NatRevMD

When your patient AR report shows thousands in past-due balances, it’s easy to blame high deductibles. But a lot of that money is already in your bank account sitting unapplied—or it’s a phantom balance the patient never actually owed. In this episode (Part 3 of our Payment Posting series) we walk through the four patient payment posting mistakes that inflate AR and damage patient trust: Unapplied patient credits — money in your bank, AR still open, patient gets billed again Payer denials shifted to patients by mistake — poster doesn’t read the ERA denial code, patient gets a statement for money they don’t owe Co-insurance misposted as a flat copay — wrong payment code at check-in, ledger breaks when the claim processes Unauthorized write-offs — billers clearing their queue by wiping balances with no authorization or audit trail Each mistake has a fix you can implement this week. 📋 Free Payment Posting Audit Checklist — the same framework we use in real practice audits: →https://eligibility.natrevmd.com/payment-posting-checklistResources mentioned:1. Payment Posting Audit Checklist — https://eligibility.natrevmd.com/payment-posting-checklist2. Book a revenue review — https://calendly.com/heather-natrevmd/3. All episodes — natrevmd.com/podcast 4. Subscribe on YouTube — https://www.youtube.com/@NatRevMD

Your AR report says hundreds of thousands of dollars are coming in. But if your team is making these four insurance posting mistakes, a significant portion of that AR is phantom money that was never going to be collected. In this episode (Part 2 of our Payment Posting series) we walk through the four insurance-side mistakes that inflate AR and drain revenue: Ignoring contractual adjustments — the gap between billed and allowed sits in AR as uncollectible phantom money Accepting underpayments as paid in full — payer shorts you on a contracted rate, poster writes off the difference without flagging it Leaving zero-balance claims open — fully paid claims clogging your AR and inflating your workload Duplicate posting — same ERA payment posted twice, creating phantom credits and balance chaos Each mistake has a fix you can implement this week. 📋 Free Payment Posting Audit Checklist — the same framework we use in real practice audits: https://eligibility.natrevmd.com/payment-posting-checklistResource 1: Payment Posting Audit Checklist — https://eligibility.natrevmd.com/payment-posting-checklistResource 2: Book a revenue review — https://calendly.com/heather-natrevmd/Resource 3: All episodes — natrevmd.com/podcast Resource 4: Subscribe on YouTube — youtube.com/@NatRevMD

There’s a number in your practice that looks precise but lies to you every single month: your AR report. We routinely audit multi-provider practices showing $400K, $600K, even $1M in AR — and 20–40% of that “asset” is already dead. Not collectible. Just trash left behind by bad payment posting. In this episode — the first in a 4-part series on payment posting — Heather walks through what payment posting actually is, why getting it wrong silently inflates your AR, and the seven specific things that change in your practice when posting is done right. Inside the episode: Why your AR report is a mirror of your team’s posting accuracy, not what you’re actually owed How a $400K/month practice dropped their AR by 30% in two weeks — without collecting a dollar more The 7 reasons clean payment posting transforms your revenue cycle The audit moment we found 200+ accounts a week being reworked that were already paid in full What’s coming in Episode 176: the most common insurance-side posting mistake we see in almost every audit If you’re a practice owner, billing lead, or operations director who has ever made a financial decision off an AR report — this is the foundation. Resources mentioned (Buzzsprout episode resources block) 📊 Free Payment Posting Audit Checklist The exact framework we use when we audit a practice. Test your own team: https://eligibility.natrevmd.com/payment-posting-checklist  📅 Book a call with Heather If your AR has been inflated by years of bad posting, that’s exactly what we fix at NatRevMD: https://calendly.com/heather-natrevmd/  🎧 More episodes natrevmd.com/podcast Buzzsprout chapter markers (paste in chapters field) 0:00 Hook — the number that’s lying to you 0:45 Why 20–40% of your AR may already be dead 1:45 What payment posting actually is 3:30 The $400K case study 5:30 7 reasons posting matters 12:30 Recap and what’s next 

Your CPA sends a P&L on the 20th of every month showing a positive bottom line. Then tax season hits — or partners ask for a distribution — and the cash isn't in the bank. Sound familiar? This episode breaks down why standard P&Ls fail private practices doing $150K+/month, and how to replace them with a live financial dashboard that tells you the truth in real time. RESOURCES MENTIONED IN THIS EPISODE 📊 Practice Revenue Leak Scorecard (free, 60 seconds) Your dashboard is only as accurate as the billing data feeding it. This 60-second diagnostic shows you exactly where your revenue is leaking — before you build a dashboard around bad numbers. 👉 https://eligibility.natrevmd.com/nrm-revenue-scorecard-v3?utm_source=buzzsprout&utm_medium=organic&utm_campaign=ep174 🩺 Book a billing review with NatRevMD If you want us to look under the hood of your revenue cycle directly: 👉 https://calendly.com/heather-natrevmd/ We cover the 5 reasons every practice owner needs a dashboard (not a delayed P&L): 1. True operating profit — separating partner distributions from operating expenses, so you never spend cash you don't have 2. A clear "raise readiness" threshold — pre-agreed rules so staff raise conversations stop being emotional 3. Exposed expense ratios — clinical comp, admin overhead, per-provider cost coverage, all as % of net collections 4. The 4-hour CPA spreadsheet replaced by a 15-minute partner meeting — same payoff, half the time, current data 5. Real confidence to grow — knowing exactly when you can safely add a provider, expand space, or distribute cash Plus: we walk through the exact prompt we used to build our dashboard with AI (Manus), the HIPAA hard line we never cross, and why none of this matters if your billing data is wrong upstream — we've seen practices with beautiful dashboards 8% off because of denials no one was tracking. ────────────────── ABOUT NATREVMD We're a physician-led revenue cycle company built specifically for independent medical practices doing $150K+/month. Our podcast is rated #2 globally for medical billing & coding podcasts (Feedspot 2025) and ranked in the Top 100 US Healthcare Podcasts (Feedspot 2026). 

Resources mentioned Practice Revenue Leak Scorecard (free, ~60 seconds): https://eligibility.natrevmd.com/nrm-revenue-scorecard-v3Book a call with our team: https://natrevmd.com/contact/Visit us: natrevmd.com Are your patient volumes climbing but your bank deposits flatlining? That's one of the most terrifying patterns in private practice  and the scariest part? Your reports might not show any of it. In this episode, we break down the 3 early warning signs that your billing is broken and give you a clear, actionable plan to diagnose the problem before it becomes a six-figure issue. If you're running an independent medical practice doing $250K+ a month, this is the gut check you need. What we cover Warning Sign #1: AR over 90 days creeping above 15–20% — and why your team might be "statussing" claims instead of resolving them Warning Sign #2: Lack of transparency from your billing team (in-house or outsourced) — what to ask for, and what their answer tells you Warning Sign #3: Receipts dropping while charges stay stable — the two most common causes A real example from a practice we work with — credentialing holds and why pulling the data first matters Your 3-step action plan to run this week Chapters (00:00) Charges up, deposits flat: the signal most owners miss (01:30) Free Practice Revenue Leak Scorecard (02:15) Warning Sign #1: AR >90 days (04:30) Warning Sign #2: Lack of transparency from your billing team (06:30) Warning Sign #3: Receipts drop while charges stay stable (08:30) Recap: the 3 key takeaways (09:30) Your 3-step action plan this week (11:30) Book a free revenue audit About NatRevMD We're a physician-led medical billing and revenue cycle management company built for independent medical practices. Founded by Dr. Heather Signorelli, we help private practices stop revenue leaks, fix broken billing operations, and protect their margins. 

If your practice has anywhere from $50,000 to $500,000 sitting in the 120+ day Accounts Receivable bucket, we have bad news: most of it isn't coming back. And the reason isn't what your billers are telling you. Old AR is rarely a payer problem. It's an accountability problem. We recently took over the AR for a multi-specialty group whose 120+ bucket had ballooned past $300,000. We didn't find complex coding disputes. We found unresolved eligibility issues, missing EOBs sitting on payer portals, ignored write-offs, and billers who were "statussing" claims instead of actually working them. In this episode, we break down the 6 real reasons claims go to die — and the top 3 strategic oversight actions you must put in place today to hold your billing team accountable and stop the bleeding. Stop guessing about your financial health. Take our free 60-second Practice Revenue Leak Scorecard to see exactly how much revenue your practice is leaving on the table: https://eligibility.natrevmd.com/nrm-revenue-scorecard-v3 

Resources mentioned in this episode: Free Practice Revenue Leak Scorecard: https://eligibility.natrevmd.com/nrm-revenue-scorecard-v3?hs_preview=hUmAzejh-210981640602  Subscribe on YouTube: https://youtube.com/@natrevmd  Join the conversation: https://natrevmd.com/community  Are you staring at a billing report that says your collection rate is 98%... but your bank account tells a completely different story? If you're running a practice doing over $250,000 a month, relying on surface-level billing reports is the fastest way to lose hundreds of thousands of dollars a year without even realizing it. In this episode, we're talking about revenue leaks. Not the obvious ones. The invisible ones. We break down the three biggest lies your standard AR reports are telling you, and exactly where to look to find the missing money today 

Free Resources Mentioned in This Episode: Get your personalized score of where your practice is losing revenue. Free Revenue Diagnostic Quiz — Find Your Biggest Billing Leaks in 60 Seconds —  get a personalized score showing exactly where your practice is losing revenue.  Are you an independent medical practice owner doing over $5M a year, but you feel like you have to oversee everything to get anything done right?  If your front desk is missing copays and your billing team is letting claims sit for months, you don't have a personnel problem—you have a process problem.  In this episode of NatRevMD, we break down the exact 5 Standard Operating Procedures (SOPs) you need to build unbreakable accountability in your practice.  Learn how to transition from managing people to managing processes with one-page SOPs for eligibility verification, financial scripts, claim submission, scorecard reviews, and clinical documentation. Stop putting out fires and start scaling your practice today. 

Thinking about outsourcing your medical billing? Before you make a decision, you need to listen to this episode. We hear the same three fears from practice owners every single day: "It’s going to be too much work to transition," "It’s going to cost too much," and "What if the next team is just as bad as my current team?" In this episode, we break down those fears honestly. We aren't here to pitch you — we're here to give you a decision guide. We cover the exact signs that tell you your practice is ready to outsource, and just as importantly, the 3 signs that you are not ready to make the switch.  If you are an OB/GYN or Urgent Care practice owner who is tired of guessing about your revenue, this episode will help you decide if an RCM partner is the right next step for your growth. We cover: The real math behind the cost of an in-house biller vs. an outsourced team What a successful transition actually looks like (hint: you shouldn't be doing the heavy lifting) Why having a strong Office Manager is the #1 requirement for outsourcing success The 3 operational red flags that mean you should keep your billing in-house  Free Practice Resources: Download the Free Eligibility Verification Guide: https://natrevmd.com/eligibility-billing-verification/ Get the 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook Want to see if you qualify for a billing metric audit? Check us out here: https://natrevmd.com 

If you feel like you have to have your hands in every single part of your practice just to make sure things get done right, you don't have a staffing problem. You have a systems problem. In Part 1 of this two-part series, we break down three specific, high-yield frameworks you can implement in your practice right now to build unbreakable accountability and eliminate micromanagement forever.  We cover: Why your org chart is useless, and how to build an Accountability Chart insteadThe exact 5-15 numbers that need to be on your weekly KPI Scorecard (with industry benchmarks)How to delegate effectively using the "Who Not How" framework Resources mentioned in this episode: Traction by Gino Wickman Who Not How by Dan Sullivan Free Eligibility Verification Guide: https://natrevmd.com/eligibility-billing-verification/ 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook 

Are you afraid to switch billing companies because you don't want the pain of a transition? Or worse, are you worried the next team will be just as bad as the last? Most practices that come to us aren't failing—they are just leaving money on the table. But the pain of unknown or lost revenue doesn't get better on its own.  In this episode, we pull back the curtain and show you exactly what it looks like to partner with NatRevMD. From our 2-to-4-week onboarding process and daily payment posting, to why we manage denials to the root cause instead of just "statusing" them.  We also share why we don't work with everyone—and why your front office is the key to unlocking a 20-30% revenue increase. Resources Mentioned: 2026 Margin Protection Playbook Free Eligibility and Billing Verification Guide Complimentary Billing Metric Audit 

Every practice faces operational hurdles—from complex coding rules to clunky EMRs. But for a high-volume clinic, these everyday challenges can quietly add up to a six-figure revenue gap by year-end. In this episode, we break down common billing pain points that impact your bottom line. We explore typical front office and billing hurdles—like cautious undercoding, unauthorized write-offs, and building true AR accountability—and share actionable ways to empower your team and safeguard your revenue. Resources Mentioned: 2026 Margin Protection Playbook Free Eligibility and Billing Verification Guide Complimentary Billing Metric Audit 

Resources Mentioned: Free Eligibility Checker 2026 Margin Protection Playbook You know how to practice medicine. But do you know how to get paid for it? The gap between your clinical work and the codes on a claim is where most practices lose revenue. This episode is for you. We translate 10 common clinical scenarios into the language of billing. Learn how your documentation for prescription management, injections, and high-acuity visits directly impacts your practice's revenue. This is a practical guide for clinicians who want to understand the "why" behind the codes and confidently capture the full value of their work. 

Are you tired of being underpaid by insurance companies? For years, payers have held all the cards in contract negotiations, forcing independent practices to accept low reimbursement rates. But the game has changed. In this episode, we reveal how your practice can use new, federally mandated price transparency data to negotiate a rate increase. We provide a step-by-step playbook for building a data-driven case, initiating the negotiation, and securing the rates you deserve. Stop leaving money on the table. It’s time to fight back. 

Resources Mentioned: Eligibility Verification GuideMargin Protection Playbook High-deductible health plans are crushing your practice’s cash flow. If you’re still using old-school patient collection methods, you’re leaving thousands on the table every single month. In this episode, we break down nine specific, actionable strategies that top-performing practices are using right now to collect more patient balances, faster. No fluff, no theory—just a practical playbook for getting paid in 2026. 

Resources Mentioned: Free Eligibility and Billing Verification Guide 2026 Margin Protection Playbook Complimentary Billing Metric Audit The single biggest hiring mistake a medical practice can make is hiring front desk staff for their resume and not their attitude. Research shows 89% of hiring failures are due to attitude, not a lack of skills. Yet most practices continue to hire for EHR experience and hope for the best. This is the root cause of the revolving door at your front desk. In this episode, we share a proven framework to stop the churn. Learn how to hire for attitude and train for skill, using behavioral interview questions and a structured hiring process. We also cover five data-backed tactics from the MGMA for retaining the great people you hire, including creating career ladders and effective onboarding. Stop wasting time and money on bad hires. This episode will show you how. 

Free Guides Mentioned in This Episode: 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ Prior authorization has officially changed and medical practices need to act now.As of January 1, 2026, new CMS prior authorization rules are in effect, including faster Medicare Advantage decision timelines, new prior auth requirements for 17 traditional Medicare services, and a shift away from fax-based workflows toward electronic APIs.In this episode, we break down the three biggest prior authorization changes for 2026 and share a simple 3-step action plan to help OB/GYN, urgent care, and specialty practices reduce denials and protect cash flow.👉 Learn how prepared your practice really is. Visit natrevmd.com for free resources and a complimentary billing metric audit.

Free Guides Mentioned in This Episode: 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ What if your OB/GYN practice could generate an additional $70,000+ in revenue without adding more patient visits?In this episode, Dr. Heather Signorelli breaks down Advanced Primary Care Management (APCM)—a new set of Medicare codes introduced in 2025 that reimburse practices for the ongoing care management many providers are already delivering.From care coordination and medication management to managing complex or high-risk patients, OB/GYN practices often perform significant work outside of office visits that historically hasn’t been reimbursed.Dr. Signorelli explains how APCM works, why OB/GYN practices may qualify, and how implementing this program could unlock new revenue opportunities for your practice.👉 Want to see if your practice could benefit from APCM? Learn more at NatrevMD.com.

Free Guides Mentioned in This Episode: 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ In the final installment of The Practice Health Scorecard, we’re talking about the most important part of your practice: growth. A profitable, efficient practice is wonderful, but it’s worthless if the flywheel isn’t spinning. If you’re not consistently bringing in new patients and retaining the ones you have, your practice will eventually stagnate and decline. Ready for a change in RCM services? Check us out at NatRevMD.com 

Free Guides Mentioned in This Episode: 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ In Part 2 of our series we’re moving from revenue to efficiency metrics. A profitable practice is great, but if your daily operations are inefficient, you’re leaving a massive amount of money on the table. For practices, where patient relationships and complex care pathways are critical, operational efficiency is the key to providing excellent care while remaining profitable. 

Free Guides Mentioned in This Episode: Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ Is your OB/GYN practice busy, or is it profitable? They are not the same thing. A full schedule and high billing numbers can mask deep, underlying profitability issues. In Part 1 of our 3-part series, we explore the three most important metrics that drive your practice’s profitability. We move beyond vanity metrics to give you a clear, actionable framework for understanding the true financial health of your practice.  

Free Guides Mentioned in This Episode: Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ Right now, your practice’s billing data is being run through an AI model and compared to every other practice in your state. That AI is looking for one thing: outliers. Are you one of them? And if you are, do you even know it? In this episode, we pull back the curtain on exactly what payers are scrutinizing most aggressively in 2026. This isn’t guesswork. This is based on the latest CMS RAC audit targets, payment integrity trends, and real-world audit data. Listen now to find out where you’re most exposed. 

Free Guides Mentioned in This Episode: Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ Your stomach drops. You check the mail and there it is: a certified letter from your biggest payer demanding medical records. You have 30 days to respond. Where do you even start? If this is the first time you’re thinking about an audit, it’s already too late to fix the charts they want. The practices that survive audits—and avoid six-figure paybacks—are the ones that live in a state of constant readiness. In this episode, Dr. Heather Signorelli walks you through the different types of audits (Payer, RAC, TPE) and explains why the old "wait and see" approach is financial suicide in an era of data-mining payers. 

Free Guides Mentioned in This Episode: Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ You have a billing team, but do you have a strategic partner?  You assume they’re managing your revenue. They're submitting claims and posting payments, but are they truly protecting your profit margin?  Most billing teams are just claims-filers. The real, high-value work is being completely ignored. We recently found $40,000 in unposted cash for a new client that their previous billing company had missed entirely. In this episode, we expose the 8 critical, high-value functions your current billing team is likely not performing, and how these gaps are silently draining your practice’s bank account. It's time to find out if you have a claims-filer or a true revenue partner. 

Free Guides Mentioned in This Episode:  Margin Protection Playbook: https://natrevmd.com/margin-playbook Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ Why is doubling your practice revenue so exhausting? Because you're playing the wrong game. In this episode, we break down the counterintuitive principles from the book "10x Is Easier Than 2x" and apply them directly to your medical practice. Learn why aiming for 10x growth forces you to do LESS, not more, and how to identify the 20% of your practice that drives 80% of your results. Stop chasing incremental gains. It's time to change the game. 

Recent Resources 2026 Margin Protection Playbook: https://natrevmd.com/2026-margin-protection-playbook/ Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/ If your practice feels stuck in gossip, silos, passive resistance, or quiet resentment—this episode is for you.In today’s episode, Dr. Heather Signorelli breaks down Patrick Lencioni’s The 5 Dysfunctions of a Team and explains how culture issues directly impact practice revenue, turnover, accountability, and operational efficiency.You’ll learn:• Why absence of trust is the foundation of every team problem • How fear of conflict leads to hallway conversations and poor buy-in • Why lack of commitment sabotages major decisions like EMR changes • How avoidance of peer accountability delays billing and hurts cash flow • What “inattention to results” looks like in a medical practice • Practical strategies to rebuild trust, encourage healthy conflict, and align your teamCulture is not just a leadership concept—it’s a financial one. Dysfunctional teams lead to dysfunctional metrics.If you want to reduce eligibility denials, improve chart sign-offs, increase buy-in, and drive better results—this episode gives you the framework to start.Interested in a free practice analysis? Visit natrevmd.com 

Did you stop offering telehealth because the rules keep changing? You're not alone. But you're leaving revenue on the table.Congress keeps extending telehealth flexibilities through 2027, but most practices have either abandoned telehealth entirely or started charging deposits because they're worried about patient responsibility nightmares.There's a better way.In this episode, we break down the latest CMS telehealth info and give you the exact billing workflow to keep seeing patients virtually while protecting yourself from collections chaos.You will learn:Why abandoning telehealth is costing you The pre-visit insurance verification script that eliminates surprise bills.How to update your consent forms to protect against patient disputes.The billing follow-up process that gets telehealth claims paid faster.Don't let uncertainty stop you from generating revenue. Just do it the smart way.

If you’re not tracking the right numbers, you’re guessing, and guessing costs practices real revenue.In this re-run episode, we break down the core metrics every medical practice should be watching to understand financial health, operational efficiency, and growth opportunities. Plus, we share an important announcement about our 8-week Medical Billing Course, built to help practices tighten systems and improve performance with confidence.💬 Want to keep the conversation going?Join healthcare leaders inside our NatRevMD Facebook Group and learn from peers facing the same challenges.🎧 Don’t miss future episodes:Subscribe on Apple Podcasts and if this episode helps you, please leave us a review — it helps more practices find the show.📊 Need a reliable, data-driven medical billing partner?📧 [email protected]🌐 Visit us to learn more at www.natrevmd.com

Recent Resources 2026 Margin Protection Playbook: https://natrevmd.com/2026-margin-protection-playbook/ Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/ Your practice runs on dozens of small, critical tasks. When even one gets missed, the result is chaos: delayed payments, frustrated patients, and stressed-out staff. What if you could catch every potential problem before it happens? You can. This isn’t about another long meeting. This is about a 15-minute tactical huddle that functions as a pre-flight checklist for your day. We walk through the 8 specific points your team must cover every morning to ensure a smooth, profitable day. Stop managing chaos. Start running a well-oiled machine. This is the operational playbook you’ve been missing. 

Resources Mentioned: 2026 Margin Protection Playbook: https://natrevmd.com/2026-margin-protection-playbook/ Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/ Book a Call: https://natrevmd.com/ For years, primary care practices have been stuck in a broken system. You’ve been forced to choose between different care management programs, each with its own administrative headaches and low margins. You’re doing the work, but you’re not getting paid for it. That all changes in 2026. In this episode, we give you the ultimate guide to the new 2026 care management billing landscape. We break down the revolutionary new APCM + BHI add-on codes that allow you to bill for both primary care management and behavioral health integration, for the same patient, in the same month, without the time-tracking burden. This episode will show you how to: Compare all care management billing models head-to-head Calculate the $1.1M+ annual revenue opportunity for your practice Choose the right model for your specific situation Eliminate time-tracking and administrative burden This is the most important podcast episode you’ll listen to all year. It’s your roadmap to a more profitable, more scalable, and more impactful practice.  

Resources Mentioned: Margin Protection Playbook: https://natrevmd.com/2026-margin-protection-playbook/ Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/ Book a Call: https://natrevmd.com/ What if I told you that focusing only on RPM in 2026 means you may be leaving massive revenue completely untouched. In this episode, we give you the 2026 Revenue Roadmap. We’re going to uncover four specific, high-margin revenue opportunities that go beyond standard RPM. These are the operator moves that the top 1% of practices are making right now to prepare for a more profitable year. Stop thinking in codes. Start thinking in systems. This episode will show you how. 

Is your practice thriving—or just surviving? In this power-packed episode, Dr. Heather Signorelli breaks down the key skills every successful practice masters. From hiring the right team and aligning them with your mission, to building systems that reduce chaos and boost efficiency, this episode is your blueprint for real-world practice growth.Whether you’re a physician, practice owner, or office manager, these strategies will help you: ✅ Attract and retain top talent ✅ Streamline operations and patient flow ✅ Strengthen financial health and revenue ✅ Build a team culture that drives resultsTune in for actionable insights, practical tips, and strategies you can implement this week to move your practice from “busy” to thriving.🎧 Listen now and start leveling up your practice

We’re bringing back one of our most popular episodes because this topic never gets old.In this episode, we dive into the patient collection process and explore why collections often break down at the front desk. Learn how small gaps in your process can quietly hurt cash flow and how confident, clear conversations can make a big difference without making patients uncomfortable.Whether you missed this episode the first time around or need a refresher, this re-run is packed with practical tips you can apply to improve your practice’s revenue cycle and strengthen front desk operations.Listen now and discover how to optimize your patient collection process!

Resources Mentioned:Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/Margin Playbook: https://natrevmd.com/margin-playbook/In Part 1, we covered the new 2026 RPM codes. Now, it’s time to put them into practice. In this episode, we give you the practical, operational playbook for implementing a successful RPM program.Our new podcast episode is a deep dive into RPM implementation. We cover:How a primary care practice added $72K in new revenue with RPMHow an OB/GYN clinic is using the new short-term codesThe 4 key criteria for choosing an RPM vendorA step-by-step documentation guide to stay audit-proofThis is the practical, how-to guide you need to turn the 2026 RPM opportunity into a reality.

Need resources for your practice?  Help your staff with eligibility training à https://natrevmd.com/eligibility-billing-verification/ Identify patient AR revenue leads for your practice à  https://natrevmd.com/margin-playbook/ What if you could add 6 figures in new revenue this year for every 100 patients you enroll in a program your staff is already doing the work for? The 2026 CPT code changes for Remote Patient Monitoring (RPM) have created a gold rush, and in this episode, we give you the map. In Part 1 of our two-part series on RPM, we lay the foundation. We cover the clinical case for RPM, a detailed breakdown of the new 2026 codes (99445 and 99470), and the five qualification criteria you must meet to stay compliant. In this episode, you will learn: The clinical evidence that makes RPM a must-have for chronic care A detailed breakdown of the new 2026 CPT codes The 5 rules you must follow to be compliant with RPM billing This is the foundational knowledge you need to capitalize on one of the biggest revenue opportunities in healthcare for 2026. Don't get left behind. Resources Mentioned: AMA CPT® 2026 Code Set CMS Physician Fee Schedule

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 “sticker shock.”Why you must verify benefits for every single patient in Q1, with no exceptions.How to make upfront payment collection a standard, non-awkward policy.This 15-minute episode provides a clear, urgent strategy to protect your cash flow and save your team from chasing debt all quarter. Don’t start the year in a hole.Resources Mentioned:Free Checklist: Download the Eligibility Billing Verification Checklist at https://natrevmd.com/eligibility-billing-verification/

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 practice. In this episode, you’ll learn: How to set a concrete 2026 revenue and visit goal (and the exact math to get there) How to audit your capacity and find out how much money you’re losing to no-shows and open slots A simple plan to get more patients on the schedule without spending a dime on marketing How to attack patient and insurance AR that’s killing your cash flow Where to find the “hidden money” in your practice (think unsigned charts and unbilled claims) The three metrics you should run your entire 2026 around If your practice is collecting over $150,000 per month and you want our team to do this for you, book a call on our website: https://natrevmd.com/ 

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 blind and find the cash your practice is missing. Want us to take a look? We perform a comprehensive Medical Billing Metric Audit for practices that qualify. See if your practice qualifies at https://natrevmd.com. A free resource to tighten up your front-end processes. Get it here: https://natrevmd.com/eligibility-billing-verification/ 

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, standardize training, and revolutionize your hiring process. Stop being a firefighter in your own practice. It's time to build the systems that will allow you to scale. Ready to see where your billing metrics are at? Check here to see if you qualify for a Billing Metric Audit: https://natrevmd.com/schedule-a-call/ 

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 in uncashed checks sitting at the post office to undercharging for services, they reveal the hidden leaks in your revenue cycle and provide actionable steps to fix them. In this episode, you will learn:  How a simple bank reconciliation process uncovered tens of thousands in lost revenue. The sneaky reason you might be undercharging for your services and how to fix it. How one practice reduced their eligibility denials from 90% to just 10%. The secrets to managing unapplied payments and coordination of benefits (COB) denials. If you're a practice owner, manager, or physician who wants to maximize your revenue and improve your billing processes, this episode is packed with valuable insights and real-world examples. Don't let these common mistakes drain your practice's profits any longer. 

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 losing good providers because of it. In this episode, Dr. Heather Signorelli gives you the entire 7-step playbook to fix it. For free. You will learn: The only metric that matters for OBGYN comp (it’s not visits or RVUs). The "Magic Number": How to find the exact amount of profit available for each provider’s salary and bonus. The Simple Threshold Formula: Salary + Overhead. We explain why COGS isn’t in it. The Biggest Mistake: Why using last year’s overhead for bonuses is costing you thousands. This is the model we use to help practices align incentives, increase profit, and keep their best people. Connect with NatRevMD: Schedule a Consultation: https://natrevmd.com/ Email Us: [email protected] 

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 practice up to win the race! 🏁Need a free billing metric audit? If your practice collects $150K+/month, head to NatRevMD.com → Free Revenue Audit

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 silently draining your revenue• The most common undercoding patterns physicians don’t realize they’re doing• How better documentation reduces burnout and increases clinician confidence • Real examples of everyday visits that should nearly always be level 4s • How to implement quarterly audits, templates, and MDM habits that actually stick • Why physician-to-physician coding education creates better adoption and outcomes • How improved coding can add $30,000–$35,000+ per physician per year—without adding a single new patientIf your practice hasn’t had a coding audit in the last 6–12 months, this episode is your wake-up call.Want a free coding evaluation for your practice? Email [email protected] with the subject line “Free Coding Evaluation” and our team will help you get started.

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 itWhat actually matters when comparing W-2 vs. 1099 incomeSimple structural decisions that can lead to massive long-term savingsReal audit stories (including one horror case you don’t want to miss)What to consider as you plan for 2026And whether AI will ever replace tax professionalsIf you want a clear, trustworthy explanation of how to structure your income, protect yourself, and stop leaving money on the table, this conversation is absolutely worth your time.Tune in and start making smarter decisions with your money. 

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 already provide.If you’re an OBGYN, practice manager, or billing leader, this is essential listening.

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 Major — to explore what it truly means to lead in medicine. With over 35 years in healthcare, Dr. Block has journeyed from the back of an ambulance to the hospital boardroom, blending clinical insight with business strategy and leadership mastery.From “micro leadership” at the bedside to building thriving teams and mastering the business side of practice, Dr. Block shares how leaning into discomfort and leading by example can transform not just a workplace, but an entire career.🎧 Tune in for practical advice, real stories, and inspiring insights to help you lead your practice and your people with confidence.

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 it’s time to finally get intentional with your online presence, this conversation gives you practical steps you can start using right away.If you’ve ever wondered why your marketing efforts aren’t translating into more patients—or how AI is changing the way people search—this episode is your guide to getting seen, chosen, and trusted.If you enjoyed this episode, please leave us a review and drop a comment—your feedback helps us reach more practitioners just like you.Check out our website for more resources, trainings, and practice growth tips:www.natrevmd.com

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 shares his journey from residency to creating a sustainable, physician-led hospitalist model focused on protecting clinician well-being, reducing burnout, and keeping patients local. Together, they discuss the realities of starting a practice, building trust in small communities, hiring physicians who align culturally, and why the most important metrics are often the human ones.This episode is a blueprint for any physician or practice leader who wants to build intentionally, grow sustainably, and create a clinical environment where everyone—providers, staff, and patients—can thrive.

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 use 59 vs the X-modifiersWhy adding 59 rarely changes payment but can flip denialsThe most common misuse patternsClinical examples from urgent care, ortho, GI, and OB/GYNHow to document a truly “distinct procedural service”Need a billing partner who understands this?Learn more at NatRevMD.com. 

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 how AI can streamline your workflow: Book a demo with Preface Health (https://www.prefacehealth.com/)