Podcasts about CPT

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

ANNOUNCEMENT: If you're a caregiver based in New York State or still have family in New York, join me on Thursday June 18th for my webinar, Caregiving: A Public Health Issue. 8pm est; $15 per person.Sign up here: https://www.eventbrite.com/e/1991026454723?aff=oddtdtcreatorOn this episode of The Social Work Rants Podcast, I discussed the changes to reimbursement rates for providers using CPT codes 90834 and 90837 on the Alma platform, effective July 15th. The changes involve adjusting the rates for session durations, with code 90837 (53 minutes and up) being reimbursed at the same rate as code 90834 (37-52 minute sessions). Basiliso also mentioned the impact of inflation on these changes, citing a recent 4.2% inflation rate.Inflation and Mental Health ConcernsI discuss the impact of inflation on various aspects of life, including healthcare costs and gas prices, noting that while President Biden reduced the national inflation rate, many expenses continue to rise. I expressed concerns about technology platforms like Headway that visually scan patients during mental health sessions, citing ethical issues around patient privacy and surveillance. I also mentioned challenges with audits and payment reimbursements for agencies.I highlight the work of Justin Gillespie from Blue Cross Blue Shield of Michigan, who is working on legislation to address reimbursement rates at both state and national levels.Payer Regulation Impact on NonprofitsI discussed recent payer regulation changes affecting Medicaid and HMO services, including increased denial rates and higher audit frequencies leading to potential nonprofit closures. They highlighted budget issues in New York City affecting nonprofit organizations' ability to pay staff and bills. Basiliso noted that the full impact of the HR1 legislation may not be fully realized until after the November general election.Medicaid Recertification Changes UpdateI also warned about upcoming changes to Medicaid recertifications and a new work requirement effective in July, which will require individuals to show proof of working up to 80 hours to maintain their benefits. These changes will significantly impact vulnerable populations and make social workers' jobs more challenging. The discussion was presented as educational content to help professionals understand the evolving landscape affecting their work.

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

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

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

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

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

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

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

Summer is here. The cookouts, the lake trips, the photos - all of it. And if you're still feeling stuck in your body right now, this episode is for you.Here's what most women don't realize- the rules of your body have changed in perimenopause - and the strategies that worked in your 30s are actively working against you now.In this episode, I'm breaking down the 7 things I'd stop doing immediately if I wanted to lose fat in perimenopause. None of them have to do with trying harder. And none of them require a perfect week, a Monday, or a fresh start in September.You'll learn:Why eating too little is quietly sabotaging your results - and what to do insteadWhy leading with cardio is keeping your body stuckHow skipping protein at breakfast sets you up to struggle all day longWhy summer weekends might be undoing your weekdays - and the one shift that changes everythingWhat poor sleep is actually doing to your hormones, your cravings, and your midsectionWhy program hopping feels like progress but produces noneWhy waiting until fall is the one thing I'd stop doing immediatelyYou don't have to fix all seven things today. Pick the one that hits closest to home and start there.Your body is not broken. You just needed better information. Now you have it.Ready to stop guessing and train with a plan built specifically for this season? Join us for Start Summer Strong: https://inspirehw.com/start-summer-strongJoin 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

DPC Is Growing in Pediatrics: Dr. Andrew Hertz on Zest's Expansion, Survey Findings, and the Future of CareThe Pediatric Lounge welcomes returning guest Dr. Andrew Hertz, co-founder and president of the Zest Pediatric Network, to discuss the growth of direct pediatric care (DPC) and results from Zest's national survey. Hertz reports Zest's expansion from three Cleveland-area practices to 10 sites opening by summer, with 13 physicians across Ohio, Pennsylvania, and Florida, and describes using annual surveys because pediatric DPC data was previously lacking and the movement is growing about 25% yearly. Survey findings include that pediatric DPC is largely women-led (about 90%), mid-career, mostly solo practices; most charge $100–$175 per child per month with panels under 250 patients; about 48% are AAP members; and many report improved satisfaction and less moral injury. They discuss DPC benefits such as reduced office, urgent care, and ED visits, challenges with insurance and Medicaid capitation without CPT codes, AI's operational promise and societal risks, and employer value focused more on employee satisfaction than pediatric ROI.00:00 Welcome Back Dr Hertz01:30 Zest Network Growth02:50 Why Survey DPC03:49 Who Joins DPC05:06 Boards and MOC Debate09:31 AAP Membership Questions13:54 Why DPC Is Rising18:22 AI vs EHR Efficiency22:03 Insurance and Capitation25:14 Hybrid Models and Access29:08 Costs and Who Can Afford32:45 Medicaid Capitation Hurdles35:06 Data Without CPT Codes36:24 Data Without Red Tape37:07 ICD-10 and Simple EMRs38:23 Holistic Prevention Coaching41:32 Defining DPC Success42:43 Net Promoter Score Explained46:10 NPS for Behavior Change49:19 Storytelling to Drive Adoption55:53 AI in Pediatrics Promise and Peril01:03:21 Beyond DPC Payment Models01:06:15 Employers and Care Navigators01:09:24 Closing Thoughts and Growth01:11:31 Podcast OutroSupport the show

Gas stations. Bleachers. Road trips. Concession stands. Hotel rooms. Golf courses. Beach days.Summer is the season that derails more women than any other time of year. Not because they stop caring. Because the structure that holds everything together completely disappears.In this episode Casey delivers your complete summer survival guide - practical, specific, and built for real life. Whether you're driving cross-country, sitting at a ballfield all weekend, or navigating a schedule that looks nothing like your normal routine - this episode gives you a plan for both your nutrition and your movement all summer long.You'll learn:The summer mindset shift that separates women who maintain their progress from women who restart every SeptemberYour gas station survival guide -the specific items to grab and what to skipFast food drive-through anchors for road trips - plus how to use AI to map out your food stops before you leave the drivewayHow to eat at sporting events without living at the concession standA simple summer movement strategy that keeps your strength training consistent even when your schedule isn'tThe bleacher workout, the hotel room workout, and the two-day rule that keeps the gap small all summerSummer is not the enemy of your health goals. Summer without a strategy is.This is your strategy.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

Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com

Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com

Skin Cancer Alternative Treatment Option with Joseph Sardano, CEO at Sensus Healthcare. There is a "new" alternative to surgery for treating skin cancer. Superficial Radiation Therapy (SRT) uses photon radiotherapy that penetrates only 5mm to treat skin cancer without cutting, bleeding, or scarring. Comparable cure rates matching the gold standard of Mohs surgery. For many patients, this is a better patient experience with no stitches, no healing downtime, and no activity restrictions. Patients can golf, swim, and live normally during the 3–4 week treatment course. Good news as it is now covered by Medicare as SRT has its own CPT code, making reimbursement clear for dermatologists and affordable for patients. So for those with this diagnosis, have the conversation and ask your dermatologist about new options available. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

May 22, 2026In this episode, Scott, Mark, and Dr. Ray Painter revisit ureteral stent removal and replacement coding after listener feedback highlighted the need for additional clarification on when cystoscopic codes versus fluoroscopic exchange codes apply. The discussion then shifts to emerging RAC audits targeting prostate artery embolization (PAE) claims involving CPT codes 37242 and 37243, emphasizing the importance of detailed documentation and medical necessity support. The episode wraps with a deep dive into Medicare's medically unlikely edit (MUE) for add-on code 55715 for additional prostate biopsy lesions—exploring why the edit conflicts with CPT guidance, how practices should report multiple lesions, and why appeals may be necessary to receive proper reimbursement. 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/ 

A bonus conversation with CPT fellow Kyle Fever on life, preaching, books, and music.Join us at the CPT Conference

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

Dr. Sherif Taraman on Fixing the Primary Care Shortage: Economics, Culture, Policy, and TechnologyIn a Tuesday-morning discussion, repeat guest Dr. Sherif Taraman (dual board-certified child neurology and clinical informatics; CEO of Cognoa behind FDA-authorized Canvas DX for autism) joins Herb and George to examine the U.S. primary care shortage. They argue the core driver is broken health economics: low reimbursement, outdated CPT practice-expense assumptions, high overhead, time-strapped 10–15 minute visits, and EHR-driven administrative burden that pushes volume over prevention and fuels burnout, direct-care models, and consolidation or profit-driven ownership. They discuss loss of generalist skills, outdated training and regulation, medical debt discouraging primary care, and cultural preference for quick fixes over preventive care. Potential solutions include clinician-driven tech (e.g., ambient scribes), collaborative care scaffolding with reimbursable codes, more flexible retraining and licensing reciprocity, better education in health economics/population health, and restoring patient-physician relationships to rebuild trust (e.g., vaccines).00:00 Welcome Back Sherif01:43 Why Primary Care Matters03:44 Reimbursement Drives Shortage05:29 Generalist Skills Fading07:58 Outdated Rules and Costs11:11 Practice Models Shifting13:14 Workforce and Policy Crunch14:47 Tech Incentives and Burnout17:54 Collaborative Care Scaffolding19:03 Culture Debt and Training Reform26:17 Reinventing Physician Careers27:44 Credentialing Roadblocks28:46 Regulation Versus Access29:45 Modernizing Training Models30:52 Paying Primary Care Right32:55 Telehealth Licensing Mess33:47 Learning Without Certificates34:52 Screening Belongs Upstream36:34 Workforce Fixes And Scope39:48 Guidelines And Critical Thinking42:44 Medicine As Art And Trust48:49 EHRs Billing And Burnout49:44 Closing Thoughts And ActionSupport the show

You're standing in the grocery store. You pick up the bar with "HIGH PROTEIN" across the front in bold letters. You put it in your cart. You're doing the right thing.Except -are you?The "high protein" label has become one of the most overused and misleading claims in the food industry. There is no regulated standard for what it means. Any brand can put it on any package - regardless of what's actually inside. And for women in midlife who depend on protein to protect their muscle, support their metabolism, and stabilize their energy - getting this wrong has real consequences.In this episode Casey breaks down exactly how to read a protein label so you know what you're actually buying - walks through the product categories where the gap between marketing and reality is widest - and introduces a free tool you can use from your phone to evaluate any product in 30 seconds.You'll learn:Why "high protein" on a label means almost nothing -and what to look at insteadA simple 4-question label check you can run in under 60 seconds at the storeWhich protein sources are worth your money and which are just fillerThe truth about protein bars, flavored yogurts, high protein cereals, shakes, and snack foodsHow to use AI to evaluate any product or compare two options before it goes in your cartHow added sugar is hiding inside products that look like smart protein choicesYou walked into the store doing the right thing. By the end of this episode - you'll walk out actually doing it.Shop Legion Supplements Here: https://legionathletics.rfrl.co/zwo48Inspire Nutrition: https://inspirehw.com/nutritionJoin 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

There is a difference between feeling ashamed and living inside shame. One is a passing signal. The other is the background atmosphere of an entire nervous system. In this episode, Jennifer Wallace and Elisabeth Kristof go deep on toxic shame as the next distinguishing characteristic of complex trauma in their CPT series. This is one of the most personal episodes they have recorded. Both hosts share what shame actually sounded like at its loudest in their lives, the specific words, the body states, the loops that ran for years before they had any way to interrupt them. And they are honest about where they still meet it today. Toxic shame in complex trauma is not just a feeling that shows up after a mistake. It is an identity state. It shifts from "I did something wrong" to "I am wrong." It shapes posture, vocal tone, breath, gaze, and the way the body interprets every social interaction as potential exposure or rejection. And because it developed in relationship, specifically in environments where expressing needs or emotions led to punishment, abandonment, or humiliation, it becomes deeply tied to every relational experience that follows. Elisabeth and Jennifer trace the full arc of how shame develops, from the child who cannot afford to see their caregiver as unsafe and so turns the blame inward, to the adult who moves through professional and personal relationships with a chronic bracing for exposure. They cover the neurobiology in depth: what the insula, default mode network, and vagus nerve have to do with chronic shame states, why shame can both amplify and numb internal sensation at the same time, and how shame formation, the physiological pairing of emotional shame states with immune and inflammatory responses, helps explain the health outcomes seen in adverse childhood experience research. The conversation also covers the double bind of shame in complex trauma, the trap of needing connection while also bracing for what connection has always brought. How shame drives substance use and disordered eating as regulation strategies. How systemic and cultural forces layer onto developmental shame in ways that make the pattern larger than any individual. And what post-traumatic growth actually looks like here: not confidence, not the absence of shame, but a little more space between the wave and the response, a little longer staying present in the body before the collapse happens, and gradually, relationships where being imperfect does not mean being abandoned. In This Episode, You Will Learn: Why toxic shame in complex trauma shifts from an emotion into an identity state How shame develops as a survival strategy when caregivers are unsafe and self-blame becomes the only available adaptation Why shame is not just cognitive but embodied, showing up in posture, vocal tone, breath, gaze, and gesture What shame formation is and how chronic shame states are linked to inflammation, immune dysregulation, and the health outcomes in ACE research How the insula, default mode network, and vagus nerve are involved in chronic shame patterning Why shame can simultaneously amplify and numb internal sensation and what that means for healing The double bind of shame: needing connection while bracing against it How systemic and cultural shaming layers onto developmental shame and why the nervous system cannot fully distinguish between them How shame drives substance use and disordered eating as regulation strategies and why the shame-use cycle is so hard to interrupt What post-traumatic growth looks like in relation to shame: not the absence of it, but increased range, flexibility, and capacity to stay present with it How accountability, relational repair, and allowing others to have their own experience gradually shifts the shame pattern   Chapters 0:00 - The Difference Between Feeling Ashamed and Living Inside Shame  0:33 - Welcome: Toxic Shame Through the Lens of Complex PTSD  1:54 - What Shame Actually Is: A Whole Body Physiological Response  2:14 - When Shame Becomes an Identity State  3:01 - Shame in the Body: Posture, Voice, Breath, and Withdrawal  3:34 - Systemic and Cultural Shame: When the Group Itself Is Dysregulated  5:55 - Shame as the Emotion That Represses All Other Emotions  7:15 - How Shame Develops in Complex Trauma: The Child Who Cannot Blame the Caregiver  8:48 - Everything Is My Fault as a State of Being  9:43 - Jennifer and Elisabeth Share What Shame Sounded Like at Its Loudest  11:28 - How Shame Physically Inhibits Expression  12:09 - The Double Bind: Needing Connection While Bracing Against It  14:00 - The Neurobiology: Insula, Freeze, Dissociation, and No Safe Discharge  17:31 - Large Scale Neural Patterning: DMN Loops, Reward Signaling, and Oxytocin  18:36 - What Shame Looks Like Now for Jennifer and Elisabeth  23:51 - Shame Formation: Inflammation, the Vagus Nerve, and ACE Research  26:43 - The Shame and Substance Use Cycle  30:28 - How Both Hosts Used Substances to Regulate Shame  34:15 - Systemic Shame and the Brain's Drive for Belonging  36:10 - What Post-Traumatic Growth Actually Looks Like With Shame  38:51 - Relational Healing: Repair, Accountability, and Letting Someone Love You Imperfectly  41:14 - Allowing Another Person to Have Their Experience Without Collapsing   Resources and Links NSI Foundations Bundle for coaches and practitioners: neurosomaticintelligence.com/foundations Two week Rewire Trial of guided neuro somatic training: rewiretrial.com Learn more about Elisabeth's work at brainbased.com Learn more about Jennifer's work at her YouTube channel: Sacred Synapse https://www.youtube.com/@sacredsynapse-23 Trauma Rewired podcast  is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear.  We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being.  If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.  If someone's life is in danger, immediately call 911.  We do our best to stay current in research, but older episodes are always available.  We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We  invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.  We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis.  Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.  We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com  All rights in our content are reserved  

CPT. Matt Hoh : Netanyahu Becomes DesperateSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Watch the claims data behind telehealth modifier 95 and audio-only modifier 93 as denial trends for high-volume CPT codes and place of service combinations raise major compliance concerns. Terry breaks down the most common causes of denials, including incorrect POS reporting, documentation gaps, and billing practices that could trigger audit scrutiny. She also explains why relying on coding forums for definitive coding advice can create serious compliance risks for providers and practices. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Telehealth Modifiers 95 and 93 Compliance appeared first on Terry Fletcher Consulting, Inc..

Send us Fan MailIs your NICU considering the shift to 24 hour in house attending coverage? In this episode of Journal Club, we explore a provocative brief communication from the Journal of Perinatology. Ben and Daphna discuss the impact of moving from home call to on site presence at UC Davis. While the change was intended to improve patient care, the data reveals a surprising 15 percent decrease in work RVUs. We examine how proactive weaning and bedside presence might actually lower billing levels under current CPT codes. Are we being penalized for doing the right thing for our patients?----From on-call to on-site: the impact of 24-hour in-house neonatology on billing patterns and physician productivity. Donohue L, Lakshminrusimha S.J Perinatol. 2026 Feb;46(2):289-292. doi: 10.1038/s41372-025-02530-8. Epub 2026 Jan 5.PMID: 41490931 Free PMC article. No abstract available.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

Everyone has a critical inner voice. But if you grew up in an environment shaped by chronic relational stress, that voice does not just comment. It runs. It loops. It drives your body into a stress state before you have even finished the thought. In this episode, Jennifer Wallace and Elisabeth Kristof explore the inner critic as the next distinguishing characteristic of complex trauma in their ongoing CPT series. This is not a conversation about toxic positivity or affirmations. It is a precise, neuroscience-grounded look at why the inner critic develops, what it is actually doing in the brain and nervous system, and what it genuinely takes to loosen its grip over time. The inner critic is a predictive safety mechanism. It developed to preempt rejection, suppress behaviors that previously led to punishment, and maintain attachment in environments where connection felt conditional. It is not your core self. It is a learned neural pattern rooted in threat detection and self-referential processing that, once formed, keeps running because it worked. Or at least, it worked enough. Jennifer and Elisabeth trace how chronic relational stress reorganizes the default mode network around threat rather than flexible identity development, what the medial prefrontal cortex and posterior cingulate cortex have to do with rumination and shame-based identity loops, and why children with developmental trauma learn to blame themselves for relational failures that were never their fault in the first place. They also go deep on the outward expression of the same pattern: the external critic, the person who micromanages, projects, and stays braced and guarded because the nervous system is still predicting the letdown. Both hosts bring this into their own lived experience with real honesty. Elisabeth talks about the constant body-focused narrator that used to run during recording sessions. Jennifer shares what the inner critic sounds like when she is launching something new and putting her voice out into the world. Neither of them is pretending it is gone. They are showing what it looks like when it no longer runs the show. The episode closes with practical, nervous system-grounded pathways for working with the inner critic, including why celebration and reward matter more than positive thinking, how oxytocin-mediated safety gradually quiets social threat monitoring, and why the most important move is not arguing with the voice but interrupting the loop at the body level first. In This Episode, You Will Learn: Why the inner critic is a predictive nervous system adaptation, not a reflection of truth or identity How chronic relational stress reorganizes the default mode network around threat and self-monitoring What the medial prefrontal cortex and posterior cingulate cortex have to do with rumination and the inner critic Why children with developmental trauma internalize relational failures as personal flaws How perfectionism, body criticism, and post-performance crashes are all outputs of the same underlying pattern What the external critic is, why it always coexists with a loud inner critic, and how to recognize it in yourself Why you cannot think your way out of the inner critic loop and what actually interrupts it How the ventral striatum and reward signaling can be used to reinforce new behaviors and self-expression Why oxytocin-mediated safety, through connection, touch, nature, and sensory pleasure, reduces the social threat driving the critic What post-traumatic growth actually looks like in relation to the inner critic: not eliminating it, but expanding capacity beyond it Chapter Markers 0:00 - The Inner Critic as a Distinguishing Characteristic of Complex Trauma 0:58 - Welcome: What the Inner Critic Actually Is 1:49 - Jennifer and Elisabeth Share Their Own Inner Critic Experiences 4:36 - Why This Matters: Recognizing Complex Trauma in the Patterns 5:33 - The Difference Between a Normal Inner Critic and a Trauma-Amplified One 7:11 - The Neuro Biology: How the Inner Critic Develops as a Protective Pattern 8:28 - How Authenticity Becomes a Threat Signal 10:38 - The Default Mode Network and Self-Referential Rumination 13:52 - What the Growth Edge Actually Feels Like in Practice 17:05 - The Brain Science: The Default Mode Network, Medial PFC, and Posterior Cingulate 19:22 - Why Developmental Trauma Teaches Children to Blame Themselves 21:10 - How to Interrupt the Loop: Sensory Anchoring, Movement, and Tools 23:18 - Working With State to Shift the Story 24:51 - Perfectionism as an Output of the Inner Critic 28:11 - Why We Stay Stuck in the Loop Even When We Know Better 29:12 - The Ventral Striatum, Reward Signaling, and Why Celebrating Small Wins Matters 35:57 - Oxytocin, Social Safety, and Softening the Hypervigilance 39:49 - The External Critic: When the Inner Voice Gets Projected Outward 43:03 - Post-Traumatic Growth and the Inner Critic: What Actually Changes Ways to Engage with Neurosomatics    Join us inside Rewire: This is where you actually experience the practices Jennifer and Elisabeth talk about on the podcast that brought us freedom, self-attunement, a new relationship with food and our body.  rewiretrial.com   Explore the neurosomatics of boundaries: boundaryrewire.com   Introduction to neurosomatics for practitioners, coaches and therapists - The NSI foundations Bundle: https://neurosomaticintelligence.com/workshops/   Wayfinder Journal: Track nervous system patterns and support preparation and integration through Neurosomatic Intelligence: https://stan.store/illuminated   Join Jennifer on Sacred Synapse to explore the intersection of neurosomatics and Psychedelic neuroscience: https://www.youtube.com/@sacredsynapse-23   Support the podcast by supporting our sponsors:  FREE 1 Year Supply of Vitamin D + 5 Travel Packs from Athletic Greens when you use my exclusive offer: https://www.drinkag1.com/rewired Trauma Rewired podcast  is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear.  We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being.  If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.  If someone's life is in danger, immediately call 911.  We do our best to stay current in research, but older episodes are always available.  We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We  invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.  We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis.  Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.  We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com  All rights in our content are reserved  

The deepest wound in complex trauma is not emotional intensity. It is the learned loss of connection to yourself. In this episode, Jennifer Wallace and Elisabeth Kristof open the next chapter of the CPT series by starting where the roots go deepest: self-abandonment. This is the pattern they chose to name first—and intentionally so—because when the nervous system learns that staying connected to the self is unsafe, nearly every other complex trauma response grows from that adaptation. Self-abandonment is not a personality flaw or a lack of self-awareness. It is a body-based survival strategy. From a neurosomatic perspective, it is a state-dependent loss of interoceptive access—a patterned inhibition of internal signals that the nervous system learned in order to stay attached, stay safe, and maintain stability in the relational environment. And like every other output explored in this series, it made complete sense at the time it formed. The conversation moves through the neuroscience of dissociation and how it is inseparable from self-abandonment, the brain regions involved, and what their altered activity actually looks like in everyday life. It explores the fawn response—including its lesser-discussed dimension of sexual fawning—and the specific pathways through which emotional neglect and parentification set the stage for chronic self-erasure. Jennifer and Elisabeth also trace how masking—whether in the context of neurodivergence, complex trauma, or systemic oppression—is another expression of the same root pattern: authenticity does not feel safe, so the self gets hidden. But this episode does not stop at the wound. Both hosts share what the growth edge of this pattern has actually looked like for them—what building interoceptive capacity from the ground up felt like in practice—and how self-attunement, the skill of staying present with internal experience without becoming overwhelmed by it, gradually became accessible rather than threatening. This is not a quick-fix episode. It is an honest, grounded map of one of the most pervasive and least visible patterns in complex trauma—and a clear-eyed account of what actually changes it.   In This Episode, You Will Learn: Why self abandonment is a survival adaptation rooted in the nervous system, not a character flaw How interoceptive access becomes inhibited under chronic relational threat, and what that feels like day to day The neuroscience of dissociation: which brain regions are involved and how their altered activity drives functional disconnection Why emotional neglect, even without overt harm, sets the stage for chronic self erasure How parentification creates a nervous system template of self abandonment that persists long into adulthood What fawn response is, how it operates neurologically, and why sexual fawning is a real and undernamed expression of it How masking across contexts including neurodivergence, complex trauma, and racial and systemic oppression overlaps with and compounds self abandonment What self attunement actually is as a nervous system skill and how it is different from insight or emotional processing alone Why healing is capacity-based rather than cathartic, and what that means for pacing How both hosts have rebuilt interoceptive access over time and what that process has opened up for them Chapters 0:00 - The Deepest Wound in Complex Trauma Is Not Emotional Intensity 0:38 - Welcome: Who This Episode Is For 1:27 - Introducing the CPT Series and Why We Start With Self Abandonment 2:53 - Defining Self Abandonment as a Nervous System Output 4:21 - Pete Walker, Fawn Responses, and How the Child Learns to Attune Outward 4:47 - The Neuro Somatic View: Interoceptive Access Under Chronic Threat 6:08 - Embodiment as the Opposite of Self Abandonment 6:35 - Collective and Intergenerational Dimensions of Self Abandonment 7:55 - What Self Abandonment Looks Like in Real Life: A Case Study 9:21 - Dissociation: What It Actually Is and Why It Is Inseparable From Self Abandonment 10:42 - Brain Science: The Insula, Hippocampus, Amygdala, and Thalamus 14:35 - The Fawn Response and Sexual Fawning 18:17 - Self Attunement: The Opposite of Self Abandonment 21:06 - Rebuilding Interoception: Starting Small 27:19 - Emotional Neglect as the Root of Self Abandonment 29:13 - Parentification and the Template of Self Erasure 31:21 - Masking: Neurodivergence, Systemic Oppression, and Complex Trauma 36:19 - What Growth Has Actually Looked Like for Jennifer and Elisabeth 40:20 - Stress Bucket Dysmorphia and Learning Your Real Capacity Resources and Links NSI Foundations Bundle for coaches and practitioners: neurosomaticintelligence.com/foundations Two week Rewire Trial of guided neuro somatic training: rewiretrial.com Learn more about Jennifer's work at her YouTube channel: Sacred Synapse https://www.youtube.com/@sacredsynapse-23   Trauma Rewired podcast  is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear.  We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being.  If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.  If someone's life is in danger, immediately call 911.  We do our best to stay current in research, but older episodes are always available.  We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We  invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.  We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis.  Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.  We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com  All rights in our content are reserved  

CPT. Matt Hoh : Will US Troops Kill Innocents?See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.