Podcasts about Billing

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Best podcasts about Billing

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Latest podcast episodes about Billing

NeuroNoodle Neurofeedback and Neuropsychology
Neurofeedback for Autism: Life-Changing Results in Kids | NeuroNoodle Neurofeedback Podcast

NeuroNoodle Neurofeedback and Neuropsychology

Play Episode Listen Later Jan 29, 2026 99:52


Join Jay Gunkelman (500,000+ brain scans analyzed), clinicians Joy Lunt (RN, BCN; Past President ISNR; hundreds of autism cases), Dr. Mari Swingle (author of i-Minds), John Mekrut (The Balanced Brain), Joshua Moore (MA, LMHC, BCN; Alternative Behavioral Therapy), Anthony Ramos, and host Pete Jansons for a full live Q&A on neurofeedback's impact on autism spectrum disorder—from severe non-verbal kids to life-altering changes, plus broader insights on epilepsy, sensory issues, dissociation, and more.✅ Topic 1 Explained: Neurofeedback often transforms autism symptoms (behavior, communication, family life)—~95% of Joy's cases see major gains, like one child whose school forgot his diagnosis.✅ Topic 2 Deep Dive: Not too young—even 5-year-olds benefit with careful protocols; early work prevents years of struggle by gently guiding brain development.✅ Topic 3 Insights: Intake via detailed interviews > rigid QEEG; adjust real-time based on behavior—avoid disrupting compensations for best results.✅ Additional Topics:

ON Point with Alex Pierson
Why are the federal managers billing taxpayers to coach how to answer questions at parliamentary committees? Tom Korski at Blacklocks reporter joins guest host Kevin Vuong on this episode.

ON Point with Alex Pierson

Play Episode Listen Later Jan 29, 2026 11:32


Learn more about your ad choices. Visit megaphone.fm/adchoices

Engadget
Tesla killing off its Model S and X cars to make robots, Mark Zuckerberg says Reality Labs will (eventually) stop losing so much money, and Patreon creators have to switch to subscription billing by November

Engadget

Play Episode Listen Later Jan 29, 2026 8:08


-Tesla will “basically stop the production” of its Model S and X electric vehicles next quarter. So says CEO Elon Musk, who made that announcement at the automaker's earnings call for the 2025 fiscal year. You can still buy the vehicles as long as there are units to be sold, and Tesla promises to support them for as long as people have them. -Mark Zuckerberg says there's an end in sight to Reality Labs' years of multibillion-dollar losses following the company's layoffs to the metaverse division earlier this year. -Patreon creators will need to make some changes soon, thanks to Apple. On Wednesday, Patreon said Apple has renewed its requirement that all Patreon creators must move to subscription billing. Learn more about your ad choices. Visit podcastchoices.com/adchoices

ASHPOfficial
Hot Topics in Pharmacy: Fast Facts for Ambulatory Care Billing: 2026 Physician Fee Schedule Update

ASHPOfficial

Play Episode Listen Later Jan 28, 2026 32:03


Billing opportunities in ambulatory care can often be complicated to navigate, and annual changes in the physician fee schedule can both add opportunities and create confusion. This podcast provides an overview of the 2026 physician fee schedule as it relates to current billing practices, potential new opportunities for pharmacy billing, and other information relevant to ambulatory practice.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Minimum Competence
Legal News for Weds 1/28 - States Move to Allow Lawsuits Against ICE Agents, Blocked Pro-Dem Voting Map in VA and $4k/hr Billing Rates at Susman Godfrey

Minimum Competence

Play Episode Listen Later Jan 28, 2026 6:03


This Day in Legal History: Monkey SelfieOn January 28, 2016, a federal judge in California dismissed a highly publicized copyright lawsuit that sought to establish whether a monkey could own intellectual property rights. The case stemmed from a 2011 incident in which a crested macaque named Naruto allegedly took a series of selfies using wildlife photographer David Slater's unattended camera in Indonesia. The resulting images, particularly a striking self-portrait of the grinning primate, went viral and sparked widespread debate over authorship and ownership. In 2015, People for the Ethical Treatment of Animals (PETA) filed a lawsuit against Slater on Naruto's behalf, asserting that the monkey was the true author and copyright holder of the images under the Copyright Act.The case presented novel legal questions about the boundaries of authorship and whether non-human animals have standing to sue in federal court. U.S. District Judge William Orrick ruled that animals do not have statutory standing under the Copyright Act, which applies only to human authors. In his opinion, Orrick emphasized that Congress had not intended to grant copyright rights to animals, and that extending such rights would require legislative action rather than judicial interpretation.The ruling did not settle the matter completely, as PETA appealed the decision. However, in 2018, PETA and Slater reached a settlement in which Slater agreed to donate a portion of any future revenue from the photos to organizations protecting macaques and their habitats. The case sparked lasting discussion about animal rights, legal personhood, and the reach of copyright law in the digital age. It also underscored how existing legal frameworks may be ill-equipped to address emerging questions posed by technology and non-human agency.Several Democratic-led U.S. states are advancing legislation to allow individuals to sue federal immigration agents in state courts for alleged civil rights violations. This movement gained momentum after two fatal ICE encounters in Minneapolis and broader concerns over enforcement tactics under President Trump's immigration policies. Illinois recently became the first state to pass such a law, but the Trump administration quickly filed a legal challenge, citing the Constitution's Supremacy Clause, which gives federal law precedence over state law. Other states, including California, New York, and Virginia, are considering similar measures.Supporters argue these laws would close an accountability gap, as federal agents—unlike state or local officials—are largely shielded from individual civil rights lawsuits. While Section 1983 of the U.S. Code allows such suits against state actors in federal court, no equivalent exists for federal officers. The Federal Tort Claims Act permits some claims against the U.S. government but not against agents personally, and it involves complex procedures. Legal experts say these state efforts could spark a major shift in the legal landscape, potentially giving courts a framework to hold federal agents accountable for constitutional violations.The Department of Homeland Security has defended ICE's actions and criticized the state proposals. Critics, including legal scholars, warn that parts of the Illinois law—such as those allowing punitive damages—may be unconstitutional. However, others maintain that the core idea of state-level accountability for federal misconduct is both lawful and necessary.US state lawmakers push to allow lawsuits against ICE agents | ReutersA Virginia judge blocked an attempt by state Democrats to advance a constitutional amendment that would have allowed them to redraw the state's congressional map in their favor. Judge Jack Hurley, Jr. ruled that the process used to introduce the amendment was procedurally invalid and came too close to the state's 2025 election. The decision halts a strategy that could have given Democrats control of up to 10 of Virginia's 11 U.S. House seats, up from the six they currently hold.Democratic leaders, including House Speaker Don Scott, have pledged to appeal the ruling. The blocked amendment was intended to be put before voters in a special election this spring, with a new electoral map released ahead of time for public consideration. With control of the narrowly divided U.S. House of Representatives at stake in the upcoming midterms, the decision is a significant setback for Democrats, who need only flip three seats to gain a majority.The dispute is part of a broader national struggle over redistricting, with both parties pursuing aggressive map-drawing strategies in various states. Last year, Donald Trump encouraged Texas Republicans to redraw maps targeting Democratic incumbents, prompting Democratic-led states like California to follow suit in kind.Judge blocks Virginia lawmakers' bid for pro-Democratic voting map | ReutersTop lawyers at U.S. litigation firm Susman Godfrey are now billing up to $4,000 per hour, setting a new high for hourly legal fees in 2026. The rate applies to prominent partners Neal Manne and Bill Carmody, whose hourly fees were already $3,000 last year. While most of their work is done on contingency or flat-fee arrangements, this hourly benchmark reflects growing price trends across elite law firms. Manne joked that their rate-setting process is as secretive as a papal conclave, and the firm has not disclosed how the figures were determined.Susman Godfrey, based in Houston, is known for high-end litigation on both the plaintiff and defense side and offers above-average compensation, especially to associates. The rise in billing rates is part of a broader trend—major law firms raised their hourly rates by an average of 7% in 2025, according to a report by the Thomson Reuters Institute and Georgetown Law.Other top firms are also pushing rate ceilings. Latham & Watkins reached $3,050 per hour for some partners in federal bankruptcy filings, while leading appellate lawyer Neal Katyal billed $3,250 at Milbank. Quinn Emanuel partners were billing at $3,000 an hour last year, according to court records.As lawyer rates surge, US firm charges $4,000 an hour for top partners | Reuters This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe

Personal Injury Primer
Ep 349 A Medical Provider Billing Scam to Avoid

Personal Injury Primer

Play Episode Listen Later Jan 28, 2026 4:15


A Medical Provider Billing Scam to Avoid I’m Katelyn Holub, an attorney focusing on personal injury law in northwest Indiana. Welcome to Personal Injury Primer, where we break down the law into simple terms, provide legal tips, and discuss personal injury law topics. Today’s question is prompted by a call from a client. A physical […] The post Ep 349 A Medical Provider Billing Scam to Avoid first appeared on Personal Injury Primer.

MJ Morning Show on Q105
MJ Morning Show, Tues., 1/27/26: What Would You Do If Your Power Company Stopped Billing You?

MJ Morning Show on Q105

Play Episode Listen Later Jan 27, 2026 187:28


On today's MJ Morning Show:Frozen teacherGasparillaCan't find robber in Hawai'iMorons in the news$10K gift from GoopGuy finds beef in freezer dating back to...Which state has the most cheats/scammersIf you'd be able to live to 150, what would the quality of life be?No new coffee machineMJ says he stopped receiving bills for this...What would you do if someone kept something from you, but you figured it outYoung listener wants to meet MJFuel mix-up at a Nokomis gas stationOpen seating endsMovie recommendation"Admin night"Woman suing over spicy 'dragon balls' wants trial delayedFlorida tests candy for arsenicSomeone is looking for interesting people for a video project through RedditTaylor Swift is upset her texts were released in over Blake Lively dramaGuy flushes drugs when Hernando County deputies come to arrest him, still find them in the septic tankHillsborough County deputies save 4-year-old on side of roadWoman sentenced after interfering with flight crew What do you get for a $200K facelift?Canadian man apologizes to court for farting on Canadian mountiesApple lawsuit settlementGuy Fieri's 'new look'Plea in Chuck E. Cheese arrestSavannah Guthrie's vocal chord surgerySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Revenue Cycle Optimized
A Closer Look at Ambulatory and Acute Care Billing

Revenue Cycle Optimized

Play Episode Listen Later Jan 26, 2026 35:52


Ambulatory and acute care billing share many of the same building blocks, but the way data, workflows, and reimbursement are structured creates very different operational realities. In this episode, we explore how those differences shape not only revenue cycle strategy, but also how automation and AI should be applied effectively with these considerations across care settings.

SchoolOwnerTalk.com with Allie Alberigo and Duane Brumitt
Episode 436 | AI and Automation: What Should School Owners Actually Use?

SchoolOwnerTalk.com with Allie Alberigo and Duane Brumitt

Play Episode Listen Later Jan 22, 2026 59:56


Episode 436 | AI and Automation: What Should School Owners Actually Use? Podcast Description AI is everywhere right now—and for a lot of martial arts school owners, it's either exciting—or overwhelming. In Episode 436, Duane Brumitt and Shihan Allie Alberigo cut through the hype and get practical about what AI and automation are actually good for inside a school. They talk about why tech won't fix broken fundamentals, how to audit your numbers before you start building automations, and the real-world use cases that can save you time without turning your school into a “robot school.” Along the way, they share stories from the trenches—including Allie using AI to create a ninja “we miss you” video, using ChatGPT to rewrite a heated parent message into something kind and effective, and why too many automations can create “white noise” that makes families tune you out. Key Takeaways AI and automation are different tools. Automation is “if/then” triggers (texts, emails, reminders). AI is adaptive and conversational (helping with replies, content, and decision support). AI won't fix broken fundamentals. It can't repair a weak offer, unclear schedules, poor culture, or bad sales conversations—but it can improve speed, consistency, and follow-through. Audit before you automate. Track lead response time, booking rate, show-up rate, close rate, and first-90-day retention before you start adding more tech. Speed still wins. When possible, the best move is still personal contact fast—call or text a lead within minutes. Too many automations can backfire. If families get flooded with emails/texts, it becomes “white noise” and they opt out. Use AI to communicate with more care. Allie shares how he used ChatGPT to rewrite a message to a parent (when emotions were high) and it completely changed the outcome. Must-haves first. Automated lead follow-up, scheduling/confirmations, and no-show recovery are the highest ROI automations. Nice-to-haves next. Content help, review requests, and referral prompts can work great once your basics are clean. Don't automate the important stuff. Billing disputes, cancellations, complaints, and emotionally charged conversations need a human. Guardrails matter. Build a voice guide, set rules (tone, language, escalation), and always offer a “talk to a human” option. Action Steps for School Owners Do a quick audit this week. Lead response time (minutes, not hours) Booking rate Show-up rate Close rate First 90-day retention Fix your #1 leak before adding new tools. If your show-up rate is low, focus on confirmations and reminders. If your close rate is low, focus on sales conversations. Let the numbers tell you what to fix. Set up (or clean up) your must-have automations. Instant lead follow-up (text/email) Scheduling + confirmations No-show follow-up + reschedule prompts Audit your existing automations for “white noise.” Check if families are receiving overlapping offers or too many messages. Clean up old tags, old campaigns, and outdated promos. Use AI as your “calm-down coach” for tough messages. Before you hit send on a heated reply, paste it into ChatGPT and ask: “Rewrite this in a loving, compassionate, clear way.” Build an FAQ/onboarding library to reduce repetitive questions. Put your most common questions in one place (website/app/videos): uniforms, promotions, how early to arrive, what to expect, etc. Create a simple weekly stats habit. Start small: trials booked, trials showed, enrollments, and which program they chose. Then build from there. Set guardrails so you don't become a “robot school.” Create a voice guide (phrases you use/never use) Define when a human takes over (complaints, cancellations, billing, pricing) Always offer a human option Additional Resources Mentioned Spark Membership Software (automations, follow-up, reporting) LeadHunter Media (lead follow-up + AI texting support) Notion (used to track automations and systems) Upstream by Dan Heath (the “stop rescuing people downstream” story) Atomic Habits by James Clear Everybody Matters (mentioned as a book Duane is filtering through AI) Dan Sullivan (concept: “I always have a person between me and the technology”) If you enjoyed the episode, please subscribe, leave a review, and share it with another school owner. And remember: AI should give you more freedom—not more work.

Maintainable
Brittany Ellich: Using AI to Maintain Software, Not Rewrite It

Maintainable

Play Episode Listen Later Jan 21, 2026 60:36


Rewrites are seductive. Clean slates promise clarity, speed, and “doing it right this time.” In practice, they're often late, over budget, and quietly demoralizing.In this episode of Maintainable, Robby sits down with Brittany Ellich, a Senior Software Engineer at GitHub, to talk about a different path. One rooted in stewardship, readability, and resisting the urge to start over.Brittany's career began with a long string of rebuild projects. Over time, she noticed a pattern. The estimates were wrong. Feature development stalled. Teams burned energy reaching parity with systems they'd already had. That experience pushed her toward a strong belief: if software is in production and serving users, it's usually worth maintaining.[00:00:57] What well-maintained software actually looks likeFor Brittany, readability is the first signal. If code can't be understood, it can't be changed safely. Maintenance begins with making systems approachable for the next person.[00:01:42] Rethinking technical debtShe explains how her understanding of technical debt has evolved. Rather than a fixed category of work, it's often anything that doesn't map directly to new features. Bugs, reliability issues, and long-term risks frequently get lumped together, making prioritization harder than it needs to be.[00:05:49] Why AI changes the maintenance equationBrittany describes how coding agents have made it easier to tackle small, previously ignored maintenance tasks. Instead of waiting for debt to accumulate into massive projects, teams can chip away incrementally. (Related: GitHub Copilot and the Copilot coding agent workflow she's explored.)[00:07:16] Context from GitHub's billing systemsWorking on metered billing at GitHub means correctness and reliability matter more than flash. Billing should be boring. When it's not, customers notice quickly.[00:11:43] Navigating a multi-era codebaseGitHub's original Rails codebase is still in active use. Brittany relies heavily on Git blame and old pull requests to understand why decisions were made, treating them as a form of living documentation.[00:25:27] Treating coding agents like teammatesRather than delegating massive changes, Brittany assigns agents small, well-scoped tasks. She approaches them the same way she would a new engineer: clear instructions, limited scope, and careful review.[00:36:00] Structuring the day to avoid cognitive overloadShe breaks agent interaction into focused windows, checking in a few times a day instead of constantly monitoring progress. This keeps deep work intact while still moving maintenance forward.[00:40:24] Low-risk ways to experimentImproving test coverage and generating repository instructions are safe entry points. These changes add value without risking production behavior.[00:54:10] Navigating team resistance and ethicsBrittany acknowledges skepticism around AI and encourages teams to start with existing backlog problems rather than selling AI as a feature factory.[00:57:57] Books, habits, and staying balancedOutside of software, Brittany recommends Atomic Habits by James Clear, sharing how small routines help her stay focused.The takeaway is clear. AI doesn't replace engineering judgment. Used thoughtfully, it can support the unglamorous work that keeps software alive.Good software doesn't need a rewrite.It needs caretakers.References MentionedGitHub – Brittany's current role and the primary environment discussedGitHub Universe – Where Brittany presented her coding agent workflowAtomic Habits by James Clear – Brittany's recommended book outside of techOvercommitted - Podcast Brittany co-hostsThe Balanced Engineer Newsletter – Brittany's monthly newsletter on engineering, leadership, and balanceBrittany Ellich's website – Central hub for her writing and linksGitHub Copilot – The AI tooling discussed throughout the episodeHow the GitHub billing team uses the coding agent in GitHub Copilot to continuously burn down technical debt – GitHub blog post referencedThanks to Our Sponsor!Turn hours of debugging into just minutes! AppSignal is a performance monitoring and error-tracking tool designed for Ruby, Elixir, Python, Node.js, Javascript, and other frameworks.It offers six powerful features with one simple interface, providing developers with real-time insights into the performance and health of web applications.Keep your coding cool and error-free, one line at a time! Use the code maintainable to get a 10% discount for your first year. Check them out! Subscribe to Maintainable on:Apple PodcastsSpotifyOr search "Maintainable" wherever you stream your podcasts.Keep up to date with the Maintainable Podcast by joining the newsletter.

Nobody Told Me That! with Teresa Duncan
EP 166 The Real Reason Dental Billing Is So Frustrating

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Jan 20, 2026 48:57


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Does dental billing feel harder than it used to? You're doing the same work, but claims stall, rules change, and nothing seems consistent anymore. My friend and Dental Revenue Network member Brooke Bird joins me to break down why that's happening.   The rules keep changing, knowledge is scattered, and practice management systems haven't kept up all that well. Why does working on claims now feel like detective work? Different payer quirks and clearinghouse changes have quietly slowed cash flow. What are your options? Brooke and I consider what's really happening behind aging accounts, leased networks, and unpaid claims. Hopefully our discussion can help you firm up your systems!    As promised, grab your Insurance Compass here:  https://birdseyebilling.com/insurance-compass   Connect with Brooke Bird  Facebook: https://www.facebook.com/profile.php?id=61550209355734 IG: https://www.instagram.com/birdseyebillingdental/ LinkedIn (Brooke Bird): https://www.linkedin.com/in/brooke-bird-298ba3127/ LinkedIn (Birdseye Billing Dental): https://www.linkedin.com/company/birdseye-billing Website: https://birdseyebilling.com/ ------------- Join us for Practice Management Power Day on Sept. 25 in Denver! This event is designed for experienced managers and dentists. Visit https://practicemanagementpowerday.com to register! ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

Impact Pricing
Pricing and Billing: Where Strategy Meets Execution with Ryan Susanna

Impact Pricing

Play Episode Listen Later Jan 19, 2026 27:49


Ryan Susanna is the VP of Sales at LogiSense, where he helps telecom, IoT, and SaaS companies operationalize complex usage-based and hybrid pricing models. With more than two decades in monetization, automation, and billing infrastructure, Ryan didn't come up through pricing theory—he came up through execution. His work sits at the intersection of pricing ideas and the systems required to make those ideas real at scale. In this episode, Ryan breaks down why billing platforms quietly shape—and sometimes constrain—pricing innovation, what usage-based pricing actually looks like in practice, why many AI pricing models default to credits, and the single pricing habit he believes every company must adopt: testing pricing ideas in isolation before scaling them across the business.   Why You Have to Check Out This Episode: Understand why pricing innovation fails after approval—and how billing and monetization systems quietly block execution. Learn which modern pricing models die first in rigid systems (usage-based, high-watermark, hybrid, credits). Discover how to test pricing ideas safely without risking your entire go-to-market motion.   "Find an isolated way to test your pricing hypothesis before you boil the ocean for your entire motion."  — Ryan Susanna   Topics Covered: 02:00 – From Physics to Monetization (By Accident). How Ryan's background in physics, computer science, and sales led him into billing systems—and why monetization sits closer to pricing than most teams admit. 04:00 – "Why Should Pricing Care About Billing?" Mark challenges the assumption that billing is just collecting money. Ryan explains how billing systems determine which pricing models are even possible. 07:00 – High-Watermark Pricing Explained. Charging based on peak concurrent usage—not total usage—and why this better reflects customer value in many SaaS and telco models. 08:30 – Earned Discounts and Hybrid Usage Models. How companies combine multiple usage metrics to guide behavior while protecting margins. 14:00 – Meter Everything (Even If You Don't Charge for It). Ryan explains why future pricing decisions depend on historical usage data you may not even know you need yet. 19:00 – Credits vs. Value-Based Pricing. Mark reframes credits as a payment mechanism—not a pricing model—and explains why value correlation matters. 23:00 – The Pricing Test Most Companies Skip. Why executives roll out pricing changes globally—and how isolated testing could prevent costly mistakes. 25:00 – Final Advice for Pricing Leaders. Ryan's core message: pricing strategy without monetization readiness is just theory.   Key Takeaways: "You could dream up any pricing scenario if you want, but if you can't operationalize it at scale, you are setting yourself up for failure." – Ryan Susanna "Billing systems quietly decide which pricing models you're allowed to use." – Ryan Susanna "If you pick a model and you have the same model forever, then it will not appear hard for you—because it's what you've always done. What's hard is change." – Ryan Susanna   People / Resources Mentioned: LogiSense – Monetization and billing platform enabling complex usage-based pricing OpenAI – Referenced in the context of AI credit-based pricing models Databricks – Example of proprietary credit-based pricing (DBUs) Slack – Example of active-user pricing metrics   Connect with Ryan Susanna: Email: rsusanna@logisense.com LinkedIn: https://www.linkedin.com/in/ryansusanna/   Connect with Mark Stiving: LinkedIn: https://www.linkedin.com/in/stiving Email: mark@impactpricing.com  

The Dental Billing Podcast
How Smart Dental Billing Boosts EBITDA And Practice Health

The Dental Billing Podcast

Play Episode Listen Later Jan 19, 2026 17:45 Transcription Available


Got questions? Send Ericka a Text!Profit doesn't come from working harder or cramming more patients into the schedule. Real profit comes from running your billing department like a business within a business—and using it to lift EBITDA, create predictable cash flow, and make smarter decisions across the practice.We walk through a clear definition of EBITDA and why serious owners, lenders, and buyers use it to judge operational health. Then we connect the dots between daily billing work and big-picture results: coding accuracy as revenue capture, denial management as a cost-to-collect reducer, and AR velocity as the engine of cash strength. You'll hear why sloppy billing erodes margins from both sides—less revenue in, higher expenses out—and how a systems-first approach flips that script with cleaner claims, faster payments, and fewer reworks.From there, we get tactical. We outline the metrics that matter—first-pass claim rate, average days in AR, denial rate by payer, write-off trends, appeal success—and how to use them to forecast collections, control overhead, and plan staffing without panic. We dig into the definition of an unreasonable denial and share a practical escalation and appeal playbook that speeds recovery while protecting productivity. Finally, we make the case for a living billing manual: documented workflows for claim submission, clearinghouse and payer receipt verification, EFT reconciliation, and standardized follow-up so the whole team moves in sync.If you're ready to replace checklists with outcomes and turn billing into a true profit engine, this conversation lays out the path. Subscribe, share with a fellow office leader, and leave a quick review to help more practices build healthy, sustainable profitability. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ 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.com Email Jen: jen@dentalbillingdoneright.com Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: ed@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Group Practice Tech
Episode 602: Insurance, Documentation, and Audits - With Dr. Maelisa McCaffrey

Group Practice Tech

Play Episode Listen Later Jan 16, 2026 43:08


Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we chat with Dr. Maelisa McCaffrey of QA Prep about how the landscape of insurance and documentation has shifted over the last decade.  We discuss: Risk adjustment audits and how they impact providers Billing codes and audit red flags AI documentation and how insurance companies are using AI Considerations when using AI for documentation Pressuring professional associations to advocate for clinicians and clients Our upcoming CE event on January 30th with Maelisa on how auditors think and why Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. PCT Resources: PCT CE course: Dealing with Insurance: How Auditors Think and Why a 3 CE credit hour training (including 1 legal-ethical CE hour) taught by Dr. Maelisa McCaffrey (QA Prep). This updated-and-expanded 2026 session demystifies medical necessity, clarifies what auditors and payers are actually looking for (and why), and helps clinicians document with more confidence and less stress. Expect real examples, sample notes reviewed together, and practical tools you can use immediately—covering informed consent language for clients using insurance, treatment planning that supports insurance requirements without sacrificing clinical judgment, and self-auditing techniques to spot red flags before anyone else does. Includes handouts/resources such as diagnosis justification statements, common treatment goals, progress statement formulas and examples, sample progress notes, and a client file review tool. Live webinar presentation on January 30th, 2026 Registration for live training includes ownership of the on-demand self-study CE course produced from recording of live presentation — so you can get all the content *and* the CE, whether or not you can join live. Special Documentation, Insurance, and AI focused Office Hours and Group Practice Office Hours session with Dr. McCaffrey In February, Dr. Maelisa McCaffrey will be hosting a Documentation-Focused Office Hours + Group Practice Office Hours session exclusively for PCT's Practice Care Premium subscribers. This live (and recorded) Q&A is your opportunity to bring *your*  real-world questions about progress notes, documentation challenges, and insurance audits directly to one of the field's leading documentation experts. Submit your questions in advance through your dashboard and get practical, case-specific guidance in a supportive, clinician-centered space. Take a look at all the courses in our Dr. Maelisa McCaffrey, PsyD collection: Client-Centered Documentation: How To Write Ethical, Effective, And Efficient Progress Notes Foundations Of Documentation: Intake, Diagnosis, And Treatment Plans Modern Progress Notes: Considerations For Teletherapy, Insurance Audits, And Artificial Intelligence (AI) Rethinking Notes: Strategies For Making Documentation Simple And Meaningful   Group Practice Care Premium weekly (live & recorded) direct support & consultation service, Group Practice Office Hours — including monthly session with therapist attorney Eric Ström, JD PhD LMHC + assignable staff HIPAA Security Awareness: Bring Your Own Device training + access to Device Security Center with step-by-step device-specific tutorials & registration forms for securing and documenting all personally owned & practice-provided devices (for *all* team members at no per-person cost) + assignable staff HIPAA Security Awareness: Remote Workspaces training for all team members + access to Remote Workspace Center with step-by-step tutorials & registration forms for securing and documenting Remote Workspaces (for *all* team members at no per-person cost) + more HIPAA Risk Analysis & Risk Mitigation Planning service for mental health group practices — care for your practice using our supportive, shame-free risk analysis and mitigation planning service. You'll have your Risk Analysis done within 2 hours, performed by a PCT consultant, using a tool built specifically for mental health group practice, and a mitigation checklist to help you reduce your risks.

The Beacon Way
Transforming Patient Experiences into Advocacy

The Beacon Way

Play Episode Listen Later Jan 15, 2026 19:11


In this episode of the Beacon Way Podcast, Adrienne Wilkerson discusses the critical role of internal marketing in healthcare, emphasizing how great patient experiences can lead to referrals and advocacy. She explores strategies for transforming patients into advocates, the importance of gathering feedback, and building trust within the community. The conversation also highlights the need for consistency in patient experiences and branding across multiple locations, ultimately encouraging healthcare providers to prioritize internal marketing to foster lasting relationships with patients. Takeaways Internal marketing is crucial for patient experiences. Great patient experiences lead to referrals and advocacy. Marketing should continue even after patients become clients. The patient experience is vital for building a strong reputation. Asking for feedback should be done thoughtfully and respectfully. Trust is essential in mental health and behavioral health. Consistency in patient experience is key to advocacy. Billing experiences can significantly impact patient satisfaction. Cohesive branding helps in building community trust. Internal marketing fosters relationships and encourages patient advocacy. 

Stuff You Missed in History Class
Unearthed Year-end 2025, Part 2

Stuff You Missed in History Class

Play Episode Listen Later Jan 14, 2026 40:41 Transcription Available


Discussion of things literally or figuratively unearthed in the last quarter of 2025 continues. It begins with potpourri then covers tools, Neanderthals, edibles and potables, art, shipwrecks, medical finds, and repatriations. Research: Abdallah, Hanna. “Famous Easter Island statues were created without centralized management.” PLOS. Via EurekAlert. 11/26/2025. https://www.eurekalert.org/news-releases/1106805 Abdallah, Hannah. “Early humans butchered elephants using small tools and made big tools from their bones.” PLOS. Via EurekAlert. 10/8/2025. https://www.eurekalert.org/news-releases/1100481 Abdallah, Hannah. “Researchers uncover clues to mysterious origin of famous Hjortspring boat.” EurekAlert. 10/12/2025. https://www.eurekalert.org/news-releases/1108323 Archaeology Magazine. “Medieval Hoard of Silver and Pearls Discovered in Sweden.” https://archaeology.org/news/2025/10/14/medieval-hoard-of-silver-and-pearls-discovered-in-sweden/ Archaeology Magazine. “Possible Trepanation Tool Unearthed in Poland.” 11/13/2025. https://archaeology.org/news/2025/11/13/possible-trepanation-tool-unearthed-in-poland/ Arkeologerna. “Rare 5,000-year-old dog burial unearthed in Sweden.” 12/15/2025. https://news.cision.com/se/arkeologerna/r/rare-5-000-year-old-dog-burial-unearthed-in-sweden,c4282014 Arnold, Paul. “Ancient ochre crayons from Crimea reveal Neanderthals engaged in symbolic behaviors.” Phys.org. 10/30/2025. https://phys.org/news/2025-10-ancient-ochre-crayons-crimea-reveal.html Arnold, Paul. “Dating a North American rock art tradition that lasted 175 generations.” Phys.org. 11/28/2025. https://phys.org/news/2025-11-dating-north-american-art-tradition.html Bassi, Margherita. “A Single Gene Could Have Contributed to Neanderthals’ Extinction, Study Suggests.” Smithsonian. 10/30/2025. https://www.smithsonianmag.com/smart-news/a-neanderthal-gene-variant-related-to-red-blood-cells-may-have-contributed-to-their-extinction-180987586/ Benjamin Pohl, Chewing over the Norman Conquest: the Bayeux Tapestry as monastic mealtime reading, Historical Research, 2025;, htaf029, https://doi.org/10.1093/hisres/htaf029 Benzine, Vittoria. “Decoded Hieroglyphics Reveal Female Ruler of Ancient Maya City.” ArtNet. 10/27/2025. https://news.artnet.com/art-world/foundation-stone-maya-coba-woman-ruler-2704521 Berdugo, Sophie. “Easter Island statues may have 'walked' thanks to 'pendulum dynamics' and with as few as 15 people, study finds.” LiveScience. 10/19/2025. https://www.livescience.com/archaeology/easter-island-statues-may-have-walked-thanks-to-pendulum-dynamics-and-with-as-few-as-15-people-study-finds Billing, Lotte. “Fingerprint of ancient seafarer found on Scandinavia’s oldest plank boat.” EurekAlert. 10/12/2025. https://www.eurekalert.org/news-releases/1109361 Brhel, John. “Rats played major role in Easter Island’s deforestation, study reveals.” EurekAlert. 11/17/2025. https://www.eurekalert.org/news-releases/1106361 Caldwell, Elizabeth. “9 more individuals unearthed at Oaklawn could be 1921 Tulsa Race Massacre victims.” Tulsa Public Radio. 11/6/2025. https://www.publicradiotulsa.org/local-regional/2025-11-06/9-more-individuals-unearthed-at-oaklawn-could-be-1921-tulsa-race-massacre-victims Clark, Gaby. “Bayeux Tapestry could have been originally designed as mealtime reading for medieval monks.” Phys.org. 12/15/2025. https://phys.org/news/2025-12-bayeux-tapestry-mealtime-medieval-monks.html#google_vignette Cohen, Alina. “Ancient Olive Oil Processing Complex Unearthed in Tunisia.” Artnet. 11/21/2025. https://news.artnet.com/art-world/ancient-olive-oil-complex-tunisia-2717795 Cohen, Alina. “MFA Boston Restores Ownership of Historic Works by Enslaved Artist.” ArtNet. 10/30/2025. https://news.artnet.com/art-world/mfa-boston-david-drake-jars-restitution-2706594 Fergusson, Rachel. “First DNA evidence of Black Death in Edinburgh discovered on teeth of excavated teenage skeleton.” The Scotsman. 11/5/2025. https://www.scotsman.com/news/first-dna-evidence-black-death-edinburgh-discovered-teeth-excavated-teenage-skeleton-5387741 Folorunso, Caleb et al. “MOWAA Archaeology Project: Enhancing Understanding of Benin City’s Historic Urban Development and Heritage through Pre-Construction Archaeology.” Antiquity (2025): 1–10. Web. Griffith University. “Rare stone tool cache tells story of trade and ingenuity.” 12/2/2025. https://news.griffith.edu.au/2025/12/02/rare-stone-tool-cache-tells-story-of-trade-and-ingenuity/ Han, Yu et al. “The late arrival of domestic cats in China via the Silk Road after 3,500 years of human-leopard cat commensalism.” Cell Genomics, Volume 0, Issue 0, 101099. https://www.cell.com/cell-genomics/fulltext/S2666-979X(25)00355-6 Hashemi, Sara. “A Volcanic Eruption in 1345 May Have Triggered a Chain of Events That Brought the Black Death to Europe.” Smithsonian. 12/8/2025. https://www.smithsonianmag.com/smart-news/a-volcanic-eruption-in-1345-may-have-triggered-a-chain-of-events-taht-brought-the-black-death-to-europe-180987803/ Hjortkjær, Simon Thinggaard. “Mysterious signs on Teotihuacan murals may reveal an early form of Uto-Aztecan language.” PhysOrg. 10/6/2025. https://phys.org/news/2025-10-mysterious-teotihuacan-murals-reveal-early.html Institut Pasteur. “Study suggests two unsuspected pathogens struck Napoleon's army during the retreat from Russia in 1812.” Via EurekAlert. 10/24/2025. https://www.eurekalert.org/news-releases/1102613 Jones, Sam. “Shells found in Spain could be among oldest known musical instruments.” The Guardian. 12/2/2025. https://www.theguardian.com/science/2025/dec/02/neolithic-conch-like-shell-spain-catalonia-discovery-musical-instruments Kasal, Krystal. “Pahon Cave provides a look into 5,000 years of surprisingly stable Stone Age tool use.” Phys.org. 12/16/2025. https://phys.org/news/2025-12-pahon-cave-years-stable-stone.html Kristiansen, Nina. “Eight pages bound in furry seal skin may be Norway's oldest book.” Science Norway. 11/3/2025. https://www.sciencenorway.no/cultural-history-culture-history/eight-pages-bound-in-furry-seal-skin-may-be-norways-oldest-book/2571496 Kuta, Sarah. “109-Year-Old Messages in a Bottle Written by Soldiers Heading to Fight in World War I Discovered on Australian Beach.” Smithsonian. 11/6/2025. https://www.smithsonianmag.com/smart-news/109-year-old-messages-in-a-bottle-written-by-soldiers-heading-to-fight-in-world-war-i-discovered-on-australian-beach-180987649/ Kuta, Sarah. “A Storm Battered Western Alaska, Scattering Thousands of Indigenous Artifacts Across the Sand.” Smithsonian. 10/31/2025. https://www.smithsonianmag.com/smart-news/a-storm-battered-western-alaska-scattering-thousands-of-indigenous-artifacts-across-the-sand-180987606/ Kuta, Sarah. “Archaeologists Unearth More Than 100 Projectiles From an Iconic Battlefield in Scotland.” Smithsonian. 11/5/2025. https://www.smithsonianmag.com/smart-news/archaeologists-unearth-more-than-100-projectiles-from-an-iconic-battlefield-in-scotland-180987641/ Kuta, Sarah. “Hundreds of Mysterious Victorian-Era Shoes Are Washing Up on a Beach in Wales. Nobody Knows Where They Came From.” Smithsonian. 1/5/2026. https://www.smithsonianmag.com/smart-news/hundreds-of-mysterious-victorian-era-shoes-are-washing-up-on-a-beach-in-wales-nobody-knows-where-they-came-from-180987943/ Lawson-Tancred, Jo. “Golden ‘Tudor Heart’ Necklace Sheds New Light on Henry VIII’s First Marriage.” Artnet. 10/14/2025. https://news.artnet.com/art-world/tudor-heart-pendant-british-museum-fundraiser-2699544 Lawson-Tancred, Jo. “Long-Overlooked Black Veteran Identified in Rare 19th-Century Portrait.” ArtNet. 10/27/2025. https://news.artnet.com/art-world/black-veteran-thomas-phillips-portrait-identified-2704721 Lipo CP, Hunt TL, Pakarati G, Pingel T, Simmons N, Heard K, et al. (2025) Megalithic statue (moai) production on Rapa Nui (Easter Island, Chile). PLoS One 20(11): e0336251. https://doi.org/10.1371/journal.pone.0336251 Lipo, Carl P. and Terry L. Hunt. “The walking moai hypothesis: Archaeological evidence, experimental validation, and response to critics.” Journal of Archaeological Science. Volume 183, November 2025, 106383. https://www.sciencedirect.com/science/article/abs/pii/S0305440325002328 Lock, Lisa. “Pre-construction archaeology reveals Benin City's historic urban development and heritage.” 10/29/2025. https://phys.org/news/2025-10-pre-archaeology-reveals-benin-city.html#google_vignette Lock, Lisa. “Pre-construction archaeology reveals Benin City's historic urban development and heritage.” Antiquity. Via PhysOrg. 10/29/2025. https://phys.org/news/2025-10-pre-archaeology-reveals-benin-city.html#google_vignette Lynley A. Wallis et al, An exceptional assemblage of archaeological plant fibres from Windmill Way, southeast Cape York Peninsula, Australian Archaeology (2025). DOI: 10.1080/03122417.2025.2574127 Lyon, Devyn. “Oaklawn Cemetery excavation brings investigators closer to identifying Tulsa Race Massacre victims.” Fox 23. 11/6/2025. https://www.fox23.com/news/oaklawn-cemetery-excavation-brings-investigators-closer-to-identifying-tulsa-race-massacre-victims/article_67c3a6b7-2acc-44cb-93ce-3d3d0c288eca.html Marquard, Bryan. “Bob Shumway, last known survivor of the deadly Cocoanut Grove nightclub fire, dies at 101.” 11/12/2025. https://www.bostonglobe.com/2025/11/12/metro/bob-shumway-101-dies-was-last-known-cocoanut-grove-fire-survivor/?event=event12 Marta Osypińska et al, A centurion's monkey? Companion animals for the social elite in an Egyptian port on the fringes of the Roman Empire in the 1st and 2nd c. CE, Journal of Roman Archaeology (2025). DOI: 10.1017/s1047759425100445 Merrington, Andrew. “Extensive dog diversity millennia before modern breeding practices.” University of Exeter. 11/13/2025. https://news.exeter.ac.uk/faculty-of-humanities-arts-and-social-sciences/archaeology-and-history/extensive-dog-diversity-millennia-before-modern-breeding-practices/ Morris, Steven. “Linguists start compiling first ever complete dictionary of ancient Celtic.” The Guardian. 12/8/2025. https://www.theguardian.com/science/2025/dec/08/linguists-start-compiling-first-ever-complete-dictionary-of-ancient-celtic Museum of Fine Arts, Boston. “Museum of Fine Arts, Boston, Resolves Ownership of Works by Enslaved Artist David Drake.” 10/29/2025. https://www.mfa.org/press-release/david-drake-ownership-resolution Narcity. “Niagara has a 107-year-old shipwreck lodged above the Falls and it just moved.” https://www.narcity.com/niagara-falls-shipwreck-iron-scow-moved-closer-to-the-falls Newcomb, Tim. “A 76-Year-Old Man Went On a Hike—and Stumbled Upon a 1,500-Year Old Trap.” Popular Mechanics. 11/21/2025. https://www.popularmechanics.com/science/archaeology/a69441460/reindeer-trap/ Nordin, Gunilla. “Ancient wolves on remote Baltic Sea island reveal link to prehistoric humans.” Stockholm University. Via EurekAlert. 11/24/2025. https://www.eurekalert.org/news-releases/1106807 Oster, Sandee. “DNA confirms modern Bo people are descendants of ancient Hanging Coffin culture.” Phys.org. 12/6/2025. https://phys.org/news/2025-12-dna-modern-bo-people-descendants.html Oster, Sandee. “Rare disease possibly identified in 12th century child's skeletal remains.” PhysOrg. 10/10/2025. https://phys.org/news/2025-10-rare-disease-possibly-12th-century.html Osuh, Chris and Geneva Abdul. “Lost grave of daughter of Black abolitionist Olaudah Equiano found by A-level student.” The Guardian. 11/1/2025. https://www.theguardian.com/uk-news/2025/nov/01/lost-grave-daughter-black-abolitionist-olaudah-equiano-found-by-a-level-student Silvia Albizuri et al, The oldest mule in the western Mediterranean. The case of the Early Iron Age in Hort d'en Grimau (Penedès, Barcelona, Spain), Journal of Archaeological Science: Reports (2026). DOI: 10.1016/j.jasrep.2025.105506 Skok, Phoebe. “Ancient shipwrecks rewrite the story of Iron Age trade.” PhysOrg. 10/14/2025. https://phys.org/news/2025-10-ancient-shipwrecks-rewrite-story-iron.html The History Blog. “600-year-old Joseon ship recovered from seabed.” 11/15/2025. https://www.thehistoryblog.com/archives/74652 The History Blog. “Ancient pleasure barge found off Alexandria coast.” 12/9/2025. https://www.thehistoryblog.com/archives/74860 The History Blog. “Charred Byzantine bread loves stamped with Christian imagery found in Turkey.” 10/13/2025. https://www.thehistoryblog.com/archives/74352 The History Blog. “Early medieval silver treasure found in Stockholm.” 10/12/2025. https://www.thehistoryblog.com/archives/74343 The History Blog. “Roman amphora with sardines found in Switzerland.” 12/15/2025. https://www.thehistoryblog.com/archives/74904 The Straits Times. “Wreck of ancient Malay vessel discovered on Pulau Melaka.” 10/31/2025. https://www.straitstimes.com/asia/se-asia/wreck-of-ancient-malay-vessel-discovered-on-pulau-melaka Thompson, Sarah. “The forgotten daughter: Eliza Monroe Hay’s story revealed in her last letters.” W&M News. 9/30/2025. https://news.wm.edu/2025/09/30/the-forgotten-daughter-eliza-monroes-story-revealed-in-her-last-letters/ Tuhkuri, Jukka. “Why Did Endurance Sink?” Polar Record 61 (2025): e23. Web. https://www.cambridge.org/core/journals/polar-record/article/why-did-endurance-sink/6CC2C2D56087035A94DEB50930B81980 Universitat de Valencia. “The victims of the Pompeii eruption wore heavy wool cloaks and tunics, suggesting different environmental conditions in summer.” 12/3/2025. https://www.uv.es/uvweb/uv-news/en/news/victims-pompeii-eruption-wore-heavy-wool-cloaks-tunics-suggesting-different-environmental-conditions-summer-1285973304159/Novetat.html?id=1286464337848&plantilla=UV_Noticies/Page/TPGDetaillNews University of Glasgow. “Archaeologists recover hundreds of Jacobite projectiles in unexplored area of Culloden.” 10/30/2025. https://www.gla.ac.uk/news/headline_1222736_en.html University of Vienna. “Neanderthal DNA reveals ancient long-distance migrations.” 10/29/2025. https://www.univie.ac.at/en/news/detail/neanderthal-dna-reveals-ancient-long-distance-migrations Zhou, H., Tao, L., Zhao, Y. et al. Exploration of hanging coffin customs and the bo people in China through comparative genomics. Nat Commun 16, 10230 (2025). https://doi.org/10.1038/s41467-025-65264-3 Zinin, Andrew. “Ancient humans mastered fire-making 400,000 years ago, study shows.” Phys.org. 10/10/2025. https://phys.org/news/2025-12-ancient-humans-mastered-years.html See omnystudio.com/listener for privacy information.

HVAC Know It All Podcast
What HVAC Technicians Must Know about Money before Starting a Business with Greg Crumpton Part 1

HVAC Know It All Podcast

Play Episode Listen Later Jan 14, 2026 26:01


In this episode of the HVAC Know It All Business Edition Podcast, co-hosts Gary McCreadie and Furman Haynes discuss the business side of HVAC with veteran technician and entrepreneur Greg Crumpton, the Vice President of Service Logic. Having built and sold his own HVAC business, Greg shares invaluable advice for technicians considering the leap into business ownership. Starting as a technician, he rose through the ranks to service manager, general manager, and eventually founded and sold his own HVAC company. This episode focuses on financial literacy, cash flow management, invoicing, and the crucial mindset shifts needed for success as a contractor-turned-owner.    Expect to Learn:  - Why understanding finances is the cornerstone of starting an HVAC business.  - How to price your services correctly and avoid undercharging.  - The importance of cash flow, invoicing terms, and collection strategies.  - Common mistakes new business owners make — and how to avoid them.  - How automation and process improvements can streamline billing and improve profitability. Episode Breakdown with Timestamps: [00:00:00] – Introduction to the Episode [00:00:59] – Greg's Background and the Technician-to-Owner Journey [00:05:09] – Learning the Financial Side of Business [00:09:42] – Pricing, Margins, and Knowing Your Costs [00:13:03] – Invoicing Strategy and Payment Terms [00:17:18] – Automation and Delegation in Billing [00:19:02] – Setting a Competitive Hourly Rate [00:21:52] – Gross Margin vs. Net Profit (EBITDA)   Follow Greg Crumpton on:  LinkedIn: https://www.linkedin.com/in/crumptonskilledtrades/ Instagram: https://www.instagram.com/gregcrumpton/?hl=en Facebook: https://www.facebook.com/gregcrumpton.airtight/ Company's Website: https://www.servicelogic.com/ Company's LinkedIn: https://www.linkedin.com/company/service-logic   Follow Furman Haynes on:  LinkedIn: https://www.linkedin.com/in/furmanhaynes/  WorkHero: https://www.linkedin.com/company/workherohvac/    Follow Gary McCreadie: LinkedIn: https://www.linkedin.com/in/gary-mccreadie-38217a77/  Website: https://www.hvacknowitall.com  Facebook: https://www.facebook.com/people/HVAC-Know-It-All-2/61569643061429/   Instagram: https://www.instagram.com/hvacknowitall1/   

Neurocritical Care Society Podcast
CURRENTS: Understanding Billing Models in Neurocritical Care

Neurocritical Care Society Podcast

Play Episode Listen Later Jan 14, 2026 32:52


In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Ryan Hakimi, DO, MS, NVS, RPNI, CPB, FNCS, FCCM, FAAN, a neurointensivist at Prisma Health, about his Currents article on billing in neurocritical care. Their conversation explores why billing and documentation education is often absent from medical training, how staffing models and split/shared billing affect physician productivity and key considerations when working with advanced practice providers. Dr. Hakimi also shares practical insights on aligning documentation and billing practices with institutional metrics to support sustainable neurocritical care programs. To read the full article, visit Business of Neurocritical Care: Billing Under the Attending Physician or APP—Which One is Right For You? The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

Walk-Ins Welcome
Ep. 214: Get Paid Faster: Solving the Patient Billing Problem in Urgent Care - Interview with Guy Bergman & Ed Sherlock from Inbox Health

Walk-Ins Welcome

Play Episode Listen Later Jan 14, 2026 31:35


When it comes to urgent care profitability, getting patients in the door is only half the battle. Getting paid is the part no one likes to talk about, but it is where many clinics quietly bleed revenue.In this episode of Walk-Ins, Nick and Michael sit down with Guy Bergman and Ed Sherlock from Inbox Health, a platform built to modernize patient billing and remove friction from one of urgent care's biggest pain points. With decades of combined experience across urgent care, health IT, and revenue cycle management, Guy and Ed break down why patient payments now account for as much as 20 to 30 percent of urgent care revenue and why most clinics are leaving a large chunk of that money on the table.The conversation dives into what really causes billing breakdowns, how front desk pressure and poor communication fuel one-star reviews, and why relying solely on an EMR to collect patient balances is no longer enough. From digital-first billing and self-service payment plans to AI-powered billing support and real-time analytics, this episode is a masterclass on how urgent cares can shorten collection timelines, cut call volume, and improve patient satisfaction without adding more stress to already overworked teams.

VerifiedRx
2026 OPPS Final Rule: What Hospitals Need to Know

VerifiedRx

Play Episode Listen Later Jan 13, 2026 19:44


The Centers for Medicare and Medicaid Services has finalized the 2026 Outpatient Perspective Payment System (OPPS) rule, with most policies taking effect on January 1, 2026. Jenna Stern, Vice President of Regulatory Affairs and Public Policy at Vizient, joins host Carolyn Liptak, Pharmacy Executive Director in Vizient's Center for Pharmacy Practice Excellence, to discuss key updates to payment policies, payment rates, and quality provisions affecting Medicare beneficiaries receiving care in hospital outpatient departments and ambulatory surgical centers.   Guest speaker:    Jenna Stern Vice President of Regulatory Affairs and Public Policy Vizient Host:   Carolyn Liptak, MBA, RPh  Pharmacy Executive Director Vizient  Verified Rx Host   Show Notes: 00:05 — Introduction Announcer welcomes listeners to VerifiedRx. Host Carolyn Liptak, Pharmacy Executive Director at Vizient, introduces the episode focus: the 2026 CMS Outpatient Prospective Payment System (OPPS) Final Rule. Guest: Jenna Stern, VP of Regulatory Affairs and Public Policy at Vizient.   01:12 — Overview of the OPPS Final Rule OPPS sets Medicare payment for most hospital outpatient services. Published annually (typically November), effective January 1. Covers payment rates, policies, quality programs, and compliance requirements. Note: CMS delayed enforcement of hospital price transparency requirements until April 1, 2026.   01:34 — Key Takeaways From the 2026 Final Rule Jenna's high-level insights: Hospitals will continue facing financial pressure in 2026. Modest payment rate increase combined with reimbursement-reducing policies. Expansion of site-neutral payment policies will be particularly impactful. Rule reflects emerging administration priorities shaping future policy.   02:21 — OPPS Payment Rate Update for 2026 CMS finalized a 2.6% OPPS schedule increase factor for hospitals meeting quality reporting requirements.   02:40 — What the 2.6% Increase means Based on: 3% market basket update –0.7% productivity adjustment Results in a modest net increase. Slightly better than the proposed 2.4% increase, though still viewed as inadequate. CMS estimates $8 billion increase in total OPPS payments compared to 2025.   03:37 — 340B Remedy Offset: Background From 2018–2022, CMS paid for 340B drugs at ASP –22.5%. Prior Supreme Court decision from 2022 found that CMS lacked authority to vary rates as finalized in prior rulemaking (e.g., without using drug acquisition cost surveys to inform policy).   04:13 — 340B Remedy Offset in the 2026 Final Rule CMS considered increasing the remedy offset from 0.5% to 2%. Stakeholders strongly opposed the increase due to hospital financial strain.   05:10 — Final Outcome CMS retained the 0.5% offset for 2026. CMS signaled that larger offsets may be proposed for 2027. This marks the first year the remedy offset takes effect,   06:00 — Site-Neutral Payment Policy: What It Is Concept: same service = same payment, regardless of site of care. Hospital concern: policy reduces hospital reimbursement without accounting for site of care differences, patient acuity, overhead, or service complexity.   06:15 — Site-Neutral Expansion in the 2026 Rule CMS expanded site-neutral payment to include drug administration services at excepted off-campus provider-based departments.   07:08 — Financial Impact Reimbursement aligns with Physician Fee Schedule rates. CMS estimates $290 million reduction in outpatient spending for 2026. $220 million of savings accrue directly to Medicare. Not implemented in a budget-neutral manner.   08:14 — Non-Opioid Pain Management Payments Temporary additional payments began January 1, 2025. Authorized under the NO PAIN Act (Consolidated Appropriations Act of 2023).   08:28 — What's New for 2026 CMS finalized the renewal of: 5 drugs 13 medical devices eligible for separate payment in HOPD and ASC settings. Per statue, payments available through December 31, 2027.   09:32 — Process Improvements CMS will allow more frequent consideration of new qualifying products (not limited to annual updates). Quality criteria unchanged; timing flexibility added. CMS released guidance on how stakeholders can engage for inclusion.   10:58 — OPPS Drug Acquisition Cost Survey CMS finalized plans to survey hospitals on acquisition costs for separately payable OPPS drugs.   11:21 — Why CMS Is Advancing the Survey Addresses Supreme Court requirements from prior 340B litigation. Aligns with White House Executive Order on lowering drug prices. Positions CMS to use survey data for 2027 rulemaking.   12:47 — OPPS Packaging Thresholds for 2026 Drugs and biologics: Threshold remains at $140. Diagnostic radiopharmaceuticals: Increased to $655 (from $630). Products below thresholds retain Status Indicator “N” (packaged payment).   13:26 — Why Billing Packaged Drugs Still Matters Even though not separately payable, hospitals must bill for packaged drugs. Billing data feeds cost reports used to calculate future bundled payments. Failure to bill can result in inaccurately low reimbursement.   14:14 — Elimination of the Inpatient-Only (IPO) List CMS finalized a three-year transition to eliminate the IPO list by January 1, 2029.   14:32 — Why This Change Is Significant IPO list historically ensured certain services were provided inpatient only. CMS emphasizes provider judgment in determining site of care. Raises concerns about: Patient safety Payer coverage changes Pressure to move services outpatient   16:28 — ASC Covered Procedure List Expansion CMS expanded the ASC Covered Procedure List. Enables more Medicare covered services to be performed in the ASC settings.   16:48 — Price Transparency: Still a Priority No major overhaul, but continued refinement. CMS exploring new uses of price transparency data beyond patient comparison.   17:46 — Most Critical Policies to Watch Jenna highlights: Modest OPPS payment increase Site-neutral payment expansion 340B remedy offset Drug acquisition cost survey Broader regulatory activity beyond OPPS   18:43 — Available Vizient Resources OPPS Final Rule Summary Government Relations & Public Policy Summaries  Advocacy   19:20 — Closing Carolyn thanks Jenna for her insights. Reminder to subscribe, like, and share feedback. VerifiedRx is produced by the Vizient Center for Pharmacy Practice Excellence.   Links | Resources:  Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots: Click Here CMS fact sheet on the Final Rule: Click Here Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey: Click Here Vizient Office of Public Policy and Government Relations final rule summary:  Click Here Final List of Qualifying Products for Separate Payment for non-opioid pain medications: (Table 136, pgs. 1138-1140)   VerifiedRx Listener Feedback Survey: We would love to hear from you - Please click here   Subscribe Today! Apple Podcasts Spotify YouTube RSS Feed    

Stuff You Missed in History Class
Unearthed Year-end 2025, Part 1

Stuff You Missed in History Class

Play Episode Listen Later Jan 12, 2026 43:00 Transcription Available


The show's coverage of things literally or figuratively unearthed in the last quarter of 2025 begins with updates, books and letters, animals, and just one exhumation. Research: Abdallah, Hanna. “Famous Easter Island statues were created without centralized management.” PLOS. Via EurekAlert. 11/26/2025. https://www.eurekalert.org/news-releases/1106805 Abdallah, Hannah. “Early humans butchered elephants using small tools and made big tools from their bones.” PLOS. Via EurekAlert. 10/8/2025. https://www.eurekalert.org/news-releases/1100481 Abdallah, Hannah. “Researchers uncover clues to mysterious origin of famous Hjortspring boat.” EurekAlert. 10/12/2025. https://www.eurekalert.org/news-releases/1108323 Archaeology Magazine. “Medieval Hoard of Silver and Pearls Discovered in Sweden.” https://archaeology.org/news/2025/10/14/medieval-hoard-of-silver-and-pearls-discovered-in-sweden/ Archaeology Magazine. “Possible Trepanation Tool Unearthed in Poland.” 11/13/2025. https://archaeology.org/news/2025/11/13/possible-trepanation-tool-unearthed-in-poland/ “Rare 5,000-year-old dog burial unearthed in Sweden.” 12/15/2025. https://news.cision.com/se/arkeologerna/r/rare-5-000-year-old-dog-burial-unearthed-in-sweden,c4282014 Arnold, Paul. “Ancient ochre crayons from Crimea reveal Neanderthals engaged in symbolic behaviors.” Phys.org. 10/30/2025. https://phys.org/news/2025-10-ancient-ochre-crayons-crimea-reveal.html Arnold, Paul. “Dating a North American rock art tradition that lasted 175 generations.” Phys.org. 11/28/2025. https://phys.org/news/2025-11-dating-north-american-art-tradition.html Bassi, Margherita. “A Single Gene Could Have Contributed to Neanderthals’ Extinction, Study Suggests.” Smithsonian. 10/30/2025. https://www.smithsonianmag.com/smart-news/a-neanderthal-gene-variant-related-to-red-blood-cells-may-have-contributed-to-their-extinction-180987586/ Benjamin Pohl, Chewing over the Norman Conquest: the Bayeux Tapestry as monastic mealtime reading, Historical Research, 2025;, htaf029, https://doi.org/10.1093/hisres/htaf029 Benzine, Vittoria. “Decoded Hieroglyphics Reveal Female Ruler of Ancient Maya City.” ArtNet. 10/27/2025. https://news.artnet.com/art-world/foundation-stone-maya-coba-woman-ruler-2704521 Berdugo, Sophie. “Easter Island statues may have 'walked' thanks to 'pendulum dynamics' and with as few as 15 people, study finds.” LiveScience. 10/19/2025. https://www.livescience.com/archaeology/easter-island-statues-may-have-walked-thanks-to-pendulum-dynamics-and-with-as-few-as-15-people-study-finds Billing, Lotte. “Fingerprint of ancient seafarer found on Scandinavia’s oldest plank boat.” EurekAlert. 10/12/2025. https://www.eurekalert.org/news-releases/1109361 Brhel, John. “Rats played major role in Easter Island’s deforestation, study reveals.” EurekAlert. 11/17/2025. https://www.eurekalert.org/news-releases/1106361 Caldwell, Elizabeth. “9 more individuals unearthed at Oaklawn could be 1921 Tulsa Race Massacre victims.” Tulsa Public Radio. 11/6/2025. https://www.publicradiotulsa.org/local-regional/2025-11-06/9-more-individuals-unearthed-at-oaklawn-could-be-1921-tulsa-race-massacre-victims Clark, Gaby. “Bayeux Tapestry could have been originally designed as mealtime reading for medieval monks.” Phys.org. 12/15/2025. https://phys.org/news/2025-12-bayeux-tapestry-mealtime-medieval-monks.html#google_vignette Cohen, Alina. “Ancient Olive Oil Processing Complex Unearthed in Tunisia.” Artnet. 11/21/2025. https://news.artnet.com/art-world/ancient-olive-oil-complex-tunisia-2717795 Cohen, Alina. “MFA Boston Restores Ownership of Historic Works by Enslaved Artist.” ArtNet. 10/30/2025. https://news.artnet.com/art-world/mfa-boston-david-drake-jars-restitution-2706594 Fergusson, Rachel. “First DNA evidence of Black Death in Edinburgh discovered on teeth of excavated teenage skeleton.” The Scotsman. 11/5/2025. https://www.scotsman.com/news/first-dna-evidence-black-death-edinburgh-discovered-teeth-excavated-teenage-skeleton-5387741 Folorunso, Caleb et al. “MOWAA Archaeology Project: Enhancing Understanding of Benin City’s Historic Urban Development and Heritage through Pre-Construction Archaeology.” Antiquity (2025): 1–10. Web. Griffith University. “Rare stone tool cache tells story of trade and ingenuity.” 12/2/2025. https://news.griffith.edu.au/2025/12/02/rare-stone-tool-cache-tells-story-of-trade-and-ingenuity/ Han, Yu et al. “The late arrival of domestic cats in China via the Silk Road after 3,500 years of human-leopard cat commensalism.” Cell Genomics, Volume 0, Issue 0, 101099. https://www.cell.com/cell-genomics/fulltext/S2666-979X(25)00355-6 Hashemi, Sara. “A Volcanic Eruption in 1345 May Have Triggered a Chain of Events That Brought the Black Death to Europe.” Smithsonian. 12/8/2025. https://www.smithsonianmag.com/smart-news/a-volcanic-eruption-in-1345-may-have-triggered-a-chain-of-events-taht-brought-the-black-death-to-europe-180987803/ Hjortkjær, Simon Thinggaard. “Mysterious signs on Teotihuacan murals may reveal an early form of Uto-Aztecan language.” PhysOrg. 10/6/2025. https://phys.org/news/2025-10-mysterious-teotihuacan-murals-reveal-early.html Institut Pasteur. “Study suggests two unsuspected pathogens struck Napoleon's army during the retreat from Russia in 1812.” Via EurekAlert. 10/24/2025. https://www.eurekalert.org/news-releases/1102613 Jones, Sam. “Shells found in Spain could be among oldest known musical instruments.” The Guardian. 12/2/2025. https://www.theguardian.com/science/2025/dec/02/neolithic-conch-like-shell-spain-catalonia-discovery-musical-instruments Kasal, Krystal. “Pahon Cave provides a look into 5,000 years of surprisingly stable Stone Age tool use.” Phys.org. 12/16/2025. https://phys.org/news/2025-12-pahon-cave-years-stable-stone.html Kristiansen, Nina. “Eight pages bound in furry seal skin may be Norway's oldest book.” Science Norway. 11/3/2025. https://www.sciencenorway.no/cultural-history-culture-history/eight-pages-bound-in-furry-seal-skin-may-be-norways-oldest-book/2571496 Kuta, Sarah. “109-Year-Old Messages in a Bottle Written by Soldiers Heading to Fight in World War I Discovered on Australian Beach.” Smithsonian. 11/6/2025. https://www.smithsonianmag.com/smart-news/109-year-old-messages-in-a-bottle-written-by-soldiers-heading-to-fight-in-world-war-i-discovered-on-australian-beach-180987649/ Kuta, Sarah. “A Storm Battered Western Alaska, Scattering Thousands of Indigenous Artifacts Across the Sand.” Smithsonian. 10/31/2025. https://www.smithsonianmag.com/smart-news/a-storm-battered-western-alaska-scattering-thousands-of-indigenous-artifacts-across-the-sand-180987606/ Kuta, Sarah. “Archaeologists Unearth More Than 100 Projectiles From an Iconic Battlefield in Scotland.” Smithsonian. 11/5/2025. https://www.smithsonianmag.com/smart-news/archaeologists-unearth-more-than-100-projectiles-from-an-iconic-battlefield-in-scotland-180987641/ Kuta, Sarah. “Hundreds of Mysterious Victorian-Era Shoes Are Washing Up on a Beach in Wales. Nobody Knows Where They Came From.” Smithsonian. 1/5/2026. https://www.smithsonianmag.com/smart-news/hundreds-of-mysterious-victorian-era-shoes-are-washing-up-on-a-beach-in-wales-nobody-knows-where-they-came-from-180987943/ Lawson-Tancred, Jo. “Golden ‘Tudor Heart’ Necklace Sheds New Light on Henry VIII’s First Marriage.” Artnet. 10/14/2025. https://news.artnet.com/art-world/tudor-heart-pendant-british-museum-fundraiser-2699544 Lawson-Tancred, Jo. “Long-Overlooked Black Veteran Identified in Rare 19th-Century Portrait.” ArtNet. 10/27/2025. https://news.artnet.com/art-world/black-veteran-thomas-phillips-portrait-identified-2704721 Lipo CP, Hunt TL, Pakarati G, Pingel T, Simmons N, Heard K, et al. (2025) Megalithic statue (moai) production on Rapa Nui (Easter Island, Chile). PLoS One 20(11): e0336251. https://doi.org/10.1371/journal.pone.0336251 Lipo, Carl P. and Terry L. Hunt. “The walking moai hypothesis: Archaeological evidence, experimental validation, and response to critics.” Journal of Archaeological Science. Volume 183, November 2025, 106383. https://www.sciencedirect.com/science/article/abs/pii/S0305440325002328 Lock, Lisa. “Pre-construction archaeology reveals Benin City's historic urban development and heritage.” 10/29/2025. https://phys.org/news/2025-10-pre-archaeology-reveals-benin-city.html#google_vignette Lock, Lisa. “Pre-construction archaeology reveals Benin City's historic urban development and heritage.” Antiquity. Via PhysOrg. 10/29/2025. https://phys.org/news/2025-10-pre-archaeology-reveals-benin-city.html#google_vignette Lynley A. Wallis et al, An exceptional assemblage of archaeological plant fibres from Windmill Way, southeast Cape York Peninsula, Australian Archaeology (2025). DOI: 10.1080/03122417.2025.2574127 Lyon, Devyn. “Oaklawn Cemetery excavation brings investigators closer to identifying Tulsa Race Massacre victims.” Fox 23. 11/6/2025. https://www.fox23.com/news/oaklawn-cemetery-excavation-brings-investigators-closer-to-identifying-tulsa-race-massacre-victims/article_67c3a6b7-2acc-44cb-93ce-3d3d0c288eca.html Marquard, Bryan. “Bob Shumway, last known survivor of the deadly Cocoanut Grove nightclub fire, dies at 101.” 11/12/2025. https://www.bostonglobe.com/2025/11/12/metro/bob-shumway-101-dies-was-last-known-cocoanut-grove-fire-survivor/?event=event12 Marta Osypińska et al, A centurion's monkey? Companion animals for the social elite in an Egyptian port on the fringes of the Roman Empire in the 1st and 2nd c. CE, Journal of Roman Archaeology (2025). DOI: 10.1017/s1047759425100445 Merrington, Andrew. “Extensive dog diversity millennia before modern breeding practices.” University of Exeter. 11/13/2025. https://news.exeter.ac.uk/faculty-of-humanities-arts-and-social-sciences/archaeology-and-history/extensive-dog-diversity-millennia-before-modern-breeding-practices/ Morris, Steven. “Linguists start compiling first ever complete dictionary of ancient Celtic.” The Guardian. 12/8/2025. https://www.theguardian.com/science/2025/dec/08/linguists-start-compiling-first-ever-complete-dictionary-of-ancient-celtic Museum of Fine Arts, Boston. “Museum of Fine Arts, Boston, Resolves Ownership of Works by Enslaved Artist David Drake.” 10/29/2025. https://www.mfa.org/press-release/david-drake-ownership-resolution “Niagara has a 107-year-old shipwreck lodged above the Falls and it just moved.” https://www.narcity.com/niagara-falls-shipwreck-iron-scow-moved-closer-to-the-falls Newcomb, Tim. “A 76-Year-Old Man Went On a Hike—and Stumbled Upon a 1,500-Year Old Trap.” Popular Mechanics. 11/21/2025. https://www.popularmechanics.com/science/archaeology/a69441460/reindeer-trap/ Nordin, Gunilla. “Ancient wolves on remote Baltic Sea island reveal link to prehistoric humans.” Stockholm University. Via EurekAlert. 11/24/2025. https://www.eurekalert.org/news-releases/1106807 Oster, Sandee. “DNA confirms modern Bo people are descendants of ancient Hanging Coffin culture.” Phys.org. 12/6/2025. https://phys.org/news/2025-12-dna-modern-bo-people-descendants.html Oster, Sandee. “Rare disease possibly identified in 12th century child's skeletal remains.” PhysOrg. 10/10/2025. https://phys.org/news/2025-10-rare-disease-possibly-12th-century.html Osuh, Chris and Geneva Abdul. “Lost grave of daughter of Black abolitionist Olaudah Equiano found by A-level student.” The Guardian. 11/1/2025. https://www.theguardian.com/uk-news/2025/nov/01/lost-grave-daughter-black-abolitionist-olaudah-equiano-found-by-a-level-student Silvia Albizuri et al, The oldest mule in the western Mediterranean. The case of the Early Iron Age in Hort d'en Grimau (Penedès, Barcelona, Spain), Journal of Archaeological Science: Reports (2026). DOI: 10.1016/j.jasrep.2025.105506 Skok, Phoebe. “Ancient shipwrecks rewrite the story of Iron Age trade.” PhysOrg. 10/14/2025. https://phys.org/news/2025-10-ancient-shipwrecks-rewrite-story-iron.html The History Blog. “600-year-old Joseon ship recovered from seabed.” 11/15/2025. https://www.thehistoryblog.com/archives/74652 The History Blog. “Ancient pleasure barge found off Alexandria coast.” 12/9/2025. https://www.thehistoryblog.com/archives/74860 The History Blog. “Charred Byzantine bread loves stamped with Christian imagery found in Turkey.” 10/13/2025. https://www.thehistoryblog.com/archives/74352 The History Blog. “Early medieval silver treasure found in Stockholm.” 10/12/2025. https://www.thehistoryblog.com/archives/74343 The History Blog. “Roman amphora with sardines found in Switzerland.” 12/15/2025. https://www.thehistoryblog.com/archives/74904 The Straits Times. “Wreck of ancient Malay vessel discovered on Pulau Melaka.” 10/31/2025. https://www.straitstimes.com/asia/se-asia/wreck-of-ancient-malay-vessel-discovered-on-pulau-melaka Thompson, Sarah. “The forgotten daughter: Eliza Monroe Hay’s story revealed in her last letters.” W&M News. 9/30/2025. https://news.wm.edu/2025/09/30/the-forgotten-daughter-eliza-monroes-story-revealed-in-her-last-letters/ Tuhkuri, Jukka. “Why Did Endurance Sink?” Polar Record 61 (2025): e23. Web. https://www.cambridge.org/core/journals/polar-record/article/why-did-endurance-sink/6CC2C2D56087035A94DEB50930B81980 Universitat de Valencia. “The victims of the Pompeii eruption wore heavy wool cloaks and tunics, suggesting different environmental conditions in summer.” 12/3/2025. https://www.uv.es/uvweb/uv-news/en/news/victims-pompeii-eruption-wore-heavy-wool-cloaks-tunics-suggesting-different-environmental-conditions-summer-1285973304159/Novetat.html?id=1286464337848&plantilla=UV_Noticies/Page/TPGDetaillNews University of Glasgow. “Archaeologists recover hundreds of Jacobite projectiles in unexplored area of Culloden.” 10/30/2025. https://www.gla.ac.uk/news/headline_1222736_en.html University of Vienna. “Neanderthal DNA reveals ancient long-distance migrations.” 10/29/2025. https://www.univie.ac.at/en/news/detail/neanderthal-dna-reveals-ancient-long-distance-migrations Zhou, H., Tao, L., Zhao, Y. et al. Exploration of hanging coffin customs and the bo people in China through comparative genomics. Nat Commun 16, 10230 (2025). https://doi.org/10.1038/s41467-025-65264-3 Zinin, Andrew. “Ancient humans mastered fire-making 400,000 years ago, study shows.” Phys.org. 10/10/2025. https://phys.org/news/2025-12-ancient-humans-mastered-years.html See omnystudio.com/listener for privacy information.

Nobody Told Me That! with Teresa Duncan
Special Episode: Chew On This Trends for 2026

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Jan 8, 2026 62:43


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   What will dentistry really look like in 2026? Teresa Duncan and Kevin Henry cut through the noise to unpack the economic, workforce, insurance, and technology trends that will shape dental practices sooner than many expect.   They take a data-driven look at trends such as persistent staffing shortages and rising labor costs to the growing role of AI. Compliance risk is increasing and practices face mounting profitability pressure. How can we refocus on business fundamentals while  adapting to shifting patient expectations? This webinar replay can help you be proactive heading into 2026!    Connect with Kevin Henry: www.KevinSpeaksDental.com   Connect with Teresa Duncan: www.OdysseyMgmt.com   Chew On This Podcast Playlist here! https://www.youtube.com/playlist?list=PLJF_kSfpA7sJHVgO0lojChMhGRiYlIb3Z   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

The Dental Billing Podcast
Worst Billing Case of 2025 - Part III - Harmful Habits that Feel Harmless with Jennifer Lyman RDH

The Dental Billing Podcast

Play Episode Listen Later Jan 8, 2026 64:53 Transcription Available


Got questions? Send Ericka a Text!A weekend meetup in Phoenix turned into a deep dive on the “harmless” shortcuts that quietly drain dental practices and invite compliance trouble. We compare notes from a brutal 2025 billing case, unpack the defensiveness that often surfaces when a third party steps in, and show how audit trails reveal everything from embezzlement red flags to training gaps and inefficiencies you'll never see on a P&L.We get practical fast. You'll hear why copay waivers and frequency misses aren't favors, they're liabilities; how a real chart prep process (CPP) prevents four- and five-figure monthly losses; and why templates should be fillable, not filled, to protect patient specificity and accuracy. We talk clinical notes as legal defense, route slips that actually bridge back-to-front, and the non-negotiable role of periodontal charting. If AI is reading your claims, missing perio data is a hard stop. We also tackle credentialing vs contracting, rendering provider rules, and the spreadsheet every office manager needs to track participation status and re-credentialing dates.On the clinical side, we break down case acceptance without pressure: narrate findings, ask better questions, and move patients appropriately from prophy to SRP or 4346 when gingivitis is the true diagnosis. And yes, we address the controversy head-on—billing 4346 is about medical necessity and compliance, not what pays 100 percent. Bill what you do, document why you did it, and let systems carry the weight.If you want fewer denials, stronger compliance, and calmer nights, this conversation gives you the scripts, checklists, and mindset to get there. Subscribe, share with a colleague who needs the nudge, and leave a review telling us your biggest compliance headache—we might tackle it next. Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ 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.com Email Jen: jen@dentalbillingdoneright.com Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: ed@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Two Dance Moms Podcast - For Competition Dance Parents
Billing Transparency: Dance Studio & Competition Costs with Special Guest Chris Suchan

Two Dance Moms Podcast - For Competition Dance Parents

Play Episode Listen Later Jan 7, 2026 68:40


Why is dance so expensive?! Competition season bills are hitting their high as the season starts, but we can't always pinpoint why it's so costly! In this episode we discuss our own experiences paying for competition dance, how studios bill,  what competitions charge and why. Our good friend Chris Suchan from Plantinim Dance also joins in on the conversation to share his professional voice on things competitions and conventions need to pay for that contribute to our costs. You won't want to miss this! CHRIS SUCHAN LINKSPlatinum National Dance CompetitionThe Great Dance Debate PodcastChris Suchan InstagramEPISODE SPONSORSDream Duffel, the original rolling duffel with a built in garment rack! Choose from multiple sizes, colors, patterns, & styles!www.dreamduffel.comApolla Performance Compression Socks, Made by dancers for dancers! Increase stability and support, while reducing pain and fatigue. www.apollaperformance.comRATE & REVIEWRate & Review Apple Podcast Rate on Spotify SOCIALS Instagram: https://www.instagram.com/twodancemomspodcast/

The RAG Podcast - Recruitment Agency Growth Podcast
Season 9 | Ep12 Michael Green: How he made $700K in year one (after not billing for 6 years)

The RAG Podcast - Recruitment Agency Growth Podcast

Play Episode Listen Later Jan 7, 2026 74:14


Michael Green: How he made $700K in year one (after not billing for 6 years)Michael Green spent six years running teams of 100+ recruiters.Building offices. Managing people. Zero placements.When he launched Unico in April 2024, he had to go back to basics."I had to do role plays to myself. I hadn't qualified a candidate in six years."Day one was brutal. Just him, his house and a dog.But Michael had something most recruiters don't: a genuine answer to "what makes you different?"While everyone else competed on job boards chasing $30K fees, Michael went the opposite direction.Senior positions only. Architect level and above.New York Location onlyHis average fee jumped from $30K to $60K overnight.His biggest placement? $170,000.12 months later: $700K gross profit. Solo.Year two: $1.5M with just four people.But here's what makes Michael different.He's not scaling headcount - he's scaling quality.Ultra-niche: ServiceNow and bleeding-edge SaaS. One technology. Total focus.Last week, a major partner messaged him: "I've seen your posts. I've heard your reputation. We want to use you exclusively."He'd never spoken to them before..He's now targeting growth15 profitable recruiters and $3M in 2026.This week on The RAG Podcast, Michael tells the full story.We cover:- Why he walked away from running 200 people to start from scratch- How he made $700K in year one after six years out of recruitment- The "top 3%" model that clients can't say no to- Why he pivoted from $30K to $100K+ fees overnight- The AI screening tool that's changing his close rate- His LinkedIn strategy that generates 70% conversion ratesThis isn't about scaling fast.It's about a man who had to relearn his own trade, doubted himself daily, and built a $1.5M business in 20 months that doesn't require 100 heads to hit seven figures.No venture capital. No growth-at-all-costs.Just profitable headcount over vanity metrics.If you've ever wondered whether you can start your own agency after years of management - or if there's a smarter way to scale than just adding bodies – this episode has the blueprint.__________________________________________Episode Sponsor: AtlasAdmin is a massive waste of time. That's why there's Atlas, the AI-first recruitment platform built for modern agencies.It doesn't only track CVs and calls. It remembers everything. Every email, every interview, every conversation. Instantly searchable, always available. And now, it's entering a whole new era.With Atlas 2.0, you can ask anything and it delivers. With Magic Search, you speak and it listens. It finds the right candidates using real conversations, not simply look for keywords.Atlas 2.0 also makes business development easier than ever. With Opportunities, you can track, manage and grow client relationships, powered by generative AI and built right into your workflow.Need insights? Custom dashboards give you total visibility over your pipeline. And that's not theory. Atlas customers have reported up to 41% EBITDA growth and an 85% increase in monthly billings after adopting the platform.No admin. No silos. No lost info. Nothing but faster shortlists, better hires and more time to focus on what actually drives revenue.Atlas is your personal AI partner for modern recruiting.Don't miss the future of recruitment. Get started with...

Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast
Outsourcing Insurance Billing For Higher Collections and Less Stress

Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast

Play Episode Listen Later Jan 6, 2026 48:48


Outsourcing my insurance billing and A/R has been one of the best decisions I have made for my practice. I recently started using a new company called Pedo Billing to help me with this. They have helped me collect thousands of dollars in outstanding claims (including Medicaid claims) that we have been fighting for months to get paid. Pedo Billing only works with pediatric dentists, so I invited their lead sales associate Nathan Petke to come on the podcast to tell me more about their company. Some things we discuss:- Why they only work with pediatric dentists- How they are able to charge 2.5% when the industry standard is 3-3.5%- Why the old way of submitting claims with paper checks and EOBs is quickly becoming outdated- How often problem claims should be followed-up on- The benefits of having a team of experienced billers working on your insurance claims- How outsourcing frees up time for your staff to focus on scheduling and better patient careYou can learn more about Pedo Billing at www.pedobilling.com

The Dental Billing Podcast
Worst Billing Case of 2025 - Part II - End of Day Checklist

The Dental Billing Podcast

Play Episode Listen Later Dec 30, 2025 19:22 Transcription Available


Got questions? Send Ericka a Text!We show how chart prep sets expectations and end of day confirms reality, so money stops leaking and compliance issues get fixed the same day. A practical checklist, time blocking, and coaching turn chaos into a repeatable close that protects revenue and trust.• redefining end of day as daily accountability • chart prep for expectations, end of day for verification • composite case of a busy office with open charts and rolled balances • building a lean checklist that closes every visit • spotting patterns: missed copays, incomplete notes, idle claims • coaching conversations that improve collections and documentation • blackout time to finish reconciliation without interruptions • route slips or digital equivalents for clear expectations • daily compliance as a habit, not an annual event • financial stability through same‑day close and follow‑upYou can go grab the chart prep and the end‑of‑day checklist, and there's a little guide in there on how to implement it in the show notes if you want to implement this right away If this series has been helpful for you friends, I'd really appreciate it if you would leave us a review Make sure you're subscribed so you don't miss part three And if this episode made you think of your doctor or your office manager, share it with themGet the Chart Prep + End of Day Checklist and Guide for Only $19 Here:https://ericka-aguilar-dental-billing-expert.kit.com/products/chart-prep-checklis Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Join The Biller Acceleration Mentorship Wait List Here: (Only 5 Spots Left in 2025!!)https://linktr.ee/dental_billing_coachWould you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.com Email Jen: jen@dentalbillingdoneright.com Email Ed: ed@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

The Dental Billing Podcast
Inside The Worst Dental Billing Case Of 2025 - Part 1 of 3

The Dental Billing Podcast

Play Episode Listen Later Dec 29, 2025 25:45 Transcription Available


Got questions? Send Ericka a Text!We pull back the curtain on a “busy” practice that bled revenue because trust replaced systems. A full audit, legal counsel, and a frank lunch reveal how missing chart prep, no route slips, and zero checks led to fraud risk and wild collections swings.• redefining chart preparation as the operational backbone• why custom route slips create visibility and accountability• how one-person control hides errors and tempts fraud• what a full revenue cycle audit uncovers beyond claims• Medicaid compliance risks when notes don't match billing• legal strategy when a key staffer becomes a liability• shifting in-house focus to chart prep and eligibility• capturing every dollar with family account audits• pros handle billing; team owns preparation and handoffs• building guardrails with audits, reports and daily reviewsGrab the chart prep and end-of-day framework in the show notesPlease leave a review, subscribe for parts two and three, and share this with your doctor or a fellow office managerGrab the Chart Prep & End of Day Checklist and Guide here:https://ericka-aguilar-dental-billing-expert.kit.com/products/chart-prep-checklis Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Join The Biller Acceleration Mentorship Wait List Here: (Only 5 Spots Left in 2025!!)https://linktr.ee/dental_billing_coachWould you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.com Email Jen: jen@dentalbillingdoneright.com Email Ed: ed@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

UBC News World
CCM & RPM Billing Strategy for Pharmacies: How to Tap Into a New Revenue Stream

UBC News World

Play Episode Listen Later Dec 29, 2025 6:43


Most pharmacies lose thousands monthly by treating CCM and RPM as competing services instead of complementary revenue streams. The difference between profitable programs and claim denials primarily stems from documentation boundaries, time allocation rules, and an understanding of billing codes.Learn more: https://ccmrpmhelp.com/contact CCM RPM Help City: Herriman Address: 12953 Penywain Lane Website: https://ccmrpmhelp.com/ Phone: +1 866 574 7075 Email: brad@ccmrpmhelp.com

Nobody Told Me That! with Teresa Duncan
EP 165 The Side of Dental Practice Management No One Talks About!

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Dec 23, 2025 53:58


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Most dental practices don't struggle because of dentistry but because of what happens behind the scenes.   Practice management is rarely taught even though it controls profitability, team morale, and long-term growth. My friend Olivia Smith shares insight and stories of her clients' misses and wins. The realities of running a successful dental practice include understanding KPIs (without drowning in numbers) to leading teams with clarity and accountability (without losing your mind!).    We touched on so many topics - the time really flew by! Just a few topics:    Associate integration (so delicate) Manager burnout Realistic case acceptance tips When leadership isn't an innate skill   This is a candid look at dental practice management no one tells you about.   Connect with Olivia Smith   Website https://osdentalconsulting.com/home/ Facebook https://www.facebook.com/660184687177918 Instagram https://www.instagram.com/osdentalconsulting/   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

Telecom Reseller
Aarav Solutions Launches GenAI Accelerators for Telecom Billing and CRM Efficiency, Podcast

Telecom Reseller

Play Episode Listen Later Dec 23, 2025


Doug Green, Publisher of Technology Reseller News, spoke with Raj Darji, Founder & CEO of Aarav Solutions, about the company's launch of two generative AI accelerators—InsightForge and Omni360—designed to help communications service providers modernize billing operations, sales workflows, and customer engagement. Aarav Solutions is a long-standing Oracle Communications implementation partner with more than a decade of domain expertise across Oracle BRM and related telecom platforms. Darji explained that this deep operational knowledge is embedded directly into Aarav's GenAI accelerators, enabling CSPs to adopt AI without disrupting existing infrastructure. “We are not experimenting with AI—we are applying it where telecom operators feel the most pain, inside billing and operations,” said Darji. InsightForge is a GenAI accelerator purpose-built for Oracle BRM that allows business, finance, and operations teams to query complex billing data using natural language—without writing SQL or relying on back-office specialists. By translating plain-language questions into database queries, InsightForge delivers real-time visibility into invoices, balances, taxes, and discrepancies, significantly reducing operational dependencies and response times. Omni360 extends this capability with an AI-driven CRM and CPQ platform tightly integrated with BRM. Designed for mid-market CSPs, MVNOs, and enterprise connectivity providers, Omni360 unifies CRM and billing into a single pane of glass and enables sales teams to generate products, pricing, and quotes through natural-language prompts. Introduced at Mobile World Congress, both solutions drew strong interest for demonstrating how GenAI can deliver immediate, practical value rather than remain a conceptual buzzword. Learn more about Aarav Solutions at https://www.aaravsolutions.com/. Software Mind Telco Days 2025: On-demand online conference Engaging Customers, Harnessing Data

Private Practice Elevation with Daniel Fava
197. What Do Practice Owners Need to Know About Billing to Be Successful?

Private Practice Elevation with Daniel Fava

Play Episode Listen Later Dec 22, 2025 38:02


Is it possible to grow a thriving therapy practice while taking insurance? If you've ever wondered whether insurance billing is worth the headache, or how to do it right, this episode is for you. Today's guest, Jeremy Zug, co-founder of Practice Solutions, breaks down what private practice owners need to know about billing in order to be successful.  With over a decade in the healthcare industry and a team that manages billing for thousands of providers, Jeremy brings clarity and strategy to a topic that overwhelms a lot of therapists.  Whether you're solo and private pay or growing a group practice, you'll walk away with fresh insights, helpful mindset shifts, and even a few small changes that could dramatically improve your revenue. This episode answers... 1. Do I need to take insurance to grow my therapy practice? Not necessarily — but if you do, it needs to be intentional. Jeremy shares that some of the most successful practices limit themselves to one commercial payer and one government payer (like Medicaid or Medicare). This approach reduces administrative overwhelm and allows you to stay aligned with your clinical mission.  Trying to accept every insurance plan in your area can actually slow your growth, especially as your practice scales. Instead, focus on which payers make the most sense based on your long-term goals, who you serve, and what the reimbursement rates look like in your region.  Insurance can absolutely support practice growth, especially when it's chosen strategically. 2. When should I outsource my billing — and when should I bring it back in-house? Outsourcing makes the most sense when your caseload is full. That's usually around 25 to 30 active clients. At that point, billing becomes a time-consuming task that pulls you away from clinical work or team leadership. Jeremy recommends outsourcing to save time and reduce stress, which ultimately helps you grow faster.  But once your practice reaches about $2.5 to $3 million in revenue, it may be time to bring billing back in-house with a full-time hire. At that stage, having someone on your team who's dedicated to billing can help you scale more efficiently.  It's not a one-time decision. It's about matching your billing approach to your practice's size and complexity. 3. How can I improve my billing process and increase revenue? Even small tweaks to your billing workflow can make a big difference. Jeremy explains how simply reordering certain steps, like reviewing payment posting before resubmitting claims, can dramatically reduce denials and speed up revenue.  Many practices waste time by resubmitting the same flawed claims without resolving the underlying issue. He also stresses the importance of reviewing your insurance aging report regularly, which shows you what claims are still unpaid and where you might be losing money. Billing isn't just about submitting claims; it's about building a system that supports healthy cash flow.  The more visibility and control you have over your billing process, the more financially stable your practice becomes.  In This Episode, You'll Also Learn: Why less is more when it comes to insurance plans How your geography and demographics should shape your billing strategy The six key steps of billing, and which one to do before submitting claims When to outsource billing (and when to take it back in-house) How to use insurance aging reports to track lost revenue Why clean billing processes can boost staff retention The right way to negotiate insurance rates using data Real examples of practices recovering thousands of dollars   Links mentioned in this episode: Practice Solutions Website Insurance Rate Increase Request   Watch The Video:   This Episode Is Brought To You By:   RevKey specializes in Google Ads management for therapists, expertly connecting you with your ideal clients. They focus on getting quality referrals that keep your team busy and your practice growing.   Visit RevKey.com/podcasts for a free Google Ads consultation       Alma is on a mission to simplify access to high-quality, affordable mental health care by giving providers the tools they need to build thriving in-network private practices. When providers join Alma, they gain access to insurance support, teletherapy software, client referrals, automated billing and scheduling tools, and a vibrant community of clinicians who come together for education, training, and events.   Learn more about building a thriving private practice with Alma at helloalma.com/elevation. About Jeremy Zug   Jeremy Zug has over a decade of experience in the healthcare industry. Jeremy is known for his expertise in insurance billing, and frequently writes and speaks on topics that support mental health professionals in achieving financial health and operational excellence. He co-founded Practice Solutions with his wife Kathryn in 2017, relying on their combined knowledge from private practices they had worked at while in college.    Practice Solutions is an expanded medical billing company offering billing services, professional services, and educational resources to thousands of mental and behavioral healthcare providers for optimal revenue cycle management.   About Daniel Fava Daniel Fava is the owner and founder of  Private Practice Elevation, a website design and SEO agency focused on helping private practice owners create websites that increase their online visibility and attract more clients. Private Practice Elevation offers web design services, SEO (search engine optimization), and WordPress support to help private practice owners grow their businesses through online marketing.    Daniel lives in Atlanta, GA with his wife Liz, and two energetic boys. When he's not working he enjoys hiking by the river, watching hockey, and enjoying a dram of bourbon.  

Wharton FinTech Podcast
Reinventing Billing & Quote-to-cash with Sequence Cofounder & CEO, Riya Grover

Wharton FinTech Podcast

Play Episode Listen Later Dec 18, 2025 39:42


In this episode of the Wharton FinTech Podcast, host Vaibhav speaks with Riya Grover, co-founder and CEO of Sequence, an AI native revenue platform that unifies quoting, billing automation, and receivables so finance can finally run at the speed of sales. Riya shares her journey from investment banking and Harvard Business School to exiting her first startup and then launching Sequence to fix one of the most neglected parts of the CFO stack, quote to cash and accounts receivable. She goes deep on what it really takes to find product market fit in a saturated software world, why AI native entrants can out execute incumbents, and how Sequence is using agents to automate complex finance workflows. They also unpack Riya's recent Series A fundraise, the story that resonated with investors, and her candid advice for founders building in a noisy, AI heavy, but more competitive than ever venture environment. In this episode, we learn about: - Why quote to cash and revenue operations have lagged behind AP and spend in automation - How Sequence uses AI agents to read contracts, generate invoices, and support finance teams - What investors really cared about in Sequence's Series A, from logo quality to 190 % NRR - How Riya stays close to customers while scaling a fast growing infra company - Her advice for aspiring founders on standing out in today's crowded AI landscape

ASC Podcast with John Goehle
Episode 264 - Latest News, avoiding sanitary environment citations and in our focus segment we discuss ASC Billing and Coding with Bob Lathrop from SIS - December 16, 2025.

ASC Podcast with John Goehle

Play Episode Listen Later Dec 17, 2025 53:21


In this episode of the ASC Podcast with John Goehle we discuss the latest news, review common infection control and sanitary environment issues in ASCs and in our focus segment, discuss Navigating the Complexities of ASC Billing and Coding with Bob Lathrop from SIS.   This episode is sponsored by Surgical Information Systems,    Notes and Resources from this Episode: Cost pressures that battered ASCs in 2025: https://www.beckersasc.com/asc-transactions-and-valuation-issues/the-cost-pressures-that-battered-ascs-in-2025/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z Focus on Sanitary Environment and Infection Prevention & Control (IPC) in ASC Surveys Sanitary environment and IPC issues consistently rank among the top deficiencies in ambulatory surgery center (ASC) accreditation and certification surveys, making this a critical "hot issue" for 2025 and beyond. These citations directly impact patient safety by increasing risks of healthcare-associated infections (HAIs), and they appear frequently across major accreditors like CMS, AAAHC, and ACHC. For context: In AAAHC's 2025 Quality Roadmap (released September 2025), IPC remains a persistent top challenge, with deficiencies cited in nearly 90% of surveys for ASCs and office-based surgery settings. ACHC's November 2025 survey data highlights sanitary environment lapses (e.g., sanitation issues, incomplete policies) as a leading deficiency, often tied to inconsistent implementation of hand hygiene, glove techniques, and environmental cleaning. Historical CMS data shows patterns holding into recent years, with "Sanitary Environment" and "Infection Control Program" among the most cited, stemming from failures in basic practices like cleaning, sterilization, and safe injection protocols. These issues often arise from documentation gaps, staff inconsistencies, or overlooked details during busy operations, even in high-performing centers. Key Regulatory Requirements The foundation for sanitary environment and IPC in ASCs is CMS Conditions for Coverage (CfC) at 42 CFR § 416.51, which applies to Medicare-certified ASCs and influences other accreditors (deemed status via AAAHC, ACHC, etc.). Standard: Sanitary Environment (§ 416.51(a)): The ASC must provide a functional and sanitary environment for surgical services, avoiding sources and transmission of infections by adhering to professionally accepted standards (e.g., CDC, AORN, APIC guidelines). Standard: Infection Control Program (§ 416.51(b)): Maintain an ongoing, coordinated program to prevent, control, and investigate infections/communicable diseases. This includes: Designation of a qualified professional (e.g., infection preventionist) to oversee the program. Annual risk assessment to identify infection risks. Integration of nationally recognized guidelines (CDC core practices are mandatory if no other evidence-based standards apply). Policies for hand hygiene, environmental cleaning, sterilization/high-level disinfection (HLD), safe injection practices, and point-of-care devices. INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers 

KSFO Podcast
Energy Billing Nightmares

KSFO Podcast

Play Episode Listen Later Dec 16, 2025 38:11


Sometimes the city wont do what's right until they get embarrassed by the local newsSee omnystudio.com/listener for privacy information.

WSJ Tech News Briefing
TNB Tech Minute: Uber Faces Amended Lawsuit Over Billing, Cancellation Practices

WSJ Tech News Briefing

Play Episode Listen Later Dec 15, 2025 2:52


Plus: Ford to take $19.5 billion charge to write down EV investments. And Xerox seeks new debt financing backed by intellectual property. Julie Chang hosts. Learn more about your ad choices. Visit megaphone.fm/adchoices

Nailed It Ortho
OrthoBiz 22: How coding + Billing works w/ Dr. Atanda

Nailed It Ortho

Play Episode Listen Later Dec 15, 2025 19:23


We dissect the hidden truths of orthopedic practice, from team building to practice management, physician burnout, and more. We explore insights with Dr. Atanda about the skills that aren't taught in medical school but are crucial for success. We discuss some of the general things and concepts you need to know about billing and. coding. Dr.Atanda gives us a great overview of some things that you may not have known! Alfred Atanda Jr., MD, is the director of the Sports Medicine Program, and a pediatric orthopedic surgeon and sports medicine specialist. He serves as assistant professor of orthopedic surgery and pediatrics at Sidney Kimmel Medical College of Thomas Jefferson University.  Dr. Atanda is a graduate of the University of Pennsylvania School of Medicine, completed an internship and orthopedic surgery residency at the University of Chicago Medical Center, and fellowships in pediatric orthopedic surgery at Nemours Children's and in sports medicine at the Rothman Institute at Thomas Jefferson University.  He performs arthroscopic surgery of the knee, elbow, ankle and shoulder, as well as general orthopedic and trauma surgical procedures. His research interests are in upper extremity overuse injury prevention and general orthopedic trauma. Recently, he has developed an interest in technology and digital health innovation and routinely uses telemedicine in his sports medicine practice. He is working with several stakeholders in the organization to re-imagine the process by which pediatric orthopedic patients are triaged, navigated, evaluated and treated during the continuum of their health care experience. Provides care in Wilmington, Del., and Abington, Pa. We answer questions you may have on the things you will encounter when it comes to billing, like: what is coding and billing should you know the people who bill in your department? coding tips + more

The John Phillips Show
LADWP Billing nightmare

The John Phillips Show

Play Episode Listen Later Dec 15, 2025 38:11


Sometimes this city wont do what's right until they get embarassed by the local newsSee omnystudio.com/listener for privacy information.

Friday Night Gamecast
FNGC Reviews: Pokémon Legends Z-A (ft. Jordan of Cognitive Clips)

Friday Night Gamecast

Play Episode Listen Later Dec 12, 2025 123:20


You still love Pokémon. We still love Pokémon. And by golly, the Pokémon company and Game Freak are committed to providing you with as much Pokémon as you can stomach! This week I'm joined by a NEW friend of the show Jordan from Cognitive Clips to discuss the most recent Pokemon spin off title, "Legends Z-A!" This entry has us returning to the Kalos region from the Gen 5 Pokemon X / Y games but this time we're running around with our poke-pals in Lumiose City! I'm not gonna sugarcoat it, there's a lot in this game that made me grab my head but plenty that we both agreed was pretty cool to have!. So go ahead and check this out and let us know what you thought about our first Pokemon review ever!Time Stamps:0:00 - Intro05:19 - Billing & Top Level Thoughts16:06 - Story Setup28:16 - Gameplay Mechanics01:12:32 - Lumiose Open World Discussion01:26:42 - Narrative Spoilers Convo02:00:51 - OutroPlease find Jordan at his links below!https://linktr.ee/cognitiveclipsMusic used in this episode Composed by: Ayako Saso, Carlos Eiene, Minako Adachi, Hitomi Sato, Shota Kageyama - all rights reserved by Nintendo & Game Freak pls don't sue me I swear we didn't make this music for the show-Lumiose City (Ambient Daytime & Ambient Night)-Detective Emma Overworld-Wild Zone MusicSupport the show

Nobody Told Me That! with Teresa Duncan
EP 164 How To Protect Your Dental License

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Dec 10, 2025 52:27


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Did you know that throwing away a simple "education letter" from an insurance company could be the first step toward an audit seven years later? Or that hiring a team member without checking the exclusion list could label your practice "radioactive" and cut you off from federal funding? Many dental practice owners don't realize that common habits, like billing under a selling doctor's name during a transition are actually considered False Claims fraud. In this episode, I sit down with dental-specific attorney Justin Withrow to reveal the serious legal risks that often fly under the radar. He breaks down the three "buckets" of regulatory enforcement: insurance audits, board investigations, and criminal/civil inquiries. Then he explains how to organize your records before the investigators show up. This conversation is about protecting your livelihood. An audit isn't just a request for money back, it is an investigation that can lead to referrals to the state board or attorney general. Don't wait until you receive a subpoena to organize your compliance protocols! In this video, we cover: The "Education Letter" Trap: Why insurance companies track these for years and use them to prove you "knew better" during future audits. The Exclusion List: Why employing someone on the OIG list creates a "radioactive" situation for your practice and how to check it. https://oig.hhs.gov/exclusions/index.asp Billing Fraud vs. Mistakes: The dangerous reality of billing under a veteran doctor's name while a new associate waits for credentialing. Audit Survival: Why organized records and "audit-proof" documentation are your best defense when a payer demands 50 patient charts. Informed Consent: Why this must be a conversation process, not just a signature on a form, to protect you from board complaints.   Connect with Justin Withrow  Email jwithrow@flannerygeorgalis.com   Website https://flannerygeorgalis.com/team/justin-withrow/ Facebook https://www.facebook.com/justin.withrow.77 Linkedin https://www.linkedin.com/in/justin-withrow/ ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

RevMD
#137 Stop Riding a Bicycle to a Race: Choosing the Right EMR & Billing Setup for Real Practice Growth

RevMD

Play Episode Listen Later Dec 9, 2025 5:54


Is your practice trying to grow—but your EMR or billing setup just can't keep up? Dr. Heather breaks down why the wrong system can silently drain revenue, increase denials, and stall growth. You'll learn:Which EMRs actually help practices thriveWhy letting your billing company control your software is a huge riskHow to protect your AR and get cleaner reportingThe simple setup that keeps your practice running like a well-oiled machineStop spinning your wheels—tune in and set your practice up to win the race!

Big Law Business
Client Relationships Suffer as Lawyers Put Billing on Autopilot

Big Law Business

Play Episode Listen Later Dec 9, 2025 15:58


Now is the time of year when many law firms pressure their attorneys to get their clients to pay bills before the end of the year. It's something that clients loathe just as much as their attorneys, according to today's guest on our podcast, On The Merits. Eric Dodson Greenberg, the general counsel of Cox Media Group, said the lawyer-client relationship can suffer when firms bill too aggressively and not thoughtfully enough—a problem made worse by the move toward automated billing. He said he's lost some trust in certain outside firms he's worked with when they send him surprise invoices. "What law firms have done is divorced the billing process from the exercise of judgment," he told Bloomberg Law editor Jessie Kokrda Kamens. "Law firms often prioritize that last push in December to get all that they can and not really focus on 'What's the relationship we inherit on January 1st?'" Do you have feedback on this episode of On The Merits? Give us a call and leave a voicemail at 703-341-3690.

The Lawfare Podcast
Lawfare Archive: Lynzy Billing on Afghanistan's Zero Unit Night Raids

The Lawfare Podcast

Play Episode Listen Later Dec 7, 2025 42:27


From January 24, 2023: In 2019, investigative journalist and photographer Lynzy Billing went to Afghanistan to investigate a very personal story: her own past. In the process, she discovered what she came to call a classified war, one with lines of accountability so obscured that no one had to answer publicly for operations that went wrong.Lawfare managing editor Tyler McBrien sat down with Lynzy to talk through her four-year investigation, published last month in ProPublica. They discussed Afghanistan's shady Zero Units and their relationship with the CIA, the traumatic ripple effects caused by this lack of accountability, and why the U.S. continues to rely on a strategy of night raids, which Lynzy describes as quick, brutal operations that went wrong far more often than the U.S. has acknowledged. They also discussed why Lynzy decided to tell this story when few others would. To receive ad-free podcasts, become a Lawfare Material Supporter at www.patreon.com/lawfare. You can also support Lawfare by making a one-time donation at https://givebutter.com/lawfare-institute.Support this show http://supporter.acast.com/lawfare. Hosted on Acast. See acast.com/privacy for more information.

Global Investors: Foreign Investing In US Real Estate with Charles Carillo
SS259: What is Ratio Utility Billing System (RUBS)

Global Investors: Foreign Investing In US Real Estate with Charles Carillo

Play Episode Listen Later Dec 6, 2025 7:20 Transcription Available


What is RUBS in real estate, and how does the Ratio Utility Billing System actually work in multifamily properties? In this video, we break down RUBS utilities explained in simple terms and show how landlords split utilities when a property is not submetered. If you invest in rental property utilities, multifamily property management, or real estate operating expenses, understanding RUBS is essential. RUBS is a utility billing method that allocates water and sewer costs across tenants using factors such as number of occupants, square footage, bedrooms, or bathrooms. We explain why many older multifamily properties use RUBS, how landlords calculate tenant charges, and why submetering vs RUBS has become a major decision point for owners. You'll also learn why RUBS is often viewed as a rent increase, the challenges of fair allocation, and how water rate changes impact flat-fee billing. This episode is a complete landlord guide to utility billing systems, including when to implement RUBS, when to consider submetering installation for apartments, and how to reduce utility costs in multifamily buildings. If you're looking for the best way to bill tenants for water and sewer or want clarity on how landlords split utilities, this walkthrough will help you make a confident and informed decision. Links Referenced in Episode: SS257: SS257: Maximizing Multifamily Profits Beyond the Rent Check - https://youtu.be/oLOOKDMV5AQ Connect with the Global Investors Show, Charles Carillo and Harborside Partners: ◾ Setup a FREE 30 Minute Strategy Call with Charles: http://ScheduleCharles.com ◾ Learn How To Invest In Real Estate: https://www.SyndicationSuperstars.com/  ◾ FREE Passive Investing Guide: http://www.HSPguide.com ◾ Join Our Weekly Email Newsletter: http://www.HSPsignup.com ◾ Passively Invest in Real Estate: http://www.InvestHSP.com ◾ Global Investors Web Page: http://GlobalInvestorsPodcast.com/

Investor Fuel Real Estate Investing Mastermind - Audio Version
NOI Hacking Secrets: How Utility Billing & RUBS Supercharge Multifamily Profits with Tiffany Mittal

Investor Fuel Real Estate Investing Mastermind - Audio Version

Play Episode Listen Later Dec 2, 2025 31:08


The conversation explores the transformation of utility billing through technology, comparing it to the ease brought by TurboTax in tax filing. It highlights how modern solutions streamline the billing process for both landlords and tenants, making payments more accessible and efficient.   Professional Real Estate Investors - How we can help you: Investor Fuel Mastermind:  Learn more about the Investor Fuel Mastermind, including 100% deal financing, massive discounts from vendors and sponsors you're already using, our world class community of over 150 members, and SO much more here: http://www.investorfuel.com/apply   Investor Machine Marketing Partnership:  Are you looking for consistent, high quality lead generation? Investor Machine is America's #1 lead generation service professional investors. Investor Machine provides true 'white glove' support to help you build the perfect marketing plan, then we'll execute it for you…talking and working together on an ongoing basis to help you hit YOUR goals! Learn more here: http://www.investormachine.com   Coaching with Mike Hambright:  Interested in 1 on 1 coaching with Mike Hambright? Mike coaches entrepreneurs looking to level up, build coaching or service based businesses (Mike runs multiple 7 and 8 figure a year businesses), building a coaching program and more. Learn more here: https://investorfuel.com/coachingwithmike   Attend a Vacation/Mastermind Retreat with Mike Hambright: Interested in joining a "mini-mastermind" with Mike and his private clients on an upcoming "Retreat", either at locations like Cabo San Lucas, Napa, Park City ski trip, Yellowstone, or even at Mike's East Texas "Big H Ranch"? Learn more here: http://www.investorfuel.com/retreat   Property Insurance: Join the largest and most investor friendly property insurance provider in 2 minutes. Free to join, and insure all your flips and rentals within minutes! There is NO easier insurance provider on the planet (turn insurance on or off in 1 minute without talking to anyone!), and there's no 15-30% agent mark up through this platform!  Register here: https://myinvestorinsurance.com/   New Real Estate Investors - How we can work together: Investor Fuel Club (Coaching and Deal Partner Community): Looking to kickstart your real estate investing career? Join our one of a kind Coaching Community, Investor Fuel Club, where you'll get trained by some of the best real estate investors in America, and partner with them on deals! You don't need $ for deals…we'll partner with you and hold your hand along the way! Learn More here: http://www.investorfuel.com/club   —--------------------

Nobody Told Me That! with Teresa Duncan
EP 163 Leadership Advice For New Managers

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Nov 26, 2025 54:33


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Leading employees can feel like walking through a minefield. One wrong step and morale, productivity, or trust can explode. But great leaders are not born with the ability to navigate tough personalities. They learn the strategies, communication skills, and mindset shifts that turn conflict into constructive growth. My friends Ashley Bond and Lorie Streeter joined me to talk about leadership challenges new managers face every day. We tackled it all: resistant employees, navigating office politics, and owners who may not always have your back. We offer help with conflict resolution, accountability, emotional intelligence, setting and boundaries. And importantly, we focus on protecting your mental health in high-pressure roles. This discussion will help emerging leaders communicate more clearly to build trust, even when employee dynamics get complicated. This was a follow up to "What I Wish I Knew: Administrative Wisdom," a webinar hosted by…you guessed it.. Wisdom! We had so many questions that we needed to tackle them in a separate session. You can access the original session here: https://www.withwisdom.com/resources/what-i-wish-i-knew-administrative-wisdom Connect with Ashley Bond Website: https://www.withwisdom.com/ Connect with Lorie Streeter: Website: https://getmaxassist.com/book-a-demo-lorie/   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

Excelsior Journeys with George Sirois
Author and Podcaster Richie Billing Wants You to Keep Some Hope in Your House

Excelsior Journeys with George Sirois

Play Episode Listen Later Nov 25, 2025 36:34


This week on Excelsior Journeys: The Road to Creativity, host & producer George Sirois sits down with fellow podcaster and fellow author Richie Billing. After leaving behind his career in law, Richie took a chance on himself and shifted his focus into writing full-time. He has since published various pieces of short fiction, with one story adapted for BBC Radio, and after he published his debut novel "Pariah's Lament," he started the podcast The Fantasy Writers' Toolshed. Learn more about Richie and subscribe to his podcast by clicking HERE.Excelsior Journeys: The Road to Creativity exists primarily as a platform for creatives of all kinds (authors, filmmakers, stand-up comics, musicians, voice artists, painters, podcasters, etc) to share their journeys to personal success. It is very important to celebrate those voices as much as possible to not only provide encouragement to up-and-coming talent, but to say thank you to the established men & women for inspiring the current generation of artists.If you agree that the Excelsior Journeys podcast serves a positive purpose and would like to show your appreciation, you can give back to the show by clicking HERE.Excelsior Journeys: The Road to Creativity is now a proud member of the Podmatch Podcast Network, and you can access all shows in the network by clicking HERE.

Wolfe Admin Podcast
The Chris Wolfe Podcast: Billing and Coding Dry Eye Like a Pro

Wolfe Admin Podcast

Play Episode Listen Later Nov 24, 2025 21:16


------------------- For our listeners, use the code 'EYECODEMEDIA22' for 10% off at check out for our Premiere Billing & Coding bundle or our EyeCode Billing & Coding course. Sharpen your billing and coding skills today and leave no money on the table! questions@eyecode-education.com https://docs.google.com/forms/d/e/1FAIpQLSdEt3AkIpRrfNhieeImiZBF5lYRIR2aAsl7UqWJ_m2GV6OKEA/viewform?usp=header https://coopervision.com/our-company/... Go to MacuHealth.com and use the coupon code PODCAST2024 at checkout for special discounts  Show Sponsors: CooperVision MacuHealth

Golic and Wingo
Hour 2: Lived Up To The Billing

Golic and Wingo

Play Episode Listen Later Nov 6, 2025 42:41


Evan, Canty, & Michelle redraft the 2024 QB class ahead of Bo Nix and the Broncos' games against the Raiders tonight. Has one highly touted former draft class not lived up to the billing? Dan Orlovsky joins the show to help us make sense of this as well as how the Cardinals are handling their QB situation. I'm Over It: Pat doesn't like apple cider donuts! Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Stephen A. Smith Show
Hour 2: Lived Up To The Billing

The Stephen A. Smith Show

Play Episode Listen Later Nov 6, 2025 42:41


Evan, Canty, & Michelle redraft the 2024 QB class ahead of Bo Nix and the Broncos' games against the Raiders tonight. Has one highly touted former draft class not lived up to the billing? Dan Orlovsky joins the show to help us make sense of this as well as how the Cardinals are handling their QB situation. I'm Over It: Pat doesn't like apple cider donuts! Learn more about your ad choices. Visit podcastchoices.com/adchoices