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Insurance billing doesn't have to be one of the biggest headaches in your practice. In this episode, Dr. Glenn Vo sits down with Shreyas Parab, Co-Founder & CEO of DayDream, to discuss how AI and experienced billing specialists are helping dentists improve cash flow, recover more insurance revenue, and take the stress out of revenue cycle management.
This KSL Brightside Afterparty, Ethan and guest host John Clyde discuss the finer parts of the day. We kick the Afterparty off strong with James Franco claiming that he recorded an alien on his property. A new species of monkey was discovered in the Congo. An influencer billed eBay for posting on their social media page.
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Lando Norris didn't break the part...but he still gets the penalty.Climb the ladder with me on Patreon: https://patreon.com/lawvsMcLaren has finally taken the grid drop we've been waiting for since Monaco...Lando Norris starts ten places lower at Spa. The F1 rulebook HAS allowed extra components because reliability was uncertain...but the parts fail and it's not Mercedes that suffer first. Also, the numbers don't care about your feelings.And with Kimi Antonelli and George Russell also facing the music regarding Formula 1 engine issues, this championship could easily be decided on who is the least prone to fragility. Watch out, Toto Wolff!#f1 #landonorris #formula1 #formulaone #f12026 #belgiangp #spafrancorchamps #fianews #mercedesf1 #f1analysis #f1news #motorsport #f1latest #f1updates #f1drama #f1gossip #f1drivers #f1teams The Engine Failing Its Way to the Title (& Billing Norris for It)https://youtu.be/2wI8xKneWSg Hosted on Acast. See acast.com/privacy for more information.
For the CEOs out there, how are you planning out your weeks to keep your business humming for the short and long terms? Kiera talks about what it means to plan and delegate as the leader of your company, as well as three tips that CEOs of multi-million-dollar practices live by when it comes to success. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:01) Hello, Dental A Team listeners. This is Kiera, and I hope you are having an awesome day today. I hope that you're loving your life. I hope that you remember that we just are so lucky to live this life, that we are so lucky to work in dentistry, that we get to have our life calling. I am just so excited to podcast with you. I am coming in off the road. You guys know that when I've been on the road, it's a great time. I love seeing offices in person. I love working with teams. I love seeing how very simple. pieces can actually help out a practice. And it was really, really fun. So I'm just excited. I'm I'm lit up and I hope you are too. So today I wanted to go through just a fun ⁓ I realize a lot of people listening and a lot of our clients and even myself included, a lot of what we're trying to accomplish as business owners is how do we become the CEO of our business and how do we block that CEO time and how do we actually work on the business? Like everybody says like you got to work on the business and not in the business. And I just get annoyed with that. I'm like, okay, but great. Like Tell me what that actually means. Tell me what I'm supposed to do. And so today I wanted to break it into very much a what exactly does that mean? How do I actually do it myself as a CEO? Giving you guys some tips of what do you do on Sundays or when you block your time? How do you set up your week for success? So I think a lot of time it's ⁓ there was I think it's like if you fail to plan, you set yourself up for failure, something like that. Like there's a quote, I'm sure I could have done a better job on that. But it's so many times people come in and they feel like they're just very reactive instead of proactive. And early in my career, there was a great client of mine who was like, Kiera, do you know how I prep for coaching calls? And I was like, How? He's like, I go to a coffee shop, I spend 30 minutes preparing for a call, I sit there, I ponder, I make sure that I'm very intentional. He's Do you know how sometimes you feel like you come into calls? Mind you guys, this is like Kiera, like two weeks into owning her own business. And I was like, He's like, You feel like you just rush to the call and ⁓ At that time he wasn't wrong. And it was a really great thing for me to recognize and I think about that often of what are we doing with our weeks as CEOs? Are we running into them haphazardly, not even prepared? Or are we like the client was where we take the time to plan, to prepare, to see what we can actually delegate to our team, to other team members on it, or are we just in reactive mode? I think it's more the how proactive are we versus how roactive are we. So I want to just walk you guys through specifically what I personally do, things that have worked well for my success, things that have worked well for clients that we work with. To hopefully give you just some good tips of how you can set yourself up as a CEO and maybe start doing things a little bit differently. Like they say, success leaves clues. So let's give everybody clues and tools and different things that we all can do together. So that's what I wanted to do. ⁓ and also just realizing like you genuinely don't find time to work on your business. You don't find time to be a great leader. You don't find time for this. You have to create and make that time. So ⁓ one thing that I noticed is like, we're going to work on how to stop reacting and be a bit more proactive. So I think when I look at it, you're trying to be a doctor, a manager, HR, scheduler, problem solver, like just answering all the problems and you're trying to do it in real time rather than sitting there focusing. And I will say when I look down the line, I can tell when I've been proactive and I can also tell when I've been very reactive. So I just wanted to kind of give you like three tips how specifically I do it, what I do, and what I've seen other offices do and other doctors do that are very successful. And like I said, The my elite practices who are the multi-millions, who have multi-offices, who have their lives where it feels like they just have it together, these are things that they all do too. Now, how you do it, when you do it, that's gonna be up to you. But all of us do a lot of the same things. So ⁓ number one for me, I block my time on Sundays. So you can do it whenever. I do not like having the Sunday scaries. I don't like walking into my week. I also don't like to plan on Fridays. So whatever it is, I'm usually downright tired on Friday. And so that's not usually my best day. So for me, it's on Sunday. So it takes me about I usually plan 30 minutes to an hour, is how long it takes. ⁓ and I still have a physical planner. So, however, it's gonna work well for you. But I like to see physical space. I'm a very visual person, and so I like to see my physical space. So I actually walk through and I go through my entire week. I map out exactly what is there, what's on the calendar, and I I go out four weeks. So I'm looking ahead to see. What things are on the books, what meetings do I have? You could be looking at your production. So you could be looking to see what do you have coming up? What projects are coming up? What pieces are coming up. ⁓ like right now, mid-year, I'm looking at my taxes. So I'm looking in the different buckets of from as a CEO in the business, like what's my profitability, what's my culture, where are we headed? It's about to be mid-year. So I'm looking to see what what pieces do I need to get done there. I'm also looking for me, I've got podcasting, I've got meetings, I've got Bookkeepers. I've got different people that I'm meeting with. And so where is that at? And I always am looking four weeks out. Now, office managers should also be doing this as well. So this is for doctors and OMs. What do I have coming? Like what's coming up on the schedule? What are the team challenges? I'm looking to see what team things need to get done. What projects are we doing? What initiatives are we rolling for this week, for the next week, and the following? What I found is when I'm on a four week run, I'm able to catch things, I'm able to ha better utilize my time. I'm able to see like, gosh, we've got vacations coming up. Do we need to do more production right now? So I really, I personally, Kiera Dent loves looking four weeks out. So looking to see where it is. ⁓ and then I look at this week. So by looking four weeks out, I'm able to say like, where am I maybe put in meetings that I don't need to be a part of? ⁓ where am I missing? What team members are going to be out? What things do I need to proactively plan for? So I'm really looking and like overseeing a lot of those scheduling pieces. Now managers should be doing this as well, looking to see. Do we have our schedules covered? Do we have different pieces? For me, I'm looking to see who can I delegate, who on my leadership teams in and out, consultants being on the road for you when our associates out. And I think when we proactively can look at this, we can look at our production. We can look at where am I working on the business? What big projects and initiatives do I want to get done? So for me, I just noticed that where it's at. I really do think doctors who are looking at their production a week out, two weeks out, three weeks out, four weeks out, you're going to be a lot more proactive and I know a lot of dentists get into the rut of just kind of being robotic. Like we go and we do our exams. When you're constantly looking at your week, what is my production? What's my dollar per hour? How am I looking? What were my cases? Reviewing my cases last week, which closed, which didn't close, looking at my PL, looking at my numbers, looking at my meeting with my office manager, what things are on my plate that I could delegate to my office manager. I'm always looking. I also have a list of things that I write down. you can have it as a a digital version or you can have it as a paper version. I technically do both. ⁓ but really looking to see what is my game plan. So that way when I walk in on Monday, it's very much prepared. I also am planning my leadership meetings. What things does my leadership team need to have in place? What do my consultants need to have in place? ⁓ what do I need to be relaying to our COO and our CFO and what things do I need to have them working on as the CEO? Like at the end of the day, the CEO, we are orchestrating. Yes, we do have a lot of people that work for us and with us. ⁓ but I'm orchestrating of Who do I need? What meetings do I need to have? Where do I need to make sure that I'm running these pieces? So maybe you're looking at what do I need to get my lead hygienist to be working on? What things if my dental assistants could take over would help me out? How are our supplies? What are our budgets? This isn't saying you're managing the practice. And I hope that you're hearing of you're looking at to me, I feel like I'm kind of doing an inventory. It's almost like I'm going to go grocery shopping. Like what's the inventory of my business? Where are things and what do I need to have the different departments do? Because if I can proactively just get people working on one or two projects throughout the week that don't rely on me, we're able to make a lot of movement and momentum. And I've actually found my friend and I, really, really successful CEO. We were talking about that. And he said, Kiera, could your business sustain without you being there for a month? And I thought about it and I was like, actually yes. Like I'm very proud of our team. I'm very proud of what we built. They could last a month without me being here. I've tried it, I've tested it, I know for a fact they can, I know they could go for longer than a month. But he said, but will they grow without you there? And I've thought about that a lot. And so for me, when I'm taking my CEO time and I'm blocking my week, it's I believe we're almost like the wind in the sails. Our team is the boat. Our team is the sails. You as a CEO need to be the wind. So how are we going to grow? How can we work through our team and not have everything sitting on our shoulders? I'm very, very cognitive of what meetings am I in, what what projects are being assigned to me, what projects are assigned out there, what things have I not followed up on. Who do I need to follow up on to make sure things are moving? And I will say it just it takes that load ⁓ off of my brain and allows me to really be present and to step into Monday in that week very confident, but also not just the week. We're looking at the month. And so we're always in this proactive piece. So really looking at the financials, looking at the business acumen, looking at what my OM should be doing, and then who can I delegate to? So the next piece to this is once I have it all mapped, once I've looked at it, once I've removed it. Then I'm gonna be delegating. So I literally have a list of here's all the items Kiera has on her. Are these things really for me? Or who's better at that, who's more equipped, and who actually has the time to do it? So I will delegate out projects or tasks. Or if I know I have a big project coming up, so maybe we're working on operations manual, or maybe you're working on an Invisalign promo, or maybe you're working on ⁓ getting your hygiene period protocol written. Are there people that can help you with this project that are just as good, if not better than you, that you could delegate out tasks to them? So I'm I'm really thinking in it's not even project management. It's more like, okay, I need to get these projects done. Who has time? Who's available to do this? And also whose responsibility is this? If Kiera's not the only one who can do it as a CEO, it doesn't sit on my plate. I'm going to pass it to somebody else. If it truly is only something me as a CEO can do, and that's not out of pride, ego, or things that I like. I need to delegate it and make sure it's followed up with. So I look at my personal assistant, I look at my EA, what things can they take on? I look at our marketing team, our sales team, our rev team, our CRO, our CFO, our COO. Which ones of those can take these projects on? Who do I need to follow up with? So like truly, you delegate out to the team around you and you make sure that you're utilizing each of them. And so ⁓ I really think it's just a valuable thing. I think it sets you up for success. I know it sets you up for success. And it's also working through your team. ⁓ we've been talking about this a lot in our leadership meetings and on our leadership team of how do you work, like how do you get everything done? And I think there's different types of leaders. There's those who want to just do it all themselves, and then there's those who work through their team. And working through your team is delegation, it's elevation, it's not abdication. It is really working through your team, meaning all of us are working together, all of us are getting the projects done. One person's not carrying the weight, and the rest of us are just sitting there. on the boat alongside them, but we are working through the team. And this is how you prevent burnout. This is how we prevent having things stack up. This is how you're able to again be that like wind that pushes through the sales. So how do I work through my team? Because there's always a lot more that needs to be done that can't get done. How do I look at my systems? How do I review different pieces? I got to scratch those itches like maybe our finances aren't as tight. Maybe our billing's not as tight. Like let me look through this. It doesn't mean I need to do a deep dive. I can delegate and say, hey Sarah, I'm curious about our EOBs. Can you take a look through the last three months and give me an assessment of where we're at? Like should take you about an hour. Do you have time to do that this week? I'd love that. And I'd love a report back by Friday. Absolutely got you. I make a note of the things I should follow up on as well because I don't like to delegate. I don't like to ask and then not follow up. And that's something that I will say I'm not naturally gifted at and something I have work really hard at. But really, it's a how do I plan my week? How do I work through my team? And then the next piece is when I do delegate, delegate outcomes not. tasks. I think that this is such a a beautiful, different frame of mind to think of. ⁓ so with a team instead of calling overdue patients, it would be like you own the schedule, ⁓ I need you to call as many unscheduled or recare patients to get it full and to report your progress weekly. That's a different thing. So now it's a it's an outcome of owning the schedule rather than calling undue pay like overdue patients. Instead of working on our AR, it's we need to have our collections at 98%. We need, ⁓ are over 90 to be less than 15%, ⁓ or like go down the line of one month's worth of of production or and collections. So this way they're able to work on these items, report back to you, and to really have ownership over an outcome rather than a task. ⁓ this year's theme in our company is outcomes over activity. I'm really big on people owning an outcome, driving metrics, ⁓ and being owners over that and to really shine in their own direction. And so for you to To give that ownership, ownership creates accountability. Delegation really will work when responsibly has a name attached to it. So what are we delegating? ⁓ and look to see what is that task? Does it align, making sure you have a really clear accountability chart too or organizational chart? Who does what in your organization? For me, I pull that out every single week and I'm like, okay, I've got these tasks. Who's the right person in the right seat to do this task and requirement? And who can I give ownership to this? So as we're looking at it, I think it's a Can I block my week, my month, the next couple of weeks and look at it? Am I looking at my production? Am I looking at my overhead? Am I looking at my profitability? Am I game planning for that? Then am I taking that game plan to leadership? What are the issues that are outstanding? What things still are sitting on my mind that are taking up a mental load? Can I add that to my leadership team's agenda so that way it's off my mental load and it's there and then it's delegated, it's followed up on, it has accountability for it. Truly, like where are the parking lots for your brain? So it doesn't sit there and churn. Like, I love our leadership meeting where we're able to put these items on there. What about in our hygiene department and our dental assistant department with my OM? Do I have agendas for those? So as I'm going through my week, these items that need to get done and resolved, is there a parking lot so I can relay this information? Do you have the meetings in place for me? I really love like every week. And people are like, you have so many meetings. And ⁓ I'm a proponent of less meetings, but meetings that are very effective. And I do run off the model of traction. So it's an every single week, it's a 90 minute. leadership meeting and then we do have department meetings and I used to feel like it was so much. ⁓ but when meetings are run and they're run very effectively, which I believe the L10 model is one of the most effective meetings that are always productive as long as you're actually running them, calling out metrics and focusing on the most important things. We parking lot these issues that come up. That way there feels like it's a space for it. For me as a CEO, a lot more could move forward because I'm not having it sit on my brain, sit on my plate. There's a space where things can get delegated and discussed through. and then having those direct reports, report back and having the follow-through follow-up. I found so many dentists get stuck because I feel like we have this churn in our brain, but there's nowhere to put it. There's no follow back loop from our office manager or management team back to us to say where are things at. So having those set cadence of meetings where I can delegate out, we can report up, we can work through our team, really allows the entire organization to move quicker and faster. There are some departments that might not need a weekly meeting. I found that hygiene. Once your hygiene department's running and they're hitting their metrics and they're doing a great job, they're usually like once a month. And what they really prefer in hygiene is they're going to want to have trainings in CE and looking at our metrics and seeing how do we work as a department. But really, hygiene oftentimes is a self-sufficient department. Doctors, once month calibration is usually sufficient unless I've got an issue where I'm onboarding a new doctor. ⁓ dental assistant department, depending upon how they are, a lot of times they do need weekly training. ⁓ full team training oftentimes can be once once a month, and that's very effective and efficient. Doctor and OM meetings every single week, non-negotiable. Leadership meetings every single week, non-negotiable. Those are things that I'm absolutely meeting with. ⁓ those things then can move forward. Billing meeting every single month. So that way you've got places, you've got agendas, you've got set times are set. And then we need to have some type of project management software where you as a CEO know all the projects moving forward have deadlines. They've got people assigned to them so it can loop back to you. So hopefully that's just helpful for you ⁓ to stop like putting out constant fires, to stop having it churn in the back of your brain to have some structure, to be able to get that leadership structure in place. Because I found that ⁓ if you're trying to be the superhero and do it all, that's where burnout happens. that's where a lot of teams feel less empowered. That's also where you're actually enabling your team to not be there. Like you solving all their problems feels like you're helping them out, but it's actually creating dependency and it's creating burnout on you. So what should happen is when teams ask questions and they immediately get answers, we gotta have it to where they can solve their own problems. If you as the owner are jumping in to solve patient issues or problems within the practice all the time, you have an empowered and lifted a leadership team. If the office manager is coming to you solving every single problem, like they've got to really be empowered to do this. And so really also teaching our teams to come up with their recommendations. What are three solutions to this problem? what options have you considered? What do you think we should do? But really start helping your team and expecting them and rolling that culture out so that way as problems evolve and resolve, it's not just sitting on you. So hopefully that was helpful of prepping it on Sunday, how far out I look, what things I'm looking for, what we teach our doctors to do, what we help our leadership teams with our offices do, to really be able to scale, to have stability, to have like consistency. I think that that's one of the greatest things we're looking for is we want this structure, we want scalability, and we want it to be able to have great stewardship over our practices. So If this is something you're struggling with, if you're like, my gosh, like this is my life, I feel like it's on that constant hamster will loop in the background where I never can let go. I feel like I don't know how to prep. Try it. Try prepping Sunday. Try prepping your week out. Reach out. ⁓ I think a lot of you are great clinicians and you do an amazing job. You have a very creative mind, maybe not a management mind. And so ⁓ I think sometimes that management skill needs to be taught, it needs to be trained, and it needs to be given to you in organization and structure. So reach out. I'd love to help you. We help create those leadership systems and help build in accountability and help you delegate with confidence and how to help your team elevate to that level because they might not know either. So if you're looking for answers, great news, today's the day. Reach out Hello@TheDentalATeam.com. But I really just encourage and implore each of you to try and whatever it is, if it's a fr Friday for you, if it's a Sunday for you, look down the line, look at your emails, look at your tasks, look to see how you can work through that team. Look one week out, two weeks out, four weeks out. Look at your production, look at where we're at, look at our billing, look at our collections. Really start to get into the mode of being a CEO. And right now you might be like, I don't even know what to do. Fantastic. Block the time. And I promise you, the more you do it and the consistent you are at it, the more it will start to become a habit, the more you're starting to see things because it's a consistent piece. Get those meetings, get those agendas lined up so you've got a parking lot for those ideas. Really start to build that structure. And I promise you, things will be so much easier for you. As always. We are here. This is what we do. We're experts at it. So reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Revenue doesn't disappear overnight. It slips away through denied claims, incomplete documentation, poor insurance verification, and small breakdowns that most dental practices never notice until the numbers stop adding up. In this episode of Nobody Told Me That, Teresa Duncan sits down with Allyssa Mizenko, CEO of Zen Dental Support, for an in depth conversation about the hidden challenges of revenue cycle management. They discuss why insurance verification is more important than ever, how weak documentation leads to costly claim denials, why front office and clinical teams need to work together, and how setting the right financial expectations with patients can improve collections. Whether your practice handles billing in house or works with a billing company, this episode shares practical insights to help protect your revenue, strengthen your systems, and improve the overall patient experience. Connect with Allyssa Mizenko Facebook: https://www.facebook.com/zendentalsupport Instagram: https://www.instagram.com/zendentalsupport LinkedIn: www.linkedin.com/in/allyssa-mizenko-8aa014387 Dental Claims Attachment Checklist: https://mizenkodallyssa.gumroad.com/l/tzcnjx —------------- Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Podcast listeners use NTMT100 for a $100 courtesy. ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase. ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment. ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt #Dentistry #DentalPractice #RevenueCycleManagement #DentalInsurance #DentalBilling
Think about the last thing you did at work and forgot to charge for. A nail clip. A blood test. A “quick” ultrasound that never made it onto the invoice.One missed charge feels insignificant. Across an entire clinic, it isn't. (It's estimated that the average veterinary clinic misses between 5% and 10% of its charges!)In this episode of our Tech for Vets series, Dr Patrik Holmboe from Nova Vet Family demonstrates SmartCapture, an AI tool that compares clinical notes with billed items to identify services that may have slipped through the cracks.But this isn't about chasing clients for forgotten charges or blaming individual vets. It's about finding patterns and fixing systems. Which charges are missed most often? Why are they being missed, and what can you change in your workflow to stop the same leak recurring?Patrik explains how SmartCapture learns the billing patterns of an individual clinic, and how clinic leaders can turn billing data into practical changes without simply telling the team to “charge better.”This episode includes a screen demonstration. You'll still get the important ideas on audio, but you can watch the video version on Spotify to follow the walkthrough.Resources mentionedLearn more about Nova Vet Family's SmartCaptureAAHA: Maybe Money Does Grow on TreesSubscribe to The Vet Vault newsletterVet Science Week 2026Vets on Tour conferencesASAV Annual Conference with the Veterinary Business GroupGreencross CONNECT26 Clinical ConferenceTopics and time stamps02:46 Meet Dr Patrik Holmboe & Nova Vet Family04:11 How SmartCapture Works06:45 The Scale of Missed Billing16:16 Potential vs. Confirmed Missed Charges21:11 Why AI Scribes Improve Results23:21 Turning Data Into Action25:29 Top Missed Charges & Tactical Focus35:28 Workflow & PMS Integration52:04 Wrap-Up & Newsletter
Kiera shares the three most common pieces of bad advice out there when it comes to growing a practice. She encourages doctors not to keep applying new pieces of information to growth, but to understand how to filter the best pieces for your practice — and shares three truths to making this happen. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera. And today we're gonna talk about a couple of lies feel so harsh, but I think these are maybe some misnomers, some beliefs that a lot of dentists are told about growing a practice that aren't true. Or they could be true, but they don't have to be true. So again, like I don't want to say it's lies. I just think it might be a possibly wrong way to look at things if you want. And so I want to talk about some of those like what are the like three biggest lies, if you will, with air codes around lies. Because I think about a lot of advice is given to you about how to grow a practice, but I don't think it's all true. I think that there's ways that we can look at it differently and get different outcomes. And I don't think people are trying to mislead. ⁓ but I just I feel like it's incomplete. And so I want you guys to recognize that growing your practice and evolving your practice isn't about following more advice or doing more things. I think it's actually about filtering like what is the best way to do it. And for me, Lazy or efficient, take your pick. I prefer the term efficient. ⁓ let's just get you the most efficient way to grow your practice that keeps you sane, that doesn't burn you out. Because again, I'm about the yes success model. It's all about you, making sure you're living your absolute best life, followed by earnings and profitability and then systems, structure, and scale for you. We've got to have those in place for you. And so I'm really, really big on growing, not for growing sake, but to grow in the way that's best for you, which is why vision and you are the most number one important thing. So when you go through this, I just I want you to realize like we don't have to stay stuck, we don't have to say overwhelmed, and we don't have to plateau. But there's ways that we can walk through the most common lies, if you will, that are talked about with growth. And then three truths that actually will drive real sustainable growth for you. So number one that I hear a lot is like you just need more new patients. Now, this can be true. Like I said, lies are with an air quote, and you don't always have to be doing marketing spend and you don't have to constantly be attracting people. And like to me, it's constant marketing spend. Attracting instead of retaining and full hygiene with low case acceptance. Like that can be some of the things. And what's wrong with that is a lot of offices, like when they're telling me, Kiera, we're at like 90 new patients a month. I'm like, cool, you got a backdoor open problem. Like, if we just close that back door, you probably wouldn't need as many new patients, but your ego is screaming, I need more new patients. Or I've got just all these patients coming through, and that's again, we're not retaining them. Or our hygiene schedule is full, but like our doctor schedule is wide open. Well, we don't have great case acceptance. So to me, Gotta have like great patients coming in, retaining them, and follow through. So growth actually comes better from conversion, not volume. You do need both, which is where I don't think it's a lie. Like you do need patients. We gotta have at least 30 new patients per doctor per month in a like a GP practice. Pediatrics usually run in like 75 to 90, depending upon the the location and what we're looking for. So, like more patients aren't gonna fix leaky systems. So another Another one, like I said, I'm gonna go through them and they'll tell you like some solutions to fix it. Work harder and produce more, like outproduce your problems, add more days, work longer hours, do more dentistry personally. But like that's burnout. I just had a doctor and she's like, Kiera, we talked about production and I just can't do it. And I was like, Yes, because you're not supposed to do it. We're supposed to have goals. We're supposed to have the whole team. Like I I was with an office and their goal is like twenty-five thousand a day. But the dentist isn't doing all that and they're out by like four o'clock and we're just scheduling better and we're making sure all the hygienists are up to goal and each doctor's up to goal. Like profit doesn't always follow production. I don't care what your top line is, I care what your bottom line is. So you have to like there is a zone where a lot of doctors work more, but they don't actually make more or they like take home the same. And to me, that's nonsense. Like I'd rather you scale it back and have a small practice than having this high, I don't know, ginormous one and not taking home profit. So You've got to have, we've got to have efficiency, we gotta have systems, and we gotta make sure it's not all on hue. And then like let's talk about what growth and profit are that we actually wanna hit, not just a top line number. So I I'm really big on like you don't have to work harder and produce more. There's actually a way of how like what do we really need to produce? How do we actually build a schedule? How do we use the entire schedule? How do we use our morning huddles to win rather than just produce, produce, produce? Okay. Another myth is hire more people and we'll fix it. Like just throw money at your problems through hiring people, through doing this, like this thing will help us. Like, let's add team members. I have an office and I think they've got like 10 people in the front office. I'm like, my gosh, that's psychotic. Like, but everyone feels overwhelmed and overworked. And I'm like, yeah, because no one has clear job descriptions. No one has an end-of-day checklist. No one has like ownership of it. We just keep piling more and more people on rather than like, all right, what's broken? What's a true system? Because I typically say, Per doctor, I want one for an office team member, except for if there's only one, then I want two. But that's usually a pretty good ratio. Office managers are like debatable if they're there or not. So if you look at that, this is where, but like we overstaff, but we don't have clarity. We got payroll, but like our payroll sky high, but we saw the same issues. Payroll should be sitting at 30%. Like that should be where we're at. Even if you're like here, it's so expensive. I'm like, I know, but we also can't overpay. We can't have so many team members. There are ways that we could like. You can outsource. There's so many things that we can do. And that's not for me to say we can't hire people. It is for me to say, like, we got to be smart business owners too. So a lot of times people don't fix broken systems. Confusion scales with headcount. Trust me, I used to have a team of five. Now I got a team of 25. It's crazy. It's very thrilling. So, like, you can add more and more people, but if we don't have systems and processes and like, clear job descriptions, you're just gonna create more chaos and you think you're gonna fix it, but you just add more, then you're stressed because your cash flow is less. It doesn't fix. You got have structure before you have growth. So people don't fix systems, systems support people. So a couple of now like truths. Okay. So we had like lies. All right. Number one, like I said, you just need more new patients. Number two is work harder and produce more. And number three was hire more people. It'll fix it. Now like I said, hiring people might fix it. Producing more could fix it. having more patients could fix it. But things that are really going to help are like set systems. Like I was in a practice and I'm like, okay, we just need to get a set schedule. Like I said, they're like, I'm exhausted. I was like, perfect. What is each provider's daily goal? What's their hourly goal? What's our hygiene goal? We need to make sure those are in place. So that way it's not just reliant on one doctor. Now we got to look at our case acceptance. Let's look at our patient flow and let's look at billing. Like to me, a lot of these things like if I just fix case acceptance, I don't actually need a ton more patients. If I just fix case acceptance, it's like why don't we actually clothes the patients that are in our chair. Can we do same-day dentistry for them? Can we get referrals from them? So I'm having quality patients come through. We're diagnosing and we're accepting. Like, what if I just have those? Like those things in place will actually grow your practice. Having 30 new patients a month per doctor is going to grow your practice. Having reviews that tie to that, making sure our collections are at 98%. So many offices actually are profitable, but they're not collecting the money. So they feel broke. But I'm like, that's actually a system that's going to grow you. So like let's just go after a few systems that are gonna truly grab scheduling, block scheduling. What are the provider goals? Let's hit that. Let's talk about that at Morning Huddle every single day. Let's look at our case acceptance. Our case acceptance, if you're at GP, like we're not doing huge cases, you should be at like a 70% acceptance. If we are at all on X, I'm usually at like 35 to 40. What's our case acceptance? What are we closing? Are we doing single dentistry? Like what are we diagnosing? Are we diagnosing three tens of what we're trying to produce? If not, I need to go fix my case acceptance. That is my system to fix. That's going to actually grow my practice. That's gonna put money on my books. Billing, just collect the dang money. Like fix that. That's actually gonna grow your practice. That's gonna grow your profit. That's what's actually gonna grow you. Now, another thing that's actually gonna grow you is having strong, strong, strong profit. You've got to have profit. Like that's gonna grow you. I don't care what your top line is, you gotta know your profit. So, what how do we figure that out? We're gonna look at our BAM. We're gonna figure out exactly what our practice needs to make, including paying you. And then we're gonna make sure that we have enough patients, we have enough case acceptance, we have enough providers, we can block schedule this to actually produce it. Then we gotta make sure we're collecting it. Because if not, we're not going to get it. You have to be profitable. We gotta look at efficiency. How many team members do we actually need to have? What are their job descriptions? Have clear job descriptions, a KPI per person of a number that's gonna drive the business forward. That's going to fix our practice. You don't need more people. You don't need more production. You don't need more overhead. We need to make sure our overhead is correct, that we're adequately staffed, that we have the correct amount of production and procedure mixes. Some people just don't do enough dentistry. Like you don't diagnose enough. I need you not to diagnose a single crown filling. I need it to be a crown if it's really a crown. If we can't do this, like we might not need as many team members. Can we outsource and use a biller that's not an in-house? I don't know, but there's ways to get creative. You've got to look at it. For me, it's non-negotiable. Your overhead needs to be at 50% or less. Doctor pay needs to be at 30%. Our profit margin needs to be at 20%. You've got to go look at it. We either need to cut costs, increase production, or increase collections. One of those three things is gonna make you there. You've got to get profitable. It's not like that's really going to grow you. And sometimes growth comes from contracting. Businesses are like breathing. It's gonna expand and it's gonna contract. Sometimes we're gonna be a bigger team. Sometimes we're gonna be a smaller team. I've done this myself. I've grown too much and I've had to cut. And then we grow again and then we have to cut. It's not because I'm trying to be irresponsible. It's because I genuinely need to like the business didn't grow as much as we thought it would. We now have to contract. You have to be able to make those decisions. Now I hope that you are not like grow, contract, go contract. Like let's not be like adding and cutting team members on a consistent basis all the time. Like more stability. But really look, what are the job descriptions? What is the KPI? If I hire this other person. How much more revenue are they going to put in? What are they going to do? I get it. We want to help our team. But I was in a team the other day and they had an outsource builder and this builder was asking for more hours. And they were like, no, this is what you agree to. This is how many hours we want. Let's see if we can actually like what needs to get done. They're under staff. They have a front office team member that's out on maternity leave. But for that team to recognize like more hours doesn't fix our problems. Like we need to be more efficient. How can we be more efficient? A lot of team members, when I go into offices, are not being fully utilized. So before you go and say, like, we need more team, maybe we should look at their job descriptions, maybe look at our org chart. Let's look at what people are doing and what they should be doing and what they're capable of doing. And then let's see how we can like simplify things. What things can we like delegate out? What things can we hire out? What does that look like? Because if we can get those things put into place, do you realize how much happier every single person is? These are the things that actually grow a practice. Looking at your numbers, knowing your profit margins, having the systems in place that actually put money on your books, hygiene. Let's talk about hygiene. Making your hygienists are doing three times their pay. That's going to grow your business. It's not like just pump new patients in. It's not pump production on the books. It's not these things like work harder. It's not that. It's genuinely right, people. Let's look at our numbers. Let's see. Now it's like okay, if I know the payroll should be at thirty percent, I now have the dollars allotted for that amount. How I spend those dollars is your decision. It's your discretion. I don't really care. But you know the metric. So if you know the metric, you know most offices are able to accommodate this. You've got to figure out how for you you can accommodate this. Do I need to increase my production? Then can I look at my block schedule? Can I look at different ways? Can I look at my case acceptance? Can I look at my diagnosis? Do we have better handoffs amongst all of us? What little things are gonna be able to grow you and your practice? That's going to be like those things actually put money on your books. Those things actually move you forward. Like I said, they're not necessarily lies because you do need patience, you do need production, and you do need people. But making sure that we're not pumping money into those areas or we're forcing those things to grow our business. There's a lot of ways that we'll actually grow your business with a lot of less effort. So look at your practice. And I want you just to say, like, okay, what is my payroll? What is my overhead? What is what is my bam, the barriers minimum of my business? What do I need to produce and collect in my practice? Let's start there. And if I'm like Someone told me the other day that their payroll was 40%. I was like, okay, great. We have two choices. We can either produce more and collect more, or we can find where we're inefficient and what things we need to change. I don't care. You know the metric, you know it. And then you have a choice. You can either do it or not. But this is what's going to grow your practices and grow your bottom line. And these are not as being cutthroat. These are industry standards across the board. If your hygiene team's not producing three times the pain, you're like, but I'm in California. I know I hear you. Practices are able to do it. It's just like the four-minute mile. If someone else is able to do it, let's get creative and see how you can do it. I would recommend cutting the excuses and starting to look for truth, starting to look for how, what are the solutions. Kiera Dent is well known for a famous line of there's always a solution, let's find it. So I want you to really truly, what is the solution? What's really going to grow your practice? And if you're stuck, if you don't know, I'd love to cut through the noise for you. I feel like I play Mario. Like I see all the little, like, I don't know, glitterally. Like, here's your gold star. Here's this thing. It's above your head. Like, my gosh, if they just increase their case acceptance and they fix their blocks and they knew their number, all the practice will grow. In my own business, I struggle with that. In your own business, it's hard to see it. So sometimes you need somebody who's got a bird's eye view, someone who's sitting above the noise, someone who's able to cut through that, someone who's able to say, these are the three systems we're going to put in place first. This is going to grow you exponentially. Let's get the business fundamentals for you. Let's actually grow your business for what you want, not just So like playing like whack-a-mole and trying all these things that don't actually move you forward. So hopefully that was able to give you three lies and three truths, things that will actually move you forward. And like I said, they're not lies. They're just things that I feel a lot of people put effort and energy in trying to solve their problem rather than doing the work. It's like I want a six pack, but until I get on that freaking floor, I can do a lot of things. There's even things to help me lose weight now. But until I want that six pack, I gotta do the work to get there. So for you. We gotta do the work that's actually gonna grow your practice, not just like create noise and make it feel like we're moving. ⁓ I love this quote. I don't remember who said it, but they said, Don't confuse progress with motion. A rocking horse has motion, but there's no progress. And I love thinking about that because when we think about it, that can be that can be something I think we feel. Like you are having motion but it you're not progressing. And like they say, I think it says Alfred A Montagu. I think sorry if I said that wrong. I'm really sorry, but it says don't do not confuse motion and progress. A rocking horse keeps moving but does not make any progress. So for you, are the things that you're doing actually making progress or do they just feel like motion? Because we've got to make sure we're making progress. We're actually growing. We're not just doing motion. So reach out. I'd love to help you. And if this helped Or you thought about it or spurred it, please share it with somebody. Leave us a review. I'd love you guys to take time to get more people, more offices, just like you to be part of our Dental A Team family. I adore you. You're doing better than you think you are, and I'm happy to help you in any way we possibly can. Reach out, Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.
Moving away from insurance can create fear for dentists who worry patients will leave, the team will resist, or production will suffer. In this episode, Kirk Behrendt brings back Dr. Troy Schmedding, a private practice dentist in Walnut Creek, California, to explain how he transitioned out of insurance participation, rebuilt his practice around quality and communication, and created more control over how he practices. You will learn why team alignment matters, how to communicate insurance changes with patients, and why quality and customer service are essential for an out-of-network model. To learn how one dentist reclaimed control by ditching insurance and prioritizing quality, listen to Episode 1070 of The Best Practices Show!Main Takeaways:Dentists often struggle to leave insurance because of fear and self-limiting beliefs about whether their patients will stay.A practice can become less busy but more productive when it is well-managed and focused on quality care.Going out-of-network requires strong communication with the team and with patients.Patients respond better when the conversation focuses on quality of care rather than complaints about insurance companies.Billing insurance on behalf of patients remains an important customer service step after leaving insurance networks.Patient referrals can become stronger when existing patients value quality, service, and the practice model.A successful out-of-network practice depends on having a team that supports the doctor's vision and communicates well with patients.Snippets:00:00 Introduction to Dr. Troy Schmedding and the topic of moving away from insurance.01:09 Kirk introduces Dr. Schmedding and the Best Practices Show.04:15 Dr. Schmedding explains how insurance reimbursement cuts influenced his decision-making.06:51 Fear and self-limiting beliefs keep dentists from changing their insurance model.10:49 Team alignment is necessary before making major insurance changes.13:54 Referrals shift when patients understand and value the practice model.15:06 Dr. Schmedding shares his perspective on dentists' frustration with Delta Dental.17:54 Kirk and Dr. Schmedding discuss the future of out-of-network private practice.21:28 Dr. Schmedding explains what dentists often misunderstand about his practice model.23:00 Dr. Schmedding discusses his upcoming Smile Source Exchange presentation.24:54 Final thoughts & ClosingGuest Bio/Guest Resources:Dr. Troy Schmedding is a honors graduate of the Arthur A. Dugoni School of Dentistry in San Francisco, California. He maintains a private practice in Walnut Creek, Ca. where he focuses on aesthetic and functional dentistry. An Accredited member of the American Academy of Cosmetic Dentistry, he lectures both nationally and internationally on aesthetics and restorative materials. He has also written and published numerous articles on restorative materials and protocols in numerous dental magazines. Dr Schmedding also serves as a Key Opinion Leader for numerous manufacturers helping develop and bring new products to market.Resources mentioned in this episode:Dr. Troy Schmedding on Instagram: https://www.instagram.com/troyschmeddingdds/Smile Source Exchange: https://smilesource.com/exchangeMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Best Practices Association: https://www.actdental.com/bpaUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com
Send us Fan MailQ1 2027 cash flow crisis. That is what is waiting for every OB practice that does not have a plan in motion by October. Not because the codes are hard. Because the time ran out to prepare for them. Knowing what is changing and being ready for it are two completely different things. In the OB Global Coding Series finale, Dr. Heather Signorelli walks through the exact ninety-day month-by-month plan to be ready on January 1, 2027 — payer contracts in July, EHR templates and workflows in August, provider training and shadow audits in September, refinement through Q4. Month 1 · July · Payer contracts: Your contracts reference specific CPT codes. When 59400 and 59510 disappear January 1, those contracted rates disappear with them. Identify your top five payers by maternity volume. Reach out to each provider rep with a written timeline question. Model your current revenue per episode before negotiating. Use the ACOG payer advocacy toolkit. Submit written notice of intent to renegotiate before July 31 to get into the Q4 queue. Month 2 · August · EHR + workflows: Systems first, people second. Rebuild prenatal, postpartum (inpatient and outpatient), and labor management templates. The labor management templates are built from scratch since 59080 – 59083 have no legacy. Build the multi-provider attribution protocol, the same-day postpartum hard stop, and the modifier TH automation. Month 3 · September · Provider training + shadow audits: Mandatory training for all clinical staff. Show providers their own notes and the dollar difference between what they wrote and what they could have written. Run shadow audits monthly: twenty prenatal notes, ten labor management, ten postpartum rounding. Track results by provider. Brief the front desk on the patient-facing talking points. September 1 is the ACOG testing date — NOT a payer compliance deadline. Submit test claims to your top three payers and watch what comes back. Q4 · Refinement, not crisis: October: follow up with payers for written fee schedule confirmations. November: CMS finalizes RVUs — update your revenue model with real numbers. December: billing team readiness check. January 1: go live. The practices that did the Q3 work transition smoothly. The ones that did not are scrambling. The reframe: The elimination of the global OB codes is not a threat to your practice. It is a correction. OB/GYN has been undercompensated for the complexity of maternity care for thirty years. That ends January 2027, if you are prepared.RESOURCES BLOCK Save your seat: Live OB/GYN Global Codes Update Webinar (July 7, 2026, 4:00 PM ET) · eligibility.natrevmd.com/obgyn-global-updates-webinar Book a 1:1 with Dr. Signorelli · calendly.com/heather-natrevmd/ Full series playlist: EP188 · EP189 · EP190 · EP191 · EP192 (https://natrevmd.com/podcast/#) Practice Revenue Leak Scorecard · eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist · eligibility.natrevmd.com/payment-posting-checklist RECOVER Diagnostic Quiz · natrevmd.com/quiz
The LRM Podcast – on a Thursday?! That's right – we're back in the beer tent at The Billing Off Road Show for another round of special guests,Defender Lexi joins Steve and Martin first up to share stories of her Defender 110 since catching up last year at Billing, and goes on to explain how she kicked off her weekend with excitement and mild peril.Next up, Alex Danells from Danells Off Road 4x4 Parts hops on to talk about how the off-road scene has changed, what the company does, and explains why Land Rovers make the best bases for off-road competition builds.Finally, Reece Williams joins the guys to chat about his involvement with the Project Jay Preservation Group, and the important work the club is doing to uncover the history behind the model that saved Land Rover, and talk about his own Discovery project.As always, we love to get your feedback and questions! Send them over to editorial@lrm.co.uk and you could star on the podcast. Enjoy the episode.
In this week's episode, Martin and Steve are live from The Billing Off Road Show!Joining them on the salmon sofa are LRM Fest Mud & Media guests, Defender Ames and Maizee Davies, aka The Yellow Defender for chat about converting a Defender to a pop-top, and preparations for The Big Land Rover Fest.Also joining them are Harry, Chloe and Oakley from The Landy Expedition – a couple (and now toddler) who have spent a lot of time travelling in their Defender 110. They talk about how preparing the vehicle overseas has been beneficial, and the ins and outs of overlanding including how to stay out of trouble when confronted with potential conflict.As always, we love to get your feedback and questions, so drop us an email on editorial@lrm.co.uk – enjoy the episode!
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter What if we could identify hidden tooth cracks and structural damage before patients experience pain? In this episode, I sat down with Dr. Cherilyn Sheets to discuss InnerView AI, a dental diagnostic technology that helps detect cracked teeth, failing restorations, implant issues, and other hidden dental problems that may not appear on traditional X rays. Dr. Sheets explains how measuring tooth movement under load provides a new way to evaluate oral health and improve early diagnosis. Dr. Sheets shares the research behind InnerView AI which was new to me. As the conversation continued I became more excited by how it could strengthen dental documentation and improve treatment acceptance. We talked at length about treatment presentation. You'll want to hear how we communicate more simply with visual diagnostic proof. Patients don't necessarily want to understand the science behind the diagnosis but they all want to know how to move forward. I hope this episode helps you with those conversations. Connect with Dr. Sheets Website: www.perimetrics.ai Linkedin: https://www.linkedin.com/in/dr-cherilyn-sheets-dds-a2841311/ Email: CGSheets@ncofi.org —------------- Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Take advantage of Early Bird pricing through July 4th! ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase. ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment. ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt #Dentistry #DentalTechnology #CrackedTeeth #ImplantDentistry #DentalDiagnostics
Got questions? Send Ericka a Text!Twenty browser tabs. Constant timeouts. Portals that never match your workflow. If you've ever felt like dental billing is less about skill and more about surviving fragmentation, we're saying the quiet part out loud and giving you a clearer path forward. Jen and I unpack the “command center” concept: the practical system that pulls critical billing knowledge out of sticky notes, personal notebooks, and one overwhelmed team member's memory, then turns it into a shared, durable source of truth.We talk through what actually belongs in that command center so a practice can run with consistency: credentialing and CAQH details, NPIs and tax IDs, portal access and payment methods, EOB and EFT storage, end-of-day reporting, and a structured billing meeting framework that gives the doctor real visibility beyond “what's in the bank.” We also dig into the cultural side of billing performance, including why doctors often measure the wrong things, why billers feel personally attacked by questions that should be normal, and how simple structures like pre-meeting forms and situational reports change the tone and the outcomes.Then we shift into what we're building next. Insurance has used AI in claims adjudication for decades, and too many practices are still fighting denials with manual work, copied templates, and hours of chasing. We share what we're beta testing now: an API-integrated billing command center designed to reduce the grind by automating pieces like EFT retrieval, eligibility, claim tracing, denial tracking, and appeal letter generation, so the biller can spend more time making decisions and less time hunting for data. If you want to see what it looks like, grab the link in the show notes, join the wait list, and book a quick demo, then subscribe, share, and leave a review so more practices can stop running billing on hard mode. Interested in a Demo of Dentiq - The Billing Command Center? Get on the interest list here:https://4063-dentiq.systeme.io/waitlistGet your Dental Billing Toolkit Here:https://www.dentalbillingdoneright.com/the-dental-billing-toolkitDownload "The Most Underused Codes in Dentistry - And How to Get Them Paid" checklist here:https://docs.google.com/forms/d/e/1FAIpQLSfxnnfSlNd0NPhMoBWq-1D_xU5R8LS4xPhHNKIjfLQwStOUag/viewform?usp=headerSchedule a billing chat with Ericka:https://calendly.com/ericka-dentalbillingdoneright/30minEmail Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.com
In this week's rather warm episode, Martin and Steve are joined once again by Greg King. The guys have been busy working on Steve's "not brown" Ninety project, and have taken an hour to sit and chat about what's been going on.Ex-JLR employee and engineer Greg King imparts some interesting knowledge on how the classic Defender was put together back in the day, including some methods used during assembly and how you can implement them in your own Defender rebuild.Elsewhere, the guys answer a listener's question on how to purchase a good secondhand Tdi engine for his 110 Tithonus, and debate why Steve has chosen the wrong engine for his project.As always, we love to get your questions and feedback, so drop us an email! You can send any correspondence to editorial@lrm,co,uk – we love to read them!
In this episode, Dr. Bryan Laskin exposes one of the biggest blind spots in dentistry: the lack of care traceability. While practices can prove every dollar collected, most cannot prove what happened after a diagnosis was made. For dental leaders, DSOs, and practice owners, this creates a costly visibility gap that impacts patient outcomes, treatment acceptance, referrals, and revenue. Discover why care traceability is the missing link between diagnosis, treatment completion, patient trust, and revenue. #Dentist #DentalLeader #DSO #PracticeGrowth
2026 Summer Appetizer Auction Day One Sponsored by Blind Information Technology Solutions (BITS) Opens Thursday, July 9 at 12:00 noon ET Closes Friday, July 10 at 12:00 noon ET Opening Bids Included Appetizer Auction Rules and Information: Contact Leslie Spoone at 407 929-9837 or 407 227-4489 or email lesliespoone@cfl.rr.com with your bid. Please provide your name, phone number, email, item number and bid amount. Bids must be in $5.00 increments. • Leslie will send out Appetizer Auction information communicating the high bid on each item at 5:00pm ET, 8:00pm ET and 9:00am ET each day. After the close of each mini auction, an email will be sent announcing who has won each item. Billing for both the appetizer and Convention auction will take place starting on Wednesday, July 15, 2026, for all the winning purchases. Billing for auction items will be paused during the convention and resume on August 5, 2026. The auction items need to be paid for by August 14, 2026. ACB Auction Disclaimer The American Council of the Blind conducts fundraising auctions to provide financial support for our programs and services. We thank those individuals, organizations, and businesses who donate items for our auctions. We make every effort to ship purchased items in a timely manner. However, due to various circumstances beyond our control, it may not be possible for items to be shipped or to arrive by a specific date. To participate as a bidder, we ask that you be courteous to one another, to those who are conducting the auction and to those who will be contacting the winning bidders to arrange for payment. It is expected that any winning bidder will, after being contacted by anyone connected to the auction, provide proper billing information prior to the auction item being sent to them. If we are unable to collect the bid amount, we reserve the right to repurpose the item for the benefit of ACB. Any individual who does not comply with these rules will be prohibited from continuing to bid in this auction and may be prohibited from participating in any future auction. Day One 300 Victor Reader Stream 3 Donated by HumanWare Opening Bid $350 Enjoy having this handheld pocket-sized digital media audio player to harness the power of wireless content access that features a fully tactile interface. The Victor Reader Stream 3 is a handheld digital audio player to enjoy your media content, and this assistive device lets you listen to books, newspapers, web radio, music, podcasts, and other online resources. This is simple to use for anyone who is blind or living with a visual impairment, the Stream talking book player packs all your media into place and gives 15 hours of battery life, leaving more time to enjoy media content. 301 Movie Extravaganza Package Donated by ACB Associate Director of Development Jo Lynn Bailey-Page Opening Bid $30 Enjoy using this $50 Regal Cinemas gift card to watch the latest audio-described movies with some friends or family. Plus, that's not all, enjoy some goodies to go along with your movie! 302 Upcycled Ladybug Purse Donated by Keri Bishop of Tucson, AZ Opening Bid $30 This one-of-a-kind handbag transforms a pair of burgundy jeans into a stylish and functional accessory which is crafted with creativity and purpose. The upper portion of the jeans has been thoughtfully repurposed, preserving the original pockets that are perfect for convenient, built-in storage. A cheerful yellow accent fabric, adorned with playful ladybugs and delicate flowers, adds a bright pop of personality. The same fabric lines the interior, creating a cohesive and charming design inside and out. The adjustable strap is cut from the denim legs and allows for versatile wear. You can comfortably wear it over the shoulder or as a crossbody for hands-free ease. It has snap closures at the top to keep your belongings secure while maintaining easy access. This upcycled purse is a celebration of sustainability, craftsmanship, and whimsical style. perfect for anyone who loves unique, eco-friendly fashion and is practical and eye-catching. 303 Pampered Chef Stainless Steel Toaster Donated by Christina Brino Opening Bid $25 Our 4-slice stainless steel toaster is built for busy days, with extra-long, extra-wide slots that welcome everything from artisanal loaves to bagels, English muffins to Texas toast. Seven browning settings put you in control, so every slice comes out just the way you like it. Our bonus warming rack keeps buns and rolls perfectly toasty, cafe-style, without over-browning. Four smart functions put you in control: Bagel, Defrost, Reheat, and Cancel. Whether your bread is fresh, frozen, or already toasted, it comes out just right. Defrost takes bread and waffles from frosty to golden in one step while Reheat warms cooled toast without extra browning. This toaster has built-in cord storage that keeps counters tidy and a removable crumb tray allows for easy cleanup, and a high-lift lever ensures safe, easy removal making this toaster ready for weekday breakfasts, weekend brunches, and busy dinnertimes. 304 Two Dozen Dreamy Chocolate Chip Cookies Donated by Jack Pinnock, Owner Dreamie Cookies Opening Bid $40 These cookies were a huge hit in the ACB Holiday Auction. Enjoy the individually wrapped yummy chocolate chip cookies with your favorite beverage. Wow, they will melt in your mouth. You can share them with friends or just keep them for yourself! 305 Silver and Red Garnet Necklace and Earring Set Donated by Claudia Aff Opening Bid $25 You will look stunning in this beautiful 30-inch necklace of acrylic garnet red and filigree silver beads with matching hoop earrings. This will dress up any outfit! 306 Handmade Lap Blanket Donated by Nancy Mareno Opening Bid $25 Enjoy snuggling up with this beautiful handmade lap blanket which measures 33 inches by 29 inches. This blanket has 3 shades of pink with interspersed white. A great blanket for those cold nights! 307 Echo Spot Donated by Leslie Spoone Opening Bid $30 Enjoy this Echo Spot with a sleek smart alarm clock with Alexa and big vibrant sound. This spot will be great for you to wake up, wind down and so much more. You can personalize your display with your favorite clock face and fun colors. Just ask Alexa to play music, podcasts, and audiobooks. Ease into the day and set up an Alexa routine that gently wakes you with music and gradual light. You can also glance at the time, check reminders, or ask Alexa for weather updates. 308 $50 Amazon Gift Card Donated by Friends in Art Opening Bid $30 It is time to treat yourself to something special and here's a gift card to help you do it. $50 in spending at Amazon! 309 Cook with Confidence Using Cookie Voice Recipes Donated by Daria Axelrod Marmer Opening Bid $25 Designed specifically for blind and low vision cooks, Cookie Voice Recipes is a fully accessible, voice-controlled cooking app that provides hands-free, step-by-step recipe guidance. Ask questions while you cook, set timers, get ingredient substitutions, and even import your own recipes. This package includes a one-year Premium Subscription, providing unlimited access to voice-guided cooking, AI cooking assistance, and recipe importing features. Must be redeemed by December 2, 2026. 310 Handmade Framed Decoupage Canvasses of Colorful Collages Donated by ACB Director of Advocacy and Governmental Affairs Claire Stanley Opening Bid $25 This piece of art measures 12 by 16 inches. It is framed in a light blue picture frame. The decoupage style of art includes various sizes of ovals layered on top of each other in various tones of blue, yellow, and green. The piece is covered with a final layer of gloss. What a great conversational piece! 311 ModusTech 500GB Portable Donated by The Literacy Project Pat Tussing Director Opening Bid $25 The ModusTech external hard drive delivers lightning-fast transfer speeds of up to 5 Gbps with USB 3.0 technology. You can easily back up your files, transfer data, and store important documents. It's compatible with USB 2.0 and perfect for large files like HD movies, games, videos, and it has an ultra-Fast USB 3.0 Connectivity for Effortless Data Transfers. 312 $50 Darden Gift Card Donated by Cathy Spoone Opening Bid $30 Enjoy this gift card with someone special or just splurge on yourself and don't forget those scrumptious breadsticks! 313 Monet Jewelry Turtle Two Piece Jewelry Set Donated by Melissa Dubose Opening Bid $30 The two-piece jewelry set adds a playful yet polished touch to your accessories collection. This coordinated set includes a 17-inch rope chain necklace with a 2-inch extender and matching stud earrings, designed with glass accents for subtle shine. A lobster clasp closure ensures secure wear, while post-back earrings provide a comfortable fit. It's a great gift option for special occasions or everyday styling. 314 Logitech Wired Headset, Stereo Headphones with Noise-Cancelling Microphone Donated by Dan Spoone Opening Bid $25 These stereo headphones are black and have a noise-cancelling microphone, USB connection and In Line Controls. The PC headphones with plush, padded headband and ear cups provide optimum comfort. A rotating microphone minimizes background noise to provide noise-cancelling qualities resulting in clearer calls. 315 Tantalizing Homemade Candy Donated by Patty Slaby Opening Bid $40 This scrumptious homemade candy will make your get together with friends even sweeter! You can select one type of homemade candy or three different kinds. You will receive 60 pieces of candy in total from a selection of: peanut butter balls, chocolate covered potato chips, rum balls, dipped pretzels, bugles dipped in chocolate and many, many others. Patty will contact you for your selections and shipping will be determined by the weather. 316 Mary Kay Satin Hands Set Donated by Nancy Folsom Opening Bid $30 This 3-step process will leave your hands and feet feeling soft, smooth, and luxurious! The Satin Hands set softens, exfoliates, and moisturizes each time you use it. This set is great for guys and gals to help keep your hands healthy! You will love how great your hands feel! You can use it on your feet as well. 317 Fiery Dragon Print Black T shirt Donated by Blind Girl Designs Tricia Waechter Opening Bid $30 The red tactile print features the fierce head of a dragon in profile. Its jaws are open wide, exposing sharp, curved teeth as a stream of flames which pour outward. The fire is drawn with sweeping lines that curl and twist, giving a sense of movement and heat. The dragon's eye is narrow and intense, outlined with a strong stroke that adds a menacing expression. The dragon has a large horn on its snout and additionally, horns arc backward from its skull, and a row of large, jagged spines traces down the back of its neck. This t-shirt is 100% cotton, but do not size up because there is very little shrinkage when washed. Please wash inside out in cold wash and hang to dry or tumble for a few minutes to get the wrinkles out. These t-shirts come in sizes youth small through large, adult small through five XL, tall large through three XL. All sizes are unisex. The winner gets to pick their size! Enjoy your Blind Girl Designs! 318 Hand Carved Wooden Figurines Donated by DeAnna Quiet Water Noriega Opening Bid $25 Enjoy having these hand carved wooden figurines which include: a Buddha from Indonesia, a lion, a warthog, and a lioness all from Kenya. The giraffe is a soapstone also from Kenya. Wow, these will make a great conversational piece for your mantel! 319 Friday Morning Quotations Braille Book Donated by Dorlyn Catron Opening Bid $30 You will love reading the volume two Friday Morning Quotations Braille Book compiled by kay Wilson and published by The National Braille Press. Plus, enjoy a $50 Amazon card to splurge on yourself while you are reading and relaxing! 320 Chocolate Chip Bread Donated by Becky Hawkins Opening Bid $40 Indulge in this mouthwatering homemade chocolate chip bread. The bread is decadent and will melt in your mouth! What a fantastic treat to share with friends or family! 321 COSORI Air Fryer Pro Smart Donated by Carl Richardson Opening Bid $50 Enjoy this 5.8-quart air fryer which can roast and bake. The fryer has a 3-way control and a 12-in-1 customizable function. The basket is detachable, and it works with Alexa and Google Assistant. You can get online recipes. This would make a fantastic gift for the chef in your household! 322 $50 Gift Card to Walmart Donated by Arkansas Quazar Chapter Opening Bid $30 Enjoy this opportunity to fill your basket with treats for your family and friends. This $50 gift card could provide a chance for a special gift for yourself! 323 Black and Silver necklace Donated by Koni Sims, ACB Board Director Opening Bid $25 You will look stunning in 16-inch necklace featuring faux onyx and crystal beads. It has a 3-inch extender. Plus, enjoy the earrings which are 2 inches long. What a special gift to give to someone special! 324 Daniel Terrico Carved Puzzle Box Donated by Connie Jacomini Opening Bid $25 The Daniel Terrico puzzle box sports a hand carved shark motif on top. It is perfect for trinkets. There are instructions for use of this puzzle box enclosed. What a fantastic gift for your favorite fisherman! 325 Two Dozen Homemade Shortbread Cookies Donated by Deb Trevino and Delaware Council of the Blind and Visually Impaired Opening Bid $40 Enjoy two dozen fresh-baked mouth-watering authentic shortbread cookies guaranteed to explode on your palate with luscious buttery goodness. These are great with milk, hot chocolate, coffee, or your favorite tea. Next to Walker's, these are the best I've ever tasted. 326 Handcrafted Crocheted Bunny Donated by Keri Bishop of Tucson AZ Opening Bid $25 Enjoy this whimsical handcrafted crocheted bunny in a blue dress which is delightfully soft and lovingly handmade. This charming, crocheted bunny is a timeless keepsake and is perfect for all ages and is carefully crafted in a creamy ivory yarn. This sweet bunny features long floppy ears, gentle blue eyes and a soft pink nose that give it an irresistibly tender expression. The bunny is dressed in a beautifully textured, sky-blue crocheted dress with ruffled sleeves and a full, flowing skirt and this bunny exudes simple elegance. A delicate satin ribbon at the waist adds a graceful finishing touch, making it as lovely for display as it is for cuddling. Whether gifted to a child, displayed in a nursery, or cherished as a collectible, this one-of-a-kind bunny brings warmth, comfort, and handcrafted artistry. 327 Bangle Bracelets and Six Pairs Post Earrings Donated by Judy Okraski Opening Bid $25 You will look stunning with these multi metal bangle bracelets which are perfect to match any outfit. Plus, six sets of post earrings. All the earrings are colorful with single smooth surface colors that include: 2 Coral, 2 blue, green, and light pink. A fantastic gift for yourself or for someone special! 328 $50 Gift Card to the Blind Kitchen Donated by Debra Erickson, Executive Chef and Founder of The Blind Kitchen Opening Bid $30 Welcome to The Blind Kitchen where adaptive tools, helpful strategies, and specialized knowledge are provided to blind and vision-impaired people who want to cook safely, confidently, and independently. Debra Erickson is the Executive Chef and Founder of The Blind Kitchen where she will help you enjoy splurging on either yourself or someone special with this gift card and a 30-minute consult with Debra! 329 Three Handmade Hot Pads, Protein Fudge Recipe and Amazon Gift Card Donated by Tonya Drew of Essentially Braille Opening Bid $30 Enjoy the three brown cotton magic square potholders which come in large, medium, and small. As a special treat, enjoy making a delicious protein fudge recipe for yourself or friends and family. The recipe is written in Braille on Perma Braille cards to fit in your recipe box. Also, dine or shop with a $50 Amazon gift card. 330 $100 See's Candy E Gift Card Donated by Brad and Kathy Snyder Opening Bid $60 Enjoy splurging either on yourself or friends or family with this $100 E card for See's Candy. The brand is known for its premium chocolates, truffles, brittles, and other candies. They are very yummy! 331 ACB Students Common Ground Sweatshirt Donated by Blind Girl Designs Tricia Waechter Opening Bid $30 This print features a bold, symbolic Tree of Life design in a cool teal-green tactile ink. At the heart of the artwork is a circular Celtic-style tree with flowing, interwoven branches and roots that mirror one another. The canopy forms an elegant, rounded crown, while the roots weave into intricate knot- work, visually reinforcing the message of connection and shared foundation. Arched above the tree are the words: “COMMON GROUND,” And below that is printed “common ground” in grade 1 tactile braille. Curved below the roots are the words: “DIFFERENT ROOTS” And just above these words is “different roots “in grade one tactile braille. Surrounding the circular tree design is a subtle square frame made of different style of white canes, positioned along the top, bottom, and sides. The canes form a balanced border, reinforcing themes of accessibility and inclusion. On the back, printed horizontally in the same teal ink, is the phrase “Growing towards a bright future” in a fun cursive font with grade one tactile Braille underneath it. The overall design communicates unity, diversity, inclusion, and shared humanity. Different roots, but common ground presented in a clean, high-contrast layout that stands out beautifully against the rich colored background. This cozy heavyweight crewneck sweatshirt has banded sleeves and bottom. It is made from cotton poly and will not shrink. It should be washed inside out to protect the ink and make sure it's inside out before you feel free to put it in a hot tumble dryer in order to make it nice and fluffy! These sweatshirts come in unisex sizing, youth, small through large, adult small through 5-XL, tall large through 3-XL. The winner can pick their own size! Enjoy your Blind Girl Designs! 332 Necklace and Bracelet Jewelry Set Donated by Charlotte Lang Opening Bid $25 This dainty set is classic and sparkly in black and white. Most of the set is made up of 4-millimeter faceted black spinel beads. In the center of the necklace and bracelet is a 10 millimeter round white pearl. The necklace is 18 inches long and the bracelet is 7-1/2 inches long. Both have 2-inch adjuster chains and close with lobster claw clasps. 333 Waterford Crystal Marcella Vase Donated by Connie Jacomini Opening Bid $25 The Waterford Crystal Marcella Vase is a 6-inch, high-quality, clear lead crystal vase known for its elegant design, often featuring intricate fan and wedge cuts. Typically produced in the 2010s, this hand-cut footed vase is celebrated for its clarity, weight, and ability to catch light. 334 Singing Lesson Donated by Carole Brewer Opening Bid $25 You will enjoy spending one hour on ZOOM with singer and recording artist, Carole Brewer. Learn some of Carole's many concert-tested recipes for better breathing, tone quality, and confidence building. You will receive a free copy of Carole's voice manual titled 'Cookin' Up a Song ' and explore the possibility of taking your singing up to the next level. All great singing starts here, and you can contact Carole to set up a lesson time at info@carolebrewer.com. 335 Homemade Caramel Brownies Donated by Judy Okraski Opening Bid $40 These scrumptious homemade caramel brownies come in an 8 by 11-inch pan. Pair with your favorite beverage and enjoy this delicious treat with your friends. 336 Set of Six Handknitted Dishcloths Made with love and donated by Rhonda Lang from Milwaukee, Wisconsin Opening Bid $30 Enjoy this set of six handknitted dishcloths in a variety of colors. They will bring craftsmanship and resilience to your kitchen. The dishcloths are meticulously crafted for durability and designed to manage daily cleaning tasks with ease and elegance. 337 $50 Ruth's Cris Gift Card Donated by The Literacy Project Pat Tussing Director Opening Bid $30 Enjoy splurging at convention with this Ruth's Cris gift card. You will love dining at this restaurant which offers a New Orleans-inspired menu, including seafood and signature sides and USDA Prime steaks in a sophisticated, romantic, and welcoming atmosphere. 338 Pink Macrame Apple Watch Band Donated by Keri Bishop of Tucson, AZ Opening Bid $25 This handcrafted macramé watch band is a vibrant, eye-catching accessory designed to fit Apple Watch models ranging from 38 mm through 42 mm. Made from durable 2 mm satin cord in a bright bubblegum pink, the band has a smooth, lustrous finish that adds a playful yet polished touch to any look. The design is accented with elegant ceramic beads, each hand-painted with delicate pink floral details on a clean white background. These beads provide a soft contrast to the bold pink cord, creating a charming and balanced aesthetic that highlights the handcrafted artistry of the piece. The functionality is built into the design with a fully adjustable button-and-loop closure, similar to a toggle clasp. The button side features two main cords that pass through and loop back, allowing the band to be easily lengthened or shortened. This adjustable construction ensures a comfortable, secure fit for a variety of wrist sizes while maintaining a neat and streamlined appearance and they are both stylish and practical. This macramé watch band offers a unique way to personalize your Apple Watch with a handmade accessory that combines durability, adjustability, and a cheerful pop of color. 339 Light Green Glass Bead Necklace and Earrings Donated by Claudia Aff Opening Bid $25 You will look stunning in this beautiful light green glass bead 10-1/2 inch necklace with 6 darker ceramic flower beads at the bottom. Also, matching flower bead hook earrings that measure 2 inches. What a perfect complement to that summer outfit! 340 Key West Goodies Donated by Dan Spoone Opening Bid $40 Enjoy two dozen yummy macadamia nut and chocolate chip cookies. You can either share them with a friend or just have all of them for yourself! 341 Vera Bradley Backpack Donated by Cecily Laney Nipper ACB Board Director Opening Bid $30 Want to go out in style? This slightly used Vera Bradley backpack is for you. Perfect for work or school, this 18-inch backpack with two side pockets for water or soda and two zipper pockets will comfortably hold a 16.5-inch laptop in its built-in laptop sleeve. The black background of the print sets off the vibrant pink, teal, and lime green floral print. 342 $50 Starbucks Gift Card Donated by Merrilee Hill-Kennedy Opening Bid $30 Everyone loves a good cup of coffee. It's even better with some friends or family members over some laughs! As an extra bonus, Starbucks has goodies to eat. Bid so you can enjoy all the delicious choices from a great coffee establishment. 343 Computers for the Blind Laptop Donated by Computers for the Blind Opening Bid $60 Computers for the Blind (CFTB) is dedicated to bridging the digital divide for the community of the Blind and Visually Impaired. We do this by providing affordable, accessible refurbished computers and training. The winner will receive our standard laptop which is a $250 value. The laptop includes Windows 11, 256GB SSD and 8GB RAM. To qualify for Software and Warranty, registration is required. A certificate will be included with the laptop which contains details about how to register. The winner must register within 30 days of receiving their computer. The certificate indicates the expiration date and redemption code for registration. You will receive 1-Year free license of JAWS, ZoomText, or Fusion, JAWS training and 1-Year Warranty. Contact us at service@computersfortheblind.org 344 3D “we hold these truths to be self-evident” Royal Blue T-shirt Donated by Blind Girl Designs Tricia Waechter Opening Bid $30 This classic Americana white puff ink tactile print combines bold 18th century typography with raised tactile braille. This is a very similar font that was used in the typed version of the Declaration of Independence. A circle of 13 large five-pointed stars frames the entire design, creating the look of an early American flag which was inspired by the spirit of 1776 and, of course, the 13 original colonies. At the top left and right corners of the print, the years “1776” and “2026” mark the 250-year anniversary of the United States. Beneath each year is a line of raised braille dots, adding a tactile reading element that complements the18th century fonts. Centered in the middle of the print, the famous and powerful phrase from the Declaration of Independence is stacked in dramatic vintage-style lettering “WE HOLD THESE TRUTHS TO BE SELF EVIDENT THAT ALL MEN ARE CREATED EQUAL.” Each section of text is paired with tactile braille underneath, allowing the message to be experienced both visually and through touch. The combination of distressed colonial inspired lettering and raised puff ink creates a striking and authentic dimensional effect. Below the main statement is a horizontal divider with a centered star, followed by the words: “UNITED STATES Of AMERICA.” Again, accompanied by tactile braille beneath the 18th century authentic wording the entire print is designed in clean white puff ink for a bold raised texture that stands out. The tactile surface gives the artwork depth, accessibility, and a handcrafted feel while maintaining a strong patriotic presentation. This T-shirt is 100% cotton, but do not size up because there is very little shrinkage when washed. You should wash inside out in cold wash and hang it to dry or tumble for a few minutes to get the wrinkles out. These t-shirts come in sizes youth small through large, adult small through five XL, tall large through three XL. All sizes are unisex and the winner gets to pick their own size. Enjoy celebrating our 250th anniversary with your Blind Girl Designs!!!! 345 Homemade Triple Play Oversized Cookies Donated by Brian Charlson Opening Bid $40 Here we go again; it's time for Brian's triple play oversized cookies. Those who have won this item in the past will attest to the flavor, size, and overall quality of this perennial auction favorite. You can choose one dozen from either classic chocolate chip, oatmeal raisin, or peanut butter. They are packaged individually. Feel free to offer them up as additions to gift baskets or pop them in the freezer to savor them over a few months or weeks. 346 $25 Panera Gift Card and $25 Dunkin Doughnuts Gift Card Donated by Diane Scalzi and Leslie Spoone Opening Bid $30 Enjoy or share delicious soups, sandwiches, salads, and baked goods with a $25 gift card from Panera Bread. Also included is a $25 Dunkin Doughnuts gift card to enjoy with friends or family. Cards are available as electronic or physical, your choice. 347 Embroidered Apron Donated by Terry Keyson of Braille Wear Opening Bid $25 Protect your clothing while you cook by wearing this lovely knee-length maroon apron with two front pockets. It has customized embroidery that is both visual and tactile. The embroidered wording on the front of the apron in print and braille is “Serving Up 20 Years “. Wow, celebrate the auction turning 20 years with this apron and your chef will look fantastic! 348 $75 Amazon E Gift Card Donated by Blue Grass Council of the Blind Opening Bid $40 Seventy-five dollars, ready to send by email or text, It's yours in the end. A click and a smile, a gift in a flash for someone you love or your own little splash. From BCB's heart to the auction fun, Bid with cheer and may you be the one. 349 Three hours of one-on-one personal happiness coaching along with Handwritten Booklets Donated by Darian Slayton Fleming of Embrace Happiness Opening Bid $25 The booklets are entitled: My AI: Affirmations and Intentions (this booklet has 31 suggested affirmations and 31 suggested intentions. Each section is followed by instructions about how to write your own affirmations and intentions and blank pages on which you can write your own affirmations and intentions. Also, My AI: Affirming and Intentional Self Care. This booklet describes the Happy for No Reason approach to designing your own happiness and practical exercises that will help you embody happiness through intentional self-care. You can enjoy these booklets in braille, large print, or standard print. Enjoy having this time with Darian Slayton Fleming who is a Certified Happiness Trainer and Licensed Clinical Social Worker. Darian will show you how to embrace happiness in these sessions. 350 Chocolate Peanut Butter Buckeyes Donated by Dan Spoone Opening Bid $40 Enjoy this 24-piece box of chocolate Peanut Butter Buckeyes. These are packed in our Ohio State Themed Buckeye box. What a yummy treat to either share with some friends or just keep them for yourself! Find out more at https://acb-convention.pinecast.co
June 19, 2026In this episode, Scott, Mark, and Dr. Ray Painter tackle three challenging reimbursement scenarios submitted by listeners: Medicare denials for category III code 0816T, handling patient payments when claims are denied for timely filing or missing prior authorizations, and the ongoing complexities of billing urodynamics studies in a group practice setting. The discussion explores why “unprocessable” claims often require deeper investigation, how payer contracts influence whether patient payments must be refunded, and the pros and cons of global versus split billing for urodynamics services. The key takeaway: many reimbursement problems are not coding issues at all—they are workflow, contract, and claim-processing issues that require practices to understand both the rules and the business side of medicine. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner. https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
On today's episode, Dr. Mark Costes sits down with Shreyas Parab, co-founder and CEO of Daydream, to talk about how AI is reshaping dental revenue cycle management. Shreyas shares how growing up in his mother's dental practice gave him firsthand experience with the stress, complexity, and financial impact of insurance billing. After stepping in to run her practice during a family health crisis, he saw just how much practices lose when verification, claims, denials, and payment posting are not handled with precision. The conversation dives into how Daydream uses AI agents and human oversight to automate insurance verification, submit claims, post payments, appeal denials, and recover outstanding insurance AR while giving practices better visibility and control. Shreyas also explains why inaccurate insurance verification can damage patient trust, how outsourced billing can fall short without quality controls, and why aligned incentives matter when choosing an RCM partner. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.daydream.dental https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast
What's up bros? Well we're now finally done with all of this and after getting absolutely nothing at the reunion out of the two in question, we thought maybe, just maybe we'd get something of substance out of these two but nope. Billing this up to be some all time special sit down where we'd finally get them to open up about everything was an absolute sham. They just spouted the same sad victim stories without any regard for any one else's feelings and we're still here wondering if we'll ever get anything useful or remorseful out of them. But whatever, stretch it into another episode guys! Learn more about your ad choices. Visit megaphone.fm/adchoices
Show Notes Your fee schedule is a revenue ceiling. And for most independent practices doing over $3 million a year, that ceiling is set too low in ways that never generate a denial and never appear on a standard report. EP186 covers the five gaps that are quietly capping your revenue, the exact fix for each one, and three actions to run this week. Gap 1 — Billing Below Your Own Allowables: You negotiate a better payer contract. The billing system does not get updated. The payer pays what you billed, not what you are owed. A practice with 20 high-volume CPT codes averaging a $10 billing gap across 800 monthly claims is losing $8,000 a month, $96,000 a year, from a contract they already won. Gap 2 — Inconsistent Fee Schedules Across Locations: A secondary location runs on its legacy fee schedule from before acquisition. Location A bills $210 for a procedure. Location B bills $165 for the same code. A site doing 400 visits a month with a $35 average billing gap is under-billing $14,000 a month, $168,000 a year. Gap 3 — No Medicare Multiplier Anchor: Fees set by instinct drift downward every year while costs move in the opposite direction. The fix: anchor to 200–300% of the current Medicare allowable and recalculate every November when CMS publishes updated rates. Gap 4 — Suppressing Global Fees for Self-Pay Patients: A practice protecting 15% self-pay volume by keeping fees low inadvertently discounts 100% of encounters. 850 commercial patients billed $40 below the correct rate: $34,000 a month, $408,000 a year. The fix: raise the global fee schedule and implement a separate documented sliding fee scale for uninsured patients. Gap 5 — No Annual Fee Schedule Review: A fee schedule that is right in year one becomes the revenue leak of year five. A $4 million practice drifting 3% below where it should be loses $120,000 a year in collectible revenue. Over five years: $600,000. The Five Fee Schedule Gaps at a Glance: Billing below allowable → Payer pays billed charge, no alert → up to $8K/month Location fee inconsistency → Lower site appears compliant on reports → $3K–$15K/month No Medicare multiplier anchor → Fees drift, no logical update trigger → Compounds annually Artificially low global fee → Self-pay policy masks commercial discount loss → $5K–$20K/month No annual review → Costs rise, billed charges flat → 3–5% margin erosion per year Three actions this week: Run the top-20 CPT code comparison — billed charge vs. highest commercial contract allowable Anchor your fee schedule to the Medicare multiplier — recalculate for this year Put the annual fee schedule review on the Q4 calendar today — first week of November, billing manager named as owner Episode breakdown: 00:00 The fee schedule is a revenue ceiling 02:30 Why silence in billing costs more than denials 05:00 Gap 1: Billing below your own allowables 09:00 Gap 2: Inconsistent fee schedules across locations 13:00 Gap 3: No Medicare multiplier anchor 17:00 Gap 4: Suppressing global fees for self-pay patients 21:30 Gap 5: No annual fee schedule review 25:00 Three actions this week 29:00 Free resource + EP187 tease Resources Mentioned NEW LEAD MAGNET Primary resource this episode: 30-Day Revenue Recovery Plan. Payment Posting Audit Checklist is tertiary. 30-Day Revenue Recovery Plan (free): eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan Book a free 30-minute call: calendly.com/heather-natrevmd Practice Revenue Leak Scorecard (free): eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist (tertiary): eligibility.natrevmd.com/payment-posting-checklist CMS Medicare Physician Fee Schedule: cms.gov (updated annually each November)
Most practice owners think their billing problem is a billing problem. It usually is not. The denial showing up this month started 60 days ago at the front desk. In this episode, Dr. Heather Signorelli sits down with Josh Sauter, President and CEO of Staffing First, to unpack why hiring is the first domino in your billing cycle, what it costs you when that domino falls, and how to think about staffing and revenue cycle as one connected system instead of two separate problems. SEGMENTS The first domino Josh's core insight: the front desk is where the billing cycle actually begins. A bad fit, a thin onboarding, or a missed training step upstream creates downstream denials 30, 60, 90 days later. The denials almost always look like a billing problem. They almost never are. The 30/60/90 day lag Why billing problems usually trace back to hiring decisions made a quarter ago. The eligibility check that did not happen on day 30 is the denial that lands on day 60 and the cash flow gap on day 90. The hire-slow trap Why saving money on staffing costs more in the long run. The wage gap pushing practices to underhire is the same wage gap pushing candidates out within the first year. Josh's view after 17 years: cheap hires are the most expensive line item in a practice. Coordinating front office and billing What it actually takes to make sure front desk failures do not kill claim throughput downstream. Weekly huddles between front office, billing lead, and the practice manager. Clear escalation paths for eligibility failures and payer changes. A billing partner that flags denial patterns back upstream instead of just working the claims. What a real staffing partner does differently Josh's process: 10 to 12 candidates interviewed for every order, top 2 to 3 sent to the practice. Deep questions about culture and not just skill. Behavioral health background applied to candidate screening. The practice manager gets the time back that they were burning on bad-fit interviews. REFERENCE TABLE: THE 30/60/90 DAY FRONT DESK LAG Timeline | What happens upstream | Where it shows up Day 0 | New front office hire, undertrained or wrong cultural fit | Looks fine on the surface Day 30 | Eligibility checks missed, demographics keyed wrong, payer changes not caught | First denials start landing Day 60 | Patterns compound, claim rework volume rises, missed authorizations stack | AR over 60 starts climbing Day 90 | Practice blames the billing department | Billing partner gets fired and replaced, problem persists THREE ACTIONS THIS WEEK Pull your last 90 days of denials and tag every one that traces back to front office (eligibility, demographics, missing authorization). Patterns will reveal hiring or training gaps before they hit Q3 cash. Run one weekly 15-minute huddle between front office, billing lead, and practice manager. Cover the top three denial reasons that week. Every week. Book a 1:1 with Heather to map the front desk to billing handoff in your practice: calendly.com/heather-natrevmd/ RESOURCES 1. Book a 1:1 with Heather Signorelli, MD: calendly.com/heather-natrevmd/ 2. The 30-Day Revenue Recovery Plan: eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan 3. Talk to Josh Sauter at Staffing First: staffingfirst.net | jsauter@staffingfirst.net 4. Practice Revenue Leak Scorecard: eligibility.natrevmd.com/nrm-revenue-scorecard-v3 5. Payment Posting Audit Checklist: eligibility.natrevmd.com/payment-posting-checklist 6. RECOVER Diagnostic Quiz: natrevmd.com/quiz
This episode of PT Breakfast Club is a practical conversation about value, access, content, and revenue in physical therapy. Jimmy McKay, Tony Maritato, and Dave Kittle start with a wild sports pricing example, then bring the conversation back to the clinic: why do PTs struggle to charge for expertise when other industries clearly understand premium access?The group digs into insurance reimbursement, cash-pay models, YouTube memberships, creator burnout, and why patient education content may become a serious business asset for PTs and clinic owners.Key Insights• People pay for access, status, trust, and simplicity. PTs need to understand which of those they are actually offering.• Billing codes can train clinicians to think in units instead of outcomes, expertise, and value.• Premium PT care and broad access are not opposites. A clinician can charge more for high-touch care while also creating lower-cost education through content, memberships, and video libraries.• YouTube memberships may be a practical way for PTs to build education-based revenue without building a custom app.• The biggest content barrier for many PTs is not editing, gear, or planning. It is confidence, consistency, and fear of being judged.• A shared rehab creator network or launchpad could help PTs, OTs, and SLPs build audiences faster than working alone.• Corporate content often fails when it feels like an ad too early. Trust has to come before the close.Why This Matters For PTs And Clinic OwnersClinic owners are under pressure from reimbursement, staffing, burnout, and rising patient expectations. This episode pushes the profession to think beyond the visit-based model and ask: what else can expert clinicians build with their knowledge?For individual PTs, the message is simple: your expertise can create value outside the treatment room, but only if you are willing to publish, test, learn, and keep going.Hosts / GuestsJimmy McKayPT PintcastTony MaritatoTotal Therapy Solution - Physical Therapyhttps://www.youtube.com/c/TotalTherapySolutionDave KittleThe Dave Kittle Showhttps://www.youtube.com/@thedavekittleshowSponsorsSaRA Healthhttps://sarahealth.comEMPOWER EMRhttps://empoweremr.comU.S. Physical Therapyhttps://usph.comSubscribe & FollowApple Podcastshttps://podcasts.apple.com/us/podcast/pt-pintcast-physical-therapy/id1000443325Spotifyhttps://open.spotify.com/show/3LmMUT64yrUc2iGo9EmafcYouTubehttps://www.youtube.com/@PTPintcastLinkedInhttps://www.linkedin.com/in/jimmy-mckay-pt-dpt-a4207659/Instagramhttps://www.instagram.com/ptpintcastX / Twitterhttps://x.com/PTPintcastWebsitehttps://www.ptpintcast.com/
Rachel and Chris on the show this week to discuss a series of big changes over the last, say, six months or so with our billing system. We've essentially re-written this thing several times, and obviously this is the best time. Having three plans, two payment providers, teams, and fifteen years of history is a lot to manage. An important aspect of the journey was getting the billing information into a single table in our database, and relying more on dynamic calls out to the payment providers when needed rather than trying to keep too much data in sync. Of course we wanted to clean up the codebase and get payment APIs ported over to our latest system, but the biggest need this was all satisfying was UX. We wanted a proper pricing page, better pages for people to manage their billing, and really easy upgrade modals inside our 2.0 editor. The good news is, it all worked. Time Jumps
Tuesday June 9, 2026 Billing Abuse in Austism Therapy
Sign up for Practi, a new platform that helps law firms use subscription billing.Here are the top 5 takeaways from this episode:* Ditch hourly billing for subscriptions: Billing by the hour incentivizes inefficiency. Subscription and fixed-fee models align attorney success with client outcomes, rewarding speed and quality rather than time spent.* Sharpen your ax: Constantly grinding without pausing to strategize and refresh leads to burnout; taking deliberate time to improve your tools and thinking produces better long-term results.* AI accelerates legal work without replacing judgment: Purpose-built AI tools (like Paxton for legal research, Perplexity for internet research, and NotebookLM for document-based Q&A) drastically reduce the time to deliver high-quality work, but human expertise and context remain essential.* Pricing transparency builds client trust: Publishing your fees, engagement terms, and scope upfront removes friction, reduces client anxiety, and leads to better working relationships and faster conversions.* Context is everything: Whether working with AI tools or advising clients, providing full context yields dramatically better results. Give AI the same rich background you'd give a brilliant first-day employee.__________________________Want your question to be answered on a future show? Fill out this short survey.Have subscription model question? Check out this free resource to ask all of your questions at notebook.practi.ai.Check out Light Bulb Moments.Sign up for Paxton, my all-in-one AI legal assistant, helping me with legal research, analysis, drafting, and enhancing existing legal work product.Get Connected with SixFifty, a business and employment legal document automation tool.Sign up for Gavel, an automation platform for law firms.Visit Law Subscribed to subscribe to the weekly newsletter to listen from your web browser.Prefer monthly updates? Sign up for the Law Subscribed Monthly Digest on LinkedIn.Check out Mathew Kerbis' law firm Subscription Attorney LLC.Want to use the subscription model for your law firm? Click here to sign up for a new platform that helps law firms use subscription billing. Get full access to Law Subscribed at www.lawsubscribed.com/subscribe
Some of the best builder questions are the ones that do not always get asked out loud. This episode has questions that come straight from the MC Community and gets into pricing tiers, labor rates, first admin hires, dead leads, subcontractor agreements, and the systems that help make a construction business easier to run. Sign up for the Modern Craftsman Community:
The current structural shift centers on the transfer of accountability for AI risk from vendors and regulators to managed service providers (MSPs). Vendors such as Anthropic and Microsoft are expanding their enterprise-focused AI channel programs and services tracks, while regulators pull back from enforcement, leaving MSPs as the de facto accountable parties for AI deployments. Reports and data indicate that vendor-driven channel expansion and regulatory laxity are converging to make service providers the liable layer in AI delivery. Anthropic is broadening its CLAUDE partner network from around 100 to several thousand partners, organized in tiers with outcome-based incentives and a dedicated services track targeting MSPs and system integrators. Microsoft, responding to low Copilot adoption rates (reported at 3.3% of eligible users), is allowing full removal of Copilot from systems. An IDC/Expereo survey of 800 companies found 70% are budgeting for AI, but investment is driven more by competitive anxiety than proven results. Additionally, a concentrated group—top 5% of users—accounts for the bulk of enterprise AI-related risk, according to a separate analysis. Supporting developments include the emergence of Lemhi, an early-stage platform aimed at enabling MSPs to package and sell AI transformation as a recurring service, and warnings from lawmakers about cuts to CISA that undermine federal cyber defense capacity. The episode also highlights a consistent theme: government agencies such as the White House and NIST are shifting toward voluntary measures and measurement frameworks, declining to create enforceable accountability standards for AI in production environments. For MSPs and IT leaders, these developments translate to increased contract and operational risk. Without renegotiated agreements specifying usage ceilings, approval workflows, and liability terms, providers may inherit unpredictable financial exposure and compliance gaps. The absence of effective governance requirements from both vendors and authorities places the operational burden on MSPs to define, monitor, and enforce safe use of AI, including recurring governance services such as data boundary enforcement and audit evidence. Failure to address these issues may result in MSPs acting as uninsured support for unmanaged AI deployments they cannot fully control or price. 00:00 MSP AI Play 04:24 AI's Accountability Gap 06:50 MSP Risk Transfer 09:49 Why Do We Care? Supported by: ScalePad Moovila
This episode breaks down the root causes of OMS claim denials, highlights common pitfalls and shares practical strategies to prevent issues before they happen. Learn more about Terri Bradley, CPC
The episode examines a structural shift in the MSP business model driven by the introduction of AI-linked consumption-based pricing layered on top of traditional per-seat fees. This emerging mechanism, typified by Microsoft's E7 license, adds variable AI consumption charges to otherwise predictable monthly service costs. Vendors are restructuring partner payment models, with Microsoft's move closely watched by others, signaling a wider potential for volatility in the recurring revenue foundations of MSPs, according to analysis from Jay McBain and recent channel data. The most consequential development is Microsoft's E7 pricing, which explicitly adds an AI consumption cost to the standard per-seat license. This move introduces variability at “machine speed,” in contrast to previous examples such as cloud storage, where consumption remains predominantly human-driven and thus more predictable. Analysts note that similar micro-consumption models—charging per conversation, process, or API call—are being adopted by hundreds of companies. Market data from Omnia and referenced industry research places the global IT spend at $6 trillion in 2026, with two-thirds delivered by channel partners and a rapid shift from fixed, subscription models toward micro-consumption billed at a granular, usage-based level. Supporting evidence includes the lack of sufficient vendor-provided controls for variable consumption, leaving MSPs exposed to unplanned cost spikes. While large enterprises are introducing robust FinOps practices and loading up cloud credits, smaller MSPs serving SMB customers are not prepared with similar governance structures. There is also vendor-led encouragement for AI adoption—such as persistent in-app assistants—that drive up consumption before adequate controls or cost-passing mechanisms are established. The sustainability of current pricing models is further questioned by the fact that providers like OpenAI and Anthropic are themselves subsidizing significant portions of token usage, distorting true costs throughout the value chain. For MSPs and IT service leaders, these developments mean greater exposure to unpredictable costs, potential margin pressures, and increased contractual risk tied to AI consumption. Operators cannot rely on vendors to provide spend caps or consumption governance today; failure to build internal controls or pass-through mechanisms may result in absorbing unpaid liabilities. Accountability for AI-driven actions, remediation, and configuration changes will rest with the MSP, elevating both operational complexity and liability exposure. The current environment requires building governance, audit trails, and spend management capabilities now, ahead of broader market adoption of AI consumption models. Supported by: CometBackup
LTC insurance claims are hard to get approved because so many claims are not actually long term care. When a claim is declined, the family becomes disgruntled and angry at the insurance company. Usually the problem is what the providers/doctors, facilities are reporting when filing the claim. LTC News reported over $15 billion was paid in claims in 2024. See the details at https://www.ltcnews.com/articles/rising-claims-growing-demand-long-term-care-insurance-key-retirement-plan AHIP (America's Health Insurance Plans) reports over $16 billion paid in 2024 and separates results by states at https://www.ahip.org/resources/long-term-care-insurance-coverage-state-to-state-2025 View current and projected costs of care where you live at https://www.carescout.com/cost-of-care Please be sure to use 5% cost of living increases to get a clear picture of future costs. Schedule time with me to learn more at https://calendly.com/diane-p4t/30min
Welcome back to Warehouse and Operations as a Career. I'm Marty and today I want to talk about something a listener brought up recently. They asked me, “Why don't you just stick to explaining warehouse positions instead of all the other stuff that doesn't make us more money?” Well, I guess that is a fair question. As We've discussed many times, and I believe this is more than just my opinion. Here's the thing about warehousing, transportation, distribution, manufacturing, and the whole supply chain. Nothing stands alone. Every movement touches another movement. Every position affects another position. Every delay or error cost somebody time. And in my experience, every shortcut creates a problem somewhere else. And, not only do I believe, but I think I can show that the people who grow the farthest in this industry are usually the people who understand more than just their own task. That's why we talk about everything, and why I try and get as many questions answered as possible. We can all learn something from all the experiences shared. On another note, kind of keeping with the theme of the day, I had a long time mentor, just this week say that the associate who learns the language of the operation becomes more valuable to the operation. So today, I thought we'd have some fun with that idea by talking about something every warehouse, dispatcher, inventory clerk, transportation coordinator, recruiter, manager, and forklift operator and a couple of hundred other positions hear every day. Acronyms. Being honest. The supply chain world LOVES acronyms. Sometimes it feels like people are speaking another language. A dispatcher says I Need POD on that LTL before DET hits, or customer's asking for an ETA, and OS&D says there's one QTR short. And the new employee standing there is thinking What in the world just happened? But once you understand the language, you start understanding the business. And understanding the business creates opportunity. So let's break a few of them down today. POD. This one's huge. POD simply means Proof of Delivery. It's the signature, paperwork, photo, or electronic confirmation showing freight arrived where it was supposed to arrive. Without a POD, customers may refuse payment. Billing can stop. Claims can happen. That little signature? That's money. It's like a check. One missing POD can turn into hours of emails, phone calls, and frustration. The BOL or Bill of Laden. The BOL is basically the birth certificate of the shipment. It tells us what the freight is, where it's going , who shipped it, who receives it , and how many pallets or cartons there are. Drivers carry it. Receivers check it. And dispatch tracks it. If the BOL is wrong, everything downstream can become wrong too. Again, everything touches everything. On to the ETA or the estimated time of arrival. Everybody wants the ETA. An inaccurate ETA affects staffing, dock schedules, unloaders, production planning, and customer satisfaction. One late truck can ripple through an entire building. PU and DEL. PU means Pickup. DEL means Delivery. Simple terms, but they move the entire transportation world. You'll hear the PU is at 1400. And maybe read or hear DEL scheduled for tomorrow. And you don't want to read or hear Missed PU. Or Late DEL. Those two tiny acronyms control millions of dollars in freight every single day. Oh, these are common ones. FTL, TL and LTL. Now we're getting into freight classifications. FTL or TL means Full Truckload or Truckload. That means one shipment basically fills the trailer. LTL means Less Than Truckload. That means multiple customers share trailer space. Why does this matter? Because of the freight handling changes. LTL freight gets touched more. More touches means more chances for damages. More planning, terminals being crossed and more scheduling. Understanding freight flow helps associates understand WHY all those processes we have to follow exist. STL or Spot Trailer Load. Now depending on the company, STL can mean different things, but many operations use it to describe a spotted trailer load or staged trailer movement. Spotters, yard dogs, dispatch, and shipping clerks all coordinate trailer movement to keep freight flowing. One missed trailer move can shut down a shipping lane. Then OS&D. This acronym can ruin everybody's day. OS&D means, over, short, and damaged. To a receiver that’ll mean too much product. Missing product. Or Broken product! This affects inventory, customer service, claims, transportation, receivers, selectors and loaders. One crushed pallet may not seem important on the dock floor until you realize it can cost thousands of dollars. Lets see, TONU or Truck Ordered Not Used. Transportation people cringe hearing this one. TONU means a truck was scheduled, showed up, and wasn't needed. But the carrier is still going to expect his or her payment. Why? Remember all we've learned about transportation. A truck sitting parked still costs money. One we're all getting used to is FSC, the fuel surcharge. Fuel affects everything. When diesel prices rise, FSC charges often rise too. That means transportation costs increase. And when transportation costs increase, product prices eventually increase. Again, everything touches everything. Two more biggies, DET and D&H. DET means Detention. D&H means Detention and Handling. This happens when drivers sit too long waiting to load or unload. And let me tell you, drivers will charge you and they remember facilities that waste their time. A poorly managed dock damages relationships fast. And we as warehouse people probably know these next two. APPT and FCFS. APPT means Appointment. FCFS means First Come, First Serve. Many warehouses, especially the larger ones run by appointments. Others unload trailers in the order in which they arrive. Understanding which system a facility uses affects scheduling, staffing, and transportation planning. And here are 3 system ones. TMS, WMS, and YMS. Now we're talking technology. TMS is the Transportation Management System, and I'm sure us warehouse folks know WMS, the Warehouse Management System, and a little lesser known system is the YMS, Yard Management System. You'll see these in high traffic operations. These three systems track freight, our inventory, trailer locations, our productivity, shipping schedules, receiving , even our labor hours and cost. Really pretty much what ever information we feed into them! Years ago, many warehouses used clipboards and paper. Today? Data drives our operations. And the associate willing to learn systems becomes extremely valuable. A forklift operator that understands WMS screens and RF scanners may eventually move into inventory control or leadership. Knowledge adds up. ASN and EDI. ASN means Advanced Shipping Notice. That's electronic information sent before freight arrives and EDI means Electronic Data Interchange. Computers talking to computers. Purchase orders, invoices, shipment notifications, receiving confirmations, all moving electronically behind the scenes. Most associates never see it. But it's happening constantly. OK, this one most of us know. A PO or Purchase Order. A PO is permission to buy product. Without a PO, many companies won't even receive the freight or their order. That one document controls inventory flow, accounting, receiving, and purchasing. Here's another on us production people know. KPI or Key Performance Indicator. KPIs are measurements. Cases per hour. Pallets per hour. On-time shipping. Inventory accuracy. Dock turn times. You've heard me say What gets measured gets managed. Warehouses or operations survive on measurements. And associates that understand KPIs understand how and why businesses make decisions. Next we have RDC, DC, and MC. These are facility types. RDC is for Regional Distribution Center. DC is Distribution Center. MC is Manufacturing Center. Different responsibilities. Different workflows. But all connected together in the supply chain. Now here's a few for the transportation folks. ELD, GPS, DOT, and HOS. As we know, transportation runs on compliance. The ELD is an Electronic Logging Device. Remember keeping our paper logs? GPS, Global Positioning System. DOT or Department of Transportation, and HOS stands for Hours of Service. These systems and regulations track Driver hours. Safety, Speed, Routes, and Compliance. Transportation isn't just driving a truck anymore. It's technology, planning, regulation, and accountability. Keeping things on the road. We have NMFC and SCAC. Now we're getting deep into freight language. NMFC means National Motor Freight Classification. SCAC means Standard Carrier Alpha Code. These help identify carriers and classify freight for shipping and pricing purposes. Again, Stuff most people never think about. But somebody in the operation has to understand it. And BCO, FOB, and CFR. BCO often means Beneficial Cargo Owner. FOB means Free On Board. CFR means Cost and Freight. These terms matter heavily in international and large-scale shipping. They determine responsibility. Who pays for freight. Who owns the risk and where liability transfers. And one misunderstanding here can become extremely expensive. Now some people may hear all these acronyms and think “Well, I don't need to know all that. I just drive a forklift.” Maybe today you do. But tomorrow? You might have an opportunity train new hires. Lead a shift. Help coordinate the outbound shift. Move into the inventory side of op's, maybe even become a dispatcher, or running transportation or supervise operations. Remember how we're always talking about learning and growing? The people who grow in this industry usually become students of the industry. Not just students of their task. And, that's why we talk about “all this other stuff.” I believe every term, every process, every department, every movement is another piece of understanding as to how the machine works. And once you understand the machine, you become more valuable to the machine. Warehousing and transportation are not simple jobs anymore. They've grown. Technology. People. Safety. Metrics. Compliance. Movement. Communication. And that growth is a good thing. Every one of us touches another part of the process. And I feel, that's why knowledge matters. Not because every acronym instantly puts money in your pocket. But because understanding creates opportunities that eventually do. The more of the language you understand the more rooms you can walk into confidently. And confidence backed by knowledge? That's where careers begin separating themselves. The people who understand the whole operation eventually outgrow the people who only understand one task. And that, my friends is why we talk about all of it. Well, there’s two more cents worth of my opinions. We do talk about a lot more than warehouse positions, but, I feel, and can pretty much attest that, if we learn it all, hang out with those from other departments, learn that task before ours and after ours, we will earn more and in many different ways. Thanks for stopping in again today, and above all, remember safety is our number 1 priority. We want to be doing this a long time!
Send Zorba a message!More good news for coffee drinkers: Zorba digs into new research showing drinking 2-3 cups of coffee per day may help fend off dementia risk. Zorba helps a listener who asks why it's so difficult to obtain her monthly ADHD medication. He weighs in on why some doctor exams can lead to extraneous billing. We hear a Disney-centric Mom Joke, and scroll through some listener comments from the Facebook page.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!
Send us Fan MailIn this episode of the Talking Pools Podcast, host Natalie Hood of The Grit Game sits down with Adam Beech, founder and CEO of PoolBrain, for an in-depth discussion about the operational challenges facing modern pool service companies and the technology being developed to solve them. Adam shares his journey from operating a 20-truck pool service company in Phoenix, Arizona, to creating one of the industry's fastest-growing software platforms after realizing that technician accountability, customer retention, and operational scalability were problems traditional management methods could not fully solve. The conversation explores PoolBrain's latest breakthrough: fully automated LSI (Langelier Saturation Index) chemical dosing. Adam explains how PoolBrain now integrates with the Arenda calculator to automate complex water chemistry calculations, allowing companies to establish their preferred LSI methodology once and have the system consistently execute those calculations for technicians in the field. The result is reduced training time, increased consistency, improved water balance, and fewer chemistry-related mistakes. Natalie and Adam also discuss one of the industry's most persistent challenges: technician turnover. Adam explains how PoolBrain was originally built to solve the difficulties of managing field technicians, maintaining service quality, and scaling operations without increasing administrative burden. The discussion highlights how automation can reduce training requirements, standardize procedures, and help companies maintain quality regardless of staffing changes. The episode takes a deep dive into the growing role of automation in pool service operations, including: Automated chemical dosing AI-assisted tablet recommendations Customer communication systems Route management Billing automation Service verification Preventative maintenance alerts Equipment monitoring Inventory management innovations Adam explains how modern software is shifting pool companies from reactive management to proactive operations by identifying problems before they become customer complaints. Examples include tracking PSI trends to detect clogged impellers, identifying recurring chemistry issues before pools turn green, and automatically notifying customers when routes change. One of the most anticipated segments focuses on PoolBrain's future inventory management system. Adam outlines a vision of fully automated inventory tracking that follows products from supplier purchase to truck stock to chemical consumption at individual pools. The goal is a closed-loop inventory ecosystem that dramatically reduces waste, improves accountability, and eliminates countless hours of manual inventory management. Natalie also challenges Adam on several common industry myths, including: "Software is only for large companies." "All pool software is basically the same." "Technicians hate software." Adam explains why smaller companies often benefit just as much as larger operations and why modern pool software is evolving far beyond simple digital service logs into comprehensive operational platforms. The discussion concludes with a look at the future of the industry, including remote equipment monitoring, automated chemistry management, AI-assisted operations, integrated supplier purchasing, and the increasing role of data-driven decision-making in pool service businesses. Adam shares his belief that many operational tasks currently performed manually will become fully automated within the next five years, allowing service companies to focus more on customer relationships and business growth. Whether you're a single-pole operator, route manager, service technician, or owner of a multi-truck operation, this episode offers a fascinating look at how technology is reshaping the future of pool service.Key Topics Discussed The origins of PoolBrain Technician turnover and accountability Automated LSI dosing AI-driven chemical recommendations Customer communication automation Service verification and photo documentation Inventory management and purchasing automation Operational scalability Customer portals and self-service tools The future of AI in pool service Remote monitoring and predictive maintenance Why software is becoming essential for competitive pool companies GuestAdam Beach Founder and CEO of PoolBrain, former pool service company owner, and software innovator focused on solving operational challenges within the pool service industry.HostNatalie Hood Director of Education and Events at The Grit GameLearn MorePoolBrain Official Website#TalkingPools #PoolBrain #PoolService #SwimmingPoolIndustry #LSI #PoolChemistry #PoolTech #PoolBusiness #PoolIndustryTechnology #AutomationInPools Support the showThank you so much for listening! You can find us on social media:FacebookInstagramTik TokEmail us: talkingpools@gmail.com
Send Zorba a message!More good news for coffee drinkers: Zorba digs into new research showing drinking 2-3 cups of coffee per day may help fend off dementia risk. Zorba helps a listener who asks why it's so difficult to obtain her monthly ADHD medication. He weighs in on why some doctor exams can lead to extraneous billing. We hear a Disney-centric Mom Joke, and scroll through some listener comments from the Facebook page.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!
Most private practice owners think they understand their numbers. But when you actually ask them? They don't.In this episode of the Private Practice Owners Club podcast, Adam Robin introduces a powerful new series that will completely change how you run your clinic.This is not theory. This is not motivation. This is a step-by-step breakdown of the exact metrics that drive profitability, efficiency, and long-term survival in private practice.Because here's the truth:
AWS Morning Brief for the week of June 1st, with Corey Quinn. Links:Monitor AWS Budgets directly in Billing and Cost Management Dashboards with new Budgets widgetIntroducing the next generation of Amazon OpenSearch Serverless for building your agentic AI applicationsOptimize costs in Amazon AuroraHow AWS DevOps Agent uses multi-agent reasoning to find root causesClaude Opus 4.8 is now available on AWSBest Practices for TCP Connection Management on EC2Introducing US-based, US citizen, 24/7 technical support for AWS GovCloud (US) customers: Your mission never sleeps, neither do weWell-architected best practices for software supply chain securityAutomate Amazon EBS gp2 to gp3 migration at scale with AWS Step Functions and AWS LambdaAWS Organizations emits CloudTrail events for account membership changesCVE-2026-9255 - Tool Execution Without Authorization via Piped Stdin in Kiro CLICVE-2026-9291 - Insecure Deserialization in Amazon Braket SDK Job Results Processing
Most pelvic health providers already know the math isn't working. They feel it in the evenings — charting after their last patient, watching reimbursements shrink while their student loans don't. They know. They just don't know when leaving becomes the right call.This episode breaks down the 5 signs you've already outgrown the in-network model — and what those signs actually mean for your income, your autonomy, and the care you're able to deliver. Not the theory of going cash-based. The specific signals that tell you the window is open.We're talking about the provider whose schedule is maxed out but still isn't profitable. The one turning down complex cases because insurance won't cover the time they need. The one whose documentation hours now exceed her patient hours. The one whose best clinical outcomes — the ones she's most proud of — happened entirely outside a billing code.If any of those hit close, this episode is for you.By the end, you'll know exactly where you stand — and what your next move looks like.KEY TAKEAWAYSA full schedule is not the same as a profitable practice — and the difference lives in your billing modelDeclining cases because of insurance limitations is a sign your model has outgrown your payer mixThe providers scaling to $30K-$80K cash months didn't wait until it felt safe — they left when the math stopped working
HOUR 1: Watch out for scammers. They're now spoofing online billing portals through sponsored Google results. full 2284 Fri, 29 May 2026 19:00:00 +0000 3u6PxGIjg8xbFuzFNVzjPrf3cs0HvKPW news The Dana & Parks Podcast news HOUR 1: Watch out for scammers. They're now spoofing online billing portals through sponsored Google results. You wanted it... Now here it is! Listen to each hour of the Dana & Parks Show whenever and wherever you want! © 2025 Audacy, Inc. News
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Most dentists think insurance is just malpractice coverage until a cyberattack shuts down the office or a flood destroys expensive equipment. And on that note, a missed premium payment can leave the practice completely uninsured. In this episode, Jack McKinney from TDIC Insurance Solutions explains the hidden gaps that can cost dental practices thousands of dollars and why office managers need to be involved in insurance conversations long before a crisis happens. It may surprise you to know that relationships with insurance agents matter! They can tell you if your practice becomes dangerously underinsured as they grow. It can happen when adding services like Botox or expanding office space. Jack explains the realities of property insurance, cyber insurance, disability coverage, workers compensation, EPLI, and business interruption coverage while sharing real world examples of practices discovering costly gaps only after disaster strikes. We talk about scary ransomware too - it's real and it's out there. After this episode, get in contact with your agent! Connect with Jack Mckinney Contact number: 916-554-5356 Website: https://www.tdicinsurance.com/ Facebook: TDIC - The Dentists Insurance Company LinkedIn: TDIC - The Dentists Insurance Company —------------- Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Take advantage of Early Bird pricing through July 4th! ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase. ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment. ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt #DentalInsurance #DentalPracticeManagement #DentistryBusiness #DentalOffice #DentalPodcast
In this episode, hosts David Millili and Steve Carran sit down with 2026 NYU SPS Incubator winner and founder of Clairdoc, Bakhtawer Baloch, for a wide-ranging conversation on entrepreneurship, resilience, and building scalable AI solutions in complex industries.From her early entrepreneurial spark selling stickers as a child in Pakistan to studying and building companies in New York, Bakhtawer shares how her journey across consulting, tech, and startups led her to identify a major inefficiency in healthcare billing: insurance claim denials. That insight became the foundation of Clairdoc, an AI-driven platform aimed at reducing administrative friction and improving revenue outcomes for clinics.In this episode, you'll learn about: How Bakhtawer Baloch went from selling stickers as a child in Pakistan to building a tech startup in New York The inspiration behind Clairdoc and the problem it solves in healthcare billing and insurance claim denials Winning the 2026 NYU SPS Incubator and how mentorship shaped her pitch and growth strategy Why she transitioned from service-based businesses to scalable AI product development What's next for Clairdoc as it expands across healthcare systems and specialtiesWatch the FULL EPISODE on YouTube: https://youtu.be/luuWSO8DfJ8Links:Bakhtawer on LinkedIn: https://www.linkedin.com/in/bakhtawerbaloch/ Clairdoc: https://www.clairdoc.com/For full show notes head to: https://themodernhotelier.com/episode/280Follow on LinkedIn: https://www.linkedin.com/company/the-..Join the conversation on today's episode on The Modern Hotelier LinkedIn pageConnect with Steve and David:Steve: https://www.linkedin.com/in/%F0%9F%8E...David: https://www.linkedin.com/in/david-mil.
(0:00-21:17) Back of Baseball Card Yes or No?(21:32-33:24) Jason Kelce on NFL Sunday(33:39-43:26) Today's Headlines with Connor ThomasPlease note: Timecodes may shift by a few minutes due to inserted ads. Because of copyright restrictions, portions—or entire segments—may not be included in the podcast.For the latest updates, visit the show page Kincade & Salciunas on 975thefanatic.com. Follow 97.5 The Fanatic on Twitter, Facebook, and Instagram. Watch our shows on YouTube, and subscribe to stay up-to-date with all the best moments from Philly's home for sports!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Design Curious | Interior Design Podcast, Interior Design Career, Interior Design School, Coaching
Have you ever finished a project and thought… “Wait, where did all the money go?”One of the biggest mistakes creatives make is treating money as something that shows up at the end—rather than something that needs structure from the very beginning. And that mindset? It quietly drains your profit, your energy, and your confidence.In this episode, I sit down with Lauren Nist, a bookkeeping and advisory expert who works behind the scenes with creative businesses. Together, we unpack the most common money mistakes interior designers make—from underpricing and scope creep to poor billing systems—and how to fix them. If you want financial clarity, stronger boundaries, and a business that actually pays you back, this is your starting point.Featured GuestLauren Nist is a co-founder of Magnolia & Main, a virtual bookkeeping and advisory firm dedicated to helping small business owners gain financial clarity and confidence. With years of experience supporting creative and service-based businesses, Lauren specializes in simplifying the money side of business—from pricing and billing systems to job costing and cash flow management. Her approachable, judgment-free style helps entrepreneurs feel empowered, supported, and in control of their finances.What You'll Learn in This Episode✳️ Why creatives struggle with financial structure✳️ How to protect your cash flow early✳️ Billing ahead vs. acting like the bank✳️ Spotting red flags in client behavior✳️ Simple profit planning for interior designersRead the Blog >>> Interior Design Money Mistakes (And How to Fix Them)NEXT STEPS:
In talking to therapy start-ups this year, I've heard a common stumbling block: Credentialing.And, honestly, I was shocked when I dug into the space. It feels like the seemingly boring task of getting credentialed with insurance has turned into what honestly feels like a world of sharks. It seems like there are 3 trends at play:This is truly a bureaucratic headache: You do need to buckle up for some super confusing portals to get credentialed.Credentialing services are all too happy to take your money: They take your personal information because of this barrier-but because the process itself is murky, they often over-promise and under-deliver, without clarity into what is happening.Big companies like Grow Therapy want to present this task as too difficult for an average therapist, so you join their platform (where they do the credentialing for you, but own your contract).In today's episode, we want you to feel empowered to understand credentialing and billing with insurance. We'll help you understand this complex system and how you can navigate it.Honestly, every therapist who works in insurance reimbursement should understand this process (because if you don't do it yourself, that means someone is probably doing it on your behalf). Our goal is for you to leave with a checklist of what to do-and the confidence to do it!See full course details here:https://otpotential.com/ceu-podcast-courses/therapy-credentialing-and-billing-101See all OT CEU courses here:https://otpotential.com/ceu-podcast-coursesCheck our our live webinar schedule here:https://otpotential.com/live-ot-ceu-webinarsSupport the show by using the OTPOTENTIAL Medbridge Code:https://otpotential.com/blog/promo-code-for-medbridgeTry 2 free OT Potential courses here:https://otpotential.com/free-ot-ceusSupport the show
Mark Denzler breaks down growing concerns over the federal 340B drug pricing program, arguing that a policy originally designed to help low-income and rural patients has expanded far beyond its intent and is now driving up employer and taxpayer health care costs. He explains that hospitals purchase outpatient drugs at steep discounts but often bill insurers at full price, with the spread increasingly concentrated in large, wealthy hospital systems rather than safety-net providers. The discussion highlights claims that employers are absorbing hundreds of millions in added costs annually through higher premiums and deductibles, with similar effects reported across multiple states, including Missouri. The segment closes with broader frustration over health care billing practices, including how insurance-driven pricing, overtesting, and system incentives may be contributing to rising premiums for consumers across the board. Hashtags: #HealthcareCosts #Insurance #340BProgram #Hospitals #DrugPricing #EmployerCosts #IllinoisPolitics #MissouriNews #HealthPolicy #PremiumIncreases
SummaryIn this episode, Terry Fletcher discusses common compliance pitfalls in healthcare, billing errors, fraud risks, and the importance of accurate documentation and risk management. He emphasizes the need for healthcare providers to stay informed and vigilant against fraud and billing mistakes.Key TopicsHealthcare billing errors and compliance pitfallsFraud risks and detection in healthcareCMS guidelines and billing codesThe impact of AI and data analysis on fraud prevention
Guest: Tess Lynch, Founding Attorney, Clause and AffectWhen Crimson Desert announced "no AI in our game," the internet applauded. But does anyone agree on what that actually means? Tess Lynch — gaming and IP attorney, founder of Clause and Affect, and one of the more practical legal voices covering this space — joined Greg to untangle what studios are really promising when they make that pledge, and what they're leaving dangerously undefined.What we get into:The three tiers of AI in games that almost nobody distinguishes clearly — procedural generation (been here forever, deterministic, mostly fine), machine learning trained on licensed data (DLSS, Adobe Firefly, getting complicated), and generative AI trained on scraped data (the one everyone's actually upset about, and for good reason).Why "no AI" policies get weird fast — no Gmail, no Copilot, no AI meeting notes — and why the real target is almost always generative AI replacing human creative work, not automation tools embedded in software you're already using.The consent problem hiding inside "licensed" datasets. Adobe Firefly is built on licensed images, but did those photographers consent to having their work used to train the model? Tess breaks down where that gets legally murky, and why the Scarlett Johansson standard she uses is a useful gut check.UGC platforms and the IP trap studios don't see coming. When players generate content in your game — especially with AI tools — the question of who owns it, who's liable for it, and whether you can even copyright it is almost entirely unsettled law right now.Why purely AI-generated work can't be copyrighted (current U.S. law requires human authorship), and what that means for studios shipping games with AI-generated assets as placeholders they forgot to swap out. Clair Obscure and Crimson Desert both came up.The patchwork regulatory problem. Every state has its own privacy laws, its own AI laws, its own age assurance rules. Tess calls it what it is: an amalgamation that will never get cleaner until it becomes a federal issue — which she doesn't expect soon.When should you actually talk to a lawyer? Her answer: yesterday. But more practically — before you touch sensitive data, before you go live with anything using AI in a novel way, and definitely before you sign contractor agreements that don't address it.And on the business side: what it's actually like to build a solo law firm serving indie devs and creatives who can't pay BigLaw rates. Billing, time management, and figuring out what your work is worth.Tess Lynch: LinkedIn | Clause and Affect website | Your AI NPC Might Be IllegalPlayer Driven: Discord | Newsletter
1. King Charles III’s Visit to the U.S. King Charles addresses a joint session of Congress, becoming only the second British monarch to do so (after Queen Elizabeth II in 1991). The visit is symbolic of deep historical and constitutional ties between the U.S. and the U.K., especially as America approaches its 250th anniversary. Shared Anglo-American legal traditions (Magna Carta, English Bill of Rights, John Locke). The irony of honoring a British monarch given America’s revolutionary origins. King Charles is portrayed as: Surprisingly humorous and personable, using dry British wit. Well-received across party lines, including Democrats who previously opposed “monarchy symbolism.” President Trump is quoted praising the King’s speech and leveraging the visit to reinforce themes of heritage, liberty, and national identity. 2. FBI Raids on Alleged Somali Fraud Operations The FBI conducts 22 raids in Minnesota, reportedly targeting childcare centers accused of defrauding federal programs. Allegations include: Billing for childcare services not provided. Large-scale misuse of taxpayer funds. Claims that some funds were diverted abroad (including alleged terrorism links—presented as accusations, not proven facts). Specific political figures (e.g., Ilhan Omar, Governor Tim Walz) are accused by the speakers of: Ignoring, enabling, or benefiting politically from the alleged fraud. Ben and the Senator praise the Department of Justice and Trump administration for aggressive enforcement, framing it as overdue accountability. Welfare recipients owned luxury vehicles (Tesla, Porsche, Lamborghini, Ferrari, etc.). Exploited eligibility loopholes like Broad-Based Categorical Eligibility (BBCE). Weak identity and asset verification enabling fraud. The welfare system is: “Fraud by design,” incentivized to maximize dependency rather than enforce eligibility. Poorly monitored by Democratic-led states. The narrative argues for tighter controls, asset checks, and stricter enforcement. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the 47 Morning Update with Ben Ferguson and The Ben Ferguson Show Podcast Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening YouTube: https://www.youtube.com/@VerdictwithTedCruz/ Facebook: https://www.facebook.com/verdictwithtedcruz X: https://x.com/tedcruz X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.
Federal and state authorities report investigating hospice and home health care fraud in California, primarily involving Medicare and Medicaid billing. A federal anti‑fraud task force, formed in mid‑March, is described as coordinating with the Centers for Medicare & Medicaid Services (CMS) to identify providers showing indicators of improper billing. According to figures cited, hundreds of hospice providers and several dozen home health agencies in California have had payments suspended while investigations are ongoing, involving an estimated hundreds of millions of dollars in suspended or questioned claims. A significant portion of the flagged providers are located in Los Angeles County, with authorities citing patterns such as unusually high billing volumes, shared addresses among many licensed hospices, and lack of evidence of active operations. Law enforcement actions mentioned include search warrants, arrests, and criminal charges against individuals accused of submitting fraudulent claims for hospice services that were allegedly unnecessary or not provided. Investigators allege some schemes involved: Enrolling beneficiaries who did not meet hospice eligibility criteria Billing for “phantom” patients or services Using stolen or improperly obtained personal information Operating multiple hospice entities from the same physical location California state officials and the state Department of Justice are reported to be conducting hundreds of active investigations, sometimes in coordination with federal agencies such as the FBI and CMS. State audits and prior investigations had previously flagged weaknesses in licensing oversight, including multiple providers sharing addresses, insufficient inspections, and limited enforcement capacity. Proposed or mandated regulatory reforms discussed include: Enhanced background checks for hospice operators Restrictions on multiple hospice licenses at a single address Increased on‑site inspections Stronger pre‑licensing verification requirements Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the The Ben Ferguson Show Podcast and Verdict with Ted Cruz Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.