Specialty Clinic – Gynecology Staffing in clinic: It is expected that contractor physician shall personally examine and document in CPRS, using the template all patients in the gynecology clinic, all patients who are being scheduled for surgery, and all patients in whom there is a significant or unexpected change in their clinical course. All clinic profile changes or cancellation, require advance notice of at least 40 days, in order to allow VA staff to cancel and reschedule clinic appointments, and in compliance with policy and procedures. Specialty Clinic – Uro-Gynecology. Clinic time will be the third Friday of each month, from 1.30 pm to 4.00 pm. Staffing in clinic: It is expected that the Contractor shall personally examine and document in CPRS, using the template all patients in the gynecology clinic, all patients who are being scheduled for surgery, and all patients in whom there is a significant or unexpected change in their clinical course. All clinic profile changes or cancellation, require advance notice of at least 40 days, in order to allow VA staff to cancel and reschedule clinic appointments, and in compliance with policy and procedures. Gynecology Surgical Procedures – OR - typically arising out of the above clinics. Gynecology surgical operative procedures will be performed on the first and third Friday of each month, in conjunction with the operating room block time schedule. Surgical procedures may be scheduled on alternate days when coordinated with VA Surgical Service and Operating Room Manager. The Contractor will provide inpatient post-operative care for these patients, as appropriate. Payment will be by a cost per procedure rate calculated based on medicare minus the practice expense. Gynecology Minor Surgical Procedures (Clinic Procedures) - typically arising out of the above clinics. Gynecology surgical operative procedures will be performed on Friday morning, each week, in conjunction with the clinic minor procedure room time schedule. Surgical procedures may be scheduled on alternate days when coordinated with VA Surgical Service and Clinic Manager. Payment will be by a cost per procedure rate calculated based on medicare minus the practice expense. Specialized Surgical Procedures – e.g. Gynecologic Tumor Surgery Surgical procedures may be scheduled on alternate days when coordinated with VA Surgical Service and Operating Room Manager. Payment will be by a cost per procedure rate calculated based on medicare minus the practice expense. Providing Consultative services. When requested and agreed by the Contractor, for the specialists covered in the contract, either on-call or at other times, the shall personally examine the patient and document their findings. The level of service provided shall be determined by the complexity of the visit as documented in CPRS.
