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Is it possible to grow a thriving therapy practice while taking insurance? If you've ever wondered whether insurance billing is worth the headache, or how to do it right, this episode is for you. Today's guest, Jeremy Zug, co-founder of Practice Solutions, breaks down what private practice owners need to know about billing in order to be successful. With over a decade in the healthcare industry and a team that manages billing for thousands of providers, Jeremy brings clarity and strategy to a topic that overwhelms a lot of therapists. Whether you're solo and private pay or growing a group practice, you'll walk away with fresh insights, helpful mindset shifts, and even a few small changes that could dramatically improve your revenue. This episode answers... 1. Do I need to take insurance to grow my therapy practice? Not necessarily — but if you do, it needs to be intentional. Jeremy shares that some of the most successful practices limit themselves to one commercial payer and one government payer (like Medicaid or Medicare). This approach reduces administrative overwhelm and allows you to stay aligned with your clinical mission. Trying to accept every insurance plan in your area can actually slow your growth, especially as your practice scales. Instead, focus on which payers make the most sense based on your long-term goals, who you serve, and what the reimbursement rates look like in your region. Insurance can absolutely support practice growth, especially when it's chosen strategically. 2. When should I outsource my billing — and when should I bring it back in-house? Outsourcing makes the most sense when your caseload is full. That's usually around 25 to 30 active clients. At that point, billing becomes a time-consuming task that pulls you away from clinical work or team leadership. Jeremy recommends outsourcing to save time and reduce stress, which ultimately helps you grow faster. But once your practice reaches about $2.5 to $3 million in revenue, it may be time to bring billing back in-house with a full-time hire. At that stage, having someone on your team who's dedicated to billing can help you scale more efficiently. It's not a one-time decision. It's about matching your billing approach to your practice's size and complexity. 3. How can I improve my billing process and increase revenue? Even small tweaks to your billing workflow can make a big difference. Jeremy explains how simply reordering certain steps, like reviewing payment posting before resubmitting claims, can dramatically reduce denials and speed up revenue. Many practices waste time by resubmitting the same flawed claims without resolving the underlying issue. He also stresses the importance of reviewing your insurance aging report regularly, which shows you what claims are still unpaid and where you might be losing money. Billing isn't just about submitting claims; it's about building a system that supports healthy cash flow. The more visibility and control you have over your billing process, the more financially stable your practice becomes. In This Episode, You'll Also Learn: Why less is more when it comes to insurance plans How your geography and demographics should shape your billing strategy The six key steps of billing, and which one to do before submitting claims When to outsource billing (and when to take it back in-house) How to use insurance aging reports to track lost revenue Why clean billing processes can boost staff retention The right way to negotiate insurance rates using data Real examples of practices recovering thousands of dollars Links mentioned in this episode: Practice Solutions Website Insurance Rate Increase Request Watch The Video: This Episode Is Brought To You By: RevKey specializes in Google Ads management for therapists, expertly connecting you with your ideal clients. They focus on getting quality referrals that keep your team busy and your practice growing. Visit RevKey.com/podcasts for a free Google Ads consultation Alma is on a mission to simplify access to high-quality, affordable mental health care by giving providers the tools they need to build thriving in-network private practices. When providers join Alma, they gain access to insurance support, teletherapy software, client referrals, automated billing and scheduling tools, and a vibrant community of clinicians who come together for education, training, and events. Learn more about building a thriving private practice with Alma at helloalma.com/elevation. About Jeremy Zug Jeremy Zug has over a decade of experience in the healthcare industry. Jeremy is known for his expertise in insurance billing, and frequently writes and speaks on topics that support mental health professionals in achieving financial health and operational excellence. He co-founded Practice Solutions with his wife Kathryn in 2017, relying on their combined knowledge from private practices they had worked at while in college. Practice Solutions is an expanded medical billing company offering billing services, professional services, and educational resources to thousands of mental and behavioral healthcare providers for optimal revenue cycle management. About Daniel Fava Daniel Fava is the owner and founder of Private Practice Elevation, a website design and SEO agency focused on helping private practice owners create websites that increase their online visibility and attract more clients. Private Practice Elevation offers web design services, SEO (search engine optimization), and WordPress support to help private practice owners grow their businesses through online marketing. Daniel lives in Atlanta, GA with his wife Liz, and two energetic boys. When he's not working he enjoys hiking by the river, watching hockey, and enjoying a dram of bourbon.
¿Puede existir la mente cuando el cerebro apenas está ahí? En este episodio de Hemispherics exploramos casos clínicos extremos —hidrocefalias masivas, hemisferectomías, microcefalia— y estados límite de conciencia como la lucidez terminal, la conciencia bajo anestesia o las experiencias cercanas a la muerte. Historias reales, bien documentadas, que desafían la idea simplista de que “la mente es solo el cerebro”. No para abrazar lo místico, sino para ampliar el marco: plasticidad extrema, redes alternativas, conciencia distribuida y los límites reales de lo que hoy sabemos. Un viaje a los bordes de la neurociencia, donde las respuestas no son claras… pero las preguntas son fascinantes. Referencias del episodio: 1. Asaridou, S. S., Demir-Lira, Ö. E., Goldin-Meadow, S., Levine, S. C., & Small, S. L. (2020). Language development and brain reorganization in a child born without the left hemisphere. Cortex; a journal devoted to the study of the nervous system and behavior, 127, 290–312. https://doi.org/10.1016/j.cortex.2020.02.006 (https://pubmed.ncbi.nlm.nih.gov/32259667/). 2. Feuillet, L., Dufour, H., & Pelletier, J. (2007). Brain of a white-collar worker. Lancet (London, England), 370(9583), 262. https://doi.org/10.1016/S0140-6736(07)61127-1 (https://pubmed.ncbi.nlm.nih.gov/17658396/). 3. Green, A. J., Yates, J. R., Taylor, A. M., Biggs, P., McGuire, G. M., McConville, C. M., Billing, C. J., & Barnes, N. D. (1995). Severe microcephaly with normal intellectual development: the Nijmegen breakage syndrome. Archives of disease in childhood, 73(5), 431–434. https://doi.org/10.1136/adc.73.5.431 (https://pubmed.ncbi.nlm.nih.gov/8554361/). 4. Kofman, K., & Levin, M. (2025). Cases of unconventional information flow across the mind-body interface. Mind and Matter, 23(1), Article 13. https://doi.org/10.5376/mm2025.13 (https://www.ingentaconnect.com/content/imp/mm/2025/00000023/00000001/art00003). 5. Lewin R. (1980). Is your brain really necessary?. Science (New York, N.Y.), 210(4475), 1232–1234. https://doi.org/10.1126/science.7434023 (https://pubmed.ncbi.nlm.nih.gov/7434023/). 6. Merker B. (2007). Consciousness without a cerebral cortex: a challenge for neuroscience and medicine. The Behavioral and brain sciences, 30(1), 63–134. https://doi.org/10.1017/S0140525X07000891 (https://pubmed.ncbi.nlm.nih.gov/17475053/). 7. Parnia, S., Spearpoint, K., de Vos, G., Fenwick, P., Goldberg, D., Yang, J., Zhu, J., Baker, K., Killingback, H., McLean, P., Wood, M., Zafari, A. M., Dickert, N., Beisteiner, R., Sterz, F., Berger, M., Warlow, C., Bullock, S., Lovett, S., McPara, R. M., … Schoenfeld, E. R. (2014). AWARE-AWAreness during REsuscitation-a prospective study. Resuscitation, 85(12), 1799–1805. https://doi.org/10.1016/j.resuscitation.2014.09.004 (https://pubmed.ncbi.nlm.nih.gov/25301715/). 8. Parnia, S., Keshavarz Shirazi, T., Patel, J., Tran, L., Sinha, N., O'Neill, C., Roellke, E., Mengotto, A., Findlay, S., McBrine, M., Spiegel, R., Tarpey, T., Huppert, E., Jaffe, I., Gonzales, A. M., Xu, J., Koopman, E., Perkins, G. D., Vuylsteke, A., Bloom, B. M., … Deakin, C. D. (2023). AWAreness during REsuscitation - II: A multi-center study of consciousness and awareness in cardiac arrest. Resuscitation, 191, 109903. https://doi.org/10.1016/j.resuscitation.2023.109903 (https://pubmed.ncbi.nlm.nih.gov/37423492/). 9. Ross, J. P., Post, S. G., & Scheinfeld, L. (2024). Lucidity in the Deeply Forgetful: A Scoping Review. Journal of Alzheimer's disease : JAD, 98(1), 3–11. https://doi.org/10.3233/JAD-231396 (https://pmc.ncbi.nlm.nih.gov/articles/PMC10977389/). 10. Sandhu, K., & Dash, H. (2009). Awareness during anaesthesia. Indian journal of anaesthesia, 53(2), 148–157 (https://pubmed.ncbi.nlm.nih.gov/20640115/). 11. Teresi, J. A., Ramirez, M., Ellis, J., Tan, A., Capezuti, E., Silver, S., Boratgis, G., Eimicke, J. P., Gonzalez-Lopez, P., Devanand, D. P., & Luchsinger, J. A. (2023). Reports About Paradoxical Lucidity from Health Care Professionals: A Pilot Study. Journal of gerontological nursing, 49(1), 18–26. https://doi.org/10.3928/00989134-20221206-03 (https://pmc.ncbi.nlm.nih.gov/articles/PMC11100277/). 12. Timmermann, C., Roseman, L., Williams, L., Erritzoe, D., Martial, C., Cassol, H., Laureys, S., Nutt, D., & Carhart-Harris, R. (2018). DMT Models the Near-Death Experience. Frontiers in psychology, 9, 1424. https://doi.org/10.3389/fpsyg.2018.01424 (https://pubmed.ncbi.nlm.nih.gov/30174629/).
In this episode of the Wharton FinTech Podcast, host Vaibhav speaks with Riya Grover, co-founder and CEO of Sequence, an AI native revenue platform that unifies quoting, billing automation, and receivables so finance can finally run at the speed of sales. Riya shares her journey from investment banking and Harvard Business School to exiting her first startup and then launching Sequence to fix one of the most neglected parts of the CFO stack, quote to cash and accounts receivable. She goes deep on what it really takes to find product market fit in a saturated software world, why AI native entrants can out execute incumbents, and how Sequence is using agents to automate complex finance workflows. They also unpack Riya's recent Series A fundraise, the story that resonated with investors, and her candid advice for founders building in a noisy, AI heavy, but more competitive than ever venture environment. In this episode, we learn about: - Why quote to cash and revenue operations have lagged behind AP and spend in automation - How Sequence uses AI agents to read contracts, generate invoices, and support finance teams - What investors really cared about in Sequence's Series A, from logo quality to 190 % NRR - How Riya stays close to customers while scaling a fast growing infra company - Her advice for aspiring founders on standing out in today's crowded AI landscape
In this episode, we break down the unfolding Minnesota fraud scandal where investigators say fake and inflated autism therapy claims could total more than $2 billion in stolen taxpayer funds. In this episode, we explain how weak oversight let the scheme scale across multiple providers and counties—and why stronger audits and accountability matter for families who truly need these services.Get the top 40+ AI Models for $20 at AI Box: https://aibox.aiSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode of the ASC Podcast with John Goehle we discuss the latest news, review common infection control and sanitary environment issues in ASCs and in our focus segment, discuss Navigating the Complexities of ASC Billing and Coding with Bob Lathrop from SIS. This episode is sponsored by Surgical Information Systems, Notes and Resources from this Episode: Cost pressures that battered ASCs in 2025: https://www.beckersasc.com/asc-transactions-and-valuation-issues/the-cost-pressures-that-battered-ascs-in-2025/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z Focus on Sanitary Environment and Infection Prevention & Control (IPC) in ASC Surveys Sanitary environment and IPC issues consistently rank among the top deficiencies in ambulatory surgery center (ASC) accreditation and certification surveys, making this a critical "hot issue" for 2025 and beyond. These citations directly impact patient safety by increasing risks of healthcare-associated infections (HAIs), and they appear frequently across major accreditors like CMS, AAAHC, and ACHC. For context: In AAAHC's 2025 Quality Roadmap (released September 2025), IPC remains a persistent top challenge, with deficiencies cited in nearly 90% of surveys for ASCs and office-based surgery settings. ACHC's November 2025 survey data highlights sanitary environment lapses (e.g., sanitation issues, incomplete policies) as a leading deficiency, often tied to inconsistent implementation of hand hygiene, glove techniques, and environmental cleaning. Historical CMS data shows patterns holding into recent years, with "Sanitary Environment" and "Infection Control Program" among the most cited, stemming from failures in basic practices like cleaning, sterilization, and safe injection protocols. These issues often arise from documentation gaps, staff inconsistencies, or overlooked details during busy operations, even in high-performing centers. Key Regulatory Requirements The foundation for sanitary environment and IPC in ASCs is CMS Conditions for Coverage (CfC) at 42 CFR § 416.51, which applies to Medicare-certified ASCs and influences other accreditors (deemed status via AAAHC, ACHC, etc.). Standard: Sanitary Environment (§ 416.51(a)): The ASC must provide a functional and sanitary environment for surgical services, avoiding sources and transmission of infections by adhering to professionally accepted standards (e.g., CDC, AORN, APIC guidelines). Standard: Infection Control Program (§ 416.51(b)): Maintain an ongoing, coordinated program to prevent, control, and investigate infections/communicable diseases. This includes: Designation of a qualified professional (e.g., infection preventionist) to oversee the program. Annual risk assessment to identify infection risks. Integration of nationally recognized guidelines (CDC core practices are mandatory if no other evidence-based standards apply). Policies for hand hygiene, environmental cleaning, sterilization/high-level disinfection (HLD), safe injection practices, and point-of-care devices. INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
Remote patient monitoring could transform your pharmacy's revenue, but Medicare's billing rules work nothing like traditional prescription reimbursement. One wrong assumption costs thousands in denied claims. The changes make things even more complex—here's what actually works when getting paid for monitoring services.Learn more: https://ccmrpmhelp.com/contact CCM RPM Help City: Herriman Address: 12953 Penywain Lane Website: https://ccmrpmhelp.com/ Phone: +1 866 574 7075 Email: brad@ccmrpmhelp.com
Sometimes the city wont do what's right until they get embarrassed by the local newsSee omnystudio.com/listener for privacy information.
Plus: Ford to take $19.5 billion charge to write down EV investments. And Xerox seeks new debt financing backed by intellectual property. Julie Chang hosts. Learn more about your ad choices. Visit megaphone.fm/adchoices
We dissect the hidden truths of orthopedic practice, from team building to practice management, physician burnout, and more. We explore insights with Dr. Atanda about the skills that aren't taught in medical school but are crucial for success. We discuss some of the general things and concepts you need to know about billing and. coding. Dr.Atanda gives us a great overview of some things that you may not have known! Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University. Dr. Atanda is a graduate of the University of Pennsylvania School of Medicine, completed an internship and orthopedic surgery residency at the University of Chicago Medical Center, and fellowships in pediatric orthopedic surgery at Nemours Children's and in sports medicine at the Rothman Institute at Thomas Jefferson University. He performs arthroscopic surgery of the knee, elbow, ankle and shoulder, as well as general orthopedic and trauma surgical procedures. His research interests are in upper extremity overuse injury prevention and general orthopedic trauma. Recently, he has developed an interest in technology and digital health innovation and routinely uses telemedicine in his sports medicine practice. He is working with several stakeholders in the organization to re-imagine the process by which pediatric orthopedic patients are triaged, navigated, evaluated and treated during the continuum of their health care experience. Provides care in Wilmington, Del., and Abington, Pa. We answer questions you may have on the things you will encounter when it comes to billing, like: what is coding and billing should you know the people who bill in your department? coding tips + more
Sometimes this city wont do what's right until they get embarassed by the local newsSee omnystudio.com/listener for privacy information.
Although providers and payers feel like they're engaged in an epic, ongoing battle over claims, Abhinay Vyas, Co-Founder and Chief Data Officer at RapidClaims, believes that approvals can increase when both realize that they are fundamentally interested in truth. RapidClaims' AI-driven revenue cycle tools help to uncover the complexities in care and provide the evidence to back up a claim.Vyas says that AI has to be both accurate and explainable to be adopted. RapidClaims' algorithms are self-hosted and self-trained. They are flexible enough to support every specialty and adapt to the needs of different institutions. To this end, they have more than 118 AI models, which they set against each other to eliminate errors and hallucinations.Lisa Rosenkoetter, Vice President of Sales at RapidClaims, says they address cost, revenue, and compliance. As the complexity and severity of health conditions increase, providers "need to recoup every dollar for the care you've provided."Learn more about RapidClaims: https://www.rapidclaims.ai/Healthcare IT Community: https://www.healthcareittoday.com/
You still love Pokémon. We still love Pokémon. And by golly, the Pokémon company and Game Freak are committed to providing you with as much Pokémon as you can stomach! This week I'm joined by a NEW friend of the show Jordan from Cognitive Clips to discuss the most recent Pokemon spin off title, "Legends Z-A!" This entry has us returning to the Kalos region from the Gen 5 Pokemon X / Y games but this time we're running around with our poke-pals in Lumiose City! I'm not gonna sugarcoat it, there's a lot in this game that made me grab my head but plenty that we both agreed was pretty cool to have!. So go ahead and check this out and let us know what you thought about our first Pokemon review ever!Time Stamps:0:00 - Intro05:19 - Billing & Top Level Thoughts16:06 - Story Setup28:16 - Gameplay Mechanics01:12:32 - Lumiose Open World Discussion01:26:42 - Narrative Spoilers Convo02:00:51 - OutroPlease find Jordan at his links below!https://linktr.ee/cognitiveclipsMusic used in this episode Composed by: Ayako Saso, Carlos Eiene, Minako Adachi, Hitomi Sato, Shota Kageyama - all rights reserved by Nintendo & Game Freak pls don't sue me I swear we didn't make this music for the show-Lumiose City (Ambient Daytime & Ambient Night)-Detective Emma Overworld-Wild Zone MusicSupport the show
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Did you know that throwing away a simple "education letter" from an insurance company could be the first step toward an audit seven years later? Or that hiring a team member without checking the exclusion list could label your practice "radioactive" and cut you off from federal funding? Many dental practice owners don't realize that common habits, like billing under a selling doctor's name during a transition are actually considered False Claims fraud. In this episode, I sit down with dental-specific attorney Justin Withrow to reveal the serious legal risks that often fly under the radar. He breaks down the three "buckets" of regulatory enforcement: insurance audits, board investigations, and criminal/civil inquiries. Then he explains how to organize your records before the investigators show up. This conversation is about protecting your livelihood. An audit isn't just a request for money back, it is an investigation that can lead to referrals to the state board or attorney general. Don't wait until you receive a subpoena to organize your compliance protocols! In this video, we cover: The "Education Letter" Trap: Why insurance companies track these for years and use them to prove you "knew better" during future audits. The Exclusion List: Why employing someone on the OIG list creates a "radioactive" situation for your practice and how to check it. https://oig.hhs.gov/exclusions/index.asp Billing Fraud vs. Mistakes: The dangerous reality of billing under a veteran doctor's name while a new associate waits for credentialing. Audit Survival: Why organized records and "audit-proof" documentation are your best defense when a payer demands 50 patient charts. Informed Consent: Why this must be a conversation process, not just a signature on a form, to protect you from board complaints. Connect with Justin Withrow Email jwithrow@flannerygeorgalis.com Website https://flannerygeorgalis.com/team/justin-withrow/ Facebook https://www.facebook.com/justin.withrow.77 Linkedin https://www.linkedin.com/in/justin-withrow/ ------------- 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:
Is your practice trying to grow—but your EMR or billing setup just can't keep up? Dr. Heather breaks down why the wrong system can silently drain revenue, increase denials, and stall growth. You'll learn:Which EMRs actually help practices thriveWhy letting your billing company control your software is a huge riskHow to protect your AR and get cleaner reportingThe simple setup that keeps your practice running like a well-oiled machineStop spinning your wheels—tune in and set your practice up to win the race!
Now is the time of year when many law firms pressure their attorneys to get their clients to pay bills before the end of the year. It's something that clients loathe just as much as their attorneys, according to today's guest on our podcast, On The Merits. Eric Dodson Greenberg, the general counsel of Cox Media Group, said the lawyer-client relationship can suffer when firms bill too aggressively and not thoughtfully enough—a problem made worse by the move toward automated billing. He said he's lost some trust in certain outside firms he's worked with when they send him surprise invoices. "What law firms have done is divorced the billing process from the exercise of judgment," he told Bloomberg Law editor Jessie Kokrda Kamens. "Law firms often prioritize that last push in December to get all that they can and not really focus on 'What's the relationship we inherit on January 1st?'" Do you have feedback on this episode of On The Merits? Give us a call and leave a voicemail at 703-341-3690.
From January 24, 2023: In 2019, investigative journalist and photographer Lynzy Billing went to Afghanistan to investigate a very personal story: her own past. In the process, she discovered what she came to call a classified war, one with lines of accountability so obscured that no one had to answer publicly for operations that went wrong.Lawfare managing editor Tyler McBrien sat down with Lynzy to talk through her four-year investigation, published last month in ProPublica. They discussed Afghanistan's shady Zero Units and their relationship with the CIA, the traumatic ripple effects caused by this lack of accountability, and why the U.S. continues to rely on a strategy of night raids, which Lynzy describes as quick, brutal operations that went wrong far more often than the U.S. has acknowledged. They also discussed why Lynzy decided to tell this story when few others would. To receive ad-free podcasts, become a Lawfare Material Supporter at www.patreon.com/lawfare. You can also support Lawfare by making a one-time donation at https://givebutter.com/lawfare-institute.Support this show http://supporter.acast.com/lawfare. Hosted on Acast. See acast.com/privacy for more information.
Global Investors: Foreign Investing In US Real Estate with Charles Carillo
What is RUBS in real estate, and how does the Ratio Utility Billing System actually work in multifamily properties? In this video, we break down RUBS utilities explained in simple terms and show how landlords split utilities when a property is not submetered. If you invest in rental property utilities, multifamily property management, or real estate operating expenses, understanding RUBS is essential. RUBS is a utility billing method that allocates water and sewer costs across tenants using factors such as number of occupants, square footage, bedrooms, or bathrooms. We explain why many older multifamily properties use RUBS, how landlords calculate tenant charges, and why submetering vs RUBS has become a major decision point for owners. You'll also learn why RUBS is often viewed as a rent increase, the challenges of fair allocation, and how water rate changes impact flat-fee billing. This episode is a complete landlord guide to utility billing systems, including when to implement RUBS, when to consider submetering installation for apartments, and how to reduce utility costs in multifamily buildings. If you're looking for the best way to bill tenants for water and sewer or want clarity on how landlords split utilities, this walkthrough will help you make a confident and informed decision. Links Referenced in Episode: SS257: SS257: Maximizing Multifamily Profits Beyond the Rent Check - https://youtu.be/oLOOKDMV5AQ Connect with the Global Investors Show, Charles Carillo and Harborside Partners: ◾ Setup a FREE 30 Minute Strategy Call with Charles: http://ScheduleCharles.com ◾ Learn How To Invest In Real Estate: https://www.SyndicationSuperstars.com/ ◾ FREE Passive Investing Guide: http://www.HSPguide.com ◾ Join Our Weekly Email Newsletter: http://www.HSPsignup.com ◾ Passively Invest in Real Estate: http://www.InvestHSP.com ◾ Global Investors Web Page: http://GlobalInvestorsPodcast.com/
Greg Brady spoke to Dr. Shawn Whatley, Physician, Author, and Senior Fellow at Macdonald-Laurier Institute about Ontario auditor general finds province not properly overseeing doctor billings. Learn more about your ad choices. Visit megaphone.fm/adchoices
Greg Brady spoke to Dr. Shawn Whatley, Physician, Author, and Senior Fellow at Macdonald-Laurier Institute about Ontario auditor general finds province not properly overseeing doctor billings. Learn more about your ad choices. Visit megaphone.fm/adchoices
Investor Fuel Real Estate Investing Mastermind - Audio Version
The conversation explores the transformation of utility billing through technology, comparing it to the ease brought by TurboTax in tax filing. It highlights how modern solutions streamline the billing process for both landlords and tenants, making payments more accessible and efficient. Professional Real Estate Investors - How we can help you: Investor Fuel Mastermind: Learn more about the Investor Fuel Mastermind, including 100% deal financing, massive discounts from vendors and sponsors you're already using, our world class community of over 150 members, and SO much more here: http://www.investorfuel.com/apply Investor Machine Marketing Partnership: Are you looking for consistent, high quality lead generation? Investor Machine is America's #1 lead generation service professional investors. Investor Machine provides true 'white glove' support to help you build the perfect marketing plan, then we'll execute it for you…talking and working together on an ongoing basis to help you hit YOUR goals! Learn more here: http://www.investormachine.com Coaching with Mike Hambright: Interested in 1 on 1 coaching with Mike Hambright? Mike coaches entrepreneurs looking to level up, build coaching or service based businesses (Mike runs multiple 7 and 8 figure a year businesses), building a coaching program and more. Learn more here: https://investorfuel.com/coachingwithmike Attend a Vacation/Mastermind Retreat with Mike Hambright: Interested in joining a "mini-mastermind" with Mike and his private clients on an upcoming "Retreat", either at locations like Cabo San Lucas, Napa, Park City ski trip, Yellowstone, or even at Mike's East Texas "Big H Ranch"? Learn more here: http://www.investorfuel.com/retreat Property Insurance: Join the largest and most investor friendly property insurance provider in 2 minutes. Free to join, and insure all your flips and rentals within minutes! There is NO easier insurance provider on the planet (turn insurance on or off in 1 minute without talking to anyone!), and there's no 15-30% agent mark up through this platform! Register here: https://myinvestorinsurance.com/ New Real Estate Investors - How we can work together: Investor Fuel Club (Coaching and Deal Partner Community): Looking to kickstart your real estate investing career? Join our one of a kind Coaching Community, Investor Fuel Club, where you'll get trained by some of the best real estate investors in America, and partner with them on deals! You don't need $ for deals…we'll partner with you and hold your hand along the way! Learn More here: http://www.investorfuel.com/club —--------------------
The EU was caught off guard when US President Donald Trump unveiled his 28-point plan for peace in Ukraine on November 21 – a document that Brussels and Kyiv see as being heavily favourable to the Kremlin. The EU has since presented a counter-proposal, but the bloc has given the impression of reacting to events rather than driving them. This after an apparent US-Russian rapprochement in Alaska last August set off alarm bells in Ukraine and in the EU. We speak to the foreign minister and deputy prime minister of Belgium, Maxime Prévot. His country is a crucial player as it holds most of the frozen Russian assets in the Euroclear depository.
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Leading employees can feel like walking through a minefield. One wrong step and morale, productivity, or trust can explode. But great leaders are not born with the ability to navigate tough personalities. They learn the strategies, communication skills, and mindset shifts that turn conflict into constructive growth. My friends Ashley Bond and Lorie Streeter joined me to talk about leadership challenges new managers face every day. We tackled it all: resistant employees, navigating office politics, and owners who may not always have your back. We offer help with conflict resolution, accountability, emotional intelligence, setting and boundaries. And importantly, we focus on protecting your mental health in high-pressure roles. This discussion will help emerging leaders communicate more clearly to build trust, even when employee dynamics get complicated. This was a follow up to "What I Wish I Knew: Administrative Wisdom," a webinar hosted by…you guessed it.. Wisdom! We had so many questions that we needed to tackle them in a separate session. You can access the original session here: https://www.withwisdom.com/resources/what-i-wish-i-knew-administrative-wisdom Connect with Ashley Bond Website: https://www.withwisdom.com/ Connect with Lorie Streeter: Website: https://getmaxassist.com/book-a-demo-lorie/ ------------- 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:
This week on Excelsior Journeys: The Road to Creativity, host & producer George Sirois sits down with fellow podcaster and fellow author Richie Billing. After leaving behind his career in law, Richie took a chance on himself and shifted his focus into writing full-time. He has since published various pieces of short fiction, with one story adapted for BBC Radio, and after he published his debut novel "Pariah's Lament," he started the podcast The Fantasy Writers' Toolshed. Learn more about Richie and subscribe to his podcast by clicking HERE.Excelsior Journeys: The Road to Creativity exists primarily as a platform for creatives of all kinds (authors, filmmakers, stand-up comics, musicians, voice artists, painters, podcasters, etc) to share their journeys to personal success. It is very important to celebrate those voices as much as possible to not only provide encouragement to up-and-coming talent, but to say thank you to the established men & women for inspiring the current generation of artists.If you agree that the Excelsior Journeys podcast serves a positive purpose and would like to show your appreciation, you can give back to the show by clicking HERE.Excelsior Journeys: The Road to Creativity is now a proud member of the Podmatch Podcast Network, and you can access all shows in the network by clicking HERE.
For decades, OBGYNs have been forced to fit every prenatal visit, every complication, every late-night call, and every ounce of cognitive work into a single global maternity payment. But that model is ending — and the shift is massive.In this episode, Dr. Heather Signorelli breaks down exactly what's changing on January 1, 2027, why global billing is being eliminated, what we know so far, what's still uncertain, and how practices can use this transition to finally get paid for the care they already provide.If you're an OBGYN, practice manager, or billing leader, this is essential listening.
------------------- 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://docs.google.com/forms/d/e/1FAIpQLSdEt3AkIpRrfNhieeImiZBF5lYRIR2aAsl7UqWJ_m2GV6OKEA/viewform?usp=header https://coopervision.com/our-company/... Go to MacuHealth.com and use the coupon code PODCAST2024 at checkout for special discounts Show Sponsors: CooperVision MacuHealth
Reimbursements in health care have gotten more complex with the growing importance of risk-based, value-based plans and behavior change. In this video interview, Tiffany Waltos, Director of Revenue and Analytics at Community Health Care in Northern Ohio, discusses today's pressures on revenue cycle management and ways health care providers can respond.Community Health Care, with 19 offices and 65 providers with a focus on primary care, realized they needed to put clear rules in place for coding and billing and create consistency among doctors so that submissions would be approved the first time around. One of the big things that helped them do this was to contract for the RCM (Revenue Cycle Management) consulting services offered by their eClinicalWorks EHR vendor. Working together they were able to address some of the more complex issues they faced and improve their RCM efforts.Learn more about Community Health Care: https://www.chci.com/Learn more about eCW: https://www.eclinicalworks.com/Healthcare IT Community: https://www.healthcareittoday.com/
Your practice probably already provides chronic care management but isn't getting paid for it. Medicare reimburses CCM services, but most practices struggle with billing requirements and compliance standards that make capturing this revenue difficult. To learn more, visit: https://ccmrpmhelp.com/ CCM RPM Help City: Herriman Address: 12953 Penywain Lane Website: https://ccmrpmhelp.com/ Phone: +1 866 574 7075 Email: brad@ccmrpmhelp.com
The partnership creates massive recurring fees. OpenAI's revenue can't keep up. Analysts call it an “unsustainable loop.”Get the top 40+ AI Models for $20 at AI Box: https://aibox.aiAI Chat YouTube Channel: https://www.youtube.com/@JaedenSchaferJoin my AI Hustle Community: https://www.skool.com/aihustleSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Your practice might look efficient, but what if unnoticed expenses are quietly draining thousands from your bottom line each year? My friend Adam Smith talked with me about the hidden costs that most dental offices overlook and how small changes can make a big difference. Everyday expenses like merchant fees, internet contracts, and bundled tech services can quietly add up. Negotiating and reviewing your fees can bring real savings without cutting team members or quality. We dig into what indirect costs really mean, why checking your numbers matters more than you think, and how tightening up your spending can open room for raises, upgrades, or a better cushion for your practice. It's an honest, practical chat about spending smarter and keeping more of what you earn. Connect with Adam Smith Email: Adam.Smith@SchooleyMitchell.com Contact number: 415 572 0948 Facebook: https://www.facebook.com/schooleymitchellasmith Instagram: https://www.instagram.com/schooleymitchell_bay_area/ LinkedIn: https://www.linkedin.com/in/adamdsmith/ YouTube: https://www.youtube.com/@AdamSmith-SchooleyMitchell Website: https://www.schooleymitchell.com/office/asmith/dental-savings/?contact#resources ------------- 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:
Episode 429: The December Retention Crisis: Keeping Students Through the Holidays Podcast Description It's mid-November, and you can feel it coming. Families are getting busier. Attendance is starting to drop. Parents are distracted. And you know what's around the corner—the December retention crisis. Every year, it's the same story. December hits, families disappear, and then January rolls around and half of them don't come back. But it doesn't have to be that way. In this timely episode, Duane and Allie break down exactly how to keep your students engaged, motivated, and committed through the holidays—and how to set yourself up so January isn't a rebuild month. Duane and Allie cover: Why December is so dangerous for retention (and what's really happening) Early warning signs to identify at-risk families before they disappear Proactive retention strategies you can implement right now How to handle the "break" conversation when parents ask to pause Setting up January success in December (pre-selling enrollment, reconnecting with former students) Common mistakes to avoid (and what to do instead) Whether you've been in business for 30+ years like Duane and Allie (combined 60 years of martial arts experience!) or you're newer to school ownership, this episode will give you a clear action plan to finish 2025 strong and start 2026 even stronger. The work you do in November and December determines your January numbers. Don't wait—start now. Key Takeaways 1. December Is a Retention Battleground—Not a Throw-Away Month Families are overwhelmed with school concerts, holiday parties, family travel, shopping, cooking, and hosting. Kids are exhausted from end-of-semester exams, school projects, and holiday events. Parents mentally check out, thinking, "We'll get back to normal in January." The hidden danger: Families who skip 2-3 weeks in December often don't return in January. They were already on the fence—the holidays just gave them permission to quit. The mindset shift: December isn't a "throw-away month." The work you do in November and December determines your January numbers. 2. People Are Creatures of Habit—Don't Let Them Break the Training Habit Allie's "drink analogy": When the refrigerator at his school is full, people constantly buy drinks. The minute it goes empty for a few days, people go to 7-Eleven instead and form a new habit. When he refills the fridge, drink sales drop to zero—he has to ramp them back up again. The lesson: The longer you're closed (or the longer students skip class), the harder it is to get them back into the habit of training. 3. Identify At-Risk Families Early—Don't Wait Until January Red flags to watch for: Attendance drops in November (coming 1x/week instead of 2-3x) Parents stop engaging (no eye contact, quick drop-offs, don't respond to texts) Students seem disengaged (low energy, not participating, sitting out) Families mention "busy schedules" repeatedly They ask about "pausing" or "taking a break" Billing issues (failed payments, late payments, asking about payment plans) Action step: This week, make a list of your at-risk families. Don't wait until they're gone. 4. Overcommunicate in November—Set Expectations for December Send a "Holiday Schedule & Expectations" email or letter in mid-November. Set the expectation: "We know the holidays are busy, but staying consistent is key to your child's progress." Remind families: "Students who train through December start January ahead of the game." Duane's multi-channel approach: Create a video about the holiday schedule and expectations. Post it on YouTube, Facebook, your parent group, send a push notification through the app with the link, and send an email. Get that information out so everybody knows. 5. Create December Incentives to Drive Attendance Perfect Attendance Challenge: Students who attend all December classes (or 80%+ of cl...
To watch a video version of this podcast, click here: https://youtu.be/6GZOqskHBwUIn this episode of the Structure Talk podcast, hosts Reuben Saltzman and Tessa Murry discuss Halloween chaos and a complex home inspection that pushed the limits of Structure Tech's expertise. Reuben shares a detailed story about troubleshooting a heating system in a 100-year-old Minneapolis home, emphasizing the importance of documentation, communication, and customer support. Tessa adds insights on energy types and reflects on the challenges of winding down during a busy season.Here's the link to Inspector Empire Builder: https://www.iebcoaching.com/events TakeawaysWhen dealing with heating issues, timestamped evidence can be crucial.Effective communication is key in customer support.Guiding customers through troubleshooting can lead to successful outcomes.Frustration is common among customers facing technical issues.Follow-up is important to ensure customer satisfaction.Resetting devices can often resolve common problems.Clear instructions can empower customers to solve their issues.Customer appreciation can enhance the support experience.Billing for services can be a point of discussion in customer interactions.Understanding customer emotions can improve service delivery.Chapters00:00 – Introduction and Sponsors01:14 – Sleep Struggles and WHOOP Tracker03:36 – Halloween Party Chaos at Reuben's House06:57 – Shoutout to IEB Coaching07:34 – Facebook Post from Agent Clint Kipers09:03 – Why Structure Tech Charges More11:25 – Target Market: Savvy Buyers & High-Integrity Agents15:14 – Training New Inspectors17:34 – Tessa's Travel, Moving, and Sleep Challenges21:13 – Human Design and Energy Types25:29 – Complex Home Inspection Case Study30:05 – HVAC Systems Fighting Each Other34:06 – Boiler Error Codes and Troubleshooting36:25 – Homeowner Call and Reset Instructions39:22 – Why Documentation Matters42:05 – Not All Homes Are First-Time Buyer Friendly46:10 – Maintenance Demands and Utility Costs47:18 – Wrapping Up and Final Thoughts48:12 – Listener Call-Out and Upcoming Guest
In this kick off episode from the Alliance Conference Series, the HealthRev Partners team dives into one of the most important decisions a home health agency can make- whether to outsource billing. Discover the reasons these team members would outsource. Recorded live at the Alliance Conference, this episode sets the tone for a series exploring innovation, collaboration, and success acros the post-acute care industry. If you've ever wondered whether outsourcing your billing could actually work for your agency, this episode is for you! The HealthRev Partners team breaks down the top reasons home health agencies choose to outsource and what THEY would look for in a strong partnership. Chapters (00:00:02) - Home Health Revealed: Revenue Cycle Management Conference(00:01:10) - Meet the VP of RCM at Health Residence(00:01:39) - Shailene Gets the Clap(00:02:24) - Home Health and Hospice Out-source(00:04:10) - "We need help with our agencies."(00:04:28) - What other things do you think businesses need to Outsourcing?(00:05:45) - Billing Specialist: What Do You Look For In A Candidate?(00:07:44) - Democracy in the Elevator
In today's episode, I'm speaking with fantasy author and podcaster Richie Billing about his novel, Together We Rise. We had a great conversation about writing, the creative process, fantasy worlds, and even the use of generative AI in music. Together We Rise is a multilayered story of a revolution that takes place in a fantasy world - maybe the equivalent of something that might have occurred in the 1700s in Europe - there are some factories and all the issues that go with those, but science and other aspects of technology are still in a more medieval age. The story is told from multiple different characters, each with a small role to play in how the revolution takes place, and sometimes the characters overlap, allowing you to see them from fresh eyes, since each chapter is essentially a different point of view. Together We Rise wastes no time getting you in the thick of the action! Richie also used the AI tool Udio to create a theme for each character which you can listen to at the start of each chapter while reading that sets the tone for the pages ahead. You can find all the tracks here on Soundcloud and Youtube. If you are a writer yourself, please check out Richie's podcast, The Fantasy Writer's Toolshed, which has a wealth of information to help you get started, stay inspired, and fine tune your craft!Learn more about Richie's work on:-Patreon-Facebook-Instagram-Buy Together We Rise on Amazon and other booksellers.Thanks, Richie, for being a guest on the show, and thanks for listening!∞∞∞∞∞∞∞Once Upon a Dream, the second Thirteenth Hour soundtrack, is now out in digital form and on CD! It is out on most major streaming services such as Bandcamp, Spotify, and YouTube Music. (If you have no preference, I recommend Bandcamp since there is a bonus track there and you will eventually be able to find tapes and special editions of the album there as well.) The CDs are out now!-Check out the pixelart music videos that are out so far from the album:-->Logan's Sunrise Workout: www.youtube.com/watch?v=K7SM1RgsLiM-->Forward: www.youtube.com/watch?v=Z9VgILr1TDc-->Nightsky Stargazing: www.youtube.com/watch?v=2S0p3jKRTBo-->Aurora's Rainy Day Mix: https://youtu.be/zwqPmypBysk∞∞∞∞∞∞∞∞ Signup for the mailing list for a free special edition podcast, a demo copy of The Thirteenth Hour, and access to retro 80s soundtrack!Like what you see or hear? Consider supporting the show over at Thirteenth Hour Arts on Patreon or adding to my virtual tip jar over at Ko-fi. Join the Thirteenth Hour Arts Group over on Facebook, a growing community of creative people.Have this podcast conveniently delivered to you each week on Spotify, iTunes, Stitcher, Player FM, Tunein, and Googleplay Music.Follow The Thirteenth Hour's Instagram pages: @the13thhr for your random postings on ninjas, martial arts, archery, flips, breakdancing, fantasy art and and @the13thhr.ost for more 80s music, movies, and songs from The Thirteenth Hour books and soundtrack.Listen to Long Ago Not So Far Away, the Thirteenth Hour soundtrack online at: https://joshuablum.bandcamp.com/ or Spotify. Join the mailing list for a digital free copy. You can also get it on CD or tape.Website: https://13thhr.wordpress.comBook trailer: http://bit.ly/1VhJhXYInterested in reading and reviewing The Thirteenth Hour for a free book? Just email me at writejoshuablum@gmail.com for more details!https://13thhr.wordpress.com/2025/11/10/the-thirteenth-hour-podcast-535-welcome-richie-billing-author-of-together-we-rise-to-the-show/
This Day in Legal History: Social Security AmendmentsOn November 10, 1983, President Ronald Reagan signed into law the Social Security Amendments of 1983, a landmark piece of legislation aimed at addressing a looming fiscal crisis in the Social Security system. At the time, the program was projected to run out of funds within months, threatening benefits for millions of retirees. The bipartisan effort, led by a commission chaired by Alan Greenspan, produced a package of reforms that fundamentally altered the structure of Social Security and continue to shape its operation today. One of the most significant changes was the gradual increase in the full retirement age from 65 to 67, a shift that reflected growing life expectancies and was designed to reduce long-term benefit payouts.Another major provision subjected Social Security benefits to federal income tax for higher-income recipients, marking a departure from the program's previously tax-exempt status. These changes helped restore solvency to the system and underscored the evolving view of Social Security not merely as a safety net, but as part of a broader fiscal policy framework. The amendments also mandated that federal employees begin paying into Social Security and included temporary payroll tax increases.The 1983 reforms were notable for their rare bipartisan consensus, forged between a Republican president and a Democrat-controlled House. The political compromise demonstrated that major structural entitlement reform was possible when both parties shared a sense of urgency and responsibility. The law's legacy is complex—it shored up the system for decades but left future generations facing similar solvency questions. Legal scholars and policymakers still reference the 1983 amendments as a model of negotiated reform, even as the political climate has become more polarized. The taxation of benefits and the higher retirement age remain central to debates about equity and sustainability within the program.The Social Security Amendments of 1983 exemplify how statutory changes can recalibrate entitlement programs to respond to demographic and economic pressures, while raising ongoing questions about intergenerational fairness and fiscal responsibility.A federal appeals court has upheld a lower court's order requiring the Trump administration to fully fund Supplemental Nutrition Assistance Program (SNAP) benefits for November, despite the ongoing government shutdown. The U.S. Department of Agriculture (USDA) had planned to rely solely on $4.65 billion in contingency funds, which would have resulted in reduced aid, but the court found this inadequate. The Rhode Island judge had ordered the USDA to tap into a separate $23.35 billion fund intended for child nutrition programs to cover the $4 billion shortfall and avoid widespread harm to the 42 million Americans who rely on SNAP.While the 1st Circuit declined to stay the lower court's ruling, Supreme Court Justice Ketanji Brown Jackson temporarily paused the order, creating ongoing uncertainty about benefit distribution. The USDA has since directed states to reverse any moves to issue full benefits made before the pause, warning of potential financial penalties. The administration argued that it couldn't be forced to reallocate funds during a shutdown, blaming Congress for the funding crisis. However, the appeals court emphasized the urgent need to prevent food insecurity during the winter. The case arose from a lawsuit brought by cities, nonprofits, a union, and a food retailer seeking full benefit payments.Trump administration cannot withhold full funding for food aid, US appeals court rules | ReutersLarge and midsized U.S. law firms experienced a strong increase in client demand during the third quarter of 2025, according to the Thomson Reuters Institute. Demand rose 3.9% year-over-year—marking one of the largest quarterly gains in two decades and the highest outside the 2021 post-pandemic rebound. Transactional practices drove much of this growth, particularly among midsized firms, with M&A work rising 6.7%, corporate work up 4.4%, and real estate and tax also showing solid gains.Litigation demand increased 4.9%, while labor and employment rose 4%. Bankruptcy, however, dipped slightly by 0.4%. Demand for countercyclical practices—those that tend to rise in downturns—was more modest, with larger firms seeing smaller gains compared to firms ranked 101–200. Midsized firms also saw a 3.9% rise in these areas. Analysts attribute part of the shift to corporate clients seeking cost control by reallocating work to more affordable firms.Billing rates were also up 7.4%, contributing to greater profitability despite a 7.5% increase in overhead expenses driven by tech investments. While current trends point to a strong 2025, the report warned of continued global economic and geopolitical instability that could reverse gains quickly.US law firms saw demand surge in third quarter - report | ReutersDemocrats ended a record-long government shutdown without securing their primary goal: the extension of health insurance tax credits under the Affordable Care Act. Despite initial unity, eight Senate Democrats broke ranks and voted with Republicans to advance a bill reopening the government on its 40th day, omitting the sought-after healthcare provisions. In return, they received only a vague promise of a future vote on the subsidies, a concession many in the party, including Senators Elizabeth Warren and leaders in the House, criticized as a strategic failure.The decision has sparked internal party conflict, especially after Democrats had recently seen electoral gains tied to their affordability messaging. Some Democrats believed holding out longer might have forced Republican concessions, but others, like Senator Jeanne Shaheen, argued prolonging the shutdown would only harm the public. The failed push is reminiscent of past shutdowns, including Trump's 2018-19 border wall standoff, where policy goals were ultimately abandoned after prolonged disruption.Air travel chaos and delayed food aid added pressure to end the shutdown, with more than 10,000 flights affected and warnings of a near-complete travel halt ahead of Thanksgiving. While public opinion largely blamed Republicans for the impasse, Democrats now hope to leverage the upcoming healthcare vote in their favor ahead of the 2026 midterms. The fate of the tax credits—and potentially rising premiums for 24 million Americans—will likely become a defining campaign issue. The shutdown technically continues as the Senate and House still need to finalize and pass the bill before President Trump can sign it.Democrats Concede Shutdown Fight Without Health Care Win in HandPresident Donald Trump has issued pardons to at least 77 individuals connected to efforts to overturn the 2020 election, including Rudy Giuliani, Mark Meadows, Sidney Powell, Jeffrey Clark, and other close allies. The pardons, outlined in a proclamation dated Friday, were framed by Trump as an attempt to end a “grave national injustice” and promote “national reconciliation.” These actions come amid ongoing investigations into the fake elector scheme that aimed to keep Trump in power after his 2020 loss to Joe Biden—a plan Trump and his allies continued to promote until his 2024 re-election.While Trump himself had been federally indicted in connection with the elector plot, that case was dismissed after his re-election, citing the Justice Department's policy against prosecuting a sitting president. The pardons only apply to federal charges and do not shield recipients from state-level prosecutions, which remain active in some jurisdictions. The White House has not publicly commented on the latest round of pardons, many of which were not formally announced.Included in the list of recipients are legal and political figures such as John Eastman, Christina Bobb, and Boris Epshteyn, all of whom played public roles in contesting the 2020 results. The full number of individuals pardoned could be even higher, as the list may include unnamed individuals.Trump pardons Giuliani and dozens of others accused of seeking to overturn his 2020 defeat | Reuters This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe
Dental offices are outsourcing insurance billing more than ever before – and they're paying the price. In this episode, Jeff and Sabri explain how to avoid becoming one of them and share the oversight steps that protect your bottom line. Smiles Care Claims - https://www.smilecareclaims.com/
Evan, Canty, & Michelle redraft the 2024 QB class ahead of Bo Nix and the Broncos' games against the Raiders tonight. Has one highly touted former draft class not lived up to the billing? Dan Orlovsky joins the show to help us make sense of this as well as how the Cardinals are handling their QB situation. I'm Over It: Pat doesn't like apple cider donuts! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Evan, Canty, & Michelle redraft the 2024 QB class ahead of Bo Nix and the Broncos' games against the Raiders tonight. Has one highly touted former draft class not lived up to the billing? Dan Orlovsky joins the show to help us make sense of this as well as how the Cardinals are handling their QB situation. I'm Over It: Pat doesn't like apple cider donuts! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Evan, Canty, & Michelle redraft the 2024 QB class ahead of Bo Nix and the Broncos' games against the Raiders tonight. Has one highly touted former draft class not lived up to the billing? Dan Orlovsky joins the show to help us make sense of this as well as how the Cardinals are handling their QB situation. I'm Over It: Pat doesn't like apple cider donuts! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Evan, Canty, & Michelle redraft the 2024 QB class ahead of Bo Nix and the Broncos' games against the Raiders tonight. Has one highly touted former draft class not lived up to the billing? Dan Orlovsky joins the show to help us make sense of this as well as how the Cardinals are handling their QB situation. I'm Over It: Pat doesn't like apple cider donuts! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Evan, Canty, & Michelle redraft the 2024 QB class ahead of Bo Nix and the Broncos' games against the Raiders tonight. Has one highly touted former draft class not lived up to the billing? Dan Orlovsky joins the show to help us make sense of this as well as how the Cardinals are handling their QB situation. I'm Over It: Pat doesn't like apple cider donuts! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Medical billing and coding encompasses a wide range of responsibilities—from patient registration and claim reimbursement to final payment delivery to the provider. Navigating this process requires close collaboration among billers, coders, insurance companies, patients, and various healthcare professionals. Although often grouped together as a single discipline, billing and coding are distinct roles that work in […] The post Claim Denials: Coding Mistake or Billing Oversight? appeared first on Terry Fletcher Consulting, Inc..
Medical billing and coding encompasses a wide range of responsibilities—from patient registration and claim reimbursement to final payment delivery to the provider. Navigating this process requires close collaboration among billers, coders, insurance companies, patients, and various healthcare professionals. Although often grouped together as a single discipline, billing and coding are distinct roles that work in […] The post Claim Denials: Coding Mistake or Billing Oversight? appeared first on Terry Fletcher Consulting, Inc..
The best payment experiences are transparent and simple, but far too many law firms struggle with awkward payment barriers for their clients. Stephanie Everett welcomes A.J. Axelrod of Clio to discuss modern and secure billing practices for law firms. They consider common errors and archaic methods that may lead to profit losses, share insights from the Legal Trends Report, and talk about how Clio's billing software can help you ensure best practices in client payments. A.J. Axelrod is Clio's Vice President of Payments and Financial Services. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, we dive into the frustrating world of AV setups and time code mismatches, the woes of fixing an ancient Apple G4 iBook, the chaos of network terminators, and the scary consequences of pulling the plug on an Exchange server. Plus, hear about HR mishaps leading to near HIPAA violations and the eccentric decisions of a company owner who denies upgrades to deserving employees. Join us for a wild ride of IT nightmares and unexpected solutions.
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Dental school prepares you to save teeth but not for the life that comes with it. The truth is, most dentists are blindsided by what happens once the drills are down: confusing insurance contracts, shrinking reimbursements, rising debt, and the daily challenges of managing people. In this conversation with my friend Dr. Amrita Patel, we unpacked the realities of practice ownership and associate life. Did you know that you'll need to know how to prevent accounts receivable nightmares? Or how to lead a team without burning out? Oh - plus handle patients! We dig into false perfections shown on social media, the misinformation new grads are buying into, and the hard truth that many seasoned dentists still lack the foundational business skills. This is the real world of dentistry - the part no one told you about. Connect with Amrita Patel Instagram: https://www.instagram.com/dramritapatel/?hl=en LinkedIn: https://www.linkedin.com/in/thedramri/ ------------- 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:
With the annual trend of fluctuating reimbursement rates, have you been on the fence about turning your OBL into an ASC? Make sure your OBL is prepared for the surprising changes in coding coming in 2026. In this episode, Dr. Mary Costantino partners with fellow OBL owner Dr. Goke Akinwande and revenue cycle management expert Laurie Bouzarelos to review the new CPT code changes and how they translate to OBL and ASC reimbursement.---SYNPOSISDr. Akinwande discusses many positive takeaways after diving into the recent Medicare documents, and highlights key shifts. He believes these changes to add-on codes and territories means one thing: CLI is being heard. The upcoming code changes improve delineation of vascular territories, differentiating between "simple" (stenosis) and "complex" (CTO) procedures. These changes are aimed at rewarding physicians performing the difficult CLI work while decreasing reimbursement for more straightforward cases.Beyond the CPT code specifics, the conversation also covers real-world implications for OBL owners. Dr. Akinwande explains why these changes might narrow the reimbursement gap between OBLs and ASCs, prompting him to warn against ASC conversion. Laurie Bouzarelos provides guidance on implementation, stressing the importance of updating charge masters, reviewing payer contracts for "gap fill" clauses, and monitoring payments once the new codes go live. The episode ends with a discussion on obstacles in billing, collections, and the need for physicians to master the business side of their practice to ensure financial success.---TIMESTAMPS00:00 - Introduction04:37 - 2026 CPT Changes Overview07:18 - Simple vs. Complex Codes13:16 - Key Add-on Codes19:52 - OBL vs. ASC Conversion?24:56 - IVL Reimbursement Trends29:18 - Update Your Charge Master41:41 - Pricing & Medicare Year46:39 - Billing & Collections Reality
America's hospitals will soon face an unprecedented rebate-based prescription drug model, come Jan. 1 – that's when there will be as many as 10 major drugs subject to Medicare price caps. This development is expected to create administrative and financial challenges for hospitals, which will have to pay the commercial price for such drugs while waiting for the rebates.For analysis and context, Maureen Testoni, president and CEO for 340B, will be the special guest during the next live edition of Monitor Monday. She will also review a recent Congressional Budget Office (CBO) report, featured in a recent Senate committee hearing, that includes some misrepresentations about why the 340B program has grown in recent years.As a special bonus, the longtime Internet broadcast produced by RACmonitor, will feature senior healthcare consultant Drew Updike, MD, who will recognize the tireless work being performed by the employees of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) who continue to work despite the federal shutdown, now in its fifth week.The weekly broadcast will also include these instantly recognizable features:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.Legislative Update: Adam Brenman, senior legislative affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.
More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter In this special takeover episode, Ashley Bond shares why dental billing isn't a solo job, it's a team sport. When hygienists, assistants, and front office staff work in sync, claims get paid on the first try. Clinical notes play a critical role here; detailed SOAP notes (Subjective, Objective, Assessment, Plan) ensure accuracy and prevent denials. Ashley shares how poor documentation and missing details like forgetting how old a crown is can cost practices thousands. She explains why “stock narratives” no longer cut it and how patient-specific notes support both revenue and liability protection. Using clinical note templates built around procedure codes, real-time communication, and tracking denials can dramatically reduce resubmissions. Ashley emphasizes that the administrative load on dental teams is heavier than ever and why outsourcing billing to specialists can free up time, restore patient trust, and prevent burnout. Outsourcing isn't just delegation, it's collaboration. With structured documentation, clear systems, and a trusted billing partner, every part of the practice works smarter, not harder. Get your free Clinical Notes Blueprint and simplify how your team documents every procedure. https://www.withwisdom.com/teresa ------------- 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/ 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
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.