Subject: CAFP November E-news: Awards, Board Nominations, and more

Norcal Mutual
Teaching Family Medicine Physician Position Open
Swedish Family Medicine Residency in conjunction with Swedish Medical Center is recruiting a family physician for our fully accredited university-affiliated community based residency program. All well trained, board-certified family physicians with an interest in pursuing a teaching faculty career will be considered. Faculty members participate in the full spectrum of family medicine clinical activities, including outpatient care, inpatient care, obstetric care and overnight and weekend call.

Interested applicants should submit a letter of interest and a CV to: Patricia Kritz at patricia.kritz@healthonecares.com

CAFP Nov Enews
What's Happening at the CAFP


Recognize a Family Medicine Leader You Know- Or the Family Medicine Leader You Are!
Nominations for the 2018 CAFP Awards and CAFP Board of Directors are now open. The deadline for all awards and board nominations is December 1, 2017

Awards

CAFP offers the following awards:
  • Family Physician of the Year
  • Teacher of the Year
  • Resident of the Year
  • Patient Centered Innovation Award (for PCMH practices)

Board of Directors

The CAFP seeks candidates for our Board of Directors. Family physicians, family medicine residents and medical students are all welcome to apply for the board. Nominees are sent to the full CAFP membership for a vote.

Nominations are easy! You can nominate yourself or a colleague. We ask that you send a paragraph explaining why you, or the person you are nominating, would be a good fit for the board to me at raquel@coloradoafp.org.


Get Your Year End CME 
Join us on December 9th at the CAFP offices for a KSA (formerly SAM) on heart failure in the morning, and four optional bonus CME credits in the afternoon.

KSA: 8 a.m. to 12 p.m.
Lunch: 12 p.m. to 12:30 p.m.
Optional Bonus CME:
Vaccine Update 2017 12:35 p.m. – 1:35 p.m.
Orthopedics for Primary Care Providers 1:40 p.m. – 2:40 p.m.
Women’s Health 2:45 p.m. – 3:45 p.m.
Multiple Sclerosis 3:50 p.m. – 4:50 p.m.

KSA Cost
Member: $200
Non-member: $300

Add-on Bonus CME (4 credits) Cost
Member: $75
Non-member: $100


Annual Summit Registration Opens in 15 Days!
Keep an eye on your email and snail mail for the official registration link for the 2018 CAFP Annual Summit. Discounts for early registration will be available.

Common Medicaid Claims Problems: Revalidation
If you have claims denial codes EOBs 0091, 1025, 1026, 1205 or 3040; are beginning revalidation (i.e. re-enrollment); or continue to have revalidation issues, access the Revalidation Best Practices document. You may also reach out for assistance to Ryan Biehle at ryan@coloradoafp.org or 303-696-6655 x 17.

The Department will also be hosting virtual forums by provider type. The purpose of these virtual meetings is to provide training, resources or updates about top issues and for providers to bring issues to the Department that have not yet been identified. Please be on the lookout for an invite from Medicaid in the coming weeks.

Unpaid Medicaid Claims Advocacy
CAFP members continue to face problems with the Medicaid claims system, and CAFP along with a coalition of provider organizations has ramped up pressure to resolve the myriad of issues. On October 11th, CAFP testified alongside Colorado pediatricians, hospitals and IDD providers to the legislature’s Joint Technology Committee on the consequences of unpaid claims. We continue to press for interest payments on excessively delayed/unpaid claims. In addition, we have pushed for legislative oversight and for the Medicaid Department to establish a “red team” comprised of the claims contractor DXC, Medicaid officials, and providers to triage problems with the claims IT system, clarify timelines for fixes and better communicate ways to address common problems. We are hopeful this approach can accelerate the pace at which claims issues are resolved for practices. To report persistent problems you need resolved, please contact Ryan Biehle at ryan@coloradoafp.org or 303-696-6655 x17.

Transforming Clinical Practice Initiative (TCPi) Reaches 2,000 Providers
The TCPi has reached its recruitment goal of nearly 2,000 providers, who are working on practice transformation activities that enhance the delivery of patient-centered care and help them succeed with alternative payment models. TCPi is free to providers, and connects them with practice coaches, who are trained in practice redesign and team building. One key to the program is helping healthcare providers collect, use and report clinical quality data to assess their care approaches and negotiate different types of contracts with health plans.

CHP+ Funding
Federal funding for the Children's Health Insurance Program (CHIP) ended September 30, 2017 without Congressional action. The Medicaid Department estimates Colorado's funding will last until January 31, 2018. Because of this, there are no immediate changes to CHP+ eligibility, enrollment, renewals, or benefits on October 1, 2017. CHP+ benefits will likely end on January 31, 2018 without Congressional action. Updates on the status of CHP+ benefits are available.

Speak Out today and urge Congress to fund CHIP immediately.
Physician Health First
Your health before all else.

Caring for your patients starts with caring for yourself. That is why the AAFP is introducing Physician Health First, the first-ever comprehensive initiative devoted to improving the well-being and professional satisfaction of family physicians, and reversing the trend toward physician burnout.

The initiative includes the Physician Health First interactive web portal, a wealth of well-being resources for members. Content includes informative articles, a self-assessment tool to check the risk of physician burnout, and inspiration to renew well-being.

The AAFP is committed to improving the well-being of family physicians, so you can stay passionate about your purpose: providing quality patient care.

The AAFP Physician Health First initiative is made possible by generous member contributions to the American Academy of Family Physicians Foundation.
CDPHE
Vaccine Update

This month's vaccine update is all about shoulder injury related to vaccine administration.


Colorado Quality Payment Program (QPP) Coalition – Five QPP Fast Facts in 5 Minutes

Interested in learning 5 Fast Facts in 5 Minutes related to the Quality Payment Program? Check it out here.

Health is Primary

In November, Health is Primary is all about the importance of smoking cessation. Learn more at healthisprimary.org
MIPS Virtual Groups

As proposed in the 2018 Quality Payment Program proposed rule, solo practitioners and groups can choose to participate in the Merit-based Incentive Payment System (MIPS) as a virtual group for the 2018 performance period. To form a virtual group for 2018, solo practitioners and groups would need to engage in an election process. For the 2018 MIPS performance period, the election period for virtual groups to make an election is from October 11, 2017 to December 1, 2017.

What is a Virtual Group?
CMS has proposed a virtual group to be a combination of two or more Taxpayer Identification Numbers (TINs) made up of:
  • A solo practitioner who’s eligible to participate in MIPS and bills under a TIN with no other National Provider Identifiers (NPIs) billing under the TIN, OR
  • A group with 10 or fewer eligible clinicians (at least 1 must be eligible for MIPS) that joins with at least 1 other solo practitioner or group for a performance period of a year.
How Do I Form a Virtual Group?
To form a virtual group, CMS has proposed a two-stage virtual group election process:
  • Stage 1 (optional): Solo practitioners and groups with 10 or fewer eligible clinicians may contact their designated Technical Assistance representative or the Quality Payment Program Service Center to determine if they are eligible to join or form a virtual group.
  • Stage 2: For groups that choose not to participate in Stage 1 of the election process, CMS will determine if they are eligible in Stage 2. During Stage 2, the virtual group must name an official representative who will submit their election to CMS via email to MIPS_VirtualGroups@cms.hhs.gov by December 1, 2017.

The election would include:
  • A written formal agreement between each of the virtual group members; and
  • Information about the TIN and NPI associated with the virtual group representative’s contact information.
For more information about joining or forming virtual groups, see the Virtual Groups Toolkit.

Need Help with the Election Process?
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222). You can also contact your local support organization for support.


Primary Care News to Know 
Events, News & Announcements from the Colorado (and National) Healthcare Landscape »

  • CAFP members are invited to join Children's Hospital Colorado for Pediatric Infectious Diseases in Colorado- Update 2017 on Wednesday, Nov. 8. Register here »
  • As clinicians prepare to transition to the Quality Payment Program’s Merit-based Incentive Payment System, some may wonder how their circumstances will impact their participation and whether they qualify for any QPP exemptions.

    TMF Health Quality Institute has compiled answers to some frequently asked questions about clinician Special Status exemptions. You can find them in the attached document or click here: https://www.tmfqin.org/Portals/0/Documents/TMF Q_A_ MIPS Special Status Clinicians_Oct 2017.pdf

    TMF Quality Improvement Consultants also answer questions about topics like this one at weekly online Let’s Talk QPP: Office Hours webinars. Find dates and times for these sessions and other upcoming events on TMF’s Quality Payment Program network webpage at https://www.tmfqin.org/Networks/Quality-Payment-Program.
  • Payment for primary care is changing. The Department of Health Care Policy & Financing is implementing an Alternative Payment Model for Primary Care (APM). New resources are available on the Department’s website. The APM Survival Guide is now available on the Department's website here. The Guide provides a good overview of the information providers need to know to begin getting ready for the APM and here is a link to detailed resources (measures, code set, timeline, and model) on the Department's website. Implementation Workgroup-  As the Department moves forward with the APM, a workgroup is forming to assist with the implementation of the APM. Similar to the process used to design the APM, the Department is looking for representation from primary care physicians, primary care practice coordinators, office managers, and Regional Care Collaborative Organization representatives. The group would provide feedback and input on how best to implement the APM and help the Department understand the impact of operational decisions. The time commitment would be one 60-90 minute meeting every other month. A kick-off meeting will be held on November 20th from 12-1pm and meetings will be scheduled every other month thereafter. There will be a call-in option for those unable to attend in person. If you are interested in participating in the Implementation Workgroup please send an email to our APM inbox, HCPF_PrimaryCarePaymentReform@state.co.us
2224 S. Fraser ST. Unit 1, Aurora, Colorado 80014, United States
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