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BackTable / VI / Podcast / Episode #430
Navigating Insurance Contracts in the OBL Setting
with Dr. Deepak Sudheendra
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.
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BackTable, LLC (Producer). (2024, March 29). Ep. 430 – Navigating Insurance Contracts in the OBL Setting [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Deepak Sudheendra
Dr. Deepak Sudheendra is an interventional radiologist and the CEO and medical director of 360 Vascular Institute in Ohio.
Laurie Bouzarelos
Laurie Bouzarelos is the founder and owner of Provider Solutions.
Dr. Aparna Baheti
Dr. Aparna Baheti is a practicing Interventional Radiologist in Tacoma, Washington.
Show Notes
00:00 - Introduction
03:14 - Journey of Insurance Contracting: From Confusion to Clarity
10:08 - Art of Negotiation: Laurie’s Unique Coaching Model
19:53 - Leveraging Data for Effective Insurance Negotiations
25:17 - Power of Negotiation: Changing the Game in Insurance Contracting
28:09 - Exploring the Challenges of Physician Negotiations with Insurance Companies
31:54 - Power of Personal Advocacy and Site Visits in Negotiations
36:45 - Navigating Contract Renegotiations and Understanding Fee Schedules
40:56 - Importance of In-House Billing and Vigilant Fee Management
52:16 - Final Advice: The Importance of Negotiation and Understanding Your Business
Resources
Provider Solutions (Laurie Bouzarelos’ company):
https://www.providersolutionsconsulting.com/about
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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