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BackTable Vascular & Interventional

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9 snips
Apr 5, 2024 • 47min

Ep. 432 AI in Medicine: Navigating the New Frontier with Confidence with Dr. Matthew Lungren

Dr. Matthew Lungren, an expert in AI and healthcare, discusses the transformative potential of AI in patient care, clinical workflows, and medical research. He emphasizes the importance of AI as a tool for healthcare professionals to focus on patient care. The discussion covers AI's impact on employment, insurance companies, and resources for healthcare professionals to engage with AI technologies actively.
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Apr 2, 2024 • 47min

Ep. 431 OBL or ASC for Your Private Practice? How to Decide with Teri Yates

In this episode of the BackTable Podcast, Teri Yates explores the nuances of choosing between an Office-Based Lab (OBL) and Ambulatory Surgery Center (ASC) for private practices. Teri is the CEO of Accountable Physician Advisors, a consulting firm which specializes in OBLs, ASCs, and hybrid models for private-practice physicians. She is also President of DocCentric, a company focused on supporting physicians building and leading their own ASCs.The discussion includes a comprehensive analysis of the financial, regulatory, and operational considerations for physicians contemplating this decision. This includes insights into reimbursement models, Medicare regulations, and the strategic advantages of each model. The episode also touches on the importance of feasibility studies, partnerships with other specialties, and real estate strategies when developing these facilities. The conversation provides valuable advice for navigating the complexities of ASC development and emphasizes the value of maintaining independence and leveraging physician-owned models for long-term success.---CHECK OUT OUR SPONSORReflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction04:19 - Deep Dive into OBL and ASC: Definitions, Differences, and Decisions07:26 - Financial Implications of ASC vs. OBL10:56 - Hybrid Model: Combining OBL and ASC for Flexibility15:14 - Navigating the Complexities of ASC Development20:03 - Real Estate Strategies for OBL and ASC Projects22:50 - Staffing Considerations and Physician Entrepreneur Insights35:17 - Future of OBL and ASC: Trends and Predictions39:43 - Closing Thoughts and Resources for Further Learning---RESOURCESAmbulatory Surgery Center Association:https://www.ascassociation.org/homeOEIS Annual Meeting 2024 Las Vegas:https://oeisweb.com/meetings/2024-annual-meeting/Accountable Physician Advisors (Teri’s consulting firm):http://www.accountablephysicianadvisors.com/servicesDocCentric:https://doccentricasc.com/NOON Development Company:https://noondevelopment.com/BT VI Episode #366 - Navigating OBL & ASC Business: Pitfalls to Avoid with Teri Yates:https://www.backtable.com/shows/vi/podcasts/366/navigating-obl-asc-business-pitfalls-to-avoidBT VI Episode #202 - Staffing the OBL with Dr. Krishna Mannava and Kristin Longwell:https://www.backtable.com/shows/vi/podcasts/202/staffing-the-oblBT VI Episode #129 - OBL / ASC Business Pearls with Dr. Jim Melton:https://www.backtable.com/shows/vi/podcasts/129/obl-asc-business-pearlsBI VI Episode #121 - Office-Based Labs (OBLs) & What You Can Do in Them with Dr. Mike Watts:https://www.backtable.com/shows/vi/podcasts/121/office-based-labs-obls-what-you-can-do-in-themBT VI Episode #42 - Building an Outpatient UFE Practice with Dr. Mary Costantino:https://www.backtable.com/shows/vi/podcasts/36/building-an-outpatient-ufe-practice
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Mar 29, 2024 • 57min

Ep. 430 Navigating Insurance Contracts in the OBL Setting with Dr. Deepak Sudheendra and Laurie Bouzarelos

In this episode of the BackTable Podcast, host Dr. Ally Baheti interviews Dr. Deepak Sudheendra and Laurie Bouzarelos about the complexities of navigating insurance for procedures performed in vascular and interventional radiology outpatient-based labs (OBLs).Dr. Sudheendra is an interventional radiologist at 360 Vascular Solutions in Dublin, Ohio and Laurie Bouzarelos is the founder and owner of Provider Solutions, a small business which focuses on coaching private practice and business-owning physicians on payor contracting.The conversation illuminates common challenges faced by physicians when negotiating insurance contracts, and it emphasizes the lack of awareness among insurance companies about the roles of IRs and the significance of OBLs. Laurie Bouzarelos shares her expertise on insurance contracting, highlighting the importance of education, strategy, and patient-focused care in achieving favorable contract terms. The episode delves into tactics for contract negotiation, leveraging data for better rates, and the critical role of in-house billing for financial transparency and control. Dr. Sudheendra shares his personal journey and the tenacity required to educate insurance providers about IR and OBLs. He underscores the broader need for healthcare professionals to advocate vigorously for their both patient care standards and their financial interests. The episode also includes practical insights for setting up a fee schedule, understanding market dynamics, and the potential pitfalls in standard contracts.---CHECK OUT OUR SPONSORSVarian, a Siemens Healthineers companyhttps://www.siemens-healthineers.com/Reflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction03:14 - Journey of Insurance Contracting: From Confusion to Clarity10:08 - Art of Negotiation: Laurie’s Unique Coaching Model19:53 - Leveraging Data for Effective Insurance Negotiations25:17 - Power of Negotiation: Changing the Game in Insurance Contracting28:09 - Exploring the Challenges of Physician Negotiations with Insurance Companies31:54 - Power of Personal Advocacy and Site Visits in Negotiations36:45 - Navigating Contract Renegotiations and Understanding Fee Schedules40:56 - Importance of In-House Billing and Vigilant Fee Management52:16 - Final Advice: The Importance of Negotiation and Understanding Your Business---RESOURCESProvider Solutions (Laurie Bouzarelos’ company):https://www.providersolutionsconsulting.com/about
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21 snips
Mar 26, 2024 • 38min

Ep. 429 Tackling Upper GI Bleeds: Techniques and Tools with Dr. Osman Ahmed

Dr. Osman Ahmed, an interventional radiologist, discusses innovative techniques and materials for upper GI bleed embolization. Topics include different embolization methods, microcatheters, Obsidio Embolic advantages, operator preferences, and procedural nuances. The conversation highlights the evolving technologies and procedural considerations in managing GI bleeds.
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29 snips
Mar 22, 2024 • 51min

Ep. 428 Radial Access Evolution: Clinical Perspectives and Insights from the RAVI Registry with Dr. Marcelo Guimaraes

Dr. Marcelo Guimaraes, a vascular and interventional radiologist, discusses the benefits of radial access in interventional radiology, emphasizing safety, simplicity, and improved outcomes. He covers topics such as the RAVI Registry outcomes, patient preferences, cost-benefit analysis, and handling challenges like artery spasms. Dr. Guimaraes advocates for radial access as the default method for embolization therapies due to its efficacy across procedures and patient conditions.
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Mar 20, 2024 • 21min

Ep. 427 TREAT Symposium: Advancing Clinical Education with Live Cases with Dr. Aaron Fischman

Learn about the evolution of Treat Symposium in clinical education, focusing on live case events. Explore the transition to radial-oriented conferences and virtual presentations. Discover the advancements in live case equipment and plans for regular presentations. Dive into the launch of Backtable Plus for doctors seeking educational resources.
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Mar 19, 2024 • 1h 10min

Ep. 426 Managing Pelvic Venous Disease: From Diagnosis to Treatment with Dr. Neil Khilnani

Exploring pelvic venous disease and treatment with Dr. Neil Khilnani in this episode. Topics include terminology changes, challenges in diagnosis, benefits of MRIs over CT Vinagrams, complexities in treatment, managing difficult anatomy, and the launch of Backtable Plus for medical professionals.
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Mar 15, 2024 • 55min

Ep. 425 Solving for Stent Adjacent Stenosis: The Auxetics Story with Dr. Ramsey Al-Hakim

In this episode of the BackTable Podcast, host Dr. Aaron Fritts interviews guest Dr. Ramsey Al-Hakim about the inception and journey of Auxetics, a med-tech company innovating in the vein stent market. Dr. Al-Hakim is the co-founder of Auxetics and the Section Chief of the Division of Interventional Radiology at Scripps Hospital in San Diego, CA.Dr. Al-Hakim covers the initial challenges of understanding the market and securing capital, the clinical significance of addressing stent-adjacent stenosis, and the process of developing a stent with a negative Poisson effect to counteract it. Dr. Al-Hakim highlights Auxetics' approach to combining cutting-edge interventional technologies with world-class imaging tools for enhanced procedural efficiency in venous interventions. The company’s progress through benchtop work, animal testing, and plans for first-in-human studies outside the U.S., aiming for commercialization within the next four to five years, is also outlined. Contributions from key figures in the vascular community and the role of mentorship and perseverance in navigating the complexities of medical device innovation are discussed as well.---CHECK OUT OUR SPONSORSVarian, a Siemens Healthineers companyhttps://www.siemens-healthineers.com/Reflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction03:11 - The Market and Problem Solving12:13 - Journey of Creating a Stent22:28 - Birth of Auxetics26:53 - Learning Process and Support from the University29:16 - Building the Dream Team33:01 - Starting a Company36:42 - Challenges and Triumphs of Fundraising37:44 - Current Status and Future Plans45:32 - Importance of Community and Mentorship---RESOURCESAuxetics:https://www.auxeticsinc.comIn-stent restenosis and stent compression following stenting for chronic iliofemoral venous obstruction:https://pubmed.ncbi.nlm.nih.gov/34174500/Venous Stenosis Animal Model Utilizing Endovenous Radiofrequency Ablation:https://pubmed.ncbi.nlm.nih.gov/30717966/The Messy Middle: Finding Your Way Through the Hardest and Most Crucial Part of Any Bold Venture:https://www.amazon.com/Messy-Middle-Finding-Through-Hardest/dp/0735218072
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Mar 12, 2024 • 51min

Ep. 424 Acute Limb Ischemia Diagnosis and Treatment with Dr. Dean Ferrera

Dr. Dean Ferrera, interventional cardiologist, discusses acute limb ischemia treatment emphasizing interdisciplinary collaboration, clot nature understanding, thrombectomy systems, and complications management. He highlights the importance of continued learning and mentorship for managing these complex conditions.
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Mar 8, 2024 • 51min

Ep. 423 Next Level Electroporation Therapy: The RadioClash Story with Dr. John Qiao

Dr. John Qiao discusses the challenges and journey of starting RadioClash for cancer treatment, the future of electroporation therapy, and balancing clinical practice with entrepreneurship. The episode covers his entrepreneurial ventures in medical technology and the potential of electroporation for cancer treatment. It also highlights his innovative approach in developing a medical device and managing professional and personal life.

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