Become a Conventus Member
Learn about Conventus’ Insurance Coverages and Practice Solutions
Clinical Resources
Practice Guidelines
Advanced Directives
Aid in Dying
Name | Format | Download |
---|---|---|
Aid in Dying Update-October 2019 | ||
Facility Opt Out of Medical Aid in Dying for Terminally Ill |
Aid in Dying for the Terminally Ill Act - On April 12, 2019, Governor Murphy signed into law the Aid in Dying for the Terminally Ill Act (the “Act”),… ... [Read More]
Chaperones
Name | Format | Download |
---|---|---|
Chaperone Poster for Office and Exam Room | ||
Chaperone Policy - Sample (doc) |
Addressing Sexual Misconduct by Licensed Medical Professionals & The Presence of Chaperones - Since April 1, 2020, the occupational and professional boards in New Jersey have disciplined more than 20 licensees for sexual… ... [Read More]
Presence of Chaperones During Provider Office Visits - Over the past few months, current events alleging sexual impropriety have commanded sensational news headlines and stories. Implementing a chaperone… ... [Read More]
The Me Too Movement Hits Healthcare - Question: What does the “#MeToo Movement” have to do with the presence of chaperones in physician offices? Answer: A lot! Patients… ... [Read More]
Medical Records
Name | Format | Download |
---|---|---|
Authorization to Release Medical Information to Individuals or Family Members | ||
Authorization for Use or Disclosure of Psychotherapy Notes | ||
HIPAA Medical Record Release Authorization |
Medicinal Cannabis
Name | Format | Download |
---|---|---|
2019 NJ Medicinal Marijuana Program Legislation | Download |
Changes to Medicinal Marijuana in New Jersey (June 2019) - There are currently 46,300 patients, 950 doctors, and 1,850 caregivers participating in the NJ Medicinal Marijuana Program (NJMMP). In an… ... [Read More]
Opioid/Pain Management
Name | Format | Download |
---|---|---|
Agreement for Long Term Therapy with Controlled Substances | ||
Medicare Part D Opioid Prescribing Policies | ||
New Jersey Emergency Opioid Regulations (2017) | ||
New Jersey Opioid Law (2018) | ||
Opioid Documentation Checklist | ||
Opioid Policy & Procedure Manual | ||
New Law: Easier Access to Medication Assisted Treatment (MAT) | ||
SUPPORT Act: Bipartisan Legislation to Address the Opioid Crisis |
New Jersey Naloxone Law - Physicians can play an important role in reducing the number of opioid overdose deaths by prescribing naloxone (sold as Narcan,… ... [Read More]
Out-of-Network
Name | Format | Download |
---|---|---|
Accepting Non-Emergency Services from an Out-of-Network Physician (Multiple Appointments) | ||
Accepting Non-Emergency Services from an Out-of-Network Physician | ||
Balance Billing Waiver | ||
Health Care Professional Disclosure Requirements | ||
Informing Patients Regarding Appointments with Out-of-Network Provider | ||
New Jersey Out-of-Network (OON) Act: What it Means for Your Practice-Misconceptions | Download | |
Out-of-Network Toolkit for Physician Practices | ||
Out-of-Network Website Disclosure | ||
Talking with Patients regarding Out-of-Network |
New Jersey’s Out-of-Network Law - On Friday, June 1, 2018 New Jersey Governor Phil Murphy signed into law the “Out of Network Consumer Protection, Transparency,… ... [Read More]
This content is for Conventus Insured Members only.
Learn about Conventus’ Insurance Coverages and Practice Solutions.
Non-Physician Providers (NPPs)
Advance Practice Nurse Collaborative Agreement
Name | Format | Download |
---|---|---|
Advanced Practice Nurse Collaborative Practice Agreement Samples | Download |
Billing Guidelines
Non-Physician Practitioner Billing: How to Avoid a Billing Audit - Medical Billing Audits performed by Medicare, Medicaid, and commercial payers have significantly increased in frequency in recent years and will… ... [Read More]
Sample PA-C Agreement
Name | Format | Download |
---|---|---|
Sample PA-C Agreement | Download |
Sample Nurse Midwife Agreement
Name | Format | Download |
---|---|---|
Sample Nurse Midwife Agreement | Download |
Operational Resources
Information Management
Cybersecurity
This content is for Conventus Insured Members only.
Learn about Conventus’ Insurance Coverages and Practice Solutions.
Texting
Healthcare Providers and Texting: What You Need to Know About Privacy Risks - Texting has become a communication method of choice these days, especially for Millennials and Gen Zers. And for good reason… ... [Read More]
Healthcare Provider Texting: FAQs - What is PHI? Protected Health Information (PHI or ePHI) is defined as “any information about health status, provision of health… ... [Read More]
Texting of Patient Orders Not Permitted - The Centers for Medicare & Medicaid Services (CMS) has issued a clarification on texting by medical providers regarding patient care. … ... [Read More]
Policies & Procedures
Closing a Practice / Leaving a Practice
Name | Format | Download |
---|---|---|
Closing a Practice NJ BME Regulations | ||
Guidelines for Closing a Physician Practice | ||
Physician Leaving a Practice (Sample Letter) | ||
Physician Retirement (Sample Letter) | ||
Destruction of New Jersey Prescription Blanks |
Interpreter Service
Name | Format | Download |
---|---|---|
2020 Directory of Sign Language Interpreters |
Caring for Patients with Limited English Proficiency - LIMITED ENGLISH PROFICIENCY PATIENTS: YOUR OFFICE'S LEGAL RESPONSIBILITIES The Conventus Practice Advice Line has experienced an uptick in practices calling… ... [Read More]
Patient Relations
Name | Format | Download |
---|---|---|
Patient Relationship Termination - Not Following Treatment Plan (Sample Letter) | ||
Patient Relationship Termination (Sample Letter) | ||
Patient Relationship Termination - Provider Uncomfortable (Sample Letter) | ||
Patient Relationship Termination - Patient Informed at Visit (Sample Letter) | ||
Patient Relationship Termination - Vaccine Noncompliance (Sample Letter) |
How To Respond if a NJ BME Complaint Comes Your Way - A patient complaint filed with the NJ Board of Medical Examiners (NJ BME) not only jeopardizes your reputation, it can… ... [Read More]
Pediatric Policies
Name | Format | Download |
---|---|---|
Vaccine Policy Statement (Sample) | ||
Vaccine Policy Patient Acknowledgement (Sample) | ||
Vaccination Patient Termination Letter | ||
Policy for Divorced/Separated Parents (Sample) |
Social Media
Social Media Resources for Physicians and Practice Administrators - How is social media impacting your medical practice? You may think it doesn’t affect you professionally, but think again. Even… ... [Read More]
Compliance Resources
HIPAA
Notice of Privacy Practices
Name | Format | Download |
---|---|---|
Patient Acknowledgement of Notice of Privacy Practices | ||
Notice of Privacy Practices (Sample patient handout) | ||
HIPAA Notice of Privacy Practices (Office Signage) |
HIPAA Authorizations
Name | Format | Download |
---|---|---|
Authorization to Release Medical Information to Individuals or Family Members | ||
Authorization for Use or Disclosure of Psychotherapy Notes | ||
HIPAA Medical Record Release Authorization | ||
Sample Patient Medical Record Amendment Request Form | ||
Sample Patient Letter – Denial of Medical Record Amendment Request |
HIPAA Business Associate Agreement
Hefty Medical Record Release Fines: What You Didn’t Know Could Cost You - I bet you thought you knew how to process medical record requests. However, the Office for Civil Rights (OCR) takes… ... [Read More]
HIPAA Breach Part I: Business Associate Agreement - NJ Physician Group Fined $417,000 for HIPAA Security Breach Part I: Business Associates Physician practices are considered “Covered Entities” (CE)… ... [Read More]
Infection Prevention
Environmental Rounds
Name | Format | Download |
---|---|---|
Environmental Rounds Self Assessment Checklist |
Infection Prevention
Name | Format | Download |
---|---|---|
Infection Control/Blood Borne Pathogens Self Assessment Checklist |
OSHA
Fire Drills
Name | Format | Download |
---|---|---|
Fire Drill Observation Form | ||
Fire Drill Instructions |
Medications
Name | Format | Download |
---|---|---|
Inventory of Medication Samples | ||
Distribution of Medication Samples to Patients | ||
Refrigerator Log for Medications |
Billing and Coding
Coding and Documentation
Billing and Coding Alert for Pediatricians - Pediatric allergy services have been on the radar of third-party payer investigations because they have found that many practices incorrectly… ... [Read More]
Surviving a Payer Audit - Providers are experiencing a significant increase in commercial payer audits and recoupments that are not only an administrative burden, but… ... [Read More]
This content is for Conventus Insured Members only.
Learn about Conventus’ Insurance Coverages and Practice Solutions.
Patient Safety Resources
Chronic Care Management
Name | Format | Download |
---|---|---|
Connected Care Toolkit (C2C) | ||
Medicare Chronic Care Management Services | ||
FAQs - Billing for Chronic Care Management Services |
Consents
Opioid / Pain Management
Name | Format | Download |
---|---|---|
Opioid Therapy Informed Consent |
Gynecology
Name | Format | Download |
---|---|---|
Patient Consent for Endometriosis Excision DaVinci Robot | ||
Patient Consent for Myomectomy DaVinci Robot | ||
Patient Consent for Ovarian Cystectomy DaVinci Robot |
Orthopedic/Neurosurgery
Name | Format | Download |
---|---|---|
Patient Consent for Anterior Cervical Discectomy & Fusion | Download | |
Patient Consent for Anterior Lumbar Interbody Fusion | Download | |
Patient Consent for Carpal Tunnel Release Surgery | Download | |
Patient Consent for Cervical Disk Replacement | Download | |
Patient Consent for Cervical Laminectomy | Download | |
Patient Consent for Craniectomy | Download | |
Patient Consent for Cranioplasty | Download | |
Patient Consent for Craniotomy | Download | |
Patient Consent for Arthroplasty of the Knee | Download | |
Patient Consent for Lumbar Laminectomy | Download | |
Patient Consent for Lumbar Microdiscectomy | Download | |
Patient Consent for Menial Meniscectomy | Download | |
Patient Consent for Surgery to Repair Rotator Cuff | Download | |
Patient Consent for Arthroplasty of the Shoulder | Download | |
Patient Consent for Shoulder Decompression Surgery | Download | |
Patient Consent for Transforaminal Interbody Fusion | Download | |
Patient Consent for Ventriculoperitoneal Shunt | Download |
Office Surgery
Name | Format | Download |
---|---|---|
Informed Consent for Office Surgery |
Medication
Name | Format | Download |
---|---|---|
Informed Consent for Medication | ||
Informed Consent for Prescription of Semaglutide |
Informed Refusal
Name | Format | Download |
---|---|---|
Informed Refusal |
Test Tracking & Follow-Up
Test Tracking & Follow-Up
Name | Format | Download |
---|---|---|
Informed Refusal | ||
Sample Patient Communication - Missing Test Results | ||
Sample Patient Letter – Communication of Test Results | ||
Sample Policies & Procedures – Test Tracking & Follow-Up | ||
Sample Patient Communication – Test Results | ||
Sample Patient Letter – Missing Test Results | ||
Sample Manual Test Tracking & Follow-Up Log |
Virtual Care/Telemedicine
Virtual Care/Telemedicine
Name | Format | Download |
---|---|---|
NJ Telemedicine and Telehealth Law Passed (2017) | ||
Telemedicine Consent | ||
Telemedicine and Telehealth: Proposed NJ Regulation and Expanded Medicare Coverage | ||
Virtual Care Toolkit | Download |
Quick Links
Webinars
Online educational programs to help the practice team understand emerging risks and learn practical mitigation strategies.
Educational Briefs
Risk Alerts and e-Newsletters focused on providing up-to-date information on current healthcare trends and key issues that impact physician practices.
24/7 Practice Advice Hotline
An exclusive, 24/7 confidential, free hotline for insured members and their staff offering real-time advice and consultation.
eLearning (CME)
Online Continuing Medical Education (CME) and Maintenance of Certification (MOC) approved courses for more than 25 specialties.
Copyright and Disclaimer
Intellectual Rights and Copyright Statement:
This website and its contents are protected by the copyright laws of the United States. NIP Group, Inc (“NIP”) is the Attorney-in-Fact for Conventus Inter-Insurance Exchange (“Conventus”). NIP and Conventus (collectively referred to as the “Company”) has exclusive rights under U.S. and foreign copyright laws. The entirety of the content in this website is a collective work owned by the Company except as provided herein. Unless otherwise indicated, all materials and elements comprising this website, including without limitation, the content, text, website design, logos, graphics, icons, and images, as well as the selection, assembly and arrangement thereof are the sole property of the Company and its licensors, and are protected by U.S. and international copyright laws including protections available to The Company under the common law. All rights are reserved.
No materials on this website, either text or image, may be copied, reproduced, modified, uploaded, posted, transmitted, stored in a retrieval system or retransmission, or distributed in any way without prior written permission of the Company, except you may download materials designated by The Company for personal, non-commercial use only, provided all copyright and other proprietary notices are kept intact. The granting of this permission is not a transfer of title. Inclusion of any part of this website or any part of the materials in another work, whether in print, electronic or other form, and any inclusion of any part of the website or the materials in another website by linking, in-line linking to, framing or otherwise, is strictly prohibited.
Disclaimer:
The online Practice Resources and Knowledge Center content and information, including but not limited to any materials that are related to practice resources, practice management, practice management resources, risk management, patient safety or insurance regardless of where they are located on this website, are for educational purposes only. Materials provided on this website are intended solely to provide general information on a number of medical, legal, risk management, practice management, patient safety, practice resources and insurance issues. The Company takes reasonable efforts to provide accurate information but cannot guarantee its accuracy or that it meets local, state, or federal statutes, laws or regulations.
The Company disclaims any and all liability in respect to actions taken or not taken based on any or all the contents of this website. Information provided herein is not intended to constitute medical, legal, insurance or other professional advice. It is suggested that you consult with your legal counsel or other professional consultants about how the information pertains to your specific situation.
Although the Company makes reasonable efforts to provide accurate and reliable content, changes may be made to the information upon which the content is based. These changes may or may not be incorporated into the content of this website. The Company may amend the content of this website at any time, without notice. The Company may maintain archives of its previously published materials. Such materials may not be updated even if information changes. For example, content in the newsletters, risk alerts, toolkits, forms, applications, or any other information on the website may not be updated as rules, regulations, laws or statutes change, or if customary practices change.