COVID 19 Updates from the ASMBS We Welcome to Tonights We - - PowerPoint PPT Presentation

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COVID 19 Updates from the ASMBS We Welcome to Tonights We - - PowerPoint PPT Presentation

Sep 12, 2022 136 likes •580 views

COVID 19 Updates from the ASMBS We Welcome to Tonights We Webinar Thank you for joining us! Please submit questions in the control panel Live Tweet with #ASMBSCOVID Agenda 1. Welcome and Introductions. Matt Hutter, MD 2. Working

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We Welcome to Tonight’s We 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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Agenda

  • 1. 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

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Cancelled Elective Surgeries

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Lack of Communication with Insurance Companies

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Expired Authorizations

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Patients Currently on the Pathway

u Proactive Communication with Insurers

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March 23, 2020

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Insurance Provider Request

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Awareness of Patients Currently on the Pathway toward Bariatric Surgery During the COVID-19 Environment

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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

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Several Early Responses

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Mostly Positive

u Forward to Appropriate Person u “Great Ideas” and will Take into Consideration u Already Working on Options

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No Confirmed Changes or Updates in Policy

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Guidelines

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Telemedicine Careful Documentation

u Weight Documentation u Dietary Behaviors u Physical Activity

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Re-Submission of Cancelled Surgery with “Placeholder” Dates

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Communication with Patients

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Next Steps

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Resend Letter to Medical Directors

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Expand Contacts to Regional Carriers and Self-Insured

u Medical Director Contacts u cjnorthup@premierhealth.com

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Mobilize State Chapters

u Collect Data on Insurance Plans u Managed by Each Chapter

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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 cjnorthup@premierhealth.com

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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, FACS Medical Director Bariatric Services MHSM Associate Clinical Professor MSU/CHM Co-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/
  • paulkemmeter@gmail.com
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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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Ad Additional COVID VID-19 19 issu ssues: s:

  • No site visits through 2020.
  • All site visits scheduled between March 2020 through the remainder
  • f 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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Ad Additional COVID VID-19 19 issu ssues: s:

  • 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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Go 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 you! communications@asmbs.org 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