))
Ep. 167 Reimbursement Realities in Today’s Medical Practices with Dr. Gavin Setzen
Manage episode 413257477 series 3569300
BackTable LLC द्वारा प्रदान की गई सामग्री. एपिसोड, ग्राफिक्स और पॉडकास्ट विवरण सहित सभी पॉडकास्ट सामग्री BackTable LLC या उनके पॉडकास्ट प्लेटफ़ॉर्म पार्टनर द्वारा सीधे अपलोड और प्रदान की जाती है। यदि आपको लगता है कि कोई आपकी अनुमति के बिना आपके कॉपीराइट किए गए कार्य का उपयोग कर रहा है, तो आप यहां बताई गई प्रक्रिया का पालन कर सकते हैं https://hi.player.fm/legal।
In this episode, Dr. Gavin Setzen of Albany ENT & Allergy Services addresses the current landscape of insurance reimbursement with host Dr. Ashley Agan.
The episode opens by reviewing the current state of healthcare financing, where climbing costs, declining reimbursement, and continued consolidation of medical groups confront physician-owned private practices. Mindful of this context, Dr. Setzen describes his experiences tackling reimbursement challenges. Recounting his successes, Dr. Setzen encourages physicians to base their claims in evidence-based medicine, enlist allies (such as patient unions), and develop relationships with insurers. He then provides strategies to efficiently manage Prior Authorizations, including Peer-to-Peer conversations. Finally, Dr. Setzen shares how coordinating one’s reimbursement strategy with colleagues and advocacy groups helps increase odds of success.
---
CHECK OUT OUR SPONSOR
Stryker ENT
https://ent.stryker.com
---
SHOW NOTES
00:00 - Introduction
01:55 - Dr. Gavin Setzen’s Journey and Practice Insights
05:30 - The Challenges of Healthcare Landscape and Insurance
10:06 - Innovations in ENT: Navigating New Technologies & Reimbursement Challenges
20:23 - Strategies for Overcoming Insurance Denials
52:30 - The Importance of Data and Collaboration in Patient Advocacy
55:19 - Closing Thoughts
---
RESOURCES
Dr. Setzen’s Albany ENT & Allergy Services Profile:
https://albanyentandallergy.com/bio/gavin-setzen/
173 एपिसोडस
साझा करें
