Vein Anatomy
A commonly treated superficial vein that begins on the dorsum of the foot, passes anterior to the medial malleolus, and ascends the medial leg and thigh to join the femoral vein.
What is the Great Saphenous Vein?
An in-office procedure that removes bulging surface varicosities through micro-incisions.
What is ambulatory phlebectomy?
The most common pathophysiologic cause of bulging “rope-like” surface veins in the legs.
What is superficial venous reflux / chronic venous insufficiency?
The primary purpose of assessing compressibility during deep venous duplex evaluation.
What is identifying thrombus /DVT?
The most consistently effective operational tactic for reducing no-shows while improving pre-visit preparedness.
What is proactive confirmation with clear instructions?
The insurance approval process required before many vein procedures can be performed.
What is prior authorization?
A superficial vein that commonly, but not always, drains into the popliteal vein and travels along the posterior calf.
What is the Small Saphenous Vein?
A procedure that injects a sclerosant as foam or liquid to irritate the endothelium and close veins, commonly used for tributaries and spider veins.
What is sclerotherapy?
DAILY DOUBLE!!!
The CEAP “C” class that corresponds to an active venous ulcer.
What is C6?
A maneuver used during reflux testing that increases flow and can reveal valvular incompetence.
What is distal augmentation or Valsalva?
The metric that measures how quickly new patient leads are contacted after an inquiry.
What is speed-to-lead?
The business term for how much it costs to generate one new patient.
What is cost per acquisition (CPA)?
Veins that connect the superficial and deep venous systems and, when incompetent, can contribute to venous ulceration.
What are Perforator Veins?
A chemical ablation product that “comes in a can” and is used to close incompetent veins.
What is Varithena?
A condition that often presents with unilateral leg swelling or DVT and is caused by iliac vein compression from an overlying iliac artery.
What is May–Thurner syndrome?
The anterior thigh saphenous vein that is a frequent reflux pathway.
What is the Anterior Saphenous Vein?
A best practice where patients leave the clinic with their next appointment already scheduled.
What is scheduling before checkout?
An analysis tool that evaluates strengths, weaknesses, opportunities, and threats for a business decision.
What is a SWOT analysis?
Paired deep veins, located in the deep posterior compartment, intimately associated with an artery that courses posterior to the tibia.
What are the Posterior Tibial Veins?
A thermal ablation technique that uses radiofrequency energy to injure the vein wall and produce fibrotic closure of incompetent truncal veins.
What is Radiofrequency Ablation (RFA)?
A chronic inflammatory and fibrosing skin/subcutaneous condition of the gaiter region associated with advanced venous insufficiency.
What is lipodermatosclerosis?
The expected early duplex finding in a successfully treated truncal vein segment after endovenous ablation.
What is an occluded/noncompressible treated vein with absent flow?
A major non-efficiency reason standardized venous documentation templates are used in practices.
What is medical necessity support and denial reduction?
The KPI describing the percentage of leads that become scheduled consultations.
What is lead-to-scheduled conversion rate?
A short-length deep vein, that changes its name after passing beneath the inguinal ligament and entering the pelvis.
What is the Common Femoral Vein?
A non-thermal truncal closure technique that uses n-butyl-2-cyanoacrylate to seal the target vein.
What is VenaSeal (adhesive closure)?
A rare, limb-threatening venous emergency with severe edema and cyanosis that can progress to venous gangrene.
What is Phlegmasia Cerulea Dolens?
A technical or interpretive duplex pitfall that can falsely suggest reflux or cause reflux to be missed.
What is any specific valid pitfall?
A likely operational root cause to investigate when scheduled-to-arrived rates drop abruptly.
What is any plausible root cause with justification?
The percentage of insurance claims that are not paid on the first submission.
What is the denial rate?