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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]
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 |
Observer Law
| Name | Format | Download |
|---|---|---|
| New Jersey Observer Law Toolkit |
| Name | Format | Download |
|---|---|---|
| A-Sample NJ Observer Policy | ||
| B-English: Patient Right Observer Poster | ||
| B-Gujarati: Patient Right Observer Poster | ||
| B-Italian: Patient Right Observer Poster | ||
| B-Korean: Patient Right Observer Poster | ||
| B-Polish: Patient Right Observer Poster | ||
| B-Portuguese: Patient Right Observer Poster | ||
| B-Russian: Patient Right Observer Poster | ||
| B-SimpleChinese: Patient Right Observer Poster | ||
| B-Spanish: Patient Right Observer Poster | ||
| B-Traditional Chinese: Patient Right to an Observer | ||
| B-Vietnamese: Patient Right Observer Poster | ||
| C-Sample Patient Info: NJ Law on Observers for Sensitive Exams | ||
| D-Patient FAQs: New Jersey Observer Requirements for Sensitive Exams | ||
| E-Sample Patient Acknowledgement of NJ Observer Law Rights | ||
| F-Sample Patient Declination of Observer | ||
| H-Sample Observer Written Affirmation and Attestation | ||
| I-FAQ NJ Observer Law Requirements for Senstive Exams for Practice Use | ||
| J-Sample Practice Attestation for Observer Policy Review | ||
| NJ BME Observer Regs-NJAC 1335-623 | ||
| Sample Practice Observer Policy Self Assessment |
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
Downloads:
| Name | Format | Download |
|---|---|---|
| Case Study: Heavy Fines and Penalties for Physician Offices Violating Anti-Kickback Statutes | ||
| Understanding the Medicare ABN: What It Means for You |
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 |
Falls
Falls
| Name | Format | Download |
|---|---|---|
| ECRI Environmental Rounding Fall Prevention Program | ||
| ECRI Environmental Rounding Fall Prevention Program | ||
| ECRI Event Reporting Template | ||
| ECRI Lets Take a Walk: Falls Prevention Strategies | ||
| ECRI Ready Set Go: Event Reporting | ||
| Safe Steps to Reducing Fall Risk in Physician Offices - A Proactive Approach | ||
| Sample Falls Prevention Policy |
Safe Steps Documentation
Safe Steps Documentation
| Name | Format | Download |
|---|---|---|
| Introduction Safe Steps: Strengthening the Medical Record | ||
| Safe Steps: Strengthening Documentation of the History and Physical | ||
| Safe Steps: Explaining Clinical Thinking, Procedures, and Adverse Events Clearly | ||
| Safe Steps: Strengthening Clinical Call Documentation | ||
| Safe Steps: Closing the Loop in Patient Care | ||
| Safe Steps: Informed Consent: More Than a Signature | ||
| Safe Steps: Addressing When Patients Don’t Follow the Care Plan | ||
| Safe Steps: EHR Documentation That Supports Safer Care | ||
| ECRI Ready, Set, Go - A Primer on Charting in the Medical Record | ||
| Make A Plan: Documentation: A Primer on Charting in the Medical Record | ||
| ECRI Documentation: A Primer on Charting in the Medical Record | ||
| ECRI Effective Communication among Healthcare Providers | ||
| ECRI Diagnostic Stewardship and Test Result Management Using EHRs | ||
| ECRI Test Tracking and Follow-Up | ||
| New Jersey State Informed Consent 5.50C |
Additional Resources
| Name | Format | Download |
|---|---|---|
| ECRI Ready, Set, Go - A Primer on Charting in the Medical Record | ||
| Make A Plan: Documentation: A Primer on Charting in the Medical Record | ||
| ECRI Documentation: A Primer on Charting in the Medical Record | ||
| ECRI Effective Communication among Healthcare Providers | ||
| ECRI Diagnostic Stewardship and Test Result Management Using EHRs | ||
| ECRI Test Tracking and Follow-Up | ||
| New Jersey State Informed Consent 5.50C |
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.
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The online Practice Resources and Knowledge Center content and information, including but not limited to any materials relating 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 and does not represent that such information complies with or addresses all applicable local, state, or federal statutes, laws or regulations.
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