COVID –19 Updates from the ASMBS · 3.The impact on community/independent practices.Paul...
Transcript of COVID –19 Updates from the ASMBS · 3.The impact on community/independent practices.Paul...
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Welcome to Tonight’s Webinar
Thank you for joining us!
Please submit questions in the control panel
Live Tweet with #ASMBSCOVID
COVID – 19 Updates from the ASMBS
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Agenda1. Welcome and Introductions. Matt Hutter, MD
2. Working with Payers/Insurers. Joe Northup, MD
3. The impact on community/independent practices. Paul Kemmeter, MD
4. Pearls and pitfalls for telehealth. John Scott, MD
5. Updates:1. Accreditation and MBSAQIP.2. Fellows experience.
This will kick off a series of webinars addressing COVID-19 issues during this pandemic.
Telehealth, Private/Community Practices, Restarting your practice.
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ASMBS and COVID-19: Working with Payors
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Unexpected Access Barriers
u Cancelled Elective Surgeries
u Lack of Communication with Insurance Companies
u Expired Authorizations
u Patients Currently on the Pathway
u Proactive Communication with Insurers
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March 23, 2020
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Insurance Provider Request
u Awareness of Patients Currently on the Pathway toward Bariatric Surgery During the COVID-19 Environment
u Requests:
u Patients would not be Denied Bariatric Surgery for “gaps” in Sequential Dietary Requirements
u Telephone Encounters, Telemedicine, Self-Reported Weights and Diet History be Accepted as Adequate Documentation
u Elimination of Weight Loss or No Weight Gain Requirement
u Any Surgery Currently Approved and Cancelled during COVID-19 Crisis would be Honored
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Early Responses
u Several Early Responses
u Mostly Positive
u Forward to Appropriate Person
u “Great Ideas” and will Take into Consideration
u Already Working on Options
u No Confirmed Changes or Updates in Policy
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Guidelines
u Telemedicine Careful Documentation
u Weight Documentation
u Dietary Behaviors
u Physical Activity
u Re-Submission of Cancelled Surgery with “Placeholder” Dates
u Communication with Patients
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Next Steps
u Resend Letter to Medical Directors
u Expand Contacts to Regional Carriers and Self-Insured
u Medical Director Contacts
u Mobilize State Chapters
u Collect Data on Insurance Plans
u Managed by Each Chapter
u Telemedicine “Best Practices” Document
u Keep Patients on the Pathway
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Questions?
C. Joe Northup, MD, FACS, FASMBS
Chair, ASMBS Access to Care Committee
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Questions?
?Please submit questions with the chat function
in the control panel….
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COVID-19 Practice Survival:From Triage to Recovery
Paul Kemmeter, MD, FACSMedical Director Bariatric Services MHSM
Associate Clinical Professor MSU/CHMCo-Director ASMBS Community/Independent Practice
Committee
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Triage – Phase I
• Establish Task Force and Command Central• Adaptable Planning• Communication • Partnerships• Vendors, Insurance Companies, Financial Institutions• Professional Organizations• Hospitals/Surgical Centers• Patients• STAFF
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Acute Care - Phase II
• Cash Flow• Accounts Receivable• Telehealth• Miscellaneous (i.e. medicolegal work)
• Expense Reduction/Delay• Staff Furlough• Third Party Assistance
• Landlord, Malpractice and Healthcare Insurance, etc.
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Step Down – Phase III
• Transition Planning• Coronavirus Aid, Relief, and Economic Security Act
• Paycheck Protection Program Loan• U.S. SBA Economic Injury Disaster Loan program (EIDL)• Individual Recovery Checks• Employee Retention Tax Credit• Pandemic Unemployment Assistance Program• Updated Business Tax Provisions
• CMS Advanced and Accelerated Payment Program
https://www.forbes.com/sites/advisor/2020/04/02/how-small-businesses-can-get-coronavirus-relief-through-the-cares-act/#5803dd867934
https://www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf
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Rehabilitation/Recovery – Phase IV
• Unknown• Stages I-III Critical • Planning, Communication, Partnerships
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Additional Resources
• ASMBS Members Facebook Group
• ASMBS Practice Management Facebook Group
• https://www.whitecoatinvestor.com/cares-act/
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Questions?
?Please submit questions with the chat function
in the control panel….
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Pearls and Pitfalls of Telehealth
• John D. Scott MD FACS FASMBS
• Chair, Program Committee• Executive Council Member
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Objectives
• CMS Rules Relaxed• Telehealth Platforms• Documentation• Billing
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CMS Rules Adjusted During Crisis
CMS COVID19 Telehealth Tip Sheet
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SC BSBC Website
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Opportunities for Bariatric TELEHEALTH
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Approved CMS Mediums Used in Good Faith
CMS COVID19 Telehealth Tip Sheet
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Public Applications NOT TO BE USED
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EMR platforms
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Documentation Guidelines
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Coding Guidelines
Source: SAGES Telehealth Primer
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Telephone Services
Source: SAGES Telehealth Primer
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Resources for the TELEHEALTH NOVICE
• CMS:• https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet
• AMA:• https://www.ama-assn.org/practice-management/digital/ama-quick-guide-telemedicine-practice
• SAGES:• https://www.sages.org/telehealth-primer-covid-19-pandemic/
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Questions?
?Please submit questions with the chat function
in the control panel….
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Additional COVID-19 issues:
• No site visits through 2020.• All site visits scheduled between March 2020 through the remainder
of the 2020 calendar year will be postponed.
• All currently accredited MBSAQIP centers will have their accreditation extended by 12 months .
• “Prioritize patient care and safety first and foremost”Flexibility with:• SCR deployment, • Volume requirements• CMBS Meetings
• Data:• Lock dates suspended for 2020.
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Additional COVID-19 issues:
• Bariatric Fellows• Their training and experience• Numbers needed for their Bariatric Certificate.• Strike a balance between fairness to fellows and
patient safety.• Further discussions with:• the ASMBS Bariatric Training Committee, • the Bariatric Fellowship Directors, • the Fellowship Council, and • the ASMBS Executive Council.
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Questions?
?Please submit questions with the chat function
in the control panel….
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Going Forward:
• Weekly Emailed COVID-19 Updates.• Regularly scheduled webinars with issues important to our
members:• Telehealth• Impacts on your practice.• When and how to restart your practice.
Please let us know what matters most to [email protected]
Please share with us stories of how your colleagues are making an impact.!
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• Support your patients.• Help out however you can.• Use the opportunity to
transform how we provide care.
Stay safe!
COVID – 19 Updates from the ASMBS