00:00:00 Dr. Syed Abbas Moosavi discusses the importance of revenue diversification in his medical practice. He shares that a typical day for him involves seeing patients from various service lines and engaging in lectures, VES examinations, and orthobiologic evaluations. Dr. Moosavi started his career focusing primarily on Interventional pain but later realized the importance of diversifying his patient referral sources and services offered through his office. He explains that this approach not only provides financial stability but also increases interest in the practice from other providers and organizations. Dr. Moosavi emphasizes the benefits of offering diverse lines of patient care and external services for the growth of the practice.

00:05:00 In this section of the "Revenue Diversification" episode, Dr. Syed Abbas Moosavi discusses the benefits and challenges of offering multiple service lines in a medical practice. He explains that having diverse offerings can help maintain revenue and prevent potential losses, but it can also keep the staff on their toes and require careful internal organization. Dr. Moosavi shares that his practice has a calculated plan for managing different service lines, with one primary point person for communication and scheduling for each line, while everyone knows how to perform the tasks. He and his office manager are currently working on ensuring that the staff is not overwhelmed while still offering various services to patients.

00:10:00 Dr. Syed Abbas Moosavi discusses his personal journey of discovering his interest in PMR (Pain Management, Rehabilitation) during medical school. He initially enjoyed radiology but found a new passion in PMR during a rotation, which offered him diverse opportunities in EMGs, Interventional pain, and even evaluations for traumatic brain injuries. He reflects on how this field allowed him more autonomy and diverse offerings compared to radiology. Later in his career, Dr. Moosavi discusses the turning point when he realized the importance of revenue diversification. During the first six years of his career, he worked as a staff physician and brought various service lines to his organization. He then became a consultant for different offices, performing various treatments and procedures. However, he recognized the need for stability and his own brick-and-mortar practice, which led him to take the opportunity to build and diversify his practice from day one, scaling it with offices in multiple locations.

00:15:00 Dr. Syed Abbas Moosavi shares his experience with revenue diversification in his medical practice. He explains that he had always understood the importance of diversification but was able to implement it effectively around 2022. Currently, he manages the diversified aspects of the practice while another provider, Dr. Michael Bonnet, focuses on traditional pain management. The vision is to bring in more providers and delegate responsibilities. Dr. Moosavi emphasizes that this shift in mindset came from a prosperity perspective, allowing him to maintain a network and offer various lines of service instead of feeling the scarcity of having to keep everything within his practice. He also mentions that the COVID-19 pandemic was a significant eye-opener, highlighting the importance of having a patient base and income streams outside of traditional healthcare settings. Dr. Moosavi then goes on to discuss the different lines of service his practice offers, including PMR, functional medicine, sports medicine, interventional traditional pain, advanced interventional pain, and orthobiologics.

00:20:00 Dr. Moosavi outlines the various services his practice offers, which range from VA evaluations and independent medical examinations to remote therapeutic monitoring and pharmacy services. He mentions that they have partnerships and affiliations with external companies for some of these services, such as billing and patient management, allowing them to share the responsibility and financial burden. Dr. Moosavi also mentions offering Medicare-approved remote therapeutic monitoring and doing their own DME for personal workman's comp cases. He evaluates potential new service lines by considering financial and staffing factors.

00:25:00 In this section, Dr. Moosavi discusses his practice's approach to pain management and revenue diversification. The practice provides traditional pain medicine but also offers opiate monitoring as a separate service. Dr. Moosavi explains that they made a conscious decision not to keep opiates or scheduled medications in-house due to safety concerns. Instead, they refer patients to their remote monitoring program, where a nurse educator follows up with them post-prescription. Dr. Moosavi emphasizes the importance of patient safety and risk reduction in their decisions. When it comes to healthcare services in Detroit versus Windsor, Canada, Dr. Moosavi notes that the services are similar but the limiting factor in the US is time, as patients in pain often need quick access to diagnostic tests and treatments.

00:30:00 Dr. Syed Abbas Moosavi lays out the differences in healthcare between the US and Canada. He explains that while Canada has a free healthcare system, the waiting time for non-urgent procedures can be lengthy, leading patients to seek treatment in the US. For instance, an athlete in Ontario needing an epidural injection might have to wait six weeks, whereas in the US, they could receive the treatment the same day. This waiting time can result in patients being prescribed opiates to manage their pain, potentially leading to addiction. Dr. Moosavi notes that the biggest limiting factor in Canada's healthcare system is time, and as a business owner, dealing with patients from Canada requires balancing the treatment plan and their OHIP (Ontario Health Insurance Plan) card. Patients must decide whether to wait for covered procedures or pay out-of-pocket for faster treatment. Dr. Moosavi keeps his evaluation costs reasonable to attract patients and discusses all options with them, ensuring they make informed decisions.

00:35:00 Dr. Syed Abbas Moosavi discusses the growth and recognition of orthobiologics, also known as regenerative medicine, in the next 15 years. He shares his experience with orthopedic surgeons referring patients for PRP (platelet-rich plasma) treatments and the increasing demand for these therapies. Dr. Moosavi also touches upon the advancements in PRP and the potential of stem cells, acknowledging the patients' growing awareness and education in these areas. He explains that some patients may request stem cell treatments despite not being the best option for them, and he makes evaluations based on individual cases. Overall, Dr. Moosavi anticipates significant growth in orthobiologics and the importance of educating other healthcare professionals about these treatments.

00:40:00 In this section of the podcast episode, Dr. Syed Abbas Moosavi discusses the importance of injury prevention in addition to reactionary treatment in the field of orthobiologics, specifically focusing on bone marrow concentrate injections. He mentions that research will continue in this area and shares his experience with educating patients on injury prevention and rehabilitation. Dr. Moosavi sees a trend towards injury prevention and evolving practices that provide education and services beyond reactionary treatment. He emphasizes the significance of awareness and rehabilitation in the world of orthobiologics, as he believes it can prevent reinjuries and reduce the need for repeat treatments. The percentage of people who reinjure the same joint or ligaments due to poor rehabilitation or prevention is not high, but the importance of education and awareness in the recovery process cannot be overstated.

00:45:00 Dr. Syed Abbas Moosavi discusses the importance of education and recovery in his regenerative medicine practice, Mome Pain Management and Mome Orthobiologics. He emphasizes the focus on functional recovery while providing guidelines to prevent reinjury. For those in the Detroit area, he encourages them to visit his practice for consultations. Dr. Moosavi also mentions the term "orthobiologics" as the new trend in regenerative medicine.