Navigating the intricate world of medical billing can be challenging, and knowing the steps needed to ensure fair reimbursement can be even more challenging. Guests Dr. Bret Wiechmann and Dr. Jerry Niedzwiecki (private practice interventional radiologists) join host Dr. Ally Baheti to discuss how IRs in the OBL setting can legislatively rally behind the office-based facility concept and improve physician reimbursement in the light of developments addressed at the recent OEIS meeting.
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SYNPOSIS
Dr. Wiechmann and Dr. Niedzwiecki begin the episode by defining several key-terms and processes in physician reimbursement in the outpatient setting to help orient us to the issue at hand. After explaining why and how reimbursement for more advanced procedures in the OBL setting has been lagging behind, the doctors introduce the concept of creating an office-based facility concept. This would help stabilize payments for complex procedures done in the OBL space. The episode concludes with emphasis on more physician involvement and advocacy in pushing reform forward, underscoring how a unified effort is essential for long-lasting, meaningful change.
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TIMESTAMPS
00:00 - Introduction
01:42 - Medicare Physician Fee Schedule
05:46 - Challenges with Current Reimbursement Models
11:28 - Proposing the Office-Based Facility Concept
17:58 - Legislative Efforts and Congressional Involvement
26:53 - Call to Action: How You Can Help
36:40 - Conclusion
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RESOURCES
Outpatient Endovascular and Interventional Society:
https://oeisweb.com
