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The Conventus Blog

Case Study: MIPS/Quality Reporting
12/20/2017
Challenge:
Using data to improve care plays an essential role in delivering quality healthcare for patients, and succeeding in the new payment model ‑ The Merit-Based Incentive Payment System (MIPS) to avoid future penalties and work towards achieving an incentive. Performance in past years under three of Medicare’s payment programs - Electronic Health Record (EHR) Incentive Payment Program, Physical Quality Reporting System (PQRS) and the Value Modifier, determined how well a provider would succeed under the new model.  Barriers such as cost, limited staff engagement, lack of understanding of the program requirements and penalties, and cumbersome reporting led to a lack of participation. As a result, providers were hit with multiple payment adjustment to their Medicare Fee Schedule. This is exactly what happened to a group of long term Conventus member providers! They did not know what penalties they were seeing and had no idea where to start to make changes.
 
Prepare for New Medicare Cards
12/12/2017
Starting April 2018, the Centers for Medicare & Medicaid Services (CMS) will issue new Medicare cards to people with Medicare removing Social Security Numbers (SSNs) to help fight identify theft and protect essential program funding and the private healthcare and financial information of Medicare Beneficiaries.  The New Medicare Card will have a unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) and will replace the existing Social Security-based Health Insurance Claim Number (HICN). This new MBI will replace the existing Medicare card numbers on cards and in various CMS systems now in use. The goal of CMS is to start mailing the new cards to people with Medicare benefits in April 2018.  By April 2019 all Medicare cards will be replaced.
Conventus Case Study Practice Advice Hotline – Pain Management Real Time Advice
11/1/2017
Challenge.  A member internal medicine physician was managing a long time patient, a 60-year-old disabled female with several co-morbidities, including but not limited to, fibromyalgia, tendonitis, back pain, and spondylolysis.  The patient requested a refill of Vicodin before the prescription renewal date.  The physician requested the patient come in for an office visit to evaluate her condition.  The physician took a urine sample, in accordance with New Jersey regulations requiring testing at least every 12 months.  The urine drug screen results were negative for Vicodin but positive for Xanax, and the physician suspected drug diversion.  He presented these results to the patient, who became extremely upset.  She admitted to taking Xanax and claimed her psychiatrist had prescribed this medication.  In addition, she was insistent that she had taken the Vicodin, although her pain had increased.  
Conventus Case Studies Strategic Planning – Transforming A Practice for Success
10/24/2017
Challenge.  A Conventus member group practice received lower scores on their Patient Experience of Care Surveys than they had anticipated, which reflected a lack of provider and staff communication with the patient.  The group was recognized as a Patient-Centered Medical Home (PCMH) and participated in the Comprehensive Primary Care Plus (CPC+) Program.  The practice owners and managers needed assistance to increase staff and patient engagement by changing culture and implementing workflow redesign.  In addition, they realized their staff didn’t understand the intent behind PCMH and CPC+, which was to improve patient outcomes.  The staff’s perspective was that it was just “busy work” to comply with governmental reporting requirements, which they felt didn’t relate to patient care.  This frustration was evidenced by job dissatisfaction, and a lack of teamwork, accountability, and patient-centered communication.  The need to address these issues was even more important because the practice was adding more locations and providers.   
 
Conventus Distributes Dividends, Capital Returns for 8th Consecutive Year
10/20/2017
Conventus Distributes Dividends, Capital Returns for 8th Consecutive Year
Conventus is proud to announce its eighth consecutive year of distributing dividends and capital returns through the Conventus Owner Benefit Plan (COBP).  Since 2009, Conventus has distributed almost $13 Million in total to qualified physician members and/or their representatives. The Conventus Owner Benefit Plan was created to share company profits with member owners whenever profits reach specified thresholds, with the approval of the New Jersey Department of Banking and Insurance. Learn more about the COBP and Conventus’ financial picture at Conventus.com. 
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