Member Information Page

Benefits of Organized Dentistry-Join today by requesting an application from the GKCDS or by phoning 816-737-5353. The structure of organized dentistry has a lot to offer, and you can get as much out of it as you choose to pursue. Being a member of Organized Dentistry offers you many benefits at the national, state and local levels. The following benefits are available to you through your tripartite membership, membership that matters!

Greater Kansas City Dental Society Benefits-Membership in the GKCDS benefits you by:

If you are not sure of your voting district numbers or want to know more about state or national officeholders, candidates, ballot measures, legislative news, legislative calendars, or voting information, Click Here and then enter your nine-digit zip code.

Let your United States Representative and Senators know how you feel on the key issues facing dentistry today!

Local Office: 911 Main St., Ste. 2224, Kansas City, MO 64105; (816)471-7141. Fax: (816)471-7338. Washinton Office: Russell Senate Office Bldg. #274, Washington, D.C. 20510; (202)224-5721. Fax: (202)224-8149. E-mail him. Web site.

Local Office: 514-B N.W. Missouri 7, Blue Springs, MO 64014; (816)228-4242. Fax: (816)228-4814. Washington Office: Rayborn House Office Bldg. #2206, Washington, D.C. 20515; (202)225-2876. Fax: (202)225-2695. Web site.

Local Office: 400 E. 9th St., Ste. 9350, Kansas City, MO 64106; (816)842-4545. Fax: (816)471-5215. Washington Office:Longworth House Office Bldg. #131, Washington, D.C. (202)225-4535. Fax: (202)225-4403. Web site.

Local Office: 113 Blue Jay Dr., Liberty, MO 64068; (816)792-3976. Fax: (816)792-0694. Washington Office: Longworth House Office Bldg. #1513, Washington, D.C. 20515; (202)225-7041. Fax: (202)225-8221. E-mail him. Web site.

Also let your Missouri Legislators know how you feel on the key issues facing dentistry today!

Mail to: Legislator's name, State Capitol, 201 W. Capitol Avenue, Jefferson City, MO 65101

Phone contact and local address information: Follows in the tables below for Missouri State Senators and Representatives.

DENTAL OFFICE FOR LEASE: Leawood dental office for lease at 8016 State Line Road. Fully plumbed and ready to move in. First floor, ample parking, great location, park-like setting. Call Mike at 913-980-7760

SELLERS NEEDED! We have qualified buyers with financing available looking for quality practices in the Kansas City metro. If you are thinking about retirement and would like the opportunity to receive a fair price for your practice, give Dr. Steve Wolff of EMA Dental Practice Sales (formerly Evan Myers and Associates) a call at 816-358-6782 or email to evanmyers@comcast.net.

PLAZA OFFICE SPACE: Great opportunity for Plaza Dental office. Available immediately for customization, already plumbed in numerous locations. 3000 sq. ft.--$18.50 per ft., utilities included. Parking available. Call 816-531-0300.

AUTOMATIC FILM PROCESSOR: Air Techniques A/T2000 with daylight loader, 4 years old, well-maintained, excellent condition, $1,000. Midmark ceiling mounted light, like new, $250. Contact: Dr. Brent Evers, 816-741-2333.

Comparison charts of Direct Restorative Materials and Indirect Restorative Materials have been developed by the American Dental Association to help dentists explain to their patients the relative pros and cons of various materials used in dental restorations, including fillings, crowns, bridges and inlays.

These charts can be downloaded from the Missouri Dental Association in either msword or pdf fomats or contact Melissa Albertson at the MDA if you cannot open or download one of these charts from the Web page.

The ADA has developed an ADA HIPAA Privacy Kit to help members, and other dental professionals, obtain a start towards compliance with the requirements of the Health Insurance Portability and Accountability Act (HIPPA).

The kit currently reflects changes to the HIPAA Privacy Rule finalized on August 14, 2002 and scheduled to go into effect on April 14, 2003 by the U.S. Department of Health and Human Services (HHS). You can purchase a current manual from the ADA through salable materials (800-947-4746).

The ADA Kit includes:
· An explanation of the purpose and requirements, in a brief and easy-to-understand format
· A customizable set of policies and procedures required for all dentists
· Required notices and forms, including a sample business associate agreement
· A HIPPA compliance checklist
· A glossary of key terms

The Missouri Dental Association's legal counsel has reviewed Missouri statutes to determine the extent of state law privacy requirements, that can be more stringent and have additional privacy restrictions than HIPAA.

The following summary and detailed privacy information of this section was taken from seminars previously offered by the Missouri Dental Association and the American Dental Association. Updated information is available from: The ADA or Informatics@ADA.org or Robert E. Lapp X2750 at the ADA toll-free number, 1-800-621-8099, or link to HIPAA.

The final regulation adopting security standards for the electronic storage, maintenance, and transmission of health information became effective on April 21, 2003. Compliance is required by April 21, 2005 for all those who have been or will be affected by the HIPAA Privacy Standards.

HIPAA-Privacy

* Summary Information *

What do the privacy rules do?
· Give patients more control over their health care information
· Set boundaries on the use and release of healthcare information
· Establish appropriate safeguards
· Hold violators accountable through civil and/or Federal criminal penalties

Benefits
· Allow patients to find out how their information may be used
· Limits release of information to the minimum reasonably needed
· Gives patients the right to examine, obtain copies of, and request changes to medical information

Are you ready?
· Designate a Privacy Official (PO)
· Adopt clear office policies and procedures for HIPAA
· Train your employees so they understand office privacy procedures (provide copies of office policies and have the employees document that they have been read)
· Create and display a Patients' Rights Notice
· Obtain written consents and/or authorizations from patients before disclosure for treatment, payment, or health operations

* Detailed Information *

What does HIPAA stand for?
· The Health Insurance Portability and Accountability Act of 1996 (P.L. 104-191)
· A truly bipartisan bill proposed by Senators Kennedy and Kassebaum (passed
98-0 in the Senate and 421-2 in the House)
· Assured portability of health insurance coverage, except dental and vision plans
· Mandated a fraud and abuse control program
· Created Medical Savings Accounts (state to state rules differ)
· Administrative simplification provisions.

Does HIPAA apply to me?
· If you choose to conduct health care transactions electronically, you are a covered entity and subject to HIPAA
· Transactions include claims and remittances, eligibility inquiry and response, claims status inquiry and response, enrollment, premium payment, and referral authorizations
· If you mail claims to a clearinghouse that are subsequently sent electronically
· If there is any electronic exchange of information

How much will HIPAA cost me?
· You are already paying $200 per week to comply with proprietary payer requirements
· Your costs may vary but estimates are two days of lost production the first year for orientation and training (probably much less than this, maybe as little as two hours)
· Generally, the first (completely electronic) year can be expected to be break-even with net benefits in the second and subsequent years

How big is HIPAA?
· Transactions and Code Sets
· National Provider identifier
· Employer identifier
· Health Plan identifier
· Privacy and Security standards
· Enforcement procedures
· Unique individual identifier

How much longer will we have to wait?
· Until October 16, 2003 for Transactions and Code Sets, if you filed for an extension by October 15, 2002
· Until April 14, 2003 for privacy; security effective April 21, 2003

Impact on Dentists
· HHS allows covered entities to meet requirements on a scalable basis
· Privacy Official may be an additional duty or shared responsibility
· Balanced privacy protection and economic costs involved
· HHS looking to professional associations to develop checklists and guidance for small providers (the ADA has published the ADA HIPAA Privacy Kit)

Patient Requirements (Consumers control their health care information)
· Providers and plans must give patients a clear written explanation of how their information is used and disclosed (privacy policy)
· Patients have the right to see, amend, and get copies of their records
· Consent must be obtained before disclosure for treatment, payment or health operations
· Patients have the right to complain about privacy violations
· Patients receive an account of all instances where their health information has been disclosed for other than treatment, payment, or health operations

Staff Requirements (Providers' administrative requirements)
· Adopt written privacy policies and procedures
· Train employees and designate a Privacy Official
· Establish grievance procedures
· Develop a system of sanctions for violations

Business Associate Requirements
· Contracts are required which detail the restrictions placed on the use of protected health information
· Providers are not responsible for monitoring business associates
· Providers violate privacy rule if they knew of violation by a business partner and took no action
· Reasonable action steps include:
· Having business associate correct the problem
· Terminate the contract (if possible)
· Reporting the problem to the Secretary of HHS

Business Associate Contracts
· Establish the permitted use of information
· Prohibit other uses and disclosures
· Require appropriate safeguards to prohibit inappropriate disclosure
· Requires reports to the covered entity in the event of a violation
· Requires further subcontracting to be liable for the same provisions
· Provides for return or destruction of protected health information at the end of the contract, if feasible
· If not feasible, protection must be continued

What must I do?
· Maintain reasonable and appropriate administrative, technical and physical safeguards for health information
· Ensure the integrity and confidentiality of the information
· Protect against any reasonably anticipated threats or hazards to the security or integrity of the information
· Protect against unauthorized uses or disclosures of the information
· Ensure compliance with this part by officers and employees

Who will enforce HIPAA?
· You and your payers
· There are no HIPAA police, or even sufficient funding to design their badge
· HHS Office of Civil Rights will be responsible for Privacy Compliance

What if I don't comply?
· I didn't know
· I can't comply
· I'll need more time
· I'll need help
· I want to appeal
· I want my fines reduced

Penalty for Noncompliance or failure to apply for extension for Code and Transactions
· HIPAA legislation does include civil and criminal penalties for non-compliance, with the most immediate and severe being loss of Medicare provider status

What if I wrongfully disclose protected health information?
· Fined not more than $50,000, imprisoned not more than one year, or both
· If the offense is committed under false pretenses, be fined not more than $100,000, imprisoned not more than five years, or both
· If the offense is committed with the intent to sell, transfer, or use individually identifiable health information for commercial advantage, personal gain, or malicious harm, be fined not more than $250,000, imprisoned not more than 10 years, or both

Are there exceptions?
· Public Health
· Victims of abuse, neglect or domestic violence
· Health oversight committees
· Judicial and administrative proceedings
· Research
· To advert a serious threat to health an safety
· Law enforcement
· Coroners and funeral directors
· Organ, eye, and tissue donation
· Specialized government functions
· Workers' Compensation

Is HIPAA good or bad?
· HIPAA provides a level playing field for providers and payers
· HIPAA imposes civil and even criminal penalties for wrongful disclosure of health information "under false pretenses," or with intent to sell, transfer, or use for commercial advantage, personal gain, or malicious harm

Why is the government doing this?
· HHS must adopt national standards for electronic administrative and financial health care transactions
· ADA named consultant to the Secretary of HHS in legislation
· Dental Content Committee designated standards maintenance organization

Why is there so much incorrect information about HIPAA?
· The regulations are complex (over 400 pages) and changing
· Several groups are attempting to delay or rescind HIPAA to avoid changing existing systems and practices

Who should I trust?
· American Dental Association
· Consultant to the Secretary, named in the enabling HIPAA legislation
· Comment and consult on all proposed and final regulations
· Communicate available information to constituents, components and members
· Be warned that most Y2K consultants are now "HIPAA Consultants"

Did you file for an extension?
· It is unlikely that with the rules possibly changing right up to the effective date that all clearinghouses, billing services and insurance companies will be ready for compliance. If you did not file for an extension, plan to come into compliance as soon as possible.

HIPAA-Security

Security and privacy are inextricably linked. The protection of the confidentiality, integrity, and availability of information depends on large part on the existence of security measures to protect that information. The standards require covered entities to implement basic safeguards to protect electronic protected health information from unauthorized access, alteration, deletion, and transmission.

The scope of the Security Rule is more limited than that of the Privacy Rule, in that the Privacy Rule applies to protected health information in any form, while the Security Rule applies to protected health information in electronic form only.

Your prior implementation of privacy standards should reduce the cost of complying with the security standards. Substantial efforts were made in developing the security standards' requirements to ensure that those in the security standards paralleled those for privacy. It is likely then that some of the required administrative, physical, and technical safeguards have already been implemented, eliminating the need for additional investments to meet these standards.

Administrative safeguards "are administrative actions, and policies and procedures, to manage the selection, development, implementation, and maintenance of security measures to protect electronic protected health information and to manage the conduct of the covered entity's workforce in relation the protection of that information".

Physical safeguards "are physical measures, policies, and procedures to protect a covered entity's electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion".

Technical safeguards "means the technology and the policy and procedures for its use that protect electronic protected heath information and control access to it".

Most health care providers will need to conduct an assessment of how their current security measures conform to the new standards. Covered entities that identify gaps in their current measures need to establish or revise their security precautions. While most small providers will have not implemented sophisticated security measures, they are not as likely to need them due to requirements that are scalable and technically flexible, allowing providers to adopt measures that are appropriate to their own circumstances.

There may be many choices regarding how to develop cost-effective security measures appropriate to your particular needs. Some may choose to assess security using in-house staff, while others will use consultants (Rest assured there will be many willing to help you). Practice management software vendors may also provide security consultation services to their customers. Entities may also choose to implement security measures that require hardware and/or software purchases at the time they do routine equipment upgrades.

As was the case with the Privacy Rule, compliance with the Security Rule will be a manageable thing-but an early start is once again recommended.

President	Prabu Raman	816-436-4422
President Elect	W. Kent Powell	816-637-6021
Vice-President	Merle A. Nunemaker	816-942-8666
Secretary-Treasurer	Samuel E. Hayes	816-333-1393
2006 President	John C. Flucke	816-525-7373
Director, 2007	Natalie Beltgens	816-228-8400
Director, 2007	Jerry Theilen	816-454-1313
Director, 2007	David L. Suchman	816-373-1474
Director, 2008	Patrick H. Collins	816-229-2442
Director, 2008	James D. Elias	816-478-3600
Director, 2008	Zachary Meiners	816-252-0779
Director, 2009	John W. Huddart	816-436-2525
Director, 2009	M. Conrad Journee	816-781-1661
Director, 2009	Karen H. Rethmeyer	816-333-3337
Editor	To be appointed	?
MDA Trustee	Kenneth J. Weinand	816-478-4244
Executive Director	Sam Faimon	816-737-5353

District #	Name--Party	Street	City, Zip	Capital Phone	Home Phone	Capital Fax
8	Bartle, Matt--R	10817 Wildflower Dr.	Lee's Summit, 64086	573-751-1464	816-305-6288	573-751-8442
9	Wilson, Yvonne--D	4609 Paseo, Ste 102	Kansas City, 64110	573-751-9758	O-816-924-5467	0
10	Justus, Jolie L.--D	3923 Harrison	Kansas City, 64110	573-751-2788	O-816-931-56557	0
11	Callahan, Victor--D	123 E. Short	Independence, 64050	573-751-3074	816-254-9180	573-751-4551
17	Ridgeway, Luann--R	19405 Platte Co Line	Smithville, 64089	573-751-2547	0	0
21	Stouffer, Bill--R	Rt 4, Box 1073	Napton, 65340	573-751-1507	0	0
28	Scott, Delbert L.--R	P.O. Box 147	Lowry City 64763	573-751-8793	O-417-644-2244	573-526-8793
31	Koster, Chris--R	PO Box 9	Harrisonville, 64701	573-751-1430	0	0

District #	Name--Party	Street	City, Zip	Capital Phone	Home Phone	Capital Fax
7	Quinn, John--R	10485 LIV 511	Chillicothe, 64601	573-751-2917	660-646-0004	0
31	Skaggs, Trent--D	2401 Fayette	N. Kansas City, 64116	573-751-2199	816-421-5014	573-751-4559
32	Grill, Jason--D	0	0	0	0	0
33	Nolte, Jerry--R	2703 NE 67th Place	Gladstone, 64119	573-571-1407	0	0
34	Flook, Tim--R	592 White Oak Ln	Liberty, 64068	573-571-1218	0	0
35	Ervin, Doug --R	P.O. Box 461	Kearney, 64060	573-571-2238	816-628-4311	0
36	Nance, Bob--R	314 Concourse	Excelsior Springs	573-571-1468	0	573-526-1110
37	Talboy, Mike--D	0	0	0
38	Silvey, Ryan--R	8018 N. Elmwood Ave.	Kansas City, 64119	573-751-5282	816-468-1011	0
39	Low, Beth--D	4104 Warwick Blvd, #301	Kansas City, 64111	573-571-4485	0	0
40	Burnett, John P.--D	3418 Gladstone Blvd.	Kansas City, 64123	573-571-3310	816-231-4709	573-526-1947
41	Curls, Salonn K.--	0	0	0	0	0
42	Hughes, Leonard--D	4019 College Ave	Kansas City, 64128	573-571-1501	0	0
43	Bland, Craig C.--D	1642 Bushman	Kansas City, 64110	573-571-2124	816-444-4142	573-522-9796
44	Lowe, Jenee M.--D	PO Box 8732	Kansas City, 64114	573-571-2437	816-822-4464	573-526-5759
45	Holsman, Jason R.--	0	0	0	0	0
46	Meiners, Kate--D	11712 Jefferson Street	Kansas City, 64114	573-751-9469	816-942-3837	573-751-6688
47	Grisamore, Jeff --R	0	0	0	0	0
48	Kraus, Will--R	10512 E 81st Terr	Raytown, 64086	573-751-1459	0	573-526-0932
49	Young, Terry--D	5305 Ridgeway	Raytown, 64133	573-751-9851	816-358-2897	573-522-8172
50	Brown, Michael R.--D	6807 Fairlane Dr	Kansas City, 64134	573-751-7639	0	573-526-0938
51	Salva, Ray--D	11422 Park	Sugar Creek, 64054	573-751-5701	816-252-6113	0
52	LeVota, Paul--D	5101 Shrank Avenue	Independence, 64055	573-751-9759	816-478-3113	573-526-7617
53	Dougherty, Curt--D	16003 E. Cogan Lane	Independence, 64050	573-751-6535	816-833-0916	573-751-9418
54	Dusenberg, Gary--R	1608 NE Willowbrook Dr.	Blue Springs, 64015	573-751-1487	816-228-6923	0
55	Pratt, Bryan--R	1123 SE Eastridge Drive	Blue Springs, 64014	573-751-8636	816-220-1099	573-526-8794
56	Yates, Brian David--R	2317 SE 5th Terr.	Lee's Summit, 64063	573-751-0907	816-554-7884	573-526-1776
119	Wilson, Larry D.--R	Rt. 1 PO Box 482	Flemington, 65650	573-751-1167	417-282-6355	573-526-0821
120	Cooper, Shannon--R	907 S 3rd	Clinton, 64735	573-751-1484	660-885-3855	573-522-5598
121	Pearce, David--R	123 Southeast 180	Warrensburg, 64093	573-751-2272	660-429-6312	573-526-7381
122	McGee, Michael--R	5538 Grubb Rd	Odessa, 64076	573-751-1462	0	0
123	Baker, Brian L.--R	613 Sunrise Dr	Belton, 64012	573-751-2175	816-331-0512	0
124	Scavuzzo, Luke--D	0	0	0	0	0
125	Fisher, Barney Joe--R	RR 1 -Box 624	Richards, 64778	573-751-5388	0	0