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Welcome to MedChi, The Maryland State Medical Society.  
As the statewide professional association for licensed 
physicians, we are dedicated to our mission to serve as 
Maryland's foremost advocate and resource for physicians, 
their patients, and 
the
public health.

Friday, April 03, 2020
You are here : Your Profession  >  MedChi Care Transformation Organization  >  Tuesday Updates
Tuesday Updates

 

Tuesday January 21, 2020 -- New to MDPCP 2020 Practices

In the upcoming weeks, you will be hearing from MedChi CTO staff members asking to schedule a time to visit your practice. We would like to get to know you, your staff and your practice as we enter PY 2020 of the MDPCP. I have included the staff and their roles below so you can be aware of who is reaching out:

  • Colleen George - Director
  • Andrea Mullin- Administrator
  • Daphne Brannon- Care Manager Coordinator
  • Cassandra Thomas- RN Care Manager
  • Leslie Sherrod- Licensed Clinical Social Worker - Certified

Please save the following email addresses to your address book so you do not miss important messages from the CTO: cgeorge@medchi.org, amullin@medchi.org, dbrannon@medchi.org, cthomas@medchi.org, lsherrod@medchi.org and cto@medchi.org

Below are this week’s updates:

  1. The Getting Started Webinar has been posted. I have included two helpful attachments, and a link to the recording. You will need to sign in to Connect first and then click on the link to access the video. You can also download the webinar by selecting “download mp4” on the left side of the screen
    1. Getting Started Webinar Transcript
    2. Getting Started Webinar Slides
  2. SAVE THE DATE: We will be hosting our first CTO Meeting for the new CTO Practices
  • When: Thursday, February 13th –  6pm dinner, 6:30pm meeting
  • Where: MedChi Building in the Malouf Boardroom
  • Parking Address: 1204 Maryland Avenue and there is a rear entrance with a large MedChi awning

Anyone from your staff is welcome to attend. We will be distributing materials, making it beneficial to attend the meeting in person. A calendar invite was emailed last week, please respond if you have yet to do so.

 **In the event of inclement weather, Colleen and/or I will contact you all. You may also call 410-539-0872 x3399 for updates on building closure and meeting cancellations.


Tuesday January 21, 2020

This is a reminder of the upcoming deadline for the CAHPS Patient Roster Submission: Due This Friday, January 24th. Thank you to those practices that have successfully submitted already. If you are unsure of your submission status, please reach out.

**If the CTO has been out to your practice and created your patient roster, YOU must submit the roster in the CMS Enterprise Portal. We cannot, and did not submit it for you.

**If you are completing the roster without CTO assistance, YOU must submit the roster in the CMS Enterprise Portal.

Resources:

  • Link to information packet
    • The template includes 4 sheets, two of which need to be completed and the other two include how the roster information should be formatted
  • Link to patient roster template
    • The information packet includes a detailed explanation of what is needed in the roster and answers to FAQs.

The following are required fields on the template:

“Patient Survey Roster” tab:

“Practice Information” tab:

· MDPCP ID

· MDPCP ID

· Patient First Name

· Recognizable Practice Site Name (that patients will recognize)

· Patient Last Name

· Practice Site Mailing Address 1

· Patient Date of Birth

· Practice Site Mailing Address 2

· Patient Mailing Address 1

· Practice Site City

· Patient Mailing Address 2

· Practice Site State

· Patient City

· Practice Site Zip Code

· Patient State

· Patient Survey Roster Point of Contact (POC) Name

· Patient Zip Code

· Patient Survey Roster POC Email

 

· Patient Survey Roster POC Phone

 

If you need assistance with formatting in Excel, please email or call Colleen (cgeorge@medchi.org) or Andrea (amullin@medchi.org) for tips and tricks.

If you would like someone from the CTO to come out to your office to help, please email Andrea to schedule an appointment. This appointment request must be made BEFORE Thursday.


Tuesday January 14, 2020 -- New to MDPCP 2020 Practices

SAVE THE DATE: We will be hosting our first CTO Meeting for the new CTO Practices on Thursday, February 13th, 6pm dinner, 6:30pm meeting at the MedChi office in Baltimore. We will send an Outlook invitation shortly with additional details. All staff members are welcome.

We have compiled a few reminders and resources to help get you started in the MDPCP. I also wanted to take a moment to introduce you to the MedChi CTO Staff. Their roles and responsibilities can be found at the bottom of this email.

 If you have not done so already, please register for the following two websites:

  • MDPCP Connect: Detailed instructions on page 2 of the attached Newsletter
    • A peer-to-peer learning platform that will serve as the central hub for the MDPCP communications.
  • MDPCP Portal: Detailed instructions found in “MDPCP EIDM and Portal Registration PY2020” document
    • You are required to gain access to the MDPCP Portal web-based platform. Through the Portal, MDPCP practices and CTOs will access attribution and payment information, submit reporting requirements to CMS, and manage practitioner and staff rosters.
    • https://portal.cms.gov/

Helpful Documents:

Important Dates:

  • 1/30: All Practice & CTO Office Hour with CMMI
  • 2/13: CTO Meeting at MedChi for all new practices

 MedChi CTO Administrative Staff:

  • Gene Ransom
    • MedChi CEO
  • Rebecca Altman, RN, MBA
    • Program Manager
  • Colleen George*
    • Director
  • Andrea Mullin*
    • Administrator

*You will receive informational emails from cto@medchi.org, or cgeorge@medchi.org, or amullin@medchi.org

MedChi CTO Care Management Staff:

  • Daphne Brannon
    • Care Management Coordinator
    • Works directly with each care manager within our practices and CTO clinical staff
  • Cassandra Thomas, BSN, RN, CDNC
    • RN Care Manager
    • Will work directly with each practice to identify and manage most complex risk patients
  • Leslie Sherrod, LCSW-C
    • Behavioral Health Specialist
    • Will assist with behavioral health screenings, referrals, and psychotherapy for MDPCP-attributed Medicare patients
  • Barbie Bagtas
    • Care Call Coordinator
    • Conducts follow-up calls after hospital discharge

Tuesday January 14, 2020

The focus for the week is submitting your CAHPS Survey by Friday, January 24th. CAHPS Survey – Must be submitted January 13 thru January 24th

Deadline:

  • Between January 13, 2020 and January 24, 2020, all practices that participated in MDPCP in Performance Year 2019 are required to generate and submit a Patient Survey Roster to CMS for the Patient Experience Survey

Instructions:

  • I have attached the complete instructions to complete the Survey Roster

Requirements:

1. The Patient Survey Roster must include

  • All eligible patients (over 18 years of age), regardless of payer
  • Patient visited an MDPCP Practitioner at the MDPCP Practice Site between July 1 and December 31, 2019

2. The required fields are:

  • MDPCP Practice ID
  • Patient First Name
  • Patient Last Name
  • Patient Date of Birth
  • Patient Mailing Address 1
  • Patient Mailing Address 2
  • Patient City
  • Patient State
  • Patient 5-Digit ZIP Code

Submission:

  • The Patient Survey Rosters must be submitted via the CMS Enterprise Portal
  • If you need the CTO to assist you in completing your roster, please reach out as soon as possible.

**If the CTO has been out to your practice and created your patient roster, YOU must submit the roster in the CMS Enterprise Portal. We cannot and did not submit it for you.



Tuesday January 7, 2020 -- New to MDPCP 2020 Practices

Welcome to the Maryland Primary Care Program (MDPCP) and to the MedChi Care Transformation Organization (CTO)!

  • I send a weekly update every Tuesday. If I send an email any time other than a Tuesday, it means something is time sensitive.
  • I am sending this email to the Point of Contact email address you provided when you applied for the MDPCP. If you would like to add anyone else to our email list, please let me know.

A few things you need to know to get started with the MDPCP;

  1. In late January you should receive your:
  • Patient attribution list (in the CMS Portal)
  • Your 1st quarter Care Management Fee (CMF) and
  • Your Annual Performance Based Incentive Payment (PBIP)
    • The payments will be automatically deposited into the account information you provided and the amounts will be available in the CMS Portal

        2. There are several portals and websites you should register for and access if you haven’t already done so:

  • CMS Enterprise Portal: www.portal.cms.gov
    • Where you complete your quarterly reporting and have access to your MDPCP attributed patient list and payment information.
  • MDPCP Connect: https://app.innovation.cms.gov/MDPCPConnect/CommunityLogin
    • A platform that connects all MDPCP practices, CTOs, providers, and MDPCP staff members to share care management strategies, ask questions about the program, and have access to webinars and MDPCP specific updates.
  • CRISP Reporting Services (CRS) www.mdpcp.crisphealth.org
    • Multiple reports that break down all your MDPCP attributed patient information and demographics. CRS is also useful for assistance in quarterly MDPCP reporting and targeting care management for your high risk patients. Pay particular attention to the Preventable Avoidable Hospital Events.
  • CRISP Unified Landing Page (ULP) www.ulp.crisphealth.org
    • This is where all patient information in the state of Maryland and surrounding states is housed and shared.  For MDPCP, it is crucial you have PROMPT in the ULP and regularly access it, for the program requirements. Also important to regularly send patient panel lists every 30 days
  • CRISP direct email www.crispdirect.org/portal
    • Secured HIPAA compliant email address that allows you to send patient lists to CRISP to keep your full ULP access, clinical information and PROMPT notifications.

 I will go into more detail about each of these in the coming weeks.

Please feel free to reach out to the CTO with any questions regarding these portals and websites as well as any MDPCP questions.


Tuesday, January 7, 2020

  1. 4th Quarter Reporting due this Friday, January 10th – this is done in the CMS Enterprise Portal
  2. CAHPS Survey – Must be submitted January 13 thru January 24th

    CMS has made the panel much easier this time – the required fields are:

    • MDPCP Practice ID
    • Patient First Name
    • Patient Last Name
    • Patient Date of Birth
    • Patient Mailing Address 1
    • Patient Mailing Address 2
    • Patient City
    • Patient State
    • Patient 5-Digit ZIP Code

     

Between January 13, 2020 and January 24, 2020, all practices that participated in MDPCP in Performance Year 2019 are required to generate and submit a Patient Survey Roster to CMS for the Patient Experience Survey.  The Patient Survey Roster must include all eligible patients (over 18 years of age), regardless of payer, who visited an MDPCP Practitioner at the MDPCP Practice Site between July 1 and December 31, 2019. The Patient Survey Rosters must be submitted via the MDPCP Portal.  

IF YOU NEED CTO ASSISTANCE IN COMPLETING YOUR ROSTER, PLEASE REACH OUT AS SOON AS POSSIBLE

        3.  MDPCP Financial Reporting – Due by March 31st

I have tried to narrow this down to the very basics of what you need to know for Financial Reporting. For additional details I have attached the Financial Reporting Guidance Document created by CMS.

A few of things to be thinking about and be prepared for:

  • You will need to report Total practice revenue for 2019
  • You will need to report Total number active patients (not just MDPCP attributed patients)
  • All practices are required to report on their financial revenues and expenses in the MDPCP Practice Portal
    • During Q1 of 2020 (January 1 thru March 31, 2020), practices will report for the 2019 calendar year and at the practice level (you will not need to account for resources at the patient level)

 There are two components to financial reporting:

#1 Revenue

  1. Total MDPCP Revenue: This will autofill with the cumulative total of MDPCP payments your practice received (since 01/01/2019), based on the Q4 2019 Payment & Attribution data in the Portal.
  2. Practice Response Required* Total Practice Site Revenue: Total Practice Revenue refers to all the revenue your practice earns in the calendar year. If applicable, include all other revenue types, such as grants, fee-for-service (FFS) revenue, shared savings, and any other bonus payments. CMS will not share individual practice revenue information with others.
  3. MDPCP Portion of the Total Practice Site Revenue: This will auto-calculate based on responses #1 and #2.
  4. MDPCP Attributed Beneficiaries: This will autofill with the cumulative total of MDPCP Beneficiaries Attributed (since 01/01/2019).
  5. *Practice Response Required* Total Active Patients: Total Active Patients refers to the total number of patients at your practice, including all MDPCP attributed patients, non-attributed patients, and uninsured patients.
  6. Percentage of Patients Attributed to MDPCP: This will auto-calculate based on responses to #4 and #5.

 #2 Expenditures: 2019 Actuals

  1. Non-Labor Expenditures for MDPCP
  • Non-labor expenditures are your practice expenses that are not tied to a staff member.
  • You may enter ‘0’ for any category, but the total non-labor expenditures across all categories must be greater than zero.

Exhibit 1: Non-Labor Expenditures for Practices

Total

Actual

Non-Labor Expenditures for MDPCP

$10

Non-Labor Expenditures as Practice Site

$100 (*Practice Response Required*)

% of Non-Labor Expenditures for MDPCP

10%

 

 

 

 

 

                Numbers Shown are for example only

       2. Labor Expenditures for MDPCP

  • Labor expenditures are your practice expenses for hired, contracted, or consultant staff time.
    • If your practice receives support from centralized or shared staff, please include your practice’s portion of the total cost.
    • We ask that you do your best to provide a snapshot of the labor-related expenses in an “average” week at your practice.
    • You may enter ‘0’ for any category, but the total labor expenditures across all categories must be greater than zero.

Exhibit 2: Labor Expenditures for Practices

Total

Actual

Labor Expenditures for MDPCP

$10

Labor Expenditures as Practice Site

$50 (*Practice Response Required*)

Labor Expenditures for MDPCP

20%

 

 

 

 

 

    Numbers Shown are for example only

  • Expenditures Questions:
  • Only one question in this section is required: “With new funding through MDPCP, what have you been able to do in your practice that you were not able to do before?”
  • The response requires a minimum of 200 characters and a maximum of 1000 characters. The two questions about the performance-based incentive payment (PBIP) are optional and have no minimum character requirements.
  • Responses cannot exceed 500 characters.

 #3 Attestation of the Use of Funds

I attest that in 2019, our practice complied with the MDPCP Participation Agreement regarding the use of funds paid by CMS. This practice is not using the CMF for prohibited expenses, including but not limited to:

  • Health IT, including upgrades, and hardware purchased solely for the purpose of accessing health IT
  • Income tax payments
  • Imaging equipment or other durable medical equipment
  • Medications
  • Continuing Medical Education (CME) (if not directly related to MDPCP)
  • Costs (personnel or other costs) related to any practice billing or coding not related to MDPCP
  • Office space, supplies, or decorations
  • Payments to Participating MDPCP Practitioners for purposes other than supporting work related to MDPCP

Tuesday, December 17, 2019

MDPCP Financial Reporting – I have tried to narrow this down to the very basics of what you need to know for Financial Reporting. For additional details I have attached the Financial Reporting Guidance Document created by CMS.

A few of things to be thinking about and be prepared for:

  • You will need to report Total practice revenue for 2019
  • You will need to report Total number active patients (not just MDPCP attributed patients)
  • All practices are required to report on their financial revenues and expenses in the MDPCP Practice Portal
  • During Q1 of 2020 (January 1 thru March 31, 2020), practices will report for the 2019 calendar year and at the practice level (you will not need to account for resources at the patient level)

There are two components to financial reporting:

1.) Revenue

  1. Total MDPCP Revenue
    1. This will autofill with the cumulative total of MDPCP payments your practice received (since 01/01/2019), based on the Q4 2019 Payment & Attribution data in the Portal.
  2. *Practice Response Required* Total Practice Site Revenue:
    1. Total Practice Revenue refers to all the revenue your practice earns in the calendar year. If applicable, include all other revenue types, such as grants, fee-for-service (FFS) revenue, shared savings, and any other bonus payments. CMS will not share individual practice revenue information with others.
  3. MDPCP Portion of the Total Practice Site Revenue: This will auto-calculate based on responses #1 and #2
  4. MDPCP Attributed Beneficiaries: This will autofill with the cumulative total of MDPCP Beneficiaries Attributed (since 01/01/2019).
  5. *Practice Response Required* Total Active Patients
    1. Total Active Patients refers to the total number of patients at your practice, including all MDPCP attributed patients, non-attributed patients, and uninsured patients.
  6. Percentage of Patients Attributed to MDPCP: This will auto-calculate based on responses to #4 and #5.

2.) Expenditures: 2019 Actuals

  1. Non-Labor Expenditures for MDPCP
  • Non-labor expenditures are your practice expenses that are not tied to a staff member
  • You may enter ‘0’ for any category, but the total non-labor expenditures across all categories must be greater than zero

        2. Labor Expenditures for MDPCP

  • Labor expenditures are your practice expenses for hired, contracted, or consultant staff time.
  • If your practice receives support from centralized or shared staff, please include your practice’s portion of the total cost.
  • We ask that you do your best to provide a snapshot of the labor-related expenses in an “average” week at your practice.
  • You may enter ‘0’ for any category, but the total labor expenditures across all categories must be greater than zero.

Expenditures Questions

  • Only one question in this section is required: “With new funding through MDPCP, what have you been able to do in your practice that you were not able to do before?”
  • The response requires a minimum of 200 characters and a maximum of 1000 characters. The two questions about the performance-based incentive payment (PBIP) are optional and have no minimum character requirements.
  • Responses cannot exceed 500 characters.

Attestation of the Use of Funds

I attest that in 2019, our practice complied with the MDPCP Participation Agreement regarding the use of funds paid by CMS. This practice is not using the CMF for prohibited expenses, including but not limited to:

  • Health IT, including upgrades, and hardware purchased solely for the purpose of accessing health IT
  • Income tax payments
  • Imaging equipment or other durable medical equipment
  • Medications
  • Continuing Medical Education (CME) (if not directly related to MDPCP)
  • Costs (personnel or other costs) related to any practice billing or coding not related to MDPCP
  • Office space, supplies, or decorations
  • Payments to Participating MDPCP Practitioners for purposes other than supporting work related to MDPCP

 


 

Tuesday, December 11, 2019

We have most of the CTO Arrangements completed for those practices stating with the MedChi CTO, so thank you for your timeliness in getting those into us.

 There are technically no more deadlines for the rest of 2019, however 4th Quarter Practice Reporting begins on 12.23.2019, but is not due for completion until 1.10.2020

 I do want to make you aware of some deadlines in early 2020:

1. CAHPS Patient Survey Roster submission:1.13.2020 thru 1.24.2020 in the MDPCP Portal

  • The panel data dates are July 1, 2019 thru December 31, 2019
  • The information needed for the panels has been simplified greatly, so pulling the information from your EHRs will be much easier. It now only includes:
  • MDPCP Practice ID 
  • Patient First Name 
  • Patient Last Name  
  • Patient Date of Birth          
  • Patient Mailing Address 1   
  • Patient Mailing Address 2   
  • Patient City
  • Patient State         
  • Patient 5-digit zip code       

·        2. eCQM Data Submission: 1.1.2020 thru 3.30.2020 using the CRISP CAliPHR tool

  • The data submitted through CAliPHR will be used to calculate the amount of the quality component of the PBIP that is retained by a practice and/or is collected for monitoring, oversight, and evaluation purposes.

The Quality Measures to be reported are:

 CMS ID#           Measure Title Domain
 CMS165 Controlling Blood Pressure Effective Clinical Care
 CMS122 Diabetes: Hemoglobin A1c (HbA1c) Poor COntrol (>9%)      Effective Clinical Care

 

 ·       3Financial reporting: 1.1.2020 thru 3.30.2020 through the MDPCP Portal                                                                                 

  • MDPCP financial reporting activities are intended to help you think strategically about your practice new revenue from MDPCP and how best to target your investments.
  • Attached is The Financial Reporting Guide
  • You must include:
  1. Total Practice Site Revenue: Total Practice Revenue refers to all the revenue your practice earns in the calendar year. If applicable, include all other revenue types, such as grants, fee-for-service (FFS) revenue, shared savings, and any other bonus payments
  2. Total Active Patients: Total Active Patients refers to the total number of patients at your practice, including all MDPCP attributed patients, non-attributed patients, insured and uninsured patients.

Please begin thinking about:

  • Expenditures Question
  • Only one question in this section is required: “With new funding through MDPCP, what have you been able to do in your practice that you were not able to do before?”
  • The response requires a minimum of 200 characters and a maximum of 1000 characters.

 These 1st Quarter reporting activities may be challenging since this is the first time we are all doing this, but we will work through it all together.


Tuesday, December 3, 2019

1. CMS Enterprise Portal Verification – due this Friday, December 6th

To stay active on the CMS Portal, it is a requirement that ONE member of your office verifies ALL users through the steps below.

Verification Steps:

  1. Log in to your CMS Portal
  2. Select “Innovation Center”
  3. Select “Application Console”
  4. Select “MDPCP” (Note: It does not appear to be a hyperlink until you place your cursor on it)
  5. Select "My Practice Info"
  6. Select "User Verification."
  7. On this screen you will be asked to verify your users 
  8. SELECT  the appropriate answer(s) for every user listed
  9. The last step is confirming "I have reviewed the information above and certify that it is accurate to the best of my knowledge."
  10. Select a box and list your name and title

2. CTO Arrangement – Due Next Friday, December 13th

In the upcoming days, you will receive an electronic CTO Arrangement to be completed and signed by December 13th. Please review the instructions below:

1. The physician/primary contact at each office will receive an email from Colleen George via <echosign@echosign.com>

    1.  The MedChi CTO hopes to see you tomorrow for a meeting of all the MedChi CTO Practices. We have much to discuss as we wrap up the first year of the MDPCP and look forward to Year Two.

    For your convenience, the meeting details are below:

    • When: Wednesday, November 20th at 6pm
    • Where: Malouf Boardroom at the MedChi office (1211 Cathedral Street)
    • Parking is available in our parking lot located at 1204 Maryland Avenue, 21201. Entrance via steps under MedChi awning and ring bell for entry.
    • You may join via Zoom if necessary, but we hope to see as many of you as possible.

     2. We just received the list below of the practices who have not yet sent their Participation Agreement for 2020.

    This list is as of November 15th, so if you have emailed your completed PA in the last few days, please disregard. ALL practices must complete a PA for 2020. Please remember you must return the entire PA, not just the signed pages. The PAs are due no later than December 2nd, but we are hoping to get them returned prior to Thanksgiving.

     

    Don Bousel, MD

    Mian Family Medicine

    Stone Run Family Medicine

    Drs. Edwards and Stephens

    Gurmeet S. Sawhney, MD

    Dennis H. Odie, MD PA

    Jeffrey E. Atkinson, MD, LLC

    Downtown Baltimore Family Care

    Jorge Vallecillo, MD

    Baltimore City

    Kiumarce Kashi MD, PC

    Alkesh D Patel, MD, LLC

    Jeffrey D. Gaber & Associates, PA

    Saba Siddiqi, MD PA

    Five Star Physician Services, LLC

    Baltimore Healthcare, PC

    ULNACS Medical Care, PC

    Primary Care of Jayanthan, MD

    Daniel R Howard, MD PA

    Shawn Dhillon, MD, PC

    Motamedi and Associates Internal Medicine

     


    Tuesday, November 12, 2019

    1. 2020 Practice Participation Agreement: The second program year of the Maryland Primary Care Program (MDPCP) will begin January 1, 2020. Continued participation in the MDPCP for 2020 is contingent upon execution and submission of the 2020 Practice Participation Agreement to CMS no later than Monday, December 2, 2019.

    Execute and submit the attached Practice Participation Agreement no later than Monday, December 2, 2019.

      Please Note:

      • Every practice, regardless of their planned 2020 CTO participation MUST complete this Participation Agreement.
      • The attached instructions give very specific details regarding what needs to be completed on which pages of the agreement. After completion, the ENTIRE document must be returned, not just the specified pages.

      Please send questions to MarylandModel@cms.hhs.gov.

      2. Don’t forget about our meeting for all CTO Practices: We will have much to discuss as we wrap up the first year of the MDPCP and look forward to Year Two.

      • Wednesday, November 20th at 6pm 
      • MedChi Office: 1211 Cathedral Street 
      • Dinner will be served, so please let me know if you plan to attend.

       


      Tuesday, November 5, 2019

      1. I am happy to introduce our new Licensed Clinical Social Worker, Leslie Sherrod, MSW, LCSW-C, LICSW. She is learning about the MDPCP and our practices and will be visiting practices soon.

      2. Don’t forget about our meeting for all CTO Practices: We will have much to discuss as we wrap up the first year of the MDPCP and look forward to Year Two.

      • Wednesday, November 20th at 6pm 
      • MedChi Office: 1211 Cathedral Street 
      • Dinner will be served, so please let me know if you plan to attend.

       


       

      Tuesday, October 29, 2019

      A reminder to complete the Participation Agreement for 2020

      The second program year of the Maryland Primary Care Program (MDPCP) will begin January 1, 2020. Continued participation in the MDPCP for 2020 is contingent upon execution and submission of the 2020 Practice Participation Agreement to CMS no later than Monday, December 2, 2019.

       Execute and submit the attached Practice Participation Agreement no later than Monday, December 2, 2019.

      • Please follow the attached instructions carefully in order to successfully execute and submit your MDPCP Practice Participation Agreement to MarylandModel@cms.hhs.gov

      Please Note:

      • Every practice, regardless of their planned 2020 CTO participation MUST complete this Participation Agreement.
      • The attached instructions give very specific details regarding what needs to be completed on which pages of the agreement. After completion, the ENTIRE document must be returned, not just the specified pages.

       Attachments included in email:

       Please send questions to MarylandModel@cms.hhs.gov.

       


      Wednesday, October 22nd

       

      1. We have created a Lyft Business healthcare account for all of the practices in our CTO. The uniqueness of this account is the ability to have multiple staff members request rides under one account as well as schedule rides up to 7 days in advance. This is all done through the concierge portal, specific to Lyft Business accounts. 

      • The Details:

      The CTO decided to partner with Lyft in an effort to reduce the amount of missed appointments due to lack of patient transportation. Creating a Lyft Business account allows you and your staff to set up appointments for riders and track their progress all in real time. The main point of contact (physician) for each practice will be set up as the Admin of the account.

      • Payment:

      Your practice MUST provide a credit card for your branch in order to get your Lyft account created. The credit card will be billed per ride requested by your practice. If the CTO account as a whole reaches a $5,000 monthly total, we can choose monthly billing instead. 

      • CTO Support:

      To support your practice, the CTO will reimburse practices 25% of your MDPCP patient monthly Lyft bill.  

      • Next Steps:

      Andrea has all the details on how to access your individual accounts, so please contact her to get this up and running for your practice. amullin@medchi.org

       2. Some of you have already had the pleasure of meeting our new RN Care Manager, Cassandra Thomas. She will be reaching out to you all as soon as her schedule allows. Please feel free to contact her directly if you would like to set up a practice visit cthomas@medchi.org

       3. Please mark your calendars for our CTO meeting on November 20th at MedChi. I sent an invitation and will resend it as a reminder.



       Tuesday, October 15th

      1.    Quarterly Reporting

      Thank you all for completing the 3rd Quarter Reporting. Please know we are happy to assist with completing the reporting, so feel free to reach out to us if you need help with the 4th Quarter Reporting.

      Quarterly payments are usually deposited the 3rd week of the first month of the quarter so you should see payments sometime this week or next week.

       2.    Transition of Care Calls Pilot

      We excited to announce that our Transition of Care Calls pilot is up and running . Barbie Bagtas, a representative from Caring One, will be calling patients from each practice that have been discharged from the hospital. Barbie will be assisting the patient in scheduling a follow up appointment with your practice. The scheduling will be done with a three-way call between the patient, Barbie, and your office point of contact. The goal of this program is to allow your practice to bill for Transitional Care Management (TCM).

      A detailed explanation on TCM billing, a breakdown of the two CPT codes and a workflow of the pilot can be accessed HERE. We plan to continue to add practices and be fully integrated by the end of the year.

       


       Tuesday, October 8th

       

      Reminder – 3rd Quarter Reporting is due this Friday the 11th. If you are have any issues or have any questions, please feel free to reach out to us.

      Also. As a follow up to last week’s CRISP email the below was sent by CRISP:

      Thank you for utilizing CRISP Reporting Services. We would like to give our users the opportunity to give us feedback on their experience using the CRS reporting portfolio via a user engagement survey. Your feedback helps us create a better experience for you and all of our users.

      Below is a survey monkey link to the aforementioned CRS user engagement survey. This concise survey is only a few questions long and should only take 5 minutes to complete fully. While simply checking the bubbles on each multiple choice response is all our team needs to gain valuable feedback, the more detailed you can be in your free responses the more impactful our team will be in making improvements to the utility, ease of use and efficiency of our reporting interface.

      Link: https://www.surveymonkey.com/r/CRISP_Reporting_User_Survey_2019

      The survey will be open from September 30th to October 28th. Thank you in advance for your willingness to provide us with your feedback. If you have any questions or experience any errors with the survey, please contact Grace Kaeding at grace.kaeding@crisphealth.org for support. 

       


      Tuesday, October 1st

       

      1. Our newest CTO staff member, Cassandra Thomas, BSN, RN, CDNC has started

      • Cassandra will work directly with each practice to identify and manage your most complex risk patients
      • Cassandra has begun working with practices and will get to you all as soon as her time, and your schedules allow
      • We are so excited to have her as part of the CTO team and hope you all welcome her with open arms
      • Cassandra does not yet have a MedChi email address. We will let you know as soon as she does. In the meantime, please use the cto@medchi.org email to communicate with Cassandra

      2. Making the most of CRISP resources

      3. 3rd Quarter Reporting NOW OPEN

      • September 23rd – October 11th
      • This report is similar to Q1 reporting
      • An email was sent last week (9/24) with a thorough explanation of the reporting
      • Thank you to the four practices that have completed their reporting and three that have begun

         

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