This sounds like a research study where the OMS is evaluating "aged" patients for treatment needs. If it is, then you would also need a research approval.
If the doctor is asking the OMS for an opinion, on "ideal" aged - 14-22 lets say. He wants advice. The consent and HIPPA forms the patient signs should allow this, even if the patient will not be referred. This allows the dentist to seek help and save teh patient a referral fee. Often I have been asked about patients and make comments, if the patient is better (classic signs of candidosis and easy treatment) I won't need to see them.
I am not sure what you mean my management. the dentist? his employer?
If it is the employer, are they checking on the dentist's decisions. This would be included in the dentist's contract and the consent/HIPPA forms allow for quality review.
As a consult for the Commission on Dental Accrediation of the ADA, we make sure there is a business agreement in place that meets HIPPA requirements so we are allowed rto review records.
just my opinion, not knowing all the facts.