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