Page 26 - CANNABIS NEWS FLORIDA JULY 2020
P. 26

After COVID-19 - Reopening Your Medical Practice


          The COVID-19 pandemic                          insurance policies.     treated for a medical condition, like   adopt telemedicine as a mechanism for
        has caused physicians to make                      One question to ask is   COVID-19, or as the result of an injury   delivering health care services and/or, like
        many alterations in their prac-                  whether there was some   suffered while working. If limited to an   some other businesses, begin providing
        tices; increasing their reliance                 event that was not ade-  employee’s accrued sick leave. he or she   home services to patients?
        on telemedicine, restricting                     quately addressed in these   can quickly exhaust that allowance, even
        patients’ access to the prac-                    documents, or that needs   when the recovery period for a condition   Begin Now
        tice’s office, and reducing staff.               to be considered if of a   such as COVID-19 is measured in weeks.   The physicians in a medical practice
        Many medical practices have                      similar  future  event    Another operational issue is determin-  (owners and employees) should begin
        been operating at less than                      occurs. For example:    ing whether the practice’s compliance plan   reviewing how and addressing what
        “full speed” for the past four                     • What happens if an   was robust enough to ensure the business-  changes need to be made to their business.
        or five months. Now, the situ-                   important physician-own -  es’ compliance with all relevant state and   If they have not begun this process already,
        ation appears to be changing.                    er becomes ill; is there   federal requirements.             there is an increasing likelihood their med-
          As this is being written the  BY STEPHEN H. SIEGEL,   insurance that will indem-                            ical practice will not adapt to the changes
        state and county restrictions      ESQ.          nify the practice for the   Clinical                         we are beginning to see in a post-COVID-
        on conducting business,                          loss of that physician’s rev-  Probably the category generating the   19 medical industry. So, begin now.
        including medical practices, are being lift-  enue?                      most attention involves the clinical habits,   Assemble the practice’s governing body
        ed. Everyone wants to return to their lives   • What happens if a vendor, who sup-  routines and procedures medical practices   and trusted advisors (these professionals
        and businesses prior to COVID-19. For a   plies a critical item or service, is not able to   will need to consider as their practices   should include its attorney, accountant,
        physician, this period of “ramping up”   do so; can the practice seek that item or   begin reviving. For example, before   insurance broker, banker, billing consult-
        his/her medical practice offers an opportu-  service from another vendor and is it enti-  COVID-19 the use of face masks and   ant, and asset manager) to begin this
        nity to reassess past habits, routines and   tled to indemnification if there is a higher   gloves during an office visit was limited.   review process. When the next business
        procedures; identify those that may need   cost?                         Now, patients expect to see their physi-  interruption happens, the owners will be
        to be revised in order to conduct business   • Did the practice have sufficient busi-  cians and staff using these items. A ques-  glad they are proactive.
        in a post-COVID-19 world, and make   ness interruption coverage to meet its   tion now is whether additional patient
        those revisions.                     ongoing obligations?                protective equipment (“PPE”) should be   Stephen Siegel, Esq., Florida Bar Certified-
          For the sake of simplicity, this article   After all, the likelihood of another event   worn each time a patient is seen?    Health Lawyer, Health Care Compliance
        divides these habits, routines, and proce-  that will disrupt the practice’s business   From a patient’s perspective, one of the   Association certified in Healthcare
        dures into three categories - structural,   substantially (for example, another pan-  few benefits of this pandemic is the   Compliance and Healthcare Privacy
        operational, and clinical. NOTE: These   demic or the damage caused by a major   absence of long waiting times when they   Compliance, and Partner, Lubell Rosen, can
        categories are neither exclusive nor   hurricane) is something that should be   see a physician in-person. Will medical   be reached at shs@lubellrosen.com
        exhaustive. Rather, they provide one way   anticipated.                  practices abandon double booking and                    or (305) 655-3425.
        to categorize, identify, and address the                                 adopt scheduling protocols carrying this
        changes a medical practice should consid-  Operational                   situation forward? Similarly, will practices
        er making in the wake of COVID-19.     The need to retain, furlough, or termi-
                                             nate employees because business during
        Structural                           the pandemic was poor is best addressed
          This category focuses on the legal doc-  before another pandemic, hurricane, etc.,
        uments that address how the practice   strikes. These questions include whether
        operates and with whom it does busi-  the practice                          “ You can’t separate the clinical
        ness. These include the practice’s basic   • has adopted sufficient policies and   and the fi nancial – not anymore.”
        organizational documents, that is the   procedures, incorporated them into an
        practice’s bylaws, partnership, and physi-  employee handbook, and made sure every
        cian employment/retention agreements,   employee receives a copy of that hand-                     People who know Healthcare, know BDO.
        as well as its relationships with key ven-  book; and
        dor agreements, referral sources, and   • what to do if an employee needs to be





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                                            o o N     s l l t all su hhrpuper eroe        s s
                                                                                     The BDO Center for Healthcare Excellence & Innovation
                                                       w rae wear ca p pes         . . s        As the healthcare industry enters an era of unprecedented transformation, anticipating and
                                                                                     understanding the future state model of healthcare is more important than ever. From advising on
                                               m m o So  e wewe                    .  . s b u r crubs        complex joint ventures, to M&A services, to healthcare redesign, BDO’s multidisciplinary teams help
                                                        eaar sc
                                                                                     organizations plan for and implement the fi nancial and clinical changes needed to transform their
                                                                                     institutions — and thrive in the years to come.
                                                                                     Alfredo Cepero, 305-420-8006 / acepero@bdo.com
                                                                                     Angelo Pirozzi, 646-520-2870 / apirozzi@bdo.com

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        South Florida Hospital News                                                              southfloridahospitalnews.com                                                               July 2020                           11
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