Podcasts about Billing

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

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

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

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   She started charging just $40 a month—now she runs a business that hit 7 figures. In this episode, Amanda DeMoura shares how her small side hustle evolved into a thriving dental business, what it really took behind the scenes, and the unexpected turns that shaped her success. In this episode, we talk about her journey from the ground up, navigating remote work and entrepreneurship, and what happens when growth forces you to make big, uncomfortable decisions. If you're in the dental industry, healthcare admin, or just curious how real businesses are built behind the scenes, this conversation is full of honest moments. It's a story about ownership, reinvention, and figuring it out as you go. Connect with Amanda: Website: https://amandademoura.com/ Email: Amanda@amandademoura.com Podcast: Breath of Fresh Air - Dental Podcast ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

May 23, 2025 Scott, Mark, and Ray answer listener questions on coding for remote uroflowmetry, defining high-complexity MDM, and dealing with low Medicare Advantage reimbursements. They discuss CPT code options, provide examples of immediate-risk diagnoses, and offer strategies for contract negotiations. PRS Coding and Reimbursement HubAccess the HubJelmyto Coding and Reimbursement PageUpper Track Urothelial Cancer (UTUC) Coding and Reimbursement PageFree Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

The first time I ever made a billing entry on a personal computer, I remember thinking to myself, “this is so efficient, I'm never going to miss an entry!”10 years later I got my first laptop, and as I entered some time while FLYING ON A PLANE, I also remember thinking, “this is so convenient, I'm never going to miss an entry!”10 years later I got an iPhone and made a similar claim. And while all of these technological advancements certainly did make it easier for me to capture my time as an attorney, as my guest and I today discuss, all the systems and technology in the world can't help you if you don't stay consistent. Joining the show this week is Molly Kremer, a former litigator and certified life coach who is on a mission to help attorneys capture their time so they can recapture their love of practicing law. Now known simply as The Billing Coach, Molly has worked with hundreds of attorneys at every level and stage of their careers so they can free themselves from the billing traps they've unwittingly created. For any attorney who wishes they had a better relationship with the billable hour, this is a conversation you don't want to miss. Enjoy the show! 

Guaya Melgar is Co-Founder and CEO at Mochi Solutions. Mochi Solutions is providing automated billing solutions for Filipinos. Designed by Filipinos, for Filipino businesses. Get access to reliable automated invoicing, simplified order management, effortless installment and recurring billing, with various options for digital payments by subscribing to the Mochi Solutions plans. Mochi Solutions streamlines your workflow so you can reclaim your time! This episode is recorded live at the Mochi Solutions office in Makati City.In this episode | 00:57 Ano ang Mochi Solutions? | 01:52 What problem is being solved? | 04:38 What solution is being provided? | 15:45 What are stories behind the startup? | 39:18 What is the vision? | 49:25 How can listeners find more information?MOCHI SOLUTIONS | Website: https://mochi.ph | Facebook: https://facebook.com/mochisolutionsTHIS EPISODE IS CO-PRODUCED BY:SPROUT SOLUTIONS | Website: ⁠⁠⁠⁠⁠https://sprout.ph⁠⁠⁠⁠⁠ | Sprout Payroll Starter: ⁠⁠⁠⁠⁠https://bit.ly/SproutPayrollStarter⁠⁠⁠⁠⁠ | APEIRON | Website: ⁠⁠⁠⁠⁠https://apeirongrp.com |⁠⁠⁠⁠⁠ TWALA |Website: ⁠⁠⁠⁠⁠https://twala.io⁠⁠⁠⁠⁠ | SYMPH Website: ⁠⁠⁠⁠⁠https://symph.co⁠⁠⁠⁠⁠ | SECUNA Website: ⁠⁠⁠⁠⁠https://secuna.io⁠⁠⁠⁠⁠ | MAROON STUDIOS Website: ⁠⁠⁠⁠⁠https://maroonstudios.com⁠⁠⁠⁠⁠ | AIMHI Website: ⁠⁠⁠⁠⁠https://aimhi.ai⁠⁠⁠⁠⁠CHECK OUT OUR PARTNERS | Ask Lex PH Academy: ⁠⁠⁠⁠⁠https://asklexph.com⁠⁠⁠⁠⁠ (5% discount on e-learning courses! Code: ALPHAXSUP) | Founders Launchpad: ⁠⁠⁠⁠⁠https://founderslaunchpad.vc⁠⁠⁠⁠⁠ | GumdropLab: ⁠⁠⁠⁠⁠https://gumdroplab.com⁠⁠⁠⁠⁠ | CloudCFO: ⁠⁠⁠⁠⁠https://cloudcfo.ph⁠⁠⁠⁠⁠ (Free financial assessment, process onboarding, and 6-month QuickBooks subscription! Mention: Start Up Podcast PH) | Cloverly.tech: ⁠⁠⁠⁠⁠https://cloverly.tech |⁠⁠⁠⁠⁠ BuddyBetes: ⁠⁠⁠⁠⁠https://buddybetes.com⁠⁠⁠⁠⁠ | HKB Digital Services: ⁠⁠⁠⁠⁠https://contakt-ph.com⁠⁠⁠⁠⁠ (10% discount on RFID Business Cards! Code: CONTAKTXSUP) | Hyperstacks: ⁠⁠⁠⁠⁠https://hyperstacksinc.com⁠⁠⁠⁠⁠ | OneCFO: ⁠⁠⁠⁠⁠https://onecfoph.co⁠⁠⁠⁠⁠ (10% discount on CFO services! Code: ONECFOXSUP) | UNAWA: ⁠⁠⁠⁠⁠https://unawa.asia⁠⁠⁠⁠⁠ | SkoolTek: ⁠⁠⁠⁠⁠https://skooltek.co⁠⁠⁠⁠⁠ | Better Support: ⁠⁠⁠⁠⁠https://bettersupport.io⁠⁠⁠⁠⁠ (Referral fee for anyone who can bring in new BPO clients!) | Britana: ⁠⁠⁠⁠⁠https://britanaerp.com⁠⁠⁠⁠⁠ | Wunderbrand: ⁠⁠⁠⁠⁠https://wunderbrand.com⁠⁠⁠⁠⁠ | Fail Coach: ⁠⁠⁠⁠⁠https://fail.coach⁠⁠⁠⁠⁠ | Drive Manila: ⁠⁠⁠⁠⁠https://facebook.com/drivemanilaph⁠⁠⁠⁠⁠ | EastPoint Business Outsourcing Services: ⁠⁠⁠⁠⁠https://facebook.com/eastpointoutsourcing⁠⁠⁠⁠⁠ | Doon: ⁠⁠⁠⁠⁠https://doon.ph⁠⁠⁠⁠⁠ | Hier Business Solutions: ⁠⁠⁠⁠⁠https://hierpayroll.com⁠⁠⁠⁠⁠ | DVCode Technologies: ⁠⁠⁠⁠⁠https://dvcode.tech |⁠⁠⁠⁠⁠ Mata Technologies: ⁠⁠⁠⁠⁠https://mata.ph⁠⁠⁠⁠⁠ | LookingFour Buy & Sell Online: ⁠⁠⁠⁠⁠https://lookingfour.com⁠⁠⁠⁠⁠ | NutriCoach: ⁠⁠⁠⁠⁠https://nutricoach.com⁠⁠⁠⁠⁠ | Uplift Code Camp: ⁠⁠⁠⁠⁠https://upliftcodecamp.com⁠⁠⁠⁠⁠ (5% discount on bootcamps and courses! Code: UPLIFTSTARTUPPH) | Digest PH: ⁠⁠⁠⁠⁠https://digest.ph⁠⁠⁠⁠⁠ (10% discount on legal services! Code: DIGESTXSUP)START UP PODCAST PH | YouTube: ⁠⁠⁠⁠⁠https://youtube.com/startuppodcastph⁠⁠⁠⁠⁠ | Spotify: ⁠⁠⁠⁠⁠https://open.spotify.com/show/6BObuPvMfoZzdlJeb1XXVa⁠⁠⁠⁠⁠ | Apple Podcasts: ⁠⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/start-up-podcast/id1576462394⁠⁠⁠⁠⁠ | Facebook: ⁠⁠⁠⁠⁠https://facebook.com/startuppodcastph⁠⁠⁠⁠⁠ | Patreon: ⁠⁠⁠⁠⁠https://patreon.com/StartUpPodcastPH⁠⁠⁠⁠⁠ | Website: ⁠⁠⁠⁠⁠https://phstartup.online⁠⁠⁠⁠⁠Edited by the team at: ⁠⁠⁠⁠⁠https://tasharivera.com

In this episode of Leaders in Medical Billing, host Chanie Gluck sits down with Brian Greenberg, a highly experienced M&A and strategic advisor in the Revenue Cycle Management (RCM) space. With 25+ years of experience and over 150 deals closed, Brian breaks down what makes a medical billing company attractive to buyers, how to increase your company's value, and how to prepare for a successful exit.  Brian shares trends in the Mergers & Acquisitions market in 2025 and how private equity is reshaping the healthcare landscape. You'll learn about what Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA) range attracts top buyers and how client concentration and contracts affect your valuation. This episode also delves into how technology can boost your multiple and why specialization in niche markets matters more than ever  If you've ever asked, “What is my medical billing company worth?”—this episode is for you.  Learn more about Greenberg Advisors on their website: https://greenberg-advisors.com/    Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology.    

Andrew and Chris dive into issues with SMTP configuration on new Digital Ocean droplets, their experiences with various email delivery gems like Postmark and Mailtrap and go over some best practices for handling account creation and user associations in Rails applications. The conversation also touches on deployment automation, developing new features like the inbox on Podia, and the importance of having visual tools and browser extensions for effective debugging. They share some lighter moments discussing fun side projects, including Andrew's insult generator app and their humorous take on turning everyday developer annoyances into creative gem ideas. The episode wraps up with some Stripe announcements and TV show recommendations.LinksJudoscale- Remote Ruby listener giftMailtrapHotwire Dev ToolsActualDbSchemaRailsCasts- Episode 288: Billing with StripeActiveSupport: Allow quick cast Boolean to integer #18552Our top product updates from Sessions 2025 (Stripe Blog)Developer Insult Generator by AndrewShoresyStar Wars: AndorStar Wars: Skeleton Crew Chris Oliver X/Twitter Andrew Mason X/Twitter Jason Charnes X/Twitter

This episode, recorded live at the Becker's Hospital Review 15th Annual Meeting, features Dugan Winkie, Vice President, Head of Commercial Strategy at Cedar. He shares insights on the launch of Cedar's new AI voice agent Kora, and how it's reducing costs for providers, streamlining patient billing experiences, and shaping the future of healthcare financial engagement.This episode is sponsored by Cedar.

Health care executive Blake Walker discusses his article, "From caregivers to collectors: Navigating the new landscape of patient payments." He describes a perfect storm impacting provider groups: the significant rise in patient financial responsibility due to high-deductible health plans, the growth of health care consumerism where patients demand better experiences (with up to 50 percent willing to switch providers over billing issues), and the overwhelming administrative burden placed on staff using outdated systems not designed for patient collections. Blake argues that traditional practice management systems, prioritizing insurance reimbursement, are ill-equipped for today's landscape, leading to lost revenue and patient frustration. The conversation emphasizes the need to unbundle patient billing from these systems and adopt modern, consumer-friendly solutions offering automation, transparency, clear communication (like omnichannel options recovering 70 percent of payments quickly), and multiple payment methods. Actionable takeaways include recognizing patient billing as a critical touchpoint, investing in technology that improves the patient financial experience, and automating routine tasks to free up staff and improve collections. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Got questions? Send Ericka a Text!Are you leaving money on the table while your patients remain undertreated? After analyzing over 300 dental practices across the country, I discovered a shocking truth: the average dental practice with a full-time hygienist treats only 17% of the periodontal disease they diagnose. That means 83% of diagnosed disease goes completely untreated—a staggering gap between diagnosis and care.This episode dives deep into the "hidden opportunity" within your hygiene department by exploring D4346: scaling in the presence of generalized moderate to severe gingival inflammation. This often-misunderstood code bridges the critical gap between a standard prophy (D1110) and scaling and root planing (D4341/D4342). For patients showing clear signs of gingivitis without bone loss—bleeding on probing, inflamed tissue, pseudopockets, and plaque that doesn't respond to routine cleaning—continuing to perform prophies isn't prevention; it's undertreatment.I walk you through a comprehensive, step-by-step process for properly implementing D4346 in your practice, from accurate diagnosis and bulletproof documentation to effective patient education and ethical billing. We cover common challenges including insurance downgrades, particularly when carriers like Delta may pay less for D4346 than for a prophy, and how to handle these situations without compromising ethics or revenue. The key message: this code is based on diagnosis, not difficulty or time spent, and represents therapeutic care designed to heal tissue, not maintain it.Whether you're a dental biller, office manager, hygienist, or dentist, this episode provides practical guidance for transforming your approach to gingivitis treatment. The benefits extend beyond proper coding—you'll deliver better care, improve patient outcomes, and optimize practice revenue. Pull a few charts this week and see how many of your "prophy patients" actually qualify for D4346. The results might surprise you. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

In-house billing offers enhanced internal control and potential return on investment but entails higher costs and staffing challenges. Conversely, outsourcing is cost-effective, transparent, and consistent but may result in skewed control of financial operations and introduce hidden costs.Terry discusses this important topic with healthcare consultant Donna White, covering the best option for different-sized practices.

May 9, 2025 In this episode, Scott, Mark, and Ray answer questions that came into the PRS Helpdesk.One of my specialties is pedsurology and there is just not much guidance for surgery coding.Is it appropriate to use 54360 (plastic operation on penis to correct angulation) for correction of penile torsion?I found an article from AAPC dated 2005 that stated to use 14040 for penile torsion repair when performed with a MAGPI hypospadias repair (54322).What if the penile torsion repair is not performed with another procedure or at least without a hypospadias repair?If Medical technologists (Medical assistants trained to perform Urodynamics) can perform this test why are Medical assistants not permitted by CMS to perform catheter insertion and removal in non regulated sites of services? (I have seen MAs in non regulated spaces perform catheter changes, bladder instillations--etc---how are practices able to get away with having MAs incorporated in their work flow as such?)In regulated sites of service (Hospital based clinics) what documentation should be used to ensure proper billing when an MA performs 51798 (bladder scan) (incident to billing for a hospital-employed physician).Free Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   A stroke stole his manual skills—could it end his career? In this episode, Dr. Gregory Wu opens up about the life-altering moment a stroke derailed his clinical career and how it made him a better businessman and leader. At the peak of his practice, Greg faced a sudden medical crisis that left him unable to perform dentistry—a devastating blow to any clinician. He shares what it felt like to lose not just motor function, but his professional identity. They dive into the emotional impact, the grieving process, and the harsh reality of what happens when your livelihood is tied to your hands. Greg also discusses the lessons he learned about disability insurance, financial planning, and how ego can complicate the recovery process. If you've ever wondered what would happen if you couldn't practice tomorrow, this conversation is your wake-up call. Dr. Wu's story is one of resilience and redefining purpose when the career you love is forever altered overnight.   Connect with Dr. Gregory Wu   Instagram:  the_way_of_the_wu LinkedIn: Gregory Wu Email: greg.wu at emerson-dental.com    Online Summit: Built to Last: How to Scale, Sell, and Leave a Legacy  May 30th from 8:00am to 4:00pm CST ------------- *Is your AR out of control? Is your admin team burning out?

Paul Jamison dives into the cash flow challenges of residential lawn care, sharing proven billing tactics and payment systems to help solo and small operators collect money faster and keep business running smooth.

Send us a textIn this episode, we're welcoming back Megan from Numbers Wellness Co. to break down the benefits of project-based pricing. She shares practical advice for transitioning current clients to a package model, setting boundaries with confidence, and creating more predictable income—all while improving the client experience.About Megan HopperMegan Hopper is the CEO behind Numbers Wellness Co. She supports service-based business owners to have clarity in their profits without sacrificing the stress of knowing their numbers with bookkeeping. She is a military spouse, homeschooling momma of 3, beach lover, and loves a good weight lifting session.Time-Based Billing: The Pros and ConsToday on the Savvy Scribe Podcast:Why time-based billing can create tension and income unpredictabilityHow to start transitioning existing clients from time-based billing to packages or project-based pricingThe mindset shift nurses need when moving into entrepreneurshipStructuring payment plans to protect your time and cash flowThe importance of contracts and clearly defined scopes of workHow packaging your services helps both you and your clients budget more easilyWhat to do when clients underestimate the time something takesUsing average past invoices to set package ratesHow upfront pricing improves communication and expectationsEmbracing fear and letting go of “what ifs” when changing your pricingWhy clarity and transparency are key to building trust with your clientsConnect with Megan:

What transforms a simple family vow into a flourishing dental billing empire? Join us as we dive into the journey of Ashley Bond—an inspiring entrepreneur who turned her childhood endeavors into a successful career in dental billing. Starting out by helping her father in his dental practice, Ashley stumbled into the billing industry; what began as lending a helping hand eventually blossomed into co-founding Wisdom, a leading company in streamlining dental billing processes. In a candid chat filled with wise words and warmth, Ashley discusses the strategic shifts and challenges she faced, including overcoming hurdles like COVID-19. Ashley's narrative intertwines personal empathy with strategic growth, offering us a masterclass in finding opportunity amidst adversity. Women entrepreneurs listen in, as Ashley shares advice on embracing failures and seizing opportunities with open arms. Highlighting the role of technology as an enhancer rather than a replacer in dental billing, Ashley reveals her balanced approach to integrating tech for efficiency while retaining the indispensable human touch. Tune in for a heartfelt episode that highlights perseverance, empathy, and the empowering journey of entrepreneurship. What You'll Learn in This Episode: How Ashley Bond transitioned from a family dental practice to founding a dental billing company. The importance of embracing pivots and focusing on niche areas for business growth. Insights into integrating technology to enhance business efficiency. Key advice for women entrepreneurs on leveraging strengths and embracing opportunities. The role of empathy in understanding and solving client-specific challenges. Importance of delegation and team-building for scaling a business successfully. Hit play now and let Ashley's story inspire your entrepreneurial journey! Learn More About Ashley Bond and Wisdom Here! Website: withwisdom.com Email: ashley@withwisdom.com Instagram: instagram.com/ashleybondspeaks LinkedIn: linkedin.com/in/ashleybond008 Don't Forget to Sign Up for the Next DeW Retreat! 7th Annual DeW Life Retreat November 13-15, 2025 Charlotte, NC Want to get more involved? Join our membership and community below for exclusive perks! Join the DeW Life movement by becoming a member using this link.Join the Dental Entrepreneur movement by becoming a member using this link.Read the most recent edition of DeW Life Magazine here.Just DeW It Podcast is the official podcast of Dental Entrepreneur Women (DeW), founded by Anne Duffy, RDH. The mission of DeW is to inspire, highlight, empower, and connect all women in dentistry. To join the movement or to learn more, please visit dew.life. Together, we can DeW amazing things! References: Events/Communities: DeW Retreat 2025 (November 13-15th) Super Dentist Boost Camp 2025 (Dental Nachos Event) Organizations: Guinness Book of World Records Tools: CliftonStrengths Test Canva Wix Rover People: Minal Sampat Dr. Paul Goodman

It's time for another round of frequently asked questions as Terry's expertise covers orthopedic surgery, imaging, data points for E/M, and administrative charges for practices. She also answers questions relating to multiple E/Ms on the same date by the same and different physicians from the same group practice. Tune in for a lot of good […] The post Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions appeared first on Terry Fletcher Consulting, Inc..

Got questions? Send Ericka a Text!Dental insurance verification is stuck in the 1990s, but insurance companies have dramatically changed how they operate—leaving dentists with surprise balances, frustrated patients, and a mess of accounts receivable. In this eye-opening episode, I reveal how insurance carriers are secretly leasing networks behind the scenes and potentially pulling your practice into networks you never directly signed with.Drawing from a recent consultation where a practice saw their AR spike by $70,000 due to inadequate verification, I walk through exactly why checking just the basics—deductibles, maximums, and coverage percentages—is no longer enough. The game has fundamentally changed. Through leased networks and umbrella plans like Connection Dental and DentaMax, carriers can apply completely different fee schedules than you expect, even when you think you're out of network.Most importantly, I share the specific questions you must ask during insurance verification to protect your practice: Are we in-network or out-of-network with this specific plan? Are we directly contracted or leased through another network? Which fee schedule applies to our office for this plan? Does this patient's plan fall under a specific PPO tier, group or level? These questions will transform how you set up patient accounts and present treatment plans.Ready to stop the bleeding and take control of your insurance verification process? Download my free verification checklist in the show notes and start mapping your complete network participation status today. Your billing department—and your bank account—will thank you. Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

View this video at https://macmost.com/creating-a-billing-and-invoicing-system-in-numbers-2025.html. When building Numbers spreadsheets it is important to remember that a row in a table is the equivalent to a record in a database. To build a billing system, you can put clients in one table and invoice items such as billable hours in another table. Then you can build a sheet with tables that use functions to populate an invoice. You can use the new FILTER function for this.

Got questions? Send Ericka a Text!Insurance companies are using AI to evaluate dental x-rays, denying claims when specific landmarks aren't visible in the images. This shift means approximately 70% of claims are now processed through artificial intelligence systems that disqualify submissions based on technical deficiencies rather than subjective human review.• Poor quality x-rays with cone cuts or missing apexes give insurance companies legitimate reasons to deny payment• Clinical teams need training to understand what qualifying x-rays look like for different procedures• Billing starts with proper clinical documentation and supporting attachments, not in the billing department• Digital x-rays allow immediate quality assessment - retake poor images immediately• Even the best billers can't overcome insufficient evidence when appealing denials• Creating a list of procedures requiring x-rays and examples of qualifying images can help train staff• When benefits are available and evidence is sufficient, insurance companies should pay claims• Proper documentation creates leverage when fighting unreasonable claim denialsIf you need help training your clinical teams on how to improve x-ray quality for insurance submissions, I have a step-by-step process available. Send me a message to discuss what's happening in your office.Want to learn Dental Coding and Billing? Join here:https://tr.ee/efzYrY7mp-Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka:ericka@dentalbillingdoneright.comSchedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110)

IBM and Intel have recently reported their earnings, revealing significant challenges despite some positive figures. IBM exceeded earnings expectations with a revenue of $14.54 billion, but its net income fell sharply due to the U.S. government's cost-cutting measures, resulting in a loss of $100 million from canceled contracts. Meanwhile, Intel reported a net loss of $8 million, with stagnant revenues and a warning of potential layoffs as the company struggles to adapt to a competitive semiconductor market. Both companies face pressure to innovate and demonstrate value in a rapidly changing landscape.In the fintech sector, Alternative Payments has successfully raised $22 million to enhance automation and accessibility for managed service providers (MSPs). The company aims to address the unique billing challenges faced by MSPs, which often deal with recurring billing and slow payment cycles. With plans for international expansion, Alternative Payments is focused on building a comprehensive financial services platform that can significantly improve processing times for its clients.CyberVerify, a compliance platform developed by MSP Alliance, has announced enhancements to empower MSPs and software-as-a-service companies. The upgraded platform features a new user interface and a scoring model for measuring compliance maturity, along with an API for seamless integrations. These improvements aim to provide ongoing compliance visibility, moving away from traditional yearly audits, but the platform's success will depend on maintaining trust and independence in its scoring mechanisms.The episode also highlights emerging trends in AI, with OpenAI introducing a lightweight version of its ChatGPT tool and a new open-source text-to-speech model from Nary Labs. These developments reflect a shift towards more localized and controllable AI solutions that prioritize user trust. Additionally, Microsoft's Work Trend Index report indicates a growing reliance on digital labor, emphasizing the importance of the human-to-AI agent ratio in organizational success. The episode concludes with a discussion on the simplicity and modularity of technology, as exemplified by Slate Auto's upcoming electric pickup truck, which aims to disrupt the automotive market with its minimalist design. Four things to know today 00:00 Beneath the Earnings: IBM Faces Contract Fallout, Intel Shrinks While AI Still Lags—What MSPs Should Watch05:32 From Cash Flow to Compliance: Two Platforms Aim to Automate the MSP Back Office—But Can They Deliver?08:21 AI Goes Local: OpenAI, Dia, Meta, and LinkedIn Signal Shift Toward Speed, Trust, and Human-Like UX11:46 Workforce Robots and Bare-Bones Pickups? This Week, Simplicity Steals the Show  Supported by:  https://getnerdio.com/nerdio-manager-for-msp/ All our Sponsors: https://businessof.tech/sponsors/ Do you want the show on your podcast app or the written versions of the stories? Subscribe to the Business of Tech: https://www.businessof.tech/subscribe/Looking for a link from the stories? The entire script of the show, with links to articles, are posted in each story on https://www.businessof.tech/ Support the show on Patreon: https://patreon.com/mspradio/ Want to be a guest on Business of Tech: Daily 10-Minute IT Services Insights? Send Dave Sobel a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/businessoftech Want our stuff? Cool Merch? Wear “Why Do We Care?” - Visit https://mspradio.myspreadshop.com Follow us on:LinkedIn: https://www.linkedin.com/company/28908079/YouTube: https://youtube.com/mspradio/Facebook: https://www.facebook.com/mspradionews/Instagram: https://www.instagram.com/mspradio/TikTok: https://www.tiktok.com/@businessoftechBluesky: https://bsky.app/profile/businessof.tech

We're never more aware of the need for real human interaction than when faced with an automated Patient Portal.  In this special bonus ep., Wendy and Matt share a listener voice memo about the challenges of navigating patient care through AI, and talk about how we can - and must - do better.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter What actually happens when an unexpected loss or injury shatters the routine of your practice? It's a question no one wants to ask—until it's too late. I would like to walk you through the uncertainty that can unfold in a dental practice when the unexpected happens to the doctor at the center of it all. My hope is that you are prepared - nobody told me that, remember? The sudden loss of a dentist—especially in a solo or small practice—is not just a tragedy. It's a disruption that ripples through patients, staff, finances, and even the long-term value of the business. What has to happen right away? Should the office close? How do you support a grieving team while still making decisions that keep the doors open? But death isn't the only event that can throw a practice into turmoil. I also discuss scenarios like disability, serious injury, or anything that keeps a dentist from returning to work. Each one brings its own emotional and operational fallout, and without a plan, the burden often falls squarely on the manager's shoulders—right when they're least prepared to carry it. And what if the unexpected - good or bad - happens on the other side of the desk? What if it's you—the manager—who needs to step away, transition into a new career, or start something of your own? We'll explore how to prepare for your own exit with intention and clarity, making sure the practice doesn't fall apart the moment you walk out the door. This is a raw and necessary look at what no one wants to talk about—until it's already happening. Because if no one else has told you what to do when it all goes sideways, I'm here to help and to make sure you're not caught in the dark. -------------   Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ______________  *Is your AR out of control? Is your admin team burning out?

Riot Games says Valorant Mobile is coming soon, Lego opens $1 billion factory in Vietnam, attackers exploit weakness in Google's DomainKeys Identified Mail checks. MP3 Please SUBSCRIBE HERE for free or get DTNS Live ad-free. A special thanks to all our supporters–without you, none of this would be possible. If you enjoy what you seeContinue reading "FTC sues Uber Over Deceptive Billing and Cancellation Practices – DTH"

AWS Morning Brief for the week of April 21st, with Corey Quinn. Links:AWS simplifies Amazon VPC Peering billingAWS now allows customers in Europe to pay For their usage in advanceAWS Lambda@Edge announces advanced logging controlsAnnouncing new AWS Wavelength Zone in DakarAnnouncing the AWS Well-Architected Generative AI LensAnnouncing General Availability of GitLab Duo with Amazon QRacing beyond DeepRacer: Debut of the AWS LLM LeagueManage budgets efficiently with budget events in AWS Deadline Cloud

Welcome to another episode of Risky Benefits! In this episode, we welcome back Emily Faimoa, Vice President of Client Administration at FBMC, to discuss the intricacies of consolidated billing and reconciliation. Emily elaborates on how her team alleviates the burdens faced by HR, payroll, and accounting teams by managing multiple vendor payments, providing concise invoicing, and performing detailed reconciliations. Emily explains how their services streamline benefits administration, ensuring employees' benefits are managed accurately and efficiently. Tune in to learn how consolidated billing and reconciliation can simplify your organization's benefits process.To listen in and subscribe to more episodes, visit our website: fbmc.com/podcast.

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Angela McCoy, Vice President of Revenue Cycle Operations at AdvancedMD, to explore her inspiring career journey and the innovations transforming the RCM space.  Angela shares how she rose through the ranks at AdvancedMD, a leading Project Management (PM) and Electronic Health Records (EHR) platform, by embracing roles and responsibilities others hesitated to take. She discusses how AdvancedMD is leveraging bots, managing offshore vendor relationships, and investing in AI to improve operational efficiency to enhance the billing experience for clients. Angela shares AdvancedMD's philosophy behind building your own AI tools versus white-labeling existing technology.  Tune in to Angela's insights on RCM innovation, leadership development, and the future of AI in medical billing!  Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology.   

In this episode of the Becker's Healthcare Podcast, Lukas Voss sits down with Mark Johnson, Senior Vice President at CERIS, to explore how payment integrity can significantly reduce billing errors and financial waste in healthcare. With up to 80% of medical bills estimated to contain mistakes, Mark shares how technology, process modernization, and strategic payer initiatives are making a meaningful impact. Tune in for insights on how payers can improve accuracy, streamline operations, and drive value across the payment lifecycle.This episode is sponsored by CERIS.

Sponsors:• ◦ Visit Buildertrend to get a 60-day money-back guarantee on your Buildertrend account• ◦ Marvin Windows and Doors• ◦ Sub-Zero Wolf Cove Showroom PhoenixConnect with Julia Nikishina:https://www.newagefinancialconsulting.comConnect with Brad Leavitt:Website | Instagram | Facebook | Houzz | Pinterest | YouTube

April 18, 2025 Scott, Mark, and Ray discuss questions that came into the PRS Helpdesk:For the past 8 months, I have been in an employed position with a county hospital system that provides inpatient and ambulatory services. Their coding consultants (acsteam.net) are telling the hospital that foley catheter insertions, bladder irrigations, and a list of other procedures commonly performed in urology clinics cannot be billed if they are not performed personally by the physician according to CMS. They reference a list of procedures from CMS and state that these services cannot be billed when performed by ancillary staff regardless of the level of supervision. They use https://www.cms.gov/status-indicators as their source citing the section on PC or TC indicators. Can this be true? Is it possible that this consultant is giving advice from a hospital perspective and not aware of differences between the ambulatory setting? The urology clinic I am working in is not a department of the hospital. It is freestanding. I have never worked in a clinic that did not bill for these services performed by ancillary staff with physician supervision.I look forward to your response.Good afternoon, my question is regarding "Incident to" required documentation. When we attended your seminar this past December, on Day 2, the new "Incident to Rule" was discuss. Can you please help clarify the new rule? My notes are not clear.We are in the process of CMS Review -"Targeted Probe and Educate Round 1". The letter states we were chosen for review because of being in the 60th percentile for our jurisdiction for code 99214.Our practice has the challenge of servicing and underprivilege community and estimated population of 590,142. We have 7 Urologist, 4 Apps and 1 Radiation Oncologist in our practice. Hence our volume is overwhelming.Earlier this year we submitted a batch of approximately forty records. Today we received a notification request "Incident to documentation: needed 2 previous office visits done by MD to support physician/supervising provider's initiation and continued involvement in treatment, and documentation to support direct supervision met.I appreciate any assistance with clarifying the “Incident to” rule.Thank you in advance for your assistance.Doctor did a stent pull in the ASC but not with Cysto scope. How would we go about billing this?Free Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ © 2025 Physician Reimbursement Systems, Inc.Home

In this episode, Scott Becker shares a lesson from recent experiences with service providers – always ask for an estimate before starting a project.

In this episode, Scott Becker shares a lesson from recent experiences with service providers – always ask for an estimate before starting a project.

Next up in our special series, “Vaccine Voices,” guest host Hannah Fish, NCPA's senior director of strategic initiatives, sits down with Marc Ost, CPhT, co-owner of Eric's RX Shoppe, to break down the complexities of medical billing for immunizations. Marc shares how he helped develop a successful vaccine program in his pharmacy. He takes us through the ins and outs of all the different billing types and offers practical tips on using pharmacy management systems to streamline billing, training staff to avoid errors, and tracking different reimbursement options. Whether you're just getting started with immunizations or are looking to refine your process, this episode is packed with advice to help your pharmacy succeed.  This series is sponsored by a CDC cooperative agreement.    Guest: Marc Ost, CPhT, co-owner at Eric's RX Shoppe   Guest Host: Hannah Fish, senior director of strategic initiatives, NCPA 

In this episode, Elizabeth shares the raw reality of her first year in business—navigating burnout, self-doubt, and the pressure to perform.She unpacks what led to $1.5M in billings, what she'd do differently, and how she's now building a sustainable, high-performance business that prioritises both growth and well-being.You can connect with Elizabeth here: https://www.linkedin.com/in/elizabeth-kennedy-1179759/-------------------------Watch the episode on YouTube: https://youtu.be/wmNZzKLv_8o-------------------------Sponsors - Claim your exclusive savings from our partners with the links below:Sourcewhale - Check Out Sourcewhale & Claim Your Exclusive Offer Here.Raise - Check Out Raise & Claim Your Exclusive Offer Here.-------------------------Extra Stuff:Learn more about our online skills development platform Hector here: https://bit.ly/47hsaxeJoin 4,000+ other recruiters levelling up their skills with our Limitless Learning Newsletter here: https://limitless-learning.thisishector.com/subscribe-------------------------Get in touch:Linkedin: https://www.linkedin.com/in/hishemazzouz/-------------------------

Send us a textIn this episode of The Incubator, Ben and Daphna speak with Dr. Scott Duncan, Division Chief at the University of Louisville, about the critical importance of medical billing and coding in neonatology. The discussion explores how accurate documentation and thoughtful use of codes can impact everything from individual reimbursement to hospital funding and staffing. Dr. Duncan explains the key differences between critical care and intensive care coding, highlighting how misunderstanding these definitions can lead to missed opportunities for appropriate billing. The conversation also delves into the complexities of CPT and ICD-10 codes, bundled versus unbundled services, and how Diagnosis-Related Group (DRG) systems influence hospital revenue. They discuss how proper coding affects downstream resources, including staffing, and why the financial viability of neonatal units depends in part on getting this right. Dr. Duncan reflects on the need for better education in this area, particularly for trainees, and shares practical resources and upcoming initiatives aimed at helping clinicians build this essential skill set. This episode offers an eye-opening look at a topic often overlooked in medical training, but vital to the sustainability of neonatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

The latest market turbulence has raised concerns about the impact of tariffs on business deals and the potential for artificial intelligence (AI) to serve as a lifeline for companies striving to do more with less. With tariffs on Chinese goods recently increased to 125% and a 90-day pause on other tariffs, the uncertainty in the market is palpable. Industry experts Jay McCall and Karl Palachuk discuss the implications of these changes, emphasizing the need for IT solution providers to adapt their strategies and focus on client relationships during these challenging times.Karl highlights the importance of becoming a trusted advisor to clients, especially during economic downturns. He encourages providers to engage in regular conversations with their clients to understand their needs and concerns. This proactive approach can help businesses navigate the current landscape, as some clients may be looking to invest in technology to gain a competitive edge when the market stabilizes. Jay echoes this sentiment, drawing parallels to past economic crises and noting that while some projects may be delayed or canceled, opportunities for digital transformation, particularly in AI, may arise.The discussion also touches on the risks associated with standardization in pricing and hardware delivery. As supply chain issues become more pronounced, the reliance on standardized hardware may become a liability for managed service providers (MSPs). Instead, the experts suggest focusing on the outcomes and results that clients desire, rather than the specific systems used to achieve those results. This shift in perspective could allow MSPs to remain competitive and relevant in a rapidly changing environment.Finally, the conversation emphasizes the need for flexibility in business models as uncertainty looms. While clients may seek shorter contracts or more adaptable pricing structures, providers are cautioned against lowering prices to compete. Instead, maintaining the value of services and fostering strong client relationships will be crucial for MSPs to weather the storm and emerge stronger when the economy rebounds. All our Sponsors: https://businessof.tech/sponsors/ Do you want the show on your podcast app or the written versions of the stories? Subscribe to the Business of Tech: https://www.businessof.tech/subscribe/Looking for a link from the stories? The entire script of the show, with links to articles, are posted in each story on https://www.businessof.tech/ Support the show on Patreon: https://patreon.com/mspradio/ Want to be a guest on Business of Tech: Daily 10-Minute IT Services Insights? Send Dave Sobel a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/businessoftech Want our stuff? Cool Merch? Wear “Why Do We Care?” - Visit https://mspradio.myspreadshop.com Follow us on:LinkedIn: https://www.linkedin.com/company/28908079/YouTube: https://youtube.com/mspradio/Facebook: https://www.facebook.com/mspradionews/Instagram: https://www.instagram.com/mspradio/TikTok: https://www.tiktok.com/@businessoftechBluesky: https://bsky.app/profile/businessof.tech

Periodontal Probing and Billing deep dive in this episode. Irene and Vic address probing - a non-invasive, deceptively simple yet fundamental tool for monitoring oral health. Does it matter whether it's done by a dentist or hygienist? When is it time for a full-mouth probe, and how does it fit into a patient's treatment plan? How appointments are billed in the United States compared to Canada and potential concerns. To submit questions and access helpful resources, head over to @toothlife.irene on Instagram and check out the top three pinned posts. Resources are conveniently located in the middle of these posts, and you can ask questions directly by leaving a comment.   Additionally, visit toothlife.ca to explore a wide range of resources tailored to your needs. If you made it all the way down here, hit a like and share a comment. Until next time, Peace out peeps! ✌️ _______________________________________

On this episode I sit down with Hey, ILY!, a power pop/bedroom pop band from St. Paul, MN. We talk a bit about their latest LP "Hey, I Loathe You!" and I get to the bottom of some sound clips. We also talk about the transition of moving from Billing, MT to St. Paul., MN. Before we get to stories we talk about what to expect in the future. Be sure to follow Hey, ILY! and check out "Hey, I Loathe You!"!!!This episode features the songs "The Impending Dissolve of Hey, ILY!" and "Is Worry" from the album Hey, I Loathe You!You can find Hey, ILY! at the following links:Instagram: https://www.instagram.com/heyilyforever/Twitter: https://x.com/heyilyforeverBlue Sky: https://bsky.app/profile/heyily.bsky.socialBandcamp: https://heyilyband.bandcamp.comYoutube: https://www.youtube.com/@heyilyofficial4535/Merch: https://www.lonelyghostrecords.com/merch/artists/hey-ily_______________________________________You can find Beers With Bands here:Facebook: https://www.facebook.com/BeersWithBands2Twitter: https://twitter.com/BeersWBandsPodInstagram: https://www.instagram.com/beerswithbandspod/Bandcamp: https://beerswithbands.bandcamp.comEverywhere else: https://linktr.ee/BeersWithBandsLogo and Banner design by Kaylyn ChileenInstagram: https://www.instagram.com/madam.fortress.mommy/Website: https://kaylynchileen.artBeers With Bands intro by Thomas Allen of Say Days Ago and Last AutumnSay Days Ago: https://www.instagram.com/saydaysagoband/Last Autumn: https://www.instagram.com/lastautumnband/

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Physician executive Tim Wetherill discusses his article, "Why AI is the perfect neutral arbiter for health care claims." Tim explores how deeply embedded incentives, inefficiencies, and subjectivity in the current claims adjudication process create opportunities for manipulation and inefficiency. He explains how AI, when trained on clear, bias-free rules, can standardize decision-making and eliminate ambiguity, reducing the need for multiple vendors and decreasing billing errors. Tim argues that AI is uniquely positioned to serve as an unbiased third party—improving outcomes for health plans, providers, and ultimately, patients. His insights point to a future where fairness and efficiency drive health care claims resolution. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Dr. Ivy Fua is a pediatric dentist in Burbank, California. Right before COVID she purchased and renovated an established pediatric office to create "Grin Garden Kids Dental and Orthodontics." We talked about how she used a marketing and branding firm to help create her new office, along with the challenges of surviving the transition during COVID. We also discuss:- Outsourcing your insurance billing, is it worth it?- Difficulties when you hire and then lose an associate- Dealing with parents who have fluoride concerns- Being a mom and running a practice- Does it make sense to do full ortho or just phase one?

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Are you a dentist or manager in a seemingly endless struggle to stay profitable on PPO plans? You're definitely not alone. One of my first trusted resources in dentistry was Unlock the PPO's Sandy Hudson and Lisa Weber. Sandy joined me for a truly nerdy but very informative chat about networks and negotiations. We talked about the hidden challenges within shared network agreements and how she avoids “over-networking” and helps us understand opt-out procedures.  

“We've built something we're really proud of—and we'd love the opportunity to meet you,” says Charlene Hutchison of Viirtue (with two I's), in this exclusive Technology Reseller News interview recorded live at Channel Partners 2025. Viirtue, a white-label VoIP and UCaaS provider serving hundreds of partners nationwide, continues its rapid growth trajectory by investing in what matters most: community, enablement, and automation. Hutchison shares how Viirtue's unique approach to onboarding—featuring a self-paced, concierge-supported process that gets partners to market in as little as two weeks—has contributed to the company's 80% completion rate, well above the industry average. At the heart of Viirtue's strategy is a strong emphasis on community and partner experience. With hands-on client success teams, on-demand training, and an active peer-support Slack channel, Viirtue is empowering partners not just to get started—but to scale. Looking Ahead: Nashville Connect and Hierarchical Billing Viirtue will host its third annual Nashville Connect partner conference in October 2025. The event invites both existing and prospective partners for hands-on education, roadmap reveals, networking, and collaboration with key vendors. “It's all about putting our partners in the best position to succeed,” says Hutchison. In addition, Viirtue is preparing to launch hierarchical billing within its proprietary quote-to-cash platform, Vibe. This new feature allows partners to create parent-child billing structures for multi-location customers—streamlining account management while maintaining white-label flexibility. A Clear Message for MSPs As the company looks toward the remainder of 2025, Viirtue's message to the channel is clear: whether you're launching a VoIP business or looking to diversify your services, Viirtue offers a modern, intuitive, and partner-first platform backed by a passionate team. To learn more, visit www.viirtue.com (that's Viirtue with two I's), or reach out via sales@viirtue.com.

In this episode of the CPQ Podcast, we sit down with Tom Stergios, co-founder of Craton Consulting, to explore his 35-year journey in the Quote-to-Cash space. Tom shares his experiences building high-impact consulting teams, including his leadership at ATG, where he scaled a 600-person Quote-to-Cash practice later acquired by Cognizant. We dive into Craton's role in the CPQ ecosystem, helping ISVs, system integrators, and investors navigate complex challenges. Tom discusses key trends in Salesforce CPQ and Billing, the challenges faced by what he calls "orphan revenue cloud customers," and how his firm helps businesses evaluate their best path forward. Beyond consulting, we explore AI's growing role in CPQ, from automating provisioning and billing to enhancing sales and customer success. Tom also highlights the future of AI monetization, the shift toward usage-based pricing models, and what businesses must consider to stay competitive. Plus, we get a glimpse into Tom's personal journey, his deep ties to Montana, and his passion for creating opportunities through consulting and talent development. Tune in for an insightful discussion on the future of CPQ, AI, and business transformation! Craton Consulting contact information: Website: https://cratonconsulting.com/  LinkedIn: https://www.linkedin.com/in/tom-stergios/  Learn from the Craton Advisor Network https://cratonconsulting.com/craton-advisor-network/ , a collective of seasoned quote-to-cash operators boasting over 200 years of combined experience across CRO, CFO, CIO roles, and more. Get practical, 'been there done that' insights alongside Craton Consulting's expertise. Craton Affiliated Entity contact information:  https://thewholegroup.com https://www.ravusinc.com https://www.theinsightstudio.com 

Saturdays are supposed to be the toughest crosswords of the week, and Rafael Musa definitely got the memo: the amount of misdirection in today's puzzle would have David Copperfield nodding approvingly. We've covered most of Mr. Musa's masterpieces in today's episode, but a few others worthy of note are the fabulous 8D, Gag order?, TMI (hah!); 35A, Time to give up, LENT (magnifico!); and the cryptic 23A, Human Geography and Calculus BC, for short, APS (we didn't realize that Calculus was that old, but anyhoo...).In addition to the crossword, we also are pleased to announce our JAMCOTWA (Jean And Mike Crossword Of The Week Award), so check out today's episode to find out who took home the flag.Show note imagery: A coin from 1023-28 depicting OLAF the Stout, aka Saint OlafWe love feedback! Send us a text...Contact Info:We love listener mail! Drop us a line, crosswordpodcast@icloud.com.Also, we're on FaceBook, so feel free to drop by there and strike up a conversation!

Kiera shares exactly how Dental A-Team helped a practice with over $2 million in accounts receivable break even — and learn how to never fall behind again. Episode resources: Sign up for Dental A-Team's Virtual Summit 2025! Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript Kiera Dent (00:01.848) Hello, Dental A Team listeners. This is Kiera and welcome to the podcast. I hope today you are truly just so happy. I hope that you are honestly just living your best life and I hope you know that you're truly doing better than you think you are. So you guys, this is where we are. We're here to help you. Dental A Team is obsessed about helping you and your team thrive. To be able to give you guys the guidance that you need to navigate the challenges that we have in dentistry. so welcome. This is what I'm obsessed with. I hope that you just know that I   I truly love and adore this podcast family. I'm so grateful for you. I'm grateful for you sharing this with your friends. I love, love, love seeing you tag us when you're driving to work or listening in the car or taking us on a road trip. And my goal is to be always something of value for you on this podcast that you can go and implement immediately to make your life and your practice even better. For those of you new, welcome. For those of you who are OGs, welcome. I'm so happy to have you here. As always, please.   like and subscribe and leave reviews for our podcast. That way we can reach all the practices truly out there. Right now we have impacted several, but I know there's thousands of other practices that we could reach and guide. And the only way I can do that is through your help of sharing this. So as always, if you've shared, thank you. I just gave you a high five or a hug to say thank you. And I'm so glad that you're here. All right. Today I'm going to give you some quick tacticals on some billing help.   how to handle old balances. think old balances are just annoying and I help practices with this all the time. Just to give you a little story, I kind of like stories on podcasts. I'm usually I'm here to rattle and roll and today I want to just take you down a little bit of memory lane. But there was a practice who reached out to us and wanted us to be a consultant for them and asked us to help them with their billing department. And I was like, all right, sure, like we do this. I'm more than happy to help you out. Let me know what you need. And this practice said,   Well, Kiera, our over 90 and our total amount is about 2 million. And I was like, that's all right. It's not the worst I've ever seen. Tell me a little bit more. And they said, we literally have no handle on what we're doing with billing. And I was like, fantastic. So we got on. We started working with, they had a few different practices, 2 million. Could you imagine? Like, this is why I get paid what I get paid. Because we go and we find these little money holes in the practice and we patch them up.   Kiera Dent (02:20.622) and we're able to add all this money back into your practice and to help you put systems into place so this doesn't happen again. I think that's the biggest thing is let's make sure this does not happen again. And so with this practice, what we ended up doing was we started checking in Trulie every single week with this billing team. We created spreadsheets. We had them download the AR.   We prioritize which balances for them to go after first. And then we started like just chipping away at it. And we were heavy on our accountability. You better believe that I was hot to try on this practice. And it was every single week I was getting a report and update how many claims that they worked through. We looked to see, I think we had over 5,000 accounts to go through. So what we did is we said, all right, I'm gonna grab my calculator. I don't know off the top of my head. We said, all right, 5,000 accounts. We are working 20 days.   That means we need to get through 250 accounts per day. We had three people working on it. That meant 83 accounts per person. Now that's not realistic, right? And so what we did is we took those 5,000 accounts and we did that over three months before we ran a new AR account. That way they could feel like they could get through that because then you have 5,000 charts. We have 60 days to work, right? 20 days times three. And then we had three people working on it that broke it down to about 25 to 30 accounts per day.   that felt a lot more doable. Now remember, a lot of these accounts just needed to have a resubmit from insurance. It was a denied insurance claim because we didn't attach an attachment. Others, we just need to call and collect from a patient. Others, there was more work that needed to be done that we had to dig into. And then there was the dun-dun-dun-dun, old accounts. Like, what do I do with these old balances? We can't collect on them. And so that's really where we started to work. And so with this practice, it took us   Truly, I'm not exaggerating, it was about six months before we started to get a good handle on it. And then like at a year mark, they felt like very confident we were able to get through all the accounts. We had good processes in place. We started collecting when people were coming in the door and that way all those accounts of this billing team looked to see who on the schedule we could collect from. Because that then, instead of just these three people working on it, we also had all of our front office team working on it, all the back office team, we were prepping the route slips.   Kiera Dent (04:33.774) which a lot of billers will tell me that just feels like a waste of time, Kara. I don't want to do that. I don't want to prep these charts. And I think, yeah, but think you probably see, I don't know, 25 to 70 patients per day. And if we could collect on all of those that come through and collect those balances, well, now I'm not having to go and like look for all this stuff everywhere else. I can just get this done like in real time. So again, I'm a person of let's work smarter, not harder. And so this practice started doing that. So that became a system of then we chart prep.   consistently making sure that, my gosh, like let's get all these patients there. We put into a process for the front office to collect at time of service when they checked in. And then we also made sure that we were really good on our treatment estimates to make sure that we didn't get into this hot water. And the reason this office got into hot water is not because they were doing anything wrong, but because this practice did not consistently work there.   their insurance. And so they got all these old accounts, they got all these old balances. And guess what? That's no fun for anybody. That's not fun for the patient. That's not fun for the practice. That's not fun for cashflow. That's not fun for the billers. I mean, gosh, like when I look at 5,000 accounts, I'm like, all right, we got to work. Like we've got our spreadsheet to get through. And so for these practices, I just want you to know that no matter where you are, there's still hope. If we can help you on that, by all means reach out. Even if you're not there yet, like that far.   Let's great, like let's catch it because the ultimate goal is that you have no more than one month's worth of production in your total AR. So if you're producing a hundred thousand, then guess what? I want no more than a hundred thousand in your AR at any given moment. Also, I really watch your over 90 accounts because those can tip to where they're no longer collectible. So what I recommend we do is when I'm working with a billing team is we're going to start with those big balances and then like, let's make a big hit. Like let's do a good impact.   So I have people put it on an Excel spreadsheet. We have it color coded. It's actually so simple. And once billers get into this rhythm and doctors, when you have it, it becomes truly like flawless. It's so beautiful. It's so easy to do. So we put it in there. We sort it. You can use it and sort the list and sort your AR list. So that way I can look usually within your over 90. It's usually held up in like five to 10 accounts. So what we do is we actually go hit those accounts that are going to give us the biggest bang for our buck and our time.   Kiera Dent (06:48.238) and we're gonna go try and collect on those accounts, figure out what's going on with those accounts and try to collect. Now, when I have an office that has a lot of really, really, really old balances, there comes a question of, we just write this off as bad debt or do we try to collect? And my opinion is you did the work, let's try and collect whatever we possibly can. So on those offices, I usually send out statements. You'll be shocked at how much you actually can collect from those old balances, that old debt.   And then we go, we try to collect, I usually send one, two or three statements, depending upon the practice and the doctor's choice. I do not think it's aggressive to send three statements. I also call, I'm making sure I call these patients. You can even let them know like, hey, we're updating our system and we noticed there was an outstanding balance. So we needed to get that collected for you. This is the total. And I can take Visa or MasterCard, which do you prefer? Collect right over the phone. It's very simple. I know it feels weird. It's like, my gosh, we were supposed to have collected this a while ago.   Well, high five, we updated our system. Hashtag we updated to actually looking at it is what we're trying to tell people. We should have collected this. We didn't, but now we have a process in place where we do this every week. And then from there, what I like to do is have you guys truly start collecting on those calling. I am amazed at how many practices do not call. Also amazed at how many practices do not have an online payment portion. Well, that's a really easy way to get old balances. Cause if you're expecting them to call during working hours or send you a check,   or write their credit card on a little piece of paper and send it back to you. Well, we've just made it to where it's like so much of a time delay. Why not just have them get on the phone, get on a call with you and start making the outbound calls. I just gave you the script, use that for your team. That's how we start to work with these old balances. So now we've tried to collect everything. We're working on it. I also am very sticky that our billers are working at least two days a week. Billers, I'm going to tell you, you can work more efficiently. And I say that with grace and love and a hug.   Because I don't want you working on this all the time. What I want you doing is I want you clumping things together, clumping insurance plans together, looking for all the patients that I can call, working A to J and then my, what is it? JK, K to Z. So we work those every other week. We're sending out statements, we're sending out text messages, and we have a rhythm. I have a billing calendar that I share with offices so that way we don't get off track. Yeah, you're going to have some hard work to do at the beginning, but once we get this on track and we have a system, guess what? You'll have to work on it like two days a week.   Kiera Dent (09:08.75) It really does cut down time and doctors, just so you know, again, that's pending upon the size of the practice. When we have multi-offices, it's a full-time job. When we're at one practice, one provider, it should be a two-day job for billing. Now billers might hear this and they might be angry with me. Billers, I'm saying that not because I think that you are doing things wrong. I'm just saying that most offices can do it that way. So let's give you the efficiency tips. Let's help you out. Let's make sure that you're able to do it too. That way you're able to...   Do this in the most effective and efficient way as possible. My goal is to not waste time. Let's not waste time on hard things, but let's actually do things that are fun. You can also outsource this to third party companies as well. That can also help. They're working. They're hugely less expensive. So if you're struggling with billing, those are some solutions. So I promise you old balances. We've now gone through, we've done all this. We still have debt.   We still have these balances that we can't collect. We've sent out our three statements. We've been contacting them. We've called them three times. This has also been documented in their ledger. So we know it's really been done. Doctors, can run reports when it's documented. I usually do made up codes for these, but that way doctors, can run reports to see how many of these procedures are actually being, or how many of these calls are being done consistently. okay. Now it's a choice. You have choices. So depending on how old it is, what I usually like to do is I run my AR report.   And then doctors, it's your decision here. I'm not going to tell you what to write off. All this money is technically owed to you. You did the work, so you get to decide what you want to do. I'll tell you my preference and I'll tell you what I usually recommend. But at the same time, this is your money and I want you to know you are entitled to every single penny that has been billed in the practice. I usually recommend anything below $20. If we can't collect it, it's not there. There's no way for us to collect it. Just write it all off. I also like to do this at a strategic time point.   where it's probably at end of year or end of quarter. So that way I know at this point in time, I wrote off all this bad debt because then we can move forward and we know that was like a bad time. We're never doing it again, but this was my one time. So anything $10 or less, $20 or less, just write that off, get that out of the accounts. It's gonna clear up quite a few accounts for you. Then, well, and before we do that, we've tried to collect also any person who has a balance on their account.   Kiera Dent (11:27.79) I don't usually think sending someone to collections over $20, that's not my jam. I'm not usually a big proponent of collections, but again, every penny is entitled to you. So you decide what's best for you. So we write it off and then from there we get to start deciding what we're gonna do. Are we gonna call these patients and do a 50-50 split with them to where if they pay 50 % today, we're then gonna write off the additional 50%, but most likely they're probably not welcome back in the practice. Are we going to send them to collections?   Are we just going to say these balances are never going to be collected? And we like pick through them and decide, but doctors, once we have this bad debt, it's your decision to decide what are you going to do with it? Look to see how much it's there. Look to see how much we've contacted them, called them. Can we do anything else? And then we really get to decide, we write this off? Now, if you do write it off for bad debt, it does need to be adjusted off. There needs to be a note on that practice, on that patient. And that patient does not get to come back to the practice until they've paid their debt. Let's not get ourselves back into hot water.   but that's how we're gonna handle these old balances. And I know this feels like icky sticky, but when we get to this, like that practice, we worked on it six months, eight months, nine months. At the end of the year, we decided, we showed the doctor, we said, this is all, this is everything we've collected from this 2 million pile of these 5,000 accounts. And here we are. And I think we ended up writing off about $50,000 at the end of it, which that feels like a bad day, but $50,000 out of 2 million, I think they did a really, really great job.   We had bad systems in place. We didn't have people collecting consistently. And that was the reality of where we got. But they then moved forward and we made sure we were at 98 % collections. We kept that claim amount low. We kept our AR low. We made sure we never got over one month's worth of AR ever again. And this practice is happy skipping along, but it was hard work. So I want you to know that it is tricky, but it is doable. And this is hopefully a quick tip for you of how you're able to handle those balances.   Now there's a lot of other pieces, there's a lot of other options, there's a lot of different things. I just kind of gave you a highlight reel today that hopefully will take you through to see, all right, what is my AR? Am I at one month or less of my AR? What are my highest balances? And what are my oldest balances? Can I get those collected? And then what do I need to start writing off? So those would be some of my quick highlight tips for you to get started. You know at Dental A Team, our passion is making sure that you are so successful.   Kiera Dent (13:44.76) that you're able to have the know-how, the things that you need to do, the things that will make you the most successful, and also the less stressed, and also to help your team, because I know doctors, you're not taught this in dental school, this is really tricky, and so this is what we're able to do. We're able to work with your billing team, we're able to work with your teammates, and the entire practice, including yourself, to understand A, what is the process, B, how do we get ourselves out of this mess, C, how do we never get there again, and D, how do we make sure that this is something that...   literally becomes a system that is forever running rather than something that's person dependent. So that's what we're about. If that resonates with you, I'd love to hear from you. Hello@TheDentalATeam.com or just go to our website and click on a call or DMS. Either way, I'm happy to help you. If you're in a billing sticky spot, I'm happy to assess it with you, give you some free guidance, get you on your way, but always reach out. Hello@TheDentalATeam.com And as always, thanks for listening and I'll catch you next time on The Dental A Team Podcast.

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Are your billing habits silently sabotaging your practice? If your cash-pay patients aren't receiving the maximum possible reimbursement from their insurance via your superbills or out-of-network billing, you could be unintentionally creating friction that costs you trust, retention, and new business. Indeed, I've seen this be the very reason a prospective stellar customer never gets started with a cash-based practice—or why some patients drop off before completing their plan of care. In the episode, I break down the most effective and often overlooked strategies for out-of-network billing, crafting optimized superbills, and making your payment process one that supports your growth. Listen to this episode to get my powerful free resource which includes a plug-and-play superbill template that meets all insurance reimbursement standards and the exact list of questions I give prospective patients to ask their insurance providers if they're insistent on checking their out-of-network benefits before starting with you— to minimize them getting talked out of going out-of-network, AND understanding what they'll get back from self claims as well as the often-higher cost of going in-network if they still have a deductible to hit. USEFUL INFORMATION: Check out our course: How to answer, “Do you take my insurance?”