Podcasts about Billing

Description In this episode of the ABA Business Leaders Podcast, hosts Stephen and April Smith break down one of the most critical — and often misunderstood — parts of running an ABA business: billing. From choosing between in-house and outsourced billing to understanding payer contracts, they explore the practical steps that help your clinic stay compliant, efficient, and profitable. Stephen and April share hard-earned lessons about reading contracts carefully, negotiating rates, maintaining control over your billing process, and tracking denials to spot inefficiencies before they snowball. Whether you're just getting started or looking to clean up your current systems, this episode will help you take a closer look at your billing practices and ensure your business's financial health is as strong as your clinical outcomes. Key Takeaways Your billing setup isn't permanent. You can start in-house and later outsource—or vice versa. What matters is choosing the system that best fits your growth stage. Always read your contracts. Never sign a payer agreement without understanding every clause, rate, and responsibility. Every business partner should be knowledgeable about what they're agreeing to. Know your minimum rates. Rate negotiation might not happen in your first contract, but understanding what you can't afford to accept is vital to staying sustainable. You can't hand off full control. As April puts it, “Nobody will care about billing as much as you do.” Even if you delegate billing tasks, you need oversight and involvement to prevent problems. Track patterns and denials. Billing data tells a story—watching for repeated denials or errors helps you catch process issues before they become expensive. Clean billing builds value. When it comes time to sell your ABA business, well-organized, transparent billing records will give potential buyers confidence and increase your valuation. Sponsored by Silna This episode is sponsored by Silna, the first-ever Care Readiness Platform built specifically for ABA. Silna automates prior authorizations, benefit checks, and insurance monitoring to ensure your patients are financially cleared for care before sessions begin. Operating in 45+ states and serving over 50,000 patients, Silna helps ABA providers save thousands of hours by verifying eligibility, tracking expiring authorizations, and using AI to complete and submit all ABA-related authorization types.

Ben Maller talks about Texas QB Arch Manning saying that he isn't bothered by the criticism, reports that Caitlin Clark could be offered huge amounts of money to leave the WNBA and play in a Saudi-backed women's league, Too Much or Not Enough, #QueenOfHearts w/ LaReina, and more!See omnystudio.com/listener for privacy information.

In this episode of Insurance Shoptalk, explore the world of human resources (and more!) with host Eric Stein and special guest host Ryan Floyd. Eric and Ryan talk with David Ainsworth and David Bell from Zynergia, a trusted HR partner that offers a variety of services, including payroll, benefit management, risk management, and more. They discuss Zynergia's the coverage, features, and benefits of their unique programs, especially their PEO and Workers' Compensation offerings. To learn more about Zynergia and their services, please find them online at https://zynergiahr.com/ About Insurance Shoptalk: Join host Eric Stein on a journey through the dynamic world of commercial property and casualty insurance. With over 25 years of experience in the industry, Eric brings a wealth of knowledge and insights to every episode. Insurance Shoptalk is your premier destination for in-depth discussions on the latest industry trends, technology impacts, interviews with leading experts, and much more. If you enjoyed this episode of Insurance Shoptalk, follow us on our social media pages to learn the latest on commercial insurance industry.

Dr. Bicuspid Editor-in-Chief Kevin Henry joins me to discuss some crazy current events! A California dentist has been sentenced to 75 years to life in state prison after what prosecutors called a “reign of terror.” The man's crimes included multiple sexual assaults against five female patients and an extern, with victims ranging in age from 19 to 73. Prosecutors said he treated the women “as his playthings,” committing the assaults while they were under anesthesia and alone in his office. What broke the case open was the courage of a dental assistant, who secretly filmed one of the assaults, exposing the abuse and ending years of unchecked violence. The conversation examines how this could happen inside a dental practice where patients should feel safest and the red flags that every dental professional must recognize. From patient safety and sedation oversight to the ethics of working alone with anesthetized patients, this disturbing story forces the industry to confront hard truths about accountability and protection. Our discussion continues into the state of the dental profession today. A new Delta Dental study shows preventive care has finally returned to pre-pandemic levels, but capacity hasn't caught up. Hygienist shortages continue to strain practices, and legislative moves across states like licensure compacts and the rise of oral preventive assistants aim to fill the gaps. There's also a sharp look at data trends: claims show a rise in occlusal guards and fillings, signaling more stress-related wear and tear, and new fraud triggers are catching the attention of insurers. Teresa and Kevin unpack how AI, remote admin roles, and shifting workforce models are reshaping the business of dentistry and what every practice owner needs to know to adapt.

Hey there everyone, Have you ever hired someone to handle your insurance billing, only to have it turn into a total mess? Maybe even a nightmare?

No money, no mission. Understanding coding is the key to funding care and making your practice sustainable. In this episode of BackTable OBGYN, host, Dr. Mark Hoffman, chats with Dr. Jon Hathaway, associate professor at IU School of Medicine and coding specialist. They discuss the intricacies of medical billing, the impact of coding knowledge on revenue, and the systemic gaps in residency training regarding financial literacy. ---SYNPOSISDr. Hathaway shares his journey from mastering coding to becoming a national expert, providing a crash course on CPT, RVU, and ICD codes, and emphasizing the importance of accurate billing for the sustainability of healthcare practices. The episode offers valuable insights into the challenges and opportunities in medical coding and the broader financial aspects of healthcare.---TIMESTAMPS00:00 - Introduction 02:03 - Dr. Hathaway's Journey into Coding04:11 - Understanding the Financial Side of Healthcare07:10 - The Disconnect in Healthcare Payments11:26 - The Complexity of Medical Billing18:11 - The Role of CPT, RVU, and ICD Codes24:03 - The Process of Approving New Procedures32:38 - Understanding the Value Update Process33:47 - Case Study: Cystoscopy in Hysterectomy Codes35:26 - Survey Participation and Its Impact36:12 - Roles and Responsibilities in ACOG38:12 - Challenges of RVU-Based Compensation42:08 - Specialty-Specific RVU Valuation48:42 - Comparing OB and GYN Reimbursements50:02 - Envisioning an Ideal Healthcare System55:10 - Maximizing Billing Efficiency59:46 - Final Thoughts

Got questions? Send Ericka a Text!A candid look at why AR rises even when production is strong and how access, clarity, and team alignment restore cash flow. We share the biggest blockers we see inside practices—password chaos, clearinghouse issues, unread billing emails—and the simple systems that fix them.• password and portal access as revenue gatekeeper• EFT lockouts creating delays and aged AR• Dentrix–Vine fallout and claim tracing discipline• daily email reviews and statement ownership• patient AR rising from unclear benefits and silence• stronger benefit scripts to prevent “surprise” balances• third-party alignment as team extension, not threat• kickoff meetings for roles, tools, and expectations• billers as end-of-cycle auditors spotting root causes• repeatable rhythms for faster posting and fewer denialsIf any of this resonated with you friends, feel free to leave a review, feel free to leave a comment, share this episode with someone who you feel would relate. And if you're interested in a billing consultation and seeing how fortune billing solutions can help you, go to the show notes. There's a link down below, and you can set up a time to meet with me. Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Join The Biller Acceleration Mentorship Wait List Here: (Only 5 Spots Left in 2025!!)https://linktr.ee/dental_billing_coachWould you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Headed to Dreamforce (Oct 14–16)? In 30 minutes, Salesforce's David Beebe breaks down: RCA now: 6 releases, faster UX, upgraded constraint builder Revenue Cloud Billing: what's new + why demand is spiking Unified CPQ + Billing: fewer errors, faster cycle time Pricing & AI/Agents: usage-based, analytics, interoperability Sessions to add: RC Keynote, Consumption Models, Invoice-to-Cash Listen Oct 12 to plan your week!

Advancements and Challenges in Pediatric Mental Health ScreeningIn this episode of "The Pediatric Lounge," hosts discuss the importance and implications of mental health screening in pediatric care. Guest Dr. Jean Marconi, Senior VP of Strategic Partnerships and Business Development at Bright Line, delves into the challenges and opportunities within pediatric psychiatry. The conversation covers the implementation of mental health screenings, the necessity for proper coding for reimbursement, and the integration of mental health services in clinical practice. Dr. Marconi also emphasizes the significance of suicide prevention screenings and the role of pediatricians in early identification and intervention. The episode highlights the importance of practical tools, systemic changes, and comprehensive training in effectively managing pediatric mental health.Role Modeling Dr. Susan Sirrota ASQ-S Best Practice ASQ-S Tool Kit 00:00 Introduction to the Pediatric Lounge00:36 Welcoming Dr. Jean Marconi01:57 Dr. Marconi's New Role at Bright Line02:37 Bright Line's Hybrid Model and Services04:21 Understanding Pediatric Mental Health Policies12:22 Screening Tools and Their Importance14:52 Challenges in Pediatric Mental Health27:16 The Role of Schools and Pediatricians41:03 Handling Pediatric Emergencies41:35 Challenges in Managing Chronic Conditions42:49 Mental Health Stigma in Pediatrics43:51 Billing and Coding for Pediatric Care47:19 Developmental Screening Guidelines50:05 Implementing Mental Health Screenings58:01 Advocacy and Policy in Pediatric Care01:09:33 Concluding Thoughts and FarewellSupport the show

Every year, I attend Converge, the annual conference of the National Association of Dental Plans (NADP). It's where I explore the latest issues and challenges faced by carriers and providers. I've watched the evolving partnerships between carriers and DSOs and observed the increase in network leasing concerns, I wanted to share my observations with you. I listened to compliance updates, discussed the expanding role of Medicare Advantage, and other issues shaping the future of dental coverage. What am I sharing? My thoughts on the amount of audits and fraud in our industry. Are you at risk? Multi-factor authentication is becoming a priority for both small practices and large DSOs. Plus, I'll highlight the questions to ask before outsourcing billing or revenue cycle management in today's third-party–driven market. Let me know if you like this kind of reporting. It was a lot more fun than I expected!  Resources & Links: NADP – The National Association of Dental Plans, representing dental insurers and advocating for better dental benefits. https://www.nadp.org/ Unify Dental – A platform helping DSOs and practices streamline operations and improve efficiency. https://www.unify.dental/ Cotiviti – A leading analytics and payment accuracy company serving healthcare and dental organizations. https://www.cotiviti.com/ Fluent Dental – A technology-driven solution for simplifying dental revenue cycle management. https://fluent.dental/ Connect with Teresa   Website: https://www.odysseymgmt.com/ Email: teresa@odysseymgmt.com Instagram: treeduncan Facebook: Odyssey Management Dental Speaking & Consulting LinkedIn: Teresa Duncan, MS   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results…  Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income.  And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com.                                                          =============== This podcast is sponsored by the Physician Executive MBA Program at the University of Tennessee Knoxville's Haslam College of Business. Thinking about a nonclinical career path? In just one year, our physician-only MBA gives you the business and leadership skills to pivot, whether into administration, consulting, entrepreneurship, or beyond. Join a nationwide network of over 1,000 physician leaders. Learn more at nonclincicalphysicians.com/physicianmba.                                                          =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs.                                                                                                 =============== Dr. Heather Signorelli shares her rapid progression from pathology training to healthcare executive leadership and entrepreneurship. After completing her residency and fellowship, she moved directly into hospital administration, eventually overseeing nearly 200 hospital laboratories across a major healthcare system. She explains how managing quality metrics, regulatory readiness, and clinical stewardship during COVID positioned her for executive growth. Yet after several years, she sought the creativity and challenge of solving new problems, which led her to co-found NatRevMD with her husband. She outlines the billing challenges that strain private practices, eligibility checks, denial management, and financial metrics, and emphasizes that while the early years of a business are demanding, effective delegation and the right hires make growth sustainable. She also draws from the NatRevMD podcast and her book, "Thrive," to offer practical advice for physicians evaluating billing services, including the key accounts receivable metric that signals when a change is needed. You'll find links mentioned in the episode at nonclinicalphysicians.com/executive-entrepreneur/

I'm so excited about today's conversation, guys, which is a weird thing to say about … insurance.

Andy chats with Omyr Man from Anchor.  How they help small business with billing, collections, and late payment.  For more information about the episode visit us at prontotaxschool.com or email us to support@prontotaxschool.com For Anchor reach out at https://www.sayanchor.com/

Paid just closed an oversubscribed $21.6 million seed round led by Lightspeed. With the €10 million pre-seed round it raised in March, London-based Paid has already raised $33.3 million and hasn't even hit its Series A yet. A source familiar with the deal says the startup's valuation is over $100 million. Also, despite millions spent on financial software, many finance teams still rely on Excel to close their books and reconcile numbers while preparing them for audit. Two former Microsoft executives view it as a problem — and they have started Maximor to replace spreadsheets with AI agents for the grunt work finance teams perform. Learn more about your ad choices. Visit podcastchoices.com/adchoices

OPINION: DOH's zero balance billing: Lifeline made available | Sept. 30, 2025Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein #TheManilaTimes#KeepUpWithTheTimes Hosted on Acast. See acast.com/privacy for more information.

Healthcare is losing some $250 billion a year to billing inefficiencies. Smarter Technologies President Michael Gao, MD, explains how blending advanced AI with human expertise can turn revenue cycle from a liability into a strategic asset. 

286 / What happens when a fantasy author brings a soundtrack to storytelling—and what can writers and readers learn from merging music, world-building, and social themes? Richie Billing shares his innovative journey blending original soundtracks with fiction, the challenges of marketing across genres, and the lessons learned from a decade of writing.✨Podcast Sponsor: Ingram Spark: https://www.ingramspark.com/learnmoreTopics discussed in interview:Writing social justice and controversial themes and underdog stories in fantasyWhen to get feedback on your draftsSubscription model using novelettes and connecting directly with readersIncorporating soundtracks into fantasy booksWhere to start with wordbuilding in fantasy

“Taxes are a monster, but we tame it and make it digestible,” says CeeJay Barber, Vice President of Business Development at Datagate. At Navigate 25, Barber sat down with Doug Green, Publisher of Technology Reseller News, to explain why billing is one of the toughest challenges facing managed service providers (MSPs)—and how Datagate is helping them streamline the process. Datagate provides a billing platform purpose-built for MSPs in telecom. The system automates everything from call detail record (CDR) ingestion and taxation to PSA integration and unified invoicing. With over 500 service providers on the platform, Barber stressed the importance of compliance in an increasingly fragmented regulatory landscape: “If you try to take it on by yourself, you'll overcomplicate your processes, overspend, and still risk getting it wrong.” One highlight of the discussion was Datagate's new Halo PSA integration for AT&T's Apex channel. The solution allows provisioning, billing, and customer management to occur within a single workflow, eliminating the need for multiple AT&T portal logins and ensuring billing flows seamlessly back into Datagate. Barber emphasized that Datagate is deeply API-driven, making it a strong fit with Alianza and Metaswitch partners. “Any Alianza partner can work with Datagate,” he noted. “If you're providing voice and need it billed and taxed accurately, we can integrate it into your workflow.” With AI-driven innovation, regulatory complexity, and growing MSP demand for bundled services, Barber positioned Datagate as a critical enabler for service providers looking to scale without sacrificing compliance. For more information, visit datagate-i.com.

A forum for authors by authors. Interview with Richie Billings, author of 'Together We Rise.' #authorsup #InternetTelevision #podcast #authorssupportingauthors #getthebook #richiebillings #togetherwerise #revolution

Mid-sized law firms are facing pressure from every direction. Associates are poached with six-figure pay bumps, partners are stretched thin between billing and management, and specialty practices vanish without succession plans. At the same time, clients expect broader reach and deeper benches than many firms can deliver. In this episode, host Chris Batz shares what he's hearing directly from managing partners and executive committee members across the country. He outlines the squeeze mid-sized firms are feeling - lagging organic growth, talent retention challenges, leadership burnout - and the difficult choices leaders are weighing: scale up, go lean, or join a larger platform. Chris also looks at the emerging role of private equity in law firm ownership and the ripple effects it could have on culture, compensation, and competition. Along the way, he points out steps firms can take now: sharpen strategic vision, invest in leadership and succession, strengthen recruiting systems, and pursue growth through the right mergers or acquisitions. At its heart, this episode asks a question every firm should confront: how do you stay competitive without exhausting the people who make your firm strong?   Episode Breakdown: 00:00 Why Mid-Sized Law Firms Are Struggling 03:30 Why Talent Keeps Leaving Mid-Sized Firms 04:28 The Leadership Burnout Crisis in Law Firms 07:37 Scenario 1: Losing Lead Counsel Work to Bigger Firms 11:31 Scenario 2: Rainmakers With No Succession Plan 14:04 Billing vs. Leading — Can Firm Leaders Do Both? 18:19 Growth Choices: Lateral Hires, Acquisitions, or Mergers 24:01 Should Mid-Sized Firms Join Larger Platforms? 26:09 The Hidden Cost of Burnout in Firm Leadership 32:17 How Private Equity Is Changing Law Firms 34:18 Strategies for Mid-Sized Firms to Compete 43:48 Key Lessons for Law Firm Leaders   Connect with Chris Batz: LinkedIn profile: https://www.linkedin.com/in/chrisbatz/  LinkedIn company page: https://www.linkedin.com/company/columbus-street/ Columbus Street website: https://www.columbus-street.com/  Podcast production and show notes provided by HiveCast.fm

Technology-driven approaches to streamline chronic condition management plans and reduce patient out-of-pocket costs The role of AI scribes in documentation, compliance and potential medico-legal challenges Key software solutions that highlight billing opportunities and support accreditation Clarity on where responsibility lies during Medicare audits when AI tools are used Future innovations including wearables, integrated data, and AI-driven care models Host: Dr Sean Stevens | Total Time: 50 mins Experts: Dr Owen Bradfield, Chief Medical Officer and Dr Patrick Gough, GP Registrar Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Title: Capital Raising is the New Superpower: How to Win in Any Economy with Hunter Thompson Summary: In this episode of the Passive Income Attorney Podcast, host Seth Bradley engages with Hunter Thompson, a prominent figure in the world of passive income investing. They discuss the current economic landscape, including rising interest rates, inflation, and the inverted yield curve, and how these factors impact real estate investments. Hunter shares his entrepreneurial journey, emphasizing the importance of diversification and capital raising in passive investing. The conversation also touches on strategies for navigating the current market and the significance of education and mentorship in achieving financial freedom. Links to watch and subscribe: https://www.youtube.com/watch?v=g9QZ1WTVLUE Bullet Point Highlights: Passive income allows you to practice when you want, not because you have to. Rising interest rates and inflation are significant factors in real estate investing. Diversification is key to mitigating risks in real estate investments. Capital raising can be a hybrid approach to passive investing. Understanding economic indicators can help predict market trends. Real estate is a hedge against inflation, benefiting from rising rents. Investors should focus on net operating income (NOI) when evaluating properties. Education and mentorship are crucial for success in investing. Speed in decision-making can lead to better investment opportunities. Having a virtual assistant can help manage time effectively.  Transcript: Seth Bradley (00:10.42) What's going on law nation. Welcome to the passive income attorney podcast, the best place for learning about the world of alternative passive investing so that you can practice when you want to and not because you have to. So if you're ready to kick that billable hour to the curb, start by going to attorneybydesign.com to download the freedom blueprint, which will also get you access to partner with us on one of our next passive real estate investments and   We have a live deal right now. It's a 506 C opportunity for accredited investors only with a target preferred return of 15%. Yes, 15%. You heard that right. So jump on that. If you have a chance today, let's talk about when and what to invest in. There's been a lot of chatter about waiting for the right time to jump in over the last, I don't know. I'd say five years or so.   because everyone has their own prediction on when the next 2008 might happen. But well, other than the blip caused by the recent global pandemic, we haven't seen that natural correction yet. And who really knows when that will be? Nobody does. But what we have seen are very strong influences that could impact the real estate market in the very near future. And you know what I'm talking about?   I'm talking about rising interest rates. I'm talking about a highly inflationary environment that we're all feeling combined with, you know, an under supply that's creating a high demand and skyrocketing prices. So with all these different factors culminating right now, what does it all mean? What can we predict after factoring in all these things? Well, you're about to find out.   In this episode, one of my favorite investing personalities, Hunter Thompson shares his expert insights into this economic melting pot that's happening right now and how you can capitalize on it before you get left behind. Hunter is the founder of ACM Capital and who has acquired over $150 million of mobile home parks, self-storage retail office, ATM machines and cryptocurrency assets.   Seth Bradley (02:29.868) Hunter is also the host of the cashflow connections, real estate podcast, which has received over 1 million downloads. He's also wrote raising capital for real estate, which hit number one on Amazon in real estate sales and selling really stoked for this guys. Let's go.   This is the Passive Income Attorney Podcast, where you'll discover the secrets and strategies of to make Start living the good life on your own terms. Now, here's Seth Bradley.   the ultra.   Seth Bradley (02:57.475) y'all   Seth Bradley (03:09.518) Here's your host.   Hunter Thompson, what's going on? Rather welcome to the show.   Hey, thanks a lot. Our honor to on.   Absolutely, man. You're someone I personally look up to a lot and holding high regard in this industry. So super stoked to have you on the show today, man. Thanks again. Absolutely, man. So look, you've been on a ton of podcasts and you know, you're the host of your own successful show, cashflow connections. So I got to ask who's the real Hunter Thompson.   and mutual.   Hunter Thompson (03:38.894) So, I mean, you know, someone asked me like, if I had to say one word that identify it's entrepreneur man. And I think everyone listens to that. That's probably that speaks to them because anybody listened to the show, they take an entrepreneurial approach to reality and to their lives. Like we were not born passive real estate investors, right? In fact, we had to find this stuff out on our own to a large degree. And   A lot of us were kind of taught a lot of myths about investing, you know, save only invest in the stock market. For some reason, dividends can pay off your expenses at some points. Like you have to have a $40 million net worth to do that, you know? And so that feeling of like, man, I may have been lied to about some of the most important things in life kind of inspired me to go down a cool path and, you know, break some rules along the way, but here we are.   Nice. I love it, man. So dive in a little bit deeper. Tell us a little bit about your background and your story, and then we'll jump into it.   Sure, so I think for a lot of people when they talk about real estate and like their history in the space, 2008 is gonna come up. And that's the same for me. But I was very insulated from that risk. So was in college during 2008, but I saw what took place and I had a background as an entrepreneur and a poker player. And so I wasn't really like investing in the stock market, but when 2008 happened, saw flood was in the streets and I heard the quotes from the billionaires that said, that's when you should be buying.   And so I basically went all in on education. I was obsessed with CNBC. Jim Kramer was like the biggest fan of his, just reading everything from Warren Buffett, Charlie Munger, all those guys and started to follow financial markets, even dabbled in day trading a bit. And then something happened, started to have success as anybody that did that started in 2008, by the way. But it wasn't really until 2010 that something happened that like completely shifted my perspective.   Hunter Thompson (05:33.194) on everything I had learned up until that point. And people don't talk a lot about 2010, but for me, that was the big moment because after all of this research about quote diversification and hey, you got to get Apple and Johnson and Johnson and also some cash and maybe some gold and these types of things out of nowhere, the European debt crisis happened and it created massive challenges with volatility in the US markets.   And all of sudden everyone was focusing on some obscure economic data point, which was the Greece bond yields and the German bond yields. And it was like, Hey man, all this research I had done never suggested that something as ridiculous and obscure. I'm talking to every single person on CNBC was watching the   German bond yields. And the quote at the time was, if it goes above 7%, the S &P 500 is going to dive. And they were correct. And every day it would go above 7%, below 7%, and the S &P would go up and down and five, like over and over again. And I was like, I've got to find a way that a small firm or myself can conduct due diligence on an asset class that is, the performance is directly tied to supply and demand, not the German bond yields.   And so I was actually not really interested in real estate specifically. I just ended up doing a lot of research on everything that was out there and found real estate was extremely predictable in terms of wealth creation and had the opportunity to create some asymmetric returns. So that's what led us to this conversation today.   Yeah, yeah. So I know your story pretty well. So fill the audience in a little bit, but I know that Jeremy Roll, who's been a guest on our show before, is a mentor of yours and one of the first people kind of got you into the space or got you interested in the space. And he's well known for taking a fully passive approach, right? He's one of these guys that's just fully passive. That's kind of his thing. How have you kind of adapted that approach and made it your own?   Hunter Thompson (07:29.038) So yeah, you're right. going back to like 2010, I moved to California, which is one of the most decimated States in the country in terms of the recession, right? And so that's where I started my real estate career. And so I would go into the networking events, sometimes four or five a week. And it was honestly like going to, mean, it was somber to say the least. People had lost their shirts, people that created $10 million of wealth. If they were all invested in California, some of them are wiped out.   And I found that there was a couple of strategies that really struggled and there's a couple of strategies that didn't struggle. And, you know, some people don't talk about this, the default rate for multifamily apartments, 150 units or more like Fannie Fannie financed 1.5 % during 2008.   I mean, it's just, that's the reality of quality assets with a lot of checks. If you got a lot of checks and they keep coming in because rental income is not really volatile, you just didn't have that big of a problem. So I was very sympathetic to finding out how to do this. And the first person that really introduced to me to this was like you said, Jeremy Roll. And the thesis was this.   I'm very, I want to be focused on diversification. I don't want to be hyper allocated to one particular niche, but if you study economics, you know that in order to have a market advantage, you must be focused on doing one thing better than everyone else. But that is not conducive to building a portfolio that is diversified. Like you probably have interviewed a lot of like, let's say self storage.   Operator that's like all in on cell storage and Florida's the market and everybody knows the demographics are super favorable. got their whole $30 million net worth all in the East coast of Florida. And it's insane. All the baby boomers are moving there. It's amazing. And then once a year when it's hurricane season, they can't sleep for months because they got $30 million on the East coast of Florida. And it's like, man, the East coast of Florida is awesome, but maybe I should have a little bit in Georgia. Maybe I should have a little bit in senior living in Wyoming. You know what I mean? So.   Hunter Thompson (09:33.698) That's the only way to accomplish that from my perspective is to have a diversified passive approach. And I do know Jeremy very well, he doesn't just go to Mexico and drink Mai Tais. I mean, he works 50, 60 hours a week trying to allocate his portfolio appropriately. And I do a similar kind of thing with my portfolio and also have an active side of the business as well, which is where I raise capital for other people's deals.   Yeah. That's the beautiful part about passive investing is you can diversify across different asset classes, different geographies with different sponsors, all that sort of thing so that you can diversify within the realm of real estate or business or whatever it might be. Rather than if you are an active sponsor, you're operating those properties. That market advantage is knowing the market, knowing the market being boots on the ground and knowing all those intricacies rather than, but you know, if you're that person, it's very difficult to diversify.   Perhaps you can pass it invest in somebody else's deals. But again, you're, jumping into the passive investing space. Yeah. So you're very well known as, know, a great capital raiser. Do you consider that a passive approach or is that an active approach?   That's exactly right.   Hunter Thompson (10:44.142) Well, it's a hybrid, right? Because what I do is I still find and aggregate active owner operators in their respective niches. It's just that because I have a little bit of expertise in this and a due diligence process and some economies of scale, because we've invested very significantly over the years and because we have hundreds of investors and thousands of people on our list or tens of thousands on our list, we can do the level of due diligence that most passive investors can't.   even if they knew exactly what to do, it's not economically viable. So I'll you an example. There's a lot of passive investors that listen to the show. And I'm sure that if you had the time and infinite resources, you would want to go visit these properties in person on every single deal. Spend probably a hundred hours on due diligence on each deal. know, not only talk to the sponsors themselves, but their CPAs, their contractors, their property managers. You want to review their software. You want to run criminal checks, background checks.   If you had infinite time and resources, you'd probably do all that stuff. But if you do all that and you're investing 50 grand, your return profile is gonna be deteriorated by that due diligence process. And so I feel like there's need in the space for that extra layer of due diligence, but it's not economically viable unless you're pulling capital together, aggregating investors. And so that's why I founded Asim Capital to do that exact thing. We provide that service and...   usually investors aren't really paying anything out of pocket. We get our economics from the sponsor because we can show up with, hey, $5 million in 30 days, $10 million in 60 days, these types of things. And that's a great skill to have in the business of real estate.   Yeah. And you just laid that out perfectly. You know, why some people ask, why don't you just go straight to the operator to invest in rather than someone who might be mainly a capital raiser or an aggregator of capital. And you just laid that out perfectly. It's, you know, that's an extra layer of due diligence, time, effort, money that you as the passive investor don't have to do. And if you do do it, it just stops making sense. I mean, there's only so much you can do. Even if you take something simple.   Seth Bradley (12:51.022) It's certainly not simple, but something like, you know, looking at a sponsor's underwriting model, there are so many things to look into that and you won't be able to pick that apart. I mean, you just won't from the past investors per second. Even if I go grab somebody sponsors, some sponsors underwriting model and look at it, I don't know what equations they've changed. I'm not going to check a thousand different equations. But what we do bring value wise is that we know these sponsors. It's a really small industry when you get to know everyone in it.   And we know their reputations. know how their deals have gone. We know how they treat their past investors. So that's just an extra level of due diligence that the past investors at the retail level might not be able to do. least not.   Exactly right. That's exactly right. And something else, think that I obviously I've mentioned economics a couple of times in the show. Like this is the lens through which I view the space. And if you are an owner operator, you want to kind of play lip service to economics. So the reality is you've got your head down because you can't adjust your business accordingly. Like if you're a retail owner operator and then retail centers get   closed in 2020 and you cannot go to retail. You can't just go, all right, we're doing hotels now. You can't, I mean, you've built up a business around that, but as a passive investor, you can be nimble and aggregate capital and allocate capital based on your view through the lens of economics or otherwise.   Yeah, absolutely. Yeah, you're not going to if you're a retail operator, you're not going to say in tanks, you're not going to be like, OK, well, retail sucks now. Don't don't invest with me. Forget about it. Exactly. That's the more else you've got to come up with reasons why to invest in. It might not be the best for those investors.   Hunter Thompson (14:29.516) That's exactly right. That's exactly right.   So a lot of our listeners are attorneys, they're doctors, they're W-2s. Is raising capital something they should be interested in getting into? Should they take that next step?   depends. So, I mean, we do a webinar about raising money. And the first thing we say is like, Hey, look, this is like the third slide in the presentation. And I say like, are you actually ready for this responsibility? If not, should leave now because you know, what we talk about is turning on the faucet, turning on that thing. It's like the X factor of every business. And I don't want you to 10 X. I don't know what I'm doing. You know, so it's, take the responsibility very, very seriously. And,   If you haven't done a deal, for example, you shouldn't raise money for a deal. What you should do is go all in on education. And I know you've done just a tremendous job kind of educating your base, but you can go all in. I'll put this, this is like a really powerful way to put this. So in 2010, when I started going to real estate meetings, everyone was saying like, honor, this is the opportunity of a lifetime. I've been in this business for 30 years and never seen anything like it. This is the back the truck up moment. And I was like,   back what truck up? Like, don't know what I'm doing. Like, I don't know what a cap rate is. You know what I mean? But here's the crazy thing. They were absolutely correct. The market dynamics was so favorable that it was probably more favorable than any time in history, especially when it comes to commercial real estate. But four years later, I had developed more confidence, more knowledge, more network that the deals I solved then were better than the deals I saw in 2010. And that is why this game is amazing.   Hunter Thompson (16:05.794) because if you can expand your network and knowledge and confidence faster than even the most pronounced recovery in the history of real estate. And so all those people that if you ever hear someone saying like, now's the opportunity of a lifetime, go all in, like maybe they're right, but it might not be the right time for you. So just take your time, stay away from people that are pushy. The reason this game works is that it works all the time. So you never miss the opportunity of a lifetime. That's the whole point.   Love it, man. Yeah. So they already have the network, right? If you're an attorney or doctor, you probably know other attorneys and doctors. So at least you have that network established of high net worth individuals that you might be able to aggregate some capital with. But you're right. I mean, the education piece is imperative and everybody goes through that learning curve and it takes some time. And there's a lot of responsibilities to come with raising capital and investing in real estate in general. So you've got to make sure that you get that education piece nailed down.   Totally. Actually, do you mind if I, so like something that's been just like on my mind recently is, and so many past investors need to understand is that there's been a lot of discussion around the yield curve inversion and all of that. Do you mind if I talk about that? I'm sure that the lot of listeners are going to be interested. Okay. So recently, you know, there's been a lot of discussion around economic indicators and recessions and such, and what that may mean for us as investors and   Absolutely, let's jump into it.   Hunter Thompson (17:30.328) Part of this is because of the inverted yield curve. And I'll break what that down means just really quickly. So typically speaking, bond yields slope up into the right. If you think of the X axis as time and the Y axis as the yield, you would think that the yields would slope up into the right because the longer the time, the more time risk you're incurring, the higher the return you would want on your bond. So that's typical.   But every now and then there's this economic phenomenon that takes place where short-term bonds can produce higher yields than long-term bonds because people are concerned about short-term risk. And so bonds, the long-term bonds, people flood into the long-term bonds, which reduces the yields and also increase the yields of the short-term bonds. And so this unique phenomenon takes place. And historically speaking, this has been a very good predictor of recessions, typically 18 to 22 months after the inversion.   of the two year and the 10 year bonds. Does that make sense before I go forward? Yeah. Okay. So I think that this is a good indicator of recessions, generally speaking, but I am very bullish about the current environment and I can give you some data as to why, but most importantly, 2008 is a really significant aberration. Recessions do not typically trigger   significant pullbacks in real estate. mean, a 10 % pullback in real estate, especially commercial real estate or multifamily apartments in particular, that is pretty a historic. mean, it takes, you got to look back decades to find these types of examples. And I just want investors to understand that. But we saw something in 2008 that this was confirmed in 2020. That is just a holy crap type of moment, even in the face of that potentially challenging information.   which is in 2008, for the first time to this scale, the federal government, know, printed trillions of dollars. And this was basically the Pandora's box, which was open in terms of quantitative easing. And I believe it set the precedent that anytime something catastrophic or borderline catastrophic or could be catastrophic, could happen, they're gonna smash that button. And I've been talking about this for a decade and then 2020 happens.   Hunter Thompson (19:51.252) And boy, were we right. And they smashed the trillion dollar button harder than they've ever smashed it before. The United States government printed about a $6 trillion. Federal governments all around the world, the central banks printed another $4 trillion. So there's 10 trillion extra dollars in the system slushing around the financial sector searching for yield. And I believe   that what's going to happen is that yield, that search is gonna go into the bond markets first, because it's the only place you can place trillions of dollars quickly. And then it's gonna work its way to United States real estate, which I think still is the most favorable risk adjusted investment in the world. And I'm not the only one that thinks that. So imagine this trillion dollar tsunami set to crash on a very limited amount of supply in the United States.   in the wake of enduring an affordable housing crisis in an environment where every bond in the industrialized world is negative, the United States positive interest rates and positive cap rates are here to provide that yield. And this is a crazy, crazy moment. I want to talk about interest rates in a second, but like that tsunami, that visualization of that tsunami, I think is creating a situation where it's like, are you going to surf that tsunami?   Or are you going to sit back and watch that crash and watch equity prices rise without participating?   Yeah. Yeah. So how did the other things kind of layer onto that? I mean, we're not just hearing about the, you know, the inverted yield curve, but also, you know, the interest rates that the feds are hiking up and inflation is through the roof that everybody's feeling the effects of that. I mean, how do all these different factors, you know, what are they resulting? What is the result or, know, what is your prediction of the results?   Hunter Thompson (21:39.278) So first of all, I'm glad you asked this because I'm working on a summit right now where we're having 22 experts in different niches talk about their perspective on this exact topic. And so I'm in the middle of these sessions and like they have been crazy. So if you want to get access to that, it's a free summit, by the way, you can go to 100ktoinvest.com and it's for people that have a hundred thousand dollars to invest. you you want to look at different niches through this economic lens. So someone I just interviewed on my show, Dr. Peter Lindemann talks about this and   very well-known economist. Basically these rising interest rates, dude, this is serious. I mean, this is not some like economic indicator. This is actually happening right now. I know a $40 million deal that just got blown up because the bank basically underwriting changes if the interest rate increases by a hundred basis points, that's significant. But we got to put this in context. So when interest rates rise,   typically it's because of concerns around inflation. And that's the case for now as well. And inflation is typically thought of, or I think I should say, real estate is typically thought of as a hedge against inflation. I mean, you've probably said that a million times, I have too, but I think out of this conversation, you maybe will both start phrasing it slightly differently. It is true that it is a hedge against inflation, but I think that doesn't even come close to stating.   how favorable inflation is for real estate owners. Because when we think about real estate being a hedge against inflation, I think it's like this. We think about the equity prices, the prices of real estate rise proportionally as inflation takes place with is true. But there's something else that's taking place, which is there's a distinction between equity prices and consumer prices. So when consumer prices rise, you have inflation working its way through the monetary system and the consumers feel it.   from top to bottom, right? But in real estate, we trade the assets on a multiple of net income. So I know you bought some multifamily apartments. have I. Most deals look something like this. We're buying from an owner that doesn't know what they're doing for some degree or another. We're going to buy the property, raise rents, cut expenses. We'll probably raise rents by 15 % year one, maybe 8 % year two. And then from that year going forward, we're probably going to track along with inflation. Does that make sense?   Hunter Thompson (24:02.572) Yeah. If you're being conservative. Yeah. So I would expect rents after the business plan is implemented to simply track along with inflation to be conservative. And then expenses will also track along with inflation. Now, most people, when they hear that, they think, it's a wash. You know, the top line is increasing by 5%. The expenses are increasing by 5 % and no one's really going to benefit. But that would only be the case if it was a one-to-one ratio of gross to expenses.   Absolutely.   Hunter Thompson (24:31.98) or net to expenses and it's not. Like most of the assets you and I look at, we're talking about 45 % operating expense ratio and self storage, for example, you can see 35 or even 30 % operating expense ratio. So it's disproportionately impacting the top line compared to the bottom line, because the bottom, the expenses are so much smaller. So the net is actually increasing significantly every year you have five, six, seven, eight,   percent inflation. And I'm sure you've seen a lot of people that say it's really 15. That's even better for owners because the net isn't going to increase, increase and increase. There's one other piece of this inflation discussion that I want to talk about, but it's a little bit confusing. Are you, did I explain that in a way that's clear?   No, that was perfect. Very clear. Complicated subject, very clear.   Okay, good. So it's not just a hedge, right? The hedge is like, sure, the asset values excluding this discussion around NOI. That's the first part. The second part is the NOI situation is very favorable for investors. The third piece though is like this almost no one's talking about this. And I think it's probably the most powerful and conceptually it is the most powerful, which is if I go to buy a $15 million piece of property, I put $5 million down.   I borrowed $10 million. The bank is now on the losing end of basically compounding interest because of inflation. If I borrow $10 million in today's purchase power, by 10 years, if inflation continues at 8 % per year, by 10 years, the purchase power of that $10 million has been cut in half by inflation, meaning the purchase power of the dollars, I will pay them in 10 years,   Hunter Thompson (26:18.104) Half is valuable to me. And it's the same dollar amount that I ended up paying them, but the purchase power has now been cut in half. So what this means is that while there is so much chatter about interest rates rising, the reality is they're net negative in real terms. The bank is paying you to borrow their money, to buy an asset, which value will increase and also in a while will increase and also likely the multiple on which that in a while is.   rated will increase. This is why this is a back the truck moment for these real estate owners. And, you know, that's what we're doing right now. Yeah.   So based on that, do you think when you're looking at different asset classes, the more disproportionate the income is to the expenses, maybe the more favorable that investment looks like nowadays?   Really good question. Um, I do think there's some merit to that, but I gotta say a caveat. So we have some self store, excuse me, some, assisted living properties and those actually are like 70 % operating at expense ratios. So you can hear this and say, Oh, those maybe we're going to get hammered. Senior living is dealing with some challenges because of COVID, but the top line is not increasing at inflation. The top line is increasing at like 10, 15 % nationally. So.   I don't know exactly what's going on, but there's obviously there's more to this conversation than just the inflation discussion, but it isn't the case that we're losing money because of this. It's a challenge because of like move in certain States are still locked down. There's challenges, all that whole thing, but the demographics and everything I think make up for that. But to your point, I think your argument can be made all things being equal. Meaning I think that let's say class A apartments start to make a lot of sense. Self storage start to make a lot of sense.   Hunter Thompson (28:07.234) You can make the argument that new development could even make sense. So that's not something I do and have ever done, but you can start to make that argument for sure.   Yeah. So maybe give us a preview. I don't want to give away the whole thing. I know you've got the a hundred K to invest summit coming up, but what are some of those investments that start making sense in this environment? We've kind of touched on it a little bit, but maybe make it a little bit more clear.   my gosh. I'm so okay. So I'm such a nerd. So I'm like literally nerding out, but let me give you a couple of examples. So we have like a big broad view of things that we're going to talk about because there's a lot of things that I invest in. There's a lot of things that I don't invest in, but generally speaking, when it comes to wealth creation, the summit's broken down into three days, protect, grow and multiply. And like in that order. So protect is like downside protection, focused real estate, know, stabilize multifamily apartments.   sell storage assets, things like that. Then in grow, we're gonna talk about, know, development, maybe something with like real estate and blockchain, you know, the tokenization of real estate, for example. Then in multiply, we're gonna talk about Bitcoin mining. We're gonna talk about Dow funds. We're gonna talk about buying existing businesses. One of our clients owns the company acquisitions.com. And he's gonna come and talk about like buying businesses that are cash flowing. I try to put them on the spot and be like, what sector is your favorite sector right now? He's like,   He's like French Canadian. He's like, I don't really care about the sector. He's like my friend that just bought the company is a billionaire. did yogurt. So I don't want to say that yogurt is the best sector. He's like, he's going big on yogurt, dude. so anyway, it's going to be a cool summit.   Seth Bradley (29:43.284) That's awesome. Yeah. It sounds like it's going to be like really diverse, right? It's not just, okay, a multifamily summit. You're kind of going to give this broad swath of lots of different ways to invest in different risk profiles as well.   Totally. That's what's cool. Okay. So this is what you and I like kind of have in common. Like we can actually be open and honest about our views because of the position that we play. And this is why I don't think I've ever seen a summit quite like it because it wouldn't be good for business if all you did was multifamily and you go, Hey, go invest in Bitcoin mining. So, but you know, we're just trying to do the right thing for the past investors. Like I said, hundred K to invest.com.   Yeah. I love the concept, man. Cause a lot of people are thinking that they're like, okay, well I've got, I've got a hundred K to invest. Like what is the best place to put it? And especially with all these different crazy factors that are going right now, going on right now, that's, that's awesome. Very timely. All right, man. Before we jump into the freedom for let's jump on to one last golden nugget for our listeners. got one.   Yeah. Just go spitball. Cause I have got a bajillion. Okay. didn't know you did the freedom for that. So crazy. do a freedom Friday thing. We're on the same page in so many ways, dude. That's awesome. So, here's a golden nugget for sure. you know, speed beats pretty much everything. So what this means is that, the difference between like college sports and professional sports, basically that everyone's faster. In fact, you can be smaller, but if you're way faster, you can still move up through the ranks from high school to college to professional.   Spitball man.   Hunter Thompson (31:08.832) And the same is true of business. Now, some people might hear that and go, like you're rushing through due diligence. No, it means rush to conduct due diligence, rush to start. But it doesn't mean go quickly and rush through it and do it sloppily. It means get to it. And one of the best ways that I've found to get to it is to find mentors, is to find guides and not try to figure it out on your own. know, of cool things that I've done, you mentioned some.   cool things I've done in this industry. It's awesome, but dude, I didn't make any of this stuff up. That's not my lane. I want to find someone that has done exactly what I want to do. And I want to model it as closely as possible. And by the way, when you do this, you'll find a place where you feel like your gut wants to go right. And they went left. And sometimes you can feel like, okay, now I got to go on my own. I'll you a perfect example. You mentioned Jeremy Rohl. He's a passive investor, right? And there was a moment where I was thinking my skills are not   completely used. Like I've got this excitement about like building websites and marketing and email content, which Jeremy doesn't do, you know? And I'm like, I need to find someone that's done that. I looked left, found someone that went that direction and then model, model, model, model. And I'm sure there's going to be a moment where I have to do the same thing and model, model, model. So I'm never going like, Hmm, how can I use my raw intelligence to figure this out? By the way, if I had done that, you know, I still would have been like struggling to get C's in college. You know what I mean? So like it's all because of just finding good mentors.   Yeah, absolutely. It's a way to accelerate your growth. A lot of people, they'll look and say, look, I don't want to buy this course or this mentor or this coach because it's expensive and it might be expensive, but think about like what people pay for their undergraduate degree or their law degree. I mean, it's ridiculous. And it's a fraction of that.   That's exactly right. probably shouldn't made a joke about making season college, given your audience, but, you know, here's what I can say about your audience in particular. Everybody kind of values things differently. And it's like your audience has a high demand for time. Cause it's what they lack. When I started my career, I had all the time in the world. Nobody cared about anything. I couldn't get my calendar to get filled up, but all of sudden after years of working the skills that I have developed now, the sense is very difficult for me to get 15 minutes.   Hunter Thompson (33:24.342) So when I think about how can I expedite whatever this is, my need for money is low. My need for time is high. So it's like, if I can pay to expedite whatever it is, trust me, you tell me it's $5,000 to get 30, okay, done. I'll get the result in 30 minutes. Boom, here's the five grand. so, but that's a balance, right? So there's a lot of people listening to this right now that are kind of going down this path and perhaps they have a lot of time. So then what the opportunity is, is that's your leverage point.   Find someone that has a high demand for time, low demand for money, and you can exchange.   Yeah, definitely. Most of our listeners definitely don't have time. mean, I'll be like, Hey, make sure you get a workout in or meditate in the morning. Like I don't have 15 minutes. don't have an hour. Billing, Billing 3000 hours a year. It's ridiculous, man. I've been in that world and it's, it's tough to carve out some time. So that's why I passed investing is really the way to go. mean, I did the fix and flips and, and did all that kind of stuff to start out with. And it's just, it's not a good business model for.   So tough.   Seth Bradley (34:23.15) You know, an attorney at a big law firm or a doctor that's running their own practice. It's just really difficult to balance those things. All right, man, let's jump into the freedom for let's go.   Totally.   Hunter Thompson (34:33.454) It's time for the Freedom Form.   What's the best thing you do to keep your mind and body healthy?   you already know. you know, I'm constantly working on, like kind of like athletic inspired things. have a gym. It's probably the most baller thing ever. I'm not like the typical flashy person, but I do have a home gym is pretty dope. and so right now when I'm working on is a 1,000 pound total for the three powerlifting lifts, the squat bench and deadlift. I'm not there yet, but I'll check in maybe in three months and I'll probably be there.   Woo, sounds good, man. With all your success, what is one limiting belief that you've crushed along the way and how did you get past it?   dude. Okay, I'm not gonna do like a 30 minute thing on this one, but you know, I think a lot of people...   Hunter Thompson (35:21.432) get the impression that the higher you go up in the success ladder, the more it's about tactics and strategies and nothing can be further from the truth.   Hunter Thompson (35:35.326) I've paid $50,000 to be in a room with some very successful people. And the reason that room is so exciting is because you start to realize that there is no ceiling. It's a mental thing. It is not the tactics and the strategies that I wanted to learn. I wanted to know what they move like, how they think. And that's a lot of money to pay. But the higher you go up in that ladder,   The smaller, the little tweaks, the, that realization that, I should do that. I can do that. That stuff. It's crazy. Right. Because when you start, you're like, there's a certain point, like at different layers, again, there's a certain point where you go, I'm sick of hearing about this mindset stuff. get it. I just want results. But then you realize later, that's all that's holding me back. So like, that's my thought.   Yeah, it's a lot of money, but at the same time, that's something that sticks with you forever. Once you get over that, not that mindset hurdle, it's with you forever. What's one actual step our listeners can do right now to start creating more freedom.   Totally.   Hunter Thompson (36:40.28) So funny that you have these dude, this is so cool. I've like, respect this so much, cause it's what it's all about. One strategy they can implement. I would say leveraging technology to save time. First eliminating a lot of tasks that you don't need to be doing, but leveraging technology as opposed to people, especially you. And then as you first eliminate, then automate and then delegate. So.   Everyone on here, and this is going to hurt a lot of people, but every single person listening to this right now should have a VA or an assistant of some kind. Like if you're making six figures, it's absolutely inexcusable to not have someone doing some of the tasks that you shouldn't be doing. If you Google the term unique ability by strategic coach and Dan Sullivan, it'll give you some insight in terms of my views on a lot of that stuff.   Perfect. Yeah. Sometimes it's hard to let go, but you got to do it. That's right. Last but not least, how has passive income made your life better?   dude, that pro come on. mean that these are great questions. Okay. I mean it is my whole life. It has made my whole life, but just real quick, a story about this. So a lot of people listening to this show, when you get started in this path, the main goal is to have your passive income exceed your expenses. And that's was my goal when I got into this business as well, until I was at a conference and someone at the back of the stage, back of the room said that they had a cool announcement.   because they had accomplished their number one financial role. And they come up there and of course I assume he's going to say that. And he goes, so I achieved my number one financial goal was that my passive income is now 10 times my expenses. I was like, what? Like mind blown situation. Like I didn't even know that was possible. I didn't know that's legal. Like, what are you talking about? I never heard anyone say a multiple of that. Like, you know, he's probably.   Hunter Thompson (38:27.402) Super frugal guy, by the way, $10,000 a month in expenses, $100,000 a month in passive income tax deferred dude. So that's possible in this game. you keep going.   Love it, man. All right, Hunter, this has been awesome, man. We're going to find out more about you.   Yeah. One thing, 100k to invest.com. That's it. You guys are awesome. Thanks.   That's it. Go check it out. Thanks again, Hunter. Hunter Thompson, ladies and gentlemen, you can see why I like him so much because well, there's a lot of the same ideas that I have. have the same political views. We have a lot in common and well, he's just a lot like me and who doesn't like someone that's like them, right? So anyways, major key, they say the best time to plant a tree was 20 years ago and the second best time is now and   The same thing goes for investing. There's no better time for you to take action than right now. There are always opportunities in every part of the cycle. You just have to get educated and make the right moves. All right. If you're ready for a change and ready to take action, partner with us on our next passive real estate deal, which is live right now. Go to passiveincomeattorney.com and join our Esquire passive investor club. All right, kiddos, enjoy the journey.   Hunter Thompson (39:43.544) Thank you for listening to the Passive Income Attorney Podcast with Seth Bradley. Do you want more ideas on how to generate multiple streams of passive income? Then jump over to passiveincomeattorney.com for show notes and resources. Then apply for the private Facebook community by searching for the Passive Income Attorney on Facebook. And we'll see you on the next episode.   Links from the Show and Guest Info and Links: Seth Bradley's Links: https://x.com/sethbradleyesq https://www.youtube.com/@sethbradleyesq www.facebook.com/sethbradleyesq https://www.threads.com/@sethbradleyesq https://www.instagram.com/sethbradleyesq/ https://www.linkedin.com/in/sethbradleyesq/ https://passiveincomeattorney.com/seth-bradley/ https://www.biggerpockets.com/users/sethbradleyesq https://medium.com/@sethbradleyesq https://www.tiktok.com/@sethbradleyesq?lang=en   Hunter Thompson's Links: https://www.instagram.com/hunterlthompsonofficial/ https://www.threads.com/@hunterlthompsonofficial https://www.facebook.com/hunterlthompsonofficial https://www.linkedin.com/in/hunterlthompsonofficial/ https://www.youtube.com/@hunterlthompsonofficial https://raisingcapital.com/hunterthompson  

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More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Lessons Patients Taught Me The Hard Way   Some of the most powerful lessons in dentistry don't come from textbooks or training, but from real-life patient encounters that test your patience, humility, and adaptability. In this episode, I reflect on situations where patients pushed me out of my comfort zone and forced me to grow in ways I didn't expect. You'll hear how these interactions shaped my approach to communication, accountability, and practice management. More importantly, you'll discover why it's okay when patients don't connect with you and how to manage tough patient personalities. These aren't just stories to make you laugh; they're lessons to help you navigate the unpredictable world of patient care with confidence. Connect with Teresa   Website: https://www.odysseymgmt.com/ Email: teresa@odysseymgmt.com Instagram: treeduncan Facebook: Odyssey Management Dental Speaking & Consulting LinkedIn: Teresa Duncan, MS   ------------- Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

Turning a side hustle into a profitable business is exciting, but sloppy bookkeeping and unclear invoices can drain your energy—and your wallet. In this AI-enhanced revisit, Rob Broadhead and Michael Meloche share a practical playbook for mastering side hustle finances, from clean record-keeping to professional billing. Why Side Hustle Finances Matter from Day One A side hustle isn't “extra cash”—it's a business. Rob warns that ignoring taxes or mixing personal and business funds can lead to stressful bills or legal trouble. Famous entertainers have learned this the hard way, and so can new entrepreneurs. Treat every paid project like a true business. Without strong side hustle finances, you can't see profits, plan for taxes, or protect yourself legally. Michael adds that registering an LLC shields personal assets but also demands accurate books: “If you can't track your personal budget, learn fast for your business.” Building a Side Hustle Finances Foundation The first step in managing side hustle finances is to separate them. Open a dedicated business bank account and credit card to keep personal funds safe and simplify reporting. A credit card provides fraud protection and reward points if you pay it off monthly. Choose tools that fit your stage: Wave (free tier), QuickBooks Self-Employed, FreshBooks, or Google Sheets. Snap photos of receipts and store them digitally so every expense is documented. Pro Tip: Pay off the business credit card monthly. You'll earn rewards and maintain a clean paper trail without carrying debt. Professional Invoicing for Healthy Cash Flow Clear, professional invoices are a cornerstone of good side hustle finances. Include: Business and client contact info Project details and dates Explicit payment terms (Net 30, due on receipt, or milestone-based) Offer multiple payment methods—Stripe, PayPal, ACH—and embed a “Pay Now” button to speed up processing. Rob notes that many companies pay at the last possible moment, so set firm terms and late-fee policies from day one. Challenge: Review your current invoice template. Does it clearly state deadlines and late-fee penalties? Update it before your next project. Managing Cash Flow and Hidden Costs Large deposits can trigger bank holds, especially if you've rebranded or opened a new account. Plan ahead so you can cover payroll or expenses without tapping personal savings. Understand the real cost of every payment method. Credit-card and ACH fees can quietly chip away at profits, so build those numbers into your pricing. Contracts and Boundaries Before starting any project, define what “done” means and capture it in a written agreement. Even a simple contract from LegalZoom can protect your work and ensure you're paid. No contract, no work. Require deposits and pause projects if clients miss payments. Never deliver final source code until the check clears. Key Takeaways for Side Hustle Finances Treat your side hustle like a business from day one. Separate accounts and track every expense with reliable tools. Send professional invoices with firm terms and enforce them. Anticipate bank delays and processor fees to keep cash flowing. Use contracts and deposits to protect your time and income. By following this side hustle finances playbook, you'll not only stay organized and get paid on time—you'll also build the financial habits that turn a part-time gig into a thriving business. Stay Connected: Join the Developreneur Community We invite you to join our community and share your coding journey with us. Whether you're a seasoned developer or just starting, there's always room to learn and grow together. Contact us at info@develpreneur.com with your questions, feedback, or suggestions for future episodes. Together, let's continue exploring the exciting world of software development. Additional Resources Financial and Accounting Applications (Free and Low Cost) Accounting For The Entrepreneur Estimation Essentials: How to Nail Pricing for Development Projects From Side Hustle to Success The Developer Journey Videos – With Bonus Content

Is fixed fee billing the answer for your design business—or a fast track to lost profits? In this rebroadcast, Rebecca Hay dives deep into hourly, fixed fee, and hybrid billing models, sharing the real pros and cons of each. You'll hear her candid stories of undercharging, discounting, and scope creep, along with the practical steps she uses today to track hours and charge with confidence. If you've ever struggled with pricing, client billing conversations, or knowing what to charge, this episode is for you.   Episode Resources Episode 110: Best practices for billing clients with Katie Raffetto   Download our Free Resources ➡️ Pre-qualify your clients with my Discovery Call Script ➡️ Stay confident from beginning to end with my Consultation Checklist    ➡️ Looking for a quick infusion of cash? Grab my 4 easy ways of increasing your revenue   Looking to elevate your business? Learn more about our courses ➡️ Want the complete blueprint to calculate your design fee with confidence and ease? Learn more about my Pricing with Confidence course ➡️ Want to be the first to know when Power of Process is returning? Click to learn more about the business blueprint for interior design firm owners. ➡️Want to be the first to know when the next episode drops? Don't forget to SUBSCRIBE to the Resilient by Design Podcast wherever you listen to podcasts!

Are front office mishaps and overburdened admins unintentionally killing your dental practice's profits? Dental Unscripted wants to break it down. Mike Dinsio, Paula Quinn, and front office guru and billing specialist Stafani Sandoval launch into Part 2 of their AR deep dive. They expose the costly pitfalls lurking at your front desk by breaking down how hiring a 3rd party billing specialization company is the key to happier patients and a healthier bottom line. Catch the full episode on Dental Unscripted's NEW youtube channel and don't miss out on how finding the best 3rd party remote billing service is a transforming practices profits! Review us Please!

Is your dental practice's front office unintentionally leaking profits? In this episode from Dental Unscripted, hosts Mike Dinsio and Paula Quinn, alongside front office expert Stefani Sandoval, dig into their 2nd Episode of AR mastery and mistakes. They dive into the critical pitfalls that are sabotaging your front desk. They reveal why a specialized billing solution is the ultimate solution to boosting patient loyalty and cash flow. Get plugged into the full episode on Dental Unscripted's channel and watch the full episode about why they think outsourcing strategies can transform your practice!Review us Please!

EP.116

For our final Live from the Alliance Conference episode of Home Health Revealed, Hannah Vale and Sara Nigro close out the series with an incredible conversation with Melissa Battistella of Cadre Hospice. With deep expertise in revenue cycle management (RCM) and years of hands-on leadership, Melissa shares what it really takes to guide teams through change while keeping people—and purpose—at the center. Melissa dives into: Leveraging human capital and why investing in your people delivers the greatest returns Teaching teams to master Medicare collections with confidence How to bundle into payor projects and document strategically so denied claims get paid The value of training as an investment, staying ahead of RCM “snowballs,” and building sandboxes for safe experimentation Avoiding analysis paralysis by creating safe spaces to use data, explore root causes, and strengthen decision-making Her insights make it clear: lasting success in RCM isn't just about processes—it's about people leading those processes. If you're ready to rethink how you support, teach, and empower your team, this is the conversation for you. Chapters (00:00:02) - Home Health Revealed(00:00:53) - Revenue Cycle Team Lead(00:06:18) - What is your key to success?(00:09:02) - What's the most creative thing your team has done to stretch a(00:10:48) - Billing 101: Confidence in your EMR System(00:12:53) - Interview with RCM Home Health and Hospice CEO

On this episode of The SaaS CFO Podcast, host Ben Murray sits down with Riya Grover, co-founder and CEO of Sequence. Riya shares her journey from investment banking to entrepreneurship, including the story behind her first SaaS company in the restaurant industry and its eventual acquisition. She dives into the inspiration for Sequence—a modern billing and quote-to-cash platform designed to tackle the challenges of custom contracts and complex pricing models for scaling SaaS and B2B companies. Riya opens up about the company's pivotal shift from payments to revenue management, navigating tough conversations with investors, and building a lean, high-impact team. She reveals how Sequence is empowering finance teams to automate billing, invoicing, and revenue recognition, while also offering flexibility for hybrid pricing and go-to-market motions. Tune in to hear Riya's insights on scaling a SaaS business, managing a major product pivot, and how AI-powered automation is transforming the future of financial operations. Whether you're a SaaS CFO, founder, or just curious about the evolving CFO tech stack, this episode has a wealth of lessons and practical advice. Show Notes: 00:00 Automated Custom Billing Platform 04:29 Scaling Challenges for SaaS Companies 09:11 Pivoting to Custom Payments Solutions 10:54 Early Capital's Impact on Team Building 14:51 Adapting Teams for Changing Visions 16:40 Growth Strategy Focused on Content and Networking 20:31 Hybrid Scalable Pricing Model 24:35 Transforming Finance with AI Agents 29:19 "Contextual Finance Automation Opportunities" 30:25 "Contact SequenceHQ Easily" Links: SaaS Fundraising Stories: https://www.thesaasnews.com/news/sequence-raises-75-million-in-funding Riya Grover's LinkedIn: https://www.linkedin.com/in/riya-grover-a22a4822/ Sequence HQ's LinkedIn: https://www.linkedin.com/company/sequence-hq/ Sequence HQ's Website: https://www.sequencehq.com/ To learn more about Ben check out the links below: Subscribe to Ben's daily metrics newsletter: https://saasmetricsschool.beehiiv.com/subscribe Subscribe to Ben's SaaS newsletter: https://mailchi.mp/df1db6bf8bca/the-saas-cfo-sign-up-landing-page SaaS Metrics courses here: https://www.thesaasacademy.com/ Join Ben's SaaS community here: https://www.thesaasacademy.com/offers/ivNjwYDx/checkout Follow Ben on LinkedIn: https://www.linkedin.com/in/benrmurray

Does billing in our practice feel like pulling teeth?!  For most practices, it's the #1 source of lost revenue and endless headaches. In this episode, we break down the hidden billing mistakes that leak profits from your pocket.  We reveal how to take control of your insurance verification, claim denials, and coding systems.Discover practical strategies to:Eliminate costly billing errorsStreamline insurance verificationPrevent claim denials before they happenUnlock faster payments and stronger cash flowIf your dental practice is tired of chasing payments, this episode will show you how to protect your bottom line and finally get paid what you deserve.Review us

Are you leaving money on the table in your dental practice? In this episode, we pull back the curtain on dental billing problems that silently crush profits. From sloppy insurance verification to endless claim denials.You'll hear how to:Spot and stop hidden revenue leaksUse proven dental coding tips to maximize collectionsStreamline your billing systems to improve cash flowTake control of your practice's revenue cycle once and for allIf you're tired of billing headaches and lost revenue, this conversation will show you how to transform frustration into steady cash flow! Review us

A podcast on medical billing and coding??? Ok, hear us out as we were skeptical too. We've invited the Billing Boys, Chris Jones and Phil Rodgers, who convinced us of the following: Billing is complicated, but it isn't hard.  Effectively billing helps pay for the interprofessional team members who often can't bill We should know our worth and bill for it. Just because a visit didn't feel HARD to a well-trained provider doesn't mean it wasn't complex or valuable.  Many of us have long suffered from low professional self-esteem when it comes to money, and it's high time we stop that. While exclusively billing on time may have been right 20 years ago, we must now understand complexity and advance care planning (ACP). We can't cover everything in the 45 minutes we are together, so here are some of the resources we reference in the podcast: Chris's and Phil's consulting contact info via Lightning Bolt Partners CAPC resources: CAPC's Billing and Coding Toolkit CAPC's Monthly office hours in Inpatient and Community-Based PC Billing and Coding run by Andy Esch, Phil Santa Emma, and Chris Jones CAPC's 2025 Annual Billing and Coding Update done by Phil and Chris each year Advance Care Planning resource from the Medicare Learning Network Top Ten Tips for Using Advance Care Planning Codes  CPT 2025 Professional Edition. This is the book that has the Complexity Grid in it. The answers are all here! And your coders will likely share.                

Welcome to episode 320 of The Cloud Pod, where the forecast is always cloudy! Justin, Matt, and Ryan are coming to you from Justin's echo chamber and bringing all the latest in AI and Cloud news, including updates to Google's Anti-trust case, AWS Cost MCP, new regions, updates to EKS, Veo, and Claude, and more! Let's get into it.  Titles we almost went with this week: Breaking Bad Bottlenecks: AWS  Cooks Up Faster Container Pulls The Bucket List: Finding Your Lost Storage Dollars State of Denial: Terraform Finally Stops Saving Your Passwords Three Stages of Azure Grief: Development, Preview, and Launch Ground Control to Major Cloud: Microsoft Launches Planetary Computer Pro Veo Vidi Vici: Google Conquers Video Editing Red Alert: AWS Makes Production Accounts Actually Look Dangerous Amazon EKS Discovers the F5 Key  Chaos Theory Meets ChatGPT: When Your Reliability Data Gets an AI Therapist Breaking Bad (Services): How AI Helps You Find What’s Already   Broken Breaking Up is Hard to Cloud: Gemini Moves Back In Intel Inside Your Secrets: TDX Takes Over Google Cloud Lord of the Regions: The Return of the Kiwi  All Blacks and All Stacks: AWS Goes Full Kiwi Azure Forecast: 100% Chance of Budget Alert Storms Google Keeps Its Cloud Together: A $2.5T Near Miss Shell We Dance? AWS Makes CLI Scripting Less Painful AWS Finally Admits Nobody Remembers All Those CLI Commands Cache Me If You Claude Your AWS Console gets its Colors, just don't choose red shirts Amazon Q walks into a bar, Tells MCP to order it a beer.. The Bartender sighs and mutters “at least chatgpt just hallucinates its beer” Ryan's shitty scripts now as a AWS CLI Library A big thanks to this week's sponsor: We're sponsorless! Want to get your brand, company, or service in front of a very enthusiastic group of cloud news seekers? You've come to the right place! Send us an email or hit us up on our Slack channel for more info. General News 00:57 Google Dodges A 2.5t Breakup We have breaking news – and it's good news for Google.  Google successfully avoided a potential $2.5 trillion breakup following antitrust proceedings, maintaining its current corporate structure despite regulatory pressure. The decision represents a significant outcome for Big Tech antitrust cases, potentially setting a precedent for how regulators approach market dominance issues in the cloud and technology sectors. Cloud customers and partners can expect business continuity with Google Cloud Platform services, avoiding potential disruptions that could have resulted from a corporate restructuring. The ruling may influence how other major cloud providers structure their businesses and approach regulatory compliance, particularly around bundling services and market competition. Enterprise customers relying on Google’s integrated ecosystem of cloud, advertising, and productivity tools can continue their current architectures without concerns about service separation. You just KNOW Microsoft is super mad about this.  AI Is Going Great – Or How ML Makes Money  02:16

Johannesburg's Billing Crisis Deepens as Residents Turn to Courts by Radio Islam

Joburg Billing Crisis Deepens, Residents Hit Back by Radio Islam

On this episode of What's Best For The Patient Is Best For The Business, Jerry dives deep into the critical, often complex world of billing compliance with industry expert Rick Gawenda, PT.Rick, the founder and president of Gawenda Seminars & Consulting, breaks down the high-impact proposals from CMS for the 2026 Physician Fee Schedule. They move beyond the headlines to provide a practical, actionable guide for clinic owners and therapists, with a special focus on the new Remote Therapeutic Monitoring (RTM) codes and how to leverage them for both improved patient outcomes and practice growth.This is a must-listen for any practice looking to stay ahead of the curve, ensure compliance, and understand how to successfully implement innovative care models like RTM.

On this episode Jim welcomes Ritesh Ramesh CEO of MDaudit. MDaudit strengthens billing compliance and revenue integrity with a single data-driven solution. Hear insights from Ritesh on the importance of continuous risk monitoring to safeguard against emerging compliance challenges. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Welcome to episode 319 of The Cloud Pod, where the forecast is always cloudy! Justin, Matt, and Ryan are in the studio to bring you all the latest in cloud and AI news. AWS Cost MCP makes exploring your finops data as simple as english text. We've got a sunnier view for junior devs, a Microsoft open source development, tokens, and it's even Kubernetes' birthday – let's get into it!  Titles we almost went with this week: From Linux Hater to Open Source Darling: A Microsoft Love Story 20,000 Lines of Code and a Dream: Microsoft’s Open Source Glow-Up Ctrl+Alt+Delete Your Assumptions: Microsoft Goes Full Penguin Token and Esteem: Amazon Bedrock Gets a Counter CSI: Cloud Scene Investigation The Great SQL Migration: How AI Became the Universal Translator Token and Ye Shall Receive: Bedrock’s New Counting Feature The Count of Monte Token: A Bedrock Tale – mk Ctrl+Z for Your Database: Now with Built-in Lag Time IP Freely: GKE Takes the Pain Out of Address Management AWS CEO: AI Can’t Replace Junior Devs Because Someone Has to Fix the AI’s Code Better Late Than Never: RDS PostgreSQL Gets Time Travel The SQL Whisperer: Teaching AI to Speak Database DigitalOcean Goes Full Chatbot: Your Infrastructure Now Speaks Human Musk vs Cook: The App Store Wars Episode AI Firestore Goes Mongo: A Database Love Story GKE Turns 10: Now With More Candles and Less Complexity Prime Day Infrastructure: Now With 87,000 AI Chips and a Robot Army AWS Scales to Quadrillion Requests: Your Black Friday Traffic Looks Cute AWS billing now speaks human, thanks to MCPs The Bastion Holds: Azure’s New Gateway to Kubernetes Kingdoms The Surge Before the Merge: Azure’s New Upgrade Strategy CNI Overlay: Because Your Pods Deserve Their Own ZIP Code AI Is Going Great – or How ML Makes Money  00:46 Musk's xAI sues Apple, OpenAI alleging scheme that harmed X, Grok xAI filed a lawsuit against Apple and OpenAI, alleging anticompetitive practices in AI chatbot distribution, claiming Apple deprioritizes competing AI apps like Grok in the App Store while favoring ChatGPT through direct integration into iOS devices. The lawsuit highlights tensions in AI platform distribution models, where cloud-based AI services depend on mobile app stores for user access, potentially creating gatekeeping concerns for competing generative AI providers. Apple’s partnership with OpenAI to integrate ChatGPT into iPhone, iPad, and Mac products represents a shift toward native AI integration rather than app-based access, which could impact how cloud AI services reach end users. The dispute underscores growing competition in the generative AI market, where multiple players, including xAI’s Grok, OpenAI’s ChatGPT, DeepSeek, and Perplexity, are vying for market position through both cloud APIs and mobile distribution channels. For cloud developer

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Did you know a single ransomware attack can cost a dental office six figures or shut it down entirely? A small dental practice is an ideal target for a cyberattack easy to overlook, often underprotected, and rich with valuable patient data. Teresa Pichay (returning guest!) and Katie Fox from the California Dental Association joined me for a scary session. They shared how hackers use phishing emails, malware, and AI-powered scams to break into dental systems, steal information, and demand high ransoms. Many in dentistry assume they're too small to attract hackers, but that very assumption makes them more vulnerable to hacking attempts. Personal devices, outdated software, and unsecured networks create easy entry points. Even if the breach occurs through a third-party vendor, the dental office is still held responsible. Without strong cybersecurity protocols, HIPAA compliance, and safeguards in place, practices risk data exposure on the dark web or deep web, legal trouble, and costly service disruptions. Cyber liability insurance can help but prevention through secured systems, trained staff, and regular risk assessments is the only reliable defense in an AI-driven threat landscape. Resources from the CDA: Resources from the CDA:  CDA_2025_Cyber_Safety_Checkup.pdf CDA_2025_Questions_Software_Vendor.pdf Want to see the source behind the discussion? Check out the articles below: Medical and Dental Groups Settle Class Action Data Breach Lawsuits Aspen Dental reaches $18.7M settlement in data tracking case Connect with Teresa and Katie  Email: Teresa.pichay@cda.org & security@cda.org  Resources at California Dental Association https://www.cda.org/ ------------- 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/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- 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. ------------- Don't forget to check out my other podcast Chew on This - A Dental Podcast!    **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  

Shawn & Janet Needham R.Ph. discuss why billing insurance makes healthcare expensive. Health Solutions Instagram | https://www.instagram.com/health_solutions_shawn_needham/ TikTok | https://www.tiktok.com/@healthsolutionspodcast Facebook | https://www.facebook.com/HealthSolutionsPodcast Moses Lake Professional Pharmacy Website | http://mlrx.com.com/ Facebook | https://www.facebook.com/MosesLakeProfessionalPharmacy/ Shawn Needham X | https://x.com/ShawnNeedham2 Shawn's Book | http://mybook.to/Sickened_The_Book Additional Links https://linktr.ee/mlrx

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show!What if you could reshape your career and lifestyle with the freedom and flexibility you've always dreamed of? In this episode, we explore the exciting world of locum tenens work, sharing insights on how to start your own locums company, medical malpractice insurance and why every doctor should consider doing locums.Timeline0:00 Introduction2:47 What y'all say Friday! Ask us anything y'all.3:29 Working 24 hour shifts as a doctor.7:44 Billing & Getting paid as a locums doctor10:47 How to Start a Locums Agency.14:08 Not working on important days of your life.16:24 Medical malpractice for locums doctors21:53 Rates vs travel expenses as locums doctors28:12 Why consider doing locums?35:44 Is there a Diddy in medicine y'all?FREE DOWNLOAD -  7 Considerations Before Starting Locum Tenens - https://darkos.lpages.co/7-considerations-before-locumsLINKS MENTIONED App for sending out receipts - https://www.waveapps.com/To learn Ins and Outs of locums - https://locumstory.com/SIGN UP FOR OUR NEWSLETTER! https://darkos.lpages.co/newsletter-signup/ WATCH THIS EPISODE ON YOUTUBE!Have a question for the podcast?Text us at 833-230-2860Twitter: @drniidarkoInstagram: @docsoutsidetheboxEmail: team@drniidarko.comMerch: https://docs-outside-the-box.creator-spring.comThis episode is sponsored by Set For Life Insurance. What the Darkos use for great disability insurance at a low cost!! Check them out at https://setforlifeinsurance.com/ Locumstory. Learn how locum tenens helps doctors make more and have the lifestyle they deserve!. Check them out HERE!

This episode provides behavior analysts with practical guidance on navigating insurance authorization processes, with particular focus on peer review procedures. The panel discusses the workflow from initial clinical review through potential peer review, emphasizing that peer review is a collaborative process rather than punitive action. Key topics include understanding medical necessity requirements, writing effective treatment plans, preparing for peer review conversations, and managing different outcomes. The discussion addresses common challenges faced by both new and experienced BCBAs, including dosage recommendations, goal writing, parent involvement requirements, and handling denials. This content directly supports behavior analysts in improving their clinical documentation and communication skills to ensure continued access to services for their clients.  To earn CEUs for listening, click here, log in or sign up, pay the CEU fee, + take the attendance verification to generate your certificate! Don't forget to subscribe and follow and leave us a rating and review. Show Notes References: Reinecke, D. R., & Colleagues. (2024). Treatment planning recommendations for applied behavior analysis services. Association for Professional Behavior Analysts.  Resources:  Professional Organizations and Guidelines:  ABA Coding Coalition - https://abacodes.org Association for Professional Behavior Analysts (APBA) - http://www.apbahome.net Council of Autism Service Providers (CASP) ABA Practice Guidelines - https://www.casproviders.org/asd-guidelines  Training and Educational Resources:  Autism Law Summit ABA Authorization and Appeals Playbook  CentralReach Institute  CR Unite Conference   Assessment Tools:  WebABLLS (Web-based ABLLS-R program) - http://webablls.com    

Kiera and Kristy break down a few reasons why your practice might not seem (or might not be, period) to have any money. They touch on how to find your profit point, knowing your debt, staying on top of collections and AR, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today I have Kristy with me and I'm super excited because today is one of my favorite things to do as consultants and I call it office autopsy. ⁓ Don't worry offices, this is a mix of a few offices because believe it or not, offices think that they're on individual islands and believe it or not, you're not. ⁓ Multi-practices actually struggle, they actually do the same things that you struggle with. And so we just wanna make sure that we bring, we're not going to ever disclose who this office is.   We will mix a few offices together, but I think for people to see what the office's pain point was and then what as consultants were able to do. Kristy, we have some really fun ones. so Kristy and I decided we wanted to podcast today about some office autopsies of what, hopes to help more offices. So Kristy, welcome to the show today. How are you?   DAT Kristy (00:48) Good, thank you. Pleasure to be here.   The Dental A Team (00:50) Of course. Well, I'm super happy because I think the one that we run into a lot ⁓ is we call it cash flow row or cash flow woes, like whatever you want to talk about. But it's really when an office comes to us and they seem to not be able to figure out what's going on. ⁓ They feel like they're producing. Sometimes they're producing, sometimes they're not. So we'll kind of discuss like how to know if you're producing enough or not. But then they feel like they just like have no cash. And so giving some background.   Like I said, I'm going to blend a couple of practices together, but we have kind of going to do like two simultaneous ones. One practice was producing really, really well, but literally the owner felt like they had no money. We're talking like flat broke, felt like they were completely going to go under, had no money, but yet their production numbers were really good and their P &L looked really good. And we're just like, it showed on the P &L. I think, Kristy, you'll find this too, offices get so frustrated.   I got so frustrated and angry with my CPA when they said, well, Kiera, like according to the numbers, you have money. And I'm like, great, high five, jerk. I have no money in my bank account. Like it's the most infuriating feeling in the world of my CPA tells me I should have money, but there's no money. Flip that too on the other side when a practice isn't quite producing what they need to be producing to pay for their expenses. And they feel like they have no money and they are flat broke, which in reality that practice is flat broke because they need to produce more or they need to cut.   So we're gonna kind of dig on both sides of these with office autopsies of what we see, what we've been able to do. And let's start, Kristy, on the side of what do we do? Like, okay, first step, how do we find like the profit point? Like, how do we figure out what should an office be producing? Because I think that's also infuriating when doctors are like, but I'm just producing. I feel like I'm trying to out-produce my problems. Like, I don't know how to produce more. ⁓   how do you, Kristy, as a consultant, come in and help offices just gain that clarity? Because I think sometimes when we know the North Star and we know what we should be targeting, it actually becomes a lot easier to then build block schedules and then figure out what our overhead should be. But how do you help offices even dig into that? As point one to figure out, let's autopsy both of these practices, I think this is step one to really getting clarity.   DAT Kristy (03:00) Absolutely. I agree with you, Kiera. ⁓ The first step is to understand how much we're paying for things. What is the cost to keep the doors open? You know, we talk about overhead, right? But what is overhead? It's everything that we have to pay within a month. Rent, utilities, staffing, right? The other thing that I want to point out is many doctors don't include themselves in that. And I definitely want to pay them   The Dental A Team (03:16) you   DAT Kristy (03:30) Just like if they were an associate in the practice and so we want to include that in that overhead cost if you will and find that What I like to call profit point so we know where we're what's our? BAM right   The Dental A Team (03:48) bam, that bare ace minimum, like what do we have to   do? It's kind of like in real life. I mean, I think all of us have a bam in real life. You know what your mortgage or your rent is. You know how much it costs you to like do your groceries. You know how much daycare is, you know how much it costs you for like your Amazon spending. And some of those are fixed costs. So fixed are like your mortgage or your rent. You can't really change those. Those are fixed for you. Yes, like I get it. The semantics, we're not CPAs here. We're not like, that's not our world.   The semantics are can you change your rent? Potentially you could go find somewhere else. That is an option you could do. But most of the time those are pretty fixed. Just like our utilities are pretty fixed. You can be like my husband where literally our AC goes off at 6 p.m. at night. He freaking freezes us until 6 o'clock to save on these utilities until 9 o'clock. It drives me wild. I'm like in a hoodie freezing, shivering. And then the AC goes off and I'm like roasting. It's really entertaining because he wants to save the $3.   But genuinely speaking, like you're not really going to be saving on those fixed costs. are some fixed ones. Staffing is usually pretty fixed. However, we could add team members or take team members away. So therefore it's not as fixed. But like you said, Kristy, I think it's figuring out in a practice and agreed, doctors should be paid. Like nobody, think that that actually causes more stress for owners. If you don't even know what your paycheck is or you're just taking draws, because then how do you budget your life on a up and down volatile paycheck?   I think that creates a lot of stress versus like, okay, great. Let's just put you at a hundred grand or let's put you at whatever is a reasonable salary. Talk to your CPA. They'll be able to give you that. ⁓ And that can be agreed with Kristy. I like to pay you as an associate, but if right now the practice can't support that minimum should be a reasonable salary of say a hundred grand. So that way you can at least bank on that of getting that paycheck in your practice. Sometimes you have to adjust that, but generally speaking, if we at least give you some type of certainty and clarity,   that's going to help you then be able to budget your life around that too, in addition to budgeting your practice.   DAT Kristy (05:49) Absolutely. In fact, Kiera, sometimes even with startup doctors, I like them to even keep a spreadsheet of their production as if they were paying them as an associate. And then when they start to get profitable, we can back pay those wages. But definitely they have to take care of themselves first. ⁓ I've even seen where they get a little bit of animosity if not, right? Like, staff's driving these cars and they're getting their nails done and they're doing   The Dental A Team (06:00) Agreed.   Mm-hmm.   DAT Kristy (06:19) and I can't even pay myself. So I think it's very important that we understand what that is and work toward that, number one, if we're not there. And then if we are there, adding additional ⁓ percentage to that, which us as consultants can help guide that depending on your goals. If it's paying down debt, paying you as an owner doctor.   ⁓ And you know, we follow the EOS system, so adding those buckets for taxes and those sort of things that come up and we can be prepared for.   The Dental A Team (06:55) Yeah, no, I think it's brilliant, Kristy. And when you said that, I agree. You don't want to not be paid in your practice, because that gets, A, it's stressful, and B, it's annoying, and C, you've got all this debt on you. ⁓ But I also think when we're looking at our practices, there are pieces, so when doctors are like, I'm not getting paid, I just want to remind that sometimes we're being paid through things running through our practices. And so we've got to be careful, because that is,   Like if you didn't have your practice, you'd be paying for that out of pocket. And so that is technically part of your salary, doctors. And I don't want to be the like balloon pop girl over here. I do want to be realistic because a lot of times doctors are like, I'm not making money. And I'm like, but you forgot that these things are running through your practice. So you are being paid for those or those things are no longer coming to you, which is totally fine and legal. Talk to your CPA. Like we want you to do that. There's nothing wrong with it.   But when we're looking and we're like stomping our foot saying we're not being paid, sometimes I even have to remind myself of like, yes, but Kiera, if you didn't have the business, all those costs would be coming out of your W2 paycheck, not your business right off. So agreed with Kristy, when we're looking at this, step one is let's find that BAM, let's find that profit point, let's find out what you have to produce. And then from there, what we need to find out is also in addition to that, how much is our debt?   Because a practice should not have to be covering your debt, but you as a human needs to be covering your debt. So if your student loans, your practice loans, things like that, the practice isn't necessarily a poor performing practice. You just have all this excess of like, my gosh, I have to pay this off, which that's real life for you. And I think that's the difference of a CPA's bookkeeping for you versus your real life living through it. And I can tell you from personal experience, like this is very hard. Sometimes practice loans do go through your   your practice profitability. Again, this is pending on your CPA and how they recommend you do it. But most of the time your student loans and different things like that don't run through the practice. So, but you as a human need to have enough money to be able to pay for all those things. So I think it's finding out the practices, BAM, like Kristy said, finding out your personal BAM, because that might be different. And then from there, let's tack on 10 to 20 % beyond that. So let's say you know you've got to produce 50,000. Well, awesome. 10 % of that would be 55, adding   20 % excuse me, so 10 % of that is going to be an additional $5,000. To do 20 % of that's going to be an extra $10,000. So if I know I've got to do 50, I've either got to produce 55 or 60. Now that becomes much easier and I know beyond that I'm going to have 10 to 20 % leftover of the practice after everything's spent. Our ideal is to get it to where your 50,000 is 50 % of your practice and there's 50 % quote unquote profit beyond that. Now again,   that profit is a little bit funny because if we're doing a 50 % overhead and 50 % profit, doctor salaries usually are not included in that. If doctor salaries are included in that, then usually it's a 20 % profit at the end of that. So I know those two numbers feel a little like disjointed. They've been very disjointed for me. So if you're doing true overhead, we want it at 50%, 30 % doctor pay, 20 % profit. If you want to combine it all together, then it would be 80 % quote unquote overhead, 20 % profit. Now that 20 % profit though,   does technically pay for debt services. So watch that. You might need to scale down our 50 % down a little bit more or 80 % to then be able to offset that. So hopefully that wasn't too confusing for everybody. This is why we're consultants. This is why we help you. But I think when you understand like either need a 50 or an 80 % ultimate goals, we're trying to get 20 % cashflow at the end of the month. think for me, that's like the easiest thing. Like, okay, if I'm producing a hundred grand a month,   I want 20 % of that, so that's 20 grand. So like I'm trying to do easy numbers for all of you. I want 20 grand after everything's paid to still be remaining. Now, one other kicker as a business owner is that 20 % is also taxed. So don't forget that that gets taxed. So if you're at a 30 % tax bracket, well, you gotta take 30 % of 20 grand and then the rest of that you can spend. And this is why I think owners get so frustrated, because it's like, oh my gosh.   Like just tell me how much money I can have. And when I talked to a CPA and Kristy, I think you come across this, like our whole lives up until owning businesses, we've been paid at the W-2. So everything we got paid, we were able to use. Well, now as business owners, everything we're paid, we don't get to use. That's not the way the game works. ⁓ And it's due to write-offs and different pieces like that. So I think just knowing the rules of the game, I remember being so fresh with my CPA and I said, I like you're playing Monopoly with me. Like just tell me the dang rules.   So, and like, don't tell me like, no, you can't pass go, but you can pass go if you do X, Y, Z, but then like, no. So it's really, you've got to have a profitable practice of overhead. That's what we as consultants are really obsessed with. You also as an owner need to be responsible of how you spend. That's not to say you can't spend, but you do need to spend responsibly and you do need to set aside your taxes. And I think when you have all those pieces set up, then you can have guilt free spending because you're paying yourself.   Plus, you know what your true profit is. You've saved for taxes, you've saved for a rainy day, like Kristy was saying. We can put buckets into place to pay down more debt. You can put buckets in place for emergencies in your practice. You can put buckets in place for ⁓ vacations. I have a doctor I was just talking to on Alaska cruise and I was like, how's that bucket working out for you? And he's like, I love it, Kiera, you set it up for me. And I know how much I can spend on vacations. I know how much of my paycheck goes into that portion. He also used to spend an absurd amount on CE. So we set a true budget of how much CE money he could use.   But that's kind of where you then as owners aren't just trying to waffle through this and actually can figure out those profit points. And I do think, Kristy, like as much as we've belabored this so much at the beginning of this podcast, I feel this foundational piece is what makes owners crazy because they don't know the rules of the game. So they start spending all the money. Then you get this huge tax bill. Then you feel mad. Then you feel like you have no money when it's like, no, you did have money. just we accidentally spent it. So now we got to make up for it later because we didn't put these rules of the game into play.   Kristy, you might have a simpler way to do that. What are your thoughts around that?   DAT Kristy (12:49) No, I agree with you 100%. Otherwise, what I find is, you know, business owners, doctors, they just come up with this arbitrary number that they want to hit. But again, just because we're producing something doesn't mean we're profitable. And so they go together, but we have to understand the difference.   The Dental A Team (13:12) I agree. And I love that you said that because production feeds the ego and profit feeds the family. And so it does not matter what you're producing. And I agree with Kristy. It's like, I want to produce a hundred grand. I want to produce 200 grand. Well, high five. Let's help you do that. But on the flip side, let's make sure your expenses are there. And there's another practice I'm thinking of right now where they're like, we have no money. And I'm like, all right, if we have no money, truly it's let's do the checklist. Number one. Like, do you see me even scratch my head? I'm like, if you're not watching the video,   Just know when I hear people say, don't have money. I'm like, all right, it's either a production issue or a spending issue. It's one of the two. So just know those are the only two levers for when you're saying, I don't have money. It's either actually there's a third. There's technically a third. And that is a collection issue too, because we're either not producing enough. And if we are producing enough, we might not be collecting enough. And if we're doing both of those two things, then it's a spending issue. So let's break it down to this office autopsy. Kristy, let's go for a practice that is producing enough.   they don't have money, how did you fix or how did you find out that this practice had a collections issue?   DAT Kristy (14:14) Yeah, well number one we would look at.   How much was their net production and how much are they currently collecting? My minimum benchmark is always to be at 98 % or higher. Obviously, if we can get reservation fees to pre-collect on things, we may see that up a little bit higher. But if they're not at that 98%, what can we do to get them there? What's getting in the way? Is it patient? Is it insurance? Are we not submitting clean claims and getting them back in a timely fashion?   The Dental A Team (14:26) Agreed.   DAT Kristy (14:47) ⁓ But definitely that would be the first place to look.   The Dental A Team (14:51) Yeah. And so Kristy just said the benchmark. If you're not at 98 % collections, then there's a problem. Second piece is look at your AR and if you have more than one month's worth of production in your AR, we also know it's a collection problem. So when we diagnose on this practice, I remember we talked to a doctor and they're like, Kiera, I have no money. Kristy, I have no money. And I remember we're like, so actually you do have money. Believe it or not, the money is there. It's just sitting in uncollected amounts. So Kristy, you even went with another office and like they didn't have money and you just straight up called.   You like went with the office manager and you guys just picked up the phone and started calling on balances to get the money. And I really want doctors to know, and Kristy, I think this is the infuriating part as a consultant where I'm like, no, like you're producing well, you just have to collect the money that you're producing and don't like, don't even feel bad about it. So what do you do for teams that don't want to collect, that have these big ARs? Like what are a few simple steps? Like if that's my practice, I'm-   Hi, Kristy. I'm the doctor today. My team, this does not want to collect money and I feel like I can't pay any bills. What do you do in that scenario as a consultant, Kristy?   DAT Kristy (15:53) Yeah, well, I think we have to dig deeper into their own, like the team members own biases and what's getting in the way and get them comfortable to realize that we're not doing good by our practice and or patients if we're not collecting those balances. So, you know, really seeing what's the roadblock and let's work through it to overcome it because people deserve the care. Patients deserve to be healthy and   And part of that is also paying for the treatment, right? So just digging deeper, figure out what's getting in the way and helping them to overcome, create some verbiage for them to feel confident in being able to collect.   The Dental A Team (16:39) Yeah. And Kristy, I think you do an amazing job as a consultant. think this is where I love being consultants is like, you will actually help them sometimes call on accounts and help them see how easy it is. And ⁓ I also think when we're looking at AR, let's get our best bang for our buck. like, let's sort it to biggest balances and let's call on those first. Like, let's figure out different pieces. And like you said, there might be a myriad of reasons why your team members don't want to collect. don't think typically it's due to the fact that they don't want to collect. I think they're just scared. There's fear.   They're afraid of a patient being mad. They're afraid of not being able to explain the balance on the account. They might not understand why insurance is denying claims. Billing is a whole black hole, just so doctors understand, like there are a lot of nuances there. But I think on that side, if you are producing, like I remember this practice, they are producing like 150 to 200. And I was like, what do mean you don't have money? And we looked at the P &L and we're like, no, according to your P &L, you have money here. And we just realized it was a lack of collection process.   We implemented that Kristy, you helped this practice. They implement, they started collecting and now the doctor's like, wow, like two months later, I feel like I'm like happy as a clown because they literally have money now, but the money was there all along. And that's really like, I think a myth to dispel on this office autopsy is a lot of times the money is actually there. We're just not collecting. We don't have the correct processes in play to do correct insurance verification, to have better estimates, to collect in practice, to then have better ways that we are posting payments.   We don't have a process for how we're calling patients and insurance. And if you don't have that whole process dialed in, that can actually get really daunting for a practice. But Kristy, let's flip sides to the other dark side of this coin where they might not be producing enough. So like we said, it's either a production process, a collection process or a spending process. What do we do on the dark side where they're not producing enough? Like that's scary to me. So what do you do on that? I think there's like two zones here.   DAT Kristy (18:33) Yeah, absolutely. Well.   Number one, once we figure out that benchmark, typically, Kiera, we go and look at how much are they diagnosing, right? If we're looking to hit 100,000, we typically need to be diagnosing minimum three times that number ⁓ if we want to hit it, right? So where are we with diagnostics? And then where are we in case acceptance? how, if we are diagnosing that much, how much are we   actually getting patients to say yes to that treatment if you will.   The Dental A Team (19:09) Mm-hmm. And I think, Kristy, great point on that because it's twofold on this dark side of the coin of if we're not producing, are we diagnosing enough? And if we're diagnosing enough, are we closing enough? And those are two different people actually in this scenario. So doctors, have to diagnose. And if you're a doctor who's scared of diagnosing a couple tools, it's OK. I always tell doctors, it's your moral obligation to diagnose. As a patient, if you were to go in and there was someone who saw   Let's say you did a scan, I've had multiple MRI scans on my brain. Do you know how mad I would be at a doctor if they chose, because like they don't know if I can afford it, if I don't wanna hear the bad news or like whatever it is, they choose not to tell me what's on my brain or a broken bone or if I've got something in my blood work, I would be livid. And yet doctors, you're diagnosing, you're taking x-rays and if you're not telling these patients what's going on, ⁓ that's your moral obligation to do that. So if you're nervous about it, that's okay, I'm not here to tell you.   there's anything wrong with it. I just want to remind you that this is your moral obligation as a healthcare provider. So there's Pearl or Overjet of an AI solution that might be a solution for you ⁓ or just diagnosing one more thing than you normally would. If you're used to like watching, ⁓ that's okay. Maybe like just watch 75 % of it, but diagnose one of those things that you would normally watch and just notice patients don't get mad. They don't get angry. ⁓ Remember when you do get that frustration, it's just due to their expectations not being met.   So if you can even help them co-diagnose with you. So having your hygienist call out their perio numbers and let the patient know before they do it, like, hey, we're looking for the health of your gums, anything above a four, that's something that we need to watch if there's bleeding. And I'm gonna show you, so listen with me, you're gonna hear, ⁓ and then you'll be able to hear. Well, now that patient's listening actively with you of, wow, I heard like seven fours, or I heard like a six in there, now you don't have to try and teach them and say like, you've got perio.   They actually heard it and they co-diagnosed with you. You can show them x-rays of here's a healthy tooth. This is what a healthy tooth should look like. Now look at this tooth and what do you see? You guys, if there's decay in there, even the untrained eye usually can see that pretty big chunk of decay taken out of there or use intraoral photos to where that patient's co-diagnosing with you to gain the trust. And that actually makes it easier for you doctors, because then you're not teaching them. Or if you're like really nervous about it.   AI teaches them. Like it literally just puts the puts it up on there and you don't even have to hardly do anything other than just presenting it to them and educating them. So something simple there. And then if your team's not closing cases, amazing simple things like an NDT our handoff. next visit date, time, recare that can help tremendously. ⁓ having your team members track their treatment plans, having a consultant help them. Like we literally help listen to treatment plans, guide and give coaching on different ways that they can do it. So there's two ways if you're not diagnosing or producing enough.   that we can easily do that. And the next one would be a block schedule. Kristy, any other thoughts on that? Because I'm sure you've got pieces working with so many team members too.   DAT Kristy (22:06) Yeah, listening to you talk about the case acceptance, it's just hitting me that sometimes I think our fear is in telling them, but really if we take a step back and just include them in the process and figure out what are their long-term goals for their mouth and being able to speak to them in a relational way that...   The Dental A Team (22:23) Thank   DAT Kristy (22:29) really is flipping it to what is their goals and getting them what they want. I think that takes the pressure off of us telling the patient, right? And so, ⁓ truly, I think when we master this, it's a beautiful thing and you get patients to stick for very long time because they feel heard, right? And they still are in control of their care. So.   The Dental A Team (22:53) Totally, I agree with you, Kristy, and I love that you talked about like, they're part of the solution with you. And I agree, like, I can't as a treatment coordinator want this more than they do. It really has to be something that they're a part of. ⁓ And also just helping your team see, similar to doctors, when we're watching so many things, team members can accidentally be saying one or two words that's guiding a patient the wrong direction. We might be highlighting insurance more than we're highlighting total treatment. We might be putting emphasis on like your max on insurance or   Like we could just start with one thing because we're afraid of presenting total dollar amounts. All of those things are normal. That's like very normal. Your team's not struggling, team members listening. You're not doing anything wrong. Just highlighting that there are different ways that you can present it. And I call it like the sequence. So think about when you're back in high school and you had your locker combination. If your combination code was 321, you could put in the number 213 and your lock wouldn't open. You could also do 123 and it wouldn't open. You could also do 32...   three and it won't open. You can have the exact same numbers and just do them in the wrong combination and it won't open versus if we have the right pieces in the right combination, we actually get more case acceptance. So just realizing like what are my tools that I'm using? Am I putting them in the right sequence? Am I using the tools like insurance is a tool? It's a coupon. So let's maximize that, but it's not going to guide my treatment. Let's maximize getting full case acceptance. Let's maximize like Kristy said, knowing their ultimate goals and tying my treatment back to those ultimate goals.   just using the tools in the right sequence can also help with that case acceptance. Now, if you are a practice that's not diagnosing enough, I think that this becomes like a little bit of an ego check and I'm sorry to be the ego check day today, but it might be something where if we're not diagnosing enough and we are collecting and we're not producing enough, it might be time for us to look to see about cutting costs. And this is something where I don't love to have this conversation. However, bottom line is the practice has to thrive.   Otherwise we all will fail. And doctors like you won't be able to help your team. You won't be able to help patients. And ultimately your livelihood is on the line too. Nobody is happy in this scenario. So when an office is like, don't have money, great. We've looked to see, you diagnosing? We've looked to see, are we collecting? We've looked to see our case acceptance. Like let's check all the boxes. Flip side is what are we spending money on? Immediately I'm gonna go to anything that you no longer need in the practice. So I know we might have been in the glory days.   doing all these ITero scans. Well, guess what? Glory days are gone. We're no longer there. And I hate to be Debbie Downer, but the reality is we need to sell that. We need to get out of that contract. Anything we are not using in the practice, we need to cut those debts off of us. And this is just a yucky moment. And I'm sorry, but you've got to do it. And as a business owner, this is your job as a CEO is to watch the profitability of the business. Like you have to, and you have to make those hard cuts. And I will tell you, you do it one time. You're a lot more cautious on things you'll purchase in the future.   So we start cutting costs of things that are not paying for themselves. So if we've got extra equipment in the practice, if we've got other things that we can sell. Also, team members, we might have bulked. I've done this as a CEO, so I'm just gonna tell you, like, it was a really, really, really bad day when I realized I over-bulked anticipating something to happen in the practice, and I actually had to scale back and cut. That does not feel good, and it's something that we want to avoid. However, if we have ultimate, like, more team members than are necessary, or we could outsource to things,   I'm not here to say, determinate team members. Like we said, like we went through all the different scenarios, everything we possibly could do. But the reality is you may have bulked too much in a practice and you need to scale back and cut. And that's just a zone where you walk the walk of shame and you commit you're never going to do it again. But ultimately you have to get yourself to a profitable zone. You've got to look at your own spending. A doctor was like really struggling on spending and they had multiple credit cards. Consolidate those credit cards down to where you only have one. We pay it off every single time.   We look to see what other things we like work out deals with the lab or different people. ⁓ But you've got to be realistic. You might have to get a line of credit to get yourself out of it. You might have to take equity out of your home or your practice. Those are things I hate doing, but I also feel sometimes the pain of discipline is better than the pain of regret. And I would rather go through the pain of discipline and learning to like cut my costs and watch my costs and not hire. Like I might extra hire.   a hygienist. I might extra hire a treatment coordinator. Those are two players on my team that will actually generate revenue for me. And not to say assistants don't because assistants can, but I could get by with a Mr. Thurshy. Now, dentists, I know I'm going to get a lot of flak for that. The reality is you can do that for a short amount of time. And I just want to highlight like it's inconvenient, but it's also inconvenient not to have money to pay your bills. So like choose our heart on this. But this is a zone where like I heard a doctor and they were struggling and they   They spent like 10 grand on something unnecessary. And I'm like, that's a spending issue. That's a you issue. That's not a practice issue. And it's not a diagnosis issue. If you cannot produce what you have for your costs, it's like the person has to accept the fact that they bought too big of a house. Like you've got to scale down. You got to size down. And as much as that's an ego blow, that's also smart business ownership. So Kristy, that's my like soapbox. So doctors, like we said, it's first, let's make sure we're producing. Like, let's figure out our amount. have to, then we're going to check our production. Then we're going to check our collections.   Then we're going to check our diagnosis. We're going to check our case acceptance. We're going to check our block scheduling. Then we're going to go into any unnecessary costs that are on our PNL. ⁓ Look to see, there anything we could do to reduce costs? And then it's going to be, we've got to cut. And like, you've got to make that decision before you go under. ⁓ You owe that to your patients. You owe that to yourself and you owe that to your team. And it's a sad, crummy day, but it's part of business. Kristy, what are your thoughts?   DAT Kristy (28:27) Yeah, I think you nailed it. The only area we didn't uncover was you usually do have some unscheduled treatment that you may be able to tap into. And I would definitely explore that resource. But you nailed it, Kiera. I mean, you hit all of the boxes for sure.   The Dental A Team (28:46) So those are kind of like looking at a practice that says, I don't have cash. These are some of the ways to diagnose that we do within practices. And notice the very last thing that we went to was cutting. That's not our mission. That's not our process. And we're never going to tell you to cut somebody. That's going to be ultimately your decision. We're just going to remind you that as a CEO, that's part of your job. And I remember going through COVID, had a coach and she said, Kiera, you've got to have a list. You've got to have a list in your mind of like when things get tight, if they get there.   What are you going to do to make sure your business thrives and survives? And that has stuck with me when I realized like, that's why I'm paid a CEO salary. That's why I'm paid to make these hard decisions. That's why I ⁓ signed up to be a business owner. Like that's the hard side of success. Success has two parts of that coin too. There's the light side and the amazing side. And then there's the dark side that a lot of people don't talk about. So if you're looking at your practice and you're saying, I don't have cash, go through the checklist, Kristy and I just gave you. ⁓   And sometimes it does help to have a buddy in it with you, a consultant, somebody who's in it with you. Like Kristy, I think about the night that you picked up the phone with that office manager and you guys started calling, you called on accounts with them. I think sometimes not feeling alone in the process. think somebody pushing your team, because you're like, I don't know how to say this to my team. ⁓ Someone who can help guide them, someone who can help look at your diagnosis and help you diagnose maybe one more thing, ⁓ really can be an asset. And I call Kristy our money bloodhound.   If I have a practice on cashflow row, I'm like, all right, Kristy, I don't what you're gonna do, but girl, go to work and go start looking. And I think having an outside set of eyes, it's not sitting in there floundering with you, but can have a cool, calm, collected head, sometimes can be the most beneficial. So if you're struggling, reach out, we're here to help you. And it comes with no judgment. Kristy, don't think I've ever once heard you judge a single practice. You come with love, you come with open arms, and you come with solutions quickly.   to make sure they get there. So Kristy, any last thoughts you have for these practices who might be struggling, who are hearing this office autopsy being like, my gosh, that's been me, or my gosh, I feel like I'm headed that way. Any other thoughts you might have for them?   DAT Kristy (30:43) ⁓ Just again that you're not in it alone and having us to help ⁓ guide mentor and just make sure you have you know daily weekly monthly Systems in place and balance, you know a checklist balance. We got ya we can help   The Dental A Team (31:00) We do. do. Well, Kristy,   thanks for being on the office autopsy with me. Thanks for just loving our clients so much and helping them. I think that client who two years after you started helping say to us, I like have never been this free or like, my gosh, like this is what ownership should feel like. I think those are the wins that we live for as consultants of hearing you thrive, hearing your successes, hearing you have your dream life and not being so stressed, ⁓ even in possible situations that are stressful. So Kristy, thanks for being that consultant with us.   DAT Kristy (31:30) It's a pleasure. Thanks.   The Dental A Team (31:32) Of course, for all of you listening, don't be on cashflow row. Don't be struggling about these things. If you are part of any of the scenario, if you're like, my gosh, any of those things resonated, reach out. Hello@TheDentalATeam.com. Go to our website, click on TheDentalATeam.com book a call. Like truly it's a no judgment, just clarity, just momentum. Even if we can't help you, we've got resources. Even if you're not quite the right fit, that's okay. Like we will be there to support you. ⁓ but I think it takes courage to book the call. It takes courage to admit you need help. but there's so much freedom.   to know that you're not alone, that you're not having to do this alone and that there's somebody who truly can help you get out of the scenario and that's been there, done that and done it successfully many times. So reach out and as always, thanks for listening. I'll catch you next time on The Dental A Team Podcast.

In this episode of CodeCast, Terry dives into the complexities of billing bilateral procedures and the growing tension between Medicare guidelines and commercial payer policies. Modifier 50 is used to report procedures performed on both sides of the body during the same operative session. When billed correctly, the procedure should appear on a single claim […] The post Bilateral Billing Under Fire: Modifier 50 appeared first on Terry Fletcher Consulting, Inc..

A new interpretive letter on the Canada Health Act says primary health care services provided by qualified non-physician practitioners must be covered by provincial and territorial plans. However, the letter left the whole area of virtual care unresolved. Dr. Danyaal Raza is a family physician with Unity Health Toronto's St. Michael's Hospital, and an Assistant Professor with the University of Toronto. He joins us to speak about the letter.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Did you know 80% of dental claim denials can be overturned with the right strategy? I love meeting fellow insurance nerds! My time with Dr. Christie Bateman was packed full! She shared how to master PPOs, Medicare Advantage plans, and complex prior authorization rules while protecting your bottom line. Dr. Christie breaks down the exact methods she uses to reverse denials, clear documentation, targeted patient photos, and short, persuasive appeals that insurance carriers can't ignore. Get the inside scoop on Liberty Medicare Advantage's extensive prior auth requirements and how direct advocacy led to changes that benefit dentists. We discussed the concept of “provider gold cards” that could dramatically reduce administrative workload.  The conversation wraps up with real talk about how patient education can guide smarter insurance plan choices. It's not just about better coverage - it's about a smarter patient. Connect with Dr. Christie Website: Bateman & LaMond Milford Dentistry Instagram: milforddentist Facebook: Bateman & Lamond Milford Dental   ------------- 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/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- 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. ------------- Don't forget to check out my other podcast Chew on This - A Dental Podcast!    **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  

Medicare has designated two HCPCS codes for women's screening services: G0101 – Screening pelvic and clinical breast exam Q0091 – Collection of a screening Pap smear These codes are reimbursable every two years, but they're not considered comprehensive preventive medicine services. In this episode, Terry breaks down how these screenings fit into the broader billing […] The post G0101 and Preventative Billing appeared first on Terry Fletcher Consulting, Inc..

Join Chris Wolfe on EyeCode Media as he unpacks the intricacies of punctal occlusion, focusing on billing and documentation strategies. Discover how to navigate the challenges of providing top-notch patient care while ensuring proper compensation. This episode covers the use of modifiers, the importance of detailed documentation, and practical solutions to common billing issues. Tune in for expert insights that will empower eye care professionals to enhance their practice. ---------------------- For our listeners, use the code 'EYECODEMEDIA22' for 10% off at check out for our Premiere Billing & Coding bundle or our EyeCode Billing & Coding course. Sharpen your billing and coding skills today and leave no money on the table! questions@eyecode-education.com https://coopervision.com/our-company/news-center/press-release/coopervision-and-aoa-join-forces-launch-myopia-collective Go to MacuHealth.com and use the coupon code PODCAST2024 at checkout for special discounts  Show Sponsors: CooperVision MacuHealth EssilorLuxottica