fmvv weekly implementation implementation

Transcript Study Notes

Participants

  • Brie
  • Chuck
  • John
  • Deb
  • Carrie
  • Lori
  • Gary
  • Kathy
  • Michael
  • Dan Cote
  • Olivia
  • Jeremy

Meeting Overview

  • Discussion about ongoing updates and updates from various members.
  • Addressing issues related to billing interfaces, supplier payments, and new medical code implementations.
Key Updates

  • Brie's Communication:

    • Brie contacted after arriving to discuss the doctor handling GAEs in Naples and ensured relevant information was shared.

  • Attendees:

    • Brie will not be on the call.
    • Carrie and Lori's updates were discussed; John and Chuck confirmed daily communication regarding cash flow and supplier payments.

  • Coding Meetings:

    • Discussion on participation in coding meetings; Chuck joined the previous session while traveling.

Key Issues Discussed

Billing Interface

  • Transitioning Away From Omni:

    • Current focus on contracting required for billing interface with ECW.
    • Michael signed a contract; details are needed.
    • Potential Concerns:
    • Confusion about billing agreements concerning ABA discussions and operations in Fort Myers.

  • Payment Discussions:

    • Deb advised on critical suppliers needing payment.
    • SBA loan and other payroll obligations have been accounted for in cash discussions.
Supplier Payments and Compliance Work
  • Current Payments:
    • Recent payments to Escobano and other suppliers discussed. Deb emphasized coordination with executive financial discussions.
  • Invoice Issues:
    • A meeting has been set to resolve invoice delivery issues regarding Kathy’s access to AP inbox.
Vendor and Contract Negotiations

  • Medtronic Contracts and Pricing:

    • Discussions with Medtronic regarding pricing agreements, expected price drops discussed:
    • Current price for endovenous package at $2.85, aimed to negotiate down to $2.20.
    • Expectations on contract agreement by early December discussed.

  • Abbott Negotiations:

    • Negotiating pricing down to $1,095 for CSI catheters (current price $17.50).

  • Phillips Pricing:

    • Reaching out for competitor pricing insights to negotiate lower rates; expected update by January.

New Coding Information

Shockwave Procedure Updates

  • Approval Status and Coding:

    • Clarification that shock wave is approved in OBL settings with designated payable codes available.
    • Payable codes available specifically restricted to iliac and femoral cases up to the popliteal region.
    • Use in conjunction with atherectomy, ballooning, and stent coding confirmed.

  • Vendor Information:

    • Boston's device in process; need additional details from John Baker on potential national contracts regarding the shock wave device.
    • Vendor selection discussions emphasize reviewing similar vendors to ensure competitive pricing and quality.

Compliance and Operational Updates

Compliance Structure
  • Compliance Officers:
    • Kelly leads the compliance committee while Brie takes over compliance officer responsibilities following James’ exit.
  • HC Pro Updates:
    • Compliance updates undertaken; checks in place to follow up on outstanding assessments and notifications.
Surgical Log Management
  • Proposal for Digital Documentation:
    • Deb proposed using a digital surgical log instead of paper, suggesting a shift to Excel to ease data accumulation and analysis for case cost tracking.
    • Elements for inclusion: patient identifier, diagnosis code, ASA classification, operating details, and recovery metrics discussed.

Focus Areas Ahead:

  • Further updates on contract negotiations and follow-ups.
  • Engage with IT for invoice clarification and ensure system access for compliance audits.
  • Continue collaboration on supplier pricing discussions and refine operational compliance measures for improved workflow.