NatRevMD
Medical billing tips for healthcare professionals — by healthcare professionals.
This podcast is here to help private practices get paid what they’ve earned. We share real-world strategies for accurate coding, smoother billing workflows, and fewer denials — all from a team that’s been in your shoes. Whether you’re just getting started or trying to tighten up your revenue cycle, you’ll get practical advice you can actually use.
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Episodes
223 episodes
#222 - The $150,000 a Year Nobody Bills You For: Score Your Practice in 20 Minutes
Most practices run on the bank balance and a sense of how busy things feel. In this working episode, Dr. Heather Signorelli takes your practice's vitals: seven numbers, four scored, about 20 minutes. Grab a pen. FREE RESOURCES&nb...
#221 Stop Managing Your Practice by Bank Account
Free resource: Practice Financial Health Dashboard for Physicians. What you get: a free Excel workbook built for physician owners to track the practice's revenue, expenses, and billing health month over month, in one place. →...
#220 Your Q1 2027 Is Being Decided Right Now
Resources Free Metrics Audit: a free 20-minute live read of six numbers from your last full month (charges, claims, adjustments, denials, A/R, net collections) to find where revenue is leaking. No patient data, no syst...
#219 You Don't Have to Fire Your RCM Company to Get a Second Opinion
Most practices don't have a billing problem. They have a not-knowing problem. Dr. Heather Signorelli walks through the three numbers that actually tell you whether your revenue cycle is healthy, and introduces the free Second Opinion Program bu...
#218 Your Billing Department Is Your Aorta
Dr. Una, founder of EntreMD and mentor to hundreds of physician entrepreneurs, joins Dr. Heather Signorelli to talk about what actually drives practice growth without burnout, and shares an unscripted story about why her own practice now trusts...
#217 The Fifty-Dollar Premium Gap That Could Cost You Six Figures
Two health plans sat fifty dollars apart in monthly premium. One covered forty percent of an inpatient stay, the other seventy five percent. Dr. Heather Signorelli walks through the exact process she used to shop for her own team's health insur...
#216 We Tested AI on our Own Billing. It Backfired Once
We've spent a lot of time meeting with AI companies and testing technology in our own billing process. The lesson wasn't that AI can't help, it's that a tool solving one task can still make the whole revenue cycle harder without a designed hand...
#215 The AI Billing Trap No One Warns You About
A lot of practices are quietly paying for an AI tool and the staff it was supposed to replace. Same problem, double the cost. In this episode, Dr. Heather Signorelli talks with Simon (Dorien Simon) of Narrows Advisors about where AI actually wo...
#214 $44,400 a Year, Just From One Code
Most payer negotiations start with a feeling. This one starts with a number: percentage of local Medicare, the single most useful tool for comparing payer rates. The one number: Percentage of local Medicare turns a raw d...
#213 The 2027 Reimbursement Change That Isn't a Fee Cut
2027 is not one reimbursement change. It's multiple changes moving at different speeds, some proposed, some confirmed, and the most expensive mistake is treating all of them like the same fee-schedule cut. Change 1, Medicare...
#212 High Income Is Not the Same as Wealth: What Physician Owners Must Decide Before Their Next Dollar Arrives
Resources MoneyFitMD: moneyfitmd.com natrevmd.com Dr. Latifat never learned anything about money in medical school...
#211 $1.3 Million and 18 Days: What a Cyberattack Actually Costs an Independent Practice
Resources Cybersecurity Incident Response Checklist: https://eligibility.natrevmd.com/natrevmd-cybersecurity-checklist
#210 1 in 5 Modifier 25 Claims Might Not Survive an Audit
Resources RECOVER Diagnostic: https://eligibility.natrevmd.com/recover-quiz-lp natrevmd.com Payment Posting Audit Checklist:
#209 She Left the Colonoscopy Treadmill. Here Is How She Gets Paid Now
Dr. Emily Ward knew in March 2020 that she was done. She left her gastroenterology partnership in 2023. The reason for the gap was not fear. The practice worked, the money was good, and staying was the rational choice every morning until ...
#208 The Medicare Rule That Means You Cannot Bill for Half the Lab Tests You Order
Part two of two. If you send a specimen to an outside lab and they bill you eighteen dollars for it, eighteen dollars is the most you can bill Medicare. Not your contracted rate. That is the anti-markup rule, and it is one of two things that qu...
#207 Medicare Pays $18 for a Strep Test. Here Is What That Means for In-Office Lab
In-office lab is one of the most common ancillary additions practices consider, and one of the easiest to get expensively wrong. Part one of two: the framework that decides everything before you spend a dollar. What CLIA is. ...
#206 $12,000 a Month in Revenue You Do Not Actually Have
Before you build a business case for anything, a new hire, a second location, a new service line, three numbers have to be right. Payer mix. Net collection rate. AR days. Most owners have all three. Almost nobody has calculated them correctly i...
#205 Your Practice Can Be Profitable and Still Run Out of Money
A practice hired a provider in January. The hire was right and she was generating revenue from day one. By March the practice was sixty thousand dollars short and could not make payroll, because nobody had modeled what cash looks like in month ...
#204 The Most Expensive Thing in Your Practice Is an Open Note
A full schedule is not the same thing as a healthy practice. Our guest this week walked into an independent family practice in Colorado to do finance work, was offered the practice manager role a few weeks later, and quickly found the gap: pati...
#203 She Never Missed a Monday. Her Collections Dropped Anyway
She never missed a Monday. Twelve months of weekly billing meetings, every number reviewed, every question answered. And by the end of that year her net collection rate had dropped four points, her ninety-plus AR was up forty percent, and her d...
#202 $144,000 a Year and Nobody Ever Escalates It
The most expensive billing relationship is not the one that is clearly failing. It is the one that is quietly not delivering. On a practice doing $400,000 a month, three points of net collection rate is $12,000 a month. Nobody escalates $12,000...
#201 You Are Half of Your Billing Company's Performance
A practice doing seven figures a month switches billing companies, and eighteen months later the denial rate is higher than the day they signed. Nobody lied. Both sides just walked in with a different picture of what good looked like. In this e...
#200 Your Performance Reviews Are Making Your Billing Team Worse
👉 Free 30-Day Revenue Recovery Plan: https://eligibility.natrevmd.com/nrc/-30day-revenue-recovery-planThe plan we would build with you if you walked i...
#199 You Are Destroying Half the Value of Every Hire in 90 Days
👉 Free RECOVER Diagnostic: eligibility.natrevmd.com/recover-diagnostic The exact framework we use when we walk into a new practice. Takes five minutes. Results are immediate. ──────────────── Only 12 percent ...
#198 $300,000 in Old AR Is at Risk During Your Next Billing Transition
There is a revenue cliff hiding inside the billing transition most independent practices are planning right now. Not from the change itself. From the order of it. In this episode we walk through why the money in your bank account during month o...