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Are your EMR templates helping—or hurting—your documentation? Terry dives into the difference between pre‑formatted templates and pre‑populated medical records, and why that distinction matters more than most providers realize. Pre‑populated fields can create inaccurate documentation, audit red flags, and even malpractice risk. Terry also reviews a NAMAS article that sheds light on how this issue is showing up in real audits and what practices should watch for. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Pre‑Populated EMRs Are Not Templates appeared first on Terry Fletcher Consulting, Inc..
Gold is gathering momentum and pushing above $5,000, though its been a little bumpy for precious metals investors. As geopolitical tensions rise and inflation concerns persist, the traditional safe haven is testing new psychological levels.Today's Stocks & Topics: Emerson Electric Co. (EMR), Third Annual InvestTalk Market Madness, Market Wrap, Coca-Cola Consolidated, Inc. (COKE), The Great American Stock Exodus: When U.S. Markets Lose Their Crown, Nexstar Media Group, Inc. (NXST), Cencora, Inc. (COR), Franklin FTSE Japan ETF (FLJP), iShares JPX-Nikkei 400 ETF (JPXN), Ciena Corporation (CIEN), VanEck Uranium and Nuclear ETF (NLR), Insider Purchases.Our Sponsors:* Check out Anthropic: https://claude.ai/invest* Check out Pebl: https://hipebl.ai* Check out Quince: https://quince.com/INVESTAdvertising Inquiries: https://redcircle.com/brands
The hosts, Victor and Kim, preview upcoming podcast coverage, including the penultimate episode of Industry, the finale of A Night of the Seven Kingdoms (with HBO reporting about 13 million average viewers and 9+ million in the first three days for the latest episode), and plans to cover the first episodes of Paradise with Alan while Darren is on vacation. They confirm continued weekly coverage of The Pitt and Drops of God, note that Sona will return for a new HBO Max series starting March 1 starring Jason Bateman, David Harbor, and Linda Cardellini, and share ways to contact and support the show. They discuss Drops of God season 2 episode “Trust Me,” focused on a Georgian family's backstory and sibling rift. The hosts describe how an apparent reconciliation is a fake-out: the sister tells her long-estranged brother “we forgive you,” implying he must be forgiven for being born, which triggers conflict and exposes long-buried abuse tied to the family's wine legacy. They connect the episode's themes to the show's broader pattern of “going underground” into trauma (wine cellar imagery) and draw parallels to Camille and Issei's family history. They highlight Camille's increasingly Leger-like obsession: she uses Issei's access to the mother to take gifted wine and enter it into her competition, prioritizing preserving wine over people and potentially forcing outcomes no one else wants. They also note suggested attraction and manipulation dynamics between Camille and Davit. They then cover The Pitt episode 7 (1:00 PM hour), describing it as messier than the prior episode but revealing a major looming catastrophe: a severe, likely self-imposed hospital-wide network shutdown to counter a cyberattack, affecting phones, internet, and hospital systems. They discuss how modern medicine depends on connected electronic systems (EMR, labs, imaging, medication dispensing, and blood bank workflows) and how downtime creates dangerous delays and risks, while rejecting simplistic “go back to paper” solutions. Other episode threads include July 4 heat-related strain, a missing unhoused patient, Dr. Halimi's likely PTSD/panic symptoms tied to prior field work in the Middle East, and broader staff mental health struggles (including Santos's scars and Langdon's prior benzo use). They discuss a sexual assault exam storyline led by Dana and the victim ultimately backing out because the assailant is someone she knows. They note Abbott's return as a SWAT medic and Robbie refusing to forgive Langdon during a rooftop trauma intake, creating tense teamwork. Additional plot points include Ava's father pushing dermatology over surgery, an end-stage cancer patient choosing to die in the hospital rather than at home, and a law student's apparent psychotic break with family tensions about undisclosed mental health history. The segment ends anticipating next week's consequences of extended downtime and the hospital system strain as nearby hospitals are also attacked. mailto:needssomeintroduction@gmail.com 00:00 Show intro + what's on the podcast schedule this week 01:59 Listener updates, subscriptions, and how to support the show 03:24 Drops of God S2E: “Trust Me” — the Georgia family backstory & the fake-out reunion 05:27 Wine cellars, buried trauma, and how family legacies warp everyone 13:49 Camille's turning point: becoming Leger, stealing the wine, and the fallout 18:01 The Pitt Hour 7: messy episode, but the looming disaster is a total system outage 20:01 Medicine without the internet: EMR downtime, cyberattacks, and why “air-gapped” isn't realistic 26:30 Heat wave ER realities + dangling threads (cooling, missing unhoused patient) 28:01 Dr. Halimi's backstory and the staff mental health spiral (PTSD, self-harm, benzos) 32:22 Coping in High-Stress Medicine: Gallows Humor vs Burnout 33:11 Inside a SANE Exam: The Meticulous, Emotional Reality of Sexual Assault Care 35:10 Abbott's Return with SWAT + Robbie's Awkward Double-Take Comedy 36:44 Patients Who Walk Out: AMA Stories, Free Insulin, and Limits of Helping 38:04 Robbie vs Langdon: Personal Grudges Collide with Trauma-Team Leadership 40:43 Ava's Dad Pushes Dermatology: Family Pressure and Lifestyle Medicine 41:53 The Cancer Mom's Choice: Dying in the Hospital vs Home Hospice 43:20 Law Student Psychosis & Family Secrets: Stigma, Self-Medication, and Disclosure 45:29 When the EMR Goes Dark: Blood Bank, Med Dispensing, and Paper-Chart Chaos 48:42 Cyberattacks + AI Dependence: Hospitals vs the Coming ‘Bot Army' 51:07 Back to Basics: Generational Divide, Improvisation, and Systemwide Overflow 55:03 Final Wrap: Translator Frustrations, Pen-and-Paper Solutions, and Show Notes
Anjali Jameson, Chief Product Officer at Arbiter, says the hard part is not gathering data. It is getting action across patients, providers, and payers without breaking what already works.“Automating something that's broken is not going to necessarily give us better outcomes.”Arbiter is a care orchestration platform built for patients, providers, and payers together, not a single point solution. The operating spine ingests and makes actionable data across the patient journey, including provider directories, EMR integrations, claims, and financial and policy data from health plans, then connects it to highly personalized multi channel agentic outreach. You will hear why cross system context matters, how total cost of care stays in view while each stakeholder chases different leading metrics, and what it looks like to move from automation into optimization, like going from a call center scheduling flow to 60 percent conversion and pushing toward 95 percent conversion.Timeline00:40 Care orchestration platform, operating spine, data across the patient journey04:33 Misaligned incentives, prior authorizations, 12 to 14 hours a week09:42 Total cost of care, star metric, building for different metrics12:25 Long form personalized videos, transportation, education, medication management15:02 Prior authorization from three to six days to almost instantaneous22:07 COVID, provider messaging two, three X, AI responds fasterSubscribe and share it with someone who is building in health tech.
I'd love to hear from you 'text the show'Today I'm joined by Nicola, my COO in Thrive, and we're getting into a topic that can feel a bit uncomfortable, but it is one of the most important conversations you can have if you want your clinic to grow.Episode SummaryIn this episode, Nicola and I talk about the things clinic owners tolerate that quietly erode performance over time. We explore why leadership can feel triggering, especially if you have come from workplaces where leadership looked more like dictating, bullying, or conflict.We also talk about how easy it is to swing too far the other way. Wanting to be liked, avoiding difficult conversations, and telling yourself you do not have time can all become patterns that keep you stuck.If you keep discussing the same person, you have tolerated it too long.Avoidance often looks like empathy, but it drains you and the business.Most “team problems” are unclear expectations.If you are not tracking numbers, nobody is.Set simple KPIs per role, for therapists: conversion, visits, occupancy.Check process and training before blaming the person.Lead tough chats with curiosity, not aggression.Leadership is learned, get support and practise it.Your clinic grows as your leadership grows.SponsorToday's episode is sponsored by Jane, a clinic management software and EMR. The Jane team knows that when your workday is spent providing care, admin can easily spill into your evenings. Jane's user friendly online bookings let patients book at their convenience, manage appointments, complete intake forms, and receive SMS and email reminders through a secure portal, saving you from doing it all manually. Head to the link in the show notes to book a personalised demo, and use code Thrive1MO at sign up for a one month grace period applied to your new account.Treat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.Learn more at mbstmedical.co.uk. Come and join me over on YouTube https://www.youtube.com/@thrivebizcoach?sub_confirmation=1 Resources & Links Clinic Growth Live: https://events.thrive-businesscoaching.com/cgl-tickets-2026
Most practice owners feel the pressure to “keep up with AI” — but few have real clarity on what actually works, what's hype, and what could quietly overwhelm their team.In this episode of the Private Practice Owners Club Podcast, host Nathan Shields sits down with Sharif Zeid, longtime EMR leader and representative of Empower EMR, for a grounded, practical conversation about where AI is truly delivering value in private practice — and where expectations need a serious reset.Drawing on years of experience working with hundreds of practices, Sharif breaks down how AI adoption is accelerating faster than any technology wave we've seen before — and why documentation, scheduling, compliance, and phone systems are at the center of that shift. They also unpack the hidden risks of chasing tools without systems, and why “AI as the solution” fails without strong operational foundations.Together, they explore:Why documentation is still AI's biggest and safest win for practicesHow generative AI (scribes, summaries, chart review) is actually being used in real clinicsWhy “perfect” AI is the wrong benchmark — and how partial wins still create massive ROIThe growing AI arms race between providers and insurance companiesWhere AI helps with compliance — and why trust-but-verify still mattersWhy billing automation is over-promised and under-delivered (for now)The real cost of stacking tools — and how to evaluate ROI per providerWhy team overwhelm is the biggest risk of fast AI adoptionThe rise of AI in phone systems, scheduling, and patient self-serviceWhy patient portals and foundational systems must come before automationHow AI should support decision-making, not replace leadershipIf you're a practice owner trying to decide where AI actually belongs in your clinic — and how to adopt it without breaking your team, your culture, or your systems — this episode offers clarity without hype.
In this episode of Retire With Style, Wade and Alex discuss key retirement tax planning strategies, including Roth conversions, effective marginal tax rates, and the role of income tracking in decision-making. They examine long-term capital gains treatment, IRMAA surcharges, and the structural design of retirement accounts. The conversation also highlights the complexity of the tax code, the value of automated tax-mapping tools, and strategic considerations such as using reverse mortgages to manage tax liabilities. Takeaways Expenses do not equate to tax bills in retirement. Roth conversions can help manage tax implications of RMDs. Medicare IRMA surcharges are not affected by Roth conversions. A 12% EMR target is reasonable for most retirees. Monitoring income is crucial for effective tax planning. Long-term capital gains can be harvested at 0% under certain conditions. Simplifying the tax code could alleviate financial planning complexities. Roth conversions do not have a defined break-even age. Effective marginal rates consider more than just income tax brackets. Qualified Longevity Annuity Contracts can defer RMDs. Chapters 00:00 Understanding Required Minimum Distributions (RMDs) and Tax Implications 01:55 Roth Conversions and Medicare IRMA Considerations 04:13 Establishing Effective Marginal Rates for Tax Efficiency 07:34 Income Tracking and Year-End Tax Planning 09:21 Long-Term Capital Gains and Tax Bracket Strategies 12:02 The Role of Tax Maps in Financial Planning 15:16 Simplifying the Tax Code: A Call for Change 15:57 Roth Conversions: Timing and Break-Even Analysis 17:13 Effective Marginal Rate vs. Effective Tax Rate Explained 18:50 Qualified Longevity Annuity Contracts and RMDs 20:14 The Ideal Retirement Account Structure 21:44 Tax Diversification Strategies for Different Ages 23:47 Using Reverse Mortgages for Tax Payments 24:33 Impact of Reverse Mortgages on ACA Subsidies 26:38 Roth Conversions vs. Tax Gain Harvesting Strategies 28:55 Utilizing Tax Map Calculators for Personalized Planning 29:58 Conclusion and Future Considerations Links
What if the reason you're tired, foggy, anxious, or constantly getting sick… isn't stress, hormones, or burnout — but your home?Raphael from EcoLibria, specialises in testing homes and workplaces for mould, indoor air quality issues, EMFs (electromagnetic fields) and EMR (wireless radiation). This episode is practical, science-backed insight into what's actually worth paying attention to… and what's not.Raphael has worked in this space for 20+ years and shares real case studies that will make you think differently about Wi-Fi routers, baby monitors, smart metres, hidden water leaks and even where you place your bed.If you're building, renovating, pregnant, raising kids, working from home, or just tired of feeling tired… this episode will open your eyes.We cover:The real difference between EMF (electricity-based fields) and EMR (wireless signals)Whether living near powerlines or 5G towers is something to worry aboutWhy distance and duration matter more than panicThe simple swaps that can dramatically reduce EMF exposure in your homeWhy your bedroom should be the “quietest” room in the houseThe truth about baby monitors and sleeping near electrical metre boxesElectrical hypersensitivity — and why some people react more than othersHow EMF exposure may impact sleep, oxidative stress, melatonin and inflammationWhy mould is often hidden (and how moisture is always the root cause)Symptoms of mould exposure: fatigue, hormonal disruption, depression, gut issues, skin flare-upsWhy one family member can be severely affected by mould while others feel fineThe connection between inflammation, environment and long-term healthPractical air quality upgrades: ventilation, HEPA filters, rangehoods and reducing VOCsWhether air purifiers are actually necessaryMentioned in this episode:Find Raphael at EcoLibria: HereFollow me on Instagram: @tess.shanahan & @tesstalksofficial Follow me on TikTok: @tessshanahanFollow me on YouTube: TessShanahan Hosted on Acast. See acast.com/privacy for more information.
Recent Resources 2026 Margin Protection Playbook: https://natrevmd.com/2026-margin-protection-playbook/ Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/ If your practice feels stuck in gossip, silos, passive resistance, or quiet resentment—this episode is for you.In today's episode, Dr. Heather Signorelli breaks down Patrick Lencioni's The 5 Dysfunctions of a Team and explains how culture issues directly impact practice revenue, turnover, accountability, and operational efficiency.You'll learn:• Why absence of trust is the foundation of every team problem • How fear of conflict leads to hallway conversations and poor buy-in • Why lack of commitment sabotages major decisions like EMR changes • How avoidance of peer accountability delays billing and hurts cash flow • What “inattention to results” looks like in a medical practice • Practical strategies to rebuild trust, encourage healthy conflict, and align your teamCulture is not just a leadership concept—it's a financial one. Dysfunctional teams lead to dysfunctional metrics.If you want to reduce eligibility denials, improve chart sign-offs, increase buy-in, and drive better results—this episode gives you the framework to start.Interested in a free practice analysis? Visit natrevmd.com
In hospice, everything starts with philosophy, but documentation and compliance determine sustainability. In this episode, we're joined by Deanna Heath of KanTime to discuss the critical mindset shift from cure-focused care to comfort-focused care, and what that means for hospice leadership, documentation, and regulatory compliance. As CMS oversight increases and the HOPE tool, audit scrutiny, and reimbursement pressure reshape the landscape, hospice agencies must ensure their documentation tells the full clinical story. Deanna shares insight from the technology side, while we explore how EMR systems should support — not replace — strong operational processes and compliance strategy. Together, we unpack: • Hospice documentation requirements and audit readiness • Compliance risk areas and regulatory trends • The evolving role of EMR systems in hospice operations • Leadership alignment and its impact on audit outcomes and revenue integrity • Preparing for HOPE and shifting CMS expectations Whether you're a hospice administrator, compliance leader, or revenue cycle executive, this conversation offers practical insight into building operational strength while protecting reimbursement. Strong hospice care requires more than compassion, it requires clarity, alignment, and documentation that truly tells the patient's story. Chapters (00:00:03) - Home Health Revealed: Dena Heath(00:00:52) - Hospice People Handle Chaos Better(00:02:36) - What Do Hospice Clinicians Need Most?(00:03:47) - What Surprises Home Health Leaders Most When They Step into Hospice(00:09:38) - The Biggest Documentation Challenge for Hospices in 2026(00:16:58) - Cantime Compliance Review(00:23:32) - No Pain Points in Hospice(00:27:26) - Snowboarding in the snow
EMR upgrades, clearinghouse changes, and AI automation are reshaping revenue cycle operations, but they can also disrupt cash flow if not carefully managed. This episode focuses on maintaining revenue continuity during system transitions, highlighting where delays commonly occur, how AI automation fits into modern workflows, and what operational safeguards help ensure revenue continues to flow through change. 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
I'd love to hear from you 'text the show'WelcomeIn today's episode of Treat Your Business, I'm joined by Anna, a pelvic health clinic owner and a client inside my Thrive Activate programme. Anna shares the moment she seriously considered going back to the NHS after 12 years away, after her clinic hit a sudden quiet month and the panic set in.This is a real conversation about what it feels like when income dips, confidence wobbles, and you start questioning everything, plus what changed once Anna decided to get support and build a plan.Episode SummaryAnna opened her clinic in late 2021. Early on, things went well, but she was undercharging and relying on organic growth. Then she hit a month where it was totally dead and she started thinking, “Do I just go back to the NHS?”She shares how she tried to fix things by working harder and doing more research, but without knowing her numbers or having a strategy, the good months and bad months felt random.We talk about what finally made her book the call, what it felt like joining Thrive, and why the weekly Q and As, monthly pods, and quarterly strategy days helped her stop feeling isolated and start making confident decisions.Anna also shares the practical changes she made, including introducing treatment plans and packages, getting clear on her numbers, and bringing in support like a VA and an accountant. Now she's consistently fully booked and stepping into the next stage: building a team so she can reach more women and expand services.Key TakeawaysA quiet month can trigger panic when your income feels unpredictable.Knowing your numbers and having a plan reduces overwhelm.Packages and treatment plans can create steadier income and better patient buy in.Support roles (VA, accountant) protect your capacity when the clinic gets busy.Community matters. Being around peers who get it makes growth feel possible.Episode SponsorToday's episode is sponsored by Jane, clinic management software and EMR. Jane's online bookings and secure client portal help you reclaim your evenings and weekends by taking admin off your plate. To see how Jane can support your clinic, book a personalised demo. If you are ready to get started, use the code 'THRIVE1MO' at the time of sign up for a one month graceTreat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.Learn more at mbstmedical.co.uk. Come and join me over on YouTube https://www.youtube.com/@thrivebizcoach?sub_confirmation=1 Resources & Links Clinic Growth Live: https://events.thrive-businesscoaching.com/cgl-tickets-2026
Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, our host welcomes Dr. Andrew Wilner to discuss his extensive career in medicine, detailing his certifications in internal medicine, neurology, and epilepsy. Dr. Wilner shares his multifaceted journey, from starting as an ER doctor without formal training to becoming a professor of neurology. He delves into the evolution of the internship model and offers advice for medical students in career decision-making. Dr. Wilner also elaborates on the locum tenens lifestyle, discussing the challenges and benefits, including the necessary preparation and mindset for success. Additionally, he highlights his experiences in academic roles, private practice, and as a medical journalist. The conversation concludes with insights into Dr. Wilner's book, 'The Locum Life: A Physician's Guide to Locum Tenens,' and his podcast, 'The Art of Medicine,' featuring stories of physicians pursuing unique medical careers. Here are 3 key takeaways from this episode: Flexibility is Essential for Locums Success: Locums work requires adaptability in every aspect - assignments can be canceled last minute, you'll work in unfamiliar systems, and conditions are often less than ideal. The ability to be flexible and resourceful is more important than clinical skills alone. Prepare Thoroughly Before Each Assignment: Arrive 2 days early to handle logistics: learn the EMR system (demand paid training), scout parking and accommodations, get credentialing done, and eliminate uncertainties. This preparation reduces stress and lets you focus on patient care when the assignment starts. Locums Prevents Burnout and Maintains Career Options: Working locums (even part-time) keeps you clinically active, resets credentialing clocks, and provides control over your schedule. Many burned-out physicians rediscover their love of medicine through locums by working on their own terms (7-9 months/year) rather than leaving clinical practice entirely. Meet Dr. Andrew Wilner: Dr. Wilner has worked locum tenens on and off since 1982 and is the author of "The Locum Life: A Physician's Guide to Locum Tenens." Dr. Wilner is Professor of Neurology at the University of Tennessee Health Science Center in Memphis, Tennessee, and host and producer of the Art of Medicine with Dr. Andrew Wilner podcast since 2020. Dr. Wilner is a PADI Divemaster and passionate underwater photographer. Connect with Dr. Andrew Wilner:
January News You Can Use The AI Will See You Now (Please Double-Check Its Work) AI medical tools like Open Evidence are valuable but must be used critically; Trust nothing and verify all outputs, as they require expert supervision. New AI healthcare entrants, such as those from Amazon and OpenAI, bring potential but also risks of outdated or inaccurate guidance; Wearable health devices (e.g., Apple Watch) risk overwhelming clinics with false positives, especially among the "worried well." Health risk calculators and AI should supplement, not replace, individualized care guided by a physician's expertise. The healthcare system faces deep issues, from EMR/data abuse lawsuits to unsustainable insurance that offers poor coverage and strains emergency care. 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
Host Dr. Andrew Pouw welcomes glaucoma specialists Drs. Karam Alawa and Pujan Dave to discuss the sometimes bumpy transition from academia to private practice. The guests highlight clinical operations hurdles, such as navigating clunky EMR systems and prior authorizations, and managing finite staff and resources. Despite administrative hurdles, they emphasize the need for committed "chair time" to counsel patients and alleviate anxiety regarding disease progression. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.
Episode Summary In this episode, Doc Danny shares why cash-based physical therapy entrepreneurship is entering a powerful new phase. From his upcoming presentations at CSM to the broader evolution of the profession, Danny breaks down how business models have changed, why scalability is now real, and what this means for clinicians who want more autonomy, impact, and long-term opportunity. In This Episode, You'll Learn Why distraction during documentation hurts rapport and outcomes, and how AI scribes can fix it What Doc Danny is presenting at CSM and why cash-based models are gaining momentum How starting a clinic inside a gym can lower risk and accelerate early growth Why cash-based practices are more scalable today than ever before How entrepreneurship is becoming a larger part of the physical therapy profession Why specialization and niche expertise benefit both clinicians and patients What clinicians must nail in the early phase of business to build something sustainable How non-traditional career paths are opening new doors inside and outside the clinic What's Changing in the Profession Entrepreneurship in physical therapy is still a small percentage of the profession, but it's growing fast. More clinicians are choosing self-employment, niche practices, and performance-based models that prioritize one-on-one care, long-term outcomes, and lifestyle flexibility. According to Doc Danny, this shift isn't slowing down. Why This Matters Patients want personalized care. Clinicians want autonomy and fulfillment. Cash-based models sit at the intersection of both. This episode explains why now is a unique moment for physical therapists to build meaningful businesses that create real enterprise value. Technology Spotlight Want to be fully present with your patients instead of stuck in your EMR? Try Claire free for 7 days and see how an AI scribe built specifically for physical therapists can reduce documentation time and improve patient outcomes. Key Takeaway You don't need to have your entire career figured out today. The skills you build as a clinician and business owner are transferable, powerful, and increasingly valuable. Focus on nailing the fundamentals, stay open to opportunity, and let the path evolve. Free Resource Thinking about going full-time in your cash practice? Join the free 5-Day Part-Time to Full-Time Challenge and build a clear, realistic plan to replace your income and take action. Connect Physical Therapy Biz PT Entrepreneur Podcast
Here is the latest episode of The Compliance Guy! SummaryIn this episode of The Compliance Guy, Sean M Weiss and Terry Fletcher discuss various topics related to compliance, telehealth, and revenue cycle management. They emphasize the importance of accurate documentation in medical records, the impact of government shutdowns on telehealth services, and the responsibilities of EMR companies in ensuring accurate data entry. The conversation highlights the consequences of inaccurate documentation and the need for providers to maintain compliance in their practices.TakeawaysThe government shutdown impacts telehealth services.Compliance applies to various aspects of business and healthcare.Inaccurate documentation can lead to serious consequences.Every medical encounter must support the billed service level.EMR systems can default to incorrect coding, causing issues.Providers must ensure their documentation is accurate and up-to-date.The responsibility for medical record accuracy lies with the provider.EMR companies may have liability for errors in their systems.Documentation should stand on its own without unnecessary coding.Providers need to advocate for better EMR functionality.
Healthcare talks a lot about growth, access, and consumerism. But there's a growing problem hiding in plain sight: demand is getting easier to create, while supply remains stubbornly hard to deliver. In this episode, Chris Boyer and Reed Smith unpack a tension many health systems are feeling but rarely name out loud. As digital marketing, online scheduling, and consumer-first strategies mature, organizations are getting better at generating demand. Too often, that demand runs headfirst into real constraints on the supply side: provider schedules, clinic capacity, access center workflows, EMR logic, bylaws, and reimbursement realities. The result? Campaigns that work. Experiences that break. And patients who did everything right, only to be told there are no appointments available. The conversation starts with a quick reset on classic supply-and-demand economics and why those models fall apart in healthcare. From there, Chris and Reed explore: Why marketing is being asked to drive demand without influence over supply How digital tools are exposing access gaps that have always existed The disconnect between growth strategy, clinical operations, and access management Why “no appointments available” may be the most expensive UX pattern in healthcare What a route-first approach to access could look like in practice This is not about blaming clinicians or oversimplifying a complex system. It's about naming the mismatch, understanding the incentives, and starting a more honest conversation about how demand and supply actually meet inside modern health systems. If healthcare is serious about consumerism, it has to get serious about access. Mentions From the Show: Reed Smith on LinkedIn Chris Boyer on LinkedIn Chris Boyer website Chris Boyer on BlueSky Reed Smith on BlueSky Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us a textRemission rates don't rise by accident—they rise when people, data, and purpose align. This week we were joined by our friend Becky Johnson Rescola, Executive Director and President of Improve Care Now (ICN), to unpack how a learning health network is transforming pediatric IBD care through shared data, quality improvement, and genuine partnership with families.We trace ICN's journey from ten centers in 2007 to a 100+ site network with a registry tracking over 33,000 active kids and young adults. Becky explains how consistent measurement and coaching improved remission rates, with growing emphasis on sustained and steroid‑free remission. You'll hear a real-time example of change in motion: a shared decision-making tool piloted at eight centers to help families weigh adalimumab plus methotrexate, reflecting registry findings that combo therapy speeds remission with adalimumab but not infliximab. We also dig into how registry data supports off‑label insights, helps sponsors understand pediatric outcomes, and even flags potential trial participants through privacy‑preserving queries.Beyond medications, we explore EMR integration with Epic to reduce data burden, targeted efforts to close gaps in race and ethnicity fields to spot disparities, and the network's commitment to co‑producing resources with patients and parents. Becky brings the community to life through ICN's conferences—scholarships, learning labs, and a welcoming vibe that empowers quieter voices to speak up and help set the agenda. From very early onset IBD and tailored transition to adult care, to smarter partnerships across GI and related conditions, the path forward is both practical and ambitious: make evidence usable, make participation easy, and make sure every child benefits whether or not they're seen at an ICN center.If this conversation sparks ideas or gives you hope, help us spread the word—follow the show, share it with someone who needs it, and leave a review with the question you want us to tackle next.LinksImprove Care Now's websiteICN- Tools and resources for patients and parentsLet's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!
EMR upgrades, clearinghouse changes, and AI are reshaping revenue cycle operations, but they can also disrupt cash flow if not carefully managed. This episode focuses on maintaining revenue continuity during system transitions, highlighting where delays commonly occur, how AI fits into modern workflows, and what operational safeguards help ensure revenue continues to flow through change.Brought to you by www.infinx.com
Send us your desired health topic or guest suggestionsI sat down with EMR advocate Beverly Jensen to unpack how routers, smart meters, toys, and wearables can disrupt sleep, stress the nervous system, and derail kids' development—and what you can do this week to take control. Beverly traces her journey from growing up around early satellite communications to developing radiation sensitivity after months beside a router. She explains the biology in plain terms: our bodies run on electricity, and strong, pulsed radio-frequency fields can interfere with those signals.You'll learn how to map hotspots with an RF meter, why bedrooms should be device‑free sanctuaries, and how simple moves—like relocating and shielding a router, hardwiring with Ethernet, and using airplane mode—can slash exposure by 90% or more without losing connectivity. We dive into family health, too. Beverly shares research on pregnancy, autism risk, and early childhood development, along with practical steps for parents: Finally, we talk about the bigger picture: rising telecom infrastructure, and why community action matters for both health and home values. This is a clear, calm roadmap to living well with technology—on your terms. If this conversation helps, share it with a friend, subscribe for more practical health insights, and leave a review with the one change you'll make this week.You can find Beverly Jensen, Ph.D. at:Website - https://youandemf.com/Website - https://womensmedicinebowl.com/ Please Follow and Review this podcast if you would like to support the growth of this show. Thank You! :)If you enjoyed this episode, please consider sharing it with two people you know that might benefit from the information. The more knowledge that people have in their hands, the healthier we can all become. If you would like to see a particular health issue discussed, or know someone who would be a great guest, contact the Open-Minded Healing podcast at marla@openmindedhealing.com. Note: By listening to this podcast, you agree not to use this podcast as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast. Under no circumstances shall Marla Miller, Open-Minded Healing Podcast, any guests or contributors to the podcast, be responsible for damages arising from use of the podcast.
In this episode, Eric Malzone sits down with industry veteran and Harrison Co. partner Paul Byrne to unpack the "consumer health revolution" transforming fitness, healthcare, and longevity—from GLP‑1s and peptides to wearables, AI "robo docs," and accessible longevity clinics. ✨ Key takeaways
In this episode of the Shift AI Podcast, Alex Waddell, Chief Information Officer at Adobe Population Health, joins host Boaz Ashkenazy live from Dreamforce in San Francisco for a deep dive into AI adoption in one of the most highly regulated—and most impactful—industries: healthcare.Alex shares his unconventional journey from Salesforce administrator to CIO, and how Adobe Population Health built a custom electronic medical record (EMR) on the Salesforce platform to support population health case management long before it became an industry buzzword. The conversation explores why traditional EMRs often get in the way of care—and how AI can help remove friction so clinicians can focus on patients, not paperwork.Together, Boaz and Alex unpack how AI is being applied today to reduce clinician burnout, automate documentation, improve quality assurance, and deliver the right data at the right time. Alex also explains why “augmented intelligence,” not full automation, is the future of healthcare—and why humans will always remain at the center of care delivery.The episode closes with a thoughtful discussion on AI adoption, clinician trust, and why involving end users directly in building AI workflows is essential for success.This episode is a must-listen for healthcare leaders, technologists, and operators who want to understand how AI can drive real-world outcomes—not just efficiency metrics.Key Themes & TakeawaysWhy population health required building a custom EMR from scratchThe hidden cost of documentation and clinician burnoutHow AI can get “the system out of the way” of patient careUsing AI for chart summarization, note generation, and QA auditsOvercoming fear and resistance to AI in regulated environmentsWhy adoption—not technology—is the real challengeThe future of healthcare as augmented intelligenceChapters[00:00] Welcome & Live from Dreamforce[01:30] Alex Waddell's Journey: From Admin to CIO[03:39] Building a Custom EMR for Population Health[05:45] Data, Interoperability, and MuleSoft[06:45] Reducing Clinician Burnout with AI[08:24] Voice, Automation, and the Future of Admin Work[09:30] Using AI for Quality Assurance at Scale[10:49] AI's Real Impact on Patient Outcomes[12:20] “Augmented Intelligence” and the Future of Work[14:00] Adoption, Trust, and Bringing Clinicians Along[16:00] Learning More & Closing ThoughtsEpisode Quote“An EMR doesn't change lives. The human interaction does. AI's job is to get out of the way so clinicians can actually care.”Connect with the GuestsAlex WaddellChief Information Officer, Adobe Population HealthWebsite: https://www.adobepophealth.comLinkedIn: https://www.linkedin.com/in/alexander-waddell-066bb914a/Boaz AshkenazyHost, Shift AI PodcastLinkedIn: https://www.linkedin.com/in/boazashkenazy/Email: info@shiftai.fm
Are you acting on data or just collecting it? In this episode of Medical Spa Insider, host Alex Tiersch is joined by Alex Lirtsman (CorralData) and Tyler Weinberg (Aviva Aesthetics) to explore how med spa owners can "hire" AI-driven data collaboration to achieve operational excellence. You'll learn how Aviva Aesthetics utilized CorralData to move beyond fragmented spreadsheets and EMR silos, turning their scattered databases into a central source of truth. Their partnership acts as a case study for turning messy data into a strategic growth engine. Discussion points: Avoiding Data Fragmentation While Scaling Why Pivot to Automated Reporting Adding a Human Face to Data The Need to Include Data in Decision-Making The Definition of Data Hygiene
Overview: We discuss what culturally responsive care really means for underserved communities and how technology, especially AI, can create more equitable solutions in healthcare. We reflect on the challenge of finding tools that expand care teams and deepen patient trust without losing the essential personal touch of community health centers. We talk candidly about the intersection of technology, ROI, and ethics—asking what true success looks like when serving vulnerable populations. Co-design and collaboration with communities are at the heart of our conversation, as we discuss ways tech can scale privilege and raise the quality of care, like improving language access through AI-driven translation services. We also confront the limits of technology and the need for policy change, sharing practical examples from our work and finding hope in partnerships that lead to meaningful innovation Three Takeaways: The Power of Co-Design in Tech SolutionsWe repeatedly highlight that truly useful technology in healthcare—especially for marginalized communities—must be co-designed with input from those very communities. Instead of developing products in isolation and then trying to “retrofit” trust or usability, starting collaborative design from the beginning is critical to both trust and effectiveness. ROI Isn't Just Financial—It's Community HealthInstead of boiling everything down to monetary return, Luis Padilla reframes ROI as the improvement in health, trust, and culturally appropriate care for disenfranchised patients. For community health centers, “margin” is reinvested in service, not profit—a strong counter-narrative to typical business language in healthcare tech. Language Access Technology Has Equity Potential The episode brings forward concrete examples—like live multilingual translation at Asian Health Services—showing how technology (AI-powered live voice translation, multiple language EMR interpretation) can “raise the floor” for accessibility. These innovations move beyond privilege and begin to level the playing field for communities historically left behind. Next Step: Visit our website, Healthcare for Humans, and join our community to enjoy exclusive benefits at https://www.healthcareforhumans.org/support/ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting https://www.healthcareforhumans.org/support/. Follow us on Instagram @healthcareforhumanspodcast
Two clinicians from different worlds, one vision for the future of rehab. At Graham Sessions, Jimmy sits down with Ali Hartman, DPT and CrossFit enthusiast, and Bethany Ayer, OT and AI strategist, for a wide-ranging conversation about burnout, purpose, and rebuilding the systems we work in.TAKEAWAYS INCLUDE:Why prevention and performance still don't get the spotlight in PTWhat AI is actually doing in healthcare (not the hype)“Conversion factor” of effort vs reward in today's clinicWhy doing well and doing good shouldn't be either/orBorrowing solutions from other professions (yes, even engineers!)???? Featured Guests:???? Ali Hartman, DPTFocus: Prevention, industrial wellness, CrossFit, performance???? Bethany Ayer, OTR/L, MBAClinical Sales LeadBackground in EMR strategy, AI, OT clinical practice
CalmWave is tackling ICU alarm fatigue—a problem where patients generate up to 1,600 alarms per day because clinicians lack data-driven guidance on setting vital sign thresholds. The company processes 32 million data points daily from a single 14-hospital system by fusing high-frequency vital signs from Philips InteliBridge with EMR data from Epic in real time. This represents 10 billion data points annually at current run rate. Ophir Ronen, a sixth-time founder who previously sold to PagerDuty, built CalmWave by applying enterprise IT operations patterns to healthcare infrastructure. The company secured its first comprehensive system-wide agreement within months of launch and now holds 51 patents with 20 more pending as medical device manufacturers pursue distribution partnerships. Topics Discussed Why middleware interoperability is a prerequisite for clinical safety, not a feature The technical challenge of fusing 10x more data from vitals systems than EMR systems Building trust through transparent AI that exposes mathematical reasoning to clinicians Scaling from 7 million to 32 million daily data points across hospital rollout phases How CalmWave's common signal format enables data scientists to work with clean datasets Positioning alarm fatigue as a beachhead into broader hospital operations platforms The innovation investment arm validation pathway for startup enterprise sales Extending the signals-incidents-events pattern to energy, defense, and manufacturing GTM Lessons For B2B Founders Interoperability becomes your moat when it's a safety prerequisite: CalmWave couldn't provide safe alarm recommendations using only vital signs data without knowing which medications had been administered that could affect those vitals. This forced them to build bidirectional integration with both Philips InteliBridge (high-frequency vitals) and Epic EMR before addressing the clinical problem. The integration layer itself—which normalizes, enriches, and structures data into their common signal format—became defensible IP. Ophir noted that high-frequency vitals data is "erased on a rolling 30-day basis" at most hospitals, making CalmWave's fused dataset genuinely novel. Founders in healthcare or other regulated industries should identify whether data fusion across siloed systems is required for safety or efficacy, then build that integration capability as core infrastructure rather than expecting customers to solve it. Transparent AI sells better than black box AI in clinical environments: When presenting to 30 senior leaders including a notoriously difficult CMO, CalmWave walked through the mathematical basis of their algorithms—demonstrating exactly how they calculate safe alarm threshold adjustments. The CMO stood up mid-presentation and said, "You guys shouldn't even call yourselves AI. This is math and statistics. I understand exactly what you're doing. Well done. This is truly innovative." This validation from clinical leadership came from showing the work, not from accuracy metrics alone. Founders selling AI into risk-averse environments should build explainability into their core product architecture, enabling clinicians to understand why each recommendation is generated rather than treating interpretability as a post-hoc feature. Innovation investment arms provide validation pathways that bypass procurement: CalmWave's breakthrough came when an innovation investment arm from a major health system reached out after three months of due diligence, then placed them in front of clinicians. Two weeks before signing a comprehensive system-wide agreement, they presented to the C-suite. This pathway avoided traditional vendor procurement cycles. The innovation arm acted as internal champion, pre-validating the startup's approach before exposing them to decision-makers. Founders targeting large healthcare systems should identify which organizations have dedicated innovation or venture arms, recognizing these groups are measured on finding novel solutions rather than minimizing vendor risk. Beachhead problems in enterprise must be urgent enough to overcome startup friction: Ophir explicitly chose alarm fatigue because health systems with IT budgets in the hundreds of millions needed "something compelling enough to make them engage" with a startup. ICU alarm fatigue has regulatory scrutiny, patient safety implications, and nursing burnout consequences that create executive-level urgency. The problem was important enough that clinical leadership would tolerate the integration complexity and vendor risk of working with an early-stage company. Founders should evaluate beachhead opportunities not just by market size but by whether the pain point has organizational consequences severe enough to justify betting on an unproven vendor. Adjacent domain pattern recognition creates non-obvious competitive advantages: CalmWave's team came from building large-scale operations platforms at PagerDuty, where they developed expertise in processing massive streaming data, correlating events, and reducing alert noise. They recognized that ICU alarm fatigue followed the same structural pattern as IT operations alarm fatigue—too many alerts without context. This allowed them to apply a proven architectural approach (signals → alarms → incidents → events) to a new vertical where healthcare incumbents lacked that specific systems thinking. One hospital generates 7 million data points daily; their platform now handles 32 million across multiple facilities. Founders with deep operational expertise in one domain should actively map their architectural patterns to adjacent verticals where incumbents haven't solved analogous problems at scale. // Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe. www.GlobalTalent.co // Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role. Subscribe here: https://open.spotify.com/show/53yCHlPfLSMFimtv0riPyM
“If you're not making decisions about tech in your clinic… someone else is.”Sharif Zeid returns to the Pintcast to talk about the AI wave, automation, and why PT clinics need more leadership — not more software. This episode peels back the hype and hits the reality: you either adapt, or you get buried in admin, inefficiency, and turnover.Topics include:Why AI ≠ robots taking your jobHow smart automation actually looks in practiceThe mindset shift needed for modern clinic leadersWhy “doing nothing” is the most expensive optionTech, culture, and the systems that scale???? Guest & Tools:Sharif Zeid → EmpowerEMR.com????️ Sponsor Mentions:PRE-ROLL: Empower EMRBig thanks to Empower EMR. If your clinic is stuck in an EMR that slows you down, Empower gives you speed, clean workflows, and features PTs actually asked for. Better notes, faster documentation, smoother operations — all wrapped in customer support that doesn't ghost you. → empoweremr.comMID-ROLL: Brooks IHLShoutout to Brooks IHL. If you're thinking residency, fellowship, or just want deeper clinical mastery, Brooks IHL has programs that actually shape better clinicians — not just give you letters. → brooksihl.orgPRE-PARTING SHOT: U.S. Physical TherapyToday's episode is supported by U.S. Physical Therapy — a national network of clinics focused on developing clinicians, not burning them out. Leadership tracks, mentorship, career growth, and the stability to build your future in PT. If you want a place that supports how YOU want to practice, that's USPH. → usph.com
Sharif Zeid joins Jimmy to unpack the true root causes of clinic burnout, wasted revenue, and team frustration. Spoiler: it's not your EMR, and it's not “kids these days.” It's the manual, outdated, or bloated processes you're too busy to see.Learn:How tracking too many metrics slows your teamWhere most clinics lose time (and don't know it)What automation actually changes firstWhy your team's happiness is your best KPIHow to spot "noise" and double down on "signal"???? Resources:Sharif Zeid → EmpowerEMR.comFollow PT Pintcast on all platforms: YouTube, Apple, Spotify & more????️ Sponsor Mentions:PRE-ROLL: Brooks IHLWorld-class residencies, fellowships, and CE designed to turn good clinicians into great ones. Their mentors walk the walk. Check out Brooks IHL and see how far you can go → brooksihl.orgMID-ROLL: Empower EMRBig thanks to Empower EMR. If your clinic is stuck in an EMR that slows you down, Empower gives you speed, clean workflows, and features PTs actually asked for. Better notes, faster documentation, smoother operations — all wrapped in customer support that doesn't ghost you. → empoweremr.com
Welcome to the Health Marketing Collective, where strong leadership meets marketing excellence. In this episode, Holly Spring, Vice President of Corporate Communications at Included Health, joins host Sara Payne to dig deep into the art and science of narrative clarity in health marketing. With a remarkable career shepherding communication through seismic changes in healthcare—from EMR transitions and clinician voice tech adoption to the unpredictable landscape of COVID-19 and the ascent of virtual care—Holly Spring offers unparalleled wisdom for marketers tasked with making complex ideas accessible, resonant, and actionable. In today's episode, Sara and Holly break down what makes a healthcare narrative truly effective, how to recognize when a legacy story no longer serves, and the steps needed to create internal alignment so that messaging is consistent both inside and outside the organization. The discussion also explores the realities of innovation and boldness in a jargon-laden industry, and reveals why simplicity, authenticity, and trusted voices matter most—especially during times of disruption. We'll learn how Included Health built—and continues to evolve—a one-page narrative that is both aspirational and grounded, and get a behind-the-scenes glimpse of practical adoption strategies, from CEO partnership to company-wide engagement. Rounding out the discussion, Holly shares her perspective on AI's role in marketing strategy, the power of feedback loops, and actionable recommendations for leaders navigating the noisy health marketing landscape ahead. Thank you for being part of the Health Marketing Collective, where strong leadership meets marketing excellence. The future of healthcare depends on it. Key Takeaways: Clarity and Simplicity Win During Disruption: Holly emphasized that, especially in transformative moments, more information is not necessarily better. Instead, marketers should focus on clear, simple messages delivered through trusted voices. Avoid the trap of excessive complexity and lean on simplicity to help audiences—whether internal teams, clients, or consumers—truly understand and connect with your story. Building a Timeless, Elastic Narrative: Great narratives answer the basics: who you are, what you do, and the value you deliver. Holly shared Included Health's approach of selecting familiar but meaningful words that are aspirational enough to grow with the company, yet grounded in today's reality. Successful messaging is both “speakable” (easy for everyone to use in conversation) and emotionally charged—capable of rallying both employees and customers. Buzzwords Alone Don't Differentiate: In a marketplace saturated with terms like “integrated care” and “whole person health,” standing out requires more than industry jargon. Holly described how Included Health extends buzzwords with clear, ownable language—such as “mind, body, wallet support”—to spark genuine curiosity and make their value proposition concrete and memorable. Internal Alignment Is a Process—Not an Event: Achieving strong company-wide adoption of a new narrative demands intentional rollout: from partnering with the CEO and leadership, to department-level rollouts, all-company meetings, and hands-on workshops. Holly advised that embracing new language often feels awkward and requires letting go of comfortable legacy terms, but it's necessary to position the organization for where it's going—not where it's been. Harness AI for Both Efficiency and Strategy—And Use It as a Feedback Loop: Holly described Included Health's integrated approach to AI: using tools like Writer for generating content “catalogs” that meet both audience needs and channel requirements, while...
This episode features one of the most raw, real, and insightful convos we've had on the future of physical therapy.Jimmy sits down with Dave Kittle and Tony Maritato to cover everything clinic owners need to hear right now:Why PTs are still trapped in outdated reimbursement modelsHow to build a cash-based membership that actually worksSliding into DMs to recruit A+ hiresEMRs that suck (and why they still do)The real problem with AI in healthcareWhy some PT leaders still won't talk about what matters mostIf you've ever yelled at your EMR, questioned your payer mix, or thought about quitting insurance cold turkey — this one's for you.
In episode 103 of Venture Everywhere, Jenny Fielding, co-founder and managing partner at Everywhere Ventures, talks with Ethan Schwarzbach, co-founder of Flychain, a startup building the financial operating system for small to medium-sized healthcare providers. Ethan shares his journey from investment banking to fintech at Orchard, where insights from Square's merchant processing data inspired Flychain's initial product. He discusses how underwriting healthcare businesses revealed a critical gap in financial infrastructure, leading Flychain to build a specialized platform that replaces QuickBooks and delivers AI-powered financial insights for practices.In this episode, you will hear:Bridging cashflow gaps of healthcare providers.Addressing financial infrastructure crisis in healthcare practices.Leveraging accurate EMR data for AI-driven decision-making.Partnering with healthcare networks to reach underserved practices.Positioning for value-based care and consolidation landscape shifts.Learn more about Ethan Schwarzbach | FlychainLinkedIn: https://www.linkedin.com/in/ethan-schwarzbach-baa09571/Website: https://www.flychain.us/Learn more about Jenny Fielding | Everywhere VenturesLinkedin: https://www.linkedin.com/in/jennyfielding/Website: https://everywhere.vc
Margo M. McKenna Benoit, MD, Director of Pediatric Otolaryngology at the University of Rochester Medical Center and Chair of the AAO-HNSF Guidelines Task Force, joins Maria Michaels, MBA, PMP, Immediate Past Chair of the Guidelines International Network (GIN) North America, to explore the transformation of clinical practice guidelines from static PDFs into dynamic, real-time clinical tools. Together, they tackle a sobering reality: it takes an average of 17 years for scientific evidence to reach clinical practice. Learn how the Guidelines Task Force evaluates and prioritizes new guideline topics, what makes a guideline truly "digitized" versus a traditional document, and how embedding guideline logic directly into EMR workflows can support clinicians without disrupting practice autonomy. Dr. McKenna Benoit and Michaels discuss strategies for reducing development cycle times, the concept of "living guidelines" that evolve with emerging evidence, and the role of health IT standards and AI in scaling evidence-based recommendations across healthcare systems while maintaining the scientific rigor that makes AAO-HNSF guidelines among the most cited publications in the specialty.
Longevity, Cash PT, and Skating Where the Puck Is Going In this episode of the PT Entrepreneur Podcast, Doc Danny talks about why he keeps coming back to one big theme: longevity. He looks at how the market around proactive health, functional medicine, and long-term performance is exploding and why cash-based clinics are perfectly positioned to play a major role. If you want to move beyond "fix the injury and discharge" and build an ongoing longevity offer, this episode lays out the opportunity and the mindset behind it. In This Episode, You'll Learn: Why patient experience is a competitive edge in cash-based practices How Claire gives you an operational advantage your patients can actually feel Why Danny has always tried to "skate where the puck is going" in healthcare How cash-based PT went from rare to common in a decade Why functional medicine and longevity clinics are booming The role PTs can play as movement-focused, accountability-driven "quarterbacks" How one training partner's transformation turned into a walking case study Why generational health change makes this work bigger than a single patient Ways to start building or partnering into a longevity offer inside your clinic Claire: The Patient-Experience Edge in a Cash Practice Danny opens by talking about what really matters in a cash-based clinic: patient experience. When people are paying out of pocket, they notice everything. He makes a simple comparison: While your competitors step out mid-session to catch up on notes, you stay fully engaged. While they stay late at the clinic finishing documentation, you are following up with patients and planning their next visits. That is the competitive edge Claire gives you. Claire is PT Biz's AI scribe, trained specifically for physical therapists. It handles your documentation instantly in the background, so your time and attention stay on your patient, not on your EMR. The result: Better in-room experience Better retention and follow-up Smoother, more efficient operations Try Claire free for 7 days: https://meetclaire.ai Skating Where the Puck Is Going Danny has always tried to pay attention to where health and wellness are headed, not just where they are today. Back in 2014, when he and his wife opened Athlete's Potential in Atlanta, cash-based PT clinics were rare. He only knew of one other in the city, but he saw more and more of them popping up on the West Coast, especially in California. That was his signal that a trend was forming. Fast forward more than a decade and there are now dozens of cash-based clinics in Atlanta alone. Many of them are true businesses with teams, multiple locations, and the kind of systems that support seven-figure revenue and even sales to private equity or hospital groups. That bet — skating to where the puck was going — paid off. The Next Wave: Longevity and Proactive Health Now, Danny sees a similar wave building around longevity and proactive healthcare. He shares the story of a training partner he has worked out with for the past couple of years. Together they have tracked: Blood panels year over year Body composition with tools like InBody Sleep and recovery data using wearables like Whoop The changes in that friend's biomarkers, physical capacity, and day-to-day energy have been dramatic. Friends who have known him for years almost do not recognize how much healthier and more capable he is. That kind of transformation is exactly what more people are starting to want. And the broader market is responding. Functional Medicine and Longevity Are Booming Danny points to the rapid growth of functional medicine, lifestyle medicine, and longevity-focused services as a sign this is not a fad. He has seen: Naturopathic and functional medicine clinics expanding quickly Providers leaving hospital systems to start proactive, integrative practices High-end gyms and programs charging tens of thousands per year for bundled health, testing, training, and recovery When he first looked for a functional medicine provider in Atlanta, there was one very expensive option. Today there are multiple. Even family members of his who were deeply rooted in traditional medical systems have shifted into functional and lifestyle medicine because they want to help people earlier, not just when they show up critically ill. The PT's Role in the Longevity Ecosystem Danny is clear: he is not saying physical therapists should try to become functional medicine doctors. Instead, he sees a natural lane where PTs can win: Movement and musculoskeletal health experts Accountability partners who help people actually implement changes Educators who can translate research and trends into safe, practical steps He has already tested this in small ways at Athlete's Potential — reviewing blood panels, talking through sleep data, adjusting training, and updating exercise programs over months and years as patients move from "out of pain" to "performing and staying healthy." For some people, that relationship has lasted for years, shifting from acute rehab to long-term physical and lifestyle coaching. Blue Ocean: Ongoing Longevity Coaching for the Right People Danny describes this longevity space as a "blue ocean" for the right clinics: There are more and more people who want proactive help with their health. There are relatively few trustworthy, movement-focused providers offering it in a structured way. He draws a line between evidence-based functional and lifestyle medicine providers and more fringe offerings that are heavy on hype and light on science. A clinical background, understanding of research, and experience with musculoskeletal care give PTs a strong foundation to cut through the noise for their patients. And you do not have to do it alone. You can: Build your own longevity-style continuity offer inside your clinic, or Partner with functional medicine or lifestyle medicine providers and stay focused on movement, strength, and physical capacity. Generational Health Change One of the most powerful parts of Danny's story is the ripple effect he has seen in his training partner's life. By changing his own habits — training, sleep, stress management, nutrition — that friend has also influenced his entire family and friend group. Kids see what their parents do and assume it is normal. Friends see what someone has done for their health and start asking questions. Danny calls this "generational health change." You are not just helping one person feel better. You are changing what feels normal for the people around them, including their kids. From "Your Knee Feels Better" to "What Do You Want Life to Look Like at 80?" So what does this look like in a practical way inside your clinic? Danny suggests starting with a simple shift in conversation once an injury is under control: Talk about how long they want to be functional and independent. Ask what they want life to look like in their 70s and 80s. Use the older adults you have seen on both ends of the spectrum as examples. From there, you can start to build ongoing support — programming, check-ins, movement testing, and education — that helps them move toward that long-term vision instead of just away from short-term pain. Is Longevity a Fit for Your Clinic? Danny is not saying every clinic has to add a longevity offer. If you like what you are doing now and your business is healthy, that is okay. But he does believe this is where a big part of the market is heading. People are more aware, more curious, and more willing to invest in staying capable longer. For clinics that want to play in that space, now is the time to start paying attention and experimenting. Resources Mentioned Try Claire free for 7 days: https://meetclaire.ai Talk with a PT Biz advisor about your clinic and offers: https://vip.physicaltherapybiz.com/discovery-call Join the free PT Biz Part Time to Full Time 5-Day Challenge: https://physicaltherapybiz.com/challenge
In this episode, Michael Pallozzi is joined by Bobby Giurintano of Premium Recovery Experts to unpack a little-known strategy that helps business owners recover overpaid workers' compensation premiums. Bobby explains how his firm audits past audits—examining insurance carriers' work to uncover errors that could mean real money back for clients. Learn how his risk-free process has helped companies reclaim tens of thousands in refunds with minimal time investment. This episode is especially relevant for entrepreneurs in the trades, where workers' comp costs can be substantial.Tune into this episode to also learn:● How workers' comp classification codes and risk scores impact premiums.● Why businesses with multiple state operations have higher refund potential.● How Bobby's process uncovers errors without disrupting broker relationships.● Common red flags and real-world savings from past clients.What we discussed● [00:02:08] Bobby introduces Premium Recovery Experts and how they help businesses recover workers' comp overpayments.● [00:04:20] Bobby's background and how a networking event launched his transition into the audit business.● [00:05:41] Trades businesses that are ideal candidates—and those that aren't—for recovery audits.● [00:07:30] The step-by-step client process, including how minimal time is required.● [00:10:58] Common reasons for overcharges: classification errors, misapplied risk scores, and claim mismanagement.● [00:14:32] What experience modification ratings (EMR) are and why they matter in construction.● [00:16:52] The forward-looking benefits of correcting audit errors—not just refunds, but future premium savings.● [00:17:43] Ideal company size and premium range to work with Bobby's team.● [00:18:45] Limitations: states and business models that may not qualify.● [00:20:04] Why union companies often pay higher premiums and how that plays into savings potential.● [00:22:15] What happens if Bobby finds favorable conditions in your current setup—spoiler: they walk away.● [00:24:02] How to get in touch with Bobby and what to expect from your first call.3 Things To RememberMany businesses are unknowingly overpaying workers' compensation premiums due to classification or risk score errors.Premium Recovery Experts provides a hands-off, no-upfront-cost process that identifies and corrects these errors.Correcting past audits not only recovers money but can also reduce future premiums and improve competitiveness.Useful LinksConnect with Michael Pallozzi on LinkedIn: https://www.linkedin.com/in/michaelpallozzihfm/Connect with Bobby Giurintano on LinkedIn: https://www.linkedin.com/in/bobbygiurintano/Premium Recovery Experts: https://premiumrecoveryexperts.com/Like what you've heard…Subscribe to our newsletter HERELearn more about HFM HEREEditing and post-production work for this episode was provided by The Podcast Consultant (
When it comes to urgent care profitability, getting patients in the door is only half the battle. Getting paid is the part no one likes to talk about, but it is where many clinics quietly bleed revenue.In this episode of Walk-Ins, Nick and Michael sit down with Guy Bergman and Ed Sherlock from Inbox Health, a platform built to modernize patient billing and remove friction from one of urgent care's biggest pain points. With decades of combined experience across urgent care, health IT, and revenue cycle management, Guy and Ed break down why patient payments now account for as much as 20 to 30 percent of urgent care revenue and why most clinics are leaving a large chunk of that money on the table.The conversation dives into what really causes billing breakdowns, how front desk pressure and poor communication fuel one-star reviews, and why relying solely on an EMR to collect patient balances is no longer enough. From digital-first billing and self-service payment plans to AI-powered billing support and real-time analytics, this episode is a masterclass on how urgent cares can shorten collection timelines, cut call volume, and improve patient satisfaction without adding more stress to already overworked teams.
Dr. David Avrin, MD, PhD, is a pioneering leader in medical imaging informatics with decades in digital biomedical imaging, twice serving as Chair of RISC/SCAR/SIIM during pivotal eras in PACS development and Imaging Informatics conception. A Professor Emeritus at UCSF, he helped integrate PACS and EMR systems, advanced clinical and educational workflows, and authored foundational work including numerous peer-reviewed papers. He created the first human dual-energy CT images, led major informatics initiatives as UCSF Vice Chair, founded UCSF's ACGME Clinical Informatics Fellowship, and served as Editor-in-Chief of the Journal of Digital Imaging. A Fellow of both ACR and SIIM and recipient of SIIM's inaugural Gold Medal, he remains one of the field's most influential innovators. Note: The is the second of two episodes. You can find our podcast on Spotify, Apple Podcast, or anywhere else you subscribe to podcasts. Please help us out by leaving a review! Visit us at https://siim.org/page/siimcast Special Thanks to @RandalSilvey of http://podedit.com for editing and post processing support.
What To Do With a Frustrating Employee In Your Clinic In this episode, Doc Danny breaks down one of the hardest parts of owning a clinic: dealing with a talented but frustrating employee. You know the type. Great with patients, solid outcomes, but sloppy with systems, notes, and follow through. Danny walks through the three real options you have, why "letting it slide" destroys culture, and how to use a performance improvement plan to either turn things around or coach someone out. In This Episode, You'll Learn: The classic pattern of the friendly, high-output clinician who struggles with systems Why tolerating mediocrity from one person lowers the standard for your entire team The three options you have with a frustrating employee (and the one most owners avoid) How to build and run a simple, effective performance improvement plan (PIP) Why leadership and standards matter more than any one hire How "coaching people out" protects your culture and your A-players Questions to ask yourself about your onboarding, training, and systems Claire: Get Your Attention Back on Patients Danny opens with a reminder of how fast documentation can pull your attention away from patients. As PTs, we pride ourselves on building rapport and relationships, but it is hard to do that when you spend half the session staring at a laptop. Claire, the AI scribe built specifically for physical therapists, lets you give patients 100% of your attention while it writes your notes for you. No more "split attention" between EMR and patient Better engagement and outcomes because you are actually present Notes drafted for you based on the session so you can review and finalize Try Claire free for 7 days: https://meetclaire.ai The Talented but Frustrating Employee Danny describes a very familiar pattern in service businesses. You hire someone you like. They are a good culture fit. Patients love them. Outcomes are strong. But behind the scenes, they: Drag their feet on notes and documentation Ignore or half-follow systems and processes Show up a little late, miss small details, or respond slowly to emails and Slack They are not a disaster. They are not a clear liability. But they are not meeting the standard either. That gray area is exactly where most owners get stuck. First, Own Your Part as the Owner Before you blame the employee, Danny challenges you to look in the mirror. Have you: Actually trained them on your EMR, project management tools, and communication systems? Explained why those systems matter (data, tracking, meetings, outcomes, marketing)? Given them clear expectations, examples of "done right," and time to practice? Most owners are busy and rush onboarding. They throw people into the deep end with a few screen-share videos and hope they figure it out. Then they get mad when the systems are not followed. Your Three Options With a Frustrating Employee Once you are honest about your own role, you really have three options: Let it go. Accept that this person is just this way. They are good with patients, weak with systems, and you live with it. Let them go. Fire them for not following processes and creating extra work for others. Create a performance improvement plan. Sit down, define what needs to change, and track progress over a set period. Danny explains why the first option is the most dangerous. When you tolerate one person ignoring standards, everyone else sees it. Your A-players start to wonder why they are working so hard. Support staff quietly resent the extra work. The real standard becomes "we say we care about systems, but we do not enforce them." How to Build a Performance Improvement Plan The go-to approach in Danny's companies is a structured performance improvement plan (PIP). It usually looks like this: Define the specific problems (late notes, missing CRM updates, slow responses, etc.). Clarify why each behavior matters to the business and the team. Decide what is truly necessary for the role and remove anything redundant. Set clear, measurable expectations for the next 4–6 weeks. Meet weekly to review progress, answer questions, and coach them on better workflows. Make it clear this is a non-negotiable standard if they want to keep the role. This is not about punishment. It is about support, clarity, and accountability. The PIP gives the employee a real chance to succeed with your help. What Usually Happens Next Once you run a real PIP, you tend to see one of two outcomes: They turn the corner. With training and clear expectations, they improve their systems work, become more efficient, and turn into a strong long-term hire. They opt out. They resist change, make excuses, and realize this is not a place where they can do whatever they want. They often resign on their own. Either way, you win. You either save a good clinician by giving them structure or you protect your culture by making it clear that standards are real. Leadership, Standards, and A-Players Danny points out that your best people are always watching how you handle situations like this. A-players want: Clear standards and consistency Leaders who follow through, not just talk about culture Teammates who pull their own weight When you avoid hard conversations and let someone slide, your A-players lose respect and start looking elsewhere. When you hold the line, they respect you more and see your clinic as a place worth investing their energy. The Hard Work of Real Leadership Leading people is often the limiting factor in whether a clinic ever scales. It is not manual skills. It is not marketing hacks. It is your willingness to: Have tough, honest conversations Take responsibility for training and support Set standards and enforce them consistently Spend time coaching people, even when you feel "time poor" That work is uncomfortable, but it is the difference between a team that drifts into mediocrity and one that grows with you for years. Want Help Navigating This as a Clinic Owner? If you are facing a frustrating employee, wondering how to hold standards, or trying to grow from being the only producer to running a real team, Danny and the PT Biz advisors can help you work through it. Talk through your situation with an advisor: https://vip.physicaltherapybiz.com/discovery-call Try Claire free to buy back documentation time: https://meetclaire.ai Still part time and trying to go full time in your own practice? Join the free 5-Day Part Time to Full Time Challenge here: https://physicaltherapybiz.com/challenge
???? Physical therapy clinics don't need another EMR — they need a new business model. In this episode, TONY, DAVE and JIMMY unpack the “PT Lite” model, how insurance can be your Costco hot dog, and why premium upsells aren't dirty — they're how you grow.???? Whether you're a clinic owner, staff PT, or rehab entrepreneur, this conversation shows you how to repackage your value, attract better-fit clients, and build something scalable.⏱️ CHAPTERS / TIMESTAMPS:00:00 - Intro02:13 - How "PT Lite" unlocks new patients09:22 - The barrier to short visits: PT psychology13:40 - Using ChatGPT as a triage funnel17:55 - Smart marketing with AI tools21:45 - Insurance as a loss-leader: like Costco's hot dog25:30 - Upselling ethically in physical therapy28:20 - The Gold's Gym clinic model33:40 - Pricing mindset: why PTs undercharge39:00 - The gym-to-premium pipeline strategy
On this episode of The ToosDay Crue, we welcome US Army National Guard Veteran Kevin Odom—a seasoned behavioral health clinician, leader, and person in long-term recovery—whose life and career sit at the intersection of service, healing, and purpose. Kevin honorably served as a mechanic in the Army National Guard before dedicating their post-military life to behavioral healthcare. Drawing from lived experience in recovery, Kevin now works on an inpatient unit at Novant Health, providing clinical assessments, individual and group therapy, crisis intervention, and patient advocacy. Their work also includes trauma-informed care for vulnerable populations, including screening undocumented patients for trafficking risks and connecting them with life-saving resources. Beyond direct care, Kevin is a respected leader in the field—overseeing SAMHSA-funded initiatives, guiding major EMR transitions, supervising counselors, and mentoring future clinicians through national fellowship programs. This conversation dives into recovery, ethical leadership, mental health in the veteran community, and what sustainable healing really looks like. This episode covers: • Recovery-informed leadership • Trauma-informed and ethical care • Veterans and behavioral health • Building sustainable clinical programs • Service beyond the uniform Check him out here: https://www.tiktok.com/@onemomentpodcast https://www.facebook.com/groups/mhsua https://www.facebook.com/keod3025/ https://www.facebook.com/OneMomentPodcast/ https://www.instagram.com/onemomentpodcast/
Season 3 kicks off with a frontline conversation every healthcare leader should hear. In this episode, we sit down with Mark Heyward Johnson, RN, Chair, Practice Excellence and Informatics Council at Prisma Health and Immediate Past President at the American Nursing Informatics Association (ANIA), to explore the next frontier in nursing informatics and EMR optimization. Bedside nurses spend 12 hours a day with patients, yet most health IT and AI innovation has focused on physicians. This conversation flips the lens to the frontlines, unpacking the real documentation burden nurses face and what meaningful technology support actually looks like in practice. We cover: The "tsunami" of flow sheets and data points driving nurse burnout Frontline EMR utilization and opportunities for optimization Why AI in healthcare has been physician-centric, and why nursing must be next Ambient listening and AI-powered documentation for nursing workflows Using EHR data to optimize and personalize care plans How digital tools and music can improve the bedside experience This episode is essential listening for healthcare executives, clinical leaders, informaticists, nurses, and anyone working to reduce documentation burden while improving patient-centered care. If you're thinking about the future of AI in healthcare, nursing informatics, EMRs, and frontline workflow design, this is where the conversation starts. Connect with Mark on LinkedIn Find Mark's work at Prisma Health and American Nursing Informatics Association Subscribe and stay at the forefront of the digital healthcare revolution. Watch the full video on YouTube @TheDigitalHealthcareExperience The Digital Healthcare Experience is a hub to connect healthcare leaders and tech enthusiasts. Powered by Taylor Healthcare, this podcast is your gateway to the latest trends and breakthroughs in digital health. Learn more at taylor.com/digital-healthcare About Us: Taylor Healthcare empowers healthcare organizations to thrive in the digital world. Our technology streamlines critical workflows such as procedural & surgical informed consent with patented mobile signature capture, ransomware downtime mitigation, patient engagement and more. For more information, please visit imedhealth.com The Digital Healthcare Experience Podcast: Powered by Taylor Healthcare Produced by Naomi Schwimmer Hosted by Chris Civitarese Edited by Eli Banks Music by Nicholas Bach
???? In this episode of PT Pintcast, Jimmy McKay sits down with Tony Maritato for a no-BS breakdown of what's broken in physical therapy — from EMR burnout and Medicare cuts to flexible scheduling, patient engagement, and why PT clinics should think more like golf courses.This conversation is a must-watch for:✅ Physical therapists✅ Clinic owners✅ Healthcare entrepreneurs✅ Anyone ready to “choose their hard” and rethink how we deliver value in 2026.Whether you're tired of CPT code chaos or just want a better way to run your practice, you're in the right place.???? CHAPTERS (click to skip):00:00 - Cold Open & Welcome02:45 - Why Your EMR is Killing You08:30 - CPT Code Crystal Ball (Satire Ad Read)13:45 - What Golf Teaches Us About Scheduling20:01 - PT Tee Time: Flex Pricing & Creative Booking29:50 - Medicare Reimbursement & Inflation Math35:12 - Why Advocacy is a Losing Game44:00 - Choose Your Hard: Exit or Evolve?50:33 - Final Rants: Adam Meakins, Mel Robbins & The Business of Business
About Christopher Sullivan:Christopher Sullivan is a senior executive with deep leadership experience across health, legal, and regulatory technology, currently serving as Vice President & General Manager of Pharmacy & Health Technology Solutions at Wolters Kluwer Health in New York. He brings over a decade of progressive responsibility within Wolters Kluwer, where he has led large commercial and product portfolios spanning pharmacy, healthcare, legal, transactional, and retirement solutions. His background is heavily strategy-driven, with prior roles overseeing partnerships, pricing, business intelligence, and corporate development, translating data and market insight into scalable growth. Before transitioning fully into executive leadership, he built a strong foundation in operations and logistics at DHL and gained strategic consulting experience at GE Capital. Christopher is a graduate of the United States Military Academy at West Point, where he studied international relations and systems engineering, and holds an MBA in finance and management from Fordham Gabelli, with additional studies at ESADE Business School.Things You'll Learn:Clinicians face up to 20 complex clinical questions daily, making fast access to trusted evidence essential. Embedding insight directly into workflow reduces delays and decision fatigue.Context switching across platforms significantly contributes to clinician burnout. Keeping evidence inside the tools clinicians already use improves efficiency and satisfaction.Trusted, expert-reviewed content is becoming more valuable as AI-generated information increases. Confidence in the source has a direct impact on clinical adoption.API-based delivery allows evidence to reach clinicians beyond traditional EMR systems. This supports modern, flexible workflows across digital health platforms.Partnerships between content experts and technology vendors accelerate innovation. Collaboration keeps solutions aligned with real clinical needs.Resources:Connect with and follow Christopher Sullivan on LinkedIn.Follow Wolters Kluwer Health on LinkedIn and visit their website.
The JournalFeed podcast for the week of Dec 29, 2025 to Jan 2, 2026Monday's Spoon Feed:Implementing Spanish-language discharge instruction videos, interpreter-needed EMR icons, and standardized communication processes in a pediatric ED eliminated a 10% communication equity gap between Spanish- and English-speaking families without increasing length of stay or ED return visits.Tuesday's Spoon Feed:Similar to prior research on the topic, prehospital endotracheal intubation (ETI) is more successful with both sedative and paralytic than with no medications or sedative alone.Wednesday's Spoon Feed:The updated AHA and AAP guidelines on neonatal life support provide the most current, evidence-based recommendations for recognizing and managing newborns who require resuscitation, a time-critical responsibility that has a major impact on survival and neurodevelopmental outcomes.Thursday's Spoon Feed:Here are the top ten most viewed JournalFeed posts in 2025 (from our Google Analytics data). I've dropped a comment on how each article has impacted me this year. Enjoy!Friday's Spoon Feed:Bag valve mask (BVM) ventilations provided by Basic Life Support (BLS) teams during 30:2 cardiopulmonary resuscitation (CPR) in out of hospital cardiac arrest (OHCA) frequently fell well short of the guideline goals for expiratory tidal volume (Vte).
Big Ship or Small Boat: Are You in the Right Organization? In this episode of the PT Entrepreneur Podcast, Doc Danny tells a story from his time as an Army PT in Hawaii and how a denied human performance proposal, that finally got implemented 13 years later, forced him to ask a hard question. Am I on the right ship or do I need to build my own boat? If you feel boxed in by red tape, slow decisions, and limited influence, this one will hit home. In This Episode, You'll Learn: The human performance proposal Danny and a strength coach pitched to their division in 2011–2012 Why a project that would save millions and improve readiness still got shut down What a general meant when he said "the Army's a big ship and it turns really slowly" How that moment planted the seed for Danny leaving to start his own practice How to tell if you are in the wrong organization for your personality and goals Why some people thrive in big systems and others feel suffocated by them Why regret is worse than trying and failing at your own thing What to do if you suspect you need to build the job you want instead of waiting for it The Schofield Barracks Story Back in 2011–2012, Danny was the only physical therapist for an entire brigade at Schofield Barracks in Hawaii. Between him, another PT, and a shared strength coach, they were responsible for thousands of soldiers spread across multiple brigades and clinics. Injury rates were driving a constant stream of soldiers into civilian clinics and hurting deployment readiness. Danny and his strength coach friend put together a human performance proposal that would add a handful of contracted providers. The math was simple. A few hundred thousand dollars of contract help could save the Army millions and keep more soldiers ready to deploy. They took the plan to the division commander, a general who was also one of Danny's patients and very supportive of what Danny was doing clinically. Danny walked into the meeting convinced the proposal would be approved. It was denied. "The Army's a Big Ship and It Turns Really Slowly" The next day, the division commander pulled Danny aside and explained his decision. He said he liked the idea, but told him the Army is a big ship and it turns very slowly. That comment stuck. Danny remembers thinking, "If this is such an obvious win and we still can't move, do I even want to be on a ship like this?" More than a decade later, his strength coach friend called to say the division had finally launched a human performance program that looked a lot like their original proposal. "We were right. We finally won," he said. Danny laughed. It took over ten years for the ship to turn. Are You on the Right Ship? The point of the story is not just that the military moves slowly. The point is to help you ask whether you are in the right environment for how you are wired. Big organizations: Move slowly and carry layers of approval and red tape Limit how much control you have over clinical model, scheduling, and innovation Can be a great fit if you value stability, structure, and predictable paths Entrepreneurship and small clinics: Move quickly and let you act on ideas without begging for permission Give you direct control over patient experience, offers, and operations Come with more personal risk and fewer safety nets If you constantly find yourself saying "There is a better way to do this and nobody will listen," that is a sign. If you love solving problems, want to experiment, and are tired of watching your ideas die in meetings, you may not be in the right organization. Don't Wait a Decade for Someone Else to Say Yes Most physical therapists never planned to start a business. The default story is to join a big rehab system or national chain, climb the ladder to clinic director, then maybe move into regional leadership. That can be a great path for the right person. But if you feel like you are on a big ship that turns too slowly, you may need to build the job you actually want instead of hoping someone else creates it for you. Trying and failing at your own thing is almost always better than never trying and sitting with regret later. At some point, you will not have the same window to take a swing. Action Steps If You Feel "Stuck" Check your frustration. Is it about one boss or one clinic, or is it about the whole system? Write down the kind of care you wish you could deliver if nobody told you "no." Run the numbers on what it would take to replace your income in a small cash-based practice. Talk to people who have already left big systems and ask what they would do differently. Need Help Building Your Own Boat? If you suspect you are in the wrong organization and want a concrete plan to go from employed to running your own cash practice, the PT Biz Part Time to Full Time 5-Day Challenge will walk you through: Exactly how much income you need to replace How many patients you need to see and at what visit rate Three different paths to go from part time to full time The basic sales and marketing systems you will need A simple one-page business plan so you can take action Join the free challenge: https://physicaltherapybiz.com/challenge Free Your Time With Claire, the AI Scribe If your current job has you charting during sessions or staying late to finish notes, Claire can help. Claire is an AI scribe trained specifically for physical therapists that handles your documentation so you can focus fully on your patients and follow up with them instead of your EMR. Try Claire free for 7 days: https://meetclaire.ai
Zowe Smith worked in the medical coding industry in management, education, and training for over a decade. While working on an EMR implementation program, she caught the attention of recruiters at Oxford and Stanford. Zowe's bachelors degree in science and her university laboratory expertise proved invaluable for investigating Covid-19 testing fraud. Zowe began to have a crisis of conscience as she witnessed the hospital was incentivize to kill patients and then bury Covid-19 vaccine injuries. She finally walked out over the vaccine mandate. Compelled to warn others, she began to document the Covid-19 fraud she witnessed from a unique insider perspective. She is now an whistleblower and author of The Covid Code: My Life in the Thrill Kill Medical Cult.ZOWE SMITHWebsite: https://thrillkillmedicalcult.com/ X: https://x.com/Zowe_TKMCSubstack: https://zowe.substack.com/Rumble: https://rumble.com/user/ThrillKillMedicalCultZoweOdysee: https://odysee.com/@Zowe:fTelegram: https://t.me/thrillkillmedicalcultTHE RIPPLE EFFECT PODCAST:WEBSITE: http://TheRippleEffectPodcast.comWebsite Host & Video Distributor: https://ContentSafe.co/SUPPORT:PATREON: https://www.patreon.com/TheRippleEffectPodcastPayPal: https://www.PayPal.com/paypalme/RvTheory6VENMO: https://venmo.com/code?user_id=3625073915201071418&created=1663262894MERCH: Store: http://www.TheRippleEffectPodcastMerch.comTHEORY 6 MUSIC: https://open.spotify.com/artist/1w91xRlB4b2MJYyXXhJcyFSPONSORS:OPUS A.I. Clip Creator: https://www.opus.pro/?via=RickyVarandasScott Horton Academy: https://scotthortonacademy.com/rippleeffectUniversity of Reason-Autonomy: https://www.universityofreason.com/a/2147825829/ouiRXFoLWATCH:RUMBLE: https://rumble.com/c/therippleeffectpodcastOFFICIAL YOUTUBE: https://www.youtube.com/@TheRippleEffectPodcastOFFICIALYOUTUBE CLIPS CHANNEL: https://www.youtube.com/@RickyVarandasLISTEN:SPOTIFY: https://open.spotify.com/show/4lpFhHI6CqdZKW0QDyOicJiTUNES: http://apple.co/1xjWmlFTHEORY 6 Music:Spotify: https://open.spotify.com/artist/1w91xRlB4b2MJYyXXhJcyFPandora: https://www.pandora.com/artist/theory-6/ARxrlZ2ldhqtP6kTHE UNION OF THE UNWANTED: https://linktr.ee/TheUnionOfTheUnwanted
What if the most dangerous health device in your home is the one you use without thinking. In this episode of The Healthier Tech Podcast, Dr. Beverly Jensen, founder of YouAndEMF.com, explains why modern EMF exposure is not just a fringe concern and how everyday tech habits may be quietly affecting fertility, brain health, childhood development, and long term wellbeing This is a practical, eye opening conversation that connects the dots between invisible radiation, chronic exposure, and the tech behaviors we have normalized. You will hear about: How sitting near a Wi Fi router for months triggered Dr. Jensen's EMF sensitivity and reshaped her life's work Why airplane mode alone can cut phone radiation exposure by roughly 95 percent The uncomfortable reason phones do not belong in pockets, bras, or on laps What more than 200 studies reveal about sperm damage, fertility decline, and phone placement The disturbing rise in colorectal cancer among children and why researchers are questioning constant device exposure Why women and children appear to be more vulnerable to EMFs and why mothers often lead behavior change How Hollywood once normalized cigarettes and how phones may be following the same path Simple low cost steps that dramatically reduce EMF exposure without abandoning modern technology This episode is not about panic or unplugging from life. It is about understanding cumulative exposure and making smarter choices with the devices you already use. If you care about digital wellness, fertility, brain health, or raising kids in a hyper connected world, this conversation will likely change how you think about your phone and your home. Connect With Dr. Beverly Jensen Dr. Beverly Jensen offers education, advocacy, and one on one guidance for families looking to reduce electromagnetic radiation exposure in practical, realistic ways. Websites www.YouAndEMF.com www.WomensMedicineBowl.com Consultations Phone and video consultations focused on reducing EMR exposure in the home https://youandemf.com/emf-consultation/ Helpful Resources How to choose an RF meter and why you need one https://youandemf.com/emf-meters-why-you-need-one/ Social Media Facebook: EMradiationAwarenessCampaign YouTube: @EMRadiationProtection Connect with R Blank: For more Healthier Tech Podcast episodes, and to download our Healthier Tech Quick Start Guide, visit https://HealthierTech.co and follow https://instagram.com/healthiertech Additional Links: EMF Superstore: https://ShieldYourBody.com (save 15% with code "pod") Digital Wellbeing with a Human Soul: https://Bagby.co (save 15% with code "pod") Youtube: https://youtube.com/shieldyourbody Instagram: https://www.instagram.com/bagbybrand/ Tiktok: https://www.tiktok.com/@bagby.co
Medical record signatures are more than the macro “electronically signed by Dr. Jack Jones.” A provider's signature is a legal attestation that the physician or provider performed, reviewed, and/or agreed with the documentation. Is this actually true, or are your EMR auto-signatures taking over? Terry discusses this critical aspect of medical record documentation compliance, with a shout-out to NAMAS for an article that also addresses the topic. Plus, a bonus update on the G0136 add-on code for 2026. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874 Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/ The post MR Signature Compliance appeared first on Terry Fletcher Consulting, Inc..
The Hardest Hire: How to Nail Your First Staff Clinician in a Cash PT Clinic In this episode, Doc Danny Matta explains why your first staff clinician is the hardest hire you'll ever make—and how to do it the right way. He breaks down why your business looks risky from a candidate's perspective, why most PTs are wired for security (not startups), and how to sell the future vision of your clinic instead of apologizing for your current "shitty little room." Quick Ask If this episode helps you think differently about hiring and leadership, share it with another clinic owner who's gearing up for their first hire—and tag @dannymattaPT so he can reshare it. Episode Summary Clair keeps you present: AI scribe Clair lets you focus 100% on patients instead of your EMR, improving rapport and outcomes. Time and outcomes: Better attention in the session = better engagement, better buy-in, and better clinical results. Danny's background: Staff PT, active duty military officer, cash practice founder, seller, and now CEO of PT Biz, helping 1,000+ clinicians build cash practices. The hardest hire: Your first staff clinician is the toughest hire you'll ever make. Why it's so hard: Your business looks risky—small sublease, no track record, limited capital, and no big benefits. PT personality problem: Most PTs are risk-averse, security-driven, and not naturally entrepreneurial. The failed first hire story: Danny flew in a phenomenal clinician and his fiancée to see their rough CrossFit sublease in Atlanta—she wasn't impressed, and they turned down the job. Vision vs. reality: Danny saw a future seven-figure clinic; they saw one small room in a sketchy area. Why candidates say no: From their side, it means relocating, taking on more risk, and joining an unproven business. What you're really selling: Not "what the clinic is today" but "where the clinic is going in 5–10 years" and their role in that story. First hire profile: The person who says yes is usually more comfortable with risk—and more likely to eventually start their own thing. Turnover isn't a failure: Early clinicians who leave often still move the business forward and become success stories you're proud of. Credibility boost: Having more than one clinician builds brand trust, shows the clinic is bigger than one personality, and validates the model. Leadership mistake: Danny used to think "that's what the money's for" (Mad Men style) instead of appreciating the risk people were taking on him. Respect the risk: Your first hire is betting on your vision—treat that with gratitude, not entitlement. Hardest growth cycle: The most brutal stage is going from solo to first clinician and toward standalone space—not later multi-location growth. Cash flow and stress: Hiring, ramping up schedules, and surviving turnover during this phase can feel like a gut punch. Lessons & Takeaways Your clinic looks risky to candidates: No benefits, no track record, small space, and uncertain schedule feel like red flags to security-driven PTs. Don't take "no" personally: Risk-averse people saying no to a risky offer is normal, not a reflection of your worth. Sell the vision, not the room: You must paint a clear picture of what the clinic will become and how they'll be part of it. First hires may not stay long-term: Risk-tolerant people who join early often go on to open their own practices—and that's okay. Early hires still matter: They help build the brand, establish a second schedule, and prove your model works beyond just you. Appreciation beats "that's what the money's for": You're not doing them a favor—they're taking a chance on your unproven business. Growth requires new skills: The owner you are at solo stage is not the same owner you must become with staff. Mindset & Motivation Respect the leap: That first clinician is making a bigger jump than you think—especially if they're moving states. Stay future-focused: Your job is to keep your eyes—and theirs—on where the clinic is going, not just today's rough edges. Expect churn: Some early hires will leave; it's part of the entrepreneurial cycle, not a personal betrayal. See the hard stage for what it is: The first growth cycle is supposed to feel heavy; it builds your capacity as a leader. Be proud of those who outgrow you: Former employees who go on to open clinics are part of your legacy, not your failure. Pro Tips for Clinic Owners Use an AI scribe: Implement Clair so you and future staff can stay fully present with patients and avoid note fatigue. Practice your "vision pitch": Be able to clearly explain where your clinic will be in 5–10 years and what "employee #1" means. Be honest about the tradeoffs: Don't oversell security—sell autonomy, growth, impact, and the excitement of building something. Show appreciation early and often: Make it clear you understand and value the risk they're taking by joining you. Plan for turnover: Assume that some early hires will leave and build systems that outlast any one person. Notable Quotes "The hardest hire you'll ever make is your first staff clinician." "To most candidates, your business looks risky. Small space, no track record, no benefits—that's their reality." "You're not selling them on what the business is today. You're selling them on what it's going to be in 5 or 10 years." "Your first hire is taking a risk on you. Respect that. Appreciate that. Don't act like they owe you." "The solo-to-first-clinician growth cycle is where most people quit. It's also where you grow the most." Action Items Write out a clear, compelling vision story of where your clinic will be in 5–10 years. Audit your current offer: pay, benefits, schedule, growth—what's truly attractive to a candidate? Practice your "employee #1" pitch out loud before your next interview. List three ways you can show more appreciation to current or future staff. Consider using Clair to reduce documentation friction before you bring on your first or next clinician. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get ultra clear on how much money you need to replace, how many people you need to see, and the strategies to go from side hustle to full-time practice owner. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices, and is committed to helping PTs build businesses that create true time and financial freedom.