“I’m thankful we have Health Prime to navigate the waters of reimbursement so that we can stay focused on clinical care as we grow.”

– Dr. Anish Shah, M.D. FASN

Vascular Institute of Virginia

Multi-Specialty  |  6 Providers

“I have so much respect for the ownership they bring and how it demonstrates the character of their people.”

Dr. Anish Shah founded the Vascular Institute of Virginia with a specific goal: to provide outstanding care in an outpatient environment. By taking procedures historically performed in hospitals and moving them to an outpatient setting, VIV has been able to deliver superior care at a lower cost. But surprisingly, getting reimbursed has not always been easy despite delivering outstanding clinical outcomes.

“We’ve grown our footprint in our specialties, our practitioners, and by geography,” Dr. Shah says. “But we’re in an environment where payors are incentivized not to pay. That’s why I’m thankful we have Health Prime to navigate the waters of reimbursement so that we can stay focused on clinical care as we grow.”

Dr. Shah recounts that in the early days there was a recognition that what VIV did wasn’t common. Even today, their institute participates in clinical research and has several clinical trials underway.

Vascular Institute of Virginia
8.5% Increase in payment-to-charge ratio

“We want to do what is right for our patients, but revenue cycle can be one of the more frustrating things for physicians and clinicians. By working with Health Prime, we are able to recognize a lot of the things we need to do—authorizations, predeterminations, and so forth—to collect reimbursements. Health Prime helps us get the care for our patients that they deserve.”

Interactions with the Health Prime team, from the operations consultant to extended members of the team, are described by Dr. Shah as excellent, and he feels confident that whenever he may have a question or concern, he can reach out at any time with full confidence he’ll receive an answer.

Dr. Shah also shares how the practice receives value from top-notch data analytics, which he says he relies on when looking at business development opportunities.

“Whenever we enter into a new service line, there’s going to be questions about what reimbursement rates look like, what overhead is, what margins are,” he says. “We need to see which practitioners are successful and how others can follow suit. Those conversations either wouldn’t start or would be much more difficult without the analytics we get from Health Prime.”

“I cannot speak highly enough about their integrity and the way they conduct themselves and operate their business.”

Now with two locations and plans for opening up new markets with a third, Dr. Shah is glad that he has such a strong relationship with Health Prime and views them as a strategic partner. “I cannot speak highly enough about their integrity and the way they conduct themselves and operate their business. That’s so important when it comes to handling your payments.”

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