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.Join the conversation in our Facebook Group: NatRevMDLearn more at www.natrevmd.com
#152 The 5 Dysfunctions Holding Your Medical Practice Back (And How to Fix Them)
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<...
#151 The Telehealth Limbo - How to Keep Billing While Protecting Your Practice
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 p...#150 Re-run Episode: 5 Metrics to Evaluate your Practice
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:
Subscrib...
#150 How Daily Huddles Improve Revenue
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...
#149 Marketing Packet: Add $1M to your practice
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 revoluti...
#148 The 4 Untapped Ways to Increase Revenue
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. S...
#147 Re-Run Episode: Top Skills for a Thriving Practice
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 results
Tune in for acti...
#146 Re-Run Episode: Patient Collection Process
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 fron...
#145 The Ultimate RPM Implementation Playbook (Part 2)
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...#144 The RPM Gold Rush (Part 1): Understanding the 2026 Code Changes
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...
#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 “sticker shock.”Why you must verify bene...#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 practice.
In this episode, you’ll learn:
How to set a concrete 2026 revenue and visi...#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 blind and find the cash your practice is missing.
...
#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, standardize training, and revolutionize your hiring process.
Stop being a firefighter in your own practice. It's time to...
#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 in uncashed checks sitting at the post office to undercharging for services, they reveal the hidden leaks in your...
#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 losing good providers because of it.
In this episode, Dr. Heather Signorelli gives you the entire...
#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 practice up to win the race! 🏁
Need a free billing metric audit...
#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 silently draining your revenue
• The most common undercoding patterns physicians don’t realize they’re doin...
#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 itWhat actually matters when comparing W-2 vs. 1099 incomeSimple structural decision...#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 already provide.
If you’re an OBGYN, practice manager, or billing leader...
#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 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 h...
#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 it’s time to finally get intentional with your online presence, this conversation gives you practical st...
#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 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 real...
#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 use 59 vs the X-modifiersWhy adding 59 rarely changes payment but can flip denialsThe most common misuse patternsClinical examples from urgent care...#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 how AI can streamline your workflow: Book a demo with Preface Health (https://www.prefacehealth.com/)
#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 doors to managing payroll and balancing family life, Dr. Ahdoot shares what it really takes to grow a profit...
#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-certified neurologist, author of The Locum Life, and host of The Art of Medicine podcast. Together, they explore how physicians can emb...
#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 understanding overhead and compensation structures to knowing exactly how much profit each patient brings in.
You’ll learn how to:
✅ Calculate...
#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, understand your true overhead, and use these insights to make smarter hiring and compensation decisions. Perfect...
#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 value” to payers. You’ll learn how to code with precision, prove medical necessity, and finally ge...
#123 How to Keep More of What You Earn: Asset Protection for Physicians
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.
In this episode of NatRevMD, Dr. Heather Signorelli chats with Omar Morillo, Certified Financial Planner and founder of Imperio Wealth Advisors, about how physicians can protect their assets, save on taxes, and plan for the future.
They dive into smart business structures, asset protection, pension plans, and es...
#122 5 Numbers That Tell You If Your Practice Is Healthy (or Bleeding Revenue)
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.
In this episode of the NatRevMD Podcast, Dr. Heather Signorelli reveals how just five key metrics can tell you whether your practice is thriving or quietly losing up to 15–25% of its revenue every month. Many practices don’t realize they’re leaking revenue simply because they’re not tracking (or understanding) the right numbers.
You’ll learn:
✅ How to know if your...
#121 Cigna’s New Downcoding Policy (R49): How Denial Code C150 Could Cut Your Revenue
**Free Guide for Listeners:** Boost your practice’s cash flow and reduce denials with our step-by-step **Eligibility & Billing Verification Training Guide.**
Download it here → https://natrevmd.com/eligibility-billing-verification/
Starting October 1st, Cigna is rolling out a controversial “R49” policy that automatically down-codes higher-level E/M visits—cutting physician reimbursement even when documentation fully supports the billed level. In this episode of the NatRevMD Podcast, Dr. Heather Signorelli, DO, breaks down what this means for your practice, how ICD-10 codes and E/M guidelines intersect, and why the California Medical Association is fighting back. You’l...
#120 Don’t Let Hiring Kill Your Profits: A Framework for Physicians with Dr. Una
Checkout the EntreMD Business School: https://entremd.com/
Hiring the wrong way can drain your practice’s profits—but it doesn’t have to. In this episode, Dr. Una shares her proven framework for hiring profitably in private practice. You’ll learn how to avoid cashflow crunches, recognize the right time to bring on new team members, and build a thriving, sustainable team that supports your long-term growth.
👉 Visit us at www.natrevmd.com to learn more resources for your practice.
📌 Don’t forget to subscribe to the podcast and leave a review—your...
#119 Stop Losing 6 Figures to Credentialing Mistakes: 5 Fixes Every Practice Needs Now
Credentialing may not be glamorous—but it’s one of the most important parts of keeping your practice’s revenue flowing. In this episode of Nat Rev MD, Dr. Heather Signorelli breaks down the Top 5 Credentialing Mistakes that cost practices time, money, and peace of mind. From missing contracts to failing to renegotiate payer rates, delaying new provider credentialing, and overlooking expirations, she shares practical steps to prevent costly errors.
By the end of this episode, you’ll know exactly how to spot risks, plug leaks, and create systems that protect your revenue...
#118 From 30 Hours of After-Hours Charting… to Zero
Most physicians don’t burn out from patients—they burn out from endless charts, inboxes, and denied claims. After 15 years in “charting chaos,” Dr. Sarah Smith discovered a system to close every chart before leaving work—and now she teaches other physicians how to do the same.
In this episode of the NatRevMD Podcast, you’ll learn how to:
Eliminate 5–30 hours of unpaid work each weekClose charts the same dayStop eligibility denials that drain revenue👉 Tune in now—and visit NatRevMD.com to learn more.
👉 Explore our Eligibility & Billing Verification Guide
for practical tip...
#117 The Power of Saying Watch Me: Dr. Rachel Rubin on Building, Scaling, and Leading in Medicine
When Dr. Rachel Rubin was told her work was “too weird” to succeed, she proved everyone wrong. Now a leading sexual medicine specialist and founder of a thriving practice, she’s reshaping how medicine approaches women’s health.
In this episode of the NatrevMD Podcast, Dr. Rubin shares how rejection fueled her success, the role of networking, why marketing is service—not sales—and her course helping clinicians prescribe evidence-based hormone therapy.
👉 Don’t forget to subscribe, leave a review, and share this episode with other professionals.
For more resources, visit NatrevMD.com.
#116 Stop Losing Thousands in Patient AR: 5 Strategies That Work
Is your practice losing revenue to unpaid patient balances?
In this episode of NatRevMD, Dr. Heather Signorelli uncovers why patients aren’t paying, the mistakes that cost practices thousands, and the simple strategies you can implement—from credit card on file policies to front desk scripting—to cut patient AR, protect your revenue, and maintain strong patient relationships.
For more resources, visit NatRevMD.com—and don’t forget to share this episode with other healthcare professionals who need it.
#115 The Lessons Owners Shouldn't Overlook
Building and running a medical practice is never simple. Many healthcare leaders struggle with staffing challenges, revenue cycle headaches, or simply trying to balance patient care with the demands of business ownership. But here’s the truth—success is possible with the right systems, leadership, and team culture in place.
In this episode, Dr. Heather Signorelli sits down with Krysta, a nurse-turned-CEO, who shares her journey from the ER to running multiple urgent care centers. Together, they tackle big questions like:
✅ What does it really take to transition from clinician to CEO?
✅ How can practices overcome...
#114 The #1 Front Desk Mistake That Causes 30% of Denials
Stop Losing Revenue to Eligibility Errors
Did you know that up to 30% of denials in private practices come from eligibility mistakes? In this episode of the NatRevMD Podcast, Dr. Heather Signorelli unpacks the seven most common eligibility errors—from skipped checks and inactive coverage to coordination of benefits and payer ID mix-ups. She also shares practical fixes you can implement right away to cut denials, protect revenue, and keep cash flow steady.
Whether you’re managing a small office or multiple providers, these tips will help your front...
