Resource Library

Many of the links and files on this page are hosted externally and CMS is not liable for their content or accuracy. If you can't find what you are looking for please contact Marilyn Rissmiller.


Practice Evolution

Through the Practice Evolution education series, the Colorado Medical Society strives to help physicians better understand the interconnection of major issues in health care and better thrive in delivery system models. The four Practice Evolution categories are payment reform, practice redesign, transparency and administrative simplification.
2011 Electronic Prescribing Incentive Program information
AAFP Center for Health IT
Accountable Care Organizations: ACP webpage
Accountable Care Organizations: AMA webpage
Advanced Beneficiary Notice Form (Revised 2011)
Advanced Beneficiary Notice Instructions
Advice for physicians considering implementing an EHR
AHRQ Patient-centered Medical Home Resource Center
AMA Claims Workflow Assistant
AMA Health Plan Complaint Form
AMA Managed Care Contracting Webinar Series
AMA’s ePrescribing Learning Center webpage
Centers for Medicare and Medicaid Services Accountable Care Organizations webpage
Clinician’s Guide to Electronic Prescribing
CMS ePrescribing Incentive Fact Sheet
CMS fact sheet on meaningful use and the EHR incentive program
CMS fact sheet on Medicaid EHR incentive program
CMS fact sheet on Medicare EHR incentive program
CO-REC (Colorado Regional Extension Center)
Colorado Division of Insurance
Colorado Regional Health Information Organization
Contracting: AMA - 15 Questions to Ask Before Signing a Managed Care Contract
Contracting: FAQ on Colorado’s Fair and Transparent Contracting Law
Contracting: Managed Care Contract Compliance Worksheet
Coordination of Benefits (COB) - Tips for Reducing Payment Delays
CORHIO’s suggested contract language for EHRs
CRS 10-16-704 - Network Adequacy
CRS 10-16-705 - Requirements for carriers and participating providers
CRS 10-16-706 - Intermediaries
Division of Insurance: Online complaint form
Health Information Technology: AMA webpage
Health Insurance Claim Form: 1500 Claim Form - National Uniform Claim Committee
HealthIT.gov
HealthTeamWorks
HIT Consultant Directory
HIT Terms
Lean Enterprise Institute
Lean for Dummies Cheat Sheet
Lean Healthcare Exchange
Meaningful Use: Centers for Medicare and Medicaid Services webpage
Medical Neighborhood: AHRQ white paper, “Coordinating Care in the Medical Neighborhood”
Medical Neighborhood: HealthTeamWorks webpage
Medicare enrollment/PECOS: FAQ
Medicare Provider-Supplier Enrollment webpage
Medicare: Novitas Solutions
National Physician Payment Transparency Program: Open Payments
Next Generation Physician Payment and Delivery Models: AMA webpage
Nurse Practitioner: Board of Nursing webpage
OIG Compliance Program Guidance
Patient-Centered Medical Home: AAFP webpage
Patient-Centered Medical Home: ACP webpage
Patient-Centered Medical Home: TRICARE webpage
Physician Designation Programs: Colorado profiling law compliance worksheet
Physician Designation Programs: How to challenge your profile or designation
Physician practice treatment plan
Practice Evolution Reality Check (PERC)
Practice Evolution Timeline - graph
Prescription for a healthier practice: Automate prior authorization
Prescription for a healthier practice: Contract with confidence
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
Prescription for a healthier practice: Fight for accurate payment by decoding payer ERAs
Prescription for a healthier practice: Hold health insurers accountable for out-of-network services
Prescription for a healthier practice: Increase your practice’s efficiency
Prescription for a healthier practice: Know the cost of doing business with your payers
Prescription for a healthier practice: Move toward real-time adjudication
Prescription for a healthier practice: Prepare for health insurer retrospective audits
Prescription for a healthier practice: Protect your practice from inappropriate discounts
Prescription for a healthier practice: Reduce claim denials
Prescription for a healthier practice: Select a practice management system to maximize efficiency
Prescription for a healthier practice: Simplify the claim audit and appeals process
Prescription for a healthier practice: Switch to e-billing and improve key practice metrics
Prescription for a healthier practice: Understand your contracts
Webinar: 2013 Medicare incentive programs

Payment Reform

2011 Electronic Prescribing Incentive Program information
Advanced Beneficiary Notice Form (Revised 2011)
Advanced Beneficiary Notice Instructions
AMA Claims Workflow Assistant
AMA Health Plan Complaint Form
AMA Managed Care Contracting Webinar Series
AMA Payment and Delivery Reform Webinars
CMS ePrescribing Incentive Fact Sheet
Colorado Division of Insurance
Contracting: AMA - 15 Questions to Ask Before Signing a Managed Care Contract
Contracting: FAQ on Colorado’s Fair and Transparent Contracting Law
Contracting: Managed Care Contract Compliance Worksheet
Coordination of Benefits (COB) - Tips for Reducing Payment Delays
CRS 10-16-704 - Network Adequacy
CRS 10-16-705 - Requirements for carriers and participating providers
CRS 10-16-706 - Intermediaries
Division of Insurance: Online complaint form
Health Insurance Claim Form: 1500 Claim Form - National Uniform Claim Committee
Medicare enrollment/PECOS: FAQ
Medicare Provider-Supplier Enrollment webpage
Medicare: Novitas Solutions
Next Generation Physician Payment and Delivery Models: AMA webpage
OIG Compliance Program Guidance
Physician practice treatment plan
Practice Evolution Timeline - graph
Prescription for a healthier practice: Contract with confidence
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
Prescription for a healthier practice: Fight for accurate payment by decoding payer ERAs
Prescription for a healthier practice: Hold health insurers accountable for out-of-network services
Prescription for a healthier practice: Prepare for health insurer retrospective audits
Prescription for a healthier practice: Simplify the claim audit and appeals process
Prescription for a healthier practice: Understand your contracts

Interacting With Payers

Advanced Beneficiary Notice Form (Revised 2011)
Advanced Beneficiary Notice Instructions
AMA Claims Workflow Assistant
AMA Health Plan Complaint Form
AMA Managed Care Contracting Webinar Series
Colorado Division of Insurance
Contracting: AMA - 15 Questions to Ask Before Signing a Managed Care Contract
Contracting: FAQ on Colorado’s Fair and Transparent Contracting Law
Contracting: Managed Care Contract Compliance Worksheet
Coordination of Benefits (COB) - Tips for Reducing Payment Delays
CRS 10-16-704 - Network Adequacy
CRS 10-16-705 - Requirements for carriers and participating providers
CRS 10-16-706 - Intermediaries
Division of Insurance: Online complaint form
Health Insurance Claim Form: 1500 Claim Form - National Uniform Claim Committee
Medicare enrollment/PECOS: FAQ
Medicare Provider-Supplier Enrollment webpage
Medicare: Novitas Solutions
OIG Compliance Program Guidance
Prescription for a healthier practice: Contract with confidence
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
Prescription for a healthier practice: Fight for accurate payment by decoding payer ERAs
Prescription for a healthier practice: Hold health insurers accountable for out-of-network services
Prescription for a healthier practice: Prepare for health insurer retrospective audits
Prescription for a healthier practice: Simplify the claim audit and appeals process
Prescription for a healthier practice: Understand your contracts

Practice Redesign

2011 Electronic Prescribing Incentive Program information
AAFP Center for Health IT
Accountable Care Organizations: ACP webpage
Accountable Care Organizations: AMA webpage
Advice for physicians considering implementing an EHR
AHRQ Patient-centered Medical Home Resource Center
AMA’s ePrescribing Learning Center webpage
Centers for Medicare and Medicaid Services Accountable Care Organizations webpage
Clinician’s Guide to Electronic Prescribing
CMS ePrescribing Incentive Fact Sheet
CMS fact sheet on meaningful use and the EHR incentive program
CMS fact sheet on Medicaid EHR incentive program
CMS fact sheet on Medicare EHR incentive program
CO-REC (Colorado Regional Extension Center)
Colorado Regional Health Information Organization
CORHIO’s suggested contract language for EHRs
Health Information Technology: AMA webpage
HealthIT.gov
HealthTeamWorks
HIT Consultant Directory
HIT Terms
Lean Enterprise Institute
Lean for Dummies Cheat Sheet
Lean Healthcare Exchange
Meaningful Use: Centers for Medicare and Medicaid Services webpage
Medical Neighborhood: AHRQ white paper, “Coordinating Care in the Medical Neighborhood”
Medical Neighborhood: HealthTeamWorks webpage
Nurse Practitioner: Board of Nursing webpage
Patient-Centered Medical Home: AAFP webpage
Patient-Centered Medical Home: ACP webpage
Patient-Centered Medical Home: TRICARE webpage
Physician practice treatment plan
Practice Evolution Timeline - graph
Prescription for a healthier practice: Switch to e-billing and improve key practice metrics
Webinar: 2013 Medicare incentive programs

Practice Management

Managing a busy practice is no simple task – whether you are a solo physician, part of a large group practice or in an employed setting. CMS is here to help. We’ve assembled a set of resources to provide you with information you might need on a variety of topics to help you make you get the most from you practice.
AAFP: Closing or selling a practice
AMA Claims Workflow Assistant
AMA Managed Care Contracting Webinar Series
Colorado ICD-10 Training Coalition webpage
Coordination of Benefits (COB) - Tips for Reducing Payment Delays
Credit balances: American Bankers Association Article
Credit balances: Colorado Unclaimed Property Act
Delegation and supervision: Colorado Medical Board
Discharging a patient: CMS policy and sample letter for discharging a patient
Discharging a patient: Medical Board guidelines on discharging a patient
Documentation Guidelines for Evaluation and Management Services
Flowchart to learn how to report Medicare quality measures one time in 2014
FMLA (Family Medical Leave Act): AAFP article on charging for completion of forms
FMLA (Family Medical Leave Act): US Department of Labor FMLA website
Health Facilities: CDPHE - Health Facilities licensing website
Health Insurance Claim Form: 1500 Claim Form - National Uniform Claim Committee
HIPAA 5010 Transaction Standards
HIPAA Privacy: AMA HIPAA webpage
HIPAA Privacy: HHS HIPAA Privacy webpage
ICD-10: AMA webpage
ICD-10: Centers for Medicare and Medicaid Services webpage
ICD-10: Quick Reference Guide
Interprofessional Guidelines
Medical Board Guidelines for Closing a Practice
Medicare enrollment/PECOS: FAQ
Medicare enrollment/PECOS: PECOS login
Medicare physician fee schedule: Centers for Medicare and Medicaid Services Overview
Medicare physician fee schedule: Fee Schedule Search
Medicare policy on charging for missed appointments
Medicare Provider-Supplier Enrollment webpage
National Correct Coding Initiative
Office of the Inspector General work plan webpage
OIG Compliance Program Guidance
Out of Network
Physician Designation Programs: Colorado profiling law compliance worksheet
Practice Evolution Reality Check (PERC)
Prescription for a healthier practice:  Protect your practice from inappropriate discounts
Prescription for a healthier practice: Claims revenue cycle
Prescription for a healthier practice: Eliminate manual workers’ comp and auto claims processing
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
Prescription for a healthier practice: Fight for accurate payment by decoding payer ERAs
Prescription for a healthier practice: Get paid what you deserve for out-of-network services
Prescription for a healthier practice: Hold health insurers accountable for out-of-network services
Prescription for a healthier practice: Increase your practice’s efficiency
Prescription for a healthier practice: Know the cost of doing business with your payers
Prescription for a healthier practice: Learn about vendors offering e-billing solutions
Prescription for a healthier practice: Move toward real-time adjudication
Prescription for a healthier practice: Prepare for health insurer retrospective audits
Prescription for a healthier practice: Protect your practice from inappropriate discounts
Prescription for a healthier practice: Receive out-of-network payments for services you provide
Prescription for a healthier practice: Reduce claim denials
Prescription for a healthier practice: Select a practice management system to maximize efficiency
Prescription for a healthier practice: Simplify the claim audit and appeals process
Prescription for a healthier practice: Streamline your overpayment recovery processes
Prescription for a healthier practice: Switch to e-billing and improve key practice metrics
Prescription for a healthier practice: Understand your contracts
Preventive Services Overview of Medicare Preventive Services
Prompt payment: Fact Sheet - Colorado’s Statute
Records: Medical Board policy on medical records release and retention
Red Flags Rule: AMA Sample Policy
Red Flags Rule: What You Need to Know
Webinar: 2013 Medicare incentive programs

Coding and Billing

AMA Claims Workflow Assistant
Colorado ICD-10 Training Coalition webpage
Coordination of Benefits (COB) - Tips for Reducing Payment Delays
Documentation Guidelines for Evaluation and Management Services
FMLA (Family Medical Leave Act): AAFP article on charging for completion of forms
FMLA (Family Medical Leave Act): US Department of Labor FMLA website
Health Insurance Claim Form: 1500 Claim Form - National Uniform Claim Committee
HIPAA 5010 Transaction Standards
HIPAA Privacy: AMA HIPAA webpage
HIPAA Privacy: HHS HIPAA Privacy webpage
ICD-10: AMA webpage
ICD-10: Centers for Medicare and Medicaid Services webpage
ICD-10: Quick Reference Guide
Medicare enrollment/PECOS: FAQ
Medicare enrollment/PECOS: PECOS login
Medicare physician fee schedule: Centers for Medicare and Medicaid Services Overview
Medicare physician fee schedule: Fee Schedule Search
Medicare policy on charging for missed appointments
Medicare Provider-Supplier Enrollment webpage
National Correct Coding Initiative
OIG Compliance Program Guidance
Out of Network
Prescription for a healthier practice: Claims revenue cycle
Prescription for a healthier practice: Eliminate manual workers’ comp and auto claims processing
Prescription for a healthier practice: Learn about vendors offering e-billing solutions
Prescription for a healthier practice: Prepare for health insurer retrospective audits
Prescription for a healthier practice: Protect your practice from inappropriate discounts
Prescription for a healthier practice: Simplify the claim audit and appeals process
Preventive Services Overview of Medicare Preventive Services
Prompt payment: Fact Sheet - Colorado’s Statute

Health System Reform

The passage of the Patient Protection and Affordable Care Act (PPACA) by Congress has created a new reality for patients and physicians, one that requires ongoing physician participation and leadership to help reshape the broken system as the federal bill is implemented. CMS has pressed the case for health system reform in Colorado for years and we are committed to working with physicians and patients to find ways to improve cost effectiveness and quality of care for all Coloradans.
Health System Reform: AMA webpage
Medical practice checklist for 2014 ACA exchange implementation
What is the difference between public and private health insurance?

Medicaid Reform

Initiatives

Directed by the board of directors, House of Delegates and councils and committees, the Colorado Medical Society works to strengthen the house of medicine through various initiatives.
2013 AMA Code of Medical Ethics: Physicians
2013 AMA Code of Medical Ethics: Students
Accountable Care Organizations: AMA webpage
AMA Advocacy Update: Aug. 21, 2013
AMA Advocacy Update: Aug. 7, 2013
AMA Advocacy Update: Sept. 4, 2013
AMA Claims Workflow Assistant
AMA Declaration of Professional Responsibility: Medicine’s social contract with humanity
AMA Health Plan Complaint Form
AMA Managed Care Contracting Webinar Series
AMA responds to congressional committee on SGR proprosal
AMA Wellness Toolkit: A Physician’s Guide to Personal Health
AMA’s ePrescribing Learning Center webpage
BECOMING VISIBLE: Working with Colorado Physicians to Improve LGBT Health
Choosing Wisely Colorado
Colorado Health and Safety Data Services
Colorado Hospital Association: Quality and Patient Safety webpage
Combating Prescription Drug Abuse and Diversion
Continuing Medical Education: AMA webpage
Contracting: AMA - 15 Questions to Ask Before Signing a Managed Care Contract
Facts: Prescription Drug Abuse in Colorado
Health Information Technology: AMA webpage
Health System Reform: AMA webpage
ICD-10: AMA webpage
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety
Medical practice checklist for 2014 ACA exchange implementation
Next Generation Physician Payment and Delivery Models: AMA webpage
Prescription for a healthier practice:  Protect your practice from inappropriate discounts
Prescription for a healthier practice: Automate prior authorization
Prescription for a healthier practice: Claims revenue cycle
Prescription for a healthier practice: Contract with confidence
Prescription for a healthier practice: Eliminate manual workers’ comp and auto claims processing
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
Prescription for a healthier practice: Fight for accurate payment by decoding payer ERAs
Prescription for a healthier practice: Get paid what you deserve for out-of-network services
Prescription for a healthier practice: Hold health insurers accountable for out-of-network services
Prescription for a healthier practice: Increase your practice’s efficiency
Prescription for a healthier practice: Know the cost of doing business with your payers
Prescription for a healthier practice: Learn about vendors offering e-billing solutions
Prescription for a healthier practice: Move toward real-time adjudication
Prescription for a healthier practice: Prepare for health insurer retrospective audits
Prescription for a healthier practice: Receive out-of-network payments for services you provide
Prescription for a healthier practice: Reduce claim denials
Prescription for a healthier practice: Select a practice management system to maximize efficiency
Prescription for a healthier practice: Simplify the claim audit and appeals process
Prescription for a healthier practice: Streamline your overpayment recovery processes
Prescription for a healthier practice: Switch to e-billing and improve key practice metrics
Prescription for a healthier practice: Understand your contracts
Red Flags Rule: AMA Sample Policy
Red Flags Rule: What You Need to Know
Report from the 2012 Patient Safety Leadership Congress
Rules of the Road: An overview of the Stark Law
Ten Tips to Help Promote Patient Safety
Think About It Colorado

AMA

2013 AMA Code of Medical Ethics: Physicians
2013 AMA Code of Medical Ethics: Students
Accountable Care Organizations: AMA webpage
AMA Advocacy Update: Aug. 21, 2013
AMA Advocacy Update: Aug. 7, 2013
AMA Advocacy Update: Sept. 4, 2013
AMA Claims Workflow Assistant
AMA Declaration of Professional Responsibility: Medicine’s social contract with humanity
AMA Health Plan Complaint Form
AMA Managed Care Contracting Webinar Series
AMA Payment and Delivery Reform Webinars
AMA responds to congressional committee on SGR proprosal
AMA Wellness Toolkit: A Physician’s Guide to Personal Health
AMA’s ePrescribing Learning Center webpage
Combating Prescription Drug Abuse and Diversion
Continuing Medical Education: AMA webpage
Contracting: AMA - 15 Questions to Ask Before Signing a Managed Care Contract
Health Information Technology: AMA webpage
Health System Reform: AMA webpage
ICD-10: AMA webpage
Medical practice checklist for 2014 ACA exchange implementation
Next Generation Physician Payment and Delivery Models: AMA webpage
Prescription for a healthier practice:  Protect your practice from inappropriate discounts
Prescription for a healthier practice: Automate prior authorization
Prescription for a healthier practice: Claims revenue cycle
Prescription for a healthier practice: Contract with confidence
Prescription for a healthier practice: Eliminate manual workers’ comp and auto claims processing
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
Prescription for a healthier practice: Fight for accurate payment by decoding payer ERAs
Prescription for a healthier practice: Get paid what you deserve for out-of-network services
Prescription for a healthier practice: Hold health insurers accountable for out-of-network services
Prescription for a healthier practice: Increase your practice’s efficiency
Prescription for a healthier practice: Know the cost of doing business with your payers
Prescription for a healthier practice: Learn about vendors offering e-billing solutions
Prescription for a healthier practice: Move toward real-time adjudication
Prescription for a healthier practice: Prepare for health insurer retrospective audits
Prescription for a healthier practice: Receive out-of-network payments for services you provide
Prescription for a healthier practice: Reduce claim denials
Prescription for a healthier practice: Select a practice management system to maximize efficiency
Prescription for a healthier practice: Simplify the claim audit and appeals process
Prescription for a healthier practice: Streamline your overpayment recovery processes
Prescription for a healthier practice: Switch to e-billing and improve key practice metrics
Prescription for a healthier practice: Understand your contracts
Red Flags Rule: AMA Sample Policy
Red Flags Rule: What You Need to Know
Rules of the Road: An overview of the Stark Law

CME Surveys

CME Activities

Governance Reform

Governance Reform Task Force Agendas

2014 Background Materials

BOD and HOD Policies

Survey Information

CMS Membership Data

Committee on Leadership Track

Committee on HOD and BOD

Committee on Policy Forum

Committee on CMS-Component Study

Elections

Other States - General Information