Podcasts about CPT

In this episode of the CPT Podcast, we welcome Dr. Matt O'Reilly, lead pastor of Christ Church, Birmingham, and a leader in the Global Methodist Church, to talk about what it means to be an ecclesial theologian. O'Reilly describes the ecclesial theologian as a pastor who provides theological leadership from within the local church. Rather than simply translating academic theology for laypeople, ecclesial theologians engage in constructive theology that shapes every aspect of church life—from preaching and discipleship to finances, property, staffing, and mission.  The conversation explores O'Reilly's leadership in the emerging Global Methodist Church, including his role in drafting unified Articles of Faith and chairing the Doctrine and Sacraments Committee for the denomination's General Conference in Johannesburg. O'Reilly argues that theological study is not a distraction from pastoral ministry but an essential part of it—one that can deepen a pastor's leadership, renew the mind, and become an act of worship.Join a CPT Cohort Program Attend the 2026 CPT Conference

SLPs have been screaming for a long time that reimbursement is too low, costs are rising, and access to speech-language pathology services is being threatened. But can we prove it with national data?In this episode, Jeanette Benigas, PhD/SLP, introduces The Speech Pathology Education, Advocacy and Knowledge (SPEAK) Project and its first major initiative: building a national economic dataset that shows what it actually costs to provide SLP services and turn those numbers into credible national evidence we can use to advocate directly with CMS during the current public comment period.Jeanette is joined by private practice owner Holly Ellis, MS/SLP, and CPA Cody Underwood to discuss how North Carolina built its own cost analysis, why independent financial analysis matters, and what the national SPEAK Project will measure, including CPT 92507, dysphagia and cognitive services, treatment time, payer mix, Medicare and Medicaid reimbursement, workforce pressures, waitlists, and access to care.The immediate goal: collect high-quality data from all 50 states (+ DC) and turn that evidence into meaningful advocacy.Give data. Give dollars. Or do both.Everything starts at speakproject.net.Get caught up, wherever you stream podcasts!#110: CPT 92507 Is Being Deleted? What Every SLP Must Know About the New Speech Therapy Codes#111: CPT 92507 Q&A for SLPs: Your Questions Answered#113: CPT 92507 Option B: This Is Our Week to Advocate#115: CMS's NEW Pediatric G Code Explained: What Every SLP Needs to Know#116: What the New Speech Therapy Codes Mean for Adult SLPs#117: The End of CPT 92507: Is Your SLP Documentation Ready?✨ Grateful to Chomper Champs for bringing so much positivity and fun to the pediatric SLP space. Follow the link to order the

For many speech-language pathologists, occupational therapists, and myofunctional providers, billing and documentation feel like navigating an ever-shifting maze. Between selecting appropriate CPT codes, justifying medical necessity, and adhering to strict scope-of-practice guidelines, clinicians often struggle to ensure proper reimbursement while remaining compliant.In this episode, Hallie Bulkin breaks down the essential mechanics of billing for myofunctional therapy services. She addresses common points of confusion around core codes - such as CPT 92526 (treatment of swallowing dysfunction and/or oral function for feeding) and 92507 (speech/language treatment) - and offers practical strategies for documenting functional gains accurately.Hallie also previews upcoming CPT code updates slated for 2027, shedding light on how these structural changes will impact private pay practices, electronic health records (EHRs), and clinical workflows. Whether you are navigating insurance reimbursement or operating an out-of-network practice, this episode equips you with the clarity needed to code with confidence and integrity.Key Topics & TakeawaysDeconstructing CPT 92526 vs. 92507: Clarifying the distinct clinical applications for swallowing/feeding dysfunction versus speech and language treatment.The 2027 CPT Code Shift: Preparing your practice, EHR templates, and clinical documentation for upcoming coding structure changes.Scope of Practice & Provider Eligibility: Understanding state licensing, board regulations, and billing qualifications across different therapeutic disciplines.Defensible Documentation: Crafting objective, function-focused clinical notes that justify medical necessity and withstand insurance audits.Out-of-Network & Private Pay Strategies: Equipping cash-pay practices with accurate super/ superbill documentation to help patients seek reimbursement seamlessly.Soundbites"A CPT code isn't just a billing number - it is a translation of your clinical documentation and direct scope of practice.""When preparing for coding changes, proactive documentation systems protect both your practice and your patients.""Bill for what you treat, document what you see, and ensure every note clearly establishes functional necessity."Timestamps 00:00:00 - 3 Verification Steps Before Coding00:04:23 - Deep Dive: Myo & CPT Code 9252600:06:37 - Reporting 92526 & 92507 Together00:09:45 - Provider Scope & License Boundaries00:13:47 - Dental Hygienist (RDH) Reimbursement Reality00:15:53 - Strong vs. Weak Documentation Examples00:18:16 - Private Pay & Superbill Responsibilities00:19:42 - 2027 Deletion of 9250700:20:47 - Why 92507 Was Flagged by AMA/CMS00:26:26 - Private Practice Transition Strategy00:27:43 - Clinical Reasoning vs. Endless Exercises00:29:01 - Immediate Action PlanLinks & ResourcesFast Myo Screening Tool: Streamline your intake documentation and baseline evaluations at FastMyoScreening.com.WORTH A LISTEN: CONTINUE YOUR JOURNEYScreening vs. Assessment vs. Treatment: Why Every Clinician Needs to Know the Difference.How Root Cause Assessment Changes Feeding and Speech Outcomes.STAY CONNECTED

A practicing pathologist explains why DaVita, UnitedHealth, and Natera are playing fundamentally different games — and why one of them could break first.Investing in healthcare stocks requires a different framework than semiconductor investing. In this excerpt from a CSI live Q&A, we sit down with Dr. Brad Gibson — a practicing pathologist and private-practice partner — to break down how the US healthcare system actually gets paid, and what that means for stock picking.Brad walks through four investable buckets: medical service providers (DaVita, Natera, TransMedics), health insurers (UnitedHealth, CVS, Cigna, Elevance), pharmaceutical companies (Eli Lilly, Vertex), and healthcare hardware/software providers (Stryker, Veeva, Intuitive Surgical).The conversation covers Medicaid and Medicare reimbursement mechanics, CPT codes and RVU conversion factors, why private practices are being pushed into hospital consolidation, how pharmacy benefit managers generate profit through rebates, and why UnitedHealthcare's vertical integration has drawn regulatory scrutiny. Brad also gives his take on AI in pathology and drug discovery, and explains why he's more concerned about a healthcare cost bubble than an AI bubble.If you're building a healthcare investing thesis for 2026, this is where to start.If you want the reasoning behind more names like this one, Semiconductor Insider covers the process in more depth: https://www.chipstockinvestor.comAll our socials: https://linktr.ee/chipstockinvestorContent in this episode is for general information or entertainment only and is not specific or individual investment advice. Forecasts and information presented may not develop as predicted, and there is no guarantee any strategies presented will be successful. All investing involves risk, and you could lose some or all of your principal.

Your neighbor just dropped another bag of zucchini on your porch, and somewhere between the stuffed boats and the noodle spirals, you started telling yourself you were finally getting your fiber handled. You've been doing the right things, eating the vegetables, filling the plate. And yet the bloating hasn't budged, the energy crashes are still showing up mid-afternoon, and you can't quite figure out why.Here's the truth almost nobody tells you: most late summer garden vegetables, the zucchini, the cucumber, the tomatoes, are actually pretty low in fiber. This isn't a willpower problem or a "you're not trying hard enough" problem. It's an information problem, and once you know which foods are actually doing the work, everything gets easier.In this episode, I walk through what fiber really does for your body in this season of life, which vegetables are pulling their weight and which ones aren't, and exactly what to add to your plate so your garden overflow finally earns its keep.You'll learn:Why fiber becomes more important, not less, during perimenopause and menopauseThe real fiber counts hiding in your favorite summer vegetables, and why the numbers might surprise youThe difference between soluble, insoluble, and prebiotic fiber, and why your body needs all threeA simple way to pair your zucchini overload with real fiber sources, no recipe overhaul requiredThe top ten highest fiber foods worth building meals aroundNavy beans, cooked, 1 cup: 19gSplit peas, cooked, 1 cup: 16gLentils, cooked, 1 cup: 15.5gBlack beans, cooked, 1 cup: 15gChia seeds, 1 oz (about 2 tablespoons): 10gArtichoke, 1 medium: 10gAvocado, 1 whole: 10gGreen peas, cooked, 1 cup: 9gRaspberries, 1 cup: 8gBrussels sprouts, cooked, 1 cup: 6gThis isn't about eating perfectly. It's about finally understanding what's actually on your plate, so you can stop guessing and start feeling like the effort you're putting in is going somewhere.Shop Legion Supplements: https://legionathletics.rfrl.co/zwo48 - use promo code Inspire to get 10% cash back on each order. Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Dr. Stephanie Sacks is a licensed clinical psychologist, CPT trainer, and co-founder of MindScience Collective, a continuing education platform delivering practical, evidence-based training for therapists.In private practice, she specializes in cognitive behavioral treatments for PTSD and trauma-related disorders and serves as a national trainer and consultant for organizations including the National Center for PTSD, Strongstar, and Cohen Veterans Network. She is also an adjunct professor and published author in the field of trauma.MindScience CollectiveAbout Dr. Stephanie SacksTraining & ConsultationBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.---Thank you to our Sponsors: Jane App - use code GUY1MO at https://janesoftware.partnerlinks.io/ngvcwcxqt2jx-4afv8i (https://jane.app/book_a_demo)Beducated - Complete the quiz for one month free https://beduc.at/pd2633-traumatherapist

What happens when patients living with chronic pain do not have a pain pharmacist on their healthcare team? In this episode of This Week in Pharmacy, we explore the hidden clinical, emotional, and financial costs of managing pain without a pharmacist trained in pain management. These pharmacists do far more than review medications—they serve as accessible patient advocates, medication experts, care coordinators, and trusted partners for people navigating the complexities of chronic pain. Segment One: Pharmacists Are the Secret Weapon in Pain Management Special guest host Dr. Sing Ping Chow, PharmD, BCPMP, is joined by Dr. Matthew Hermenau, PharmD, BCPMP, CPh, NBC-HWC, CPT, for an important discussion about pharmacist-led pain management. Together, they examine how pain pharmacists can: Identify medication-related risks and opportunities to improve therapy Help patients balance pain relief, function, safety, and quality of life Collaborate with prescribers and other members of the healthcare team Support individualized, evidence-informed treatment plans Educate and empower patients living with chronic pain Advocate for patients whose concerns may otherwise go unheard Address the whole person—not simply a diagnosis or pain score The conversation reinforces a powerful message: pharmacists are one of healthcare's most underused resources in chronic pain care. When a pain pharmacist is part of the team, patients gain a knowledgeable advocate who understands medications, listens to their lived experiences, and helps them pursue safer and more effective care. Remembering Dr. Jeffrey Fudin This episode includes a special tribute to the late Dr. Jeffrey Fudin, PharmD, widely regarded as pharmacy's godfather of pharmacist-led pain management. Dr. Fudin was a pioneering clinician, educator, author, mentor, and tireless advocate for the meaningful inclusion of pharmacists in pain care. His work challenged conventional thinking, elevated the role of the pharmacist, and helped build a path for future generations of pain-management specialists. His influence continues through the pharmacists he mentored, the patients he championed, and the profession he inspired. We honor Dr. Fudin's legacy and his unwavering belief that people living with pain deserve informed, compassionate, and individualized care. Segment Two: The Nation's Best Hospital Systems In the second segment, we welcome Chelsey Wen, Senior Health Data Analyst with U.S. News & World Report, to discuss the newly released 2026–2027 Best Hospitals rankings. Chelsey explains how U.S. News evaluates hospital performance and how patients and families can use the findings when making healthcare decisions. The latest assessment evaluated nearly 4,500 hospitals across 14 adult specialties and 23 procedures and conditions. It places increased emphasis on patient outcomes and introduces regional specialty rankings designed to help patients locate complex care closer to home. Explore the 2026–2027 Best Hospitals announcement. link: https://health.usnews.com/best-hospitals Topics include: What it means for a hospital to be nationally ranked or rated “High Performing” The clinical data and patient outcomes considered in the evaluation Changes to the 2026–2027 rankings and methodology The importance of regional rankings and access to specialized care How patients should interpret hospital rankings when choosing where to receive care Sponsored By Today's episode of This Week in Pharmacy is brought to you by First Databank and Outcomes, pharmacy-technology organizations supporting safer, smarter, and more connected healthcare.

The biggest names in neurofeedback — Jay Gunkelman, Dr. Mari Swingle, Dr. Andrew Hill, Joy Lunt, Saul Rosenthal, and Anthony Ramos — join host Pete Jansons for an unscripted panel that opens with a story you won't forget: a women's prison where, the panel says, a neurofeedback program was shut down because it worked "too well." Plus criminal recidivism, the "hot cingulate," PFAS and sleep, remote neurofeedback, the one-vs-nineteen-channel debate, side effects and safety — and Joshua Moore's intro to QEEG phenotypes.CHAPTERS:0:00 — The prison story cold open0:39 — Welcome: Jay Gunkelman, Dr. Mari Swingle & the panel2:23 — Jay's 75th birthday (Suisun City Summit)5:01 — PFAS and 80 minutes of lost sleep6:18 — Do these chemicals change your genes?7:51 — Beta spindle vs. OCD rumination insomnia8:18 — Sleep basics + the PFAS in your sheets8:53 — Saul Rosenthal stops by10:08 — Cortisol, adrenals, and why you need them11:40 — Cortisol, bipolar, and the manic switch12:33 — Norepinephrine and tuning your alpha14:26 — Jay heads out14:57 — Stop demonizing cortisol15:36 — Welcome to the panel, Saul16:06 — Autism, schools & CPT codes18:30 — Can neurofeedback rehabilitate offenders?18:55 — The women's prison that worked TOO well20:11 — Recidivism flipped 75% to 25%21:00 — Death-row inmates and the hot cingulate21:55 — Rigid kids — and the miracle you can do22:20 — "You're changing a life"23:48 — Is a hot cingulate genetic?24:10 — The pit bull in your head25:56 — Al Pacino in "Heat"26:32 — The "divorce signature"27:39 — Why women get more powerful with age28:31 — Joy: you can't reduce a person to a brain area30:09 — Remote neurofeedback: Dubai, Portugal, Oman32:19 — "The 10th time it's not plugged in"33:28 — Clients at 700–800 sessions35:02 — The danger of "magical" software35:40 — In-office vs. remote: both work37:18 — What to ask a client after a session38:24 — Once a week vs. twice a day39:46 — Match the top 3 goals to the EEG43:41 — Hot cingulate and hypersexuality?45:12 — One channel or nineteen?46:41 — "More channels is just more math"46:50 — Why we won't trade protocols on air49:34 — Why fewer channels can be safer50:39 — Three audiences: parents, techs, clinicians52:05 — "Doctors for answers, scientists for questions"54:02 — Do side effects really happen?55:57 — Why 75 parameters at once is trouble56:52 — Experiment vs. iterative57:58 — Is SMR well tolerated? Joy vs. Andrew59:44 — "You two are closer than you think"1:05:10 — "We lose one QEG amp a year"1:05:59 — Patreon, subscribe & contact1:06:40 — Joshua Moore: intro to QEEG phenotypes1:08:04 — 85% pairing meds with the phenotype

In 2021, Dr. Ron Elfenbein, MD, operated urgent care centers in Maryland, testing and treating COVID patients with monoclonal antibodies. The treatment was so successful that he was able to test and treat patients, see them recover, and watch them go home. Dr. Elfenbein went on Fox News sharing the great news of how successful the treatment of monoclonal antibodies was for COVID. Four months later, he was criminally indicted on 5 counts of fraudulent coding and billing at his clinics. A matter that should have never been brought in criminal court—at most deserving of some administrative action. He is still fighting these charges today. That is the stark outline of what happened to a good doctor. The fuller story is even more revealing—and more troubling. He is the kind of doctor you would want for your own care or for the care of your family. Dr. Elfenbein is an emergency physician with more than two decades of experience. When COVID arrived, he did what physicians are trained to do: he looked at the evidence in front of him and treated the patients in front of him. Monoclonal antibody infusions—technology that has been used safely since the 1970s for a range of conditions—produced dramatic results. Patients who arrived looking “on death's door” often improved while still sitting in the infusion chair, with rapid turnarounds during the treatment itself. Lives saved. Hospitalizations prevented. Families spared further illness. No ventilators. No funerals. Displaying ingenuity and personal drive along with organizational skills, he built infusion centers and quickly became one of the largest providers in the Mid-Atlantic region. Patients traveled from neighboring states because they could not obtain the treatment closer to home. He saw the technology work with his own eyes. So did the patients and their families. Who needed any mRNA vaccines? Patients were being treated inexpensively and were able to return home. But there was a pandemic and a vaccine blueprint we documented in our book COVID-19 and the Global Predators: We are the Prey that had been developed for more than a decade, involving many billions of dollars in profits and offering the potential to finally exercise control over free and feisty American citizens. Led by Bill Gates and Klaus Schwab, both working with Dr. Anthony Fauci and the Deep State, careers and billions in research had been invested in shoehorning the “next generation” of vaccine technology past FDA approval requirements and into the marketplace. The “Universal Vaccine” was the holy grail before 2020. The mRNA vaccine model was considered a strong candidate with tremendous support from Bill Gates and others. “Why don't we blow the system up? Obviously, we can't just turn off the spigot on the system we have and then say, ‘hey, everyone in the world should get this new vaccine we haven't given to anyone yet.' But there must be some way…”  Michael Specter, Staff Writer, The New Yorker; Moderator at the Milkin Institute's Future Health Summit 2019 panel titled “Making Influenza History: The Quest for a Universal Vaccine.” When the COVID-19 pandemic hit, an Emergency Use Authorization was issued for the mRNA COVID vaccines. It was based on the legislative condition that there were no preexisting “adequate, approved and available alternatives.” And that was the wrinkle. There were adequate, approved, and available alternatives to a rushed, unapproved, mRNA vaccine system already documented to be toxic. Hydroxychloroquine, ivermectin, monoclonal antibodies, and even the basic medical treatments for respiratory viral conditions that are a part of any general practitioner's armamentarium (albuterol and Budesonide inhalers, analgesics, oral steroids, cough suppressants, and antibiotics for secondary infections or other available tools that were not being recommended by the government when patients began to exhibit viral respiratory symptoms thought to be caused by COVID). None of these treatments were recommended for COVID by the CDC. Bill Gates, Dr. Anthony Fauci, and the pharmaceutical industry pushed a multi-billion-dollar boondoggle for experimental vaccines, all of which depended upon the absence of early effective treatments. But there were good doctors who stood against the pressure on behalf of their patients and patients everywhere, speaking truthfully through media outlets to inform citizens about their care options and treating their own patients. Dr. Elfenbein is one of those good doctors, and the Biden administration noticed, especially after he made a couple of media appearances talking about the successful treatment of COVID with monoclonal antibodies. A simple, outpatient monoclonal antibody treatment that could be provided in test/treat facilities and scaled up to provide care to thousands in a community should have provided strong evidence against any need for “vaccines.” But the Biden government was in the middle of their single-minded drive to get mRNA vaccines for Covid into “every arm.” Then federal authorities shut the monoclonal antibody program down nationally, citing that it was less effective with the newer Omicron variant. Dr. Elfenbein went on national television and said what many physicians believed, but few dared state publicly: people would die as a result of that decision. He was right. Hospitalizations and deaths followed. The monoclonal antibodies were eventually pulled from the market entirely, while the mRNA vaccines remained available. Four months after Dr. Elfenbein's public criticism of COVID policy and the mRNA vaccines, the Department of Justice indicted him. The charges were not that he invented patients or fabricated services. The charges concerned how certain COVID-related evaluation and management visits had been coded for insurance reimbursement—technical billing questions that arise routinely in medical practice and are normally handled, when necessary, through civil or administrative channels. A jury convicted him in August 2023. Then something almost unheard of occurred. Chief Judge James K. Bredar of the U.S. District Court for the District of Maryland—the same judge who had presided over the trial—issued a detailed 93-page opinion vacating the convictions and entering a judgment of acquittal on all five counts. The judge found that the relevant CPT coding guidance was ambiguous, that the government had failed to prove the Level 4 codes were false beyond a reasonable doubt, and that no reasonable jury could have reached a guilty verdict on the evidence presented. He also conditionally granted a new trial because the evidence weighed so heavily against the verdict that it would be unjust to enter judgment. The government appealed. The Fourth Circuit later reversed the pure judgment of acquittal while acknowledging the evidence was “thin,” leaving the new-trial order in place. Judge Bredar subsequently recused himself from the case with a one-line notice and no explanation. Dr. Elfenbein now faces a second trial. The legal costs of the first prosecution nearly bankrupted him and his family. A second trial threatens to finish what the first began. Major physician organizations have stood with him. The American Medical Association—the very body that authors and maintains the CPT code set the government claims he violated—filed an amicus brief in his support. So did the Maryland State Medical Society, the Association of American Physicians and Surgeons, and the Independent Medical Alliance. These groups have made clear that differences of interpretation over complex, pandemic-era billing rules should not be criminalized, especially when the underlying medical services were actually provided, and no patient harm is alleged. This case is not an isolated bureaucratic error. It fits a larger pattern we have watched for years: physicians who questioned official COVID narratives, who prioritized early treatment, or who spoke publicly about what they were seeing in their clinics often found themselves investigated, deplatformed, or professionally attacked. When a doctor can face decades in federal prison over disputed coding of real services, the message to the entire profession is unmistakable. Dr. Elfenbein's website is dropthecase.com. There you will find information about his legal defense fund. If you are able to help, please do. If you cannot give financially, share his story. Write to the Department of Justice. Let the current administration know that continuing this prosecution does not serve justice, public health, or the integrity of medicine. We have seen too many good physicians pay a heavy price for putting patients first and telling the truth as they saw it. Ron Elfenbein is one of them. He is a good and great man who should not have to stand alone. Go to Dr. Elfenbein's website, DroptheCase.com, and contribute to his legal costs through GiveSendGo.

The new Medicare speech therapy CPT codes are coming, and adult SLPs need to prepare.In this episode, Jeanette Benigas, PhD/SLP, is joined by Katie Brown, SLP of Neuro Speech Solutions (@neurospeechsolutions), to discuss how the new code family replacing 92507 could impact adult speech-language pathology across Medicare Part B, skilled nursing, outpatient, home health, hospital outpatient, and private practice.They discuss how the new codes may affect reimbursement, scheduling, productivity, documentation, cognition treatment, Medicare Advantage, commercial insurance, and ethical billing. They also explore why accurate utilization data will be critical to future advocacy for higher reimbursement rates.Whether you own a private practice, work in a SNF, outpatient clinic, hospital, or even pediatrics, this conversation will help you understand what's changing, what questions remain unanswered, and how to start preparing now.Topics include:• The new adult SLP CPT codes• Replacing 92507• Medicare Part B billing• Cognition reimbursement• Documentation changes• Productivity concerns• Private practice and SNF implications• Ethical billing and future advocacyResources Mentioned

In this episode of the Live Yes! With Arthritis podcast, we'll explore how to use the right food and your overall nutrition to maximize its benefits for your arthritis. *Visit the Live Yes! With Arthritis Podcast episode page to get show notes, additional resources and read the full transcript: https://www.arthritis.org/liveyes/podcast/episodes/eating-smart-for-arthritis-159 * We want to hear from you. Tell us what you think about the Live Yes! With Arthritis Podcast. Get started by emailing podcast@arthritis.org.Special Guests: Bailey (Bowman) Cook, Dr. Chris D'Adamo, and Ruth Frechman, MA, RDN, CPT.

A stranger told me, to my face, that I wasn't going to be able to lift it. I didn't get the chance to prove him wrong in the moment, but the story stuck with me for a completely different reason than you'd expect. In this episode I'm telling you exactly what happened on a bike path on Mackinac Island, and why my reaction says more about eight years of strength training than it does about that one moment.Then we get into the part that surprised me most: what's actually happening in your body right now, whether you lift or not, and why it matters so much more than the number on the scale.In this episode, you'll learn:Why the average woman starts losing 3 to 5 percent of her muscle every decade after 30, and why most women never notice it happeningThe reason your strength can decline even faster than your muscle, and how menopause pours gas on the whole thingWhat resistance training actually protects, from your bone density to your balance to your ability to get up off the floor at 80Why "keep going" matters just as much as "get started," and how progressive overload keeps your body adapting for the long haulWhat to do next, whether you've never picked up a dumbbell or you're already lifting every weekWhether you're just starting or you're already in it, this one is about playing the long game. Not fitting into your jeans a little better today. Building a body that works with you for decades.If you're ready to start, the 14-Day Strength Reset is the easiest place to do it. Six workouts, 20 minutes each, all from home, all you need is a set of dumbbells. Comment "reset" on the episode post and I'll send you the link. Just $14 to get started.At Inspire Fitness, I help women in perimenopause and menopause build real strength, real confidence, and a body that works with them, not against them. This isn't about willpower. It's about having the right information and the right support for this season of life.Join us in Inspire Nutrition: https://inspirehw.com/nutritionLegion Supplements: https://legionathletics.rfrl.co/zwo48 - use promo code "Inspire" for 10% cash backJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Two months after opening Amity Creek Primary Care in Duluth, Minnesota, Dr. Nyasha Spears returns to My DPC Story with the real numbers, the real costs, and the parts of a Direct Primary Care startup nobody puts on a slide.She and her DPC partner Dr. Kristin Lusian hit 130 patients six weeks in, with no advertising beyond a website and word of mouth. As of June they are covering overhead, rent, and debt payback, though they are not paying themselves yet. Meanwhile the non-compete case that made the opening possible is still moving. Her former employer appealed the temporary injunction and filed a motion to stay, so Dr. Spears is funding an appellate defense while building a brand new practice from scratch.In this episode:What a non-compete fight really costs, and what physicians considering the legal path should prepare for financially and emotionallyWhy keeping membership prices low was a boundary decision, not only a pricing decisionHow she handles patients wanting care her practice does not offer, and when "no" beats "yes, with limits"The justice and equity case for DPC, and why she is focused on patients who fall through the safety nets rather than on replacing Medicare and MedicaidBoring wins worth celebrating: custom patient ringtones so calls stop landing in personal voicemail, decoding hospital lab orders with CPT and ICD codes, and 12 successful blood draws in five weeksTwo-physician cross coverage, planning the first vacation, and the schedule she rebuilt once her husband started working three days awayKeeping skills sharp with journal club, procedures, and actually reading againWhy she says the more DPC the better, even in her own cityMaryal also shares how Big Trees MD partnered with Calaveras County Health so uninsured patients get same-day help, including one patient who went from panicking about medication access to picking up a prescription within eight hours.If you are weighing a non-compete, pricing your memberships, or wondering whether patients will actually come, this conversation is the honest version.Resources mentioned:Amity Creek Primary Care: amitycreekclinic.com Advocacy with the DPC Coalition: dpcare.org Big Trees MD: bigtreesmd.comFind your starting point at mydpcstory.com, from the free startup checklist to the Physician Owner's Planner built for the business side of your practice.Leave Maryal a voice message at mydpcstory.com/contact. Your question or win could be featured on a future episode.Follow @mydpcstory and please leave a five star review on Apple Podcasts so more physicians find these stories.Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze. Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

In this episode I chat with my friend and colleague Erin Kenney MS, RD, HCP, CPT of Nutrition Rewired about probiotics. Erin is a registered dietitian, certified personal trainer, & gut health expert. At her practice Nutrition Rewired she specializes in helping clients with their digestive health, hormone imbalances, autoimmune disease, POTS, MCAS, and histamine intolerance by combining evidence based guidelines with education in alternative medicine.Thank you BetterHelp for sponsoring this episode. To save 10% on your first month of therapy, visit https://www.betterhelp.com/holleyfueled

You don't have to quit drinking to reach your goals this summer - but you do need to know what's actually happening in your body when you do, and what to do instead so it doesn't derail your progress.In this episode, we're talking honestly about alcohol, summer, and the social pressure that comes with it. Not from a place of judgment - from a place of finally understanding what's going on so you can make choices that actually feel good, before and after.You'll learn:Why alcohol hits differently in perimenopause and menopause, and what it's doing to your blood sugar, sleep, and recoveryHow one night out can quietly turn into a wasted week — and how to stop that spiral before it startsAlcohol-free alternatives that feel like an actual treat, not a punishmentHow to set real limits on frequency and amount — decided in advance, not in the momentA simple, non-awkward way to navigate the social situations where alcohol is everywhere and expectedThis isn't about willpower. It's about walking into summer with a plan instead of hoping you'll figure it out in the moment.Inspire Fitness is strength training and nutrition coaching designed specifically for women in perimenopause and menopause. If this episode resonated, share it with a woman who needs to hear it doesn't have to be all or nothing.A note: this episode is about the everyday social drinking most of us do, not about alcohol use disorder. If your relationship with drinking feels heavier than "one glass turned into a rough week," you deserve real support, not a podcast episode. The SAMHSA National Helpline (1-800-662-4357) is free, confidential, and available anytime.Peak Cocktails: https://peakcocktails.com/caseyyoung - Use code: Inspire20 for 20% off your order. Blood Orange is my favorite flavor, but I like the variety packs so I have options. Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

What makes a church feel truly welcoming? In this episode of the CPT Podcast, we welcome one of CPT's Senior Fellows, Dr. Matthew Kim, to discuss his new book, Becoming a Friendlier Church: A Pathway to Genuine Community. Drawing from years of ministry, teaching, and personal experiences visiting churches around the world, Matt explores why many congregations unintentionally create barriers for newcomers and how pastors can foster a culture of authentic hospitality. The conversation examines five common obstacles to church friendliness—including insularity, apathy, busyness, comfort, and prejudice—and offers practical, discipleship-centered practices to help churches become places where people experience belonging from the moment they arrive. Matt also reflects on the pastor's role in shaping church culture, the connection between preaching and hospitality, and why becoming a friendlier church is ultimately part of making faithful disciples of Jesus. Join a CPT Cohort Program Join us at the CPT Conference

LORI PRESTESATER SPENT HER CAREER BUILDING COMPANIES AND RUNNING P&LS. THEN SHE JOINED A 175-YEAR-OLD INSTITUTION AND ASKED WHAT IT COULD BECOME. Laurie McGraw sits down with Lori Prestesater, former Senior Vice President of Health Solutions at the American Medical Association, on the eight years she calls the pinnacle of her career, and the transition out of it. Most people would not describe the AMA as a high-growth opportunity. Lori came from payers, provider groups, and high-growth technology, and took on the work of turning a traditional publishing organization — one that put out books, codes, and data formats — into a data organization. She is candid that the hard part was never the technology. It was culture, change management, and leading by influence rather than authority, including with the physician volunteers who sit nowhere on an org chart. The conversation also goes where most leadership interviews do not: what happens when a woman who worked seven days a week and put herself last finally has to decide what she wants next. In this episode: - Why a high-growth executive chose a 175-year-old association, and what surprised her when she arrived - The CPT code set as the backbone of revenue cycle, and why it has to evolve as medicine does - CPT Intelligence — built on a private large language model, with content tagged using graph database technology — and how it supports autonomous coders, EHRs, payers, and prior authorization - Why the biggest challenge in any transformation is cultural, not technical - Building the data labs team with Sandeep Dhamale, and the platform he left behind - The credentialing product launched during her tenure: under two years in market, just under 150 customers, deployed across just under 700 locations, with customers reporting up to a 30% reduction in physician onboarding time - Six months to see a primary care physician in San Francisco, and why an incredibly cumbersome application process compounds the shortage for patients, health systems, and physicians alike - Taking the complex and making it simple — the skill she undervalued early in her career - Putting mission first when your instinct is growth: the art and science of medicine for the betterment of public health - Handing Health Solutions to Jeremy Knight, and why she believes he is better suited to the next chapter - Advising AMA CEO Dr. John Whyte on special projects during her transition - Moving back to Colorado after years of not living in the same state as her husband - Moving her mother, who just finished her term as board chair of a hospice organization at 88 - A new grandchild, a daughter navigating new motherhood, a newly married son - Where board work fits into what comes next, after years spent on the staff side of the table - Women Business Leaders, and the principle at its core: who mentors the mentors? - Why senior leadership gets lonely, and why you need people for the good times and the bad - The book Ask For It, and why she has given it to so many young women - Her closing advice: be confident, talk less and listen more, know your superpowers, backstop your weaknesses, and build a network that will advocate for you when you struggle to advocate for yourself Inspiring Women with Laurie McGraw.

There's a decision you've been sitting on. Maybe it's starting a program. Maybe it's committing to tracking your food. Maybe it's finally investing in yourself after years of putting everyone else first. And you keep pushing it to Monday. To September. To when things calm down. To when you feel ready.Here's what I need to tell you: that moment of certainty is not coming. And that is actually the best news I can give you.In this episode, I'm sharing something more personal than I usually do. A story from my first year in business, a terrifying investment decision, and what happened when I moved before I felt ready. And then I'm connecting it directly to where you are right now, because the decision you've been postponing and the fear underneath it are more familiar to me than you might think.You'll hear:The story of a decision I made in my first year of business that made absolutely no rational sense on paper, and what happened two months later that changed everything I believed was possible for meWhy the certainty you're waiting for before you start is not a prerequisite for success, it's the thing keeping you from finding out what you're capable ofWhat "there are no wrong directions" actually means, and why every attempt you've made, even the ones that didn't stick, was never wastedWhat moving before you feel ready actually looks like in practice, for real women in real life with real schedulesThe one belief that separates the women who change their lives from the women who stay exactly where they areA mantra I borrowed from a mentor that I want you to steal: one sentence that reframes everything about how you approach this journeyYou don't need to feel ready. You need to move. You only find out what's possible on the other side of the decision you've been postponing.This is that episode.Inspire Fitness is strength training and nutrition coaching built specifically for women in perimenopause and menopause. If this episode gave you the push you needed, share it with a woman who's been waiting for the right moment. Tell her the moment is now.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

In this episode of the Pastor Theologians Podcast, we invite Heather Joy Zimmerman, a member of CPT's St Irenaeus fellowship, to share how profound personal suffering shaped both her faith and her calling. Reflecting on the loss of a close friend, her father's battle with cancer, and her journey through lament, Heather explains how God used Scripture—especially Romans 8 and the Psalms—to deepen her understanding of God's goodness and inspire a lifelong passion for helping others faithfully navigate suffering. Heather also traces her path from Moody Bible Institute to Dallas Theological Seminary and Wheaton College, where her academic work on the Psalms of lament and preaching emerged from her own spiritual journey. She discusses her passion for theological education, forming faithful preachers, and bridging the gap between the academy and the local church. The conversation offers a compelling vision of the Pastor Theologian—one whose scholarship is rooted in personal faith, pastoral ministry, and a deep love for Christ and his people.Join us at the CPT Conference

In this episode of Medsider Radio, we sat down with Bob Paulson, President and CEO of Sonex Health. Sonex's UltraGuideCTR device is a minimally invasive technology that enables ultrasound-guided carpal tunnel release procedures to be performed outside the surgical suite using local anesthesia, expanding patient access and reducing the cost of care.Before joining Sonex, Bob led multiple venture-backed medical device companies through commercialization, including NxThera, acquired by Boston Scientific, Restore Medical, acquired by Medtronic, and VentureMed Group. Earlier in his career, he held senior leadership roles at Medtronic, Advanced Bionics, and Endocardial Solutions, which was acquired by St. Jude Medical.In this interview, Bob explains how to build a reimbursement strategy before your first clinical study, drive physician adoption when introducing a new care pathway, and raise capital aligned with value inflection points. Before we dive into the discussion, I wanted to mention a few things:First, if you're into learning from medical device founders and CEOs and want to know when new interviews are live, head over to Medsider.com and sign up for our free newsletter.And if you're ready to level up your medtech game, you should check out Medsider Courses — 8-week masterclasses covering topics like fundraising, M&A and exit planning, design and development, clinical and regulatory strategy, and commercialization.These courses, featuring hard-earned lessons from elite medtech CEOs, can be purchased individually or come free with our All-Access Pass.If you'd rather read than listen, here's a link to the full interview with Bob Paulson, which includes a link to ScottBot — an AI version of host Scott Nelson trained on every Medsider interview and playbook. Feel free to ask ScottBot any questions you'd like!KEY MOMENTS FROM THE INTERVIEW(03:19) - Bob's path from Medtronic to multiple medtech exits before joining Sonex (05:38) - Why 80% of eligible carpal tunnel patients avoid surgery — and how Sonex is changing that (11:11) - The reimbursement challenge that reshaped Sonex's clinical evidence strategy (19:07) - Reimbursement is a three-leg process: FDA, CPT, and payer coverage (22:07) - Reverse engineering your company from the exit you're trying to achieve (29:35) - How Sonex helped surgeons move carpal tunnel procedures out of the OR (39:06) - Sonex's "pitcher-catcher" approach to physician and patient adoption (41:59) - Bob's framework for choosing investors who can finance the entire journey, not just the next round

Send us a text if you want to be on the Podcast & explain why!The hardest part of becoming a great personal trainer usually isn't programming, it's walking up to strangers and starting the awkward conversation anyway. Tyson Robertson sits down with Sean Hyson, a newly minted Show Up Fitness Level One trainer who just started coaching at Lifetime Fitness in Austin, Texas, to talk through what the first two months really look like inside a premium big-box gym.We get specific about client acquisition and building a book of business: how the concierge desk and intro sessions help, why you still have to work the floor, and how to keep your approach natural instead of pushy. Sean shares what's working best for him right now, including free workshops like joint-friendly strength training and shoulder pain fixes that attract the people most ready to invest. We also talk honestly about who tends to buy training, why “the bros” often resist coaching, and how follow-up creates the multiple touchpoints most members need before they commit.Then we zoom out to the bigger picture: bridge pay, the early financial squeeze, and why sales confidence matters when training packages can run well over $1,000 a month. Sean explains how his background as a longtime fitness writer and editor shaped his coaching, and why AI and the collapse of magazine media pushed him toward a more human, client-facing career. If you're a new CPT trying to succeed at Lifetime, Equinox, or any commercial gym, you'll walk away with practical tactics, real expectations, and a clear reminder that results come from trust, consistency, and smart progressive training.Subscribe for more coach-to-coach conversations, share this with a trainer who's in the trenches, and leave a five-star review if it helps you keep showing up.Want to become a SUCCESSFUL personal trainer? SUF-CPT is the FASTEST growing personal training certification in the world!Want to ask us a question?  Email info@showupfitness.com with the subject line PODCAST QUESTION to get your question answered live on the show!Website: https://www.showupfitness.com/Become a Successful Personal Trainer Book Vol. 2 (Amazon): https://a.co/d/1aoRnqANASM / ACE / ISSA study guide: https://www.showupfitness.com

Send us a text if you want to be on the Podcast & explain why!Most personal trainer certifications teach you what to memorize. We care about what you can coach. We lay out how Show Up Fitness is structured in July 2026, from Level 1 foundations to Level 2 specializations, plus the Freedom Pass built around mentorship and lifetime access. If you're tired of guessing whether you're “ready” to train real people, this breakdown gives you a clear roadmap with live calls, direct feedback, and standards that actually mean something. We walk through the weekly live call schedule and what each coach brings to the table: exercise variations, programming, anatomy, mentorship, and deeper dives with nutrition coaches and physical therapists. You'll hear how we avoid overwhelming new trainers while still giving ambitious coaches a fast path to level up, earn CEUs, and stack specializations that improve your resume and your real-world coaching skill. We also get specific about testing and expectations. For the CPT, we talk anatomy requirements, movement patterns, and how we evaluate programming and movement competency through Zoom and video submissions. On the advanced side, we cover the nutrition certification with registered dietitian support, motivational interviewing, and the Vitality partnership that can include 80 to 100 biomarkers. For soft tissue and pain-focused coaching, we explain the value of hands on seminars and an internship under a physical therapist so you build confidence through practice, not hype. If you want a career path that rewards curiosity and competence, share this with a trainer who's stuck, and subscribe so you don't miss what we're building. Leave a review, send it to a friend, and keep showing up.Want to become a SUCCESSFUL personal trainer? SUF-CPT is the FASTEST growing personal training certification in the world!Want to ask us a question?  Email info@showupfitness.com with the subject line PODCAST QUESTION to get your question answered live on the show!Website: https://www.showupfitness.com/Become a Successful Personal Trainer Book Vol. 2 (Amazon): https://a.co/d/1aoRnqANASM / ACE / ISSA study guide: https://www.showupfitness.com

It's mid-July. You started the summer with good intentions. And somewhere between the cookouts, the vacations, the late nights, and the "just this once" moments that have been stacking up since Memorial Day - your routine quietly dissolved.You're not tracking. You're not hitting your protein. You're eating whatever is fastest because the day got away from you again. And you've been saying "I'll reset after this weekend" for six weeks.This isn't a discipline problem. This is what happens when you spend an entire season with no structure and no plan. And today I'm giving you three specific steps to refocus before August arrives and the whole summer is gone.You'll learn:Why mid-July is its own specific challenge - and why the "just this once" events that have been stacking since Memorial Day are not a moral failing, they're a predictable response to an unstructured seasonWhy avoiding the scale and the food log is quietly making everything worse - and what looking at the number actually does for your momentumHow to pick one anchor habit for the next two weeks that keeps you connected to your goals while summer swirls around youWhy the "what's for dinner" problem is the single most underestimated driver of off-rails eating in summer - and the exact fixThe 60-second AI trick I use to solve dinner before it becomes a crisis: the exact prompt to type into ChatGPT or Claude to get five high-protein, under-30-minute summer meals built around what you actually have in your kitchenWhy the women who arrive at Labor Day feeling strong are not the ones who were perfect all summer - they're the ones who noticed the slide in mid-July and did something about itIt is not too late to salvage the second half of your summer. Not even a little bit.Three things. That's all this takes. Let's do it.AI Prompt: "I need dinner ideas for this week. I want meals that are under 30 minutes, high in protein, and light enough for summer because I don't want to stand over a hot stove. I have chicken, shrimp, and ground turkey in my freezer. I need options that work for a busy woman who might be coming in from outdoor activities and needs something fast. Can you give me five ideas with a quick description of each?"Join us in Inspire Nutrition! Use the link here and code JULY30 and save $30 instantly! https://inspirehw.com/nutritionLegion Supplements. Shop here with Code Inspire: https://legionathletics.rfrl.co/zwo48Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

In this episode of the Pastor Theologians podcast, we welcome one of our own, Zach Wagner, to discuss his new book, Men of Virtue: How the Fruit of the Spirit Forms Male Character in the Modern World. Zach reflects on his decade of ministry with CPT, his transition into a new season, and the journey behind writing a book that reframes conversations about masculinity through the lens of Christian virtue.Rather than focusing on cultural ideals of manhood, Zach explores how the fruit of the Spirit—love, joy, peace, patience, kindness, gentleness, and self-control—forms a distinctly Christian vision of male character. The conversation examines the modern crisis of meaning, competing narratives around masculinity, and how following Jesus challenges both the denigration and idolization of masculine identity.Join us at the CPT Conference

Send us Fan MailQ1 2027 cash flow crisis. That is what is waiting for every OB practice that does not have a plan in motion by October. Not because the codes are hard. Because the time ran out to prepare for them. Knowing what is changing and being ready for it are two completely different things. In the OB Global Coding Series finale, Dr. Heather Signorelli walks through the exact ninety-day month-by-month plan to be ready on January 1, 2027 — payer contracts in July, EHR templates and workflows in August, provider training and shadow audits in September, refinement through Q4. Month 1 · July · Payer contracts: Your contracts reference specific CPT codes. When 59400 and 59510 disappear January 1, those contracted rates disappear with them. Identify your top five payers by maternity volume. Reach out to each provider rep with a written timeline question. Model your current revenue per episode before negotiating. Use the ACOG payer advocacy toolkit. Submit written notice of intent to renegotiate before July 31 to get into the Q4 queue. Month 2 · August · EHR + workflows: Systems first, people second. Rebuild prenatal, postpartum (inpatient and outpatient), and labor management templates. The labor management templates are built from scratch since 59080 – 59083 have no legacy. Build the multi-provider attribution protocol, the same-day postpartum hard stop, and the modifier TH automation. Month 3 · September · Provider training + shadow audits: Mandatory training for all clinical staff. Show providers their own notes and the dollar difference between what they wrote and what they could have written. Run shadow audits monthly: twenty prenatal notes, ten labor management, ten postpartum rounding. Track results by provider. Brief the front desk on the patient-facing talking points. September 1 is the ACOG testing date — NOT a payer compliance deadline. Submit test claims to your top three payers and watch what comes back. Q4 · Refinement, not crisis: October: follow up with payers for written fee schedule confirmations. November: CMS finalizes RVUs — update your revenue model with real numbers. December: billing team readiness check. January 1: go live. The practices that did the Q3 work transition smoothly. The ones that did not are scrambling. The reframe: The elimination of the global OB codes is not a threat to your practice. It is a correction. OB/GYN has been undercompensated for the complexity of maternity care for thirty years. That ends January 2027, if you are prepared.RESOURCES BLOCK Save your seat: Live OB/GYN Global Codes Update Webinar (July 7, 2026, 4:00 PM ET) · eligibility.natrevmd.com/obgyn-global-updates-webinar Book a 1:1 with Dr. Signorelli · calendly.com/heather-natrevmd/ Full series playlist: EP188 · EP189 · EP190 · EP191 · EP192 (https://natrevmd.com/podcast/#) Practice Revenue Leak Scorecard · eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist · eligibility.natrevmd.com/payment-posting-checklist RECOVER Diagnostic Quiz · natrevmd.com/quiz 

It's Tuesday morning. The fireworks are done, the cooler is empty, and somewhere between the cookout and the long weekend you lost your routine. The scale is up. You feel bloated and sluggish and like you undid everything you've been working toward.And the thought that keeps coming back is: I'll start fresh Monday. Or I'll start in Aug. Or September...Here's what I need you to hear before anything else: you did not undo your progress. You had a holiday weekend. Those are two completely different things. And "I'll start Monday" is the single most common way women lose weeks, and sometimes months, to a four-day holiday.In this episode, I'm giving you the exact reset protocol to get back on track today, and I'm talking about why the Monday reset pattern keeps so many women stuck in a cycle they can't seem to break.You'll learn:Why the scale is up after a holiday weekend, and why it's almost certainly not what you think it isThe real reason "starting Monday" is working against you, and the pattern it reinforces every single timeFive specific things you can do today, right now, to re-anchor to your habits and send your brain the signal that you're backWhy eating light all day to "make up for" the weekend is setting you up for the same spiral all over againHow a 20-minute workout today is worth more than a perfect week that starts on MondayWhy the women who bounce back fastest after a disruption almost always do this one thing within 24 hoursYou are not starting over. You are continuing. There is a difference.The summer is still very much here. What you do today is what matters.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

E.M. Cotter fireboat Cpt. Michael Kick on the fireboat's continued efforts to serve the City of Buffalo full 491 Mon, 06 Jul 2026 08:30:00 +0000 KQcESgWtDTl0uWh26mRtknGmpX517C32 buffalo,news,wben,e.m. cotter fireboat WBEN Extras buffalo,news,wben,e.m. cotter fireboat E.M. Cotter fireboat Cpt. Michael Kick on the fireboat's continued efforts to serve the City of Buffalo Archive of various reports and news events 2024 © 2021 Audacy, Inc. News

Jay Gunkelman has read more than half a million brain scans — and this week he and host Pete Jansons skip the EEG entirely to answer a bigger question: how would you actually redesign school? Jay takes the magic wand to class sizes, teacher pay, the trades, and why you can't give one lesson to thirty different brains. Along the way he tells the story of how he beat the system himself — registering through the University of North Dakota's computer center, signing his own advisor card, running a lab without a degree, and getting one mailed to him anyway. Then the neuroscience: how a whack-a-mole game, a go/no-go task, and a 35-minute dry-sensor EEG can spot the ADHD, sensory-processing, and OCD signatures a behavioral test walks right past. Plus Joshua Moore's intro to QEEG phenotypes.

Send us Fan MailGary reports in from Oberlin College, Ohio, to bring you more great music, ancient and modern, from the bagpipes - and saxophone!PlaylistDavy Spillane with Atlantic Bridge from Atlantic Bridge Strathclyde Police Pipe Band with Selection: The Detroit Highlanders, Loch Loskin, Mac-an-Irish, Barney's Balmoral, Willie Roy's Loomhouse, Morag Duncan, The Gold Ring, The Humours of Cork, Cpt. Geddes' Turnabout from The World Pipe Band Championships 1986Pipe Major William MacLean and his piping tuition, Pipe Major William MacLean, (contributor), Francis Collinson, Calum Maclean, (fieldworkers), ref: SA1953.005.A3, The School of Scottish Studies Archives, The University of Edinburgh Patrick Molard and Manu Lannhuel with The prophecy of Gwenc'hlanJohn D Burgess with Lord Alexander Kennedy, Delvinside and Pretty Marion from the Piping Centre Recital Series 1996 The Whistlebinkies with The Pipers' Controversy and the Piping College Summerside from Inner Sound Fraser Fifield with Benedictus from The Inchcolm AntiphonerSupport the show

Send us Fan MailUnder the global model, labor management was absorbed into the delivery code. Two hours or twenty-two, same payment. Starting January 1, 2027, the AMA introduces 59080 through 59083, the first dedicated labor management codes in CPT history. The work was always there. Now it gets paid. Dr. Heather Signorelli and Amy Hicks, CPC, COBGC, our AVP of Operations, walk through the codes, the documentation, the corrected delivery code framing, the midnight-spanning labor rule, the multi-provider attribution problem, and the three actions every OB practice should take this quarter. Why labor management was invisible: Under the global model, the cognitive work of managing labor was absorbed into the delivery code. Practices managing complicated labors (preeclampsia, GDM, category two tracings) have been subsidizing simple deliveries for decades. The four new labor management codes: 59080 (initial day, straightforward) · 59081 (initial day, complex) · 59082 (subsequent day, straightforward) · 59083 (subsequent day, complex). Codes bill per calendar date. One code per date per patient. Straightforward vs complex: the six-criteria test: All six straightforward criteria must be met: singleton vertex, routine monitoring, no FHR intervention required on that date, normal progression or routine induction without complication, stable medical conditions, no prior cesarean. Any one criterion not met means the labor is complex. Duration of labor alone is NOT complexity unless prolonged labor is formally diagnosed. What the complex note has to say: Explicitly name the complicating condition. Not just “patient has GDM,” but what about the GDM you managed today. Document MDM across multiple data sources, labs reviewed, monitoring strip interpreted, imaging assessed. Document additional monitoring or intervention beyond standard, what you did and why. Document multi-provider coordination if applicable that date. For 59083 (subsequent day complex), complexity must be re-established for EACH subsequent day. A single admission note does not carry forward. Delivery codes (corrected framing): The 2027 delivery codes separate vaginal from cesarean, not vaginal from operative. 59431 (vaginal, no prior cesarean) · 59432 (VBAC vaginal) · 59502 (primary cesarean) · 59503 (repeat cesarean). Vacuum and forceps are separately billable add-on procedures. Included in the delivery code: placenta, first and second degree laceration repair, same-day postpartum care. Separately billable add-ons: 59433 (third degree lac), 59434 (fourth degree lac), 59623 (uterine tamponade, new 2027 code), 59504 (hysterectomy with cesarean). Midnight-spanning labor (correcting the record): A continuous labor encounter spanning midnight is reported as ONE labor management service on ONE of the two calendar dates. The practice decides which date. Inpatient E/M codes (99221 through 99236) do NOT stack with labor management codes. They replace each other. Inpatient E/M applies before labor begins. Once active labor management starts, switch to 59080 through 59083. Multi-provider attribution: Each provider bills the service they personally performed. The labor management code goes to the provider who managed labor on that calendar date. The delivery code goes to the provider who delivered. If the delivering provider also managed labor on the delivery date, they can bill both. Two failure modes: the miss (no one drops the charge), and the double-bill (both providers drop the same charge). The solution is a daily reconciliation, not monthly. Three actions this quarter: Map your call and cross-coverage. Find where charges go unbilled today and where two providers could overlap. Build a daily L and D reconciliation process. Assign ownership. Reconcile before shift end, not at month end. Update EHR labor management templates to prompt for the six criteria, complicating conditions, MDM elements, and same-day decisions.  RESOURCES BLOCK Save your seat: Live OB/GYN Global Codes Update Webinar (July 7, 2026, 4:00 PM ET) · eligibility.natrevmd.com/obgyn-global-updates-webinar Book a 1:1 with Dr. Signorelli · calendly.com/heather-natrevmd/ Practice Revenue Leak Scorecard · eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist · eligibility.natrevmd.com/payment-posting-checklist RECOVER Diagnostic Quiz · natrevmd.com/quiz Series Part 2 (EP190): https://podcasts.apple.com/us/podcast/190-every-prenatal-visit-is-now-a-billable-event/id1624182351?i=1000774328121                                             

Last week I told you that cardio can't be your whole plan in midlife. This week I'm telling you exactly what the cardio piece should look like.If you missed last week's episode on why your body stopped responding to cardio in perimenopause, go back and listen - the link is in the show notes. This episode picks up right where that one left off.The answer to "what cardio should I actually be doing" is simpler than you think. It's called Zone 2. And it is specifically, almost perfectly suited to the body you have right now.In this episode you'll learn:What Zone 2 cardio actually is - and the simple talk test that tells you if you're in itWhy Zone 2 burns fat without spiking cortisol, and why that distinction is everything after 45What counts as Zone 2 and what doesn't - including why your summer walks might already qualifyThe exact weekly structure that combines Zone 2 with three strength sessions per week - with real time numbers, not vague adviceHow long your Zone 2 sessions should be, how often, and whether to do them on the same day as strength trainingWhere HIIT fits in - and why it should be a condiment, not the main courseThree strength sessions. Two to three Zone 2 sessions. That's your week. That's the framework that works with your hormones, protects your muscle, and burns fat efficiently - for the long term.Now you know exactly what it looks like.Ready to train with a program that has already put this all together for you?Find us at inspirehw.com Shop Legion Supplements with promo code "Inspire": https://legionathletics.rfrl.co/zwo48Last week's episode: Why Cardio Isn't Enough AnymoreApple: https://podcasts.apple.com/us/podcast/inspire-fitness/id1731207251?i=1000773856308Spotify: https://open.spotify.com/episode/7xTCQfbWNJVa1sOb1OSvG1?si=bo3ILdl1SDaMWSpJR5qzSA Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

In this episode of the Pastor Theologians Podcast, we invite CPT fellow and Wesleyan pastor Ben Espinoza to talk about his new book, The Good News About Self-Care: How Nurturing Your Soul, Yourself, and Your Sanity Honors God. Ben shares his journey into ministry, theological formation, and the experiences that shaped his understanding of Christian self-care.Ben reflects on how ministry pressures, ambition, and the COVID-19 pandemic exposed unhealthy patterns in his own life. He explains that self-care is not a secular pursuit of comfort, but a theological practice rooted in honoring the image of God within us. The conversation explores Sabbath, limits, vocation, and spiritual health, with Ben encouraging pastors and leaders to embrace rest, prayer, boundaries, and accountability so they can faithfully serve others.Join us at the CPT Conference

Send us Fan MailStarting January 1, 2027 every antepartum visit becomes its own billable E/M charge. The global OB code goes away. The seventeen deleted codes include 59400, 59510, 59425, and 59426. And the way most prenatal notes are written today supports a 99212 at best, even when the visit was genuinely a 99214. Dr. Heather Signorelli and Maria Reynoso, Director of RCM at NatRevMD, walk through what changes, what the notes have to say, and the three actions every OB practice should take this week. What changes January 1, 2027: Antepartum-only codes (59425, 59426) and global OB codes (59400, 59510) are deleted. Every prenatal visit is now a standard E/M visit with modifier TH. New patient 99202–99205. Established patient 99211–99215. What the notes actually look like today: Notes have been written for speed because the global model did not reward note detail. A typical 16-week prenatal note (BP, fundal height, FHTs, “patient doing well, return in 4 weeks”) supports a 99212. The provider did much more during that visit. None of it is in the note. Under 2027, that gap is real revenue. What a 99214 note has to say: ACOG's position: pregnancy is a chronic illness with exacerbation and progression for E/M purposes. The complexity is built in. The note has to reflect it. For a 99214, document the ongoing management of the pregnancy as a condition, the data reviewed with your interpretation, and moderate risk decisions like prescription management or monitoring a condition that could escalate. “Anatomy scan reviewed, normal” is a 99212. “Anatomy scan reviewed, normal four-chamber heart, no CNS abnormality, EFW consistent with dates, AFI normal, counseled patient” is a 99214. High-risk patients finally pay for the complexity of their care: Under the global model the complex patient and the low-risk patient paid the same. The new model fixes that two ways. Complex visits code at a higher level (99214 / 99215). And more frequent visits equal more claims. For 99215 the note needs the specific complicating diagnosis named, data reviewed with interpretation, the management decision and the reason behind it, and specialist coordination if applicable. Same-day procedures and modifier 25: Antepartum procedures (NSTs, ultrasounds, amniocentesis, CVS) still bill separately. The E/M visit on the same day is now also billable with modifier 25. The note must independently support the E/M, not just the procedure. Three actions this week: Audit twenty random prenatal notes against the 2021 E/M guidelines to set your baseline Rebuild EHR templates to prompt for MDM elements, not for speed Start documentation training in Q3, using providers' own notes side by side with the corrected version and the dollar difference Quick Reference Table:       Topic                                                                                    What to knowDeleted codes count                     -      17 codes deleted total Antepartum-only codes                  -       59425, 59426 — deleted Jan 1, 2027Global OB codes                                  -       59400, 59510 — deleted Jan 1, 2027 New patient E/M range                    -       99202–99205 + modifier TH Established patient E/M range    -       99211–99215 + modifier TH 99214 vs 99213                              -       ~$46 per visit at Medicare ratesModifier 25               -       On the E/M when a procedure is also billed same dayACOG test date         -September 1, 2026 — recommended start for test claimsRVU finalization       - CMS proposes July 2026, finalizes November 2026 RESOURCES BLOCK Save your seat: Live OB/GYN Global Codes Update Webinar (July 7, 2026, 4:00 PM ET) · eligibility.natrevmd.com/obgyn-global-updates-webinar Book a 1:1 with Dr. Signorelli · calendly.com/heather-natrevmd/ Practice Revenue Leak Scorecard · eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist · eligibility.natrevmd.com/payment-posting-checklist RECOVER Diagnostic Quiz · natrevmd.com/quiz Series Part 1 (EP188): https://podcasts.apple.com/us/podcast/188-17-ob-codes-just-got-deleted-your-real-deadline/id1624182351?i=1000773393336Coming next: EP191 · Phase 2 labor management codes (the codes that have never existed in CPT before) 

In this episode of the CPT Podcast, we welcome Rev. Cole Feix, pastor of Carlton Landing Community Church and a member of the CPT's St Irenaeus Fellowship. Cole shares his journey from faith exploration and theological formation to pastoral ministry in a unique new urbanist community.Cole reflects on how intentional spaces, hospitality, and deep relationships create opportunities for spiritual growth, and how his experience pastoring in a walkable, close-knit town has shaped his understanding of the pastor theologian's calling. We explore questions of place-making, community, discipleship, and what the church can learn from the environments where ministry happens.Join us at the CPT Conference

As strength and nutrition coaches, Dante and Ren help people reconnect with their bodies through intentional movement, strength, mindfulness, and outdoor adventure. We sit down with Dante Liberato and Ren Thorpe of The Den Somatics in Manitou Springs. From MMA fighters and endurance athletes to people from all walks of life, they take a holistic approach to health and performance that challenges traditional fitness norms.Host: Torie Giffin, Owner Buffalo Lodge Bicycle ResortGuests:Dante Liberato, Coach, Trainer - The DenRen Thorpe, CPT, CNC,CES, Strength & Nutrition Coach - The DenAs fellow bike commuters and cycling enthusiasts, Dante and Ren share their perspectives on movement, community, and training with purpose. We talk about The Den's growing cycling community, their Monday night rides, Dante's cycling roots, and his upcoming documentary Dante: 500 Miles on Psychedelics, which follows an extraordinary running journey. Whether you're a cyclist, athlete, or simply curious about living a healthier, more connected life, this conversation offers plenty of insight and inspiration.Follow Dante:Instagram: @buffalowarriorFacebook: Dante LiberatoStrava: Dante LiberatoThis Episode on Video: https://youtu.be/ey5KbI6SRbE?si=kGPDbXHwwzSTbSw9Learn More:Bicycle Day Albert Hofmann: https://en.wikipedia.org/wiki/Bicycle_Day_(psychedelic_holiday)Couchmilk: https://couchmilk.com/The Film Dante: 500 Miles on Psychedelics https://dante500.com/The Den Somatics: https://www.thedensomatics.com/The Feed: https://thefeed.com/Lifetime Fitness: https://www.lifetime.life/locations/co/colorado-springs.htmlTwisted Spoke: Spoke Break https://www.twistedspokecbd.com/Follow Pedal The Springs for more stories from the people, places, and events that make Colorado Springs one of America's great cycling communities.Pedal the Springs is produced and presented by the Buffalo Lodge Bicycle Resort, the only bicycle-themed lodging and must-stay for cyclists coming to Colorado. Check us out at https://www.bicycleresort.com for more information.Episodes are recorded in the Studio 809 Podcasts community podcast studio at The Next Us. https://thenextus.spaces.nexudus.com/?public&Find other great podcasts produced in and for the Pikes Peak Region - at https://studio809podcasts.comDon't miss an episode of Pedal the Springs. Follow on your favorite podcast app.

You've been showing up. Walking, running, spinning, moving. You're sweating consistently - and your body has stopped responding the way it used to.Here's what most women don't realize: it's not a discipline problem. It's a hormone problem. And the solution isn't more cardio. It's a completely different approach.In this episode, I'm breaking down exactly why cardio stops working as a fat loss strategy in perimenopause - and what to do instead.You'll learn:What estrogen decline actually does to your muscle mass and metabolism - and why it changes everything about how you should be trainingWhat strength training does for your hormones, your metabolism, your bone density, and your body composition that cardio simply cannotWhat a realistic, effective strength-focused week actually looks like - without spending an hour in the gymThe difference between maintaining and actually progressing -and why it matters more than most women realizeWhy the women who feel genuinely different by the end of summer are almost never the ones who ran more milesCardio is not the enemy. But if it's been your whole plan, now you know why it hasn't been enough.Your body isn't failing you. It's asking for something different. In today's episode, we talk about what that is.Join us in Inspire Fitness- use promo code SUMMER20 to Save $20 on your first month: https://inspirehw.com/inspire-fitnessJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Turning Pain Points Into Innovation | Dr. Prakash Gatta FULL DESCRIPTION Dr. Prakash Gatta is a foregut and esophageal surgeon who built his hospital's surgical program from zero — and then built two healthcare technology companies from the pain points he kept running into in the OR. In this episode of BOSS: Business of Surgery, host Dr. Amy Vertrees talks with Dr. Gatta about what happens when surgeons stop waiting for someone else to solve the problems they see every day. Company #1: Uncover — Dr. Gatta serves as VP of Clinical Affairs for this AI-powered surgical documentation platform. Uncover analyzes intraoperative video in real time and generates detailed, accurate operative notes automatically. Poor operative notes correlate with worse patient outcomes and cause 15-20% undercoding on procedures — a financial gap that affects both surgeon compensation and hospital facility fees. Uncover closes that gap by turning video into documentation, identifying missed CPT codes, modifier 22s, and APC codes that surgeons never capture. Company #2: EmpowerMedical.ai — Dr. Gatta founded this physician financial transparency platform to answer a question most surgeons have never been able to ask: how much money do I actually generate for my hospital? Using publicly available CMS data and hospital-disclosed pricing, the platform converts a surgeon's case list into a complete financial picture — professional fees, facility revenue, payer mix, DRGs, APCs, and contribution margin. A surgeon performing 124 high-level hernia repairs generates $464,000 in professional fees and $12 million in total system revenue. Most surgeons have no idea. Dr. Gatta wants to make this tool free for all trainees entering practice. The conversation also covers Dr. Gatta's remarkable personal story: born in India, raised in Kuwait during the Gulf War, self-evacuating as a 13-year-old refugee, medical school in Bombay, and arriving in the US in 2000 for surgical training under pioneer Lee Swanstrom in Portland.

Send us Fan MailShow notes On January 1, 2027, every global OB code your practice has billed for the last thirty years is being deleted. Seventeen CPT codes. Gone. Replaced with a completely new structure for how every dollar of maternity revenue is earned, attributed, and collected. And the real deadline for your practice is not January 1, 2027. The real deadline is right now. What is actually going away For over thirty years, OB practices have lived in a bundled global world: one patient, one pregnancy, one code. Effective January 1, 2027, 17 global obstetric CPT codes (including 59400 for a global vaginal delivery and 59510 for a global C-section) are being deleted entirely. The AMA and ACOG determined the global model no longer reflects modern OB standard of care, and so the structure is being fully replaced, not patched. The four new phases of maternity billing Phase 1, Antepartum care. All bundled antepartum codes deleted. Every prenatal visit billed as individual E/M with TH modifier (99202 through 99215). Phase 2, Labor management. New dedicated code category for the first time in CPT history. Reported per calendar day, with straightforward vs complex management distinction. Phase 3, Delivery. Vaginal vs cesarean restructured. VBAC coded differently than first-time vaginal. Add-on procedures (3rd/4th degree laceration repair, uterine tamponade) now separately billable. Phase 4, Postpartum care. All existing postpartum codes deleted. Hospital care codes for inpatient day-after-delivery. Office E/M for outpatient follow-up. Same-date postpartum bundled into delivery. Why the real deadline is Q3 and Q4 2026 Cash flow in January 2027 will be decided this Q3 and Q4. Payer contracts reference CPT codes by number, so contracts that reference deleted codes need renegotiation now. Documentation habits have to change before the new codes go live, because every prenatal visit now needs to support E/M level selection. A 200-patient OB practice undercoding prenatal visits by even $40 each is leaving close to $100,000 a year on the table from day one. The multi-provider attribution problem Under the global model, attribution was easy: one practice, one fee, regardless of which provider saw which visit. Under the new model, every encounter is attributed to the individual provider who performed it. Practices with midlevels, hospitalists, or shared call need a clear protocol for labor management billing, on-call coverage, and cross-coverage now, or they will either double-bill (compliance risk) or miss charges (phantom revenue) from day one. Three actions this week Pull a payer contract audit. List every commercial contract referencing global OB codes that needs renegotiation before January 1. Run a prenatal documentation review. Pull 10 recent prenatal charts per provider and assess them against current 99213 and 99214 E/M standards. The gap is your single biggest revenue risk. Map your provider attribution workflow. Write out exactly how labor management, on-call coverage, cross-coverage, and same-day postpartum care will be tracked when every encounter is attributed individually. Episode breakdown 1. The 17 deleted codes 2. The four new phases of maternity billing 3. Why Q3 and Q4 of this year is your real deadline 4. The multi-provider attribution gap 5. What patients will see on their EOBs 6. Your 90-day action plan 7. What is ahead in the rest of the OB Global Coding Series Resources → Live OB Global Updates Webinar (PRIMARY): eligibility.natrevmd.com/obgyn-global-updates-webinar → Book a call with Heather: calendly.com/heather-natrevmd → Payment Posting Audit Checklist: eligibility.natrevmd.com/payment-posting-checklist → Practice Revenue Leak Scorecard: eligibility.natrevmd.com/nrm-revenue-scorecard-v3 → Coming next in the series: EP189 — How to Bill Antepartum Care Under the New E/M Model 

When everything around a church is changing, how can it rediscover who God has called it to be? In this episode we welcome Rev. Dr. Ryan Jackson, Senior Pastor of the Capital Church near Raleigh, North Carolina, to talk about his experience in the CPT's first Church Identity Cohort.Ryan reflects on 17 years of ministry through seasons of change, staff transitions, and post-pandemic challenges that prompted his church to revisit foundational questions of identity and mission. We discuss the connection between pastoral and ecclesial identity, the role of theological reflection in church life, and the importance of forming leaders who can faithfully guide congregations into the future.We also explore the value of mentoring, cross-denominational dialogue, and collaborative discernment as churches seek a deeper understanding of who God has called them to be.Whether you're a pastor, church leader, or ministry team member, this episode offers practical encouragement for leading with clarity, conviction, and a strong sense of church identity.Join us at the CPT Conference

Show Notes Your fee schedule is a revenue ceiling. And for most independent practices doing over $3 million a year, that ceiling is set too low in ways that never generate a denial and never appear on a standard report. EP186 covers the five gaps that are quietly capping your revenue, the exact fix for each one, and three actions to run this week. Gap 1 — Billing Below Your Own Allowables: You negotiate a better payer contract. The billing system does not get updated. The payer pays what you billed, not what you are owed. A practice with 20 high-volume CPT codes averaging a $10 billing gap across 800 monthly claims is losing $8,000 a month, $96,000 a year, from a contract they already won. Gap 2 — Inconsistent Fee Schedules Across Locations: A secondary location runs on its legacy fee schedule from before acquisition. Location A bills $210 for a procedure. Location B bills $165 for the same code. A site doing 400 visits a month with a $35 average billing gap is under-billing $14,000 a month, $168,000 a year. Gap 3 — No Medicare Multiplier Anchor: Fees set by instinct drift downward every year while costs move in the opposite direction. The fix: anchor to 200–300% of the current Medicare allowable and recalculate every November when CMS publishes updated rates. Gap 4 — Suppressing Global Fees for Self-Pay Patients: A practice protecting 15% self-pay volume by keeping fees low inadvertently discounts 100% of encounters. 850 commercial patients billed $40 below the correct rate: $34,000 a month, $408,000 a year. The fix: raise the global fee schedule and implement a separate documented sliding fee scale for uninsured patients. Gap 5 — No Annual Fee Schedule Review: A fee schedule that is right in year one becomes the revenue leak of year five. A $4 million practice drifting 3% below where it should be loses $120,000 a year in collectible revenue. Over five years: $600,000. The Five Fee Schedule Gaps at a Glance: Billing below allowable → Payer pays billed charge, no alert → up to $8K/month Location fee inconsistency → Lower site appears compliant on reports → $3K–$15K/month No Medicare multiplier anchor → Fees drift, no logical update trigger → Compounds annually Artificially low global fee → Self-pay policy masks commercial discount loss → $5K–$20K/month No annual review → Costs rise, billed charges flat → 3–5% margin erosion per year Three actions this week: Run the top-20 CPT code comparison — billed charge vs. highest commercial contract allowable Anchor your fee schedule to the Medicare multiplier — recalculate for this year Put the annual fee schedule review on the Q4 calendar today — first week of November, billing manager named as owner Episode breakdown: 00:00 The fee schedule is a revenue ceiling 02:30 Why silence in billing costs more than denials 05:00 Gap 1: Billing below your own allowables 09:00 Gap 2: Inconsistent fee schedules across locations 13:00 Gap 3: No Medicare multiplier anchor 17:00 Gap 4: Suppressing global fees for self-pay patients 21:30 Gap 5: No annual fee schedule review 25:00 Three actions this week 29:00 Free resource + EP187 tease Resources Mentioned NEW LEAD MAGNET  Primary resource this episode: 30-Day Revenue Recovery Plan. Payment Posting Audit Checklist is tertiary. 30-Day Revenue Recovery Plan (free): eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan Book a free 30-minute call: calendly.com/heather-natrevmd Practice Revenue Leak Scorecard (free): eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist (tertiary): eligibility.natrevmd.com/payment-posting-checklist CMS Medicare Physician Fee Schedule: cms.gov (updated annually each November) 

It's mid-June. The evenings are long, the days are warm, and by 8pm you're sitting on the porch - and the kitchen is calling your name.If night eating is your biggest struggle right now, this episode is for you.Here's what most women don't know: night eating is almost never a willpower problem. It's almost always something that happened earlier in the day that your body is now trying to compensate for. And when you understand what's actually driving it, you can finally fix it.In this episode, I'm breaking down the 5 real reasons you can't stop eating at night - and what to do about each one.You'll learn:Why under-eating during the day is setting you up to eat everything in sight by 8pm - and why summer makes this worseThe specific role low protein plays in nighttime hunger and cravingsWhy exhaustion drives you toward food - and what's happening in your brain (and your hormones) when it doesHow to recognize emotional eating even when it doesn't look like what you think it looks likeWhat blood sugar crashes have to do with late-night cravings - and the simple fix that changes everythingThis episode won't shame you for struggling with this. It will help you understand it - and give you real tools to break the cycle.Night eating is not a character flaw. It's a signal. Let's figure out what it's trying to tell you.Join us for 9 weeks of summer workouts! Use the link here: https://inspirehw.com/inspire-fitnessJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

In this episode we welcome CPT Fellow Brad Embry, pastor of Missions and Outreach at St. Michael's Anglican Church in Wisconsin. He shares his journey from biblical scholar to Pastor Theologian, reflecting on vocational discernment, transitioning away from academia, and finding a home in the Anglican tradition.Listen as we discuss the relationship between theological scholarship and the local church, the future of theological education, and the vital role of pastor-theologians in serving God's people.Join us at the CPT Conference

CPT. Matt Hoh : Why the Resistance Won't EndSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to the “NASM CPT Podcast” with Rick Richey! In this value-packed episode, Rick breaks down the essential joint actions of the human body—a must-listen for anyone studying for the NASM Certified Personal Trainer exam, fitness professionals, or anyone eager to master functional anatomy and human movement science.

Health economics is not just about reimbursement. It is about proving how a technology reduces the total cost of care. In this episode, Betty Tsai, President of Cardiology Services International, explains why medtech companies must think beyond existing CPT or MS-DRG codes when shaping their commercialization strategies. Speaking with Saul at the MedTech Innovator event, she highlights how health economics reveals the true cost of a patient journey, from initial admission through readmissions and long-term care. Betty explores how value-based care and CMS performance metrics are reshaping hospital revenue and influencing adoption decisions. She also discusses alternative reimbursement pathways, such as the New Technology Add-on Payment, and emphasizes that companies demonstrating both clinical and economic value are more attractive to providers and investors. Tune in and learn why proving economic value may be one of the most important steps in driving medtech adoption. Resources: Connect with and follow Betty Tsai on LinkedIn.

It's June. Summer just started. And if you made it here - through the hard weeks, the missed workouts, the moments you almost quit - I want you to hear something:You are closer than you think.This episode isn't about strategy. It's about the messy, unglamorous middle stretch of a fitness journey - the part nobody talks about - and what it actually takes to push through it when motivation is gone and results feel far away.In this episode, I'm talking directly to the woman who almost gave up. Maybe she did, for a little while. And she's here anyway. That matters more than she knows.You'll hear:Why the middle of a fitness journey is the hardest place to be - and why it's also where everything is decidedThe real reason June feels so hard for so many women (and why it's not what you think)Why waiting to feel ready before you start again is the one thing keeping you stuckHow to shrink the target and build momentum without burning out in 10 daysWhy the version of summer you thought you'd have by now is holding you backHow to use the season instead of fighting itYou haven't missed anything. Summer just started. And what you do in the next 8 weeks is going to matter.Let's talk about it.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

In this episode of the CPT Podcast, we welcome Greg Allison to discuss his book Complementarity. Allison explains his vision of “complementarity” as a theological framework focused not on gender roles but on the shared dignity, difference, and interdependence of men and women as image-bearers of God. Drawing on biblical theology, church history, and contemporary debates, the conversation explores why identity must precede function, how Christians can move beyond polarized disputes over gender, and why mutual love and honor should be the foundation for discussions of men and women in the church. The episode offers pastors and church leaders a thoughtful, gospel-centered approach to navigating one of the most contested issues in contemporary Christianity.Join us at the CPT Conference

CPT. Matt Hoh : Military Spending Into OblivionSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

CPT. Matt Hoh : Iran Ready if Trump Bombs AgainSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.