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

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 SPONSOR Reflow Medical https://www.reflowmedical.com/ --- SHOW NOTES 00:00 - Introduction 04:19 - Deep Dive into OBL and ASC: Definitions, Differences, and Decisions 07:26 - Financial Implications of ASC vs. OBL 10:56 - Hybrid Model: Combining OBL and ASC for Flexibility 15:14 - Navigating the Complexities of ASC Development 20:03 - Real Estate Strategies for OBL and ASC Projects 22:50 - Staffing Considerations and Physician Entrepreneur Insights 35:17 - Future of OBL and ASC: Trends and Predictions 39:43 - Closing Thoughts and Resources for Further Learning --- RESOURCES Ambulatory Surgery Center Association: https://www.ascassociation.org/home OEIS Annual Meeting 2024 Las Vegas: https://oeisweb.com/meetings/2024-annual-meeting/ Accountable Physician Advisors (Teri’s consulting firm): http://www.accountablephysicianadvisors.com/services DocCentric: 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-avoid BT VI Episode #202 - Staffing the OBL with Dr. Krishna Mannava and Kristin Longwell: https://www.backtable.com/shows/vi/podcasts/202/staffing-the-obl BT VI Episode #129 - OBL / ASC Business Pearls with Dr. Jim Melton: https://www.backtable.com/shows/vi/podcasts/129/obl-asc-business-pearls BI 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-them BT 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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Ep. 604 Mythbusters: Provocative Mesenteric Angiography for GI Bleeds with Dr. Sabeen Dhand

Ep. 604 Mythbusters: Provocative Mesenteric Angiography for GI Bleeds with Dr. Sabeen Dhand

A negative angiogram in a patient with recurrent lower GI bleeding often calls for provocative angiography. In this episode of the BackTable Podcast, IR hosts Mike Barraza and Sabeen Dhand team up to ...

6 Tammi 37min

Ep. 603 Biopsy and Ablation Decision-Making in Lung Cancer with Dr. Alan Lee, Dr. Scott Oh, Dr. Rob Suh

Ep. 603 Biopsy and Ablation Decision-Making in Lung Cancer with Dr. Alan Lee, Dr. Scott Oh, Dr. Rob Suh

Why might simultaneous ablation and biopsy be the new standard for high-probability lung cancer cases where surgery isn’t an option? In the penultimate episode of the 2025 NSCLC Creator Weekend™ serie...

2 Tammi 39min

Ep. 602 Managing Neuroendocrine Tumors in Interventional Radiology with Dr. Daniel DePietro

Ep. 602 Managing Neuroendocrine Tumors in Interventional Radiology with Dr. Daniel DePietro

What considerations drive your decision between bland embolization, TACE, and radioembolization in managing neuroendocrine tumors? In this BackTable episode, Dr. Daniel DePietro, interventional radiol...

30 Joulu 20251h 21min

Ep. 601 Revenue Cycle Management: Key Strategies for Healthcare Success with Laurie Bouzarelos MHA, CPC, FACHE

Ep. 601 Revenue Cycle Management: Key Strategies for Healthcare Success with Laurie Bouzarelos MHA, CPC, FACHE

The ultimate challenge of operating an OBL is staying profitable. In this episode of BackTable, we bring on healthcare administrator Laurie Bouzarelos and interventional radiologist Dr. Mary Costantin...

26 Joulu 20251h 40min

Ep. 600 Exploring Artificial Intelligence Utility in Endovascular Procedures with Dr. Emil Cohen

Ep. 600 Exploring Artificial Intelligence Utility in Endovascular Procedures with Dr. Emil Cohen

OpenEvidence was founded in 2022. In just 3 short years, it has become a household name amongst aspiring and established healthcare providers. AI-based tools are now being used to augment workflows, i...

23 Joulu 202557min

Ep. 599 Lung Ablation: Techniques, Challenges, & Best Practices with Dr. Alan Lee, Dr. Scott Oh, and Dr. Rob Suh

Ep. 599 Lung Ablation: Techniques, Challenges, & Best Practices with Dr. Alan Lee, Dr. Scott Oh, and Dr. Rob Suh

Collaboration between interventional radiology and radiation oncology has enabled high-dose brachytherapy in central lung lesions that were previously untreatable. This episode of the 2025 NSCLC Creat...

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 Ep. 598 Genicular Artery Embolization: Insights & Techniques with Dr. Rachel Piechowiak and Dr. Faraz Khan

Ep. 598 Genicular Artery Embolization: Insights & Techniques with Dr. Rachel Piechowiak and Dr. Faraz Khan

How is genicular artery embolization reshaping our clinical approach to patients with chronic knee pain? Dr. Rachel Piechowiak and Dr. Faraz Khan, interventional radiologists at IR Centers join Dr. D...

16 Joulu 202557min

Ep. 597 Ablative Treatments & Radiotherapy: The Latest in Lung Cancer Treatment with Dr. Alan Lee, Dr. Scott Oh, and Dr. Rob Suh

Ep. 597 Ablative Treatments & Radiotherapy: The Latest in Lung Cancer Treatment with Dr. Alan Lee, Dr. Scott Oh, and Dr. Rob Suh

Why might the standard RECIST criteria fail to accurately track success after tumor ablation, and what should you look for instead? In the 4th installment of the 2025 NSCLC Creator Weekend™ series, ho...

12 Joulu 20251h 9min

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