Podcasts about CPT

Send us Fan MailFree resource: Practice Financial Health Dashboard for Physicians. What you get: a free Excel workbook built for physician owners to track the practice's revenue, expenses, and billing health month over month, in one place. → https://eligibility.natrevmd.com/free-practice-financial-health-dashboard-for-physicians-natrevmd Free Metrics Audit: a free 20-minute live read of six numbers from your last full month (charges, claims, adjustments, denials, A/R, net collections) to find where revenue is leaking. No patient data, no system access. Built for practices collecting $150K or more a month. → https://eligibility.natrevmd.com/metrics-audit-natrevmd More from us: natrevmd.com Preston Alexander, Forward Slash / Health: https://forwardslashhealth.com | LinkedIn: https://www.linkedin.com/in/preston-alexander | The Healthcare Breakdown on Substack _______________________________________________________________________________________________Most practice owners check one financial number: the bank balance. Preston Alexander, writer of The Healthcare Breakdown, calls it management by bank account. In this conversation with Dr. Heather Signorelli, he explains why it keeps good practices one slow month away from the line of credit. Cash timing is the hidden problem. A practice that opens on February 2 should not expect meaningful insurance payments until April or May. Credentialing and billing setup take time, even for experienced teams. Practices that never planned for those months often spend years operating from behind. Revenue and expenses are one conversation. Billing metrics and the expense side usually live in separate places. Preston's team looks at CPT-level profitability, overhead allocation, and expense timing month by month so owners see the whole picture. Stable is not the same as healthy. Heather describes practices where billing is finally dialed in and payroll is still tight, usually because compensation was set before the revenue was forecast. Options include a smaller base with a bonus on what is left. The second location trap. A new address creates billing issues even under the same TIN, so Preston plans for about six months of near-zero revenue. Market fit matters just as much: referral patterns, the dominant health system, and payer mix. Heather adds that a drop from $175 to $140 revenue per visit changes what volume you need and what you can afford to spend. Three actions this week: • Pull your last 12 months of financials and ask why each line that grew went up • Ask one vendor you have paid on time for years for longer payment terms • Block one hour a week to review revenue and expenses side by side 

You can lose weight on a GLP-1 and still lose the strength you've worked so hard to build. Or you can do it differently.Whether you're taking a GLP-1, thinking about it, or watching someone you love go through it, this conversation is for you.This week I'm joined by fellow Registered Dietitian Ana Reisdorf, MS, RD, founder of GLP-1 Hub. Ana shares her own GLP-1 story, including the mistakes she made early on, like running on iced coffee until her blood sugar crashed at 2pm, & how that experience shaped the education platform she's built today.We get honest about what these medications actually do, why muscle loss happens, & what you can put in place to stay strong & capable while you lose fat.In this episode, you'll learn:What a GLP-1 does in plain English, including why it quiets food noise & cravings (and no, you're not injecting lizard venom)Why the medication itself isn't what causes muscle loss, & what actually doesWhy 30 to 40% of weight lost on a GLP-1 can come from lean mass, & how to protect yoursAna's baseline protocol: at least 100 grams of protein a day, 25 to 30 grams per meal, strength training at least 2 days a week, & daily walkingWhy losing slower (2 to 8 pounds a month) is a win, not a sign the medication isn't workingHow to get protein in when nausea hits: shakes, cold proteins like yogurt & cottage cheese, & smaller mealsWhy fiber deserves as much attention as proteinThe "cheating" myth, & why a GLP-1 can be one tool alongside a strong foundationQuestions to ask your doctor, & yourself, before you startFirst-shot tips: take it at home, go easy on high-fat foods, add a multivitamin, & plan your mealsWhy sourcing matters, & what to avoidThis isn't about getting smaller. It's about staying strong, capable, & independent for the long haul.About Ana Reisdorf, MS, RD Ana Reisdorf, MS, RD, is a Registered Dietitian, entrepreneur, & founder of GLP-1 Hub, a media & education platform focused on GLP-1 medications, nutrition, & sustainable weight management. She combines professional expertise with personal experience to make complex nutrition topics practical, realistic, & easy to understand. Ana also hosts the GLP-1 Hub podcast & creates educational content across YouTube, email, & social media.Connect with Ana:

In this episode of the CPT Podcast, we talk with Dr. Michael Niebauer about his new book, From Word to Worship: How the Lectionary Welcomes You Into Sacred Time Through Story, Symbol, and Sacrament. Michael discusses how the lectionary helps Christians encounter Scripture as a unified story and see connections between biblical texts, the church calendar, and Christian worship. He also shares how his ministry in nursing homes has shaped his understanding of pastoral ministry and preaching.The conversation explores Niebauer's approach to reading Scripture, his interest in the interpretive practices of early Christians, and the way the lectionary can shape the church's theological imagination. Attend the 2026 CPT Conference

Navigating healthcare billing is about to undergo a massive structural shift. For speech-language pathologists, feeding therapists, and private practice owners, the sunsetting of long-standing core CPT codes requires proactive preparation, documentation adjustments, and clear system updates.In this episode, Hallie Bulkin unpacks the upcoming 2027 CPT code overhaul for speech and feeding therapy services. Most notably, standard CPT code 92507 will be replaced by five distinct, specialized codes covering fluency, speech sounds, language, combined speech and language, and voice upper airway dysfunction.Hallie breaks down how to report multiple services provided on the same day, navigate payer-specific policies, apply modifier 59 correctly, and utilize time-based add-on codes using midpoint timing rules. She also discusses the business and clinical importance of building internal feeding therapy expertise to optimize patient care and ensure long-term practice sustainability.Key Topics & TakeawaysThe Replacement of CPT 92507: Preparing for 2027, where 92507 will split into five targeted codes for fluency, speech sound disorders, language, combined speech-language, and voice/upper airway dysfunction.Same-Day Multiple Service Reporting: Understanding how to accurately report distinct clinical services on the same date of service without triggering claim denials or unbundling errors.Applying Modifiers & Timing Rules: Utilizing modifier 59 effectively and calculating session midpoints for time-based add-on codes to secure appropriate reimbursement.Navigating Payer Reductions: Managing payment adjustments, commercial insurance policies, and Medicare guidelines when billing multiple codes per session.Building Internal Feeding Skills: Expanding internal clinical skill sets to keep pediatric feeding care in-house, reducing unnecessary external referrals while growing practice offerings.Soundbites"CPT code 92507 will be replaced by five distinct, specialized codes in 2027—preparing your documentation systems now is essential for practice compliance.""Timing rules and session midpoints dictate when add-on codes can be reported to support accurate, defensible reimbursement.""Understanding payer-specific policies and modifier applications allows you to protect your practice against underbilling or accidental unbundling."Timestamps00:00 — Introduction: Reporting Speech and Feeding Together00:26 — Welcome to The Untethered Podcast & Oral Rest Posture Reminder01:02 — Upcoming CPT Code Changes: Goodbye 92507, Hello 10 New Codes for 202702:21 — Code Bundling vs. Reporting Distinct Services on the Same Day03:06 — Current Billing Landscape: Speech (92507) and Swallowing/Feeding (92526)04:28 — 2027 Session Examples: Midpoint Timing Rules with Speech and Feeding07:06 — Comparing Combined Speech-Language Codes vs. Separate Treatment (Speech Sounds & Voice)11:56 — Expanding Pediatric Feeding Services in Your Practice & Team Mentorship14:27 — Free 3-Day Training Announcement: "Screen the Peds to Feed the Peds"15:43 — Episode Disclaimer, Review Call to Action, and OutroLinks & ResourcesFREE TRAINING: Screen The Peds to Feed The Peds Training.WORTH A LISTEN: CONTINUE YOUR JOURNEYWhat Myofunctional and Feeding Therapists Need to Know About Scope, Coding, and Documentation (Ep 386).Screening vs. Assessment vs. Treatment: Why Every Clinician Needs to Know the Difference (Ep 380).STAY CONNECTED

Camden Property Trust, ticker symbol CPT, is one of the major apartment REITs focused on multifamily communities across the United States. In this episode of REIT Stock Breakdown, we look at Camden's portfolio, dividend profile, Core FFO outlook, balance sheet, apartment demand, Sun Belt supply pressure, and whether CPT looks attractive for long-term income investors. We also break down the key risks and give Camden Property Trust a final rating out of 10.#CPT #CamdenPropertyTrust #ApartmentREIT

You pour so much energy into your health and well-being, and expect your body to respond accordingly. But what happens when the results don't match the effort?   This can be both frustrating and confusing, especially when the habits that once worked suddenly stop delivering — or when you see something work for someone else but not for you. In this episode, Anika Christ, RD, CPT, talks about why your routine might not be working and what it means to tune into your own body and its changing needs. She shares practical steps to help you understand stalled progress and make informed adjustments to jumpstart your efforts.   Find the episode highlights, get related resources and view the transcript for this episode at https://experiencelife.lifetime.life/podcast/why-your-healthy-routine-isnt-working-anymore/   Have thoughts you'd like to share or topic ideas for future episodes? Email us at lttalks@lt.life — we'd love to hear from you!   Follow us on Instagram: @lifetime.life   The information in this podcast is intended to provide broad understanding and knowledge of healthcare topics. This information is for educational purposes only and should not be considered complete and should not be used in place of advice from your physician or healthcare provider. We recommend you consult your physician or healthcare professional before beginning or altering your personal exercise, diet or supplementation program. 

It's 6am and you're standing on the same scale you've stood on for twenty years. The number moves half a pound and somehow it still gets to decide how your whole day feels.Here's what that number has never once told you: how much of you is bone. How much is muscle. Whether the "progress" you're chasing is actually costing you strength you'll need in ten years. Most women don't find out their bone density is a problem until there's already a fracture, because insurance won't screen for it before 65 and there are no symptoms to warn you first. This isn't something you did wrong. It's something almost nobody's told you to check.In this episode, I sit down with Tony Orlando, founder of DEXA Plus and a 25 year veteran of DEXA scan technology, to talk about what your body composition is really telling you and why it matters more than your weight ever will.You'll learn:Why a DEXA scan sees things your bathroom scale, and even most gym body fat monitors, physically cannotThe real reason osteoporosis is showing up earlier in women, and why waiting until 65 to check is too late for a lot of usWhat happened when Tony's own wife was nearly diagnosed with osteoporosis, and how she turned it aroundThe muscle loss risk on GLP-1 medications that almost nobody mentions, and how to protect against itWhy weight-bearing exercise outperforms cardio for long-term bone and muscle healthHow to actually get scanned: where to go, what it costs, and what the results really meanWhy "the number on the scale" was never the full story to begin withYour body isn't a mystery you failed to solve. It's a system that's been giving you incomplete information this whole time. Once you can actually see what's happening with your bones and your muscle, the goal stops being smaller and starts being stronger, and that's a goal you can build on for decades, not just until the next diet ends.To learn more about Dexa Plus or to book your scan visit: https://dexascan.com/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

Listen in as we break down hot topics in U.S. immigration law — the H-1B fee fight and Project Firewall, the end of duration-of-status, CPT and OPT changes, consular updates, and a new enforcement climate employers can't ignore.Recorded on August 27, 2026.Host: Susan Deniker (email) (Steptoe & Johnson PLLC / West Virginia)Guest Speakers: Melanie Keeney (email) (Tueth Keeney Cooper Mohan Jackstadt P.C. / Missouri - Eastern) & Chris Thomas (email) (Holland & Hart LLP / Colorado)Support the showRegister on the ELA website here to receive email invitations to future programs. 

The CPT Podcast welcomes one of our Fellows, Joseph Lear, Pastor of preaching and theology at Resurrection Assembly of God in Iowa City, Iowa, to discuss his journey from growing up as a missionary kid in West Africa to pastoral ministry and theological scholarship. Joseph reflects on how his experiences shaped his understanding of the gospel, the church, and ministry across cultures.The conversation also explores his new book, Resurrecting Worship: A Pentecostal Liturgy for Slow Burn Revival, and the role of worship, liturgy, and dependence on the Spirit in revitalizing the local church. Joseph discusses the relationship between Pentecostalism and historic liturgical practices, worship and justice, and the pastor's role in leading while trusting God for renewal.  Attend the 2026 CPT ConferenceJoin a 2026 CPT One-Year Cohort (Apply by Sep. 18)

As expected, Monitor Monday continues to focus squarely on healthcare auditing and compliance.During the next live edition of the venerable Internet broadcast, Monitor Monday will examine a range of compliance and auditing concerns associated with skin lacerations. Led by esteemed physician and popular program special guest Dr. James S. Kennedy, the program will take listeners on a fascinating deep dive beneath the skin to explore documentation and reporting issues related to skin laceration repairs.Skin laceration repairs can significantly influence inpatient facility MS-DRG and APR-DRG assignments, depending on the documented depth of the repair: skin only for medical DRGs, or subcutaneous tissue or deeper for surgical DRGs.Dr. Kennedy will discuss differing CPT® and ICD-10-PCS documentation requirements, along with recent CPT Assistant and Coding Clinic guidance affecting skin repair—issues that warrant the attention of facility compliance officers.Broadcast segments will also include these familiar features:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will make his Monday Rounds.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Poyner Spruill, will report the latest auditing news.Risky Business: Nicole Moan, Esq., an associate with the law firm of Fredrikson & Byron, will substitute for healthcare attorney David Glaser.Legislative Update: Cate Brantley, JD,senior healthcare legislative affairs analyst for Zelis, will report on current healthcare legislation.

The Chain Reactions Wrecking Healthcare Affordability: Facility Fees, Stark Law, and Noncompetes. Episode 529. Why do hospital facility fees keep pace with inflation while professional fees fall behind—and how did a law meant to stop kickbacks end up fueling a stipend economy instead? Stacey Richter talks with Eric Bricker, MD, founder of AHealthcareZ and former co-founder and chief medical officer of Compass Professional Health Services, about two action/reaction chains reshaping healthcare affordability: the facility-versus-professional-fee gap, and the Stark Law's unintended stipend economy driving hospital consolidation. Along the way: a $48,126 hospital charge for the same appendectomy that pays a surgeon $609, the AMA's $300 million CPT-code business, and how Tryon Medical Group in Charlotte, North Carolina, won back 90% of its patients by leaving its hospital employer. WHAT YOU'LL LEARN ✅ How separate physician "professional fee" and hospital "facility fee" billing streams have diverged so far that Medicare pays a surgeon $609 for an appendectomy while the hospital's published charge for it runs $48,126 ✅ Why the Stark Law's ban on hospitals paying physicians for referrals gave rise to "stipends"—flat annual payments that can range from $1 million to $50 million depending on hospital size, and how physician consolidation in fields like anesthesiology has pushed those stipends higher ✅ How "site unneutral" payment gaps incentivize hospitals to buy independent physician practices and shift services like echocardiograms into hospital settings to capture higher fees for identical care ✅ Why noncompete clauses trap physicians in incentive structures misaligned with patient care—and how Tryon Medical Group in Charlotte, North Carolina, sued to leave its hospital employer and kept over 90% of its patients ✅ Why self-insured employers (covering roughly 60% of Americans) and physicians organizing beyond fragmented specialty lines are healthcare's "two sleeping giants" ✅ Practical alternatives already in use: employer direct contracting, direct primary care subscriptions, and fixed-fee specialty models like the LA urology group paid on subscription for prostate cancer care WHY THIS MATTERS These two chain reactions—the facility-versus-professional-fee gap, and a well-intentioned law that quietly created a stipend economy—aren't abstract policy trivia. Together they drive the hospital consolidation and site unneutral payment schemes squeezing employers, taxpayers, and patients alike. As Stacey frames it, understanding how these action/reaction chains work is what it takes to reverse their direction toward more affordable, higher-quality care. The fix isn't waiting on Washington: it's employers and physicians—healthcare's two sleeping giants—using their leverage, whether through direct contracting, ending noncompetes, or simply voting with their feet. MENTIONED IN THIS EPISODE EP519 with Lisa Rosenbaum, MD: Apple Podcasts | Spotify | Other Apps LinkedIn Post by Payerset Instagram Reels by Elisabeth Potter, MD, on the AMA: Video 1, Video 2 Instagram Post by Graham Walker, MD EP437 with Brian Klepper, PhD: Apple Podcasts | Spotify | Other Apps EP472 with Eric Bricker, MD: Apple Podcasts | Spotify | Other Apps EP523 with Suhas Gondi, MD, MBA: Apple Podcasts | Spotify | Other Apps Article: AMA CPT Editorial Panel workgroups and committees EP524 with John Quinn: Apple Podcasts | Spotify | Other Apps EP525 with Cristin Dickerson, MD: Apple Podcasts | Spotify | Other Apps === LINKS ===

Send us Fan MailMost payer negotiations start with a feeling. This one starts with a number: percentage of local Medicare, the single most useful tool for comparing payer rates. The one number: Percentage of local Medicare turns a raw dollar amount into something comparable across payers, localities, and codes. Step 1: Pull 12 months of paid-claim data by payer and CPT/HCPCS code, using allowed amounts and units, not charges. Step 2: Rank opportunities by payer, CPT, annual units, and revenue gap, not by frustration. Step 3: Build a focused, five to ten code evidence package that pre-answers the payer's objections. Three actions this week: Pull 12 months of allowed-amount data for your top 10 to 20 codes by payer Calculate percentage of local Medicare for each using the CMS Physician Fee Schedule Look-Up Tool Rank by annual revenue gap, not by which payer frustrates you most Episode breakdown 00:00 Hook and EP213 callback 00:45 The reframe 02:30 The one number: percentage of local Medicare 06:00 Step 1: pulling the right data 10:00 Step 2: high-volume, low-rate intersections 13:00 Step 3: building the evidence package 17:00 The five takeaways 19:00 Close and next episode Resources Practice Revenue Leak Scorecard: eligibility.natrevmd.com/nrm-revenue-scorecard-v3 30-Day Revenue Recovery Plan: eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan Metrics Audit Review (free, physician-led): eligibility.natrevmd.com/metrics-audit-natrevmd CMS Physician Fee Schedule Look-Up Tool: cms.gov/medicare/physician-fee-schedule Previous episode: EP213, What's Actually Changing in Healthcare Reimbursement in 2027 

Cutting. Bulking. You've heard the terms - but chances are, no one's ever explained them for your body, in this season of life. In this episode, Casey breaks down what these two phases actually mean, why almost everything you've heard about them was built for 25-year-old men, and how to know whether you're in a fat-loss season or a muscle-building one (spoiler: most of us are exactly where we're supposed to be). Plus - why you literally cannot build new muscle in a calorie deficit, and what to do instead if that's your goal.

Send us a text if you want to be on the Podcast & explain why!If you have ever hesitated when a client asks, “What muscle is that supposed to work?”, this shoulder anatomy breakdown is for you. We make the case that the most important skill for becoming a qualified personal trainer is mastering anatomy, because confidence is not a vibe. It is earned, and clients can tell when you have it. When you sound unsure, people default to objections like “It is too expensive” or “Let me think about it.” When you can speak clearly about the body, trust goes up and sales friction goes down.We share what we see trainers struggle with most, from assessments and programming around pain to getting clients and charging what they are worth. Then we teach the shoulder the practical way: by mapping the 17 shoulder muscles and putting them into a study order you can actually remember. You will hear how pectoralis major and the deltoid each have three distinct parts, why biceps brachii and triceps brachii matter at the shoulder, and how the trapezius, serratus anterior, rhomboids, and latissimus dorsi shape scapular control in real training.We also drill the rotator cuff muscles (supraspinatus, infraspinatus, teres minor, subscapularis) and the big takeaway that matters for programming and shoulder pain: their number one job is to stabilize and center the glenohumeral joint. If you are studying for a CPT exam, refining your personal training assessments, or tightening your exercise programming, this is a clean, repeatable framework you can use immediately. Subscribe, share this with a trainer friend, and leave a review with the shoulder muscle you want us to cover next.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

Join us for 2026 CPT National Conference in Oak Park, IL on October 19-21! This year's theme is Finding Church: Ecclesial Identity in a Time of Cultural Crisis. Register by September 15 for the best rate.In this week's episode, we welcome Dr. Walter Strickland II, associate professor of systematic and contextual theology at Southeastern Baptist Theological Seminary and pastor of Imago Dei Church, to discuss his work on ecclesiology and the contributions of African American Christian traditions to the broader church. Drawing from his own journey across different church traditions and years of theological study, Walter reflects on how the African American church has cultivated a distinctive vision of Christian faith shaped by both deep piety and faithful protest.The conversation explores how the African American ecclesial tradition can help the American church navigate cultural crisis through practices of lament, perseverance, discipleship, and engagement with the world. Walter highlights the importance of learning from Christians who have lived faithfully on the margins and considers how African American Christian formation can strengthen the church's witness in a time of increasing cultural uncertainty. Attend the 2026 CPT ConferenceJoin a 2026 CPT One-Year Cohort (Apply by Sep. 18)

September 11, 2026 In this episode, Scott and Mark Painter are joined by Dr. John Lin to tackle several practical coding and reimbursement questions from the urology community. They discuss whether there is a right number of CPT codes to include on a prior authorization, when catheter and other DME supply A-codes can—or cannot—be separately billed, and how those rules apply to Foley catheter changes and BCG instillations. The conversation also explores the growing use of AI for coding research and why an answer that sounds authoritative may still be wrong. The key takeaway: use AI as a tool, but understand the fundamentals, ask the right follow-up questions, and always verify important coding answers against primary sources. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

Bay Area college students have been back in school for less than a month now. At UC Berkeley, immigration is coming up as part of the back to school experience for many.Last month Immigration and Customs Enforcement sent a memo to the university that impacted thousands of their students here on visas. ICE sent a warning to the school letting it know that it risked losing government approval to take foreign students, if it did not close a temporary work authorization program called Course Credit Curricular Practical Training, or CPT.This program allowed foreign students to gain experience working for hi-tech businesses related to their field of study. Now UC Berkeley has indefinitely paused applications for the CPT work permit. Ayah Alshiekhah is news editor for The Daily Californian. She helped break the story, and spoke to KALW's news editor Sunni Khalid to explain how this is impacting students. 

What happens when you take a break from alcohol-especially as a woman in perimenopause/menopause working toward health and fat loss goals? In this episode, I'm sharing my personal experience of going alcohol-free, why I'm committing to a “Sober September,” and the surprising benefits I've already noticed just two weeks in. This episode is a replay of one I dropped last year when I was doing a 6 week "Sober October" but it is timely and I hope you find it helpful!We'll talk about how alcohol can slow fat loss, impact sleep and recovery, and even mess with your discipline when it comes to nutrition and workouts. And most importantly, I'll show you how removing alcohol- even temporarily- can help you feel clearer, stronger, and more in control of your goals.This isn't medical advice, and if you struggle with alcohol dependence, please seek professional support. But if you're curious about what alcohol-free living might do for your body, your mind, and your momentum- this episode is for you.For fitness or nutrition services, please use the link here: https://inspirehw.com/ 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 summer replay episode, Joel Lawrence and Matt Kim talk with pastor, lawyer, and theologian K. Edward Copeland about how the gospel shapes the church's engagement with today's social and political tensions. Ed shares his unique journey—from overcoming a childhood speech impediment to decades of ministry and justice work—and offers a compelling vision of the gospel as God's reconciling work for people, systems, and the whole cosmos. Drawing on the African American preaching tradition and the posture of exile, he explains how preaching can form Christians who discern cultural idols, process societal events theologically, and live faithfully amid fractured times. The result is a conversation full of wisdom, hope, and clarity for pastors and congregations navigating the complexities of modern life. Attend the 2026 CPT ConferenceJoin a 2026 CPT One-Year Cohort (Apply by Sep. 18)

Cognitive Processing Therapy treats PTSD by finding the beliefs that froze after the event—what the manual calls stuck points—and testing them like evidence. It is not exposure therapy with a softer name, and it is not positive thinking. Used well, it is a structured argument with the conclusions trauma left behind.

Episode 406 explains how movement prepares the brain but does not guarantee learning. It traces the full sequence—movement, RAS-driven readiness, salience and relevance, focused attention, encoding, retrieval and repetition, and recovery and sleep—that turns activation into lasting memory and performance. The episode offers practical steps in a Move–Focus–Learn protocol: use brief movement to create readiness, clearly identify and remove distractions for one learning target, interact with material in meaningful ways, practice retrieval and spaced repetition, and protect recovery to support consolidation. Listeners are encouraged to test these simple experiments for school, work, or personal learning to make experience more usable and improve attention, memory, and performance. ON THIS EPISODE, YOU'LL LEARN: ✔ Why movement prepares the brain but does not guarantee learning ✔ How attention directs the capacity movement creates ✔ Why meaning and emotional relevance capture attention ✔ The difference between paying attention and actually learning ✔ How retrieval and repetition help new information stick ✔ How seeing, hearing, explaining, and applying an idea can help us remember it ✔ How restorative sleep supports memory and learning ✔ A practical Move–Focus–Learn Protocol for school, work, or your own personal learning The central idea is simple: Movement opens the window. Attention determines what enters. Repetition strengthens what remains. And recovery helps the brain integrate what it has experienced. Welcome back to the Neuroscience Meets Social and Emotional Learning Podcast, where we bridge neuroscience, social and emotional learning, and human performance so we can create measurable improvements in our well-being, achievement, leadership, productivity, and results. I'm Andrea Samadi, and if you've been following along through Season 16, you'll know that we have been building what I call The Brain's Operating System for Human Performance—a neuroscience-based framework designed to help us understand how the different systems of the brain and body work together to influence how we learn, adapt, connect, lead, and ultimately, how we perform. We are currently in Phase 3, focused on Movement, Learning, and Cognition. As I prepared for this phase, I went back through more than 400 episodes of the podcast and organized them according to the five phases of this framework. I wanted to see whether any patterns would emerge. And some did. Phase 1, Regulation and Safety, includes 57 episodes. Phase 2, Neurochemistry and Motivation, includes 41 episodes—the smallest category, possibly because this is the area I have explored the least with my learning. Phase 3, Movement, Learning, and Cognition, includes 174 episodes—the largest category by far. Phase 4, Perception and Social Intelligence, includes 68 episodes. And Phase 5, Integration and Meaning, includes 71 episodes. When I saw that 174 episodes—more than 40 percent of the entire podcast—fit into Movement, Learning, and Cognition, it immediately showed me where much of my curiosity has been directed over the years. I have always been fascinated by learning: How do we prepare the brain to learn? What captures our attention? Why do some ideas (or people) remain with us while others disappear? How does knowledge become something we can retrieve, apply, and actually use to improve our lives? And while I am spending most of my spare time hiking, or at the gym over the years, I wonder, how does this movement that I'm doing help to improve my attention, or memory, and finally, where does recovery fit into this process? The past few weeks, I'm finally connecting the dots with how important recovery is with this equation. I'm also learning how to determine what's important to me. John Medina's Brain Rules book explains what holds our attention. He reminds us that “we don't pay attention to boring things (or people).[i] As we continue through these five phases of The Brain's Operating System for Human Performance, I'm especially curious about how we will move beyond understanding these lessons, to begin implementing what we are learning, and connecting more ways to improve how we learn, adapt, connect, lead, and ultimately perform in our day to day lives. That will become an important part of the upcoming workbook—which is a practical way for each of us to identify what we have already strengthened, where gaps may remain, and which specific actions can help us to improve our own learning, well-being, and performance. Because the purpose of this 5 Phase Framework is not simply to collect more information about the brain. It is to understand how the systems connect—and then use that understanding to create meaningful change.  “Attention Is the Gate—How Movement Becomes Learning.” For today's Episode 406, we'll connect Dr. John Medina's Brain Rules to the Movement Loop we have been building throughout Phase 3—and answer the next important question: Once movement activates and prepares the brain, what determines whether that readiness becomes lasting learning? You can review our full interview with John Medina from EP 42[ii] from February 2020. (find the link in the reference section of the show notes). INTRODUCTION: THE MISSING STEP We have spent this phase so far, examining how movement changes the brain. Dr. Chuck Hillman and Paul Zientarski[iii] showed us that movement prepares the brain for learning. Dr. John Ratey[iv] helped us understand how exercise influences neurochemistry, BDNF, and neuroplasticity. Dr. Kristen Holmes[v] showed us that recovery helps determine whether strain becomes adaptation. And our restorative-sleep episode explored where some of that recovery, adaptation, and integration may occur. But one important question remains: A brain can be activated, chemically prepared, and physiologically ready—but what determines what it actually learns? The answer begins with attention. Movement may create the readiness to learn, but readiness alone is not learning. The brain must still select what matters, focus on it, interact with it, encode it, revisit it, and eventually integrate it. That gives us the pathway we will explore today: Movement creates readiness. But what is the filter in our brain that helps us to focus on the things that are most important to us. What gives us the ability to pay attention to something? The RAS- or The Reticular Activating System. Before we continue, let's remind ourselves what the RAS is. The RAS—or reticular activating system—is a network of neurons extending through the brainstem that helps regulate wakefulness, alertness, and our readiness to respond to incoming information. We explored this system previously in Episode 272, “Priming the Reticular Activating System to Achieve Our Goals.” In that episode, we described the RAS as a type of filter that helps us notice information connected to what we have identified as important. For example, once you decide that you are interested in a particular type of car, you may suddenly begin seeing that car everywhere. That's the RAS filtering system in our brain. The cars were already there, but your attention now has a reason to prioritize them. In Episode 272[vi], we applied this idea to goal-setting. When we clearly identify an intention, we may become more likely to notice relevant information, opportunities, and connections that were previously present but did not receive our attention. That explanation gave us a useful starting point. But here in Episode 406, we can add more precision. The RAS is not a tiny gatekeeper sitting in the brain and personally deciding what we will learn. It is part of a broader network that helps maintain the level of arousal and alertness required for our attention. It helps the brain become available to notice whatever it is that is important to us. Then salience, relevance, emotion, intention, and our current goals help determine what receives priority. Focused attention directs our limited cognitive resources toward the selected information. Next, encoding and repetition help strengthen what we want to focus on. And recovery and sleep help to further support its consolidation and integration. So our expanded Movement Loop now looks like this: you can see an image in the show notes to expand this understanding. Movement supports brain activation.   RAS helps the brain become awake, alert, and ready to pay attention. Salience and relevance (or what matters the most to us) helps to determine what receives priority. Our focused attention selects what gets our priority. Encoding and repetition further strengthens this pathway. Recovery and sleep (that we've dove deep into) support consolidation and integration. And together, these processes increase the likelihood that experience becomes learning—and that learning becomes available for future performance. Whatever it is that we have put our attention on, is now made usable.  This shows us how our understanding has evolved since Episode 272, three years ago. Then, we were asking: How can our intention help us notice what matters with the attainment of our goals? Now, years later, with more understanding, we are asking: Once the brain is alert and something important has captured our attention, what sequence of events must occur for that information to become lasting learning? We are no longer asking only what must remain top of mind so we can notice opportunities connected to our goals. We are asking what happens next: How does something we notice become something we understand? How does something we understand become something we remember? And how does something we remember become knowledge or a skill we can retrieve, apply, and use to improve our performance? This is where Dr. John Medina's Brain Rules help us to connect the pieces. Let's begin with Lesson One: Lesson 1: Movement Creates Readiness—Not Guaranteed Learning Movement can increase alertness, circulation, and readiness for cognitive work. But why might movement have such a powerful relationship with the brain? Dr. John Medina explains this through an evolutionary lens. His point is that the human brain did not develop while we were sitting motionless at desks or staring at screens. It developed while human beings were moving through changing outdoor environments, solving immediate problems, and continually responding to the world around them. Let's listen to how he explains it. CLIP 1 John Medina “The human brain was designed to solve problems related to surviving in an outdoor setting, in unstable meteorological conditions—and to do so in constant motion. The constant motion is where the exercise comes in. But the rest of that—the more a school, or any of us, can recreate the world of the Serengeti, the place where this brain actually grew up, the better things are. And exercise, particularly outdoor exercise, is a terrific example of this idea.” When Medina refers to the Serengeti, I don't think he is suggesting that schools should literally recreate the dangers or conditions of an ancient environment. He is giving us an evolutionary picture of the conditions under which the human brain developed: We moved. We navigated changing environments. We encountered new sensory information. We solved problems. We adapted to uncertainty. And we did these things together rather than remaining physically still for most of the day. Outdoor movement may bring several of these conditions together. We are moving our bodies while also responding to changes in light, temperature, terrain, sound, distance, and direction. This helps explain why movement belongs at the beginning of our Movement Loop. But it also brings us to an important distinction: Movement creates readiness. It does not guarantee learning. A student can move before class and still become distracted. A leader can exercise before work and still spend the morning reacting to notifications. An athlete can warm up physically without becoming mentally focused on the strategy or skill required next. Movement can help activate the system. The RAS in the brain helps us become awake and alert. But the brain must still determine what stands out, what is relevant, and what deserves focused attention. Movement opens the window. Attention determines what enters through it. Our Key lesson: Movement prepares the brain. Attention directs the preparation. PUT THIS INTO ACTION Before your next period of demanding cognitive work, use movement to create a window of readiness. Take a five-to-ten-minute walk, complete a brief movement break, stretch, or choose another form of movement appropriate for your ability and environment. But do not move without deciding what comes next. Before you begin, identify the specific task you will return to: “When this movement break ends, what will receive my attention?” For a student, it might be the first problem on a math assignment. For a leader, it might be the one decision that requires uninterrupted thinking. For an athlete, it might be the cue, strategy, or skill that needs to remain at the center of practice. Movement creates the opportunity. A clear intention helps direct what happens next. Your experiment is: Move briefly, choose one target that you want to complete with this intention, and begin that task immediately after the movement ends. Lesson 2: Attention Is the Gate In EP 395[vii], we examined what captures attention: Meaning Emotion Relevance Intention Reward Human connection Now today's episode shows how we move beyond why the brain notices something and explains what attention does after movement has prepared the system to learn. Attention acts as a filter. The brain encounters more information than it can consciously process, so it must select what receives priority. This creates the bridge: Brain activation creates capacity. Attention distributes that capacity. Our Key lesson: What the brain does not attend to has little opportunity to become lasting learning. Andrea's Application This distinction between brain capacity and cognitive efficiency became personal for me when I reviewed the results of my 2020 brain scan. We covered this topic on EP 84[viii] and we will do a thorough review of what was learned with our brain scans at Dr. Daniel Amen's CA Clinic. The evaluation that I received after my scan was completed with Dr. Shane Creado, suggested that I had areas of strong capacity, but that my brain appeared to be working harder than necessary to complete certain tasks in the cognitive testing. A possible contributor we discussed was sleep deprivation. I want to be careful here: a SPECT scan is not a direct measurement of attention or learning, and my results cannot tell us that insufficient sleep caused a specific attention pattern. But the experience gave me a useful way to think about what we are learning today. Having cognitive capacity does not necessarily mean that we are using that capacity efficiently. I may be motivated, active, and ready to work—but if I am under-recovered, under-slept, distracted, or trying to process too many competing inputs, my brain may have to expend more energy to sustain focus. This helped me understand the Movement Loop at a more personal level: Movement can help activate my brain. Attention gives that activation a target. But recovery may influence how efficiently I can sustain that attention and use it for learning. My scan did not define what my brain could do. It gave me another reason to examine the conditions under which my brain performs at its best. PUT THIS INTO ACTION Before asking yourself—or someone else—to focus, make the target of attention clear. Start by completing this sentence: “The most important thing to notice right now is…” Then reduce the competition around it. We all know to do this. Silence unnecessary notifications. Close unrelated tabs. Remove extra materials from view. Avoid asking the brain to switch repeatedly between tasks. If you are teaching, make the relevance visible: “Why does this matter?” “What should students be listening or looking for?” “How does this connect to something they already know?” If you are working independently, write your one priority clearly where you can see it. Remember, the goal is not to force the brain to attend to everything. The goal is to help it identify (with your RAS-that filter in your brain) what deserves your priority. Your experiment is: Choose one target, (something you want to accomplish) remove as many unnecessary sources of interference as possible, and create one meaningful reason to pay attention. This also helps explain why keeping your desk clear, your closet organized, or your car tidy may make you feel calmer and more focused. How we do anything is how we do everything. Every object, notification, unfinished task, or piece of visual clutter can become another potential signal competing for your attention. That does not mean everything must be perfectly organized before you can begin (while some of us would prefer to work this way), perfection can become its own form of interference. Just get started. It simply means that when you reduce unnecessary visual and mental competition, you make it easier for the brain to recognize the priority in front of you. Clear the space. Name the target. Create the relevance. Then give the task your full attention. Lesson 3: Attention Is Necessary—but It Is Not Enough Paying attention to information once does not guarantee that it will be remembered. This is where Dr. Medina's memory rules enter: Repeat to remember. Remember to repeat. The first refers to giving new information more than one opportunity to be encoded. The second points toward revisiting information over time. This allows you to extend the Movement Loop: Movement prepares the brain and body. Attention selects what to focus on. Retrieval and Repetition strengthens our focus. Recovery helps us to integrate what we are learning. PUT THIS INTO ACTION After learning something new, do not immediately reread it. First, look away from the material and try to retrieve it. Ask yourself: “What were the three most important ideas?” “How would I explain this without looking at my notes?” “What can I remember on my own?” Retrieval reveals the difference between recognizing information and actually being able to access it. Then return to the material, check what you missed, and retrieve it again later—after an hour, the next day, or several days afterward. For students, this could mean closing the textbook and explaining the lesson to a partner. For professionals, it could mean summarizing a meeting before reviewing the notes. For personal learning, it could mean recording a short voice memo explaining the idea from memory. Your experiment is: Learn it once, retrieve it without looking, and schedule a brief return to it later. See if you can remember it. Attention begins the pathway. Retrieval and repetition help strengthen it. Andrea's Application This lesson reminded me of one part of the cognitive testing that accompanied my brain scan at Amen Clinics: a Continuous Performance Test, or CPT. In the version I completed, letters appeared on a computer screen. The instruction was to press a button whenever a letter appeared—except when the letter was X. This type of task may sound simple, but it requires you to remain attentive over time, respond consistently, and inhibit your automatic response when the target letter appears. My results indicated that this was an area in which I did not perform as strongly. Looking back, I remember hearing the basic instruction: press the button for every letter except X. But I do not remember fully appreciating that the speed and consistency of my responses also mattered. This gave me an important real-life lesson: Hearing an instruction is not the same as accurately encoding everything the task requires. Before beginning something important, pause and ask: “What exactly am I being asked to do?” “What details determine successful performance?” “Can I explain the instructions back in my own words?” And, when appropriate, write down the key steps before beginning. This applies in a classroom, during a meeting, while completing an assessment, or whenever accuracy matters. First, attend to the full instruction. Then restate or retrieve it. Clarify anything that is missing. And only then begin the task. My experience showed me that attention is not just about working harder or concentrating more intensely. It is also about identifying the correct target—and making sure we understand the complete task before directing our effort toward it. Lesson 4: Learning Becomes Stronger When It Has More Than One Path Dr. Medina's Brain Rule #9 about sensory integration and vision(meaning our brains learn and remember best when multiple senses—like sight, sound, and touch—are engaged at the same time) give you the practical learning background to involve ALL of your senses. While teaching and learning you can ask: Can I see it? Can I hear it? Can I explain it? Can I demonstrate it? Can I connect it to something I already know? Can I apply it physically or practically? The goal is not sensory stimulation for its own sake. It is to provide clear, relevant pathways through which the learner can interact with the information. Our Key lesson: The more meaningfully we interact with information that we are learning, the more opportunities the brain has to encode and retrieve it. PUT THIS INTO ACTION Choose one idea you want to remember and interact with it in at least two meaningful ways. You might: See it in a diagram. Hear it explained. Say it in your own words. Write or draw it. Teach it to someone else. Demonstrate it physically. Connect it to a previous experience. Or apply it to a real problem. The goal is not to add noise or stimulation. More input is not automatically better. Each interaction should make the idea clearer, more relevant, or easier to retrieve. For example, instead of only reading about the Movement Loop, you could draw the sequence, explain it aloud, and identify where it appears in your own daily routine. Your experiment is: Take one important idea and represent it in two different, meaningful ways. The more deeply we work with information, the more opportunities the brain has to encode and retrieve it. Andrea's Application If you have been listening to this podcast for a while, I'm sure you have noticed that when I organize an idea into a framework—or represent it in a visual graphic—it begins to come to life. I can see how the pieces from past episodes connect, can explain the concept more clearly, and retrieve and apply it to my life more easily. It's also difficult to forget something when there's a visual image connected to it if you are the type of learner who needs to see something to make it stick in your memory. LESSON 5: RECOVERY HELPS LEARNING CONTINUE AFTER ATTENTION ENDS So far, we have followed learning through four important steps: Movement prepares the brain and body. RAS helps “turn on the lights,” allowing us to become awake, alert, and ready to respond. Next, the brain begins identifying what might be important to us. Salience refers to something that stands out—perhaps because it is new, unexpected, emotional, or connected to a possible reward or threat. Relevance refers to how closely that information connects to our goals, needs, experiences, or interests. In simple terms: Salience asks, “What stands out?” Relevance asks, “What matters to me?” Attention through the RAS next directs the brain's spotlight toward the information selected for deeper processing. Imagine a flashlight shining on whatever it is that you have picked to be important to learn. Encoding creates the initial memory. Retrieval and repetition strengthen it. But learning does not necessarily end when we close the book, leave the classroom, finish the meeting, or stop practicing. The brain still needs time to stabilize, organize, and connect what we learned. This is where recovery and sleep enter the Movement Loop. SLEEP IS AN IMPORTANT PART OF LEARNING Sleep is not a period when the brain simply switches off. While we sleep, the brain continues processing information from the day. Newly encoded memories may be reactivated, strengthened, reorganized, and connected with knowledge we already have. This is called memory consolidation. In simple terms, consolidation helps make a new memory more stable and easier to access later. Deep non-REM sleep and REM sleep may support different but overlapping parts of this process. Deep sleep is associated with physical restoration and the consolidation of certain facts and experiences. REM sleep has been associated with emotional learning, procedural skills, creative connections, and integrating new experiences with older memories. But we should not think of these as completely separate jobs. Deep sleep and REM are parts of a repeating sleep cycle, and both may contribute to learning. This is why I use the phrases: Deep sleep helps me recover from the hard work I did that day. REM may help me integrate what I experienced and what it meant to me. The word “may” matters because sleep is more complex than saying that deep sleep only restores the body and REM alone integrates learning. The most important lesson is this: What we focus on while we are awake gives the brain something to work with while we sleep. Retrieval and repetition strengthen the information before sleep. Then sleep provides conditions that can help stabilize, organize, and connect what we learned. THE MOVEMENT LOOP IN SIMPLE TERMS Let's put the complete cognitive side of the Movement Loop into simple language. MOVE—to prepare the brain and body. BECOME READY—RAS- in the brain helps us become awake, alert, and available to respond. NOTICE—salience helps something stand out because it is new, emotional, unexpected, rewarding, or potentially threatening. RELEVANCE—relevance helps the brain recognize how that information relates to our goals, needs, interests, or previous experiences. ATTENTION—directs our mental resources or a spotlight toward the selected information. ENCODE—begins forming a memory of what we are focused on. RETRIEVE AND REPEAT—strengthens the memory and makes it easier to access again. RECOVERY and CONSOLIDATION—so the brain and body can restore, and sleep can support memory consolidation. Leading us to-- INTEGRATION—to connect the new learning with what we already know. APPLY—Making the learning available and ready to use when we need it. So, in its expanded form, the Movement Loop looks like this: Movement → RAS-Supports Readiness → Salience and Relevance (what's important to us)→ Focused Attention → Encoding (forms the memory of what we are focused on)→ Retrieval and Repetition (to strengthen the neural pathway) → Recovery and Consolidation (important for the brain and body to be rested and recovered)→ Integration (connect new learning with what we already know)→ NEW Learning and Performance (ready and available for us whenever we need it). Here is an even easier way to remember how we LEARN: Move. Wake or Get Ready. Notice. Focus. Form a Memory. Strengthen it. Recover it. Connect it. Use it. Movement prepares the system. The RAS helps us become alert. Salience and relevance identify possible priorities. Attention selects the target. Encoding begins the memory. Retrieval and repetition strengthen it. Recovery and sleep help stabilize it. Integration connects it. And application makes it useful. These stages do not always occur in a perfectly straight line. We may notice something before we are fully focused on it. We may need several rounds of encoding and retrieval. We may sleep on an idea and understand it differently the following day. Or we may try to apply what we learned and discover that part of the pathway still needs strengthening. That is why this is a loop rather than a one-way process. Application produces feedback. That feedback shows us what we understand, what we can retrieve and use, and what still requires attention, repetition, or recovery. Then that feedback guides the next cycle of learning. We move again. We become ready. We direct our attention toward what matters. And with each cycle, we build learning that becomes more accessible, adaptable, and useful in our performance. PUT THIS INTO ACTION Before ending your next learning or work session, take one minute to ask: “What is the most important thing I want to remember?” Without looking at your notes, write down the central idea in your own words. Then decide when you will retrieve it again—perhaps later that day or the following morning. After that, give yourself permission to recover. When your attention is fading, another exhausted hour may not be as valuable as a break or a full night of sleep. The following day, try to retrieve the idea again before looking at your notes. Notice what remained accessible and what needs another repetition. Your experiment is simple: Summarize it. Sleep on it. Retrieve it again. Because learning begins while we are awake—but recovery and sleep help the brain continue the work. The Move–Focus–Learn Protocol BRINGING THE FIVE ACTIONS TOGETHER Here is the full Move–Focus–Learn experiment: Test this in school, work or personal learning: Use a brief walk or appropriate movement break before demanding cognitive work. This is what I told Dr. Medina 6 years ago is the only way I'm able to stay focused on writing difficult topics, like this one. Identify the one thing that deserves your attention next. Pick one priority you will focus on. Remove interference. Reduce unnecessary notifications, competing tasks and distractions. This can take a few minutes ahead of time, but keeps the learning slate clean so to speak. Create relevance. Ask, “Why does this matter to me—or to this learner?” Interact with the information you want to learn. Explain it, visualize it, discuss it, demonstrate it or apply it. Retrieve it. Close the book or screen and recall the important ideas without looking. Repeat it later. Return to the information after time has passed. Protect recovery. Allow sleep and recovery to support the next stage of learning. REVIEW AND CONCLUSION As we close out Episode 406, I want to return to the question we began with: Once movement activates and prepares the brain, what determines whether that readiness becomes lasting learning? The answer is not one single process. Learning emerges through a sequence of connected conditions: The brain and body must become ready. Something must stand out and feel relevant. Attention must select it. The information must be encoded. It must be retrieved and revisited. And recovery and sleep must provide opportunities for consolidation and integration. Dr. John Medina's Brain Rules helped us follow this sequence through five key lessons. LESSON 1: EXERCISE PREPARES THE BRAIN Movement helps create biological conditions that support alertness, attention, and cognition. The RAS contributes to this process by helping us become awake, alert, and ready to respond. But movement creates an opportunity—not a guarantee. A prepared brain still needs direction. LESSON 2: ATTENTION SELECTS WHAT MATTERS The brain encounters far more information than it can consciously process. Salience helps us notice what stands out. Relevance connects that information to our goals, needs, interests, or previous experiences. Attention then directs the brain's spotlight toward the selected target. Movement may create greater readiness, but attention determines where that readiness goes. LESSON 3: RETRIEVAL AND REPETITION STRENGTHEN WHAT ATTENTION BEGINS Paying attention once may create familiarity, but familiarity is not the same as learning. Encoding begins the memory. Retrieval asks the brain to locate that information again. Repetition gives us additional opportunities to strengthen our access to it. This is why explaining an idea without looking at our notes can be more useful than simply rereading it. Attention begins the pathway. Retrieval and repetition help make it last. LESSON 4: MEANINGFUL INTERACTION HELPS LEARNING STICK We can strengthen encoding by interacting with an idea in more than one meaningful way. We might see it, hear it, explain it, draw it, demonstrate it, or apply it. The goal is not to add as much stimulation as possible. The goal is to give the brain clear and relevant ways to understand, represent, and later retrieve the information. This is something I have experienced while creating this podcast. When I organize an idea into a framework or bring it to life in a visual graphic, I can see how the pieces connect. That helps me explain the idea more clearly, remember it more easily, and apply it more effectively. LESSON 5: RECOVERY ALLOWS LEARNING TO CONTINUE Learning does not necessarily end when we close the book, leave the classroom, finish the meeting, or stop practicing. During sleep, newly encoded information may be reactivated, stabilized, reorganized, and connected with existing knowledge. Deep non-REM sleep and REM sleep may contribute to this process in different but complementary ways. This is why recovery is not separate from learning. Recovery is part of the learning process. PUTTING THE MOVEMENT LOOP TOGETHER The complete cognitive side of the Movement Loop now looks like this: Movement prepares the brain and body. RAS-supported arousal helps us become awake and alert. Salience and relevance help identify possible priorities. Attention selects the target. Encoding begins the memory. Retrieval and repetition strengthen it. Recovery and sleep support consolidation. Integration connects the new learning with what we already know. And application makes that learning available when we need it. Or, in its simplest form: Move. Wake. Notice. Focus. Form. Strengthen. Recover. Connect. Use. Movement creates readiness. Attention provides direction. Encoding begins the memory. Retrieval and repetition strengthen the pathway. Recovery supports consolidation and integration. And application turns what we have learned into improved performance. Together, these processes help turn activity into lasting learning. FINAL THOUGHT This is not the first time we have explored Dr. John Medina's work, but each return has allowed us to ask a different question. In Episode 42[ix], we asked: How should schools and workplaces change when we understand the brain? In Episode 370[x], we asked: How can neuroscience and emotional regulation improve learning environments? In Episode 395[xi], we asked: What captures attention and motivates behavior? And here in Episode 406, we asked: How does an activated and attentive brain convert an experience into learning? That question has helped us add important detail to the Movement Loop. Movement alone does not create learning. Attention alone does not create lasting memory. Repetition without meaning may not produce understanding. And effort without recovery may not give the brain the conditions it needs to consolidate and integrate what happened. Each part of the process matters. Before we close, consider these questions: What are you preparing your brain to notice? Where is your attention going after you move? Are you interacting with important information deeply enough to encode it? Are you retrieving what you are learning—or merely rereading it? And are you protecting the recovery that allows learning to continue? Because what we repeatedly attend to, retrieve, and apply begins to shape what we know, what we can do, and how we perform. PREPARING FOR EPISODE 407 Movement can prepare the brain. Attention can direct it. Encoding can begin the memory. Retrieval and repetition can strengthen it. And recovery can help consolidate and integrate it. But every part of this process requires energy. The brain needs energy to direct attention, form memories, regulate behavior, and sustain performance. The body needs energy to move, adapt, recover, and begin the cycle again. So in Episode 407, we will revisit Jason Wittrock's work through a more current and carefully defined lens. We'll examine his experience with nutrition and fasting as an applied practitioner and personal case study, while comparing those ideas with current evidence surrounding nutrition, blood-sugar stability, metabolic flexibility, recovery, and performance. Because the brain and body cannot sustain performance without the energy required to power the system. I'll see you next time as we ask: How does metabolic health influence our capacity to move, learn, recover, and perform? RESOURCES Clip 1 with Dr. John Medina https://www.youtube.com/shorts/zDItOHAc8qQ Full Interview with Dr. John Medina https://www.youtube.com/watch?v=CFzg5nQnEMs REFERENCE   [i] John Medina's Brain Rule #4 https://brainrules.net/article/attention/   [ii] Neuroscience Meets Social and Emotional Learning Podcast EPISODE 42 with Dr. John Medina on “Implementing Brain Rules in Schools and Workplaces of the Future” https://andreasamadi.podbean.com/e/dr-john-medina-on-implementing-brain-rules-in-the-schools-and-workplaces-of-the-future/   [iii]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 403 https://andreasamadi.podbean.com/e/movement-first-how-a-20%e2%80%91minute-walk-lights-up-the-brain/     [iv]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 404 https://andreasamadi.podbean.com/e/movement-matters-how-every-move-rewires-the-brain/   [v] Neuroscience Meets Social and Emotional Learning Podcast EPISODE 405 https://andreasamadi.podbean.com/e/movement-isnt-enough-how-recovery-drives-real-adaptation/   [vi]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 272 https://andreasamadi.podbean.com/e/brain-fact-friday-on-priming-the-reticular-activating-system-to-achieve-our-goals-in-2023/   [vii] Neuroscience Meets Social and Emotional Learning Podcast EPISODE 395 https://andreasamadi.podbean.com/e/theory-of-mind-the-missing-link-between-attention-reward-and-motivation/   [viii]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 84  https://andreasamadi.podbean.com/e/how-a-spect-scan-can-change-your-life-part-3-with-andrea-samadi/   [ix] Neuroscience Meets Social and Emotional Learning Podcast EPISODE 42 with Dr. John Medina on “Implementing Brain Rules in Schools and Workplaces of the Future” https://andreasamadi.podbean.com/e/dr-john-medina-on-implementing-brain-rules-in-the-schools-and-workplaces-of-the-future/   [x]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 370 https://andreasamadi.podbean.com/e/brain-rules-revisited-how-neuroscience-can-transform-classrooms/   [xi]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 395 https://andreasamadi.podbean.com/e/theory-of-mind-the-missing-link-between-attention-reward-and-motivation/      

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This week's #MidweekRoundup #intled #livechats answers three questions: What really matters more: employability or rankings? Why is DHS guidance on CPT forcing unis to suspend it? Can a government's goals lead to unintended consequences?

The National Security Hour with Col. Mike and Dr. Mike – The H1B system, along with student visa work schemes such as CPT and OPT, has become a pipeline for corporate labor arbitrage. Employers do not merely recruit from abroad. They often build a workforce on wages lower than what Americans would accept, then lock in that advantage through regulations written by bureaucrats and sold by...

You could be losing bone right now and never know it. No pain, no symptoms, no warning... until the day you fracture something and your whole life changes.*In this episode, I'm getting personal about a topic that's close to home for me: bone health. Two generations of women in my family didn't find out their bones were weakening until it was already happening. My mom's diagnosis age, 50, is 4 years from where I am right now. That's a countdown I'm not willing to ignore.You'll learn:Why osteopenia affects more than half of women over 50, and why so many don't find out until it's already progressedWhy bone loss accelerates so sharply after menopause, with women able to lose up to 20% of bone density in the first 5 to 7 years aloneWhy an estimated 1 in 2 women over 50 will break a bone due to osteoporosis, compared to 1 in 4 menWhat losing even 10% of your bone mass really means for your fracture riskWhy this is about more than a broken bone, it's about protecting your independence for decades to comeWhat you can start doing right now: training, protein, vitamin D, and screeningWhy I recently started an estrogen patch, and how bone health factored into that decisionThis isn't about fear. It's about knowing what's happening in your body so you can do something about it before you're the one getting the diagnosis.In a couple weeks, I'm sitting down with the founder of DexaPlus and dexascan.com to go even deeper on screening tools and what they mean for women in perimenopause and menopause. And I'll be getting my own DEXA scan on 9/16, so stay tuned, I'm bringing you along for that too.Inspire Fitness is strength training designed specifically for women in perimenopause and menopause. If this episode resonated, share it with a woman who needs to hear it.Ready to start building the strength that protects your bones for the long haul? Join the Fall Back to Fitness Bootcamp: https://inspirehw.com/fall-back-to-fitnessShop Legion Supplements with promo code Inspire here: https://legionathletics.rfrl.co/zwo48*This episode is for educational purposes only and isn't medical advice. Bone health, hormone therapy, and screening decisions are personal and should be made with your own doctor, based on your own history and risk factors. Please talk to your provider before making any changes.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

The National Security Hour with Col. Mike and Dr. Mike – The H1B system, along with student visa work schemes such as CPT and OPT, has become a pipeline for corporate labor arbitrage. Employers do not merely recruit from abroad. They often build a workforce on wages lower than what Americans would accept, then lock in that advantage through regulations written by bureaucrats and sold by...

This summer replay episode features a conversation with Joey Sherrard about his new book The Augustinian Pastor, exploring how the life and theology of Augustine can shape modern pastoral ministry. Drawing from his own journey—especially rediscovering Augustine during COVID—Sherrard highlights how Augustine's work as a hands-on pastor was itself the outworking of and context in which he did his theological reflection. Key themes include the importance of pastoral friendship, the ongoing struggle with pride and sin, and the cultivation of humility through dependence on God. Pastors should see their ordinary work not as a barrier to theological depth, but as the very place where rich, enduring theology is formed.Join a CPT Cohort Program Attend the 2026 CPT Conference

Send us Fan MailPart two of two. If you send a specimen to an outside lab and they bill you eighteen dollars for it, eighteen dollars is the most you can bill Medicare. Not your contracted rate. That is the anti-markup rule, and it is one of two things that quietly rewrite the math on in-office lab. What to pull first. Start from your last 90 days of reference lab orders, grouped by test name and CPT code. That is demand, not a projection. Then map each test to its PAMA rate from the CMS Clinical Laboratory Fee Schedule, and check whether your commercial payers hold a separate lab fee schedule from your office visit schedule. Many do. How Medicare lab billing works. Medicare pays the lesser of your billed charge or the PAMA rate, and there is no negotiating it. Billing $45 against an approximately $18 rate pays approximately $18. The anti-markup rule then says that if you did not perform the test yourself under your own CLIA certificate, you cannot bill Medicare above what the reference lab charged you. And ordering provider enrollment matters, because lab bills under the ordering NPI directly and incident-to does not apply. The four costs that get underestimated. Reagent per reportable result, QC materials run daily whether or not you test a patient, proficiency testing for moderately complex, and staff time. That last one decides it: five to fifteen minutes per rapid test, which at twenty tests a day is $42 to $175 in daily labor. The honest ceiling. On rapid strep at a blended $19 with about $10.80 of variable cost, contribution margin is $8.20 a test and break-even is about 43 tests a month. A practice converting 126 of 180 referred strep tests clears roughly $681 a month from strep alone. A full waived menu at good volume might reach $3,000 to $6,000 a month. Real money, and a real compliance program. Three actions this week Have your billing team pull 90 days of send-out orders grouped by test name and CPT code. That single report is your demand baseline. Look up the current PAMA rate for every test on your candidate menu at the CMS Clinical Laboratory Fee Schedule for your year and locality. Check how your send-out tests are currently being billed to Medicare against the anti-markup rule, before you model anything new. Episode breakdown Segment 1: what to pull before any revenue projection Segment 2: how Medicare lab billing actually works, three rules Segment 3: the business case model and a worked break-evenResources Practice Financial Health Dashboard for Physicians  eligibility.natrevmd.com/free-practice-financial-health-dashboard-for-physicians-natrevmd RECOVER Diagnostic  eligibility.natrevmd.com/recover-quiz-lp CMS Clinical Laboratory Fee Schedule  cms.gov/medicare/payment/fee-schedules/clinical-laboratory Trusted resources library  natrevmd.com/trusted-resources/ Part 1: EP207, should you bring lab testing in-house? 

SLP advocacy can't stop with data. If Medicare reimbursement fails to cover the cost of providing speech-language pathology services, patients and families ultimately feel the impact through longer waitlists, fewer providers, reduced insurance access, and practice closures.In Part 2 of our SPEAK Project series, Jeanette Benigas, PhD/SLP, talks with pediatric occupational therapist and private practice owner Pam Marshall about mobilizing patients and families as part of a larger SLP reimbursement advocacy strategy.After Kentucky therapy providers faced Medicaid reimbursement cuts, Pam helped create a system that made it easy for families to share their individual stories with lawmakers. Her practice generated more than 420 letters in roughly two weeks.Jeanette and Pam discuss how SLPs and practice owners can turn patient experiences into meaningful advocacy, why individual stories matter to policymakers, how practices can make participation easier for families, and why protecting access to speech therapy will require more than SLPs advocating for themselves.The economic data is only one piece of the SPEAK Project. Now we need data, dollars, connections, and people willing to SPEAK.SLP advocacy can't stop with data. If Medicare reimbursement fails to cover the cost of providing speech-language pathology services, patients and families ultimately feel the impact through longer waitlists, fewer providers, reduced insurance access, and practice closures.In Part 2 of our SPEAK Project series, Jeanette Benigas, PhD/SLP, talks with pediatric occupational therapist and private practice owner Pam Marshall about mobilizing patients and families as part of a larger SLP reimbursement advocacy strategy.After Kentucky therapy providers faced Medicaid reimbursement cuts, Pam helped create a system that made it easy for families to share their individual stories with lawmakers. Her practice generated more than 420 letters in roughly two weeks.Jeanette and Pam discuss how SLPs and practice owners can turn patient experiences into meaningful advocacy, why individual stories matter to policymakers, how practices can make participation easier for families, and why protecting access to speech therapy will require more than SLPs advocating for themselves.The economic data is only one piece of the SPEAK Project. Now we need data, dollars, connections, and people willing to SPEAK.Learn more, contribute data, and support the project 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?#118: It's Time to SPEAK: Part 1 - Building the Data to Fight for SLP Reimbursement✨ Grateful to Chomper Champs for bringing so much positivity and fun to the pediatric SLP space. Follow the link to order the

This episode looks back at APSS Sleep 2026 with Dr. Gerald George Mannikarote, Emerson Kerr, and Robert Miller. The conversation focuses on how the conference reflected a shift in sleep medicine toward more options, more pharmaceutical involvement, and a stronger need for technologists to stay grounded in fundamentals.We discuss why the live conference experience still matters, how AI and automation are changing scoring and diagnosis, and why pharmacy, telehealth, oral appliances, and new reimbursement codes are reshaping the future of sleep care.Chapters1 - Welcome to the APSS Sleep 2026 annual review2 - Baltimore conference turnout and the return of large in-person meetings3 - Emerson hands off the AST presidency to Massey Arrington4 - Why fundamentals matter in an AI-driven sleep industry5 - Scoring, false positives, and the risk of trusting automation too much6 - Why technologists must keep learning beyond the basics7 - Pharma's growing footprint on the exhibit floor8 - Home PSG systems and the coming CPT code changes9 - Sleep apnea, GLP-1s, and the move toward precision therapy10 - Why the old CPAP-only pathway no longer fits every patient11 - Seven treatment options and the challenge of choosing the right one12 - Why failed protocols and failed home sleep tests need rethinking13 - Pharmacy as a new screening and referral gateway14 - Why more entry points could help more patients get treated15 - Where the future of sleep medicine is headed16 - Moving from AHI alone to why a patient has sleep-disordered breathing17 - Why mild OSA may benefit from earlier non-CPAP treatment18 - Oral appliance therapy education gaps and first-line use19 - A mild OSA patient who benefited from an oral appliance after CPAP struggle20 - Consumer tech, awareness, and the Rise of sleep telehealth referrals20 - Why local sleep conferences still matter for technologists21 - Sleep navigation, education, and where technologists fit in the new model22 - Future guests, new projects, and what to expect next from the showA huge thanks to our sponsors:Fisher & Paykel Healthcare  Discover how F&P full-face masks have led millions of people to a great night's sleep at https://www.fphcare.com/curiosityhttps://www.fphcare.com/us/homecare/sleep-apnea/Philips Healthcare  See how Philips is supporting you and your patients with meaningful innovation. Visit https://www.philips.com/matters Soliish https://www.soliish.com/React Health  https://www.reacthealth.com/myWaveshttps://mywaves.tech/More resources for clinicians can be found at Sleep Review Magazine  https://sleepreviewmag.com/Credits:Intro Music: Pierce G. MannikaroteAudio/ Video: Diego R. MannikaroteHosts: J. Emerson Kerr, Robert Miller, Gerald George MannikaroteCopyright: ⓒ 2026 SleepTech Talk ProductionsEpisode 130The views and opinions expressed by guests on SleepTech Talk are their own and do not necessarily reflect those of the podcast hosts or SleepTech Talk as a whole. This podcast is intended for educational and informational purposes only and should not be considered medical advice. Listeners are encouraged to consult with a qualified healthcare professional for any medical concerns or questions.Don't forget to Like, Share, and Comment! Subscribe for more conversations with leaders shaping the future of sleep medicine, sleep technology, and patient care.

You want to be consistent. So you download the app, save the workout plan, and try to overhaul everything at once, meals, movement, sleep, water, all of it, starting Monday. By week two, it's gone. You're back to square one, wondering why other women seem to make this look so easy.Here's the truth: the women who are the most successful stay consistent longest - and they didn't fix everything at once. They didn't rely on willpower. They built their consistency around three specific, non-negotiable things, and nothing more.In this episode, Casey shares what happened when she asked her own community their top three non-negotiables, and the pattern that showed up again and again across dozens of answers.You'll learn:Why "consistency over perfection" isn't just a saying, it's an actual strategy real women use on their hardest daysThe exact number of lifts per week that came up again and again as the real minimum that worksWhy specific numbers (protein grams, water ounces) stick where vague goals failThe scheduling trick that removes the daily decision of whether to work outWhat actually separates consistent women from women who quit after one missed workoutHow to build your own three non-negotiables, starting todayYou don't need ten new habits. You need three you never skip, and permission to not be perfect on the days you do.If you are ready to join a community of women who share in these core values- we welcome you to join us in Inspire Fitness. The Fall Back to Fitness Bootcamp is starting August 31, and you can register here: https://inspirehw.com/fall-back-to-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 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

In this episode, host Erin Gallardo, PT, DPT, NCS, talks with returning guest Rose Tilton, OTR/L, OTD, an occupational therapist at Marquette University's Neuro Recovery Clinic, and new guest Dr. Yi-Kai Lo, PhD, CEO and co-founder of ANEUVO, about transcutaneous spinal stimulation (TSS) for people with spinal cord injury. Rose shares how she discovered TSS through her own research, became a clinical trial site investigator at Marquette, and now uses ANEUVO's ExaStim® device — a multi-channel electrode array system that can be individually programmed and timed to match specific functional movements — alongside other TSS devices on the market, including ONWARD Medical's ARC-EX. Dr. Lo walks through the engineering behind ExaStim, how the device is positioned and calibrated for each patient, and the proposed mechanism of amplifying descending brain signals to the spinal cord. Together they cover who's actually a good candidate (spoiler: it's hard to predict), what a typical treatment session looks like from aerobic priming through hand-strengthening work, and real patient outcomes ranging from improved grip and transfers to unexpected anecdotal gains, like bowel and bladder function for some. Dr. Lo also shares results from ANEUVO's ASPIRE clinical trial and home-use study, including a newly designated CPT code that will make TSS billing possible starting January 2027. Whether you're new to TSS or already using it in your practice, this conversation is full of practical, clinically grounded insight into where this intervention is headed. ANEUVO website: aneuvo.com Contact ANEUVO here: contactus@aneuvo.com Dr. Lo LinkedIn: https://www.linkedin.com/in/yi-kai-lo-53531977/ Dr. Lo Google Scholar: https://scholar.google.com/citations?user=cqiyyYgAAAAJ&hl=en ANEUVO LinkedIn: https://www.linkedin.com/company/aneuvo 276: Clinical Use of Spinal Stimulation for SCI Rehab with Rose Tilton, OTR/L, OTD

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

If your workouts are exactly the same as they were six months ago, that's probably exactly why your results have stalled. In this episode, Casey breaks down progressive overload in plain terms, the tool she uses to actually teach it to her clients (RPE, or rate of perceived exertion), and why so many women unknowingly train the same way for months or years without ever building in real progression.In this episode, you'll learn:What progressive overload actually meansWhy RPE (rate of perceived exertion) is the key to knowing if you're truly progressingThe most common reasons progression gets skipped, especially after 40Why a harder day and fewer reps at the same RPE isn't failure, it's your body doing exactly what it's supposed toWhy muscle and bone density make this non-negotiable at this stage of lifeHow Fall Back to Fitness builds progression into every single week, so you never have to guessInspire Fitness with Casey Young is strength training and nutrition coaching built specifically for women in perimenopause and menopause. Casey is a Registered Dietitian and Certified Personal Trainer who helps women build strength, confidence, and sustainable habits without the guesswork.Details will be dropping soon for the Fall Back to Fitness Bootcamp. Click here for details: https://inspirehw.com/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

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

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