Becker’s Healthcare Podcast Greg Schooler, Chief Operating Officer, Cincinnati GI, CGI Anesthesia Associates, Anderson Endoscopy Center, LLC
Nov 16, 2025
Greg Schooler, COO of Cincinnati GI and seasoned ASC executive, shares his wealth of knowledge on maintaining ASC independence amidst shifting market dynamics. He discusses the expansion of ASCs fueled by insurer-driven growth and their cost advantages over hospitals. Schooler emphasizes the transformative power of AI, from enhancing colonoscopy accuracy to expediting billing. He also highlights the critical role of a skilled workforce and strong culture in driving success and value in the industry.
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Veteran ASC Builder And Operator
- Greg Schooler has nearly 35 years building many ASCs across specialties including a busy five-room endoscopy center that did 13,000 cases last year.
- He also worked in private equity and helped roll up the largest nephrology practice in the U.S., showing deep operational and acquisition experience.
Payers Are Driving ASC Growth
- Insurers are steering cases to ASCs because they lower costs while maintaining equal or better quality of care.
- That payer behavior plus current price disparity drives ASC growth but raises future parity and consolidation risks.
AI Cuts Charting Time And Improves Coding
- Early AI adoption in GI (e.g., Medtronic GI Genius) and AI charting tools materially reduce clinician time and improve coding accuracy.
- These tools aid documentation, pick E&M and ICD-10 codes, and help billing for NPs/PAs who sometimes undercode.