Podcasts about Billing

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

In this bonus episode of Leaders in Medical Billing, we're bringing you the full replay of our most recent, live webinar: AI for Patient Billing. Hosted by Chanie Gluck, this session features a deep dive into how artificial intelligence is transforming one of the most overlooked — and increasingly critical — parts of the revenue cycle. You'll hear from two seasoned RCM leaders actually using AI in the field: Jeff Robertson, CEO of Nexus, shares how AI tools like Raxia helped one client double monthly patient payments and reduce average days to payment by over 50%. John Gwin, CEO of Auctus Group, walks us through his experience using Inbox Health and other platforms to boost collection velocity while maintaining a strong patient experience. They break down: The shift in revenue mix and why patient payments can no longer be ignored How to evaluate and select AI tools based on EMR integration, pricing models, and long-term ROI The importance of front desk processes — from capturing contact details to coaching staff on payment conversations Real-world metrics, implementation timelines, and what to expect as these platforms evolve Whether you're new to AI or already exploring automation, this episode is packed with tactical insights and hard-won lessons to help you stay ahead.

Do you struggle with billing your design services—or even asking to be paid at all?In this episode of the Interior Design Business Podcast, I'm diving deep into why charging what you're worth is so hard—and what to do about it. From emotional blocks to inherited beliefs, this issue is more than a numbers problem. It's about boundaries, mindset, and reclaiming your value as a design professional.If you've ever overdelivered without billing for it, or felt paralyzed when it's time to send an invoice, this episode will show you a new way forward. I'll share practical insights and real-world strategies for transforming your billing process—and your self-worth.In this episode, I cover:The emotional and historical roots of underchargingWhy designers consistently overdeliver (and don't get paid for it)How to stop self-sabotaging your invoicesA proven “hack” to simplify pricing and eliminate billing guiltShow notes are available at interiordesignbusinessacademy.comFollow us on Facebook: facebook.com/InteriorDesignBusinessAcademyFollow us on Instagram: instagram.com/interiordesignbusinessacademy

"Richter Kimble, a prostitute, and cab driver Morgan Gilmore must put aside their mutual dislike if they are to survive after their father's funeral." What is this relationship? What do they need to survive? And, excuse me, why is Rumpelstiltskin part of this? Our guest Richie Billing will hopefully make it all make sense! Find him and his work at richiebilling.com, as well as on Patreon, the Fantasy Writers Toolshed podcast, or from his novella "Together We Rise."And our links!Patreon: https://www.patreon.com/somebodywritethisFacebook: https://facebook.com/somebodywritethisTwitter: https://twitter.com/writethispodInstagram: https://www.instagram.com/writethispod/YouTube: https://www.youtube.com/@SomebodyWriteThis

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More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Modern office managers lead through clarity, culture, and connection not control. My longtime friend and colleague Lorie Streeter joins me for a frank conversation about the lessons we've learned over the years.    Micromanagement is everywhere, and dental teams are evolving whether leaders are ready or not. The shift from task-checking to true team empowerment is reshaping how successful practices run. We share stories of real managers navigating burnout, toxic dynamics, and panic hiring with surprising clarity.    There's a raw conversation about what happens when doctors undermine authority, how culture breaks down quietly, and why emotional intelligence is now a non-negotiable skill. We tackle some unexpected truths about staffing “shortages,” leadership blind spots, and what it actually means to build a team that runs on trust not fear. If you've ever carried more weight than your title suggests, this episode unpacks why... and what to do next.   Connect with Lorie   Website: MAXASSIST Facebook Lorie Genelin Streeter Instagram Lorie Streeter - Maxed Out LinkedIn Lorie Streeter   ------------- 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  

Not every metric belongs in an exec report. These are the KPIs your billing staff actually act on—and why they're the key to improving denial rates.

Why is it easier to schedule a pizza than a cardiologist?In this episode of Talk of the Tavern, Travis and Ed pull no punches as they vent, roast, and dissect the absolute circus that is modern healthcare. From navigating insurance loopholes to playing phone tag with doctors who vanish like side quests, it's a raw look at what happens when the system built to save you feels more like it's trying to invoice you into the grave.Whether you've ever spent three hours on hold only to be told you called the wrong department—or you've been told to “just eat healthy” while your meds cost more than rent—this one's for you.So pour a drink, grab your insurance card (as if it'll help), and buckle up for a therapeutic rage-laced rant.What's on Tap?

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Is the secret to more dental case acceptance hiding in plain sight right inside your own team?   If you've ever wondered why some patients freeze at the mention of treatment costs, or how to handle those moments when someone starts Googling your every word from the chair, you're not alone. In this episode, Teresa talks with Angela Sullivan of Adaptive Dental Solutions about effectively helping teams boost treatment acceptance without feeling like a pushy salesperson. Angela shares stories and lessons straight from the operatory, from the power of a simple photo to honest talk about money and shares why confidence (not more facts) is what gets patients to say yes. The conversation covers everything from handling awkward price conversations to how handoffs and team communication can make or break your acceptance rates.    They wrap up with a preview of their October 10 workshop on advanced dental career possibilities. If you've ever wondered what is ‘Beyond the Operatory' then you'll love what they have planned!   Connect  with Angela:   Website https://adaptivedentalsolutions.com/ Email angela@adaptive-dental-solutions.com Facebook Adaptive Dental Solutions Instagram angeladavissullivan_ads  LinkedIn Angela Davis-Sullivan   Angela's book: https://www.amazon.com/Coming-Home-Better-Practice-no-nonsense/dp/0999786377   Join us for Beyond The Operatory on October 10, 2025 — a career workshop with Angela Davis-Sullivan and Teresa Duncan. Reserve your spot now: https://www.odysseymgmt.com/bto-waitlist ------------- 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  

Join Terry on the latest CodeCast podcast as she tackles your most pressing medical coding and compliance questions in our “Top Ten Tuesday” segment! Terry clears up common misunderstandings and provides clarity on complex ICD-10-CM coding scenarios. Get expert tips to improve your diagnostic coding accuracy. She also discusses how navigating the nuances of telehealth […] The post Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions appeared first on Terry Fletcher Consulting, Inc..

Welcome to the award-winning FCPA Compliance Report, the longest-running podcast in compliance. In this episode, Tom Fox welcomes Michelle Peirce from Hinckley Allen, where she co-chairs the White Collar and Government Enforcement Group. They take a deep dive into Michelle's article on the 10 Core Principles Common to Internal Investigations, discussing topics such as the importance of understanding the investigation's purpose, maintaining privilege, the role of an engagement letter, deciding between written reports and verbal summaries, and the significance of billing and internal communications. Michelle also shares her insights from her professional background, including her experience as a special assistant district attorney, and touches on current pressures on compliance tied to self-disclosure to the DOJ. The conversation offers a comprehensive guide for organizations on conducting successful internal investigations. Key highlights: Role and Challenges in Internal Investigations Core Principles of Internal Investigations Importance of Privilege and Engagement Letters Written vs. Verbal Reports Order and Structure of Investigations Professionalism and Billing in Investigations Resources: Michelle Peirce on LinkedIn Michelle Peirce at Hinckley Allen 10 Core Principles Common to Internal Investigations Tom Fox Instagram Facebook YouTube Twitter LinkedIn For more information on the use of AI in compliance programs, my new book is Upping Your Game. You can purchase a copy of the book on Amazon.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

You're seeing patients. Billing regularly. But are you actually getting paid what you should be? In this episode, Dr. Heather Signorelli breaks down the real way to read your practice's financial data so you stop guessing and start knowing. From spotting CPT reimbursement shifts to trending by date of service, this is your blueprint for data-driven decisions that actually grow revenue. No more flying blind. Get clarity. Get paid. 

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In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Scott Delmarr, President of Congress Billing, to explore how substance use and behavioral health providers can take back control of their revenue cycle. With a background in forensic accounting and a deep understanding of the behavioral health landscape, Scott shares his journey from helping grow his ex-wife's billing company to becoming the go-to consultant for multi-location providers transitioning from outsourced to in-house billing.  Scott discusses the importance of diversifying your workforce, mindset when building high-performing teams (onshore and offshore), and why he believes treatment centers need more transparency and autonomy. He also discusses how he's leveraging tools like Power BI and payer automations to increase visibility and reduce denial rates for his clients.  If you're a behavioral health provider who feels "stuck" with your outsourced billing company—or if you're curious about the economics, risk, and ROI of bringing billing in-house—this episode is a must-listen.  Learn more about Congress Billing: https://www.congressbilling.com/  Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology. 

Stephen Grootes speaks to Christo Nicholls, CEO of Utility Consulting Solutions (UtCS), about why billing reform is key to affordable electricity in South Africa. City Power’s decision to take over Johannesburg’s electricity billing marks more than just a technical handover. The Money Show is a podcast hosted by well-known journalist and radio presenter, Stephen Grootes. He explores the latest economic trends, business developments, investment opportunities, and personal finance strategies. Each episode features engaging conversations with top newsmakers, industry experts, financial advisors, entrepreneurs, and politicians, offering you thought-provoking insights to navigate the ever-changing financial landscape.    Thank you for listening to a podcast from The Money Show Listen live Primedia+ weekdays from 18:00 and 20:00 (SA Time) to The Money Show with Stephen Grootes broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/7QpH0jY or find all the catch-up podcasts here https://buff.ly/PlhvUVe Subscribe to The Money Show Daily Newsletter and the Weekly Business Wrap here https://buff.ly/v5mfetc The Money Show is brought to you by Absa     Follow us on social media   702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/CapeTalk 702 on YouTube: https://www.youtube.com/@radio702   CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/Radio702 CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

In this episode, we sit down with Derik Quinn, Managing Director at Spaulding Ridge, to explore the fast-evolving landscape of CPQ, Revenue Management, and Salesforce Revenue Cloud Advanced (RCA). Derik shares insights from his two-decade journey across BigMachines, Apttus, Argano, and now Spaulding Ridge, where he leads large-scale quote-to-cash transformations in manufacturing, high-tech, and medtech. We discuss the shift toward constraint-based configuration, the excitement around Dynamic Revenue Orchestration (DRO), and why Salesforce RCA is gaining traction across industries. Derik highlights differences in adoption trends—new implementations in manufacturing versus migrations in high-tech—and the growing interest in AI for sales efficiency and revenue intelligence. With over 100 RCA consultants globally, Spaulding Ridge is driving momentum into Dreamforce and beyond. Plus, we hear about Derik's passion for endurance sports, parenting two active daughters, and how customer KPIs shape project success. If you're interested in quote-to-cash innovation, Salesforce RCA adoption, or industry-specific CPQ trends, this episode delivers expert perspectives you won't want to miss.

KZN Water Billing Scandal: Calls to Scrap Backdated Charges for Social Housing Tenants by Radio Islam

Joining me for this episode is lawyer, fantasy author and podcaster Richie Billing to talk about writing fantasy, world building, characters, plots and more! Enjoy the episode!Find out more about Richie here:https://richiebilling.comIf you like what we do, you might consider buying us a coffee. You can do so here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.buymeacoffee.com/booklovercom⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://ko-fi.com/bookcompanion⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ You can also support us via Paypal: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.paypal.com/paypalme/bookcompanion⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or via Patreon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/bookcompanion⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us: Web: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://book-lovers-companion.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/book_companion⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/ez.fiction.7/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/book_companion/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Youtube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UC6vyAyrh3zzsxNeexfyU0uA⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Feedback is always welcome: bookcompanioncontact@gmail.com Music: English Country Garden by Aaron KennyVideo Link: https://youtu.be/mDcADD4oS5E

“If you're going to do something, do it right. Don't cut corners. Use the right partners.” — Jake Jacoby, TELCLOUD In the latest episode of the POTS and Shots podcast series, Doug Green, Publisher of Technology Reseller News, reconnects with Jake Jacoby, Founder and CEO of TELCLOUD, to unpack one of the most overlooked—but absolutely critical—elements of delivering POTS replacement: billing and compliance. For many MSPs and resellers, the conversation around telecom billing evokes little more than eye rolls. But Jacoby makes the case that billing isn't just admin—it's the core of doing business right. And for those new to telecom, the complexity of telco billing can quickly become a costly trap if not handled properly. Taxes, regulatory compliance, and FCC filings aren't optional—they're mandatory and can be daunting for those unfamiliar with the industry. That's where TELCLOUD's Telco Bill Center comes in. A Turnkey Solution to a Complex Problem Jacoby explains that TELCLOUD acts as the telco of record through its TBC Communications division, handling everything from tax calculation and billing to collections and regulatory filings. For resellers, this translates into a fully managed, co-branded billing platform that requires no upfront investment and ensures complete compliance. “We've created the easy button for resellers,” said Jacoby. “They can remain white-labeled in service delivery, but TELCLOUD takes care of the billing complexity behind the scenes.” Key features of the Telco Bill Center include: FCC and state tax compliance USF contribution management Customer invoicing and payment collection White-label service delivery with co-branded billing Built-in revenue sharing with resellers Protecting the Channel—and the Customer Doug and Jake explore how failing to address compliance can jeopardize the entire reseller-customer relationship. TELCLOUD's billing platform not only ensures tax and regulatory compliance, but also safeguards both the reseller and the end customer from legal and financial risk. Jacoby emphasizes that TELCLOUD's approach aligns with its broader philosophy: enable resellers to sell and scale, without being bogged down in the infrastructure of compliance. And Now for the Shot… As always, the “Shots” portion of the podcast adds a flavorful twist. This time, Jake brings out Arete Añejo, a sipping tequila from El Llano Distillery—one of the oldest family-run distilleries in Tequila, Mexico. With notes of caramel, vanilla, oak, and butterscotch, it's a smooth reminder that, like great telecom billing, craftsmanship matters. Learn More Visit www.telcloud.com or call 844-900-2270 to explore TELCLOUD's solutions.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   What if your child's speech or chewing could give you clues about hidden developmental delays?   Did you know that your child's visit to the dentist could hold hidden insights into their overall development? Join host Teresa Duncan and guest Ann-Marie DePalma as they unravel the fascinating connections between a child's oral health and early signs of developmental delays—including conditions like autism. Discover why dental professionals might be the first to spot clues, from speech impediments to tongue ties, and how these seemingly minor oral challenges can indicate deeper issues in your child's physical and cognitive growth.   But there's more: Ann-Marie explains how both clinical and administrative dental teams can play a critical role in identifying and supporting children with developmental delays, by looking for patterns during appointments and asking the right questions when families call. You'll also learn practical advice for parents—from understanding what happens if a tongue tie isn't treated, to the significance of early referrals for therapies such as myofunctional therapy.   And it's not just about childhood—this episode explores broader themes of women's health in dentistry, including the role of hormones during menopause and their surprising link to conditions such as TMJ, TMD, and chronic headaches. Plus, get an insider's view on how artificial intelligence is transforming how dental offices track development, screen for health risks, and make the entire patient experience (from online scheduling to payments) more accessible.   Whether you're a parent concerned about your child's speech, a dental professional encountering more patients with autism or developmental delays, or someone curious about the intersection of oral health, women's health, and modern technology, this episode is packed with essential insights and actionable tips to help you be proactive at every age and stage.   Connect with Ann-Marie: Website:https://depalmaannmarie.com/ LinkedIn: https://www.linkedin.com/in/annmariedepalma/ Instagram: https://www.instagram.com/ann.marierdh/ Check out our previous Podcast: NTMT #159 Ep 99: Artificial Intelligence: What's The Big Deal? https://directory.libsyn.com/episode/index/id/24754176   ------------- 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 ------------- *Is your AR out of control? Is your admin team burning out?

In this episode of Eye Own a Business, Dr. Steve Vargo sits down with Cindy Braden, Vice President of Sales at OneSpot, to uncover the hidden breakdowns in the billing process that are costing eye care practices serious money. From aging A/R to the risks of relying on a single biller, Cindy shares eye-opening insights on how to protect your revenue and streamline your billing systems—whether in-house or outsourced. You'll also hear how technology, including AI, is reshaping revenue cycle management and giving practices powerful tools to stay ahead. If you're tired of leaving money on the table, this episode is your blueprint for identifying billing gaps, improving collections, and gaining control of your financial health.   Follow our Podcast on All Available Platforms Follow our Podcast on Instagram Follow IDOC on Facebook Follow IDOC on LinkedIn Watch our Podcast Video on YouTube

In today's MadTech Daily, we discuss how YouTube may be billing advertisers against violent and pirated content , Google's hidden search terms costing advertisers millions, and Law360 staff pushing back on mandatory AI bias tools.

In this episode of the CPQ Podcast, we're joined by Nikhil Muralitharan, Senior Director of Product Marketing at Chargebee, to explore how modern CPQ solutions are evolving for software and digital service businesses. Nikhil shares his unique journey from software engineering to product marketing leadership—and how his career path mirrors his personal theme of "connecting the dots." We dive deep into Chargebee's API-first, modular CPQ platform, built to support hybrid sales motions like PLG and sales-assisted selling—without maintaining separate catalogs or tech stacks. With customers ranging from $3M to $150M in revenue across the UK, Europe, ANZ, and North America, Chargebee offers out-of-the-box integrations with Salesforce, HubSpot, NetSuite, Sage Intacct, and over 60 other systems. Nikhil also discusses: Their AI-generated quote summaries and vision for CPQ in an AI-native world Why sales and finance teams should operate from a shared data foundation Chargebee's approach to billing-first CPQ architecture, SOC 1/SOC 2 and ISO 27001 compliance A new guided selling experience launching later this year Their 6-stage implementation methodology and fast go-live timelines If you're looking for a CPQ solution designed for digital growth, flexible pricing models, and enterprise-grade compliance—this episode is a must-listen.

Got questions? Send Ericka a Text!Pivotal moments often arrive unexpectedly. After years of helping dental practices decode insurance denials and maximize reimbursements, I've made a significant discovery that's reshaping our journey together. What began as technical discussions about coding and claims consistently opened doors to far deeper conversations about practice culture, team alignment, and leadership challenges.The highest-performing billing departments I've encountered share one critical element that transcends technical knowledge—they operate within practices where leadership is strong, vision is shared, and team members pull in the same direction. When I stepped into offices to address billing issues, I frequently uncovered symptoms of deeper organizational challenges: fear-based decision-making, reactive management, artificial harmony, and teams trapped in survival mode. These cultural issues were directly impacting financial performance.That's why this finale of the Dental Billing Podcast marks not an ending but an evolution. While billing expertise remains my foundation and passion, our new "Practice and Purpose" podcast will embrace the whole picture of practice success. We'll explore leadership development, navigating difficult conversations, building high-performing teams, and aligning your practice with your deeper purpose—all while continuing to sprinkle in the billing wisdom you've come to expect.To my loyal listeners who've shared stories of successfully challenging insurance companies, securing deserved raises, and transforming billing departments: thank you for making this platform sacred. This shift honors the truth of what you've been teaching me all along—that our conversations were always about more than just billing. They were about becoming the leader your practice needs and creating a culture where your team and your purpose can thrive. Join me next week as we begin this expanded journey together, right here in your podcast feed. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would 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)

The July 2025 recall features four episodes on systems and innovation in delivering neurologic care. The episode begins with Dr. Scott Friedenberg discussing challenges faced by neurologists in balancing financial productivity with optimal patient care. The episode leads into a conversation with Dr. Marisa Patryce McGinley discussing the utilization of telemedicine in neurology, particularly focusing on disparities in access among different demographic groups. The conversation transitions to Dr. Lidia Moura talking about the implications of large language models for neurologic care.  The episode concludes with Dr. Ashish D. Patel discussing headache referrals and the implementation of a design thinking approach to improve access to headache care.  Podcast links:  Empowering Health Care Providers Disparities in Utilization of Outpatient Telemedicine for Neurologic Care Large Language Models for Quality and Efficiency of Neurologic Care Using Design Thinking to Understand the Reason for Headache Referrals Article links: Empowering Health Care Providers: A Collaborative Approach to Enhance Financial Performance and Productivity in Clinical Practice Disparities in Utilization of Outpatient Telemedicine for Neurologic Care Implications of Large Language Models for Quality and Efficiency of Neurologic Care: Emerging Issues in Neurology Using Design Thinking to Understand the Reason for Headache Referrals and Reduce Referral Rates Disclosures can be found at Neurology.org. 

Most BigLaw firms offer a broad array of benefits, including to meet important needs for caregiving for children. But there is still a large gap in many firms for lawyers and other professionals when it comes to benefits that assist in meeting broader family needs, including when it comes to caring for parents, adult dependents, spoues and other family members. In this episode, I speak with Thomas Adrian, who leads HR and wellness at Sheppard Mullin, a firm which has adopted one of the most comprehensive programs in BigLaw to address overall family caregiver needs. We talking about how Sheppard Mullin's partnership with  HomeThrive helps lawyers and other professional staff to handle real-life carer responsibilities without having to sacrifice their careers.  Thomas walks through how the program works, including how it is structured to avoid red tape, and how it delivers tangible ROI through increased retention, better productivity, and stronger firm culture. For firms that want to lead in talent strategy, and attorneys looking for better ways to share with their firms how to meet this challenge in the marketplace, this episode is worth a close listen. At a Glance: 00:00 Why adult caregiving needs more attention in law firm benefits 01:46 Key statistics on working caregivers and the impact on careers 03:07 Sheppard Mullin's motivation to address caregiving needs 04:20 How the firm began identifying caregiving as a wellness priority 07:13 Why Sheppard Mullin chose Homethrive and how the program works 09:46 Real-life examples of remote caregiving support across the U.S. 11:09 The range of support Homethrive offers beyond elder care 12:25 How Sheppard Mullin defines “family” inclusively  14:15 How the program has been leveraged by those who benefit from it 15:16 Impact stories from attorneys and staff who avoided burnout or resignation 16:40 Extending the benefit to all employees—not just lawyers 17:59 Gaining leadership buy-in for progressive benefits 19:23 ROI vs. Return on Value: how the firm measures program success 20:50 Billing more hours thanks to offloaded caregiving logistics 22:07 Vendor collaboration: why integration across wellness programs matters 24:16 How word-of-mouth drives adoption across practice groups 25:11 Why Sheppard Mullin is committed to leading in this area 26:21 Thomas's personal passion and family experience that inspires his work Rate, Review, & Follow on Apple Podcasts & Spotify Do you enjoy listening to Big Law Life?  Please consider rating and reviewing the show! This helps support and reach more people like you who want to grow a career in Big Law.  For Apple Podcasts, click here, scroll to the bottom, tap to rate with five stars, and select “Write a Review.” Then be sure to let me know what you loved most about the episode! Also, if you haven't done so already, follow the podcast here!  For Spotify, tap here on your mobile phone, follow the podcast, listen to the show, then find the rating icon below the description, and tap to rate with five stars. To reach out to Thomas Adrian for more information about Sheppard Mullin's approach: LinkedIn: https://www.linkedin.com/in/thomadrian/ www.sheppardmullin.com  To reach out to HomeThrive about the benefits and parternships they offer to law firms and companies: https://homethrive.com/  Interested in doing 1-2-1 coaching with Laura Terrell? Or learning more about her work coaching and consulting? Here are ways to reach out to her: www.lauraterrell.com  laura@lauraterrell.com   LinkedIn: https://www.linkedin.com/in/lauralterrell/  Instagram: https://www.instagram.com/lauraterrellcoaching/  Show notes: https://www.lauraterrell.com/podcast  

In this episode of Leaders in Medical Billing, Chanie Gluck welcomes Davia Award, founder of Healthcare Partners Consulting & Billing (HPC), to share her extraordinary journey from a small-town biller to a national force in mental health RCM. With over 37 years in the industry, Davia is reshaping how billing companies operate—through empathy-driven leadership, building AI-powered tools like ClaimBuddy, and a bold mission to empower 100 women across the U.S. by 2027.  From tackling credentialing and coaching providers to developing bots for SOPs, Davia shows how holistic, tech-forward, and core values-centered leadership can change lives—and the future of medical billing. She also shares how she motivates her team to embrace AI and technology.  Learn more about HPC: https://hpcbilling.com/  Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology. 

Richard Gearhart and Elizabeth Gearhart, co-hosts of Passage to Profit Show interview Matt Seefeld from MedEvlove and Kevin McCarthy from Blind Spots Global.   In this eye-opening episode, Matt Seifeld, President of MedEvolve, exposes the hidden inefficiencies and financial chaos plaguing the U.S. healthcare system. From denied claims to overwhelmed billing departments, he explains how outdated processes are hurting both doctors and patients. Matt shares how MedEvolve uses smart technology and AI to reduce waste and recover lost revenue. Tune in to learn what's really happening behind your medical bill—and why it matters more than ever. Read more at: https://medevolve.com/   What if your biggest leadership challenge is the one you can't even see? Kevin McCarthy, founder of Blind Spots Leadership Development, shares how hidden habits and personality traits can quietly sabotage your influence. He reveals how a 3-minute blind spot assessment is helping leaders become more self-aware, build stronger teams, and close the gap between how they think they lead and how others experience them. Get ready for some surprising insights—and a few aha moments. Read more at: https://ww3.blindspots.com/ and at https://www.blindspotassessments.com/   Whether you're a seasoned entrepreneur, a startup, an inventor, an innovator, a small business or just starting your entrepreneurial journey, tune into Passage to Profit Show for compelling discussions, real-life examples, and expert advice on entrepreneurship, intellectual property, trademarks and more. Visit https://passagetoprofitshow.com/ for the latest updates and episodes. Chapters (00:00:00) - Richard and Elizabeth Gerhardt on Ramping Up Your Business(00:00:25) - Passage to Profit(00:01:48) - How Did You Get Your Business Idea?(00:03:32) - Startups Are Made for the Long Term(00:06:36) - Podcasters: Divine Revelation or Caffeine Overdose(00:08:35) - The challenge of healthcare(00:11:18) - The Fight for Healthcare Provider Margins(00:17:56) - Is More Regulation Needed for the Healthcare Industry?(00:22:44) - How to Take a Revenue Cycle Company to $8 Million in Revenue(00:27:40) - Blind Spots(00:29:42) - Retired Realtor and serial entrepreneur(00:32:17) - The 3-Step Blind Spot Assessment(00:38:47) - Should Artificial Intelligence Be Given Copyright?(00:41:21) - Can AI Take Over Healthcare?(00:45:44) - Car Insurance(00:48:48) - What Have You Been Up To?(00:51:20) - In the Elevator With Kevin McKinnon(00:55:01) - Blind Spots of the FBI(01:00:57) - How to Start a Business in the Recession(01:06:32) - What Would You Do If You Didn't Quit?(01:07:49) - Locate Your Curiousity in Leadership(01:13:16) - Lessons from a Paralegal Strike(01:16:03) - How to Deal with a Back Tax Debt(01:17:07) - Noah Fleischman on Legal holidays(01:18:11) - Secrets of the Entrepreneurial Mind(01:21:45) - Passive to Profit

In this episode, we're joined by Tina Kung, Co-Founder and CTO of Nue.io, a rising CPQ & Billing platform redefining the quote-to-cash experience for modern SaaS businesses. With a career spanning Ariba, Oracle, Zuora, Salesforce, CA Technologies, and more, Tina brings over two decades of experience building and evolving four generations of CPQ and Billing systems.

You're not imagining it—your projects might actually be running you. If you've ever felt like your design clients are unclear, unsure, or unexpectedly intense mid-project, it's likely not a personality issue. It's a systems issue. In this episode, designer Shila Griffith of SG23 Design reveals the exact processes and boundaries that keep her projects running smooth, her team aligned, and her clients confident from start to finish. From her strategic intake forms to her “you paid for that three months ago” moment of bliss, Shila walks through the real-world fixes newer designers need to confidently lead their projects. This isn't about being cold or corporate—it's about clarity, structure, and trust. You'll learn: ✅ Why upfront pricing (yes, even 50%) calms client anxiety ✅ How to spot red flags in new client inquiries ✅ The conversation that prevents renovation freakouts before they happen ✅ What to say when clients want to buy their own stuff, and why boundaries boost your quality of life If you're an interior designer looking to finally feel in control of your client process (instead of constantly catching up), this is the episode that's going to help you get there. Listen now and start running projects with more calm, clarity, and confidence.   (0:00) Upfront billing makes design projects smoother (2:00) Shila's origin story and early credibility hurdles (6:00) Vetting clients through forms and paid consults (10:00) Setting expectations for reno stress and timelines (15:00) Switching from hourly to flat fee structure (21:00) Client boundaries, policies, and communication norms (35:00) Billing, procurement, and protecting product margins   About Shila Griffith Shila Scarlet Griffith is the founder and principal designer behind SG23 Design, a boutique interior design studio serving South Jersey, Philadelphia, and New York areas. With over a decade of hands-on experience—including more than five years at a prestigious architecture firm—Shila brings a rare blend of aesthetic finesse and construction-focused expertise to every project. She is NCIDQ Certified and LEED AP accredited, and her philosophy—“Stay Inspired, Not Overwhelmed”—reflects her deep belief that smart systems and empathetic communication create transformative, yet stress-free environments. Shila holds dual degrees in interior design and sustainable design from Philadelphia University (now Jefferson), and she seamlessly integrates modern finishes with vintage elements to elevate both aesthetic and functional value. At SG23 Design, Shila leads clients through a six-phase process—from consultation and space planning all the way through procurement and construction management. Her ideal clients are busy professionals who value their time and want a smooth, thoughtfully curated renovation without the usual headaches. Whether it's a residential kitchen refresh or a commercial workspace overhaul, Shila's meticulous documentation, proactive communication, and emphasis on long-term value ensure that each project is delivered on time, within budget, and with uncompromised integrity—resulting in spaces that not only look stunning but also enhance daily life. Website Instagram  

Got questions? Send Ericka a Text!Dental insurance companies often deny necessary treatment claims not because they should, but because they can—and we explore how to fight back effectively through appeals and regulatory complaints.• 59% of denied claims are upheld simply because no appeal is ever filed• Unreasonable denials occur when patients have benefits but claims are still denied• State insurance commissioners can investigate denials and prompt payment violations• Understanding the difference between fully-insured and self-funded (ERISA) plans• For self-funded plans, complaints must go to the Department of Labor (866-444-3272)• Gather evidence including denials, submission reports, and clinical notes• Position your complaint as patient advocacy rather than financial recovery• Insurance companies cannot dictate treatment or force doctors to work for freeRemember: You're not just a biller—you are the patient advocate and the system of checks and balances they didn't see coming.Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would 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)

Engaging with “bad actors” in medical billing can have serious consequences for both patients and healthcare providers. More and more providers are engaging without checking. Here's what could happen. Terry discusses it all with examples. Legal repercussions: Providers can face hefty fines, civil or criminal charges, and even loss of their medical license for engaging […] The post Watch out for “bad actors” on billing advice appeared first on Terry Fletcher Consulting, Inc..

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Imagine a dental world where patient data flows as freely as it does in medicine—no more wasted time, lost information, or clunky workarounds. Vyne's CEO Steve Roberts sits down with me to discuss why the dental industry is ready for transformational change and what that means for claims processing, practice efficiency, and ultimately, better care for your patients. I shared my frustration at the unfairness of ptient data being gatekept just for profit. It could be happening to you - it just seems normal. But it's not right.   Key Talking Points:   Why Patient Data Needs to Flow Freely Dental software systems shouldn't make it difficult or expensive to easily share patient information. Uncover how the lack of interoperability holds practices back, limits care quality, and what it will take to catch up to the medical field's standards.   The Evolution of Claims Processing & Real-Time Demands We talked about the trend of carriers seeing value in letting us have more access to claims and benefit information. How do we make it standard?   Change Healthcare's Security Breach—A Wake Up Call Hear lessons learned from last year's Change Healthcare security crisis that exposed vulnerabilities across the entire claims ecosystem. Find out what offices and vendors are doing to build redundancy, improve security, and ensure practices never face that kind of disruption again.   Whether you're a dental professional looking to stay ahead of industry changes, or you're passionate about making your practice more efficient and resilient, this episode is packed with strategies and inspiration for embracing the future of dental claims and technology.   Connect with Vyne: Website:  https://vynedental.com/   ------------- 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 ------------- *Is your AR out of control? Is your admin team burning out?

Tiff and Dana give guidance on how to successfully manage a practice through an office manager, including long-term business vision, powerful leadership, productive systems, and a ton more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello Dental A Team listeners. Dana and I are back at it again today ⁓ with our podcasting spirits behind us and we are so excited to be here with you guys today. Gosh Dana, this is like the beginning of summer for us right now and no matter where you're at in the country, I think you've either been on summer for a few weeks or you're just barely getting there. feel like summer breaks are wild. Like Brody is in school two weeks past my niece. Like it's just been crazy but.   The most fun part about this for both of us is that, I don't know if you guys know this or not, we get asked this question a lot, where is your headquarters? Like, where are you guys based out of? And Dana and I, Britt and I, gosh, I think most of the consultants at this point are in Arizona. Our HQ is actually Reno, Nevada, but we work from home. So, fun part about podcasting during the summer is that each of us have some sort of little or family member or someone   At the door honestly like I had to text in our you know got a family chat go and that's like hey guys FYI and Dana's like let me put a sign on the door so Dana welcome I know I know being a mom is something that lights both of us up and I think one of the best I don't know most I don't know it was like fun parts of our relationship is being able to also laugh about what it's like to be a mom in   Arizona in the sports and in the summer and I love that about the two of us and Dana tell me what has what's the start of summer looking like for you guys over there you've got your I have it easy I will never never discredit the amount of moming that you do over there so tell me how is mom life today Dana   Dana (01:47) it's good. You know, I mean,   it's wild, right? Like, there's a beauty of being able to work from home in that, like, I can very quickly throw chicken nuggets out the door and everybody is fed, right? Yes. But they like all summer long, there are no go zones, depending on what I am doing during the day. So like, if I am on calls, the front room is off limits, because it's directly beside my office. And so I can hear everything that you do.   The Dental A Team (01:58) You just turn them down the whole way, get it. Yep.   I love   that.   Dana (02:17) So I'm constantly like chunking my windows of time as to like where they can be in the house and I've had to put signs up because my neighbor kids also want to come get my kids and I'm like well we just can't knock on the door right now.   The Dental A Team (02:31) Yeah,   yeah, please just give us a moment. I love that. And honestly, though, it's kind of ⁓ like time blocking for practices, right? Because like, when can you do certain procedures? Like you don't want, you know, sedation in the front room with everybody walking by, you've got to have a very specific place for the sedation and a very specific, like no-go zone of do not pass this line once we've started. So it kind of kind of makes me think   Dana (02:34) Yeah.   question.   The Dental A Team (02:59) of how synchronistic life is in general. I say this a lot, with clients that tell us work-life balance, right? We just talked to a client about this together recently, and I'm like, goodness gracious, like we just need a life-life balance, because if we take the systems that work in whatever aspect of life it's coming to you, and if you've got systems that are working at work,   you can probably duplicate them at home and vice versa. If you have systems that are working at home, you can probably take that same thought and that same theory and apply it at work. And it works truly like tremendously because your brain's already wired to think that way. So when you can just stop trying to recreate the wheel and use what you know works, applying it in all areas of your life, things just are easy. I feel like that's how you create easy discipline.   and how you create easy habits. So taking that like time blocking and room blocking and like, guys, from these hours, this is what you're gonna be doing. It's very similar. Billing, you know, all those things. Billing coordinators need to be like, don't bother me between these hours. It's just like, you've got your kids on the other side. I tell doctors constantly or office managers, leadership teams that people are people. We learn how we learn. And if we look at how we teach our children, we can duplicate that.   Dana (03:59) Yeah.   Thank you.   The Dental A Team (04:18) in training systems as well. So Dana, I just spiraled my whole brain right there. I love it. Thank you. Thanks for being such an incredible mom. You are truly impressive. And for those of you who don't know, she's got a slew of children and animals and happenings at her home constantly. And the way that you manage all of that truly is impressive. I think you're an incredible person, Dana.   Dana (04:41) Thank you, Tib. It is a whole lot of winging it. So I appreciate that.   The Dental A Team (04:44) But winging   it, I mean, I think we all wing it when it comes to parenting. I don't think anybody actually knows the step-by-step on what we're doing. So we're all winging it and we're all doing the best that we can, but you also make time for you. You make time for work. You make time for making sure that you're prioritizing what makes you happy and fulfilled because I think that is then teaching your children to do the same and it's super cool to watch. So having an almost grown kid.   I live vicariously through you watching you parent your children and it's super fun from over here. So thanks. Thanks for continuing to have more for us. I'm here for it. I'm here for it. And I hope all of you are here for it too. know you guys, I know you guys get a kick out of my questions I give to Dana because Dana just intrigues me her life and really her choices intrigue me. She's always got something that I'm like, give me all the goods. What can I do now? Brody brought home a soda the other day or I guess the water.   Dana (05:11) you   Keep enjoying the video, Jeff.   you   The Dental A Team (05:38) that you had mentioned a couple weeks ago and I was like, oh my gosh, I know what that is because Dana told me. So you guys, she's here for the tips. If you want them, write in, ask them. Ask Dana, go on Instagram on Mondays now I think it is. Mondays or Fridays, it pops up all week for me. I find them, but she's on there too you guys. She's constantly just divvying out the tips. Find Dana, she's our tip master. And today I'm going to pick your brain some Dana. I want to talk about really effectively   Dana (05:41) you   The Dental A Team (06:06) running a practice through an office manager. And doctors, I don't want you to hear that and think, OK, I don't have to listen to this. Let me go get my manager. Nope, this is for all of you guys. This is for everyone. This is for dentists, owners, office managers, leadership, anyone aspiring to become an office manager, anyone aspiring to just give good tips to the team. Office management can come in varying sizes. And the label office manager, we found even just in hiring consultants, right?   hiring when we were in practice that office manager really doesn't have a good definition for it in the industry. Anything can be an office manager. Most of the time, Dana, maybe you could speak to this as well, I have found that the office manager position, like quote unquote there, usually narrows into billing or dealing with upset patients and really doesn't broaden outside of that. Have you found that as well, Dana? Yeah.   Dana (07:04) Mm Yeah. Yep.   And I usually feel like anytime it is promoted within right, it's typically like, well, she's really good in those insurance. So yeah, yep, I agree with you. Sometimes, you know, yeah, there's some HR pieces added in there or like, you know, I, but I feel like it does encompass mostly keeping track of AR and the money, which is fine.   The Dental A Team (07:11) Yeah.   Yeah, yeah, I agree. I think that's one aspect of it, right? And being able to oversee everything. So there's different avatars for a billing representative, a billing person, and most other positions in the practice. That's gonna come with a different kind of avatar. So depending on the type of office manager that you want in your practice, that's gonna be making a decision there on what your avatar is going to look like. And for us, your office manager in your practice is really helping to run the practice. think Dental A Team considers an office manager   like a secondary owner almost, right? You're looking at it as this is my practice. This is something that I'm fully invested in growing and I love it the same as I would if it were my own business. So that kind of investment really comes from a certain personality type and a certain leadership type. So that style of office manager is really what we're speaking to today. And there's nothing wrong with any type of office manager, any style, any avatar, like you do whatever your business needs.   is what your avatar needs to look like. So today we're speaking towards that different kind of mindset of really growing the practice and being fully invested in it. The reason that we look at it that way is we really think that there's two different minds between a dentist and the office manager that needs to push the agenda of the practice. Our dentist is kind of our idea maker. They're the person who's just coming up with all of the plans. And I think we all   can name a few of these. have one on our team. Ms. Kierdent is fantastic at this. She has the brains and the ideas behind most of the things that we do. And they're just shouting things out, right? They're like, my gosh, we could do this. We could do that. We could do this. And the team is like, stop changing things. Well, when you leave the practice management up to the dentist who's there to create ideas, and there's no one there to filter ideas through,   and to project manage when things do make it past go and we're like, yes, we're gonna do this. When it's all on the doctor, you are gonna suffer those changes consistently because no one's there to say, hey, is this projecting us towards the goals we're working on or is this confusing us and keeping us from reaching those goals? So then we do have teams that are in constant chaos and constant change and they're like, Dana, I can't take another word from this doctor. It's like, well, that's.   We gotta get the doctor out of that position. So that's the type of office manager we're speaking to today is a type of office manager that can say, yes, that's a fantastic idea. Let's see where it will take us. Is this going to push us towards those goals? I have to just brag a little on a client that I've worked with for a while now. Near and dear to my heart, like just two of my favorite humans in the whole world. And honestly, their whole practice is full of some of my favorite humans, but.   not that they didn't start as my favorite humans, but they didn't start there, right? They didn't start where they are today, years later. They started in a very different position. And when they came to me, their goals were to grow production. were like, everybody's goal, right? I want to grow production, which actually means I want to grow collections, right? I want more income. We want more saved on the side. They wanted to reinvest in the building. They wanted to do a little bit of a build out, but they knew that they didn't have a lot of space, so they needed to work with what they had.   And the dentist who was there, he really, really wanted to be a dentist. He loves having a business, but entrepreneurship just is a path for his dentistry. So he truly wants to be a dentist, and he wanted to do more surgery. He wanted to do more involved dentistry. So I was like, fantastic. Office manager, let's talk. Now this specific office manager had never been in dentistry before, at all.   at all, very different career path. could tell you all about it on a whole, it would take a whole podcast because the career is just so cool. Very different career path, probably about as far from dentistry as you could possibly get. And he made the decision to support the doctor and said, I'm going to figure this out. And he was a great manager, right? He managed expectations, but really felt stressed out, second guessed his decision.   He's like, don't think this was right for me. I don't think I'm cut out for this. And I was like, well, let's test the waters. Let's see. And we went down a journey together that has changed, I think, the course of both of our lives, probably. It's just been so cool to take this journey with them. But taking an office manager, Dana's done this too. I think all of us at some point have taken an office manager who's never worked in dentistry before and helped to create an amazing office manager.   So all of you dentists who are like, well, they don't have experience. It's not always necessary if the other pieces are there and if the dentistry can be taught if there's space for it. So keep that in mind. I don't I'm not telling you go find someone with no experience. I'm not telling you you have to have experience. Like I'm telling you it's just got to fit for you. This specific manager and a couple others that I've worked with didn't have that experience. And what we worked on then was what it takes to be an office manager, which is actually leadership.   And Dana, I know you work on this a lot with a lot of practices, starting with the leadership and really becoming the person that a team can look up to, starting with the culture and creating what you want your practice to look like. Because without that, Dana's freaking systems queen. But Dana, how difficult is it to create systems for a practice that we can't imagine what we want it to look like?   as compared to being able to imagine what we want the business and the practice to look like and what the leadership should look like, then the system's followed. Which do you feel like in your experience, especially with an office manager who's never been trained in dentistry, which do you feel like is the path that you take the most frequently?   Dana (13:06) Thank   ⁓ hands down it's building the vision and figuring out what you want because anywhere in dentistry when it comes to the schedule when it comes to your leadership team when it comes to goals like you have to know what you're trying to achieve before you build the pieces to achieve it   The Dental A Team (13:41) Yeah, exactly. And I think a lot of people start with the systems, right, Dana? And that's where it gets really confusing. And it's like, the systems are so tailored to an individual. Systems are so tailored to a specific practice, and that practice is goals. So when you start out just blanket systems, it could be anything. You could create anything, and it will or won't work. It's it's hard to tell. It's like throwing spaghetti at a wall and hoping that it sticks, that it's done.   you just, don't know. But when you have a vision and you can create something that supports that vision, which you want that to ultimately look like, you're able to custom tailor it. And that's what we were able to do with this practice and working side by side with the office manager in leadership, teaching him how to speak to people, how to have conversations hard or easy, how to invest in other people and really showing him or giving him the opportunity to see what it feels like.   when you put yourself aside and you put someone else almost ahead of you without it being ahead of you. Like that's hard to say out loud. Like him investing in his team and his team's success in the practice gave him such a high, I couldn't even stop, like his trajectory. He was just running because he felt so good about having this higher purpose. And his higher purpose truly turned out to be   investing in ⁓ leading and guiding his team members for them to be their best selves. So within that, we learned, ⁓ what he learned is really like hiring and firing the systems behind a five star patient experience, the handoffs, like what creates this relationship that I'm having with my team members, with my team members and my patients. So it started to spin once we got some really good leadership footholds in there, some really good communication skills and practicing.   ⁓ weeding out the team members that didn't need to be there and replacing them with team members that should be there, narrowing down those avatars, narrowing all of this down. He was really able to see how the slightest movements that he made truly affected every piece of the practice. He would move one needle just slightly. I always think of implant torquing, right? Like two millimeters is a lot when it comes to an implant. And that two millimeter change in a system   or in a statement or a word that you use can create a massive difference. It's the success or the failure of an implant. And same goes for everything you do in life. said earlier, everything you do, you just duplicate it. So if you're making a two millimeter change on an implant, what's going to happen in that respect when it comes to words, to leadership, and to guidance? And he truly took all of that and invested in people. And he said, hey, I'm learning too. Help me learn. And he got his team on board. It's been.   Incredible to see their success and so between the leadership and then the systems which gosh guys we talk systems constantly Dana Dana we did NDTR I Mean you guys are basic our basic core systems of Dental A Team truly work and they are case in point leadership is an ideal leadership is kind of that like personal side of it, there's not a   Dana (16:43) you   The Dental A Team (16:59) black and white, follow these steps and now you're a great leader. It's a learning system. It's something that is in you, something you have to desire, something you have to want. But the core systems, the handoffs, the NDTR, the ICRP, the communicating between team members, ⁓ gosh, blocked scheduling. We implemented blocked scheduling. We implemented time management skills. We implemented avatars for every team member, avatars for our patients, marketing.   All of the core pieces of what Dental A Team has to offer, we've implemented with this practice and gained his leadership skills as well as an entire team full of leaders at this point. They have leaders of departments, but you guys, every single team member on their team is a leader because they are manning their ships and they're acting as if they're leaders for the good of the practice overall. And it's been incredible. So that first year we worked on core systems of NDTR.   blocked scheduling and just literally ICRP handoffs to your side. Leadership in conjunction with that. So getting rid of some team members that no longer fit the needs of the practice or just weren't on board with the trajectory, replaced some great new team members in there, got them trained up. And you guys within that first year, remember their goals were to increase production, start a build out, right? And get the doctor doing dentistry.   So we were able to remove the doctor from a lot of those pieces, a lot of the decisions that he didn't have to make, we took them away from him. He didn't have to make them anymore and he trusted doctors, he trusted the process, he trusted the office manager. So things that the office manager could decide that if, you know what, if the office manager decided incorrectly, could be fixed, right? Or it's like, it's not that big of a deal. We could have gone the other way, but it's not that big of a deal, okay? Strategically moving those decisions over to the office manager.   We started doing that so that the doctor was in the chair more. He increased his surgery so much, you guys. increased, they were able to with one doctor and two hygienists, they were able to increase their production by $800,000 that first year just by narrowing down the systems and the leadership, getting the right people in the right seats, getting the right systems in place, using them and really knowing where they were going. And that first year was incredible. Stack on top of that.   They've decreased the decisions from the doctor, increased the amount of productivity that he was able to do without, by the way, expanding his hours. He stayed within the same hours. And we also, the end of that first year, got them ready for that associate space because they wanted to see that expansion. So they started the conversations on what it looked like to expand the physical building, and then what is it going to look like to add another dentist. And we projected.   five years out and then worked backwards on one, three and five years of even down to like how many hygienists and how many assistants will we need to hire? What will your overhead cost be based on current employee numbers, et cetera, all of those pieces. And we were able to just spear this incredible trajectory of growth, not even just for their first year, but gosh, five years later now, Dana, you know, they've got this massive building. They have impacted the community.   so much. Like there are people that come up to them on the streets of their community and thank them for what they were able to do for a friend or a family member, not even for themselves. They have had literal strangers say, I know who you are and you changed my friend's life. Like that's crazy, Dana, crazy. And to think that it started from leadership skills, just from someone who is invested in that blows my mind, you know?   Dana (20:53) Yeah, yeah. And I think that it's when you have an office manager that can make a mindset shift of leading versus managing, right?   And I know it's called an office manager, right? So we can kind of get ourselves stuck in that place, but it's like managing is the tasks, right? That's the tasks, the leadership, right? That's the people and the culture. And when you have those pieces running smoothly, then the task part becomes so much easier. And so I do feel like that is when you have a manager who is focused on the people, the culture and leading.   leading to the tasks versus like being the one that feels like they have to complete all the tasks themselves.   The Dental A Team (21:35) Yeah, yeah,   that's a great point. I love that because that's massive, I think for everyone listening. you've got, gosh, like if there's KPIs on you, right? There's a measurable that you're responsible for. I think one of the biggest things that we do really well, is getting people to understand you don't have to do all of the pieces to create that result. You just have to make sure the result happens.   To your point, a lot of managers and lot of doctors who are managing hold it all to themselves in order to manage the results to get the right result. But then we end up not having space for whatever it is that we need to get done, right? And we get lost in that and it gets a little chaotic. I know I've done that. I did that as a manager in practice and my team suffered tremendously because I kept everything. So one, I was not empowering my team.   I was basically telling them that they couldn't do it, right? They didn't know how to do it. I could do it better. I was overworked, overburdened and burnt out. I was angry constantly. Like I woke up one day and I was like, this is not who I am. What have I done? What have I done and how can I change this? And it was that exact thing. It was the fact that when you become an office manager, sometimes it feels like you're supposed to do all of the things.   And we forget that we have an entire team of people who want to help us. And I think Dana doctors do that too. We've seen that as well. And coaching them out of that, think is sometimes part of our biggest jobs as consultants. The biggest contributor is coaching them out of holding all of the cards to themselves. Would you agree?   Dana (23:26) Yeah, yep, absolutely.   The Dental A Team (23:28) Yeah. Well, guys, I know that sometimes we can chat and you can say, gosh, I see myself in that. I hear that. I've done that. ⁓ Or I want to do that or something similar. So I hope that today you heard something that you can take for face value, something that you can utilize if it's systems that you need to go back to. You guys, there's a slew of podcasts all over the place. We have a million of them.   Just search NDTR if you don't know what that is. We're not explaining it today because we've done it a million times. So search it on our website, you guys, on our website, TheDentalATeam.com. can go to podcasts and then you can search within our podcast. So search some of those systems, you guys. Search Avatar. Search all of those pieces and figure out where are you at right now and how can you guide yourself towards those goals. Dana, thank you so much for doing this podcast with me. I love our time together as always and I know.   It's busy season for everybody right now, so thank you for carving out the time. I appreciate you. Listeners, thank you so much for being here. We find this so valuable. We love our time together. You give us this opportunity to be quote unquote face to face. Thank goodness for visual podcasts nowadays. And you give us this opportunity to give our speech to the world. So thank you. Please drop us a five star review below and let us know how valuable you felt this was. And as always, reach out   Hello@TheDentalATeam.com. We're here to help. Thanks guys.  

Tune in to this week's podcast episode to learn more about FirstFleet's Billing Team, led by Michelle W.!

Why Are We Paying More for Worse Health? | ShiftShapersIn this episode of ShiftShapers, host David A. Saltzman welcomes Helene M. Epstein—writer, speaker, and patient advocate behind the Substack series Patient No More. Helene dives deep into America's epidemic of medical errors, misdiagnoses, and system failures. She breaks down why even the most advanced technology and training haven't improved patient safety, how profit-driven healthcare puts patients at risk, and—most importantly—what individuals can do to protect themselves and their families. From shocking statistics about misdiagnosis to the hidden realities of rural hospital closures, Helene provides practical advice and hope for patients who are ready to become their own advocates.

Got questions? Send Ericka a Text!The entrepreneurial journey can be isolating even when surrounded by loved ones who don't fully understand what we're building. Success looks different for entrepreneurs than those in traditional jobs, and the lack of understanding can create a divide between our business reality and personal relationships.• We often downplay our professional wins because they don't translate well to those outside our industry• Traditional security (401k, benefits) looks different for entrepreneurs but is equally valid• True entrepreneurial success is about freedom and peace, not just financial metrics• Building a community of like-minded people is essential to combat the isolation• Office managers experience similar isolation carrying the emotional weight of practices• Finding your "biz bestie" or mastermind group provides crucial support and understanding• It's okay to build your business slowly and intentionally• Even when you question yourself or face setbacks, you're still moving forwardIf this episode spoke to you, please share it with someone who needs to hear they matter. Let your office manager, business friends, or team know they are appreciated and seen.Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would 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)

Why does it seem like your supervisor cares so much about getting your billable hours in on time? I get it - billing your time can be a drag. But it is your job. I'm going to be the bad guy for this episode. Stick with me! Billable hours can also be a powerful career tool! Tune in to learn: Why your time entries are under the microscope every month How billable hours directly affect your career growth and earning potential Ways to shift your mindset to stop dreading time tracking and start owning it This episode is brought to you by Raise the Bar Media - a weekly newsletter for legal professionals that want clear, relevant updates without the clutter. Each issue delivers practical insights on firm management, legal tech, hiring, billing, and client service, curated by industry pros who get the realities of running a modern legal practice.   Join 16,000 lawyers, paralegals, and firm leaders already reading it.   Get their newsletter here.   Visit the podcast episode page here for all of the resources mentioned: https://paralegal-bootcamp.com/paralegalpodcast-episode154.

In this episode of Command Control Power, the hosts discuss recent events including a vacation and the ACEs conference. They dive into a detailed troubleshooting story involving QuickBooks server issues and explore the challenges associated with setting up Windows PCs and QuickBooks for clients. Additional topics include managing one password admin access for clients and a debate over using cases for Macs. The episode also highlights the 10th anniversary of the Mac Admins community and offers useful insights for managed service providers.   00:00 Introduction and Greetings 00:08 Vacation Recap: London and Spain 01:11 The Sunday Roast Experience 01:52 Yorkshire Pudding and British Cuisine 03:50 Party in Spain: Music, Conversations, and More 08:50 Back to Work: QuickBooks Troubles 28:46 QuickBooks Desktop vs. Online: The Cost Debate 29:11 Client's PC Purchase and Windows Upgrade Issues 30:12 Navigating Windows Setup and Software Challenges 31:00 Billing and Discounted Rates Discussion 33:00 Two-Factor Authentication Troubleshooting 35:11 One Password Support and Admin Access 47:10 Mac Admins Community and Personal Anecdotes 49:50 Client Device Trade-In and Repair Issues 51:58 Case or No Case: Protecting Your Devices

SEGMENT - In tonight's Arcand Fire Producer Zach Coe explains why he thinks Craig Breslow has fallen well short of his advertising when he was hired two years ago, Arcand weighs in on expansion to March Madness, and gives his Olympic Flag Football roster.

Burnout, billing chaos, and low reimbursement are crushing PT clinics — but it doesn't have to be that way. In this episode, Jimmy is joined by Aaron Bauer and Averil Sutcharfrom Athelas, a tech-first company tackling healthcare's toughest problems using real-time data, automation, and AI.They share their journeys from practicing PTs to clinic advisors, and how they're helping teams reclaim time, improve margins, and actually enjoy patient care again.In This Episode:Why most PTs are doing too much and charging too littleThe silent killers: poor claim submissions + delayed denialsWhy having a biller ≠ having a handle on your revenueHow AI cuts documentation by 90%What better data visibility means for front desk and ownershipWhy AI won't replace clinicians — but will replace non-adoptersReal stories of clinics increasing profit and opening new locationsThe new gold standard: First-pass rate and 90-day denial metrics

Therapy Insurance and Billing Trends for Private Practice in 2025: An Interview with Sanjana Sathya Curt and Katie chat with Sanjana Sathya, co-founder of Thrizer, about the current landscape of mental health billing and insurance. Drawing from the 2025 State of Mental Health Insurance and Marketing report, Sanjana shares insights from hundreds of clinicians on reimbursement trends, hybrid practice models, and strategies for reducing administrative burden. They explore how therapists can make sustainable choices about private pay, insurance, and out-of-network billing — all while preparing for future changes in the mental health field. Transcripts and more information for this episode will be available at mtsgpodcast.com! In this podcast episode, we talk about how insurance is working for therapy right now Therapists in private practice must make choices between insurance, private pay, or hybrid billing. They all have pros and cons that can shift as the economy and insurance reimbursement rates change. We talked with our partner, Sanjana Sathya from Thrizer about a survey they conducted to identify what the state of insurance is now. ·       Survey insights on therapist billing models ·       Pros and cons of accepting insurance as a therapist ·       Exploring private pay and hybrid models for therapy practices ·       What is out-of-network billing and how can therapists use this model to best effect? ·       How therapists can choose a trustworthy billing service ·       How to future-proof your therapy practices Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist's Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/

They also say they have been working with federal authorities. https://www.lehtoslaw.com