1 00:00:00,240 --> 00:00:02,980 Looking for a solution that helps alleviate administrative 2 00:00:03,199 --> 00:00:05,599 tasks for your staff and also helps your 3 00:00:05,599 --> 00:00:07,599 patients cover their out of pocket health care 4 00:00:07,599 --> 00:00:08,099 expenses? 5 00:00:08,480 --> 00:00:11,199 Find what you're looking for from CareCredit because 6 00:00:11,199 --> 00:00:13,919 CareCredit is a credit card and more. It's 7 00:00:13,919 --> 00:00:16,375 a helping hand for staff and a flexible 8 00:00:16,375 --> 00:00:19,434 payment solution for patients. For over thirty years, 9 00:00:19,574 --> 00:00:22,934 CareCredit, a Synchrony solution, has offered patients a 10 00:00:22,934 --> 00:00:25,894 credit card with promotional financing options to get 11 00:00:25,894 --> 00:00:27,894 the care they want while helping staff do 12 00:00:27,894 --> 00:00:30,649 what they do best, provide care. To learn 13 00:00:30,649 --> 00:00:32,929 more, visit carecredit.com 14 00:00:32,929 --> 00:00:34,789 forward slash beckers podcast. 15 00:00:35,570 --> 00:00:37,729 This is Gracelyn Keller with the Becker's Healthcare 16 00:00:37,729 --> 00:00:39,890 Podcast, and we are live at the twenty 17 00:00:39,890 --> 00:00:43,350 second annual Spine Orthopedic and Pain Management Conference. 18 00:00:43,744 --> 00:00:46,465 I'm currently joined by Ishua Mohammadi, who is 19 00:00:46,465 --> 00:00:49,684 the practice manager at Northwest Suburban Pain Associates. 20 00:00:49,984 --> 00:00:51,744 So, Ishua, thanks for being here. I would 21 00:00:51,744 --> 00:00:53,184 love to start us off by having you 22 00:00:53,184 --> 00:00:54,784 share a little bit more about yourself, your 23 00:00:54,784 --> 00:00:55,924 role, and your organization. 24 00:00:56,700 --> 00:00:59,260 Hi, Grace. It's definitely very nice to be 25 00:00:59,260 --> 00:01:01,979 here. I've, come to this conference, every year 26 00:01:01,979 --> 00:01:04,380 in the last, three years, I think. And 27 00:01:04,380 --> 00:01:06,140 it's always great to be here. And, thank 28 00:01:06,140 --> 00:01:07,520 you for giving me the opportunity. 29 00:01:08,924 --> 00:01:11,244 So as you already introduced me, I'm the 30 00:01:11,244 --> 00:01:13,825 practice manager for Northwestern Bourbon Pain Associates. 31 00:01:14,204 --> 00:01:15,564 My role at my, 32 00:01:16,284 --> 00:01:17,584 practice is basically 33 00:01:18,045 --> 00:01:18,545 overseeing, 34 00:01:19,805 --> 00:01:20,944 financial management, 35 00:01:21,325 --> 00:01:24,224 practice management clinically as well as administratively. 36 00:01:25,140 --> 00:01:26,740 Wonderful. Well, thank you for being here to 37 00:01:26,740 --> 00:01:29,240 share your insights. And let's start our conversation 38 00:01:29,380 --> 00:01:31,460 off with what trends or shifts you're currently 39 00:01:31,460 --> 00:01:33,299 seeing in the industry right now that you 40 00:01:33,299 --> 00:01:35,700 think are most important for industry leaders to 41 00:01:35,700 --> 00:01:36,760 pay attention to. 42 00:01:38,284 --> 00:01:41,084 Right now, something that just immediately pops up 43 00:01:41,084 --> 00:01:42,844 in my mind, with regards to what we 44 00:01:42,844 --> 00:01:45,504 are seeing in shifting trends would be the, 45 00:01:46,204 --> 00:01:49,260 the amount of, influence insurances have 46 00:01:49,740 --> 00:01:52,719 on, the treatment that physicians have to offer. 47 00:01:53,020 --> 00:01:54,780 I think, there is a lot of need 48 00:01:54,780 --> 00:01:55,280 for, 49 00:01:55,579 --> 00:01:56,459 shifting towards, 50 00:01:57,180 --> 00:01:58,319 requirements and compliance, 51 00:01:59,100 --> 00:02:00,140 as well as, 52 00:02:00,620 --> 00:02:02,719 prior authorization processes, documentation 53 00:02:03,020 --> 00:02:05,665 requirements by insurances that is causing, 54 00:02:06,284 --> 00:02:07,965 a big shift in how the dynamic of 55 00:02:07,965 --> 00:02:08,944 a practice would 56 00:02:09,324 --> 00:02:11,004 work on or look like on a daily 57 00:02:11,004 --> 00:02:12,384 basis, day to day basis. 58 00:02:13,164 --> 00:02:14,305 The other main, 59 00:02:15,645 --> 00:02:17,645 focus that we have been looking into as 60 00:02:17,645 --> 00:02:21,419 pain management, physicians is, regenerative medicine. So that 61 00:02:21,419 --> 00:02:23,500 has been on the rise, rise, and it 62 00:02:23,500 --> 00:02:24,000 has, 63 00:02:25,020 --> 00:02:27,199 it's not covered by insurance. So 64 00:02:27,500 --> 00:02:29,419 we have been able to market it very 65 00:02:29,419 --> 00:02:32,300 successfully to our pool of patients and elsewhere 66 00:02:32,300 --> 00:02:32,960 as well. 67 00:02:33,740 --> 00:02:35,824 But the downside to that would be the 68 00:02:35,824 --> 00:02:38,305 self pay attached to it because that would 69 00:02:38,305 --> 00:02:40,405 not be covered by their insurance plans. 70 00:02:41,104 --> 00:02:42,944 So those are the two major shifts that 71 00:02:42,944 --> 00:02:45,204 I would like to focus on. Absolutely. 72 00:02:45,984 --> 00:02:48,680 And staffing and workforce challenges also continue to 73 00:02:48,680 --> 00:02:51,000 be a concern across health care. So how 74 00:02:51,000 --> 00:02:53,400 is your organization navigating these pressures, and what 75 00:02:53,400 --> 00:02:55,099 strategies have you seen work well? 76 00:02:55,719 --> 00:02:57,020 Well, with staffing, 77 00:02:57,719 --> 00:02:59,560 the only solution that comes to mind and 78 00:02:59,560 --> 00:03:01,099 it has worked is retention, 79 00:03:01,685 --> 00:03:02,425 staff retention. 80 00:03:02,724 --> 00:03:05,064 Because right now, if you go to replace 81 00:03:05,205 --> 00:03:06,585 a good candidate at work, 82 00:03:06,885 --> 00:03:08,025 I feel the market, 83 00:03:08,325 --> 00:03:10,905 is severely lacking good personnel. 84 00:03:11,284 --> 00:03:13,044 And, also, one of the reason being that 85 00:03:13,044 --> 00:03:15,465 practices like myself, businesses like ours, 86 00:03:16,099 --> 00:03:18,199 we have focused our best in retaining 87 00:03:18,579 --> 00:03:19,879 the best employees, 88 00:03:20,500 --> 00:03:21,319 and the workforce. 89 00:03:22,099 --> 00:03:23,859 That I think that that would be the 90 00:03:23,939 --> 00:03:26,259 that is one of the major challenges everybody 91 00:03:26,259 --> 00:03:27,620 feels across the board. And, 92 00:03:28,419 --> 00:03:29,939 we have felt it too, and we try 93 00:03:29,939 --> 00:03:32,235 our best to navigate it as the best 94 00:03:32,235 --> 00:03:32,814 we could. 95 00:03:33,354 --> 00:03:36,074 The other workforce challenges would be in terms 96 00:03:36,074 --> 00:03:36,574 of, 97 00:03:36,875 --> 00:03:39,514 like I stressed on before, insurance requirements and 98 00:03:39,514 --> 00:03:42,794 documentation requirements to meet, medical necessity for certain 99 00:03:42,794 --> 00:03:43,294 procedures. 100 00:03:44,330 --> 00:03:47,050 I feel that, that gives rise to, 101 00:03:47,449 --> 00:03:49,610 the necessity to get a compliance team on 102 00:03:49,610 --> 00:03:50,110 board, 103 00:03:50,729 --> 00:03:51,870 as well as, 104 00:03:52,969 --> 00:03:54,189 to get a prior authorization 105 00:03:55,289 --> 00:03:56,430 department set up, 106 00:03:56,889 --> 00:03:57,789 that would handle 107 00:03:58,275 --> 00:03:59,814 approvals, that would handle, 108 00:04:00,115 --> 00:04:01,635 you know, the the cost, 109 00:04:02,115 --> 00:04:04,115 questions with patients as well as, 110 00:04:04,915 --> 00:04:08,594 the documentation requirements and continuous and ongoing workforce 111 00:04:08,594 --> 00:04:09,814 training for that purpose. 112 00:04:10,610 --> 00:04:11,110 Absolutely. 113 00:04:11,889 --> 00:04:14,469 And then as outpatient care continues to grow, 114 00:04:14,610 --> 00:04:16,550 how do you see the role of orthopedics, 115 00:04:16,769 --> 00:04:19,569 spine, and ASCs evolving with the broader healthcare 116 00:04:19,569 --> 00:04:20,069 ecosystem? 117 00:04:21,250 --> 00:04:24,230 I feel no matter where any health organization 118 00:04:24,529 --> 00:04:27,024 reaches out to, the bottom line is always 119 00:04:27,024 --> 00:04:27,524 how 120 00:04:28,625 --> 00:04:31,345 satisfied your customer is, and your customer is 121 00:04:31,345 --> 00:04:31,925 a patient. 122 00:04:32,305 --> 00:04:34,225 And I feel that from my perspective, when 123 00:04:34,225 --> 00:04:36,145 I talk to patients for feedback or I 124 00:04:36,145 --> 00:04:38,305 cross reference a lot of, the feedback that 125 00:04:38,305 --> 00:04:40,645 I get with my workforce and physicians, 126 00:04:41,425 --> 00:04:43,229 I think the most important thing that patients 127 00:04:43,229 --> 00:04:45,389 are looking for, I'm coming from pain management, 128 00:04:45,389 --> 00:04:47,550 so I'm gonna speak on, behalf of that, 129 00:04:47,550 --> 00:04:49,629 obviously, is that they wanna be seen as 130 00:04:49,629 --> 00:04:51,949 soon as possible. You cannot have a patient 131 00:04:51,949 --> 00:04:53,789 in pain wait for three months to be 132 00:04:53,789 --> 00:04:56,095 seen. You cannot have a patient in pain 133 00:04:56,095 --> 00:04:57,535 even wait more than a week to be 134 00:04:57,535 --> 00:05:00,415 seen. So that also adds to the previous 135 00:05:00,415 --> 00:05:02,895 question of the workforce challenges we are facing 136 00:05:02,895 --> 00:05:04,355 is that we need to be, 137 00:05:04,735 --> 00:05:07,375 adequately equipped in order to make sure we 138 00:05:07,375 --> 00:05:08,435 are there for the patients. 139 00:05:09,350 --> 00:05:11,750 Absolutely. And that's a great segue into my 140 00:05:11,750 --> 00:05:12,649 final question. 141 00:05:13,029 --> 00:05:16,149 Many organizations are exploring new technologies, partnerships, and 142 00:05:16,149 --> 00:05:19,209 care models to improve efficiency and outcomes. So 143 00:05:19,269 --> 00:05:21,669 are there any innovations or initiatives you found 144 00:05:21,669 --> 00:05:23,209 particularly promising here? 145 00:05:23,824 --> 00:05:26,785 I think, we developed our billing department and 146 00:05:26,785 --> 00:05:28,865 the financial system a little bit little more 147 00:05:28,865 --> 00:05:30,884 better over the course of the last particularly 148 00:05:31,025 --> 00:05:33,525 the last two years because we've grown, extensively 149 00:05:33,665 --> 00:05:35,639 in self pay procedures as well as, 150 00:05:36,120 --> 00:05:39,240 regenerative medicine for, the clinic. And we cover 151 00:05:39,240 --> 00:05:40,620 spine. We cover joints. 152 00:05:41,240 --> 00:05:43,340 We cover practically every part of the body. 153 00:05:43,480 --> 00:05:45,160 With that being said, I feel that the 154 00:05:45,160 --> 00:05:46,060 most important, 155 00:05:47,000 --> 00:05:48,699 I wouldn't call it a new technology, 156 00:05:49,175 --> 00:05:51,995 but, obviously, you need, again, a proper 157 00:05:52,454 --> 00:05:54,454 work ethic and flow in place. You have 158 00:05:54,454 --> 00:05:55,834 to have a good billing department 159 00:05:56,295 --> 00:05:58,214 that offers all the ideas there are. We 160 00:05:58,214 --> 00:06:00,454 do use CareCredit, by the way, and, 161 00:06:01,095 --> 00:06:03,254 we do offer that to patients, when if 162 00:06:03,254 --> 00:06:04,730 they need to do that, if they need 163 00:06:04,730 --> 00:06:06,230 to use it. So 164 00:06:06,850 --> 00:06:08,529 all I will say is that, yes, a 165 00:06:08,529 --> 00:06:10,449 a good work ethic in place, a good 166 00:06:10,449 --> 00:06:13,189 workflow in place, a proper documentation in place. 167 00:06:13,250 --> 00:06:15,810 And, yes, workforce wise, you have to have 168 00:06:15,810 --> 00:06:17,810 that kind of backup. You cannot do this 169 00:06:17,810 --> 00:06:18,870 without workforce, 170 00:06:19,194 --> 00:06:21,455 or you cannot have AI do this, definitely. 171 00:06:21,514 --> 00:06:24,074 So, yes, in terms of new technologies and 172 00:06:24,074 --> 00:06:26,314 partnerships, I think we are partnering with affiliates 173 00:06:26,314 --> 00:06:27,055 like Regenexx. 174 00:06:27,995 --> 00:06:30,875 We are partnering with, multiple referring sources that 175 00:06:30,875 --> 00:06:31,774 send us patients. 176 00:06:32,074 --> 00:06:33,834 So it's just that you have to grow 177 00:06:33,834 --> 00:06:36,300 with the flow and, just make sure that 178 00:06:36,300 --> 00:06:38,379 you have the proper financial options for patients 179 00:06:38,379 --> 00:06:40,459 so that they can they can receive the 180 00:06:40,459 --> 00:06:41,759 treatment that they deserve. 181 00:06:42,699 --> 00:06:44,699 Absolutely. Well, Shu, is there anything else you'd 182 00:06:44,699 --> 00:06:46,300 like to add as we round out our 183 00:06:46,300 --> 00:06:47,324 conversation today? 184 00:06:48,925 --> 00:06:51,165 No. I just, the only thing that I 185 00:06:51,165 --> 00:06:53,165 would wrap this up with is saying that, 186 00:06:53,165 --> 00:06:53,665 ultimately, 187 00:06:54,125 --> 00:06:55,965 I know that we have a responsibility to 188 00:06:55,965 --> 00:06:56,625 go financially. 189 00:06:57,165 --> 00:06:57,564 But, 190 00:06:57,965 --> 00:06:58,545 I think 191 00:06:58,925 --> 00:07:01,949 the more an organization grows is when the 192 00:07:01,949 --> 00:07:02,930 patients are happy, 193 00:07:03,629 --> 00:07:06,129 and they receive the care that they deserve, 194 00:07:06,829 --> 00:07:09,970 obviously within reasonable means and within reasonable resources. 195 00:07:10,509 --> 00:07:13,550 I think that organizations should continue to equip 196 00:07:13,550 --> 00:07:15,649 themselves in order to meet these requirements. 197 00:07:16,425 --> 00:07:18,504 Absolutely. Well, thank you so much for taking 198 00:07:18,504 --> 00:07:20,105 the time to join me today. Again, we 199 00:07:20,105 --> 00:07:22,105 are recording live at the twenty second annual 200 00:07:22,105 --> 00:07:24,444 Spine Orthopedic and Pain Management Conference.