encouraged to ask any questions and
express their concerns. Remember,
this can be a difficult decision and
may require several discussions
before the patient is
convinced of its importance.
Making a psychiatric
referral is not an easy
process. Thus, doctors
are often reluctant to make the
suggestion. However, if we are
to successfully manage all of our
patients, we must not let our own
biases impede the appropriate
therapeutic process. n
Erratum:
Page one of the July/August issue
of AAOMS Today published
incorrect academic degrees
for Drs. Frederick Moore and
Michael Miloro. Their correct
degrees are:
Frederick T. Moore, DMD
Michael Miloro, DMD, MD
AAOMS regrets the error.

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AAOMS Today • September/October 2011 13

 OMSF news
OMS Foundation is
part of the Combined
Federal Campaign
The OMS Foundation is honored
to be included on the National/
International part of the 2011
embers, Combined Federal Campaign
Dear AAOMS M e
REAP chair for th (CFC). Now you can support the
w ha t I’v e w itn es sed in my role as de di ca te d OMS Foundation when you make
at’s ar e
Commitment. Th illofacial surgeons
un da tio n. I kn ow oral and max n w he n I w as AAOMS your charitable gift through the
OMS Fo e an d time agai
to their specialty.
I sa w th at tim I’ve ordinated
co CFC.
Thomas Skiba, ar s ag o. As REAP chair, n
Trustee for Distric
t IV a fe w ye rch and Educatio
DDS, MS
ad th e w or d ab out REAP—Resea rib ut io ns fr om Making your gift through the CFC
spre ise cont
nd the country to commitment to ra
Ambassadors arou ur A mbassador s ha ve m ad e a
Fo un dation Am ba ss ad or s fo ra is a great way to support your
nt C ar e. O k th e O M S
Advance Patie l program. I than specialty. The OMS Foundation
states for this vita
members in their ram ye ar . has given more than $10 million
the REAP 6 prog
job well done in adors. You, the back to the specialty to fund
e ou r volunteer Ambass n,
esn’t ju st in cl ud Since its inceptio more than 225 research awards,
The commitment
I’ve witnessed do
ns , ha ve su pp or ted REAP as well. ia lty . fellowships and specialty-focused
rgeo ucation in our sp
ec
d maxillofacial su r research and ed
practicing oral an $3 .5 m ill io n fo projects.
more than
REAP has raised meet our goal of
I am confident we can ve
ram year began on
Se pt em be r 1. one of you who ga Supported research topics are the
The REAP 7 prog t ou r go al , I ne ed each and every ly gi fts ar e vital building blocks for advances in
A ug us t 31 , 20 12. To mee an nu al pr og ra m, and year
$800,000 by year. REAP is an patient care, including:
e a gift again this ional needs of ou
r specialty.
to REAP 6 to mak ng es an d ed uc at
ch challe • Stem Cells
to meet the resear gift now. The need
is
it ha s be en a fe w years, make a ki ng re se ar ch in • Wound Healing
ve r gi ve n to REAP, or if ha s su pp or te d groundbrea
If you have ne dation tely, each
e he lp of R EA P, the OMS Foun er , to na m e a few. Unfortuna • Nerve Regeneration
great. With th oral ca nc rants that
tis su e ge ne ra tio n, stem cells, and ic at io ns fo r R esearch Support G
areas such as ed ap pl P, more
Fo un da tio n re ceives well-qualifi W ith in cr ea sed giving to REA • Oral Cancer
year the OM S
use the funding isn
’t th er e. ery in our
nd , sim pl y be ca of re se ar ch fo r innovative discov • Facial Reconstruction
we cannot fu ort diverse areas
available to supp
funding would be
ds The 2011 CFC is from
specialty. Foundation awar
ed uc at io n. Ea ch year the OMS ed fo r th es e September 1–December 14,
ecia lty le ct
so help support sp untry. Surgeons se 2011.
Gifts to REAP al ip s to in st itu tio ns around the co tw o ye ar s on the staff of
Fellowsh en spend The OMS Foundation’s
Clinical Surgery al sk ill s, an d th ey th
ratio of oral and
n
specialized surgic s to the next gene code to be used for the CFC
fellowships learn to te ac h th ei r sk ill
AOMS to suppor
t
-training program partnered with A is 32794.
an OMS residency Th e OMS Foun da tio n ha s al so
s th e fact that fe w er or al an d
l su rg eo ns . he lp ad dr es
maxillofacia ards (FEDAs) to
Development Aw
Faculty Educator e choosing academ
ic careers.
maxillofac ia l su rg eo ns ar Recipients of 2011
of the dental
ke ou r sp ecialty to the top . Make OMS Foundation
at io n ar e the vehicl es to ta
ia lty in to a successful future
Research an d ed uc
e keys to drive ou
r sp ec Research Summit
one of you has th n.org/REAPgifts.
specialties. Each w ww.omsfoundatio
Scholarships
ft to da y at
your REAP gi ft, and you
aq ue in re co gnition of your gi “It was an invaluable
receive a pl its own set
e a gi ft of $1 ,5 00 or more, you gr ou p of to p R EAP donors with opportunity to meet
If you mak a newly-created and learn from so many
e REAP Society,
become part of th young and established
s.
of unique benefit faculty members of
oral and maxillofacial
surgery programs from
Massachusetts General
Hospital to University of
Tom Skiba San Francisco California.
REAP 7 Chair It is very interesting to
Director
OMS Foundation see how research is an
integral part of patient

14 AAOMS Today • September/October 2011

OMS Foundation Research Summit Scholarship recipients
care and how it translates into a clinical
setting. I have added to my knowledge
base of treatments of oral cancer,
biomarkers of obstructive sleep apnea,
and most importantly learning to write
comprehensible research grants and
papers.”
Names in the news
Dr. Benjamin
Davis is CAOMS
President for
2011–2012
Benjamin Davis,
DDS, assumed the
office of president
Benjamin Davis, of the Canadian
DDS Association of Oral
and Maxillofacial
Surgeons (CAOMS) on Wednesday
June 1, 2011, at the CAOMS Annual
General Meeting held in Quebec
City. Dr. Davis is an AAOMS
affiliate member.
Dr. Davis received his dental degree
in 1992 from the University of
Western Ontario. Following a Dental
Internship at the Toronto Western
Hospital, he embarked on specialty
training at the University of Toronto,
which culminated in his receiving a
Diploma in Oral and Maxillofacial
Surgery and Anesthesia in 1997. Dr.
Davis then undertook a year-long
surgical fellowship at Dalhousie
University, where he has been a full-
time faculty member since 1999, and
is presently an associate professor
and Head of the Division of Oral and
Maxillofacial Surgery.  He has been
the Chief Examiner for the specialty
of OMFS at the Royal College of
Dentists of Canada since 2009.
Johnson Miin, DDS, MSE
Recipient, OMS Foundation Research
Summit Scholarship, which provided
reimbursement of travel expenses to 15
residents to attend the 2011 AAOMS/
IAOMS/OMSF Research Summit and
Young Investigators Day.
Joel M. Friedman elected
Vice President of New York
State Dental Association
Joel M. Friedman, DDS, AAOMS
retired fellow, has been elected vice
president of the New York State
Dental Association. The NYSDA is
one of the largest state constituents
of the American Dental Association
and represents more than 13,000 of
the state’s dentists. Dr. Friedman,
who is slated to serve as the
association’s president in 2013,
previously served as president of
NYSDA in 1979-80. Dr. Friedman
has been a member of NYSDA for
41 years.
Carl L. Sebelius,
Jr. installed
as 2011–2012
Tennessee
Dental
Association
President
Carl L. Sebelius, Carl L. Sebelius, Jr.,
Jr., DDS
DDS, AAOMS life
fellow, was installed as the 2011–
2012 President of the Tennessee
Dental Association (TDA) during
the association’s Music City Dental
Conference (144th Annual Session)
in Nashville. Dr. Sebelius served
the TDA’s speaker of the House of
Based Dentistry
Advisory Committee.
Additionally, Dr.
Sebelius serves as the
District 6 Regent of
the American College
of Dentists.
Kelly Ann Shy
recognized as a
Health Care Hero
Joseph Niamtu III, DMD, AAOMS fellow, delivered the Kelly Ann Shy,
3rd Annual Laskin Lectureship at the University of Illinois onMHSN, has been
June 25, 2011 in Chicago, on “Cosmetic Facial Surgery.” honored as a San
Dr. Niamtu has contributed greatly towards the practice
of full scope oral and maxillofacial surgery at his practice Antonio Health
in Midlothian, Virginia, as well as nationwide. Prior Laskin Care Hero for
lecturers include Drs. Daniel Laskin and Raymond J. 2011. Ms. Shy is
Fonseca. Dr. Niamtu is pictured (center) with the faculty of administrator of
the Department of Oral and Maxillofacial Surgery, including
Drs. Raza A. Hussain, Michael Miloro, William G. Flick and
Alamo Maxillofacial
Antonia Kolokythas. Surgical Associates,
and executive director
of both the Texas
Delegates for six years before serving and Southwest Societies of Oral and
as president-elect this past year. Maxillofacial Surgeons.
Dr. Sebelius is very active in the Coordinated by the San Antonio
Memphis Society of Oral and Business Journal, Health Care
Maxillofacial Surgeons, the Memphis Heroes is an annual awards
Dental Society and the TDA. He program that recognizes outstanding
serves dentistry on a national basis achievement in and dedication to the
as a delegate to the ADA House various aspects of the city’s health
of Delegates, as a member of the care industry. n
ADA Council on Ethics, Bylaws and
Judicial Affairs and on the Evidence
AAOMS Today • September/October 2011 15
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AAOMS Today • September/October 2011
9 13/16 x 12” (Color)
Full page verticle
The role of life insurance in charitable giving
N
o one can argue—we live in
a land of giving. According
to the Atlas of Giving,
over $323 billion was donated to
charities in the United States during
2010. Reasons people donate their
time and money include the desire
to create a legacy for a professional
association, support a religious faith
or educational institution, or to
make the lives of the less fortunate a
little better.
Donations would likely increase if
individuals knew how to make gifts
to their favorite charity a little less
painful to the pocketbook. Many just
do not know how to give efficiently.
While most understand they can
give cash outright, few realize some
of the other methods for monetary
donations:
Bequest – Gift at one’s death
Charitable Remainder Trust – Donor
receives income during lifetime
and charity has remainder interest
in donated property at donor’s
death
Charitable Gift Annuity – Donor
receives a life annuity in return for
the gift to the charity
Life insurance is another important
tool that donors can use in their
charitable giving plan. Though the
charity has a somewhat delayed
interest in the gift, life insurance is
a great way to provide a larger gift
to the charity as compared to an
outright cash donation.
Life insurance can be used as a giving
tool in several ways. These include
naming the charity as the beneficiary
to an existing policy, donating an
existing life insurance policy to
the charity, initiating a new life
insurance policy for the benefit of the
charity, and the use of life insurance
in a Wealth Replacement Trust.
Naming a charity as beneficiary of an
existing life insurance policy is easy.
The policy owner simply needs to
request a change of beneficiary form
from the life insurance company.
The charity is named as beneficiary
r e ... E a r n
Mo
rn
ore
Lea
!
TH
T$
E
IN
$ID E FA
C
while the policy owner remains
in control to make changes to the
policy in the future. This approach
does not provide any current income
tax deduction to the donor. Upon the
death of the donor, the estate may
take a charitable deduction for the
policy amount paid to the charity.
Donors may have a life insurance
policy they no longer need or that
contains a cash value that they
desire to donate to a charity. In this
case, it may be possible to donate
this existing policy to the charity.
Unlike the above, where only the
beneficiary is changed to the charity,
this technique also requires that
the ownership of the policy be
transferred to the charity. In this
case, the donor relinquishes complete
control and the policy is removed
from the donor’s estate. The donor
receives a current income tax
deduction for the lesser of the policy
cash value or cost basis of the policy.
The third way to use life insurance
in a charitable gifting strategy is by
initiating a new life insurance policy
for the benefit of the charity. The
donor(s) must be medically insurable
to use this strategy though it is a
great way to leverage cash gifts to
a charity. Technically, the charity
applies as owner and beneficiary of
this new life insurance policy with
the donor as the insured. After the
underwriting is complete, the donor
makes a contribution to the charity,
which then uses the cash to pay the
policy premium. The donor receives
a current income tax deduction for
the contribution while the charity has
full control over the policy and its
cash value. Depending on the policy,
multiple annual donations may be
required to make ongoing premium
payments.
Individuals who gift appreciated
assets to a charitable organization
have an opportunity to avoid capital
gains, take a tax deduction and still
receive income from the property or
leave assets for heirs. The advantage
of gifting appreciated assets is that
the donor takes a deduction for the
full value of the asset as opposed
to selling the asset, paying capital
gains taxes, and then making a
cash donation. With this technique,
the donor combines a Charitable
Remainder Trust with a Wealth
Replacement Trust (WRT).
Assume that a donor purchased a
particular stock 20 years ago for
$300,000 and now the value is at $1
million. The donor wishes to donate
the $1 million to his favorite charity.
The donor could set up a Charitable
Remainder Trust (CRT) and transfer
the stock to this trust. The trust
liquidates the stock and provides the
donor with an annuity payment for
a specified number of years. (The
current income tax deduction to the
donor is the present value of the
remainder interest in the gift. Please
contact your tax advisor for your
specific situation)
At the same time the donor
establishes a WRT. This is an
irrevocable trust, which is out of
the donor’s estate. A $1 million life
insurance policy is taken out by the
trust on the life of the donor(s). The
annuity payments from the CRT
are gifted to the WRT to make the
premium payments on the new
policy.
The end result of this technique
is that the charity receives a large
donation, the donor receives a
current income tax deduction,
and the donor’s estate remains at
essentially the same value because the
WRT is funded with the $1 million
life insurance policy to replace the $1
million stock value.
There are many ways life insurance
can be used in the charitable gifting
process. Ultimately it is the charity
and the purpose it serves that will
benefit from the use of life insurance.
For more information, contact
Treloar and Heisel, Inc at 800/345-
6040. n
The author, Kenneth C. Thomalla, CPA,
CLU, CFP, is chief operating officer of Treloar
and Heisel, Inc. This article is not intended to
provide tax or legal advice. Contact your tax
and legal advisor regarding any of the topics
discussed in this article.
AAOMS Today • September/October 2011 17
 TREASURER’S ACCOUNT
A
lthough the Treasurer receives
a lot of the credit for the
association’s financial well-
being, it is the Finance and Audit
Committee (F&A), of which I’ve
had the pleasure to serve as chair,
that really controls the AAOMS
purse strings. As specified in the
AAOMS Bylaws, the F & A “. . .
shall prepare annually the general
operating budget for approval by the
Board of Trustees and subsequent
approval by the House of Delegates.
The committee will also oversee the
annual audit of the Association’s
financial statements.” These two
sentences provide a basic outline
of what the committee does, but in
reality their responsibilities are far
greater.
Guided by the AAOMS Strategic
Plan, with input from AAOMS
committees, contractual partners,
and the association’s staff, the F&A
Committee spends two days each
spring crafting the annual operating
budget for the following year. The
process is not as easy as you might
imagine. To budget appropriately,
the committee must drill down
into the details of an activity. For
example, to build the budget for
our international representation
The Bulloch family
Family
continued from page 1
Conditions are primitive even in the
schools the doctors can reach by
truck. “The schools are not what
we think of as typical schools,”
says Bulloch. “They’re just walls
and benches.” Most of the time,
unless the school has an emergency
generator, there’s no electricity. The
18 AAOMS Today • September/October 2011
activities, the committee identifies the
international meetings that require
attendance, the individuals who, per
policy, will attend each meeting, and
the estimated expenses for airfare,
housing, and other travel expenses
needed to cover their participation.
This level of detailed analysis goes
into the budget preparation process
for all activities.
The F&A Committee also appoints
the auditors and oversees the annual
audit of the association’s financial
statements. Periodically, AAOMS
issues a Request for Proposal
for Auditing Services, and the
responsibility for interviewing the
finalists, and selecting the firm that
best fits the association’s needs falls
to the F&A Committee.
The committee meets with our audit
partners at least twice annually;
once in the fall to review the plan
for the upcoming audit, and again
in the spring to review the results of
the audit. And of course the entire
AAOMS Board receives the operating
fund financial statements each month
during the year, which helps ensure
that no surprises surface during the
annual audit.
doctors rely on headlights and hand
instruments, and cold sterilization;
and of course there are no dental
chairs. During their examinations
and treatments, patients lie on the
benches with their heads in the
dentists’ laps.
“We’re always interested to have
anyone go with us,” Bulloch says.
“People ask us what to bring. I tell
Other F&A Committee responsibi-
lities include oversight of the
association’s investments, risk
management activities and financial
policies. The committee meets at
least twice a year with the investment
consultants to review performance
and asset allocation of the AAOMS
reserves and employee benefit plans.
Interim conference calls are also
scheduled as needed.
The committee approves the
Investment Policy Statement for
each pool of assets, and approves
manager/fund selections as needed.
Risk management activities include
reviewing the association’s corporate
insurance policy coverage, and
reviewing contract terms at each
on-site meeting of the Board of
Trustees. Oversight of financial
policies includes review and approval
of pricing for AAOMS activities,
reimbursement levels for speakers,
and travel reimbursements for
AAOMS representatives.
As you can see, the F&A
Committee of the Board has a lot
of responsibilities. The committee
rotation ensures that every trustee
gets to participate at least once
during their term of office. This
them, ‘Imagine you’re doing surgery
in your backyard with whatever you
can carry in a backpack.’”
Every trip, Bulloch tries to bring
extra supplies and equipment to
leave behind. Shipping isn’t an
option because the Haitian postal
service is practically nonexistent.
Bulloch has noticed a number of
changes since he started traveling to
Haiti, most notably an enormous
improvement in the dental hygiene
of his young patients. “There’s been
a huge drop on the caries rate,” he
reports. This leaves him more time to
work on their parents.
The calamitous earthquake that
struck southern Haiti in January
2010 had very little effect on the
villagers Bulloch usually treats.
“They were living in little grass
huts,” he explains. “That’s not the
same as the cement buildings in
Port-au-Prince.” The catastrophe,
ironically enough, may have actually
helped them, as they, too, were
recipients of the outpouring of
money and medical attention from
Treasurer
Edwin W. Slade, Jr., DMD, JD
assures that every trustee has some
input regarding the financial affairs
of the association.
In this my last column as your
treasurer, I want to take the
opportunity to thank the AAOMS
Board of Trustees and the members
of the Finance and Audit Committee
for the support they have given me
during these last four years. It’s been
an honor to chair the committee
with my fellow trustees and it gives
me great pleasure to know that
when I leave the treasurer position
at the conclusion of the upcoming
annual meeting in Philadelphia,
the Finance and Audit Committee
structure will continue to serve the
association well for years to come.
n
the United States and other countries.
A year and a half and several more
disasters later, though, Bulloch has
noticed that it’s begun to taper off.
Bulloch’s involvement with Haiti
doesn’t stop when he’s not traveling.
In fact, he’s helped build a small
Haitian enclave in St. George. Last
year he and Stephanie adopted
two more Haitian children, Alivia
and Journey, cousins of their older
daughter Jade. Meanwhile, Stephanie
Bulloch’s best friend adopted two of
Jade’s sisters. The kids are all doing
well, though they have had some
trouble adjusting to American life,
which has a lot more rules.
“Our situation is quite unique,”
Bulloch says. “Our family
demographic lends itself to this. It’s
fairly easy for someone new to come
in and fit right in. Our family is
where the action is.”
Except when they’re off to Haiti. n
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Pre-packaged prescription dispensing service with web-based
application. Call 800/392-7717 for information about new 2011
pricing.
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Patient financing program. 800/300-3046, ext. 4519.
NEW ASI With many AAOMS members
using their smartphones, IPads, Bank of America® Merchant Services
MOBILE Credit card processing with new, improved pricing. 888/317-5402.
Playbooks and tablet PCs, we’ve
OPTIMIZED changed the ASI Web site to
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provide additional access to the Call ASI® staff at 800/822-6637, ext. 4319, to enroll in the Office
COMING latest news and product specials Depot program.
SOON! for ASI approved programs. ASI’s
mobile optimized Web site will AAOMS Business Credit Card through Bank of America
have faster download speeds and Call 800/598-8791. Source code UABDKJ.
provide easier navigation on AAOMS Personal Credit Card through Bank of America
those netbook-sized screens. Watch for ASI tweets about this new Call 866/438-6262. Source code UAA353.
way of viewing the ASI Web site.
Nuell, Inc.
Repair of powered dental instruments. 800/829-7694.
Henry Schein Financial Services
Follow AAOMS Services on Twitter at Financing made simple. 800/853-9493.
http://twitter.com/AAOMSservices for product/service specials
and for information about new ASI approved programs. I.C. System
Debt collection service. 800/279-3511.
NEW! OptumInsight ™ (formerly Ingenix)
Coding accuracy is the key with EnCoderPro.com. Visit
www.shopingenix.com/AAOMS or call 801/982-3405 to enroll.
National Electronic Attachment
Transmit claim attachments and view payer requirements.
800/782-5150, ext. 2.
Powertome® Periotome from Westport Medical
Perform atraumatic extractions with the Powertome®.
Call 503/798-6378.
[ AAOMS Services, Inc.
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AAOMS Today • September/October 2011 19

 11 4 1+ 1 + 4
Afternoon

1 - 5pm, Thursday
December 1, 2011
Exciting Topic

Immediate Full-Arch
Provisionalization
Expert Perspectives

Astra Tech
Biomet, Inc.
Nobel Biocare
Straumann USA LLC
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AAOMS From 1 to 5pm, Thursday, December 1, 2011, four concurrent
limited attendance sessions will team OMSs and restorative dentists
presents an to focus on immediate full-arch provisionalization.
exciting new
Each session has the same learning objectives and will follow the same
hands-on course outline, addressing such items as team member responsibilities,
addition to its preoperative evaluation and imaging, surgical guides and methods and
pre-conference postoperative protocols.
line-up! Each session is supported by a different implant-related vendor: Astra Tech,
Another compelling reason Biomet, Inc., Nobel Biocare and Straumann USA LLC. You can only register for
to bring your team one, so choose your favorite stand-by, or sign-up for something brand new!
to the AAOMS Dental Or, if you are an AAOMS fellow or member, you may be interested in
Implant Conference! one of two pre-conference surgical techniques courses:

◗ Intraoral soft tissue surgical techniques for dental

implants CONFERENCE
◗ Use of mesh and membranes – techniques for vertical
2011
and horizontal only ridge augmentation
Register today; attendance is limited. Visit aaoms.org/DIC
for details on housing and conference registration.
December 1-4, 2011
Sheraton Chicago Hotel & Towers
American Association of Oral and Maxillofacial Surgeons Chicago, IL
saving faces|changing lives®

20 AAOMS Today • September/October 2011

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American Association of Oral and Maxillofacial Surgeons U.S. Postage
9700 West Bryn Mawr Avenue PAID
Rosemont, Illinois 60018-5701 Kelmscott
Press
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AAOMS

today A publication of the American Association of Oral and Maxillofacial Surgeons

AAOMS CALENDAR
Educational December 2-3: Exhibition
December 3-4: Anesthesia
April 21-22
Advanced Protocols
Advertising
Opportunities Assistants Review Course for Medical
Advertising inquiries other than classifieds should be directed to Ms. Joan
Coffey, Elsevier, Corporate Partnership Manager, 360 Park Avenue South,
Emergencies in the OMS New York, New York 10010; Tel: 212-633-3806; Fax: 212-633-3820;
2011 2012 Office e-mail: j.coffey@elsevier.com. The publication of an advertisement is not to
be construed as an endorsement or approval by the American Association of
Loews Vanderbilt Hotel Oral and Maxillofacial Surgeons of the product or service being offered in
November 12-13 March 3-4 Nashville the advertisement unless the advertisement specifically includes an authorized
Coding Workshop: Anesthesia Assistants Nashville, TN statement that such approval or endorsement has been granted. n
Beyond the Basics Review Course
The Westin Denver The Westin Buckhead Atlanta April 22-23
Downtown Atlanta, GA Coding & Billing Workshop
Loews Vanderbilt Hotel
September 11
Coding Workshop:
Regional and
Denver, CO
March 27-28 Nashville ICD-10-CM State Society
November 14 AAOMS Day on the hill
Renaissance Mayflower Hotel
Nashville, TN In conjunction with AAOMS
94th Annual Mtg
Meetings
OMS Billing Conference
Washington, DC September 10-15 The Westin Gaslamp Quarter,
The Westin Denver
Downtown AAOMS 94th Annual San Diego 2011
Denver, CO April 21 Meeting, Scientific San Diego, CA
Practice Management Sessions and Exhibition October 24
Stand-Alone Meeting San Diego Convention Center September 12-13 Washington State
December 1-4
Loews Vanderbilt Hotel Hilton San Diego Coding workshop: Society of Oral and
AAOMS Dental
Nashville San Diego, CA Beyond the Basics Maxillofacial Surgeons
Implant Conference
Nashville, TN In conjunction with AAOMS Bellevue, WA
Sheraton Chicago Hotel & September 10-13: Business
Towers Sessions 94th Annual Mtg
April 21 The Westin Gaslamp Quarter, November 2
Chicago, IL September 11: Preconference
Coding Workshop: Maxillofacial Oncology and San Diego Connecticut Society of
December 1: PreConference Oral and Maxillofacial
ICD-10-CM Reconstructive Surgery San Diego, CA
Courses Surgeons
Loews Vanderbilt Hotel September 11-12: Preconference
December 2: Dental Implant Water's Edge Resort
Nashville Anesthesia Update for the OMS
Assisting Skills Lab
Nashville, TN September 12-15: Scientific Westbrook, CT
December 2-3: Dental Implant
Sessions
Conference
September 13-15: Exhibition

22 AAOMS Today • September/October 2011