I think we have just a couple minutes before we're going to wrap up for the day if we want to hit a couple of questions kind of rapid fire style. Absolutely. Absolutely. So, give me one second here. So why don't we start with a roundtable just to follow up on on one of Dr. Call's polling questions. If we want to run around the table and folks could say where they're from and where they're at with their backlog and and how they see cleaning up that backlog. So people were kind of curious how a busy practice gets gets their backlog up to date. Who wants to take that? Why don't we start with you, Dr. Call and then we can go around the table. I run in the other direction. No, I think it's difficult. This requires not just a daily but a several times a day, you know, review from the team. And it includes our, you know, of course, the practice administrators at various levels, our APP teams, our physicians, nursing managers, and, you know, it's a multi person effort every day, and not small part also for those practices that now require have required pre testing with COVID for procedures. So that puts a little bit of a shackle there. But this is a constant effort to look at your maintain a list, know your list, and then know where your opportunities are and maximize those on a daily basis. So at the granular level, that's how we are doing it. That's how we have been doing it. But I think slowly as staffing and challenges improve and, and rooms and such, and anesthesia time become more close to normal, as time goes on, hopefully we'll make a dent in it. But there are other innovative aspects, you know, weekend endoscopy, with the business plan after hours endoscopy, you know, getting additional help from, you know, from, from providers from outside of your main practice, people have done that as well. But I think for a within the practice approach, it's a it's a it's a frequent review of your demand and supply and then trying to make them meet as best as you can. I think Dr. Shields was chiming in. Was that? Yeah. So one of the things that we track very closely is our number of referrals, because we all expected to see a bit of a bump after, you know, the some of the COVID restrictions came off. But what we've noticed is that basically, that bump has been sustained now for 16 months, it really hasn't let up. And so if, if, if you're, if you find that you're waiting times, your waiting list is just getting longer, you can try some things to kind of temporize. For example, you can prioritize, you know, patients with specific diagnoses, get moved up the list, and they get done sooner. But ultimately, if your capacity isn't enough to keep up with the sustained demand, you're going to have to look for an alternative capacity, whether that means, you know, adding to your own endoscopy volume, or having these patients seen by other providers, which obviously nobody really wants to, you'd like to keep those patients in your practice, but, you know, expansion now is now is probably as good a time as any, once once, you know, your workers have returned, and you feel like you're kind of running at normal, normal operating capacity. Again, it's now's the time I think there's you're going to see potentially people adding and building and expanding because it does not appear that the demand is going to go down anytime soon. We all thought that it might, but it, it's sustained, and it's it hasn't, hasn't let up. Sarah, can I sneak in a billing question that just came in? Of course. Okay, so we've got a patient with AFib on Coumadin was referred for colorectal cancer screening. What charge can I use? Our billing department has told us we can't charge for colon cancer screening patients. Please clarify. Yeah, so I think you could use the time-based billing code in this situation, Jill, correct me if I'm wrong. No, I wouldn't agree, we had discussed this earlier, we were, we agreed on that, yep. So you'd want to clearly state that in your note that you're billing based on time because of complex patient care coordination. Yes, we did it. We talked about it. Other questions? Any of the faculty have any comments or questions?

backlog

medical practice

COVID testing

referrals

expansion