Podcasts about RCM

In this episode, Alan Condon, Editor in Chief at Becker's Healthcare, joins Scott Becker to break down major revenue cycle developments, including Tenet regaining full control of Conifer Health Solutions and new RCM platforms targeting rural providers.

In Episode 498, host Stacey Richter converses with Mark Noel of ClaimInsight about the critical aspects of payment integrity within self-insured employers and plan sponsors, focusing on the arms race with revenue cycle management (RCM).  The discussion reveals three main insights: the substantial impact of small claim errors, the inherent flaws and conflicts within prepayment analysis by TPAs, and the problematic financial incentives influencing claim processing. Noel emphasizes the importance of prepayment integrity for both plan savings and protecting members, underscoring the need for meticulous oversight and proactive management in payment processes. === LINKS ===

In today's episode, we speak with Gerard Wood, founder of Turbo Leadership Coaching and Wood & Media, and someone well known across the mining and industrial sectors for his practical, no-nonsense approach to leadership, culture, and performance. Gerard has spent decades working alongside leaders, frontline teams, and tradespeople, helping businesses close the gap between strategy and execution. Many of you will know him as the author of 'Simplifying Mining Maintenance', a book that challenged how our industry thinks about reliability, accountability, and systems. Our conversation centres on Gerard's new book, 'Only Tradies Improve Reliability', due to be released in late-February which takes those ideas further, focusing on leadership, culture, and the often-overlooked role of tradies in building high-performing organisations. We'll be unpacking why this book needed to be written, what prompted Gerard to write it now, and how leaders can extract real, practical value from it in their own businesses. We'll also explore why Gerard cares so deeply about tradies, how leaders can recognise when cultural change is required, and how this book builds on the foundations laid in Simplifying Mining Maintenance. If you're a leader looking to improve performance, engagement, and culture, particularly in operational environments, this is a conversation you'll want to stay tuned for. KEY TAKEAWAYS While technical reliability tools (like RCM or RCA) are essential, they are ineffective without a positive trades culture. True reliability is built on the floor, not just in an office. Reliability issues often stem from "normalised" defects. Tradies and leaders may stop noticing problems because they have become part of the daily environment, requiring a shift in standards to correct. High turnover is a primary indicator of a poor culture. A healthy environment is one where leaders genuinely care for their teams and employees feel valued enough to speak openly about problems. BEST MOMENTS "If you can't talk about the problems openly and honestly, you have no ability to improve." "Reliability of equipment... is all centred around getting the culture around trades to be effective and doing good quality work." "Culture is not something that you just let happen. Because if you just let it happen, you may not get the one you want." GUEST RESOURCES https://www.linkedin.com/in/gerard-wood-146a3212/ https://gerardwood.com.au/ VALUABLE RESOURCES Mail:        ⁠rob@mining-international.org⁠ LinkedIn: ⁠https://www.linkedin.com/in/rob-tyson-3a26a68/⁠ X:              ⁠https://twitter.com/MiningRobTyson⁠  YouTube: ⁠https://www.youtube.com/c/DigDeepTheMiningPodcast⁠  Web:        ⁠http://www.mining-international.org⁠ CONTACT METHOD ⁠rob@mining-international.org⁠ ⁠https://www.linkedin.com/in/rob-tyson-3a26a68/⁠ Podcast Description Rob Tyson is an established recruiter in the mining and quarrying sector and decided to produce the “Dig Deep” The Mining Podcast to provide valuable and informative content around the mining industry. He has a passion and desire to promote the industry and the podcast aims to offer the mining community an insight into people's experiences and careers covering any mining discipline, giving the listeners helpful advice and guidance on industry topics.  This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Does dental billing feel harder than it used to? You're doing the same work, but claims stall, rules change, and nothing seems consistent anymore. My friend and Dental Revenue Network member Brooke Bird joins me to break down why that's happening.   The rules keep changing, knowledge is scattered, and practice management systems haven't kept up all that well. Why does working on claims now feel like detective work? Different payer quirks and clearinghouse changes have quietly slowed cash flow. What are your options? Brooke and I consider what's really happening behind aging accounts, leased networks, and unpaid claims. Hopefully our discussion can help you firm up your systems!    As promised, grab your Insurance Compass here:  https://birdseyebilling.com/insurance-compass   Connect with Brooke Bird  Facebook: https://www.facebook.com/profile.php?id=61550209355734 IG: https://www.instagram.com/birdseyebillingdental/ LinkedIn (Brooke Bird): https://www.linkedin.com/in/brooke-bird-298ba3127/ LinkedIn (Birdseye Billing Dental): https://www.linkedin.com/company/birdseye-billing Website: https://birdseyebilling.com/ ------------- Join us for Practice Management Power Day on Sept. 25 in Denver! This event is designed for experienced managers and dentists. Visit https://practicemanagementpowerday.com to register! ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

Okay. This show today is part of our Relentless Health Value "The Inches Are All Around Us" series. This Inches Talk is a metaphor for finding all those little places where there is healthcare waste as a first step in an effort to excise all these little pockets of waste. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Shane Cerone said this phrase during episode 492, and I loved it because there are inches all around us for sure. And the thing with all these inches that we're gonna talk about today and last week and next week and the week after that, yeah, these are inches that actually you could cut them. And there are millions and billions of dollars, and you actually improve patient care. You improve clinical team experience. Also, you're cutting out friction and making it easier to do the right thing to care for patients. These are no-brainer kinds of stuff if your North Star is better and more affordable patient care, but they are also somebody else's bread and butter in a "one person's cost is another person's revenue" kind of way. So, yeah … what makes perfect common sense might not be as easy as it might look on paper, as we all know so well. So, last week we dug into all of the inches of expensive friction that develop when stakeholders interact—like, a clinical organization and a payer and a plan sponsor, self-insured employer. They try to get paid or pay. They try to direct contract because what will be found fast enough is that the data is not the data is not the data, as Mark Newman talked about last week (EP496); and a dollar is not a dollar is not a dollar. Again, you'll find this out fast enough. All of you know when you talk to entities up and down the patient journey or across the life of a claim, otherwise known as a healthcare transaction. It's mayhem to get a claim paid often enough. Each stakeholder comes in with their own priorities and views and accounting methods and various rollups. I like how Stephanie Hartline put it. She wrote, "Healthcare … moves through many hands without a rail that preserves truth along the way. Attribution breaks, and truth gets reassembled later. The difference isn't capability—it's infrastructure. Line-item billing ≠ line-item settlement." Or I also like how Chris Erwin put it. He wrote, "When the blueprint isn't standardized, you aren't scaling. You're just compounding chaos." And yeah, then all of a sudden when there's no through line, there's no rail that connects all the data to the data to the data, or all the dollars to the dollars to the dollars. Suddenly 30% of any given healthcare transaction goes to trying to straighten it all back out again—to reassemble it, as Stephanie said. It's like unleashing 100 chaos monkeys and then having to pay to recapture them all. Listen to the show with David Scheinker, PhD (EP363) from last year about "Hey, how about we all just use the same template and avoid a lot of this." Or read Zeke Emanuel's book about how the USA should potentially consider copying the Netherlands model because they have private insurance. But they cut admin costs 75% or something like that. Oh, right … through standardization. Jesse Hendon summarized this the other day. He wrote, "Providers don't need armies of coders to fight 50 different insurance rule books [when you have some standardization here]." I say all this to say after recording the episode with Mark Newman from last week, I have become intently fascinated by what goes on in this non-standardized or otherwise friction points between stakeholders. There are a lot of inches in this gray area land of confusion.   This show today digs into one of them, which is what does it take to process a claim? Just technically. What are the pipes involved to submit a claim and, again, get paid for it, which is a healthcare transaction—just simply the technology moving the data around—even if everything in the pipes is a non-standardized hot mess. Because just fixing up the processing and the pipes here—again, while this doesn't solve the entire data isn't a data isn't a data or a dollar isn't a dollar isn't a dollar problem—if we can just cut out some of the processing and the moving the data around costs, just this all by itself is $6 billion a year worth of inches. Plus, as an added bonus, fix up the pipes for better data flow and now patient care can be faster if, for example, the prior auth or etc. processes transpire faster. And clearinghouses have entered the chat. But you know, when clearinghouses come up, at least in my world, when the clearinghouse word gets dropped, it's usually accompanied by like a puff of smoke because no one is quite sure what those guys do all day. So, we all sort of look at each other in the conversation and move on. Lucky for me and possibly you if I've managed to suck you into my web of intrigue, I ran into Zack Kanter from Stedi, a new clearinghouse, who agreed to come on the pod here and aid my exploration into this demarcation zone between stakeholders. So, let's start here. What is a clearinghouse? Well, a clearinghouse is the same thing as a switch when we're talking about pharmacy data transfers, if you're familiar with that terminology and that's helpful. But either way, in the conversation with Zack Kanter that follows, Zack will explain this better; but clearinghouses are like a hub, maybe, that connects all the payers with all the providers. So, if you want an eligibility check or you wanna submit a claim or do a prior auth of the payer, whatever you're trying to do, get paid, you as an EHR system or a doctor's office or an RCM (revenue cycle management) company, you don't have to set up your own personal data connection with every single payer out there. You don't have to go through all the authentications and the BAAs (Business Associate Agreements) and map all the fields and set up the 100 SOC 2–compliant APIs (application programming interfaces). Instead, you can hook up to one clearinghouse, and then that clearinghouse connects with everybody else. So, most medical claims transactions have a clearinghouse in the middle, like an old-timey telephone operator routing your claim or denial or approval of that claim or eligibility check or whatever to the right place. And unfortunately, old-timey telephone operator is a pretty apt metaphor, depending on which clearinghouse you're using. Anyway, Zack Kanter told me that the price to just send and receive an electronic little piece of data in healthcare through a clearinghouse costs about 1,000 times more than any other industry would pay. Like, if you do an eligibility check, that's gonna cost 10 to 15 cents per. The trucking industry pays that much for 1,000 such data transfers. They would riot if someone asked them to spend a dollar for 10 data transfers. That'd be ridiculous in their eyes. But in healthcare, all these dimes add up to, again, $6 billion a year—them's some inches there—which also equal delays in payment and patient care. Now you might be thinking, "Oh, well, maybe it costs this much because healthcare is so much more complicated than trucking or whatever." Well, turns out the opposite is true: Because of HIPAA, ironically enough, healthcare is, in fact, much more standardized (we were talking about standardization before); but healthcare is actually much more standardized than many other industries due to HIPAA's administrative simplification rules, which mandate a universal language for transactions—the pipes I'm talking about now. So, actually, for as much as I was just kvetching about chaos monkeys, compared to other industries, the baseline construct here is actually much more orderly than, for example, the trucking industry or whatever, like Amazon or Walmart has to deal with with their millions of vendors. Now—and here's a really big point, especially for self-insured employers—you know who the main customer is for a lot of the more programmatic, the newer kinds of clearinghouses? I'll tell you: newer digital entities who do RCM (revenue cycle management) for provider organizations, and that can be great if you're a practice just trying to keep up with payer denials and expedite patient care. But look, all you plan sponsors and self-assured employers and maybe unions out there, the more RCM purveyors start working with programmatic clearinghouses, the more you not doing programmatic prepayment integrity programs with unconflicted third-party prepayment integrity vendors who are as hooked into the data streams and the clearinghouses as the RCM vendors are, the more, as I said last week, increasingly you're bringing an ever more rusty knife to a gunfight. So, that is certainly something to consider. There's a whole episode next week about this with Mark Noel from ClaimInsight. Or if you just can't wait, go back and listen to the show with Kimberly Carleson (EP480) just for the gist of it, or the one with Dawn Cornelis (EP285) from a few years ago. They're talking post-payment integrity programs, but a lot of the same rules apply. The show today is sponsored by Aventria Health Group, as usual. But I do want to say that we got some very appreciated financial support from Stedi, the only programmable healthcare clearinghouse. And here is my conversation about all of the inches that are all around us, specifically in the healthcare data pipes, with Zack Kanter, who is the CEO and founder over at Stedi. Also mentioned in this episode are Stedi; Shane Cerone; Mark Newman; Stephanie Hartline; Chris Erwin; David Scheinker, PhD; Zeke Emanuel, MD, PhD; Jesse Hendon; Mark Noel; ClaimInsight; Kimberly Carleson; Dawn Cornelis; Aventria Health Group; Preston Alexander; Eric Bricker, MD; and Kada Health. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at stedi.com. You can also follow Zack and Stedi on LinkedIn.   Zack Kanter is the founder and CEO of Stedi, the only programmable healthcare clearinghouse. Stedi has raised $92 million from Stripe, Addition, First Round, USV, Bloomberg Beta, and other top investors. He has previously appeared on podcasts, including In Depth by First Round Capital, Invest Like the Best, Village Global, and Rule Breaker Investing.   09:47 What things are being paid for that we might not be aware we're paying for in healthcare? 12:09 Why HIPAA actually makes healthcare more standardized than other industries. 15:35 How healthcare is ahead in some ways and behind in others. 18:03 Where do the 4 to 5 days come from in healthcare transaction processing? 20:39 Why these transaction delays affect care delay. 23:14 EP482 with Preston Alexander. 23:18 EP472 with Eric Bricker, MD. 27:10 How should the process work from the time a provider clicks "validate"? 30:19 Why is the clearinghouse the right place to solve all these issues? 31:41 Why are we where we are in terms of these issues? 35:28 Why people should be looking at their clearinghouse costs. 36:59 What to know about Stedi.   You can learn more at stedi.com. You can also follow Zack and Stedi on LinkedIn.   @zackkanter discusses #healthcaretransactions and #clearinghouses on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Mark Newman, Stacey Richter (INBW45), Stacey Richter (INBW44), Marilyn Bartlett (Encore! EP450), Dr Mick Connors, Sarah Emond (EP494), Sarah Emond (Bonus Episode), Stacey Richter (INBW43), Olivia Ross (Take Two: EP240)

In this episode, we talk with Aaron Smith, Chief Executive Officer of Vetriq. He shares how Vetriq delivers a unified platform for payer and patient workflows using automation, real-time analytics, and intelligence to create predictable, efficient, and fully visible financial operations.  They don't replace RCM systems, banks, or lockboxes. They connect them so the work between them disappears for your staff.

January 9, 2026 In this episode, Scott, Mark, and Ray Painter tackle the growing issue of automated downcoding by commercial payers—where level 4 and 5 E/M visits are silently paid at lower levels without a formal denial. They explain how this tactic evades typical RCM detection, outline steps to flag and appeal these incorrect payments, and emphasize why accurate documentation is more important than ever. From setting up payer-specific protocols to understanding how AI-driven reviews can misinterpret records, this episode offers practical strategies to protect your top line and push back against unjust reimbursement practices.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   What will dentistry really look like in 2026? Teresa Duncan and Kevin Henry cut through the noise to unpack the economic, workforce, insurance, and technology trends that will shape dental practices sooner than many expect.   They take a data-driven look at trends such as persistent staffing shortages and rising labor costs to the growing role of AI. Compliance risk is increasing and practices face mounting profitability pressure. How can we refocus on business fundamentals while  adapting to shifting patient expectations? This webinar replay can help you be proactive heading into 2026!    Connect with Kevin Henry: www.KevinSpeaksDental.com   Connect with Teresa Duncan: www.OdysseyMgmt.com   Chew On This Podcast Playlist here! https://www.youtube.com/playlist?list=PLJF_kSfpA7sJHVgO0lojChMhGRiYlIb3Z   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

What if the money problem in your practice isn't production, but what's happening after the patient leaves the chair? Many dental practices are busy and producing well, yet cash flow still feels tighter than it should. In this episode, Nina Lewis, VP of Revenue Cycle Management at SupportDDS, shares what she sees every day working with dental practices that believe they are collecting properly, only to discover hidden gaps behind the scenes. We talk about why AR totals can be misleading, why over-90 claims reveal where systems are failing, and a real story where internal EFT changes created major payment delays for a dental practice. It's a conversation that helps owners see where revenue can get stuck, and why noticing it sooner can make a meaningful difference. SupportDDS provides dental RCM-certified virtual team members who support billing, insurance verification, AR follow-up, and workflow optimization. Their team helps practices uncover gaps, reduce delays, and strengthen collections with consistency and clarity. If you are a current DEO member and a client of SupportDDS, you are eligible for a FREE Revenue Cycle Management Assessment valued at $1,800.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Most dental practices don't struggle because of dentistry but because of what happens behind the scenes.   Practice management is rarely taught even though it controls profitability, team morale, and long-term growth. My friend Olivia Smith shares insight and stories of her clients' misses and wins. The realities of running a successful dental practice include understanding KPIs (without drowning in numbers) to leading teams with clarity and accountability (without losing your mind!).    We touched on so many topics - the time really flew by! Just a few topics:    Associate integration (so delicate) Manager burnout Realistic case acceptance tips When leadership isn't an innate skill   This is a candid look at dental practice management no one tells you about.   Connect with Olivia Smith   Website https://osdentalconsulting.com/home/ Facebook https://www.facebook.com/660184687177918 Instagram https://www.instagram.com/osdentalconsulting/   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

Grab our free Eligibility Checklist & Guide to prevent claim denials before they happen: https://natrevmd.com/eligibility-billing-verification/" Is your practice leaving money on the table? The answer is probably yes, and you might be shocked to find out where it's hiding. In this episode, Dr. Heather Signorelli is joined by NCR's RCM expert Mandy to pull back the curtain on the most common and costly billing errors they uncover in medical practices. From thousands of dollars in uncashed checks sitting at the post office to undercharging for services, they reveal the hidden leaks in your revenue cycle and provide actionable steps to fix them. In this episode, you will learn:  How a simple bank reconciliation process uncovered tens of thousands in lost revenue. The sneaky reason you might be undercharging for your services and how to fix it. How one practice reduced their eligibility denials from 90% to just 10%. The secrets to managing unapplied payments and coordination of benefits (COB) denials. If you're a practice owner, manager, or physician who wants to maximize your revenue and improve your billing processes, this episode is packed with valuable insights and real-world examples. Don't let these common mistakes drain your practice's profits any longer. 

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Did you know that throwing away a simple "education letter" from an insurance company could be the first step toward an audit seven years later? Or that hiring a team member without checking the exclusion list could label your practice "radioactive" and cut you off from federal funding? Many dental practice owners don't realize that common habits, like billing under a selling doctor's name during a transition are actually considered False Claims fraud. In this episode, I sit down with dental-specific attorney Justin Withrow to reveal the serious legal risks that often fly under the radar. He breaks down the three "buckets" of regulatory enforcement: insurance audits, board investigations, and criminal/civil inquiries. Then he explains how to organize your records before the investigators show up. This conversation is about protecting your livelihood. An audit isn't just a request for money back, it is an investigation that can lead to referrals to the state board or attorney general. Don't wait until you receive a subpoena to organize your compliance protocols! In this video, we cover: The "Education Letter" Trap: Why insurance companies track these for years and use them to prove you "knew better" during future audits. The Exclusion List: Why employing someone on the OIG list creates a "radioactive" situation for your practice and how to check it. https://oig.hhs.gov/exclusions/index.asp Billing Fraud vs. Mistakes: The dangerous reality of billing under a veteran doctor's name while a new associate waits for credentialing. Audit Survival: Why organized records and "audit-proof" documentation are your best defense when a payer demands 50 patient charts. Informed Consent: Why this must be a conversation process, not just a signature on a form, to protect you from board complaints.   Connect with Justin Withrow  Email jwithrow@flannerygeorgalis.com   Website https://flannerygeorgalis.com/team/justin-withrow/ Facebook https://www.facebook.com/justin.withrow.77 Linkedin https://www.linkedin.com/in/justin-withrow/ ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Randi Tapio, a seasoned revenue cycle management (RCM) leader whose career spans hands-on billing, consulting, and building high-performance teams. Randi shares her journey from working the front desk of a doctor's office to running her own billing center, exiting it, and ultimately launching MedCycle Solutions, now in hyper-growth mode. She opens up about the realities of staffing in RCM, explaining why maintaining a strong team is one of the industry's biggest challenges: "We have to hire three people to keep one — and interview six to hire those three." Randi discusses how she builds and manages a fully remote U.S.-based team, the importance of trust-driven culture, and why strategic hiring and leadership are essential for sustainable revenue cycle performance. This episode offers valuable insights for RCM leaders navigating growth, workforce challenges, and the evolving balance between human expertise and emerging technology. This episode is sponsored by 4D Global, empowering medical billing companies through offshore staffing.

In this episode of What's Best For The Patient Is Best For The Business, Jerry sits down with CJ, founder of CJM Strategic Consulting, for a deep dive into the intersection of AI, technology, and physical therapy practice.Recording in late November 2025, fresh off PPS (which looked more like a tech conference than ever before), this conversation tackles the most pressing questions facing PTs today: Where does AI fit? What's our role? And how do we become architects of the future rather than replaceable cogs in the system?CJ brings a unique perspective—starting her career at Johnson & Johnson in quality engineering and operations, then transitioning to PT, working through digital health at Hinge Health, and now consulting with healthcare tech startups. She's seen both sides: the promise of technology and the reality of implementation without clinical empathy.This isn't a conversation about AI taking jobs. It's about PTs stepping up to train the systems, becoming context experts rather than task experts, and recognizing that in November 2025, AI needs us more than we need it. From ambient listening technology to benefit verification to documentation, Jerry and CJ explore why reviewing AI outputs isn't busywork—it's building the architecture for the entire profession's future.Key topics include: the human-in-the-loop vs. human-on-the-loop distinction, why documentation quality matters more than ever, how to add value to AI platforms, the risk of automation bias and deskilling, why coordination beats siloed care, and how one team member got a massive raise by managing their AI model effectively.If you're wondering where you fit in this tech-enabled future, this conversation will give you clarity—and a call to action.Key Takeaways- AI Needs Us More Than We Need It (November 2025): Right now, AI systems need expert clinicians to train them, correct them, and build the architecture for future improvements. This is our opportunity to shape these tools rather than let them shape us—but that window won't last forever.- You're Not Reviewing Notes—You're Building Systems: When you review AI-generated documentation, you're not just checking for accuracy. You're teaching the system what matters, how to think like a PT, and creating the foundation for better care delivery across the entire profession.- From Task Expert to Context Expert: The future of PT isn't about getting faster at individual tasks—it's about becoming context experts who understand the bigger picture. This shift from fragmented task completion to systems thinking is what will separate thriving practices from struggling ones.- Documentation Will Finally Reflect Reality: For decades, we've documented to get paid, not to show our value. Ambient listening and AI documentation tools are changing that—capturing education, clinical decision-making, and the full scope of what we do. This will change billing patterns and prove our worth.- Reskilling Is Really Re-Evaluating: You don't need to learn entirely new skills—you need to re-evaluate how you apply your existing expertise. The electrician doesn't become a mason; they become a systems architect who understands how electrical work fits into the whole building.- Embrace the Stairs in the Age of Escalators: Technology offers automation, but we must actively choose to maintain our clinical reasoning skills. Just as we tell patients to take the stairs for physical health, we must "take the stairs" mentally—continuing to think critically even when AI offers easier paths. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Todd Doze, CEO of Janus Health, specializes in bringing AI to hospitals to connect the hospital revenue cycle management with the overall patient experience. Automating some manual RCM tasks, such as prior authorizations and referrals,  has led to significant reductions in claim denials, faster processing times, fewer errors, and better compliance with recent legislation. Challenges remain to ensure the AI model's accuracy and to demonstrate clear ROI and a direct impact on the hospital's revenue. Todd explains, "Today at Janus, we focus on helping providers improve their operational and financial efficiency. We work with about 250 acute care hospitals across the country, servicing some of the largest health systems in the nation by providing automations and AI-driven operational intelligence. This gives management insight into what their revenue cycle folks are doing to ensure they're taking the optimal paths to adjudicate claims and also automating as much of the laborious, tedious work that goes into treating patients in the most optimal manner." "There are a lot of very manual pain points within the rev cycle experience. For example, many of us have been referred by our primary care physician to a specialty provider. A very common example is referring to an imaging center for an MRI or X-ray. And many times, to access an appointment with that specialty provider, the provider may need to submit a prior authorization request to the patient's insurance. And then there's also the communication loop process focused on the referral. And so there are many areas for error, and there are a lot of ways the patient experience can go south very quickly."  #JanusHealth #AIinHealthcare #HealthcareAI #HealthTech #HealthcareOperations #RCM janus-ai.com Listen to the podcast here

Todd Doze, CEO of Janus Health, specializes in bringing AI to hospitals to connect the hospital revenue cycle management with the overall patient experience. Automating some manual RCM tasks, such as prior authorizations and referrals,  has led to significant reductions in claim denials, faster processing times, fewer errors, and better compliance with recent legislation. Challenges remain to ensure the AI model's accuracy and to demonstrate clear ROI and a direct impact on the hospital's revenue. Todd explains, "Today at Janus, we focus on helping providers improve their operational and financial efficiency. We work with about 250 acute care hospitals across the country, servicing some of the largest health systems in the nation by providing automations and AI-driven operational intelligence. This gives management insight into what their revenue cycle folks are doing to ensure they're taking the optimal paths to adjudicate claims and also automating as much of the laborious, tedious work that goes into treating patients in the most optimal manner." "There are a lot of very manual pain points within the rev cycle experience. For example, many of us have been referred by our primary care physician to a specialty provider. A very common example is referring to an imaging center for an MRI or X-ray. And many times, to access an appointment with that specialty provider, the provider may need to submit a prior authorization request to the patient's insurance. And then there's also the communication loop process focused on the referral. And so there are many areas for error, and there are a lot of ways the patient experience can go south very quickly."  #JanusHealth #AIinHealthcare #HealthcareAI #HealthTech #HealthcareOperations #RCM janus-ai.com Download the transcript here

Michael welcomes Todd Van Meter, CEO of Accuity and a 30-year healthcare RCM veteran. Todd shares insights on navigating change in revenue cycle management. From separating AI hype from real ROI to building resilient teams and redefining the patient–provider–payer relationship, Todd offers practical lessons from decades of leading large-scale healthcare operations. A must-listen for anyone shaping the future of healthcare finance.

In this episode of What's Best For The Patient Is Best For The Business, Jerry welcomes back Katie O'bright, founder of Redefine Health Education, for a much-needed update on the primary care physical therapy movement. Recording just days after speaking at a conference in Alabama on patient engagement, Jerry recognized it was time to catch up with Katie—a leader who consistently exemplifies putting patients first while building sustainable business models.Katie returns to the show (her first appearance was 1.5-2 years ago) at a pivotal moment for the profession. In 2025, the ABPTS primary care clinical specialization finally passed the House of Delegates, creating the first pathway for physical therapists to become board-certified primary care specialists. This isn't just another certification—it's a fundamental repositioning of what physical therapists can be in the healthcare system.Drawing from her military background where she served as an embedded PT in a soldier-centered medical home, Katie breaks down what primary care PT actually means, how it differs from traditional outpatient practice (3 feet deep and 3 miles wide vs. 1 foot wide and 10 miles deep), and why this model represents the future of the profession. She shares the comprehensive consensus definition developed by the Primary Care Special Interest Group, explains multiple payment models (fee-for-service, direct-to-employer, direct-to-consumer), and announces her upcoming Primary Care PT Startup Workshop for Business Leaders launching in 2026.Key Takeaways- Primary Care PT Certification Changes Everything: Unlike previous PT specializations, the new ABPTS primary care clinical specialty creates a pathway for PTs to be recognized as primary care providers for neuromusculoskeletal conditions—potentially opening doors to CMS recognition and reimbursement changes that could transform the profession.- Scope Redefined: 3 Feet Deep, 3 Miles Wide: Primary care PTs practice with a fundamentally different scope than traditional outpatient therapists. Instead of deep specialization in one area (1 foot wide, 10 miles deep), they provide broad-spectrum care (3 feet deep, 3 miles wide)—managing first contact, ongoing preventive and reactive health services as integral members of primary care teams.- Multiple Settings, Multiple Payment Models: Primary care PT isn't limited to medical clinics. Katie outlines how this model works in work sites, community centers, schools, sports facilities, wellness centers, and homes—with payment ranging from fee-for-service to direct-to-employer contracts to membership-based direct-to-consumer models.- You Don't Have to Blow Up Your Business: Practice owners don't need to abandon their current model to integrate primary care PT principles. Adding acute care slots, implementing risk stratification, or establishing relationships with value-based care organizations can enhance existing practices while opening new revenue streams.- The Profession Isn't Ready (And That's Okay): Katie acknowledges that primary care PT isn't for every physical therapist—and that's fine. The profession needs therapists in all settings. But for those ready to practice at the top of their scope, think differently about risk management, and engage with population health, the opportunity is massive.- Physicians Want This: Katie shares stories of physicians and orthopedic surgeons actively reaching out to recruit PTs into their practices. The barrier isn't physician resistance—it's that many PTs haven't learned to speak the language of primary care or understand value-based care arrangements. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Dr. Mike Gao, President of Smarter Technologies, says that the distinction between clinical care and revenue cycle management (RCM) was a historical decision that is no longer valid. Clinical care is determined partly by what payers cover and what proof they require of the patient condition. In turn, the codes and other information used for billing are summaries of what happened in the clinical visit.In this environment, doctors have to take into account not just the symptoms and history presented by the patient, but the patient's environment and insurance coverage. No one can keep all this in mind.So AI tools such as Smarter Technologies provide a "super-intelligence" that can combine the data needed by the physician. Dr. Ruben Amarasingham, Co-Founder of Pieces Technologies which is now part of Smarter Technologies, says that AI can bring doctors "real contextual understanding of what's happening to their patients."Learn more about Smarter Technologies: https://www.smartertech.com/Healthcare IT Community: https://www.healthcareittoday.com/

Explore the essential updates from the official CMS Fact Sheet on the 2026 Home Health Final Rule in this episode of Home Health Revealed, hosted by Hannah Vale. This episode breaks down what the CMS rule means for home health agencies, covering payment changes, compliance updates, and care quality adjustments. Key highlights include: A 2.4% market payment update, offset by adjustments, resulting in an overall 1.3% reduction in Medicare payments to home health agencies. Recalibrated PDGM case-mix weights and updated LUPA thresholds, changing how agencies need to plan visits and document care. Important changes to the Home Health Quality Reporting Program (QRP), including removal of the COVID-19 vaccination measure, as well as updates to OASIS data elements. The launch of a revised Home Health CAHPS survey, new value-based purchasing measures, and changes in quality measure weightings. New compliance provisions and revised provider enrollment rules designed to ensure program integrity and fight fraud. Whether you're an agency leader, clinician, or RCM professional, this episode provides everything you need to know direct from CMS guidance to keep your agency compliant, competitive, and prepared for 2026. Don't miss Hannah's expert take and practical tips for navigating the year's most important regulatory updates. Like, share, and subscribe for more insights on home health policy, revenue cycle optimization, and industry trends. #HomeHealthRevealed #CMSFinalRule #HomeHealth2026 Chapters (00:00:02) - Home Health Revealed(00:00:36) - CMS Final Rules for Home Health Services (2026)(00:03:28) - CMS Final Rule 1, Home Health Payment Rates(00:05:47) - CMS Rule 6, Home Health Quality Reporting Program (HHQ(00:12:36) - CMS Final Rule 2026 for DME POS

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Leading employees can feel like walking through a minefield. One wrong step and morale, productivity, or trust can explode. But great leaders are not born with the ability to navigate tough personalities. They learn the strategies, communication skills, and mindset shifts that turn conflict into constructive growth. My friends Ashley Bond and Lorie Streeter joined me to talk about leadership challenges new managers face every day. We tackled it all: resistant employees, navigating office politics, and owners who may not always have your back. We offer help with conflict resolution, accountability, emotional intelligence, setting and boundaries. And importantly, we focus on protecting your mental health in high-pressure roles. This discussion will help emerging leaders communicate more clearly to build trust, even when employee dynamics get complicated. This was a follow up to "What I Wish I Knew: Administrative Wisdom," a webinar hosted by…you guessed it.. Wisdom! We had so many questions that we needed to tackle them in a separate session. You can access the original session here: https://www.withwisdom.com/resources/what-i-wish-i-knew-administrative-wisdom Connect with Ashley Bond Website: https://www.withwisdom.com/ Connect with Lorie Streeter: Website: https://getmaxassist.com/book-a-demo-lorie/   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

In this episode of What's Best For The Patient Is Best For The Business, Jerry sits down with Paul Singh CEO of StrataPT, just days after the 2025 Private Practice Section (PPS) conference in Florida. They dive deep into Paul's highly attended presentation, "Moneyball for PT Practices," and discuss the evolving landscape of physical therapy practice ownership, M&A strategy, and the tech transformation happening in the industry.Paul brings a unique Silicon Valley perspective to healthcare, drawing from his extensive background in tech investing and startups. He breaks down the critical difference between "getting bought" versus "getting sold" - a concept that resonated powerfully with practice owners seeking to understand their true business value and exit strategies.From the packed exhibit hall filled with AI-powered solutions to the contrasting conversations about clinician burnout happening in the conference rooms, Jerry and Paul provide an unfiltered assessment of where the PT industry stands and where it's heading. They explore the influx of venture capital, the proliferation of new tech players, and what it all means for practice owners trying to build valuable, sustainable businesses.Key Takeaways- Getting Bought vs. Getting Sold: There's a fundamental difference between putting a "for sale" sign on your practice (which creates downward price pressure) and being so valuable that buyers come knocking without prompting. Paul illustrates this with the Mint.com story - how understanding WHY a buyer wants to acquire you can 10x your valuation in six months.- Build to Grow, Not Just to Exit: The activities required to prepare a practice for acquisition are identical to those needed to grow a thriving business. Practice owners should focus on creating genuine business value rather than just preparing for a sale.- Think Like a Consumer Business: The most valuable PT practices will be built by owners who think of themselves as consumer businesses, not just healthcare providers. This mindset shift is what creates billion-dollar exit opportunities.- The Tech Conference vs. The Burnout Conference: PPS 2025 revealed a stark dichotomy - the exhibit hall was dominated by well-funded tech companies and AI solutions, while just 1000 feet away, packed rooms of practice owners discussed preventing burnout and retaining clinicians. This disconnect reveals where the industry's growing pains lie.- Output Over Features: With every vendor claiming AI capabilities, the critical question shifts from "what technology do you have?" to "what outcome do I get?" Practice owners need to demand billing-aware, audit-safe solutions that deliver measurable results, not just impressive features. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Remote therapeutic monitoring only works when it strengthens the relationship between patient and provider rather than adding friction. In this episode, Steven Coen, CEO and co-founder of SaRA Health, shares how his own frustrations as a physical therapy patient inspired him to redesign MSK care between visits. He describes how SaRA's one-character SMS check-ins reduce cognitive load, strengthen continuity, and significantly boost adherence and outcomes. Steven also explains how remote therapeutic monitoring codes reshaped their business model, leading them to build an internal RCM system and prepare for 2026 codes that could greatly increase practice revenue. He highlights what sets their FDA-designated software apart, the lack of remote strategies across most practices, and the broader payment and prior-auth challenges shaping hybrid care models. Tune in and learn how remote care, thoughtful design, and better business models are reshaping MSK patient engagement! Resources Connect with and follow Steven Coen on LinkedIn. Follow SaRA Health on LinkedIn and discover their website.Email Steven directly here.

In this episode, Vishwanath Singh breaks down how Infinx is modernizing quality assurance across both RCM and Patient Access through structured governance, risk-based sampling, and emerging AI copilots that strengthen accuracy and reduce variability. He explains how documentation, SOP creation, and auditing are being transformed into real-time, intelligence-driven processes that protect revenue and accelerate performance.

THE SECOND SECTION of the Book of 1 Enoch isn't as well known as the part that deals with the fallen Watchers, but it's important for New Testament theology. The Book of Parables, chapters 37–71 of 1 Enoch, deals specifically with how the world will be purified from the sin introduced by the rebellious Watchers. To the author(s) of this section of 1 Enoch, which was probably written by Essenes in the Galilee between 25 BC and the end of the first century BC (in other words, just before the birth of Jesus), the world had been so corrupted by the fallen angels that only God's direct intervention could put things right. This week, we share the historic backdrop of the Book of Parables: The return of Jews from Babylon who found a priesthood in Jerusalem that believed the age of prophecy was over, repeated invasions by Greeks, Armenians (yes, really), Parthians, and Romans, and civil war, which only intensified a belief among the group that came to be known as Essenes that the arrival of a Savior was imminent. When he didn't come on schedule (sometime between 90 and 80 BC), the Essenes revised their timeline. After a period of civil war, followed by a Parthian invasion around 40 BC, Herod the Great, governor of Galilee, returned from Rome with the backing of the army of Mark Antony (yes, that one).  When Herod drove the Parthians from Judea in 37 BC after a three-year war, many Essenes apparently thought Herod was the Anointed One—the Messiah! It didn't take long for Herod to disabuse everyone of that notion.  That's the back story of the Book of Parables. It was written at a time when many Jews believed Messiah's arrival was imminent. The Book of Parables was a reminder that God's promises would be fulfilled, and the agent of God's imminent judgment was a figure called the Anointed One, the Chosen One, and, most frequently, the Son of Man. This would all be nothing more than historical interest except for an important fact: Jesus applied the title “the Son of Man” to himself 78 times in the New Testament, and that title doesn't appear in any Jewish writing prior to the Book of Parables. This week's question: Are there ranks of demons, some of which are more difficult than others to exorcise? We referenced the work of Restoration in Christ Ministries (rcm-usa.org). The study notes Derek mentioned by the founder of RCM, Dr. Tom Hawkins, are no longer available to download, but a study on the cosmic hierarchy is available here. Sharon's niece, Sarah Sachleben, has been diagnosed with stage 4 bowel cancer, and the medical bills are piling up. If you are led to help, please go to GilbertHouse.org/hopeforsarah. Our new book The Gates of Hell is now available in paperback, Kindle, and as an audiobook at Audible! Derek's new book Destination: Earth, co-authored with Donna Howell and Allie Anderson, is now available in paperback, Kindle, and as an audiobook at Audible! If you are looking for a text of the Book of 1 Enoch to follow our monthly study, you can try these sources: Parallel translations by R. H. Charles (1917) and Richard Laurence (1821)Modern English translation by George W. E. Nickelsburg and James VanderKam (link to book at Amazon)Book of 1 Enoch - Standard English Version by Dr. Jay Winter (link opens free PDF)Book of 1 Enoch - R. H. Charles translation (link opens free PDF) The SkyWatchTV store has a special offer on Dr. Michael Heiser's two-volume set A Companion to the Book of Enoch. Get both books, the R. H. Charles translation of 1 Enoch, and a DVD interview with Mike and Steven Bancarz for a donation of $35 plus shipping and handling. Link: https://bit.ly/heiser-enoch Follow us! • X: @gilberthouse_tv | @sharonkgilbert | @derekgilbert• Telegram: t.me/gilberthouse | t.me/sharonsroom | t.me/viewfromthebunker• YouTube: @GilbertHouse | @UnravelingRevelation | @thebiblesgreatestmysteries• Facebook.com/GilbertHouseFellowship Thank you for making our Build Barn Better project a reality! We truly appreciate your support. If you are so led, you can help out at GilbertHouse.org/donate. Get our free app! It connects you to these studies plus our weekly video programs Unraveling Revelation and A View from the Bunker, and the podcast that started this journey in 2005, P.I.D. Radio. Best of all, it bypasses the gatekeepers of Big Tech! The app is available for iOS, Android, Roku, and Apple TV. Links to the app stores are at www.gilberthouse.org/app/. Video on demand of our best teachings! Stream presentations and teachings based on our research at our new video on demand site! Gilbert House T-shirts and mugs! New to our store is a line of GHTV and Redwing Saga merch! Check it out at GilbertHouse.org/store! Think better, feel better! Our partners at Simply Clean Foods offer freeze-dried, 100% GMO-free food and delicious, vacuum-packed fair trade coffee from Honduras. Find out more at GilbertHouse.org/store. Our favorite Bible study tools! Check the links in the left-hand column at www.GilbertHouse.org.

THE SECOND SECTION of the Book of 1 Enoch isn't as well known as the part that deals with the fallen Watchers, but it's at least as important from a theological perspective. The Book of Parables, chapters 37–71 of 1 Enoch, deals specifically with how the world will be purified from the sin introduced by the rebellious Watchers. To the author(s) of this section of 1 Enoch, which was probably written by Essenes in the Galilee between 25 BC and the end of the first century BC (in other words, just before the birth of Jesus), the world had been so corrupted by the fallen angels that only God's direct intervention could put things right. This week, we share the historic backdrop of the Book of Parables: The return of Jews from Babylon who found a priesthood in Jerusalem that believed the age of prophecy was over, repeated invasions by Greeks, Armenians (yes, really), Parthians, and Romans, and civil war, which only intensified a belief among the group that came to be known as Essenes that the arrival of a Savior was imminent. When he didn't come on schedule (sometime between 90 and 80 BC), the Essenes revised their timeline. After a period of civil war, followed by a Parthian invasion around 40 BC, Herod the Great, governor of Galilee, returned from Rome with the backing of the army of Mark Antony (yes, that one).  When Herod drove the Parthians from Judea in 37 BC after a three-year war, many Essenes apparently thought Herod was the Anointed One—the Messiah! It didn't take long for Herod to disabuse everyone of that notion.That's the back story of the Book of Parables. It was written at a time when many Jews believed Messiah's arrival was imminent. The Book of Parables was a reminder that God's promises would be fulfilled, and the agent of God's imminent judgment was a figure called the Anointed One, the Chosen One, and, most frequently, the Son of Man. This would all be nothing more than historical interest except for an important fact: Jesus applied the title “the Son of Man” to himself 78 times in the New Testament, and that title doesn't appear in any Jewish writing prior to the Book of Parables. This week's question: Are there ranks of demons, some of which are more difficult than others to exorcise? We referenced the work of Restoration in Christ Ministries (rcm-usa.org). The study notes Derek mentioned by the founder of RCM, Dr. Tom Hawkins, are no longer available to download, but a study on the cosmic hierarchy is available here: https://rcm-usa.org/product/the-cosmic-hierarchy/

Reimbursements in health care have gotten more complex with the growing importance of risk-based, value-based plans and behavior change. In this video interview, Tiffany Waltos, Director of Revenue and Analytics at Community Health Care in Northern Ohio, discusses today's pressures on revenue cycle management and ways health care providers can respond.Community Health Care, with 19 offices and 65 providers with a focus on primary care, realized they needed to put clear rules in place for coding and billing and create consistency among doctors so that submissions would be approved the first time around. One of the big things that helped them do this was to contract for the RCM (Revenue Cycle Management) consulting services offered by their eClinicalWorks EHR vendor. Working together they were able to address some of the more complex issues they faced and improve their RCM efforts.Learn more about Community Health Care: https://www.chci.com/Learn more about eCW: https://www.eclinicalworks.com/Healthcare IT Community: https://www.healthcareittoday.com/

Joining us on this sponsored episode of the Mobility Management podcast are two leaders from Atlas Technology: Michael McCarthy, Director of Growth, and Chenna Strange, Customer Experience and Support. In this episode, McCarthy and Strange join Mobility Management editor in chief Laurie Watanabe to share the next stage of Atlas Technology and its new rebrand, explore how Atlas's full RCM platform supports providers — and toast an old friend.

AI Oversight for the Modern Revenue Cycle As AI agents take on more decisions across the revenue cycle, the question isn't how fast automation can move — it's how safely it operates. This session explores the guardrails of governance in an AI-driven RCM environment, outlining practical steps to ensure transparency, compliance, and human accountability as automation scales. 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/

Industrial Talk is onsite at SMRP 2025 and talking to Kevin Clark, Chief Evangelist Officer at Nanoprecise about "AI solutions for asset management". Scott MacKenzie and Kevin Clark discuss the evolving landscape of asset management and maintenance at the SMRP conference in Fort Worth, Texas. They highlight the significant increase in vendors from 130 to 220, indicating a growing interest in innovative solutions. Kevin emphasizes the importance of data quality, noting that much of the data collected is irrelevant for AI and that system-generated data can reduce errors. They also discuss the cultural shift needed for AI adoption, the potential for false positives to undermine trust, and the role of human oversight. The conversation concludes with a focus on the growing importance of data in industrial processes. Action Items [ ] Attend the SMRP conference in 2026[ ] Connect with Kevin Clark Outline Kevin Clark's Introduction and Conference Overview Scott MacKenzie introduces the podcast and its focus on industrial innovations and trends.Scott welcomes listeners and highlights the importance of the SMRP conference in Fort Worth, Texas.Kevin Clark is introduced as a guest, and his company, Nanoprecise, is mentioned.The conversation begins with light-hearted banter about Kevin's attendance at the conference. Growth and Quality of Vendors at SMRP Kevin Clark notes the significant increase in vendors from 130 to 220 at the conference.Scott MacKenzie and Kevin discuss the high quality of practitioners attending the conference.The conversation touches on the renaissance in the industry, with Nancy Reagan being a notable figure in RCM.Kevin explains how RCM is evolving with the help of technology, making it more programmatic and data-driven. Challenges and Opportunities in Data Collection Scott MacKenzie and Kevin Clark discuss the challenges of data quality and the importance of contextual data for AI.Kevin explains how system-generated data can reduce errors and improve data quality.Scott shares a personal story about the challenges of handling large amounts of data in real-time.The conversation highlights the need for better data management and the role of AI in improving data quality. AI and Human Interface in Maintenance Kevin Clark emphasizes the importance of human involvement in AI-driven maintenance processes.Scott and Kevin discuss the cultural shift needed for AI adoption and the potential for false positives to undermine trust.Kevin shares a story about a personal experience with AI and the importance of using AI in daily life to understand its capabilities.The conversation explores the balance between AI and human expertise in maintaining trust and reliability in maintenance processes. AI's Role in Business Decisions and Personal Use Kevin Clark shares an anecdote about a colleague using AI for car maintenance and the importance of personal experience with AI.Scott MacKenzie and Kevin discuss the role of AI in business decisions and the need for objective views of AI.The conversation touches on the potential for AI to replace traditional search methods like Google.Kevin highlights the importance of continuous learning and updating AI models to maintain accuracy and relevance. Trust and Reliability in AI-Driven Systems Kevin Clark discusses the challenges of trusting AI-driven systems and the potential for false positives to disrupt operations.Scott MacKenzie and Kevin explore the...

This panel discusses dental operations and leveraging AI to assist with RCM. Nicole Collard, Technology Operations Mgr. at Tend, Dr. Greg Wu, Owner of Emerson Dental, Troy Andrews, Product Mgr. at DentalxChange & Dan Feimster, VP of Product Mgt. at DentalxChange share their thoughts on: AI as a game changer for efficiency The importance of data interpretation Embracing change with confidence To learn more, you can visit https://www.dentalxchange.com/ You can connect with Dan Feimster on Linkedin - https://www.linkedin.com/in/dfeimster/ or Troy Andrews on Linkedin - https://www.linkedin.com/in/troy-andrews-a55ba2bb/ To learn more about Tend visit - https://www.hellotend.com/ You can connect with Nicole Collard on Linkedin - https://www.linkedin.com/in/nicolecollard1993/ Connect with Dr. Greg Wu, Owner at Emerson Dental here - https://www.linkedin.com/in/gregory-wu-7708211/    

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Your practice might look efficient, but what if unnoticed expenses are quietly draining thousands from your bottom line each year?   My friend Adam Smith talked with me about the hidden costs that most dental offices overlook and how small changes can make a big difference. Everyday expenses like merchant fees, internet contracts, and bundled tech services can quietly add up. Negotiating and reviewing your fees can bring real savings without cutting team members or quality. We dig into what indirect costs really mean, why checking your numbers matters more than you think, and how tightening up your spending can open room for raises, upgrades, or a better cushion for your practice. It's an honest, practical chat about spending smarter and keeping more of what you earn.   Connect with Adam Smith   Email: Adam.Smith@SchooleyMitchell.com Contact number: 415 572 0948 Facebook: https://www.facebook.com/schooleymitchellasmith Instagram: https://www.instagram.com/schooleymitchell_bay_area/ LinkedIn: https://www.linkedin.com/in/adamdsmith/ YouTube: https://www.youtube.com/@AdamSmith-SchooleyMitchell Website: https://www.schooleymitchell.com/office/asmith/dental-savings/?contact#resources   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

In this episode of What's Best for the Patient Is Best for Business, Jerry Durham delivers a solo deep dive into one of the most critical yet misunderstood areas of physical therapy business success: “Arrivals.”Speaking from the stage of the APTA Private Practice Section (PPS) conference, Jerry shares the philosophy, process, and practical tools behind improving patient arrivals—and why mastering this concept can solve nearly every downstream business problem in a PT clinic.Jerry explains how his years of studying the entire patient journey led him to realize that success doesn't start in the treatment room—it starts at the front desk. He honors the admin and intake teams who carry enormous influence over patient outcomes but are rarely empowered or trained to own that impact.In this talk, Jerry breaks down why PT clinics must stop trying to “fix problems in the weeds” and instead step back to design systems that guide the patient from their first call to successful completion of care. He introduces his five-step front desk sales process—a structured, relationship-centered approach to patient communication that builds trust, manages expectations, and prevents objections before they ever arise.Whether it's cancellations, no-shows, or poor reviews from patients who “got better but had a bad experience,” Jerry shows how the solution always leads back to understanding and optimizing the patient's arrival experience.Key Takeaways:- Arrivals Solve All Business Problems: Every business metric improves when patients show up. Focusing here simplifies management and reduces chaos across billing, scheduling, and clinical outcomes.- The Front Desk = Patient Success: The front desk isn't administrative—it's strategic. Their conversations determine not only who arrives, but how the entire journey unfolds.- Solve from the Big Picture: You can't fix recurring no-shows or cancellations by tweaking scripts. You must zoom out to understand the full patient journey and define success at every touchpoint.- The 5-Step Front Desk Sales Process: Acknowledge → Find a problem to solve → Get expectations → Sell the expert → Tell them what they'll get for their time, money, and energy → Ask how they want to pay.- Objections Are Preventable: “It costs too much” isn't an objection—it's a sign you didn't build value early enough. Great processes eliminate objections before they happen.- Love the Work of the Front Desk: These are the true doers in healthcare—the team most capable of improving patient success when empowered with the right systems and mindset.Tune in for a masterclass on patient experience design, front desk empowerment, and how truly understanding “arrivals” can transform your practice from chaotic to consistent, from transactional to transformational. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Is an MBA a waste of time for doctors or the key to better revenue cycle management (RCM)? In this episode of the BackTable Podcast, host Dr. Aaron Fritts sits down with Dr. Heather Signorelli, a healthcare executive, physician entrepreneur, and founder of NatRevMD to provide a crash course overview of healthcare RCM and tips for the physician that's looking to improve the financial health of their practice. --- SYNPOSIS Heather shares her journey from medical residency to establishing herself as an expert in the business aspects of healthcare. They discuss the importance of embracing failure, the perils and rewards of entrepreneurship, and the challenges of starting a business while balancing a full-time job. The episode offers valuable insights into the educational gaps in medical training concerning business operations and financial literacy, emphasizing the need for more thorough training in these areas. Heather also highlights her podcast, NatRevMD, as a resource for physicians aiming to enhance their knowledge of RCM and business management in medical practices. --- TIMESTAMPS 00:00 - Introduction02:49 - Consulting and Early Career Experiences09:01 - Educating Physicians on RCM14:52 - Clientele and Specialties in RCM20:37 - The Power of Podcasting for Marketing24:45 - Physician Education and Business Literacy29:37 - Balancing Autonomy and Employment34:34 - Final Thoughts and Resources --- RESOURCES NatRevMD Podcasthttps://natrevmd.com/podcast-2/

In this kick off episode from the Alliance Conference Series, the HealthRev Partners team dives into one of the most important decisions a home health agency can make- whether to outsource billing. Discover the reasons these team members would outsource. Recorded live at the Alliance Conference, this episode sets the tone for a series exploring innovation, collaboration, and success acros the post-acute care industry.  If you've ever wondered whether outsourcing your billing could actually work for your agency, this episode is for you! The HealthRev Partners team breaks down the top reasons home health agencies choose to outsource and what THEY would look for in a strong partnership.  Chapters (00:00:02) - Home Health Revealed: Revenue Cycle Management Conference(00:01:10) - Meet the VP of RCM at Health Residence(00:01:39) - Shailene Gets the Clap(00:02:24) - Home Health and Hospice Out-source(00:04:10) - "We need help with our agencies."(00:04:28) - What other things do you think businesses need to Outsourcing?(00:05:45) - Billing Specialist: What Do You Look For In A Candidate?(00:07:44) - Democracy in the Elevator

The dental industry is chronically supply-constrained: 97% of dentists report staffing as their primary volume limiter, 95% cite extreme recruiting difficulty, yet 75% of hygienists prioritize schedule flexibility above all else. This structural mismatch created the opportunity for Toothio—a labor marketplace connecting dental professionals seeking flexible work with practices facing critical staffing shortages. In this episode, we sat down with Ian Prendergast, Co-Founder and CEO of Toothio, to unpack how he applied labor marketplace principles from hospitality and light industrial verticals to dental, why DSO enterprise customers emerged as the true ICP only after launch, and how being an industry outsider enabled business model innovation that insiders missed. Topics Discussed: How a single golf course conversation with a dentist exposed the 97% staffing crisis and validated the market opportunity Translating labor marketplace GTM from Qwick (hospitality staffing) and Steady Install (light industrial) into dental The supply-demand structural imbalance: dental growing 10.5% CAGR, 40% workforce departure in 2020, insufficient pipeline Supply-first marketplace development and why quality/reliability required deep supply pools before demand acquisition The ICP evolution from private practices (faster sales cycles, lower risk validation) to DSO enterprise (higher volume, stickier retention) Building credibility as outsider founders through strategic SME hires, advisors, and embedding in industry associations The enterprise motion: hiring CCO and SVP Sales with dental Rolodexs to access top-10 DSO decision-makers Quantifying previously unmeasured costs: 100%+ recruiting cost increases, industry-leading turnover rates, $1,560+ daily production loss per unstaffed hygienist Leveraging AI agentic systems to eliminate geographic marketplace constraints for national expansion The moat-building roadmap: layering SaaS and RCM software over the distribution channel to increase switching costs GTM Lessons For B2B Founders: Supply depth before demand scale prevents unit economics collapse: Ian's experience across three labor marketplaces reinforced one principle: excess supply is recoverable, excess demand is catastrophic. With too much demand and insufficient supply, you're "spending a bunch of money to acquire these demand users, but you're not able to fulfill the supply side. So now they're churning out at a high clip, they're going somewhere else. And now it drives up your CAC across the marketplace and reduces your lifetime value." In two-sided marketplaces, founders must resist investor pressure to show demand-side revenue before supply reliability is proven—the temporary revenue bump destroys long-term unit economics. ICP clarity requires live market data, not pre-launch assumptions: Toothio launched targeting private practices (shorter sales cycles, lower barriers, faster learning) before discovering DSOs were the actual ICP through usage cohorts showing materially higher volume and retention. Ian was explicit: "Once we got into it, we realized...the true ICP is going to be our group practices." The tactical framework: establish presence across plausible segments, instrument everything, collect 1-2 quarters of behavioral data, then redirect resources to wherever retention and expansion metrics are strongest. This data-driven ICP discovery prevents premature optimization around the wrong customer profile. Hire senior enterprise operators when you have validation plus clear TAM: Toothio broke conventional early-stage wisdom by hiring a Chief Commercial Officer and SVP Sales—roles typically considered "top-heavy"—because Ian had validated product-market fit and identified a concentrated enterprise opportunity (hundreds of DSOs). The result: "Next thing you know, we're in front of five or six of the top eight or ten DSOs in the country." The decision framework: if you have (1) proven unit economics, (2) clear product-market fit signals, and (3) an enterprise TAM with established relationship networks, senior hires with category Rolodexs can compress multi-year enterprise sales cycles into quarters. Without all three conditions, follow conventional wisdom and stay lean. Outsider economic analysis creates differentiated value propositions: Ian's non-dental background enabled him to "look at the dental office P&L and the core drivers of production with a completely neutral lens and realize that there was a lot of waste." He quantified what insiders hadn't: recruiting costs up 100%+ in five years, dental turnover among the highest of any U.S. industry, and the compounding cost of cancelled patient days (immediate production loss + 20% patient churn × $10-15K lifetime values). This economic framing repositioned Toothio from "staffing vendor" to strategic finance partner. The pattern: outsiders should weaponize their fresh perspective by conducting rigorous economic impact analysis that category incumbents haven't done, then speak to buyers in CFO language rather than operational features. Industry association involvement is enterprise distribution, not brand marketing: Ian credited local and national dental association sponsorships as "the catalyst to get us on the radar of some of the bigger orgs early" because associations created credibility signals plus network effects at scale. In relationship-driven B2B categories with strong professional associations (dental, legal, accounting, healthcare), sponsorship generates repeated exposure to concentrated decision-maker populations and warm introduction paths that cold outbound can't replicate. Founders should map the association landscape in year one, treat it as a primary distribution channel with measurable pipeline contribution, and staff it with team members who can build genuine relationships—not just write checks. // 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

BACK BY POPULAR DEMAND!!This week, we're revisiting Jerry's exclusive sneak peek into the can't-miss sessions from the upcoming APTA Private Practice 2025 Annual Conference.Get ready for a power-packed lineup featuring three consecutive interviews with the thought leaders and innovators headlining Wednesday's schedule.Jerry sits down with:- Lindsey and Rich Kenny of Kenny & Associates Physical Therapy, who will demystify the world of AI in a hands-on workshop designed for clinic owners.- Paul Singh, CEO of Strata PT, who will break down the "Moneyball" tactics tech startups use to grow profit and prepare for a successful exit.- Stephen Rapposelli and Matt Phifer, CEO and COO of Stretchplex, who reveal the exact strategies they used to add a staggering $900,000 in cash-based services to their physical therapy practice.Tune in to get fired up for the conference and walk away with immediate, actionable insights you can apply to your own practice.Key Takeaways:• AI is accessible now: Learn why you don't need to be a tech expert to leverage Generative AI for immediate administrative efficiency and how to become a literate consumer of this powerful technology.• Think like a tech startup: Discover how the foundational principles of scaling a successful tech company directly apply to growing a profitable and exit-ready PT practice.• Unlock massive revenue streams: See how to seamlessly integrate cash-based services like fitness and assisted stretching into your existing practice, dramatically increasing patient lifetime value and top-line revenue.• Learn from real-world mistakes: Gain from the hard-earned lessons and scars of those who have successfully built these services, so you can avoid common pitfalls and accelerate your own success.This episode is your ultimate guide to maximizing your experience at the PPS 2025 Conference. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

For the past decade, The Royal Conservatory of Music in Toronto, Canada, has partnered with leading neuroscientists to develop an early childhood education program that uses music to strengthen the cognitive foundations of lifelong learning. Designed for children from six months to four years old, this innovative approach nurtures essential learning skills through the power of music and integrates technology to prepare future-ready minds. On October 31, 2025, The Royal Conservatory of Music will host the global launch of Smart Starts, a groundbreaking program that brings together experts in music, cognitive development, and technology to redefine early childhood education. I am looking forward to attending this symposium, called Music and the Mind, which will be packed with incredible speakers, and in the next episode will feature highlights from that day. In this episode, my guest — the CEO and President of the RCM — joins me to discuss lifelong learning, the importance of creativity, the intersection of artistic and artificial intelligence, and the vision behind Smart Starts. Alexander Brose is the President & CEO of The Royal Conservatory of Music (RCM) in Toronto, Canada. Before joining RCM, he was the inaugural Executive Director and CEO of the Tianjin Juilliard School in China, The Juilliard School in New York City's first and only branch campus. There, he worked closely with colleagues both in Tianjin and New York to create an inclusive and supportive institutional culture that upheld the educational and artistic excellence of Juilliard and respected the surrounding influences of China. Prior to that, he was the Vice President for Development at the Aspen Music Festival and School in Colorado, where he was responsible for all fund-raising and strategic relationship-building activities, raising US$75M as part of a capital campaign, and working with AMFS leadership to create a new strategic vision for the organization. Mr. Brose began his career spanning a decade in senior management roles at the San Francisco Conservatory of Music in California, including Director of Admissions and Associate Vice President for Advancement. Raised in South Korea, Hong Kong, and the United States, Mr. Brose received his Bachelor of Arts degree in Asian Studies, with a concentration in China, from Cornell University in Ithaca, New York. An award-winning vocalist, Mr. Brose has performed in prestigious concert venues across the globe, including on the U.S. nationally-syndicated radio show “A Prairie Home Companion,” at the Seoul National Arts Center in South Korea, with the Glimmerglass Festival in Cooperstown, N.Y., and with the Grammy Award-winning San Francisco Symphony Chorus, among others. He has served as a member of the Board of Governors of the Recording Academy (Grammys) in the United States and the American Chamber of Commerce in China. He currently sits on the advisory councils of the Cornell University Glee Club, the school's oldest student organization, as well as the Tianjin Juilliard School. A sought-after public speaker, Mr. Brose has presented at major arts conferences and universities in both the U.S. and China. Links: Alexander Brose: https://www.rcmusic.com/about-us/michael-and-sonja-koerner-president-and-ceo RCM Neuroscience: https://www.rcmusic.com/about-us/rcm-neuroscience Music and the Mind Symposium (October 31st 2025): https://www.rcmusic.com/about-us/news/global-launch-of-rcm-early-childhood-music

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Dental school prepares you to save teeth but not for the life that comes with it. The truth is, most dentists are blindsided by what happens once the drills are down: confusing insurance contracts, shrinking reimbursements, rising debt, and the daily challenges of managing people. In this conversation with my friend Dr. Amrita Patel, we unpacked the realities of practice ownership and associate life. Did you know that you'll need to know how to prevent accounts receivable nightmares? Or how to lead a team without burning out? Oh - plus handle patients!    We dig into false perfections shown on social media, the misinformation new grads are buying into, and the hard truth that many seasoned dentists still lack the foundational business skills. This is the real world of dentistry - the part no one told you about.    Connect with Amrita Patel Instagram: https://www.instagram.com/dramritapatel/?hl=en LinkedIn: https://www.linkedin.com/in/thedramri/   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th, 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

As AI agents take on more decisions across the revenue cycle, the question isn't how fast automation can move — it's how safely it operates. This session explores the guardrails of governance in an AI-driven RCM environment, outlining practical steps to ensure transparency, compliance, and human accountability as automation scales.Brought to you by www.infinx.com

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter In this special takeover episode, Ashley Bond shares why dental billing isn't a solo job, it's a team sport. When hygienists, assistants, and front office staff work in sync, claims get paid on the first try. Clinical notes play a critical role here; detailed SOAP notes (Subjective, Objective, Assessment, Plan) ensure accuracy and prevent denials. Ashley shares how poor documentation and missing details like forgetting how old a crown is can cost practices thousands. She explains why “stock narratives” no longer cut it and how patient-specific notes support both revenue and liability protection. Using clinical note templates built around procedure codes, real-time communication, and tracking denials can dramatically reduce resubmissions. Ashley emphasizes that the administrative load on dental teams is heavier than ever and why outsourcing billing to specialists can free up time, restore patient trust, and prevent burnout. Outsourcing isn't just delegation, it's collaboration. With structured documentation, clear systems, and a trusted billing partner, every part of the practice works smarter, not harder.   Get your free Clinical Notes Blueprint and simplify how your team documents every procedure.  https://www.withwisdom.com/teresa   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- Don't forget to check out my other podcast Chew on This - A Dental Podcast!    **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt  

Send us a textThe digital front door to healthcare is jammed, and it's costing patients, providers, and payers alike.In this episode of CareTalk Executive Features, host David Williams talks with Dr. Ashish Mandavia, CEO and cofounder of Sohar Health, about how AI and automation can transform eligibility and benefits verification from a frustrating bottleneck into a seamless, real-time process.

Dr. Bicuspid Editor-in-Chief Kevin Henry joins me to discuss some crazy current events! A California dentist has been sentenced to 75 years to life in state prison after what prosecutors called a “reign of terror.” The man's crimes included multiple sexual assaults against five female patients and an extern, with victims ranging in age from 19 to 73. Prosecutors said he treated the women “as his playthings,” committing the assaults while they were under anesthesia and alone in his office. What broke the case open was the courage of a dental assistant, who secretly filmed one of the assaults, exposing the abuse and ending years of unchecked violence. The conversation examines how this could happen inside a dental practice where patients should feel safest and the red flags that every dental professional must recognize. From patient safety and sedation oversight to the ethics of working alone with anesthetized patients, this disturbing story forces the industry to confront hard truths about accountability and protection. Our discussion continues into the state of the dental profession today. A new Delta Dental study shows preventive care has finally returned to pre-pandemic levels, but capacity hasn't caught up. Hygienist shortages continue to strain practices, and legislative moves across states like licensure compacts and the rise of oral preventive assistants aim to fill the gaps. There's also a sharp look at data trends: claims show a rise in occlusal guards and fillings, signaling more stress-related wear and tear, and new fraud triggers are catching the attention of insurers. Teresa and Kevin unpack how AI, remote admin roles, and shifting workforce models are reshaping the business of dentistry and what every practice owner needs to know to adapt.

Senior Revenue Cycle Manager Christina Harkins shares how Infinx personalizes every RCM engagement—from onboarding through optimization and even exit planning. Learn how structured discovery, tailored timelines, transparent communication, and U.S.-based audits drive long-term revenue success for practices of all sizes.

Every year, I attend Converge, the annual conference of the National Association of Dental Plans (NADP). It's where I explore the latest issues and challenges faced by carriers and providers. I've watched the evolving partnerships between carriers and DSOs and observed the increase in network leasing concerns, I wanted to share my observations with you. I listened to compliance updates, discussed the expanding role of Medicare Advantage, and other issues shaping the future of dental coverage. What am I sharing? My thoughts on the amount of audits and fraud in our industry. Are you at risk? Multi-factor authentication is becoming a priority for both small practices and large DSOs. Plus, I'll highlight the questions to ask before outsourcing billing or revenue cycle management in today's third-party–driven market. Let me know if you like this kind of reporting. It was a lot more fun than I expected!  Resources & Links: NADP – The National Association of Dental Plans, representing dental insurers and advocating for better dental benefits. https://www.nadp.org/ Unify Dental – A platform helping DSOs and practices streamline operations and improve efficiency. https://www.unify.dental/ Cotiviti – A leading analytics and payment accuracy company serving healthcare and dental organizations. https://www.cotiviti.com/ Fluent Dental – A technology-driven solution for simplifying dental revenue cycle management. https://fluent.dental/ Connect with Teresa   Website: https://www.odysseymgmt.com/ Email: teresa@odysseymgmt.com Instagram: treeduncan Facebook: Odyssey Management Dental Speaking & Consulting LinkedIn: Teresa Duncan, MS   ------------- Beyond the Operatory Career Workshop: Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

Healthcare providers waste $950 billion annually on manual workarounds caused by fragmented EHR systems and integration costs that don't scale. Shadowbox has developed a patented browser technology that functions as an API, enabling instant EHR data access without traditional integration expenses. In this episode of Category Visionaries, we sat down with Gregory Stein, CEO of Shadowbox, to dissect how the company evolved from serving desperate lab diagnostics customers to building strategic partnerships with established healthcare IT players like HC1 to reach health systems.   Topics Discussed: How the 21st Century Cures Act information blocking provisions remain largely unenforced, allowing EHR vendors to maintain data monopolies through integration fees Shadowbox's technical architecture: a white-labeled browser that accesses the document object model and API endpoints to extract HIPAA-compliant data without custom integrations Market entry strategy—targeting financially distressed lab diagnostics providers who couldn't afford traditional integration costs The HC1 partnership model: splitting the market by use case rather than geography, with HL7/API integrations going to HC1 and rapid, low-cost deployments going to Shadowbox Sequential interoperability capabilities that enable multiple vendor touchpoints (prior authorization, eligibility verification, billing) from a single data extraction   GTM Lessons For B2B Founders: Target customers facing existential financial pressure, not optimal market conditions: Shadowbox entered through lab diagnostics—a commoditized, low-margin segment hemorrhaging money where providers faced $5K-$50K integration costs per connection taking 3-6 months. Greg acknowledged labs are "the redheaded stepchild of healthcare" but their desperation made them willing to pilot unproven technology. The lesson: segments with severe unit economics problems become early adopter pools because status quo costs exceed perceived risk of new vendors. Build a partnerships function before you have market leverage: Shadowbox hired a partnerships-focused employee early to cultivate relationships with RCM vendors and lab information system providers already selling to target customers. Rather than waiting for customer traction to attract partners, they used partnerships to generate initial traction. Greg emphasized healthcare adoption requires credible references—partnerships provide instant credibility entrepreneurs can't buy. Map your ecosystem's existing vendor relationships and pursue co-sell arrangements before achieving meaningful ARR. Use early customer feedback to migrate upmarket, not pivot laterally: Shadowbox started with labs, expanded to imaging centers, but their true ICP emerged as health systems with 500-1,000 community providers on disparate EHRs where traditional integration economics break down. Greg noted: "health systems that have major outreach programs where it doesn't pencil out to have them on their EPIC system." The migration path moved from small, desperate customers toward larger organizations facing the same core problem at scale. Don't mistake initial ICP for ultimate ICP—use early segments as beachheads to validate technology before pursuing customers with better economics. Partner with horizontal competitors when you solve orthogonal use cases: The HC1 deal splits the interoperability market—structured, predictable integrations go to HC1's traditional approach while rapid deployments to fragmented provider networks go to Shadowbox. This isn't channel partnership but market segmentation by use case economics. Greg explained they bring "something complementary to and in some ways competitive" but combined create offerings competitors can't match. Evaluate whether your "competitors" actually serve different jobs-to-be-done within the same category, then structure partnerships around use case delineation rather than territorial splits. Leverage policy expertise as product moat in regulated markets: Greg's Capitol Hill background enabled Shadowbox to support the Coalition for Innovative Lab Testing's successful lawsuit blocking FDA regulation of lab-developed tests—directly protecting their customers' business models. This wasn't marketing but strategic positioning that demonstrates commitment beyond vendor relationships. In heavily regulated industries, founders with policy expertise or advisors who can shape regulatory outcomes create defensibility that pure technology cannot. Consider how industry advocacy amplifies customer loyalty while potentially expanding TAM through favorable regulatory changes.   //   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

Send us a textIn this episode, Brandon dives deep into the most common medical billing mistakes in private practice and how they directly impact profitability, compliance, and patient trust. From benefit analysis errors and upcoding without documentation, to missed NCCI edits, weak authorization management, and delayed claim submissions, he highlights the critical pitfalls that cost practices thousands each year. Brandon stresses that medical billing is not data entry—it's a science requiring skill, strategy, and accountability. By prioritizing daily billing, accurate documentation, denial management, and upfront patient collections, private practice owners can protect cash flow, stay compliant, and create sustainable growth. This episode is a must-listen for any healthcare entrepreneur looking to optimize their revenue cycle management (RCM) and avoid the costly errors that derail so many practices. Welcome to Private Practice Survival Guide Podcast hosted by Brandon Seigel! Brandon Seigel, President of Wellness Works Management Partners, is an internationally known private practice consultant with over fifteen years of executive leadership experience. Seigel's book "The Private Practice Survival Guide" takes private practice entrepreneurs on a journey to unlocking key strategies for surviving―and thriving―in today's business environment. Now Brandon Seigel goes beyond the book and brings the same great tips, tricks, and anecdotes to improve your private practice in this companion podcast. Get In Touch With MePodcast Website: https://www.privatepracticesurvivalguide.com/LinkedIn: https://www.linkedin.com/in/brandonseigel/Instagram: https://www.instagram.com/brandonseigel/https://wellnessworksmedicalbilling.com/Private Practice Survival Guide Book

On this episode of the Raving Patients Podcast, I sit down with nationally recognized revenue cycle expert Cissy Mangrum of RevTech Partners and Maximize RCM Consulting. With nearly three decades of leadership experience in both healthcare and dental, Cissy has helped countless practices streamline their operations, reduce denials, and improve their bottom line. Revenue Cycle Management (RCM) isn't just about billing—it touches every part of your practice, from credentialing to front office workflows to clinical documentation. In this conversation, we break down why most problems occur long before a claim is denied, and how simple behavioral and operational shifts can radically improve your collections, cash flow, and even patient experience. If you've ever wondered why claims are getting stuck, why AR is piling up, or how to make RCM work for your growth goals, this episode is a must-listen. What You'll Learn from This Episode Why RCM starts at the very beginning of your processes, not just the back end The top five reasons claims get denied—and how to prevent them Key benchmarks to know if your practice has an RCM problem (like days in AR and net collections %) How technology and AI are changing verification of benefits and claims submission The connection between RCM, cash flow, and EBITDA—especially if you're preparing to sell your practice The impact of RCM on patient experience, and how transparent communication and financing options build trust and loyalty — Key Takeaways 02:50 Introduction to Revenue Cycle Management 04:40 Understanding Revenue Cycle Management 12:55 Challenges in Revenue Cycle Management 17:48 Common Issues in Claims Submission 20:08 Identifying RCM Issues 25:59 Impact of RCM on Cash Flow and EBITDA 27:54 RCM and Patient Experience 32:15 Technological Innovations in RCM 34:33 Lightning Round Q&A — Connect with Cissy Want to learn more from today's guest? You can reach Cissy at: Email (RevTech Partners): cissy.mangrum@revtechpartners.com Email (Maximize RCM Consulting): cissy.mangrum@maximizeRCM.com Websites: revtechpartners.com | maximizercmconsulting.com  LinkedIn: Connect with her directly on LinkedIn—she'd love to hear from you. — Learn proven dental marketing strategies and online reputation management techniques at DrLenTau.com. This podcast is sponsored by Dental Intelligence. Learn more here. This podcast is sponsored by CallRail, call tracking & lead conversion software for dentists. Find out more here. Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Lessons Patients Taught Me The Hard Way   Some of the most powerful lessons in dentistry don't come from textbooks or training, but from real-life patient encounters that test your patience, humility, and adaptability. In this episode, I reflect on situations where patients pushed me out of my comfort zone and forced me to grow in ways I didn't expect. You'll hear how these interactions shaped my approach to communication, accountability, and practice management. More importantly, you'll discover why it's okay when patients don't connect with you and how to manage tough patient personalities. These aren't just stories to make you laugh; they're lessons to help you navigate the unpredictable world of patient care with confidence. Connect with Teresa   Website: https://www.odysseymgmt.com/ Email: teresa@odysseymgmt.com Instagram: treeduncan Facebook: Odyssey Management Dental Speaking & Consulting LinkedIn: Teresa Duncan, MS   ------------- Have you ever wondered what career opportunities in dentistry exist beyond clinical care? Whether you're a dentist, hygienist, assistant, or manager, this full-day, in-person workshop is your chance to explore new paths in speaking, coaching, consulting, and more. Join Teresa and Angela on March 6th 2026  in Northern Virginia. Limited to just 20 attendees. Registration is open. Secure your spot today:

For our final Live from the Alliance Conference episode of Home Health Revealed, Hannah Vale and Sara Nigro close out the series with an incredible conversation with Melissa Battistella of Cadre Hospice. With deep expertise in revenue cycle management (RCM) and years of hands-on leadership, Melissa shares what it really takes to guide teams through change while keeping people—and purpose—at the center. Melissa dives into: Leveraging human capital and why investing in your people delivers the greatest returns Teaching teams to master Medicare collections with confidence How to bundle into payor projects and document strategically so denied claims get paid The value of training as an investment, staying ahead of RCM “snowballs,” and building sandboxes for safe experimentation Avoiding analysis paralysis by creating safe spaces to use data, explore root causes, and strengthen decision-making Her insights make it clear: lasting success in RCM isn't just about processes—it's about people leading those processes. If you're ready to rethink how you support, teach, and empower your team, this is the conversation for you. Chapters (00:00:02) - Home Health Revealed(00:00:53) - Revenue Cycle Team Lead(00:06:18) - What is your key to success?(00:09:02) - What's the most creative thing your team has done to stretch a(00:10:48) - Billing 101: Confidence in your EMR System(00:12:53) - Interview with RCM Home Health and Hospice CEO