COVID –19 Updates From The ASMBS
COVID – 19 Updatesfrom the ASMBSWelcome to Tonight’sWebinarThank you for joining us!Please submit questions inthe control panelLive Tweet with #ASMBSCOVID
Agenda1. Welcome and Introductions.Matt Hutter, MD2. Working with Payers/Insurers.Joe Northup, MD3. The impact on community/independent practices. Paul Kemmeter, MD4. Pearls and pitfalls for telehealth.John Scott, MD5. Updates:1. Accreditation and MBSAQIP.2. Fellows experience.This will kick off a series of webinars addressing COVID-19 issues during thispandemic.Telehealth, Private/Community Practices, Restarting your practice.
ASMBS and COVID-19:Working with Payors
Unexpected Access BarriersuCancelled Elective SurgeriesuLack of Communication with Insurance CompaniesuExpired AuthorizationsuPatients Currently on the PathwayuProactive Communication with Insurers
March 23, 2020
Insurance Provider RequestuAwareness of Patients Currently on the Pathway toward Bariatric SurgeryDuring the COVID-19 EnvironmentuRequests:uPatients would not be Denied Bariatric Surgery for “gaps” in Sequential DietaryRequirementsuTelephone Encounters, Telemedicine, Self-Reported Weights and Diet History beAccepted as Adequate DocumentationuElimination of Weight Loss or No Weight Gain RequirementuAny Surgery Currently Approved and Cancelled during COVID-19 Crisis would beHonored
Early ResponsesuSeveral Early ResponsesuMostly PositiveuuForward to Appropriate Personu“Great Ideas” and will Take into ConsiderationuAlready Working on OptionsNo Confirmed Changes or Updates in Policy
GuidelinesuTelemedicine Careful DocumentationuWeight DocumentationuDietary BehaviorsuPhysical ActivityuRe-Submission of Cancelled Surgery with “Placeholder” DatesuCommunication with Patients
Next StepsuResend Letter to Medical DirectorsuExpand Contacts to Regional Carriers and Self-InsureduuMedical Director Contactsucjnorthup@premierhealth.comMobilize State ChaptersuCollect Data on Insurance PlansuManaged by Each ChapteruTelemedicine “Best Practices” DocumentuKeep Patients on the Pathway
Questions?C. Joe Northup, MD, FACS, FASMBSChair, ASMBS Access to Care Committeecjnorthup@premierhealth.com
Questions?Please submit questions with the chat functionin the control panel .
COVID-19 Practice Survival:From Triage to RecoveryPaul Kemmeter, MD, FACSMedical Director Bariatric Services MHSMAssociate Clinical Professor MSU/CHMCo-Director ASMBS Community/Independent PracticeCommittee
Triage – Phase I Establish Task Force and Command Central Adaptable Planning Communication Partnerships Vendors, Insurance Companies, Financial InstitutionsProfessional OrganizationsHospitals/Surgical CentersPatientsSTAFF
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.
Step Down – Phase III Transition Planning Coronavirus Aid, Relief, and Economic Security rough-the-cares-act/#5803dd867934 Paycheck Protection Program LoanU.S. SBA Economic Injury Disaster Loan program (EIDL)Individual Recovery ChecksEmployee Retention Tax CreditPandemic Unemployment Assistance ProgramUpdated Business Tax Provisions CMS Advanced and Accelerated Payment ted-and-Advanced-PaymentsFact-Sheet.pdf
Rehabilitation/Recovery – Phase IV Unknown Stages I-III Critical Planning, Communication, Partnerships
Additional Resources ASMBS Members Facebook Group ASMBS Practice Management Facebook Group https://www.whitecoatinvestor.com/cares-act/ paulkemmeter@gmail.com
Questions?Please submit questions with the chat functionin the control panel .
Pearls and Pitfalls of Telehealth John D. Scott MD FACS FASMBS Chair, Program Committee Executive Council Member
Objectives CMS Rules Relaxed Telehealth Platforms Documentation Billing
CMS Rules Adjusted During CrisisCMS COVID19 Telehealth Tip Sheet
SC BSBC Website
Opportunities for Bariatric TELEHEALTH
Approved CMS Mediums Used in Good FaithCMS COVID19 Telehealth Tip Sheet
Public Applications NOT TO BE USED
EMR platforms
Documentation Guidelines
Coding GuidelinesSource: SAGES Telehealth Primer
Telephone ServicesSource: SAGES Telehealth Primer
Resources for the TELEHEALTH NOVICE CMS: telemedicinehealth-care-provider-fact-sheet AMA: al/ama-quick-guidetelemedicine-practice SAGES: andemic/
Questions?Please submit questions with the chat functionin the control panel .
Additional COVID-19 issues: No site visits through 2020. All site visits scheduled between March 2020 through the remainderof the 2020 calendar year will be postponed.All currently accredited MBSAQIP centers will have their accreditation extended by 12months. “Prioritize patient care and safety first and foremost”Flexibility with: SCR deployment,Volume requirementsCMBS MeetingsData: Lock dates suspended for 2020.
Additional COVID-19 issues: Bariatric Fellows Their training and experience Numbers needed for their Bariatric Certificate. Strike a balance between fairness to fellows andpatient safety. Further discussions with: the ASMBS Bariatric Training Committee,the Bariatric Fellowship Directors,the Fellowship Council, andthe ASMBS Executive Council.
Questions?Please submit questions with the chat functionin the control panel .
Going Forward: Weekly Emailed COVID-19 Updates. Regularly scheduled webinars with issues important to ourmembers: Telehealth Impacts on your practice. When and how to restart your practice.Please let us know what matters most to you!communications@asmbs.orgPlease share with us stories of how your colleagues are making animpact.!
COVID – 19 Updatesfrom the ASMBS Support your patients. Help out however you can. Use the opportunity totransform how we providecare.Stay safe!
Insurance Provider Request u Awareness of Patients Currently on the Pathway toward Bariatric Surgery During the COVID-19 Environment u Requests: uPatients would not be Denied Bariatric Surgery for “gaps” in Sequential Dietary Requirements uTelephone Encounters, Telemedicine, Self -Reported Weigh
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Le genou de Lucy. Odile Jacob. 1999. Coppens Y. Pré-textes. L’homme préhistorique en morceaux. Eds Odile Jacob. 2011. Costentin J., Delaveau P. Café, thé, chocolat, les bons effets sur le cerveau et pour le corps. Editions Odile Jacob. 2010. 3 Crawford M., Marsh D. The driving force : food in human evolution and the future.
