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NatRevMD
NatRevMD
143 episodes
3 days ago
It’s January, and that means deductibles have reset. For most medical practices, this is the start of a patient collections nightmare that cripples cash flow in February and March. But it doesn’t have to be. The root of all patient AR is a failure to communicate. In this episode, you’ll get a 3-step playbook to get ahead of the Q1 AR explosion by setting clear expectations with your patients. In this episode, you will learn: The exact script your front desk must use to eliminate patient...
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Medicine
Business,
Management,
Entrepreneurship,
Health & Fitness
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It’s January, and that means deductibles have reset. For most medical practices, this is the start of a patient collections nightmare that cripples cash flow in February and March. But it doesn’t have to be. The root of all patient AR is a failure to communicate. In this episode, you’ll get a 3-step playbook to get ahead of the Q1 AR explosion by setting clear expectations with your patients. In this episode, you will learn: The exact script your front desk must use to eliminate patient...
Show more...
Medicine
Business,
Management,
Entrepreneurship,
Health & Fitness
Episodes (20/143)
NatRevMD
#143 Deductibles Just Reset. Here's How to Avoid the Collections Nightmare
It’s January, and that means deductibles have reset. For most medical practices, this is the start of a patient collections nightmare that cripples cash flow in February and March. But it doesn’t have to be. The root of all patient AR is a failure to communicate. In this episode, you’ll get a 3-step playbook to get ahead of the Q1 AR explosion by setting clear expectations with your patients. In this episode, you will learn: The exact script your front desk must use to eliminate patient...
Show more...
3 days ago
13 minutes

NatRevMD
#142 6 Operator Moves To Grow Revenue in 2026 (Without Adding Providers)
Ready to stop the leaks and start growing? Download our free 2026 Margin Protection Playbook and follow along: https://natrevmd.com/2026-margin-protection-playbook/ Been told to grow revenue and margin in 2026, but you can’t add providers or new service lines? This episode is for you. We’re not talking about vague “growth strategies.” We’re giving you six concrete, operator-level moves you can make with the team and resources you already have to stop revenue leaks and grow your p...
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6 days ago
25 minutes

NatRevMD
#141 Why Your Bank Account Doesn’t Match Your AR Reports
Your AR reports look fine, but you feel like you’re leaving money on the table. Find out why. For leaders of high-revenue practices, that nagging feeling is often the first sign of a six or seven-figure blind spot in your revenue cycle. High-level metrics don't tell the whole story. In this episode, Dr. Heather Signorelli gives you the exact 4-week billing audit system we use to ensure claims are timely, accurate, and aggressively worked. This is the plan you need to stop flying b...
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1 week ago
20 minutes

NatRevMD
#140 Your Practice is Thriving. Your Systems Aren't. Here's the Fix.
Tired of running your practice on chaos? Get your free Eligibility & Billing Verification guide here: https://natrevmd.com/eligibility-billing-verification/ You're a leader who has built a successful practice, but your systems are struggling to keep up. This operational friction is the biggest threat to your future growth. This episode gives you a clear plan to fix it. Dr. Heather Signorelli acts as your guide, sharing the simple tech stack you need to automate claims, standar...
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1 week ago
26 minutes

NatRevMD
#139 We Found thousands in Uncashed Checks: How to Uncover Hidden Revenue
Grab our free Eligibility Checklist & Guide to prevent claim denials before they happen: https://natrevmd.com/eligibility-billing-verification/" Is your practice leaving money on the table? The answer is probably yes, and you might be shocked to find out where it's hiding. In this episode, Dr. Heather Signorelli is joined by NCR’s RCM expert Mandy to pull back the curtain on the most common and costly billing errors they uncover in medical practices. From thousands of dollars ...
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3 weeks ago
21 minutes

NatRevMD
#138 How We Build OBGYN Comp Plans That Boost Profit & Stop Provider Turnover
ACTION FIRST: Want to fix your billing process from the ground up? Get our free Employee Training Guide for Eligibility & Verification here: https://natrevmd.com/eligibility-billing-verification/ Your OBGYN compensation model is probably broken. How do I know? Because it values a routine prenatal visit at $0. And a delivery at $3,200. This means you are not paying people what they are worth. You are not incentivizing the right activities. And you are probably...
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3 weeks ago
24 minutes

NatRevMD
#137 Stop Riding a Bicycle to a Race: Choosing the Right EMR & Billing Setup for Real Practice Growth
Is your practice trying to grow—but your EMR or billing setup just can’t keep up? Dr. Heather breaks down why the wrong system can silently drain revenue, increase denials, and stall growth. You’ll learn: Which EMRs actually help practices thriveWhy letting your billing company control your software is a huge riskHow to protect your AR and get cleaner reportingThe simple setup that keeps your practice running like a well-oiled machineStop spinning your wheels—tune in and set your practi...
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1 month ago
5 minutes

NatRevMD
#136 Stop Undercoding: The Coding Mastery Tips Every Physician Needs (w/ Dr. Anne Hirsch)
Most practices think they need more—more patients, more visits, more volume. But what if the real revenue opportunity isn’t volume at all… it’s coding? In this episode, Dr. Heather sits down with Dr. Anne Hirsch, an internal medicine physician turned coding expert and physician coach, to explore why most practices are coding far below what their clinical work justifies—often doing a level 5 visit, documenting a level 4, and billing a level 3. You’ll learn: • Why “fear-based coding” is silentl...
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1 month ago
20 minutes

NatRevMD
#135 Stop Overpaying Taxes: What Physicians Need to Know in 2025–2026 with CPA Riki Singh
If you’ve ever looked at your tax return and wondered, “Why am I paying this much?” — this episode will feel like a breath of fresh air. Dr. Heather sits down with longtime CPA and trusted advisor Riki Singh, who manages over 250 small and mid-sized businesses, including many medical practices. Riki brings clarity to a topic most physicians secretly stress about: how to stop unintentionally overpaying in taxes. In this episode, we break down: Why so many physicians overpay without realizing i...
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1 month ago
31 minutes

NatRevMD
#134 Is This Really the End of OB Global Billing? The 2027 Shift Every OBGYN Should Prepare For
For decades, OBGYNs have been forced to fit every prenatal visit, every complication, every late-night call, and every ounce of cognitive work into a single global maternity payment. But that model is ending — and the shift is massive. In this episode, Dr. Heather Signorelli breaks down exactly what’s changing on January 1, 2027, why global billing is being eliminated, what we know so far, what’s still uncertain, and how practices can use this transition to finally get paid for the care they ...
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1 month ago
16 minutes

NatRevMD
#133 Why Your Practice Is Invisible (And How SEO Finally Fixes It)
In this episode, Dr. Heather sits down with SEO expert Darcy Sullivan to unpack one of the biggest problems practices face today: visibility. You can be the best clinician in your community, but if patients can’t find you online, your practice stays invisible. Darcy breaks SEO down in a simple, relatable way—from the “Oreo Method” to the real truth about Google profiles, backlinks, and why consistency matters more than complicated tactics. Whether you’re just opening your clinic or realizing...
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1 month ago
21 minutes

NatRevMD
#132 When the Practice Thrives, Everyone Thrives: Inside a Rural Hospitalist Model
Free Resource: Make sure eligibility isn’t causing preventable denials. Download the free Eligibility Checklist →https://natrevmd.com/eligibility-billing-verification/ In this episode, Heather Signorelli, DO, sits down with Dr. Dan Wandsneider—founder of a rural hospitalist group serving critical access hospitals across Wyoming and Colorado—to unpack what it truly takes to build a practice model that supports clinicians, strengthens communities, and elevates patient care. Dr. Wandsneider sha...
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1 month ago
28 minutes

NatRevMD
#131 Modifier 59 Explained: Correct Uses, Wrong Uses, and How to Avoid Costly Denials
Free Resource: Make sure eligibility isn’t causing preventable denials. Download the free Eligibility Checklist → https://natrevmd.com/eligibility-billing-verification/ Modifier 59 is one of the most overused—and misunderstood—modifiers in medical billing. In this episode, Dr. Heather Signorelli breaks down exactly when 59 is appropriate, when it isn’t, and why using it on labs (like a UA) is a major compliance mistake. You’ll learn: The real CPT and Medicare definition of modifier 59When to ...
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2 months ago
10 minutes

NatRevMD
#130 Meet Sarah: The AI Assistant Reducing Admin Work and Boosting Patient Engagement
Discover how AI is transforming urgent care and primary care. In this episode, Dr. Heather sits down with Geoffrey, CEO of Preface Health, to explore how AI intake, ambient scribing, and full-journey patient support are revolutionizing the way clinics operate. Learn how Preface Health’s intelligent assistant, “Sarah,” helps reduce administrative workload, improve documentation accuracy, boost coding precision, and enhance patient retention by supporting follow-up care and engagement. 👉 See ho...
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2 months ago
22 minutes

NatRevMD
#129 From Physician to CEO: How Dr. Jonathan Block Built a Thriving Practice Through Leadership and Metrics
Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen. In this episode of the NatRevMD Podcast, Dr. Heather Signorelli sits down with Dr. Jonathan Block — a board-certified urologist, obesity medicine specialist, certified physician executive, and former U.S. Air Force Maj...
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2 months ago
1 hour 1 minute

NatRevMD
#128 From Zero Patients to a Thriving Practice — The Grit Behind Private Practice Success
Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen. This week on the NatRevMD Podcast, Dr. Heather Signorelli sits down with orthopedic surgeon Dr. Eli Ahdoot, who built a successful private practice from scratch — in the middle of a pandemic. From knocking on hospital ...
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2 months ago
20 minutes

NatRevMD
#127 Build a Life You Love — and Still Be an Exceptional Physician
Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen. What if your medical career could take you beyond the walls of your clinic — to new places, passions, and possibilities? In this inspiring episode, Dr. Heather Signorelli talks with Dr. Andrew Willner, a board-ce...
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2 months ago
32 minutes

NatRevMD
#126 Can Your Physicians Actually Pay for Themselves?
Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen. Ever wonder how many patients your practice really needs to see each day to be profitable? In this episode, Dr. Heather Signorelli breaks down the profitability math every private practice owner should know — from unde...
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2 months ago
20 minutes

NatRevMD
#125 How Many Patients Do You Need Just to Keep the Lights On?
Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen. In this episode, Dr. Heather Signorelli breaks down how to calculate your cost to carry the seat—the number of patients each provider must see to break even. You’ll learn how to separate fixed and variable costs, under...
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2 months ago
16 minutes

NatRevMD
#124 Why ICD-10s Don’t Set Your Pay Rate — But Decide If You Get Paid at All
Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification to prevent costly claim denials before they happen. Most practices think ICD-10 codes determine how much they get paid, but the truth is, they decide if you get paid at all. In this episode, Dr. Heather Signorelli breaks down how vague or incorrect ICD-10 coding can sabotage your revenue, trigger denials, and signal “low valu...
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2 months ago
13 minutes

NatRevMD
It’s January, and that means deductibles have reset. For most medical practices, this is the start of a patient collections nightmare that cripples cash flow in February and March. But it doesn’t have to be. The root of all patient AR is a failure to communicate. In this episode, you’ll get a 3-step playbook to get ahead of the Q1 AR explosion by setting clear expectations with your patients. In this episode, you will learn: The exact script your front desk must use to eliminate patient...