Welcome to the MAY 7, 2020 update on UW Ob-Gyn departmental operations.
WHAT DO I NEED TO KNOW TODAY?
Leaders at local, state and federal levels are looking at how to safely reopen many businesses and services in the coming weeks and months. This opinion piece from the New York Times uses cellphone location data from 2019 to compare relative safety of many types of businesses – worth a read!
Operating rooms at UW Hospital will ramp back up to limited block scheduling and more open ORs on May 18.
As residents return to clinical rotations, questions about how to bill for telehealth visits with residents are coming up. Some guidance for teaching physicians:
Teaching Physicians (TP)
- Video Visits – You must still participate in resident services the same as always, however, the participation may be done virtually. TP would need to be present either in person or virtually during the key portions of the service for E&M services.
- Primary Care Exception areas – You may apply the primary care exception rules to all levels of service during the PHE. You may provide the direct supervision of the residents through virtual means.
- Phone Calls – You must be on the phone with the patient in order to bill the phone call services. The phone call code should be chosen based on the number of minutes you are on the phone with patient. Resident only phone call codes should continue to be coded with the 05105 no charge code.
- Behavioral Health - The presence of the teaching physician during psychiatric services in which a resident is involved may be met by the teaching physician’s direct supervision by interactive telecommunications technology.
- Procedures - There are no changes to the presence of the teaching physician for surgical, high risk, interventional, or other complex procedures, services performed through an endoscope, and anesthesia services. Physical presence for either the entire procedure or the key portions of the service, whichever are applicable, are necessary for patient safety.
Update to COVID-19 Ambulatory Remote Visit Documentation and Billing Guideline (PDF)
UW Health has shared more updates to Vidyo telehealth processes:
- We’re hopeful that Phase III students will be back on May 26. We have 16 students interested in going into OBGYN, and all the divisions have worked really hard to develop rotations to get these students the experience they need.
- Phase II students likely to return in July – rotations will be 4 weeks straight on OBGYN (2 weeks labor and delivery, 2 weeks on GYN), no lectures and no ambulatory. This will help us schedule students to maintain distancing as much as possible.
- Congratulations to the medical students who graduate on Friday, May 8! This graduating class is the first to complete the Forward phased SMPH curriculum.
More information on the UW-Madison Furlough Policy is available in this presentation. You can also take a look at the UW-Madison Furlough FAQs.
For the second year running, the annual Department Awards Ceremony, coming up on June 25, 2020, will include the new Support Staff Excellence Award! You can nominate your excellent colleagues by filling out this form and returning to Jenni Stevens by May 18, 2020.
TAKE A DEEP BREATH
Looking for a great book recommendation? People across the department shared their quarantine reads on the May 7 Virtual Department Meeting – check out all the suggestions here!
Find more resources to support mental and physical resilience on the UW Ob-Gyn Wellness Committee resources page.
UW Health COVID-19 / UW-Madison COVID-19 Plans and Response / U.S. CDC / Wisconsin DHS