BackTable Vascular & Interventional

Ep. 562 IR as a Business Engine: Scaling High-Acuity Care in Private Practice with Dr. Harris Chengazi

Aug 1, 2025
Dr. Harris Chengazi, an interventional radiologist at Great Lakes Medical Imaging, shares his insights into developing a high-acuity IR practice. He discusses the critical importance of demonstrating IR's value to hospitals, focusing on longitudinal patient care to enhance reimbursements. Chengazi emphasizes the necessity for physicians to grasp the business side of medicine, including coding and billing. He also explores the balance between complex cases and essential procedures, advocating for strong communication and collaboration within healthcare systems.
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ADVICE

Build A Longitudinal IR Clinic

  • Build a robust outpatient IR clinic to follow patients longitudinally and expand referrals.
  • Follow patients before and after procedures to increase clinical value and downstream revenue.
INSIGHT

IR's Surgical Mindset Is A Differentiator

  • IR brings a surgical mindset from ICU and OR rotations that changes how imaging and procedures are approached.
  • That mindset makes IR uniquely suited for leadership and clinical relationship-building in groups.
ADVICE

Use High-Quality Consults To Capture Value

  • Be strategic: consult on inpatients and document strong consult notes to show decision-making and capture higher-level E&M value.
  • Use concise, high-quality notes to earn respect and increase RVU capture and downstream procedures.
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