18. Mike Granovsky: Making Billing and Coding Manageable

The Shift Report

#Fitness #Medicine #EMcentric

34:01

I think you could probably go back and track the stages of grief, probably that is what I went through. But I think if you do it right, you end up at acceptance. And that's where I ended up. And that's not to say that I've fully accepted the idea that the golden toad is extinct. Personally, I do still hold out hope that it could still be out there in those forests." - Trevor Ritland This conversation is with Trevor Ritland, who—along with his twin brother Kyle—authored The Golden Toad . The book chronicles their remarkable journey into Costa Rica’s cloud forest, once home to hundreds of brilliant golden toads that would emerge for just a few weeks each year—until, one day, they vanished without a trace. What began as a search for a lost species soon became something much more profound: a confrontation with ecological grief, a meditation on hope, and a powerful call to protect the natural world while we still can. Links: SpeciesUnite.com Kyle and Trevor: https://kyleandtrevor.com/ Instagram: https://www.instagram.com/adventureterm/ Goodreads - https://www.goodreads.com/book/show/222249677-the-golden-toad Amazon - https://www.amazon.com/Golden-Toad-Ecological-Mystery-Species/dp/163576996…

about a year ago 33:02

MP3•Episode home

Dr. Mike Granovsky is truly the leading emergency physician voice in the critical area of billing and coding. He tells the fascinating story of how he turned the revenue cycle challenges of a very small startup emergency medicine group serving a small hospital in a new contract into LogixHealth, the largest EM revenue cycle management company in the industry. Find out more at www.logixhealth.com.

Thank you to our sponsor Lotus Clinician Wellbeing

37 episodes

18. Mike Granovsky: Making Billing and Coding Manageable

The Shift Report

published about a year ago

MP3•Episode home

Thank you to our sponsor Lotus Clinician Wellbeing

37 episodes

#Fitness #Medicine #EMcentric

All episodes

The Shift Report

1
36. Christina Shenvi - An Academic Leader Fighting Burnout Through Professional Coaching 28:05

13 weeks ago28:05

28:05

It seems so simple - find Time for Your Life. Like many of us Christina Shenvi struggled with that. She found help through coaching, and now has learned even more about time and life management which she has turned into a thriving coaching practice. Learn more at https://timeforyourlife.org/about/.

The Shift Report

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35. Joshua Russell - Urgent Care as Key Component of the Emergency Medicine Landscape 31:00

15 weeks ago31:00

31:00

From "Why couldn't urgent care do that?" to "Why couldn't that patient have gone to urgent care instead?" we all have opinions, most of which are not based on science. Josh Russell is leading efforts to bring science and education to the growing urgent care industry. Found out how you can contribute to the Journal of Urgent Care Medicine https://www.jucm.com/about-us/.…

The Shift Report

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34. The EM Innovation Collaborative - Democratizing Innovation in Acute Care 28:12

16 weeks ago28:12

28:12

There must be a better way. We've all said it when some device or technique just doesn't work the way it should. Nick Stark and Zaid Altawil join The Shift Report to talk about how they are supporting innovators, inventors, and entrepreneurs in Emergency Medicine. If you want help with an idea or invention, including how to turn that innovation into a business the Emergency Medicine Innovation Collaborative is for you. Learn more at eminnovationcollaborative.org . The two innovators who were referenced as being part of the program were Kevin Spencer ( https://www.ringrescue.com/ ) and Liz Claiborne ( http://NasaClip.com )…

The Shift Report

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33. Rob Orman - He's lived burnout. Now he's helping others. 30:31

17 weeks ago30:31

30:31

Rob Orman faced burnout at least three times during a long clinical journey. Now, he is a certified executive coach helping physicians at all stages - just out of residency to mid to late career - who are struggling with the realities of the current practice of emergency medicine. He's been there with us during busy shifts, managing everything from the most critical patients to figuring out when to eat. You can learn more about Rob, and find some great Stimulus podcasts at roborman.com…

The Shift Report

1
32. Sean Codier - A compelling story of organizing a union to support emergency physicians 29:30

18 weeks ago29:30

29:30

A decorated Army veteran, Dr. Codier entered the private sector practice of emergency medicine, but then started living all of the struggles now contributing to the burnout crisis in the specialty. He and his colleagues did something that has only been done a few times in medicine - they successfully formed a union. While not an easy mission, they completed it and now he seeks to educate others about how unions might be a part of the future. Learn more at salemphysiciansunion.org or by calling him directly at (480) 710-6316.…

The Shift Report

1
31. Anthony Guynes - Reimagining and Transforming the Common Scrub 27:29

19 weeks ago27:29

27:29

The Shift Report welcomes Dr. Anthony Guynes. Dr. Guynes and his wife, an emergency physician and a nurse, have put up with poorly designed scrubs for years. The difference is that they wondered why scrubs couldn't be better and then did something about it. They set about to learn everything they could about making a clothing line. Now you can see them for yourselves at soleyascrubs.com . Attention Shift Report listeners! Shop now and Get 20% Off Soleya scrubs! Or enter promo code EMcentric20 at checkout. Thank you to our sponsor Lotus Clinician Wellbeing…

The Shift Report

1
30. Sam Ashoo: Clinical Experience Fosters Leadership and Education 30:37

19 weeks ago30:37

30:37

Sam Ashoo has been there and done that. He worked at the bedside for 20 years, including time leading his group as a medical director. Now he has taken that experience and turned to the important task of educating all of us through his work with EBMedicine (www.ebmedicine.net). From general CME, to all important treatment pathways, and his EMplify monthly podcasts Dr. Ashoo provides all of us with important resources to get through the next shift. Sam Ashoo's EMplify podcasts are available on all major pod providers. Thank you to our sponsor Lotus Clinician Wellbeing…

The Shift Report

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29. Patrick McCarville - The Life of Serial Entrepreneur 24:39

20 weeks ago24:39

24:39

The Shift Report welcomes Dr. Patrick McCarville, a young and ambitious emergency physician. He balances his clinical work with the pursuit if ideas and new businesses, from Cameroonian plantain chips to AI solutions for radiology support in the Emergency Department. Anyone who wants to try to turn a good idea into a business reality should listen—Patrick has been there. Learn more about his most recent venture at clearsightai.tech . Or find him on LinkedIn to learn more about how to turn networking into success. Thank you to our sponsor Lotus Clinician Wellbeing Quick Summary: Patrick McCarville's entrepreneurial journey, spanning the food industry and medical technology, highlights his adaptability and innovative mindset. He shared insights from his experience with a plantain chip business, where he learned the significance of controlling the manufacturing process for scalability and flexibility. Networking, particularly through LinkedIn, played a crucial role in his business development, helping him connect with mentors, partners, and potential collaborators. A key topic of discussion was Patrick’s work on a non-invasive blood pressure device, X-Pulses. He identified a gap in emergency medicine where medical professionals struggled to detect pulses during critical situations. Despite initial progress, the project faced challenges, particularly in funding and technical expertise. Patrick stressed the importance of securing a skilled co-founder and continuous iterations in medical device development to navigate these obstacles. The conversation also delved into the growing role of AI in healthcare, particularly in radiology. Patrick introduced ClearSight AI, a tool designed to assist frontline providers by offering a second opinion on X-ray readings. While not intended to replace radiologists, the AI-powered application enhances diagnostic accuracy, especially in resource-limited settings. Patrick and Til discussed the product-market fit approach, where ClearSight AI is being developed and refined based on user feedback before a full-scale launch. The upcoming MVP release aims to validate market demand and secure either external funding or a self-funded strategy. Til concluded by encouraging listeners to explore ClearSight AI and engage with EMcentric.org for further networking and insights into emerging health technologies and wellness.…

The Shift Report

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28. Tatiana Havryliuk: Broadening the Use of Ultrasound in Medicine 29:00

21 weeks ago29:00

29:00

POCUS - Point of Care Ultrasound. Tatiana Havryliuk has taken her passion for teaching and her wide-ranging experiences around the world and built Hello Sono. She shares with the Shift Report how she got started, what she faced building a new business, and how Hello Sono is helping hospitals and clinics build high-quality sustainable ultrasound programs around the country. Summary: Tatiana Havryliuk, a New York City-based physician, shared her journey in emergency medicine, highlighting her passion for the field due to its unpredictability and procedural opportunities. She discussed her global health work in Haiti, Mozambique, and Nepal, where she contributed to the development of emergency medicine. Tatiana also emphasized her interest in ultrasound, which began during medical school and has since played a crucial role in her clinical decision-making. Recognizing a need for broader ultrasound use in medicine, she founded Hello Sono, a company designed to expand point-of-care ultrasound (POCUS) training and integration into clinical practice. Tatiana highlighted the necessity of better training and standards for POCUS, particularly in primary care, urgent care, and rural hospitals. Through Hello Sono, she provides workshops and image review services to help medical providers achieve proficiency. She also stressed the financial benefits of implementing POCUS, as it offers billable CPT codes that can generate revenue. In discussing business development, Tatiana emphasized the importance of focusing on essential tasks rather than trying to do everything at once. She underscored the need for a strong legal team, knowledgeable advisors, and a flexible mindset. Additionally, she warned against excessive consumption of business advice and instead recommended seeking experienced mentors. Surrounding oneself with supportive individuals was another key point she highlighted. Tatiana and Til also explored the success of the ultrasound program at Inova Fairfax Hospital and the potential for collaboration with the EMCentric platform for hiring ultrasound reviewers. They further discussed Til’s podcast series and the possibility of featuring Tatiana’s business coach, who specializes in entrepreneurial operating systems.…

The Shift Report

1
27. Ian Warrington - Talented Musician and Emergency Physician 27:32

21 weeks ago27:32

27:32

Ian Warrington joins The Shift Report to discuss his wide-ranging musical talents and how they help him manage the stresses of an Emergency Medicine career. He shares some of his music with us as well as his story of reinvigorating his remarkable skills as COVID-19 set in. Music as Medicine has remarkable power - Listen for more if Ian's work on Instagram @ianfiddlemusic and at ianwarringtonmusic.com . Oh, and if you're a Tony Kornheiser fan listen to the January 17 Tony Kornheiser Show podcast - Ian does the mailbag song at the end. Thank you to our sponsor Lotus Clinician Wellbeing Summary: Til Jolly and Ian Warrington discussed Ian’s dual career as an emergency medicine physician and a musician. Ian shared how his journey into medicine. Although he had a deep passion for music in college, his medical residency and apartment living (thing walls) forced him to put it on hold for nearly a decade. However, the COVID-19 pandemic reignited his love for music, leading him to share his violin performances online. During their conversation, Til and Ian explored the therapeutic benefits of music, particularly in high-stress environments like hospitals. Ian shared his experiences performing in ICUs, collaborating with doctors and nurses to provide comfort to patients and staff. They also discussed the scientific evidence supporting music’s impact on mental and emotional well-being. Ian expressed his desire to further integrate music into hospital settings and continue these collaborations. Ian’s music, which includes traditional Scottish, Irish, and American fiddle tunes, is available on streaming platforms and his website. He plans to keep sharing music on social media.…

The Shift Report

1
26. Resa Lewiss - Author, Podcaster, EM Leader 35:16

22 weeks ago35:16

35:16

Resa Lewiss shares lessons from her professional service, The Visible Voices podcast (170 episodes and growing) and book "MicroSkills: Small Actions, Big Impact." Three simple lessons - Time can only be spent, the world is not equal, and learning is limitless if only it is accessible. Find her book at HarperCollins - MicroSkills Resa Lewiss LinkedIn Thank you to our sponsor Lotus Clinician Wellbeing…

The Shift Report

1
25. Kim Tranquada - Bringing healthcare equity to the underserved around the world 32:45

23 weeks ago32:45

32:45

Kim Tranquada has built Healthcare Alliance for an Equitable World from her experiences developing a telemedicine system for the VA and her passion about serving the 84% of the world's population who lack access to even basic medical care. From the Philippines to border regions of Kenya and Uganda, she brings hope to a vastly underserved group. A truly inspiring story, and an opportunity for you to serve - even if for only a few hours a year. Thank you to our sponsor Lotus Clinician Wellbeing Recap: Til Jolly and Kim discussed their professional backgrounds and shared interests in telemedicine, rural healthcare, and community building. Kim, an emergency medicine doctor, founded the Healthcare Alliance for an Equitable World (HAEW) to connect doctors with underserved populations. She described the success of HAEW’s telehealth program in the Philippines, which treated over 1,000 patients in a year, and its upcoming expansion to Uganda and Kenya in February. Partnering with Global Telehealth Network and I Triple E, HAEW is able to support rural hospitals, clinics, and schools. They discussed the challenges in rural healthcare, such as the lack of specialists, infrastructure, and emergency transport, emphasizing the importance of public-private partnerships to navigate regulatory and connectivity barriers. Kim outlined her goal of recruiting 1% of the world’s doctors to provide 700 daily telehealth hours and integrating telehealth into medical education, starting with a project in South Africa. Moving forward, Kim is continuing to recruit doctors and launch telehealth initiatives. Their conversation underscores the need for increased visibility, addressing burnout, and strengthening healthcare communities worldwide.…

The Shift Report

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24. Jesse Pines - Demystifying the World of Health Insurance and How it Affects How We Work 36:48

24 weeks ago36:48

36:48

Jesse Pines - perhaps the leading health services researcher in emergency medicine - speaks with The Shift Report about the complexities of our health insurance system, the effects of the No Surprises Act, and why boarding is still a problem. Follow his work with USACS at https://www.usacs.com/about-us/academics/usacs-research-group, read his columns in Forbes and look for his upcoming book "Quality Measurement in Healthcare." Thank you to our sponsor Lotus Clinician Wellbeing Summary Til Jolly and Jesse Pines discussed various topics during Podcast #24, including Jesse’s career journey, the complexities of the U.S. healthcare financing system, and the No Surprises Act. They also explored hospital boarding practices and potential healthcare system changes. Jesse shared his career trajectory, starting from his time at Penn, internships with Senator Joe Lieberman and the White House, and medical studies at Georgetown. His interest in the business of medicine led him to pursue an MD/MBA program. Despite the economic downturn in 2001, he continued practicing emergency medicine due to his passion for the work. The discussion on healthcare financing highlighted the disparities in payment rates between private and public insurance and the resulting challenges for physician practices. Jesse emphasized how these dynamics impact emergency physicians, who are obligated to provide care regardless of payment. The No Surprises Act was examined for its role in eliminating unexpected out-of-network medical bills, while also shifting negotiation power toward insurance companies. Jesse noted the act’s success in preventing large patient bills but pointed out its challenges for physician groups. Hospital boarding, a profit-driven strategy where emergency departments handle less profitable patients, was also discussed. Jesse and Til explored how elective surgeries and patient flow patterns contribute to this issue and proposed potential remedies, such as reallocating RVUs or government intervention. They concluded by discussing possible healthcare reforms under the new administration, including shifting focus from acute to chronic diseases and regulating processed foods. Jesse outlined his upcoming projects, including a Forbes column, a book on healthcare quality measurement, and further research with the USACS group.…

The Shift Report

1
23. Dr. Kevin Spencer from Ring Rescue—from an Idea to Success 28:28

25 weeks ago28:28

28:28

Dr. Kevin Spencer joins the Shift Report to discuss his invention and growing company Ring Rescue. Newer rings made of metals like titanium and tungsten carbide can be impossible to remove with those old flimsy ring cutters. Many of us have tried makeshift hardware store solutions that are ineffective and dangerous. Ring Rescue solves the problem. After he launched, he also learned that his product's reach was far beyond his expectations and intended target market. Kevin shares with us how he has taken this innovation from idea to commercial success. When you need this device, you really need it. Ring Rescue - https://www.ringrescue.com/ Kevin Spencer LinkedIn - https://www.linkedin.com/in/drkevinspencer/ Thank you to our sponsor Lotus Clinician Wellbeing…

The Shift Report

1
22. Gina Siddiqui - Finding the Right Specialist Advice for Patients in a Complicated Health System 34:20

26 weeks ago34:20