V2V Management Solutions

Value-based Management for Health Care Providers

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COVID-19 Updates & Alerts 03/17/20

COVID-19 Updates & Alerts


Volume 1 - March 17, 2020


"Between stimulus and response, there is a space. In that space is our power to choose our response."  - Victor Frankl

 


Interesting Times Ahead:

As we continue to monitor the rapidly changing impacts of the COVID-19 situation, V2V recognizes the incredible challenges and pressure being placed on each medical practice and organization during this population health crisis.  We understand that clinical care takes precedence over the business of care.  We have compiled some items you will want to be mindful of operationally as you navigate this unchartered territory.  Our goal is to help you manage your business while you are managing the crisis. We will continue to monitor the changing landscape.

 

Inside this Edition:


  • Navigating New Business Priorities
  • Links to Resources


Navigating New Business Priorities

By Michelle Wier, MBA, CMPE, Founder


As you navigate the steps you must take to serve your patient population. Do not lose focus on operational imperatives. Keep the following things in mind.

  1. Ensure your organization has access to adequate cash reserves to cover any unforeseen cash flow interruptions.
  2. Create a supply plan with your vendors to ensure access during anticipated shortages while considering alternative sourcing (neighboring clinics and hospitals, non-traditional and local retailers, and watch local government announcements).
  3. If embarking on new care delivery models such as telemedicine be sure to evaluate all aspects of requirements with state agencies, liability carriers, and all payers. Government announcements regarding new reimbursement strategies are not guaranteed to impact patients outside of Medicare/Medicaid. Contact your regional carrier for clarifying policies. Be sure to maintain focused efforts on privacy although some HIPAA exposures have been waived at this point.
  4. Consider adjusting your patient schedules to reschedule elective procedures and wellness visits to address the patients most in need. Create triage plan for patients seeking acute care appointments. Review payer policies regarding phone triage and e-visits to manage excess volumes in reimbursable formats.
  5. Monitor federal and state guidelines regarding emergency relief relating to payroll tax changes, sick leave, FMLA, and labor policies related to business interruptions to better understand your obligations as an employer. If you are creating virtual/remote workplace options be sure to follow security and privacy regulations.
  6. Emergency declarations have discussed the potential of temporary medical licensing, reciprocal licensing across state lines, and accelerated payer enrollment. This is a state or payer level policy adoption. Check with your local Medical Board and liability carrier before making commitments to utilize new physicians.  Additionally, check your local commercial payer policies to ensure reimbursement policies are addressed.
  7. It is prudent to review with your staff your emergency planning protocols. Clarify their respective responsibilities and review communication plans.

Stay tuned as more in-depth discussions on these topics are heading your way.


Resource Links to Save & Monitor

The links provided relate to the content above.

  • CMS Fact Sheet: https://www.cms.gov/files/document/covid19-emergency-declaration-health-care-providers-fact-sheet.pdf
  • CMS Emergency Preparedness Response site: https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page
  • CDC Coronavirus Disease 2019 for Healthcare Professionals: https://www.cdc.gov/coronavirus/2019-ncov/hcp/index.html
  • CMS Coverage Info: https://www.cms.gov/newsroom/press-releases/cms-publishes-faqs-ensure-individuals-issuers-and-states-have-clear-information-coverage-benefits

  • Telemedicine https://www.cms.gov/newsroom/press-releases/telehealth-benefits-medicare-are-lifeline-patients-during-coronavirus-outbreak
  • Telehealth Policy  CCHP Fact Sheet: https://cchpca.us9.list-manage.com/track/click?u=c9fa99b7520aedfca5c453103&id=5ddc2ff68d&e=064cadd555
  • Telemedicine and HIPAA: https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/index.html. (3/17/2020)

  • Providers should contact their CMS Regional Office as soon as possible to discuss anticipated changes to waiver operations or needed authorities.
  • CPT Coding for Coronavirus Test: https://www.ama-assn.org/press-center/press-releases/cpt-fast-tracking-code-development-novel-coronavirus-test (03/16/2020)
  • Fact sheet:  Medicare Administrative Contractor (MAC) COVID-19 Test Pricing (PDF) (3/13/20)
  • FAQ: Frequently Asked Questions to Assist Medicare Providers (PDF) (3/6/20)
  • Fact sheet:  Medicare Coverage and Payment Related to COVID-19 (PDF) (3/5/20)
  • Fact sheet:  Medicaid and CHIP Coverage and Payment Related to COVID-19 (PDF) (3/5/20)

V2V is here to help


Our V2V team stands by ready to assist you in navigating these turbulent times. We can quickly deploy resources to assist in the following areas:

  • Researching payer concerns and policies,
  • Contacting payers to expedite credentialing or licensing of temporary providers,
  • Developing action plans for rapid deployment of new solutions,
  • Backup support to Administration,
  • Project support.

For Rapid Response Contact us at:
Irv Barnett, Founder: [email protected]   208-717-3941
Michelle Wier, Founder: [email protected]  208-717-3943

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“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Michelle Wier, CMPE, worked with our EMS program for a year, providing interim financial management at a crucial time for our hospital district based agency. Her exemplary work included budget and tool development, redesign of our financial statements, and a compensation analysis for all EMS positions. She helped provide crucial accountability for our internal accounting systems, contract negotiation support and a streamlining of our in house processes and reporting structures. I highly recommend her work product and greatly appreciate her astuteness and work ethic.”

J. Michael Edwards, DDS, MD, FACS – Commissioner, San Juan County Public Hospital District #1 San Juan Island EMS and MedEvac

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“With excitement and enthusiasm I announce the transition of Wier Management Solutions to V2V Management Solutions. I’m honored to partner with some of the industry’s best “Transformationists,” who will assist our clients in realizing and enhancing the value within their organizations.”

Michelle Wier – President, Wier Management Solutions, Inc.

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

“Knowing it is time to reshape your current reality is the first step to transformation. When we contacted V2V, our goal was to innovate our clinic network from all aspects; integration, structure, financial controls and leadership. Michelle and her team at V2V helped us develop a well-defined plan. In transformational management one hears Quality times Acceptance equals Results (Q*A = R). Along with the quality of recommendations, V2V worked diligently to garner both input and acceptance from providers and staff. This is what I believe will ensure long-term, sustainable success for our clinics in a very uncertain time..”

Steven D. Febus – Chief Financial Officer, Pullman Regional Hospital

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