Nothing Could be Finer than the Case from Carolina
Here Comes the Sunshine (Act)
Bye-Bye ByLaws
Does Anybody Really Medicare?
Doctor Known
100
The North Carolina Board of Dental Examiners case arose when the North Carolina Board of Dental Examiners wrote and sent at least 47 of these.
What are “cease and desist” letters?
100
The name of the searchable public website on which payments to doctors will be posted.
What is “Open Payments”?
100
2/3 of the delegates present and voting at the ADA House of Delegates
What is the required vote for a Bylaws change at the ADA House of Delegates
100
By signing this, the Medicare-eligible patient agrees to give up Medicare payment for services by the dentist, and agrees to pay the dentist without regard to any Medicare payment limits.
What is the Private Contract?
100
The only dentist to ever win the Cy Young Award as the American League’s best pitcher.
Who is Jim Lonborg?
200
In the North Carolina case, the Supreme Court held that “state action immunity” requires this type of state supervision of a board.
What is "active"
200
Payments under $10 which are less than $100 in the aggregate.
What are payments that are not reportable? (what is an exception to the reporting requirement?)
200
One of the two ADA Councils to have nineteen (19) members.
What are CAPIR and the Council on ADA Sessions?
200
A dentist who does not wish to enroll as an ordering/referring provider may do this.
What is file an Affidavit and “opt out” of Medicare.
200
The “Father of Modern Dentistry”.
Who is Pierre Fauchard?
300
The North Carolina decision says it’s a problem when a board or agency is comprised of a controlling number of these.
What are “market participants” (or “active market participants”)?
300
A dentist wishing to correct an inaccurate report listed on the public website must contact this entity
What is the reporting company?
300
The ADA BOT appoints JADA’s editorial board, subject to this limitation.
What is that the editorial board appointees must first have been nominated by the editor of JADA?
300
A Part D Medicare prescription drug patient will not receive reimbursement for prescription drugs prescribed by a dentist if the dentist fails to do this.
What is either enroll in or opt out of Medicare.
300
This dentist gave up the practice after becoming a best-selling author of Western novels.
Who is Zane Grey
400
The authors of the majority and the minority opinions in the 6-3 North Carolina Board of Dental Examiners v. FTC.
Who are Justices Kennedy ( majority) and Alito (minority)?
400
Besides “applicable manufacturers,” another type of entity required to report ownership interests held by doctors and their family members.
What are “applicable group purchasing organizations”?
400
Censure, suspension, expulsion, probation, and
removal from office.
What are the five disciplinary penalties that may be imposed on a member for violation of the ADA’s member conduct policy?
400
This system, often referred to by the acronym PECOS, permits healthcare providers to enroll online as Medicare providers.
What is the "Provider Enrollment, Chain and Ownership System"?
400
Dumbledore knew that both parents of this Gryffindor resident were dentists.
Who is Hermione Granger?
500
The 1943 Supreme Court case that the ADA, and the minority opinion, believed should have been controlling precedent for the Supreme Court. (Hint: in this 1943 case, one of the parties shared a name with the plaintiff in a 1954 segregation case).
What is Parker v. Brown?
500
A reporting entity may ask a dentist for this number, and also for this second number (if the dentist has this second number).
What is the dentists state license number and, if the dentist has one, the dentists NPI number?
500
Other than eligibility for election or appointment, two (2) of three (3) member benefits that are specifically mentioned in the bylaws.
What are receipt of a membership card, receipt of JADA, and the right to attend any scientific session of the ADA?
500
Beginning on this effective date, Medicare Part D will not cover prescriptions from dentists who have not enrolled or opted-out by January 1, 2016.
What is June 1, 2016.
500
A prohibitionist New Jersey dentist invented the pasteurization process for the fermentation of grape juice; his son, Charles (also a dentist) later began devoting full time efforts to this company that they founded.