ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding (Day One) | March 2025-The APP-MD Collaborative Relationship

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The document pertains to a presentation by Vivek Kaul, MD, on the collaboration between Advanced Practice Providers (APPs) and physicians, particularly in gastroenterology, presented at the ASGE APP Course in March 2025. It highlights the benefits and strategies for creating successful collaborative relationships between APPs and physicians to deliver high-quality care.<br /><br />The document details the roles of APPs within gastroenterology practices, noting their capability to address unmet needs, provide continuity, and facilitate smoother workflow through a divide-and-conquer approach. Key principles include buy-in from the practice and leadership, mutual trust and respect, and creating shared roles. Successful collaboration depends on factors such as competence, fair compensation, and ongoing mentorship to promote professional development.<br /><br />The APP/Physician collaborative practice model is essential for addressing physician shortages and improving access to care. It allows physicians to focus on complex tasks like endoscopy, while APPs manage other aspects, enhancing patient satisfaction and reducing physician burnout. The model can vary, featuring independent, shared, or hybrid practices tailored to specific needs. Responsibilities include education, clinical research, and performing specialized ancillary testing.<br /><br />Billing and reimbursement are a significant aspect, where Medicare reimburses APP services at a reduced rate compared to physicians. Models like "incident-to" and shared service billing explain how APPs contribute financially. There is an emphasis on documentation and the legal liabilities physicians might face, including inadequate supervision or improper billing.<br /><br />Effective APP-physician collaboration requires clear communication, inclusion in discussions, and support for professional growth, leading to improved patient management and organizational efficiency. The document underscores the need to continue evolving these partnerships through training and community engagement, implying their significant potential in healthcare improvement.

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Vivek Kaul, MD, FASGE

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Concept Advanced Practice Provider

Concept Gastroenterology

Concept Physician

Concept Collaborative Practice Model

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Keywords

Vivek Kaul

Advanced Practice Providers

physician collaboration

gastroenterology

ASGE APP Course

healthcare improvement

patient satisfaction

physician burnout

billing and reimbursement

professional development

Advanced Practice Provider

Gastroenterology

Physician

Collaborative Practice Model

Communication