Practice Viability Toolkit

The COVID-19 pandemic has critically impacted medical practices. To help you make important decisions for your practice, TMA released a Practice Viability Toolkit that provides the most up-to-date information and resources available. The toolkit addresses a number of issues:

  1. Telemedicine, with information about technology, HIPAA relaxations, prescribing, coding and billing, and policies and procedures;
  2. Cash flow, including Small Business Administration loan assistance, lines of credit, payment deferrals, loan refinancing, and loans from private banks;
  3. Payers, coding, and documentation information, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), commercial plans, workers’ comp, and claims submissions;
  4. Human resources, including wages and hours, the Families First Coronavirus Response Act, and termination and unemployment benefits; and
  5. Advocacy, such as mass critical care guidelines, non-urgent, elective surgeries and procedures, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), payment parity for telemedicine services, liability protection, and stay-at-home guidance.

Tarrant County COVID-19 Activity – 4/8/20

COVID-19 Positive cases:588*

COVID-19 related deaths: 19

Recovered COVID-19 cases: 53

Data from Tarrant County Public Heath’s (TCPH) report of COVID-19 activity in Tarrant County, updated Wednesday, April 8, 2020 at 12:00 p.m. Find more COVID-19 information from TCPH here.

* These data are provisional and are subject to change at any time.

Deaths and recovered cases are included in total COVID-19 positive cases.

Tarrant County COVID-19 Activity – 4/7/20

COVID-19 Positive cases: 517*

COVID-19 related deaths: 18

Recovered COVID-19 cases: 53

Data from Tarrant County Public Heath’s (TCPH) report of COVID-19 activity in Tarrant County, updated Tuesday, April 7, 2020 at 12:00 p.m. Find more COVID-19 information from TCPH here.

* These data are provisional and are subject to change at any time.

Deaths and recovered cases are included in total COVID-19 positive cases.

Fort Worth area doctors urge those in need to seek medical treatment despite pandemic

By Stefan Stevenson

Originally published in the Star-Telegram on April 7, 2020

Everyday medical issues haven’t stopped since the coronavirus began sweeping through our country.

Important medical needs for millions of chronic and non-chronic patients require the care of a doctor despite the prevalence of stay-at-home orders and social-distancing guidelines. The restrictions have made many patients in need hesitant to seek the necessary treatment.

Doctors at the Tarrant County Medical Society recommend calling your doctor. In many cases, treatment can be determined over the phone or through a video chat.

“By now, most physicians offer a Telehealth option for patients,” Omar Selod, a local doctor of osteopathic medicine, said in a news release. “Physicians can reach out to patients and conduct new evaluations or follow up visits by connecting through a smart phone, iPad, laptop, or desktop.”

Those with severe pain, of course, should either visit the emergency room or visit their doctor in person, TCMS says.

“We can hopefully address and resolve a problem and prevent patients from going to the emergency rooms, subsequently helping relieve stress on our local hospitals,” Selod said.

Most health care providers and doctor’s offices are equipped to handle video appointments. Even new patients seeking a new doctor are able to make their initial visit via video appointment.

Read the rest of the story here.

CMS “Office Hours” on COVID-19

You are invited to CMS “Office Hours” on COVID-19, Tuesday, April 7th from 5:00 – 6:00 PM EST, the first in a series of opportunities for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

  1. Increase Hospital Capacity – CMS Hospitals Without Walls;
  2. Rapidly Expand the Healthcare Workforce;
  3. Put Patients Over Paperwork; and
  4. Further Promote Telehealth in Medicare

We encourage you to submit questions in advance to partnership@cms.hhs.gov, including “Office Hours” in the subject line. There will also be live Q&A.

Dial-in details below. Conference lines are limited, so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and membership.

Toll-Free Attendee Dial In: 833-614-0820

Event Plus Passcode: 6793622 Audio Webcast link: https://protect2.fireeye.com/url?k=cecb08ad-929f2186-cecb3992-0cc47a6d17cc-db3ca8a4c175de3d&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=1817

You can find a copy of the full press release and related materials here:  https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19 

To keep up with the important work the White House Task Force is doing in response to COVID-19, please click here: www.coronavirus.gov. For information specific to CMS, please visit the Current Emergencies Website.

How to Manage Routine Medical Care

“I have a problem, but I’m scared to go to my doctor’s office. What can I do?”

With coronavirus widespread and social distancing an important part of flattening the curve, how do you safely manage your non-corona medical needs? There are ways to talk to your physician and receive medical care during the coronavirus pandemic without putting yourself or others at risk. Doctors at the Tarrant County Medical Society recommend that you use some of the technologies that we rely on every day—the phone and the internet.

Call your doctor to discuss your problem and learn your options; many issues can be handled easily over the phone. Some doctors are also now able to offer virtual visits, which means you can be evaluated from the safety of your own home. “By now most physicians offer a Telehealth option for patients,” says Omar Selod, DO, of Fort Worth PMR. “Physicians can reach out to patients and conduct new evaluations or follow up visits by connecting through a smart phone, iPad, laptop, or desktop.  I have started using this and patients have had a positive response so far.  We are able to still offer needed care for our patients though this process…by offering Telehealth services or in office visits for those in severe pain, we can hopefully address and resolve a problem and prevent patients from going to the emergency rooms, subsequently helping relieve stress on our local hospitals.”

Morvarid Rezaie, DO, of Fort Worth Primary Care, says that her practice has seen an increase in phone and video visits, both with established patients and those looking to establish themselves with a primary care physician. While some annual visits are being postponed, most sick visits and new patient visits can be held virtually. Dr. Rezaie is trying to get the word out; she has posted videos on her practice’s Facebook page promoting this service. Even with this advancement in technology, Dr. Rezaie emphasizes that in-person visits are still available for those who cannot access the necessary technology or just prefer an in-person visit.

Specialists are also able to utilize technology. Melanie Lagomichos, DO, of HSC Obstetrics and Gynecology, says that they are able to have virtual appointments for most visits. Even some prenatal visits can be held virtually; however, the office is still open for many prenatal visits as well as urgent gynecological visits such as biopsies.

Even surgeons such as Danielle LeBlanc, MD, of Le Blanc Plastic Surgery, are able to continue serving their patients. “Non-urgent medical care is still happening every day. It just isn’t happening the way it normally does with face-to-face medical visits,” says Dr. LeBlanc. “I have been virtually seeing patients for over two weeks now, and many are so grateful for my availability and to be able to talk to me in this way. While I cannot physically examine them, patients are able to offer valuable information and give enough feedback for me to make medical decisions.”

Though these are good options, some problems require an in-person visit to your doctor’s office. Even if that is the case, do not hesitate to seek care. Physicians and their healthcare teams are working hard to use safe procedures that ensure you can maintain social distancing and minimize your risk of exposure throughout your visit. The same can be done at urgent care clinics, imaging centers, and blood drawing stations.

It is critical is that you do not ignore your medical problems or concerns during the pandemic due to a fear of being exposed to the coronavirus. Your Tarrant County doctors are committed to your health and wellbeing and will not hesitate to find a way to deliver your care. “Patients in Tarrant County need to know we are still here for them,” continues Dr. Selod. “Since this Covid-19 crisis began I have found myself communicating more than ever with my physician colleagues, trying to figure out ways to continue to serve our patients.  The collegiality amongst Tarrant County physicians is at an all-time high right now.  We are here to serve our community and support our healthcare partners including nurses, respiratory therapists, physical therapists, staff, and other physician colleagues.  We will get through this.  We are here for you.”

Tarrant County COVID-19 Activity – 4/6/20

COVID-19 Positive cases: 452*

COVID-19 related deaths: 13

Recovered COVID-19 cases: 41

Data from Tarrant County Public Heath’s (TCPH) report of COVID-19 activity in Tarrant County, updated Monday, April 6, 2020 at 12:00 p.m. Find more COVID-19 information from TCPH here.

* These data are provisional and are subject to change at any time.

Deaths and recovered cases are included in total COVID-19 positive cases.

Tarrant County COVID-19 Activity – 4/5/20

COVID-19 Positive cases: 418*

COVID-19 related deaths: 11

Recovered COVID-19 cases: 23

Data from Tarrant County Public Heath’s (TCPH) report of COVID-19 activity in Tarrant County, updated Sunday, April 5, 2020 at 12:00 p.m. Find more COVID-19 information from TCPH here.

* These data are provisional and are subject to change at any time.

Deaths and recovered cases are included in total COVID-19 positive cases.

Two additional COVID-19 deaths reported by Tarrant County Public Health

April 4, 2020 (Tarrant County, TX) – Tarrant County Public Health (TCPH) today confirmed that two more Tarrant County residents have died after testing positive for the COVID-19 virus. Tarrant County now has a total of nine confirmed deaths from the COVID-19 virus.

Tarrant County Public Health Director Vinny Taneja said one patient was elderly with underlying health conditions and a resident of Southlake. The other patient was a younger person from Haltom City with no known health conditions. Both contracted the virus through community transmission.

He declined to provide further details, citing HIPAA laws regarding confidentiality of health information. “We express our deepest sympathy to the families,” he said. “Sadly, their deaths are a reminder for everyone that we are seeing more COVID-19 disease across our community” he said.

COVID-19 causes respiratory illness with cough, fever, and shortness of breath, and may lead to bronchitis and severe pneumonia. “We want residents of Tarrant County to continue to be mindful of basic preventive measures to protect themselves from COVID-19 and other respiratory viruses,” Taneja said.

These include:

  1. Stay home as much as possible.
  2. Practice social distancing by staying six feet away from others when you do go out; avoid gatherings of more than 10 people.
  3. Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
  4. Avoid touching your eyes, nose, and mouth with unwashed hands.
  5. Avoid close contact with people who are sick.
  6. Stay home when you are sick. If you experience difficulty breathing, or persistent fever, call your primary care provider.
  7. Cover your cough or sneeze with a tissue or your sleeve.
  8. Frequently clean and disinfect touched objects and surfaces.

For more information go to coronavirus.tarrantcounty.com or call the Tarrant County Public Health information line, (817) 248-6299, 24 hours a day, seven days a week.

Tarrant County COVID-19 Activity – 4/4/20

COVID-19 Positive cases: 404*

COVID-19 related deaths: 9

Recovered COVID-19 cases: 23

Data from Tarrant County Public Heath’s (TCPH) report of COVID-19 activity in Tarrant County, updated Saturday, April 4, 2020 at 12:00 p.m. Find more COVID-19 information from TCPH here.

* These data are provisional and are subject to change at any time.

Deaths and recovered cases are included in total COVID-19 positive cases.

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