Podcasts about RCM

In this episode, Lindsay Gross, Founder & CEO of Claims Theory, shares her journey from 20+ years in revenue cycle leadership to launching a fast-growing consulting firm. She dives into the challenges of RCM staffing, scaling smart, and the leadership lessons that fuel sustainable growth.

In this episode, Lindsay Gross, Founder & CEO of Claims Theory, shares her journey from 20+ years in revenue cycle leadership to launching a fast-growing consulting firm. She dives into the challenges of RCM staffing, scaling smart, and the leadership lessons that fuel sustainable growth.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   She started charging just $40 a month—now she runs a business that hit 7 figures. In this episode, Amanda DeMoura shares how her small side hustle evolved into a thriving dental business, what it really took behind the scenes, and the unexpected turns that shaped her success. In this episode, we talk about her journey from the ground up, navigating remote work and entrepreneurship, and what happens when growth forces you to make big, uncomfortable decisions. If you're in the dental industry, healthcare admin, or just curious how real businesses are built behind the scenes, this conversation is full of honest moments. It's a story about ownership, reinvention, and figuring it out as you go. Connect with Amanda: Website: https://amandademoura.com/ Email: Amanda@amandademoura.com Podcast: Breath of Fresh Air - Dental Podcast ------------- 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/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

Private equity and venture capital are rapidly reshaping healthcare—and revenue cycle leaders are feeling the impact first. In this episode, we unpack why these acquisitions are happening, what to expect when capital comes in, and how RCM teams can lead through the transition instead of being left behind.

In this episode of the Becker's Healthcare Podcast, Erika Spicer Mason speaks with Dr. Jessica Nave of Emory Healthcare and Dr. Sari Green of Accuity about the transformative impact of physician involvement in revenue cycle management. They explore how clinical expertise is helping health systems address denials, improve documentation accuracy, and navigate tightening financial margins through strategic partnerships and innovation. Tune in to learn how Emory and Accuity are advancing a more integrated, physician-led approach to RCM success.This episode is sponsored by Accuity.

There's new technology in revenue cycle management, and it's designed to make your RCM more effective and more profitable. My guest today runs a successful RCM business. He spends a good amount of time keeping up on new tech in RCM, and he'll tell us what's exciting to him.Vinod (Vinny) brings over 15 years of experience in operations, financial analysis, strategy, growth, corporate development, strategic planning, and marketing. At Medical Billing Wholesalers, he is involved in applying his experience to optimize revenue cycle process flows to improve our clients' profitability and performance.In this episode Carl White and Vinny Sankaran discuss:AI developments in RCMAutonomous codingBotsWant to be a guest on PracticeCare®?Have an experience with a business issue you think others will benefit from? Come on PracticeCare® and tell the world! Here's the link where you can get the process started.Connect with Vinny Sankaranhttps://www.linkedin.com/in/vinodsankaran/Connect with Carl WhiteWebsite: http://www.marketvisorygroup.comEmail:  whitec@marketvisorygroup.comFacebook:  https://www.facebook.com/marketvisorygroupYouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmigLinkedIn: http://www.linkedin.com/in/healthcaremktg

In this episode of the Becker's Healthcare Podcast, Erika Spicer Mason is joined by Purvi Bhatt of ECG Management Consultants and Catherine Nabavi of Siemens Healthineers to explore how health systems are evolving their strategies in response to tighter reimbursements, growing outpatient demand, and shifting regulatory landscapes. The discussion dives into payer negotiations, the impact of changing Certificate of Need (CON) laws, and the expanding role of AI and digital RCM tools in driving outpatient efficiency. Tune in for expert insights on aligning data-driven innovation with financial and operational sustainability in today's dynamic healthcare environment.This episode is sponsored by Siemens Healthineers.

In this powerful episode of What's Best For The Patient Is Best For Business, host Jerry Durham sits down with Dr. Rebeca Segraves, DPT, co-founder of Enhanced Recovery After Delivery, to discuss the untapped potential in women's health and how shifting the model of care can create a massive impact.Dr. Segraves shares her journey from working in oncology and post-surgical rehab to revolutionizing maternal health by advocating for early intervention physical therapy after C-sections and other pelvic surgeries. She breaks down how her work has not only improved patient outcomes but also saved hospitals hundreds of thousands of dollars, proving that patient-centered care is also financially sustainable. The conversation dives into:• The $1 trillion opportunity gap in women's health — and why the current system fails to address it.• How orthopedic and sports medicine models can (and should) be applied to women's health — including prehab, early intervention, and lifelong care.• The power of storytelling and media — why documenting patient experiences and provider success is a key in changing healthcare.• Why "pro bono" care isn't always the answer — and how to create equitable systems that respect both patients and practitioners.• The importance of personal transformation — Dr. Seagraves reveals how she turned rejection from her own mentors into a tipping point for systemic change.Tune in for an inspiring discussion on breaking barriers, redefining value in healthcare, and why the future of physical therapy demands bold, patient-first thinking.Listen now and rethink what's possible in your practice. 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!

Future of RCM is Not Services

More than two years after the pandemic-era Medicaid continuous enrollment provision ended, millions of eligible patients are without coverage, creating a crisis for hospitals and healthcare systems that rely on Medicaid reimbursement dollars. Adding to the strain on providers, Medicare physician payments have been cut for the fifth consecutive year. Compounding these challenges, the number of patients presenting as self-pay or on high-deductible health plans (HDHP) continues to grow. Uninsured, self-pay, and high-deductible patients take longer to pay — if they pay — and have a higher risk of write-off. What can providers do to protect their financial health? Listen to the podcast to hear RCM optimization experts discuss five proven tips for improving revenue capture, even in the most challenging of times. Providers will learn how to optimize reimbursement, reduce administrative burden, and improve the patient's financial experience. This episode is sponsored by ZOLL.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   A stroke stole his manual skills—could it end his career? In this episode, Dr. Gregory Wu opens up about the life-altering moment a stroke derailed his clinical career and how it made him a better businessman and leader. At the peak of his practice, Greg faced a sudden medical crisis that left him unable to perform dentistry—a devastating blow to any clinician. He shares what it felt like to lose not just motor function, but his professional identity. They dive into the emotional impact, the grieving process, and the harsh reality of what happens when your livelihood is tied to your hands. Greg also discusses the lessons he learned about disability insurance, financial planning, and how ego can complicate the recovery process. If you've ever wondered what would happen if you couldn't practice tomorrow, this conversation is your wake-up call. Dr. Wu's story is one of resilience and redefining purpose when the career you love is forever altered overnight.   Connect with Dr. Gregory Wu   Instagram:  the_way_of_the_wu LinkedIn: Gregory Wu Email: greg.wu at emerson-dental.com    Online Summit: Built to Last: How to Scale, Sell, and Leave a Legacy  May 30th from 8:00am to 4:00pm CST ------------- *Is your AR out of control? Is your admin team burning out?

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Angela Diaz, DPT, Vice President of Market Development for TailorCare, to explore the future of physical therapy in a value-based healthcare system. With decades of experience as a clinician, practice owner, and healthcare executive, Angela shares her insights on why PTs must lead—or risk being left behind—in the shift toward patient-centered, outcomes-driven care.Key Takeaways:-  Value-Based Care Is Here – Physical therapists must transition from fee-for-service models to payment structures that reward high-quality outcomes, cost efficiency, and patient satisfaction.-  Data Is Non-Negotiable – PTs need to track pain, functional outcomes, and patient satisfaction to prove their value. Angela emphasizes: "If you can't measure it, you can't improve it—or get paid for it."-  The Power of Shared Decision-Making – Angela shares a case study of a knee pain patient who avoided surgery through tailored PT and lifestyle changes—highlighting how aligning care with patient goals improves outcomes and reduces costs.-  PTs as First-Line Providers – In TailorCare's model, PTs triage musculoskeletal cases, collaborating with PCPs, orthopedists, and behavioral health to streamline care and prevent unnecessary procedures.-  Future-Proof Your Practice – Angela outlines four trends reshaping PT: hybrid care (telehealth + in-person), integrated care teams, AI/wearables for outcomes tracking, and patient choice driving reimbursement.-  "Step Up or Get Left Behind" – Angela's rallying cry: PTs have a unique role in prevention, recovery, and wellness—but must advocate for their place at the table in policy and payment reform.Whether you're a clinician, practice owner, or healthcare leader, this episode is a masterclass in positioning physical therapy as the cornerstone of value-based MSK care. Tune in and rethink what's possible for your practice and your patients. 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!

Agentic AI has the potential to revolutionize healthcare operations by automating tasks, predicting challenges, and optimizing workflows. In this episode, Harpaul Sambhi, founder and CEO of Magical, explores how AI employees are transforming the workplace and addressing inefficiencies in healthcare. He highlights the burden of tedious tasks and technology integration challenges that shift focus away from patient-centric care. Harpaul contrasts the adaptability of Agentic AI, exemplified by Magical's AI employee earning an HFMA certification, with the limitations of Robotic Process Automation (RPA). He emphasizes that RCM leaders are embracing Agentic AI for its intelligence and scalability while advising healthcare executives to prioritize clarity, collaboration, and adaptability in digital transformation. Join us and discover how Agentic AI can provide a competitive advantage and transform healthcare operations! Resources: Connect with and follow Harpaul Sambhi on LinkedIn. Learn more about Magical on their LinkedIn and website.

In this episode of Leaders in Medical Billing, host Chanie Gluck sits down with Ramesh Gogineni, CEO of Med-Strategies, who shares his entrepreneurial journey from India to the U.S., and how he built a hybrid offshore/onshore medical billing model along the way.  Formally an engineer with plenty of operations and tech experience, Ramesh's healthcare career started when he married a physician and decided to set up a company that set up Electronic Health Records (EHRs) and then a billing company. He highlights the challenges of early offshoring, why blending automation with human expertise is critical for success, and the optimal staffing mix for RCM operations today.  He also offers practical insights on using RPA, AI, and smart vetting processes to drive efficiency while maintaining quality in Revenue Cycle Management. Listen to this episode to hear first-hand experience from someone who has spent decades experimenting with offshoring medical billing. Plus, Ramesh shares what he's looking forward to in the future of medical billing: improving relationships between payors and providers.  You can find out more about Med-Strategies here: https://med-strategies.com/  Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology.   

Evan Martin of ZoomCare joins us to explore the intersection of automation and expertise in RCM, offering practical insights into denial management, data usage, and building smarter revenue cycle strategies.Brought to you by www.infinx.com

In this episode of What's Best For The Patient Is Best For Business, host Jerry sits down with Dr. Lizzie Bellinger, DPT and Founder of Alliance Physical Therapy, to explore her inspiring journey from clinician to entrepreneur.Two years into running her thriving practice in Baltimore, Maryland, Dr. Bellinger shares how personal loss and a deep commitment to inclusive care led her to create a clinic specifically serving the LGBTQIA+ community. From selecting the right EMR to designing an affirming patient experience, she reveals how clarity of mission shaped every decision—and ultimately fueled her rapid success.Key Takeaways:- Why niche focus drives growth – How identifying an underserved community led to strong demand and a 93% first-visit arrival rate.- Building a culture-first practice – The intentional choices behind everything from intake forms to front-desk interactions.- Productivity vs. arrivals – Why Dr. Bellinger ditched traditional "productivity" metrics in favor of measuring real patient engagement.- The power of waitlists (and when they're a red flag) – How staffing and systems impact access to care.- Lessons from early stumbles – Medicare site visits, construction delays, and the moment she refused to accept her clinic keys.Whether you're a practice owner or simply passionate about patient-centered care, this episode is a masterclass in aligning business strategy with values. Tune in for an authentic conversation about resilience, representation, and redefining success in healthcare. 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!

Litigation Strategies In Pathology RCM On this second installment of our pathology RCM series, we take a high-level look at a topic many practices avoid until it's too late—litigation as a strategic tool to protect and recover revenue. With decades of experience supporting pathology groups, David Smith, COO of MedReceivables Advisor, returns to guide us through the legal considerations that come into play when reimbursement efforts stall. 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

This episode explores the foundation of Infinx's cloud-based Revenue Cycle Agent Platform and its integration of adaptive, RCM-trained AI agents. Learn how these digital agents bring goal-oriented, context-aware intelligence to the revenue cycle, transforming automation into real-time decision-making support.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter What actually happens when an unexpected loss or injury shatters the routine of your practice? It's a question no one wants to ask—until it's too late. I would like to walk you through the uncertainty that can unfold in a dental practice when the unexpected happens to the doctor at the center of it all. My hope is that you are prepared - nobody told me that, remember? The sudden loss of a dentist—especially in a solo or small practice—is not just a tragedy. It's a disruption that ripples through patients, staff, finances, and even the long-term value of the business. What has to happen right away? Should the office close? How do you support a grieving team while still making decisions that keep the doors open? But death isn't the only event that can throw a practice into turmoil. I also discuss scenarios like disability, serious injury, or anything that keeps a dentist from returning to work. Each one brings its own emotional and operational fallout, and without a plan, the burden often falls squarely on the manager's shoulders—right when they're least prepared to carry it. And what if the unexpected - good or bad - happens on the other side of the desk? What if it's you—the manager—who needs to step away, transition into a new career, or start something of your own? We'll explore how to prepare for your own exit with intention and clarity, making sure the practice doesn't fall apart the moment you walk out the door. This is a raw and necessary look at what no one wants to talk about—until it's already happening. Because if no one else has told you what to do when it all goes sideways, I'm here to help and to make sure you're not caught in the dark. -------------   Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ______________  *Is your AR out of control? Is your admin team burning out?

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Dr. Dionne Middlebrooks, DPT and Founder of Reign Physical Therapy & Wellness, a mobile-based practice in Stockbridge, GA. Dr. Middlebrooks shares her inspiring journey from burnout in a traditional clinic setting to building a thriving business that prioritizes patient-centered care, flexibility, and community impact.Key Takeaways:- From Burnout to Empowerment: Dionne opens up about leaving a high-volume clinic where she saw 30+ patients a day, struggling to balance work and family life. Her decision to start a mobile practice allowed her to reclaim her time, provide better care, and be more present for her family—all while homeschooling her three children!- The Power of Time Blocking: Learn how Dionne manages her busy schedule as a mom, wife, and business owner by meticulously time-blocking her days—a strategy that ensures productivity and prevents overwhelm.- Mobile PT & Meeting Patients Where They Are: Dionne's mobile practice eliminates barriers for busy patients, offering personalized care in the comfort of their homes. She discusses why this model fosters deeper trust and compliance compared to traditional clinic settings.- Collaborative Care & Women's Health: Reign PT goes beyond physical therapy, partnering with nutritionists, mental health specialists, and other providers to address root causes of health issues—especially in underserved areas like women's health.- Redefining “Discharge”: Dionne challenges the notion of discharging patients, emphasizing lifelong relationships and “tune-ups” to maintain optimal health over time.- Advice for Clinicians & Entrepreneurs: Dionne shares hard-won lessons on growth, staying true to your mission, and the importance of saying “I don't know” to build trust and foster collaboration.Whether you're a healthcare provider, entrepreneur, or someone navigating work-life balance, this episode is packed with actionable insights on building a purpose-driven business that serves both patients and your personal well-being. 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!

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Angela McCoy, Vice President of Revenue Cycle Operations at AdvancedMD, to explore her inspiring career journey and the innovations transforming the RCM space.  Angela shares how she rose through the ranks at AdvancedMD, a leading Project Management (PM) and Electronic Health Records (EHR) platform, by embracing roles and responsibilities others hesitated to take. She discusses how AdvancedMD is leveraging bots, managing offshore vendor relationships, and investing in AI to improve operational efficiency to enhance the billing experience for clients. Angela shares AdvancedMD's philosophy behind building your own AI tools versus white-labeling existing technology.  Tune in to Angela's insights on RCM innovation, leadership development, and the future of AI in medical billing!  Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology.   

In this episode of “What's Best For The Patient Is Best For Business”, Jerry Durham sits down with John Delucchi, DPT, CEO & Co-founder of COACH!, to discuss how his innovative company is transforming musculoskeletal care by bridging the gap between rehab and long-term fitness.John shares insights into COACH!, an online platform connecting patients with expert-level coaches (PTs, strength coaches, chiropractors, and athletic trainers) to continue their recovery journey after formal rehab ends. He also dives into his collaboration with Brett Miller, MD, founder of the HURT! App, a musculoskeletal triage system that fast-tracks patients to the right care—saving time, money, and frustration.  Key Takeaways:- Breaking Down Silos: COACH! strengthens the continuum of care by integrating PT, fitness, and performance—ensuring patients don't fall through the cracks after discharge.  - The HURT! App: A free, nationwide triage tool connecting patients with 2,000+ orthopedic professionals to avoid unnecessary ER visits and delays in care.  - Virtual Coaching: COACH! provides scalable, on-demand programming for post-rehab patients (e.g., ACL recoveries, total knees) to bridge the gap to full activity.  - Collaboration > Competition: John emphasizes leveraging multidisciplinary expertise instead of PTs trying to "do it all"—highlighting the future of integrated healthcare.  - Access & Accountability: Both platforms prioritize “right person, right place, right time” care while holding providers to high standards through feedback loops.  Tune in to learn how these models are disrupting outdated systems—and why collaboration, not silos, is the key to better patient outcomes and business growth. 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!

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Are you a dentist or manager in a seemingly endless struggle to stay profitable on PPO plans? You're definitely not alone. One of my first trusted resources in dentistry was Unlock the PPO's Sandy Hudson and Lisa Weber. Sandy joined me for a truly nerdy but very informative chat about networks and negotiations. We talked about the hidden challenges within shared network agreements and how she avoids “over-networking” and helps us understand opt-out procedures.  

In this insightful episode of What's Best For The Patient Is Best For Business, Jerry sits down with Dr. Mark Kargela, DPT—a seasoned physical therapist, educator, and thought leader in patient-centered care. Mark shares his transformative journey from a manual therapy-focused clinician to embracing a biopsychosocial approach that prioritizes the whole patient—not just their symptoms.Jerry and Mark dive deep into the critical connection between clinical expertise and front-desk operations, exploring how seamless communication and intentional processes can elevate patient outcomes while reducing provider burnout. They discuss the power of active listening, setting realistic expectations, and leveraging teamwork to create a frictionless patient experience.Key Takeaways:- The Shift from Fixing to Understanding – Mark reflects on his transition from a "fix-it" mindset to embracing pain science and the biopsychosocial model, emphasizing the importance of addressing patients' emotional, social, and environmental factors.- The Front Desk's Role in Patient Success – Discover why the front desk is the linchpin of a thriving practice—setting the tone, gathering crucial patient insights, and ensuring providers walk into each session prepared.- Listening Over Treating – Learn why spending more time on the subjective exam leads to better clinical outcomes than rushing into interventions.- Team-Based Care for Better Outcomes – How breaking down silos between clinicians and administrative staff fosters trust, reduces no-shows, and improves patient retention.- The Power of Sales in Healthcare – Why PTs should embrace ethical sales tactics to better communicate their value and align patient expectations from the first interaction.Tune in for a dynamic conversation filled with actionable insights on creating a clinic culture where what's best for the patient truly drives business success. 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!

The health care system wastes an estimated $150 billion each year because patients can't get transportation to their preventative care appointments. This is the problem addressed by Kinetik, a company that manages non-emergency transportation (NEMT) for health care.In this interview, we hear about the far-reaching consequences of poor transportation coordination and the benefits of modern RCM in transportation from Elizabeth Jepsen, Chief of Staff at Kinetik, and Denise Kajanoff, Senior Vice President of Payer Strategy and Growth.Learn more about Kinetik: https://kinetik.care/Health IT Community: https://www.healthcareittoday.com/

AI is reshaping healthcare revenue cycle roles, not replacing them. Lavonne Hamby, Client Services Manager at Infinx, joins us to discuss AI's impact on job structures, workforce adaptation, and accountability—helping RCM professionals navigate change while staying in control.Brought to you by www.infinx.com

In this episode of What's Best For The Patient Is Best For Business, Jerry chats with Elliot Cleveland, DPT, founder of Marching Health and co-founder of The Movement Doctors. Elliot shares his journey from PT school to building two thriving businesses with a focus on high patient arrival rates.Key Takeaways:- Value First, Always – Elliot reveals how leading with value—not price or insurance—ensures patients show up, stay engaged, and get results.- The Power of Process Over Product – Learn why successful sales and patient retention come from a repeatable system, not just clinical expertise.- Speak Your Patient's Language – Discover how shifting your messaging to resonate with your ideal patient (or band director!) builds trust and drives conversions.- Why Arrival > Scheduling – Elliot breaks down how his clinics achieve 100% arrival rates (even during holiday weeks) by setting clear expectations upfront.- The 80/20 Rule in Practice – Find out how focusing on the right 20% of efforts (and patients) can maximize revenue and minimize headaches.Whether you're a PT, business owner, or just love a good underdog story (Elliot was bottom of his PT class but now runs multiple successful ventures), this episode is packed with actionable insights.Listen now and rethink how you attract, convert, and retain patients—because what's best for them is best for your business. 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!

Infinx applies AI to revenue cycle management in health care to provide organizations a superior result. Navaneeth Nair, its Chief Product Officer, views AI refinement as a life cycle in which humans constantly monitor and evaluate its results, giving AI feedback so that it keeps up with the evolution of RCM.Essentially, at Infinx, AI takes on the large volume of low-complexity tasks in order to free human experts to handle the more rare high-complexity tasks.Learn more about Infinx: https://www.infinx.com/Health IT Community: https://www.healthcareittoday.com/

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Outsourcing your dental billing can either clean up your RCM  or leave you picking up the pieces. Before you trust someone with your cash flow, make sure you know exactly what to ask and what to look for in a biller. In this episode, Julia Nevo shares hard-won lessons from working in the world of dentistry and dental billing. We cover what makes a great dental biller truly valuable, and why outsourcing without a solid vetting process can backfire. You'll learn how to filter for the right skills, systems, and mindset — especially when it comes to handling dental insurance. We dig into the most common billing mistakes dental offices make, what red flags to watch out for during outsourcing, and how to avoid billers who talk a big game but can't deliver. Julia also explains how a dental biller  can be your extra layer of protection against carrier and legal audits. Whether you're considering outsourcing or looking to upgrade your current billing setup, this conversation will help you protect your revenue, sharpen your processes, and grow a more sustainable dental business. ------------- Connect with Julia Website:  https://stellardentalsolutions.com/ -------------   Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy   ------------- 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/ -------------   Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- 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   #DentalBilling #DentalInsurance #DentalClaims  

In Episode 115 of What's Best For The Patient Is Best For Business, Jerry sits down with Keith Campagna, Chief Growth Officer at Accounted4, a company dedicated to helping healthcare practice owners gain financial clarity and confidence through data-driven insights.Many private practice owners struggle with making proactive financial decisions, often relying on outdated, rearview-mirror accounting that focuses solely on past performance and taxes. Keith explains how Accounted4 shifts this mindset by providing real-time cash flow analysis, forward-looking projections, and strategic financial guidance—essentially acting as a GPS for your business finances rather than a rearview mirror.Key Takeaways:- Financial clarity = Mental clarity – Understanding your numbers reduces stress and empowers better decision-making.- Stop "managing by the checkbook" – Learn how to use financial data to lead your business, not just react to it.- Recruitment & culture benefit from financial transparency – Attract top talent by showcasing clear growth pathways tied to measurable results.- Current-state assessment is critical – Before planning for the future, you need to know where your practice stands today.- Numbers drive culture, strategy, and scalability – Whether it's tax planning, owner compensation, or expansion, data should guide your path forward.If you're ready to turn your financial data into a strategic asset, visit accounted4llc.com to schedule a free QuickBooks assessment and start steering your practice toward success. 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!

About Harpaul Sambhi:Harpaul Sambhi is the CEO and Co-Founder of Magical and a Limited Partner at Various VC funds. He previously worked as an Advisor at On Deck, an Entrepreneur In Residence at Bain Capital Ventures, and a former Product Manager at Microsoft. Harpaul attended the University of Waterloo.Things You'll Learn:AI is evolving from simple automation to Agentic AI, which can learn, adapt, and make decisions.Healthcare workers spend too much time on administrative tasks, but AI can automate these and improve patient care.RPA is becoming obsolete, while Agentic AI offers a more flexible and intelligent solution.AI in RCM can reduce denials, lower costs, and speed up reimbursements, improving financial performance.Successful AI implementation requires clear goals, collaboration, and adaptability.Resources:Connect with and follow Harpaul Sambhi on LinkedIn.Learn more about Magical on their LinkedIn and website.

In this episode of What's Best For The Patient Is Best For Business, Jerry continues his insightful conversation with physical therapist and sales expert Biagio Mazza in Part 2 of their discussion. Building on the foundation laid in Part 1, Biagio dives deeper into the art and science of sales, drawing striking parallels between the skills required in physical therapy and those needed to excel in sales. Whether you're a PT looking to improve patient outcomes or a business professional aiming to refine your sales strategy, this episode is packed with actionable insights.Key Takeaways:1. Sales and PT Are Both an Art Based in Science: Biagio explains how both fields require a blend of technical knowledge and interpersonal skills, emphasizing the importance of adapting to individual needs rather than relying on rigid techniques.2. The Importance of Systems: Learn why having a structured sales process—similar to a PT treatment plan—is crucial for success. Biagio outlines his seven-step sales system, from building rapport to closing the deal.3. Emotional Decision-Making: Discover why 95-100% of decisions are emotionally driven and how to identify and address the emotional "pain points" of your clients or patients.4. The Power of Bonding and Rapport: Biagio shares practical tips for establishing trust and connection, whether you're in a clinical setting or a sales meeting.5. Practice Makes Proficient: Just like mastering PT techniques, becoming skilled in sales requires consistent practice and refinement over time.Tune in to hear Biagio break down his proven sales framework, complete with real-world examples and strategies you can apply immediately. Whether you're a PT, business owner, or sales professional, this episode will leave you with valuable tools to enhance your communication, build stronger relationships, and drive better results.Listen now and take your skills to the next level! 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!

Enhancing RCM Efficiency with AI Agents and Advanced Document Capture Solutions Join host Stuart Newsome for an Office Hours session as we explore how AI-powered document capture and AI agents are eliminating documentation bottlenecks, reducing manual data entry, and improving claim accuracy across healthcare specialties. Learn how AI is transforming RCM efficiency for radiology, labs, PT/OT, cardiology, and more! 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

In this episode of the podcast, Jerry sits down with Biagio Mazza, a seasoned physical therapist, business owner, and sales expert. With over two decades of experience in the physical therapy industry, Biagio shares his journey from starting his private practice in 2005 to founding *The PT Gold Mine*, a continuing education company focused on helping PTs master the business side of their practice.Jerry and Biagio dive deep into the parallels between physical therapy and sales, emphasizing how both professions are an art grounded in science. They explore the importance of systems, structure, and the entrepreneurial mindset in building a successful practice. Biagio also opens up about the challenges he faced, including scaling his practice, navigating the complexities of insurance contracts, and learning to ask the right questions.Key Takeaways:1. The Art and Science of Sales and PT: Both physical therapy and sales require a blend of technical knowledge and interpersonal skills. Success in either field depends on understanding the science behind the practice while mastering the art of communication and relationship-building.   2. The Power of Systems: Whether it's running a podcast or a PT practice, having a structured system is crucial for consistency and growth. Biagio and Jerry discuss how investing in the right guidance and tools can lead to significant ROI.3. Knowing Your Numbers: Understanding your financials and setting clear goals is essential for any business owner. Biagio stresses the importance of tracking key metrics to ensure profitability and sustainability.4. The Value of Front Desk Staff: Your front desk team is a critical asset. Empowering them to solve problems and contribute to decision-making can lead to better patient experiences and smoother operations.5. The Importance of Target Markets: Narrowing down your ideal client and referral sources can help you focus your marketing efforts and avoid wasting time and resources on unproductive leads.6. Learning from Mistakes: Both Jerry and Biagio reflect on the mistakes they made early in their careers and how those experiences shaped their approach to business and patient care. They emphasize the importance of sharing these lessons to help others avoid similar pitfalls.7. The Role of Negotiation and Sales in PT: Biagio shares insights from his course on negotiation and sales, highlighting how these skills are vital for PTs looking to grow their practices and improve patient outcomes.Tune in for an engaging conversation filled with practical advice, personal anecdotes, and actionable strategies for PTs and business owners alike. Stay tuned for Part Two, where Jerry and Biagio continue to explore the intersection of physical therapy, sales, and entrepreneurship. 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!

In this episode, Jerry sits down with Dr. Nick Hoopes, a Doctor of Physical Therapy based in Ohio, for a deep dive into the art of patient care, communication, and the challenges of navigating biases in clinical practice. Nick shares his experiences and strategies for building trust, managing patient expectations, and fostering therapeutic alliances.Key Takeaways:1. Building Trust Through Communication: Nick emphasizes the importance of listening to patients and understanding their perspectives, even when their beliefs may conflict with evidence-based practices. He shares how acknowledging a patient's experiences and beliefs can create a foundation for trust and collaboration.2. Managing Expectations: The conversation highlights the critical role of setting and managing patient expectations. Nick explains how aligning treatment plans with patient goals and being transparent about uncertainties can lead to better outcomes.3. The Power of Therapeutic Alliance: Both Jerry and Nick discuss the significance of building strong relationships with patients. Nick shares how investing in the personal side of care, rather than just the technical aspects, can lead to long-term success and patient loyalty.4. Navigating Biases and Defensiveness: Nick opens up about the challenges of addressing patient biases and defensiveness, especially when patients come in with preconceived notions about their conditions. He offers practical advice on how to approach these situations with humility and empathy.5. Earning Every Visit: The episode concludes with a discussion on the importance of earning each visit by continuously engaging with patients, asking better questions, and adapting treatment plans based on their feedback and progress.Tune in to this episode for a thought-provoking conversation that will resonate with clinicians and anyone interested in the nuances of patient-centered care. Whether you're a seasoned physical therapist or just starting out, Nick's insights and Jerry's probing questions will leave you with valuable lessons to apply in your practice.Listen now and discover how putting the patient first can transform your approach to healthcare. 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!

In this episode of Pathmonk Presents, we sit down with Alyssa Labeylie, Director of Marketing at ENTER, an AI-first RCM platform. Discover how ENTER helps healthcare providers navigate the complexities of medical billing. Alyssa explains how their AI-powered solution streamlines claims, reduces denials, and accelerates payments, freeing up providers to focus on patient care. Learn about the challenges of manual billing processes and how ENTER's innovative technology is transforming the healthcare revenue cycle.

The Influence of AI Agents on Provider Success in RCM How is automation transforming provider success in RCM? Join Stephanie Solich, Regional VP of Enterprise Sales at Infinx, as she shares insights on reducing denials, optimizing labor, and improving financial predictability through AI-driven Agents. 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

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Missing these insurance secrets could cost your dental practice - are you prepared?   From navigating insurance portals and password overload to the shift toward Electronic Funds Transfers (EFTs), the demands on dental teams are growing. Colleen Huff shares insights on handling leased networks, making informed choices about dental insurance, and avoiding the pitfalls that catch many offices off guard.   We also dive into Medicare Advantage Plans—how they're changing, why benefits might shrink, and what this means for your office. With Medicare benefits in flux, reviewing plans annually is essential to avoid surprises. If your practice isn't keeping up with Medicare updates, you could be facing unnecessary complications.   Don't let insurance confusion lead to costly mistakes. Learn how to manage these challenges with smart strategies, proper coding, and the right tools. Colleen also previews her upcoming training modules to help you take control of your dental insurance game. This is for you, insurance nerds! -------------   Connect with Colleen:   Facebook: Colleen Huff- Dental Insurance Coach Instagram: @dicoach22 LinkedIn: Colleen Huff Website: https://colleenhuff.com/   -------------   Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy   ------------- 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/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- 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   #MedicareAdvantage #Dental #Dental Insurance  

Join Stuart Newsome as we explore how AI-powered document capture and AI agents are eliminating documentation bottlenecks, reducing manual data entry, and improving claim accuracy across healthcare specialties. Learn how AI is transforming RCM efficiency for radiology, labs, PT/OT, cardiology, and more!Brought to you by www.infinx.com

VK Eswarakrishnan, Director of Product Management, and Christina Harkins, Senior Revenue Cycle Manager, discuss how AI-driven revenue cycle management (RCM) technology enhances workflow automation, improves denial management, and optimizes AR recovery. Learn how intelligent automation and predictive analytics are transforming RCM operations for healthcare organizations.

In this episode, Jerry sits down with Hunter McWhorter, a Business Consultant at Paysafe and former front desk professional in the physical therapy industry. Hunter shares his unique journey from starting as a Patient Services Coordinator at PT Solutions to becoming a key player in the business and tech side of healthcare and payment processing.  Throughout the conversation, Hunter and Jerry dive deep into the often-underestimated value of front desk teams in physical therapy practices. They discuss how front desk staff are more than just taskmasters—they are the directors of first impressions, crucial to patient retention, satisfaction, and overall clinic success. Hunter shares actionable insights on how to empower front desk teams, improve patient experiences, and leverage tools like NPS (Net Promoter Score) to track and enhance clinic performance.  Key takeaways from this episode include:  1. The Power of the Front Desk: Front desk teams are the backbone of patient experience and retention. They are the first and last point of contact, making their role critical to the success of any clinic.  2. Training and Systems Matter: Proper training and systems are essential for front desk success. Without them, even the most talented team members can fall short.  3. NPS as a Game-Changer: Implementing NPS scores can provide invaluable feedback on patient satisfaction, helping clinics identify areas for improvement and celebrate wins.  4. Connecting Marketing to Sales: Marketing campaigns are only as effective as the front desk's ability to manage leads. Training and preparation are key to converting leads into loyal patients.  5. Payment Processing Insights: Hunter shares how modern payment solutions, like those offered by Paysafe, can streamline operations, improve patient convenience, and even enhance marketing efforts.  Whether you're a clinic owner, front desk professional, or someone interested in the intersection of healthcare and business, this episode is packed with practical advice and real-world examples. Tune in to learn how to elevate your front desk team, improve patient satisfaction, and run a more efficient and profitable practice.Listen now to gain fresh perspectives and actionable strategies from Hunter McWhorter, a true advocate for front desk excellence and business innovation in the healthcare space.Follow Hunter McWhorter on LinkedIn for more insights, and don't forget to hit “subscribe” for more episodes like this one! 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!

AI has revolutionized clinical workflows, but its impact on revenue cycle management (RCM) is just as transformative. Health system CIOs must take notice, as AI-driven automation is rapidly reshaping contract management, denials reduction, and payment processes. Those who fail to embrace these innovations risk inefficiencies and financial setbacks in an increasingly competitive landscape. According to […] Source: Partner Perspective: AI Changing the RCM Game Too, CIOs Would Do Well to Take a Look on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

How is automation transforming provider success in RCM? Join Stephanie Solich, Regional VP of Enterprise Sales at Infinx, as she shares insights on reducing denials, optimizing labor, and improving financial predictability through AI-driven Agents.Brought to you by www.infinx.com

Chanie Gluck is joined by John Gwin, founder and CEO of The Auctus Group, a consulting firm specializing in financial and operational services for plastic surgeons and dermatologists. In this episode, John shares his passion for technology, leadership, and Revenue Cycle Management (RCM). John is also the Vice Chair of the HBMA Innovations Committee and the president of a nonprofit called BRAVE Coalition Foundation.  We delved into the unique structure of The Auctus Group, which employs over 100 team members across eight countries working remotely. John explained his innovative pod model, which fosters collaboration and empowers teams to make decisions collectively, rather than following a traditional hierarchical structure. This approach not only enhances organizational  communication but also promotes a strong company culture.  John then discussed the significant role that technology and AI plays in RCM. He shares insights into the technology tools that have transformed his operations, including DocVocate, Raxia, SuperDial, and more. He highlights the effectiveness of AI tools in improving patient payment rates and streamlining workflows. He also touches on the emerging trend of custom-built tech solutions that can be developed collaboratively, making advanced technology more accessible to smaller billing companies.  This episode is packed with valuable insights for anyone in the healthcare billing space, especially those looking to leverage technology to enhance their offshore operations.   You can learn more about Auctus Group here: https://auctusgroupconsulting.com/    Sponsored by 4D Global, empowering medical billing companies through offshore staffing. 

"More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter  || "   Dental billing companies can spot embezzlement and cash flow issues faster than your in-house team!   Dental billing expert Michelle Repash shares how she uncovered employee theft by noticing deleted insurance checks - a discovery that led to jail time for a trusted, long-term staff member. With 35 years of dental experience, Repash explains why traditional in-house billing is becoming so difficult due to increasing insurance complexities and team burnout.   She reveals key red flags to watch for, including staff resistance to billing help and shared passwords among team members. Most importantly, she emphasizes the critical need to separate billing duties - the person following up on claims should never be the same person posting payments.   Integrity Dental Billing's founder also shares insider tips for practices not ready to outsource: work rejections immediately, run AR reports consistently, and follow up on claims over 40 days old. For practices ready to make the switch, she offers a $500 first-month discount for podcast listeners. Mention this podcast to receive a $500 courtesy toward your first month!  Connect with Michelle Website: Integrity Dental Billing Facebook: The Dental Billing Collective Linked In: Michelle (Integrity Dental Billing and Consulting LLC) Repash   -------------   Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy   ------------- 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/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- 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   #DentalBilling #DentalInsurance #DentalClaims #NPINumbers #DentalPracticeManagement #DigitalBillingSolutions #InsuranceFraudDetection #OutsourcingDentalBilling #ARReportMonitoring #IntegrityDentalBilling #DentalEmbezzlement #ModernDentalBilling #BillingAuditTrail #DentalClaimManagement #PracticeEfficiency  

Generative AI agents are revolutionizing revenue cycle management (RCM) by automating tasks like prior authorizations, eligibility verification, and documentation. Learn how digital delegation enhances efficiency, reduces administrative burdens, and empowers human staff to focus on higher-value work.

In this episode of Leaders in Medical Billing, host Chanie Gluck speaks with Sasha King, co-founder of Anatomy Financial. Anatomy is a healthcare tech start-up focused on automating financial workflows in the medical billing industry. Sasha shares her journey from serving as the Chief Commercial Officer at CareDX to founding Anatomy with her husband.  She explains how the challenges she encountered with financial clarity and the inefficiencies of traditional billing processes led to the creation of Anatomy, which operates as a healthcare lockbox designed to streamline the handling of billing-related mail. Using high-speed scanners and AI technology, Anatomy converts explanation of benefits (EOBs) into electronic remittances, significantly improving workflow efficiency for billing teams.  During their conversation, Sasha highlights the importance of building a strong team and a behind-the-scenes look into securing venture capital funds to launch a healthcare tech company. She emphasizes the need for education in the market, particularly for billing services that may not have previously considered lockbox solutions. Additionally, she offers insights into balancing her role as a working mother while leading a growing tech company.  As the discussion wraps up, Sasha expresses excitement for the future of Anatomy and the potential for continued innovation in healthcare billing. Her passion and dedication to solving real industry pain points are inspiring. For those interested in learning more about Anatomy Financial, additional information can be found at Anatomy.com. This episode provides valuable insights into the evolving landscape of technology for medical billing—tune in for an engaging and informative conversation!    Sponsored by 4D Global, empowering medical billing companies through offshore staffing.     

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Leslie Icenogle, CPC, a leading medical-dental billing expert, shared her strategies to maximize your dental revenue through proper medical coding. From documenting procedures correctly to navigating Medicare's maze, she breaks it down for me. She also shared how a chance encounter at a post office led to significant patient benefits - it's a great story! It demonstrates how proper medical billing can dramatically impact patients. Most importantly, she revealed why many dental offices are leaving money on the table by not exploring medical billing options. You know I perked up about that topic!    Connect with Leslie Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy Email: leslie@dentalclassroomonline.com   Chapters:  00:00 Intro 00:45 Meet the Expert: Introducing Leslie Icenogle 01:03 Diving into the Conversation: Medical Billing in Dentistry 20:45 Dental Revenue Network ------------- 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/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- 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

Are you signed up for my newsletter? Watch this episode on YouTube! Ever wonder what happens when a sterilization tech becomes a practice optimizer for a 50-person dental office? I sat down with someone who lived that exact journey, and her insights might surprise you.  Meet Erika Pusillo, who shares her transformation from handling sterilization duties to optimizing one of Florida's leading dental practices. Our conversation touched on the challenges and triumphs of managing a large dental team, including the delicate balance of associate relationships and the art of keeping talented team members engaged. Erika opens up about her own moments of doubt, near-resignation, and ultimate growth into a respected practice leader and coach. I was impressed with her refreshingly honest perspective on feedback, humility, and what it really takes to evolve beyond the traditional office manager role. Whether you're managing two team members or fifty, her insights are  invaluable for any dental practice leader. Key Takeaways: Communication is crucial between practice owners and managers Regular check-ins (quarterly for doctors, every 3 months for team members) are vital Success requires going beyond the 9-5 mentality Create opportunities for growth within your existing structure Give first, monetize later when pursuing speaking/coaching Additional Bulletproof Dental podcasts featuring Erika  https://www.bulletproofdentalpractice.com/113-the-power-of-alignment-and-delegation-for-you-and-your-om-with-erika-pusillo/ https://www.bulletproofdentalpractice.com/great-teams-start-with-great-leadership-werika-pusillo/  https://www.bulletproofdentalpractice.com/top-3-things-your-om-should-be-doing-with-erika-pusillo/ Connect with Erika  Email: erika@spodakdental.com Find her through: Spodak Dental and Bulletproof Dental Practice https://www.spodakdental.com/ https://www.bulletproofdentalpractice.com/ ------------- 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

Morgan Stanley Research and Investment Management analysts discuss how AI can keep costs down for the industry and give patients a more personalized experience.----- Transcript -----Craig Hettenbach: Welcome to Thoughts on the Market. I'm Craig Hettenbach, Morgan Stanley's U.S. Healthcare Technology and Providers analyst. Today I'm here with my colleague Steve Rodgers from Morgan Stanley Capital Partners to talk about a growing and underappreciated segment of healthcare – the behind-the-scenes technology that is transforming the sector to keep costs down and improve patient care. It's Monday, December 9th at 9am in New York. In 2022, the size of the U.S. healthcare sector was [$]4.5 trillion and is projected to grow to [$]6.8 trillion in 2030, accounting for 20 per cent of overall U.S. GDP. We know that the U.S. population is aging, and we expect to see 71 million U.S. citizens age 65 and over by 2030. That puts ever growing demand on health care systems. So, Steve, you and your colleagues in investment management have been looking lately at key macro trends driving change in the healthcare sector.What are these drivers and how do they work together?Steve Rodgers: When we look at the health care landscape, we really think about four major macro trends. The first is cost containment. And this is just this simple idea that costs are escalating at an unsustainable rate. The second is demographics; we also know that things like obesity is increasing the prevalence of chronic conditions and increasing the overall utilization of the healthcare system. And so, we're looking at ways to invest behind that macro trend. We've also identified something called consumerism. And consumerism stems from the reality that today, patients are taking more of a financial responsibility in their healthcare. And with that comes more decision making. So, the old days – where the patient received healthcare services, but the payer paid, and there was really no link between the two – have moved on.We call it the retailization of health care. Waiting in the office for your appointment for 30 minutes used to be a standard. Today, that's unacceptable because these patients will move to the next provider who's providing them a better retail experience. The final macro driver we call enabling technology. Health care has lagged many other industry segments in the use of technology as a source of efficiency. I like to give the example of chemotherapy treatments, right? Technology would produce a new chemotherapy treatment, and while that's great for patient care and outcomes. It actually could lead to increased costs to the system because it was an added route that people would go down.Now there's technology which allows a provider to say, “Start with this one because of your genetic makeup.” And not only will you have a better outcome more quickly, but it will be less cost to the system. We're also seeing that kind of efficiency happen on the administrative side of healthcare as well. The way we think about these macro trends and how they work together is really thinking about demand versus supply. So, we see demand drivers coming from demographics and consumerism. We see supply drivers coming from cost containment and really enabling technology has impacts on both demand and supply.Craig Hettenbach: Let's focus more specifically on just how digitization and cost containment dovetail. When people talk about the impact of AI and ML on healthcare, typically the focus is on things like big pharma, medical equipment, and hospitals. But there's actually a whole intricate infrastructure that helps healthcare run.Can you talk about these behind-the-scenes businesses and why investment managers are so interested in the opportunities they offer? Steve Rodgers: Yeah, it's really important. We focus on investments that are using technology to enable their businesses. And so that's automation. That's machine learning. It's AI. But all of these technologies are being used behind the scenes to make care more efficient and they're a better use of our dollars. For example the personalization of communications from health plans. So historically a health plan would send the same communication, you know, to – the same form to every patient.Well now, technology allows the health plan, at the point of generating that communication, to know that information about the person that's getting it. And having the ability to personalize it in ways that might help them be more likely to interact with it. Maybe they're trying to get them to do something about their health. Well, they can take an administrative communication, you know, called an explanation of benefit, which really just explains how much you owe versus how much the health plan owes. And you can also add important information to that that might help you utilize your benefits better.Another example that we see is on the hospital side. As people I think have heard, hospitals have been very inefficient, right? They pay bills the wrong bills, they're duplicative invoices, and there haven't been really good ways to figure that out. Well, we now have technology that can identify those duplicative invoices, that can actually identify that there are multiple contracts that they have with a vendor and direct them to use the cheapest one.Last one that I would highlight is around the procurement of pharmaceuticals. So, again, if you imagine a hospital system that has 50 different hospitals and one person at each hospital might be buying the pharmaceuticals that fit to the needs they have in that facility. Well, now there's technology that's really helping consolidate those purchases, get the benefits of scale. Also tracking what is a very dynamic pricing market and figuring out today this channels is less costly than that one, so buy it from here; tomorrow it might be different.We're seeing behind-the-scenes uses of technology in all of those types of areas, which are leading to efficiencies. Craig Hettenbach: That's really interesting and I agree. Sometimes investors can overlook healthcare infrastructure as an area offering a lot of hidden growth. Let's take a subsector like Revenue Cycle Management or RCM. What is it exactly and what opportunities does it offer when it comes to technology and cost containment?Steve Rodgers: What it is, it really is the whole process from start to finish of a healthcare episode. So, starting with something as simple as eligibility, or is this patient eligible for this procedure?Then once that procedure happens, it has to be documented and coded and billed. And then once that bill goes out that needs to be collected and paid on. So, this whole process is really how healthcare works and it's one of the most important business processes for healthcare companies .And what we've seen with revenue cycle is it's been a very, historically, a very manual process that involved a lot of human effort. So early on, some of the most basic functions of revenue cycle were automated. So, the example I can give there would be the front-end entry of a claim.So that used to be sent over by fax and a person would have to look at that and type it into a computer and start the processing that way. Well that, for a long time, that's now been automated with either what's called OCR, which is a scanning technology. But even, you know, now, a lot of that's coming in digitally. But a lot of the rest of the process is still manual. And the reason is because the tasks are so complex. So, to resolve a claim, you often need to pull data from multiple sources. There'd be some subjective determinations about what's allowed or not allowed.You would then need to apply [it] against a multiple complex rules and benefits. And sometimes the sheer dollars involved would make it too risky to just pay that claim without someone actually looking at it. Really we're entering an automation cycle where some of these new technologies are making it possible to reliably automate these more complex functions.And so it's a combination of machine learning and AI but it's really driving efficiencies that are really exciting from an investment perspective to us right now.Craig Hettenbach: Got it. In addition to revenue cycle management, are there any other subsectors that look interesting to you right now?Steve Rodgers: We also, we call it cost cycle management. This is the idea of applying the same principles that we're seeing in revenue cycle to the purchasing of providers. So that can be supply costs, inventory management. Another area that we think is interesting is self insured employer outsourcing. One of the main frustrations that we hear time and time again from self insured employers is that their employees are not utilizing the benefits that they have. With technology, companies that are finding ways to get broader and better adoption; then in turn allowing these employers to see better utilization, which is going to lead to a healthier workforce and hopefully do so also, with some cost containment.So Craig, it's clear that there's an overlap between what we look at from the investment management side and what you and your colleagues focus on in research. How do you think about analyzing how AI and machine learning are impacting healthcare?Craig Hettenbach: Yeah, so for research across the department, we came up with a framework to look at and that's the NEXT framework. So number one, new business opportunities to evaluate. Number two, efficiencies. Number three, external productivity. And number four, content creation. So those are four things to help kind of frame what the opportunity set looks like, when leveraging AI and technology.Steve Rodgers: And how does this framework apply to your space, healthcare services and technology specifically?Craig Hettenbach: The second point of that next framework, the E for efficiencies, is something that we're already starting to see the tangible benefits. And so, just to give you some context here, the CEO of a leading hospital, at a conference recently said that 25 to 30 per cent of overall healthcare costs are tied to administrative.So there is a lot of low hanging fruit there. There's other areas within whether you think about things like prior authorizations that are still done manually, either via fax, phone, email. Those are things that some health plans and technology partners are looking to automate. So, I think the efficiencies – we're still early on, but you're starting to see at least the business case in terms of investments there.And then there's the longer term look on the clinical side. And I think the understanding there is that's going to take longer. An executive at a recent industry conference I was at, I thought he said it best when he said, ‘You know, AI is going to save time before it saves lives.' Steve Rodgers: How is this technology changing how physicians or providers do their jobs?Craig Hettenbach: When we look at what's happened with physicians and nurses and still not too far removed from COVID and just burnout, it's palpable. And I think it's something that technology can certainly be used as an enhancer.So ambient listening is a new technology. When we think about electronic health records; yes, it's great to get that information into that record, but it's also timely and consuming. And so, I think things like that – that can listen to and populate notes – is going to be a real time saver for both doctors and patients.And on the patient side as well, when we think about just our experience, right? Healthcare just has a long ways to go in terms of response time. And that's something that I think more automation and technology, whether it's things like scheduling or check-ins and things like that, I think ultimately you'll see more technology deployed.Okay, Steve, are there any other potentially overlooked near term or longer-term pockets of opportunity within health care that you think investors should focus on?Steve Rodgers: Yeah, I think a general rule for investors or, you know, a heuristic that they should think about is, really trying to invest behind the things that are providing – really trying to stay on the right side of healthcare. And so, when we look at things like cost containment, you know, we see companies out there where they might be benefiting from inefficiency in the system. Those are things that I'd stay away from. I'd focus on companies that are providing better quality care at a lower cost and staying on the right side of healthcare. Because I do believe that a lot of these investments – the AI, the technology – are going to drive efficiency and really eradicate some of these business models that are really taking advantage of the inefficiencies in the healthcare system.Craig Hettenbach: Great, Steve, well that's very helpful and thanks for taking the time to talk today.Steve Rodgers: Great speaking with you, Craig.Craig Hettenbach: And thanks for listening. If you enjoy Thoughts on the Market, please leave us a review wherever you listen and share the podcast with a friend or colleagues today.