Podcasts about RCM

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Best podcasts about RCM

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Latest podcast episodes about RCM

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Revenue Cycle Optimized: AI Oversight for the Modern Revenue Cycle

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Nov 19, 2025 33:15


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/

The Industrial Talk Podcast with Scott MacKenzie
Kevin Clark with Naonprecise

The Industrial Talk Podcast with Scott MacKenzie

Play Episode Listen Later Nov 18, 2025 23:18 Transcription Available


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...

Group Dentistry Now Show: The Voice of the DSO Industry
From Challenges to Solutions: How AI is Transforming Dental Operations & RCM

Group Dentistry Now Show: The Voice of the DSO Industry

Play Episode Listen Later Nov 18, 2025 41:44


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/    

Nobody Told Me That! with Teresa Duncan
EP 162 #1 Cost Optimization Expert: Use My Tips to Cut Dental Costs by 28%

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Nov 12, 2025 50:15


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:

Whats Best For The Patient Is Best For Business
How the Patient Journey Really Starts (Hint: Not in the Treatment Room)

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Nov 12, 2025 14:53


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!

BackTable Innovation
Ep . 96 Navigating RCM Challenges in Healthcare with Dr. Heather Signorelli

BackTable Innovation

Play Episode Listen Later Nov 11, 2025 38:47


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/

Home Health Revealed
The Smart Move: Why Top Agencies Outsource Billing and What Matters Most to the HealthRev Team

Home Health Revealed

Play Episode Listen Later Nov 10, 2025 7:50


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

Category Visionaries
How Toothio built credibility as non-industry founders through strategic SME hires | Ian Prendergast

Category Visionaries

Play Episode Listen Later Nov 4, 2025 25:24


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

Whats Best For The Patient Is Best For Business
WE'RE TWO WEEKS FROM PPS 2025!! Here's Your Pre-Conference Playbook… Presentation Previews from Lindsey & Rich Kenny, Paul Singh, and Stephen Rapposelli & Matt Phifer

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Nov 4, 2025 50:13


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!

The Art & Science of Learning
124. Music & Neuroscience: The Royal Conservatory of Music's Innovative Approach to Early Childhood Education (Alexander Brose)

The Art & Science of Learning

Play Episode Listen Later Oct 30, 2025 45:16


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

Nobody Told Me That! with Teresa Duncan
EP 161 The Real World of Dentistry No One Prepares You For

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Oct 29, 2025 49:33


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:

Revenue Cycle Optimized
AI Oversight for the Modern Revenue Cycle

Revenue Cycle Optimized

Play Episode Listen Later Oct 28, 2025 33:15


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

Whats Best For The Patient Is Best For Business
Start with the PROBLEM, Not the TECH!! Talking High Level AI with Healthcare Technologist Julia Zhou

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Oct 28, 2025 50:51


In this episode of What's Best For The Patient Is Best For The Business, Jerry sits down with Julia Zhou, a seasoned Healthcare Technologist with nearly 30 years of experience on both the payer and provider sides of the industry. They dive deep into the practical and transformative role of Artificial Intelligence in healthcare, moving beyond the hype to explore its real-world applications.Julia brings a unique, high-level perspective, arguing that AI is not a magic bullet but a powerful tool that must be strategically integrated. She outlines a clear framework for healthcare organizations to adopt AI successfully, emphasizing that the goal isn't to chase technology, but to solve pressing business and patient-care challenges.From smart scheduling and revenue cycle management to ambient clinical documentation and personalized patient engagement, Julia breaks down how AI can streamline workflows, empower providers, and fundamentally improve the patient journey—ensuring the right person gets the right care at the right time.Key Takeaways:• Start with the Problem, Not the Tool: The most successful AI implementations begin by identifying the organization's biggest pain points, not by searching for the latest tech developments. Julia advises asking, "If you had a magic wand, what would you solve?"• AI is an End-to-End Patient Engagement Engine: Discover how AI can revolutionize the entire patient experience—from pre-visit summaries that prepare a provider in one minute, to ambient listening during consultations, and post-visit follow-ups that improve compliance and reduce claim denials.• The Criticality of an "AI Readiness" Assessment: Before implementation, organizations must ask hard questions about their data governance, guardrails, KPIs, and manual processes. Automating an inefficient system only amplifies its problems.• Think Upstream to Prevent Chaos: Jerry and Julia challenge listeners to use AI proactively to solve problems like patient no-shows and claim denials at their source, rather than just creating bots to fill empty slots or chase down payments.• The Future is "Right Person, Right Place, Right Time": The ultimate value of AI in healthcare is its ability to act as a sophisticated triage and coordination system, ensuring patients and providers connect in the most effective and efficient manner possible, whether in-person or via telehealth.Tune in for a conversation that demystifies AI and provides an actionable roadmap for leveraging technology to enhance patient outcomes and build a stronger, more resilient healthcare business.

Healthcare IT Today Interviews
Benefits of Outsourcing and AI in Revenue Cycle Management

Healthcare IT Today Interviews

Play Episode Listen Later Oct 28, 2025 11:02


As healthcare gets more complex, revenue cycle management has gotten more complex as well as it becoming more difficult to find high quality RCM staff. That's why it's no surprise that many medical practices are outsourcing their RCM efforts. This was the case for Heather Boone, Clinical Supervisor at Orlando Heart and Vascular Institute, who decided to work with eClinicalWorks‘ revenue cycle management services. After choosing to have eClinicalWorks manage their RCM, they saw an increase of 30% in their reimbursements. Plus, payments are made an average of 21 days faster than before thanks for a mixture of eCW's highly skilled staff, learnings they bring from managing other practices' RCM, and leveraging AI.Learn more about Orlando Heart & Vascular Institute: https://www.heartorlando.com/Learn more about eCW: https://www.eclinicalworks.com/Healthcare IT Community: https://www.healthcareittoday.com/

Nobody Told Me That! with Teresa Duncan
Special Episode: The Dental Billing Lie Everyone Believes

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Oct 21, 2025 25:01


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  

Whats Best For The Patient Is Best For Business
YOU HAVEN'T FIGURED OUT How To Get People Who Need Your Help Into Your Office… April Oury Will Tell You Why!!

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Oct 21, 2025 61:59


In this episode of What's Best For The Patient Is Best For Business, Jerry reconnects with a force from his past, April Oury. Once a multi-clinic physical therapy practice owner, April has successfully pivoted into the world of venture capital and angel investing. She shares her incredible journey from treating patients to funding and advising the next generation of health tech startups.Jerry and April dive deep into the critical mindset shifts necessary for success in today's healthcare landscape. They challenge the status quo, debunking common myths that hold clinicians back, such as the belief that "healthcare is different" and that standard business principles don't apply. April brings a fresh perspective from the investor's table, explaining how her operational experience as a PT practice owner makes her a uniquely valuable asset in the venture capital space.She also reveals how learning to play poker transformed her approach to business and investing, teaching her how often she should actually be "folding" in order to maximize her success rate.Key Takeaways:• Stop Fighting for Scraps: The biggest opportunity isn't in the 10% of the population currently seeking PT, but in the 90% who aren't being served. The future lies in creating new models to reach them.• Your Value is Multi-Dimensional: Your skills as a clinician and business operator are highly valuable outside the clinic. Don't box yourself in; your expertise can be a major asset to tech companies and startups.• Adopt an Investor Mindset: Learn to "fold" bad opportunities (like a founder with a great idea but no execution) so you can "bet" your energy and resources on the ventures and strategies with the highest potential.• Tech is an Ally, Not an Enemy: Technology and one-to-many models are not here to replace therapists but to solve the massive therapist shortage and serve patients you would never have reached with a traditional model.• Own the Process, Not Just the Outcome: Success comes from consistently following a proven strategy, not from fixating on every single result. Sometimes the right process leads to a short-term loss, but it wins in the long run. 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!

CareTalk Podcast: Healthcare. Unfiltered.
Fixing Healthcare's Front Door w/ Dr. Ashish Mandavia

CareTalk Podcast: Healthcare. Unfiltered.

Play Episode Listen Later Oct 17, 2025 38:46 Transcription Available


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.

Nobody Told Me That! with Teresa Duncan
EP 160 True Crime: California Dentist "Reign of Terror"

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Oct 15, 2025 24:35


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.

Whats Best For The Patient Is Best For Business
The PT/Client Relationship Is Your GOLDEN TICKET… START LEVERAGING IT!! Interview with the LASO Wellness Leadership Team

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Oct 14, 2025 49:22


In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with the leadership team from LASO Wellness: Founder & CEO Ron Cappello, Chief Strategy Officer Greg Perry, and Chief Growth Officer Tanny Crawford.LASO Wellness provides high-quality nutraceuticals designed specifically for physical therapy practices to offer their patients. The conversation dives deep into the critical shifts happening in healthcare and why physical therapists are uniquely positioned to adopt a more holistic, "whole-person" approach to patient care.Jerry and his guests explore how integrating trusted nutritional supplements is a natural extension of the clinical guidance PTs already provide, strengthening patient relationships while simultaneously creating a new, frictionless revenue stream for the practice.Key Takeaways:• Relationships Over Transactions: Discover why the deep trust and extended time PTs have with their patients is the "golden ticket" to forward-integrating into their long-term health and wellness.• The "Easy" Model: Learn about LASO's "three no's" model—no capital, no inventory, and no administrative burden—designed to enable practices to say "yes" without adding operational headaches.• Become a Resource, Not Just a Clinic: Shift your mindset from running a practice to building a platform for patient wellness, using your credibility to recommend evidence-based solutions for joint health, sleep/recovery, and overall nutrition.• Overcoming the "I'm Not an Expert" Hurdle: LASO addresses common PT concerns head-on by providing access to a paid-for nutrition certification program and a curated resource center of clinical research to build confidence in making recommendations.Tune in to learn how embracing this model combats declining reimbursements, enhances the patient experience, and ultimately does what's best for both the patient and the 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!

Revenue Cycle Optimized
RCM Insights - Implementation to Optimization in Revenue Cycle Management

Revenue Cycle Optimized

Play Episode Listen Later Oct 13, 2025 13:48


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.

Whats Best For The Patient Is Best For Business
The $420 BILLION MSK PROBLEM… and the Patient-Centric Solution!! Interview with Lissa Taitano, Director of Clinical Operations for Livara Health

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Oct 7, 2025 51:48


In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Lissa Taitano, Director of Clinical Operations for Livara Health. Livara is a purpose-built musculoskeletal (MSK) management solution that combines care planning, delivery, and navigation to create a more connected healthcare system.Lissa, a physical therapist by training with over 15 years of experience in value-based care, pulls back the curtain on how a truly patient-centric model delivers superior outcomes for both people and businesses. She details Livara's journey from a local clinic to a national leader, explaining how integrating a holistic, biopsychosocial approach—including physical therapy, pain reprocessing therapy, nutrition, and health coaching—led to patients getting "100% better, faster" while simultaneously reducing costs and surgical utilization.This conversation is a masterclass in the future of MSK care. Jerry and Lissa tackle the tough questions every practice owner needs to ask, challenging the unsustainable fee-for-service status quo and outlining the essential mindset shift required to thrive.Key Takeaways:• Why the traditional, fragmented model is failing MSK patients and how a "quarterback" approach creates central accountability and a seamless patient journey.• The power of a holistic, biopsychosocial model: Discover how addressing contextual drivers like stress, nutrition, and mental health is the key to unlocking better outcomes and preventing chronic pain cycles.• How to build a powerful patient engagement strategy that extends beyond episodic clinic visits, using technology and personalized communication to meet patients where they are.• The business case for value-based care: Learn how proactive, high-engagement models lead to dramatically lower costs (35-45%), reduced surgical utilization (40-53%), and higher patient satisfaction.• The two things clinic owners must do today to prepare for the future: Collect and leverage your clinical outcome data, and be open-minded about changing your business model to prioritize value over volume.Tune in for an inspiring and practical look at how getting upstream, owning the patient's entire MSK journey, and focusing on what's truly best for the patient is, unequivocally, the best path forward for 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!

Nobody Told Me That! with Teresa Duncan
EP 159 My Takeaways From The NADP Meeting

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Oct 2, 2025 45:29


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:

Category Visionaries
How Shadowbox evolved it's ICP from desperate labs to health systems with 500-1,000 community providers | Gregory Stein

Category Visionaries

Play Episode Listen Later Oct 1, 2025 23:42


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

Whats Best For The Patient Is Best For Business
DON'T MISS IT!! Here's Your PPS 2025 Pre-Conference Playbook… Presentation Previews from Lindsey & Rich Kenny, Paul Singh, and Stephen Rapposelli & Matt Phifer

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Sep 30, 2025 50:13


In this special conference preview episode of "What's Best For The Patient Is Best For Business," Jerry brings you an 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!

Private Practice Survival Guide
Most Common Medical Billing Mistakes Made By Private Practices

Private Practice Survival Guide

Play Episode Listen Later Sep 29, 2025 33:30


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

McKnight's Newsmakers Podcast
Trust and transparency: Building a balanced future for RCM

McKnight's Newsmakers Podcast

Play Episode Listen Later Sep 29, 2025 35:06


Revenue cycle management in skilled nursing is evolving beyond billing and collections. The future is about building trust and transparency at every step: providers knowing they're reimbursed accurately, families understanding their bills, and payers having accountability. When that happens, providers are better equipped to sustain financial health, staff are freed from administrative burdens, and families gain confidence in the care their loved ones receive. In this episode, we take a 360-degree look at how technology is driving this shift and what a more balanced RCM future means for skilled nursing. Sponsored by MatrixCare Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Raving Patients Podcast

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!

Whats Best For The Patient Is Best For Business
Transparency in Compensation could SAVE YOUR PRACTICE!! Interview with Jason Wambold, MSPT, VP of Operations at OnusOne

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Sep 23, 2025 50:48


In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Jason Wambold, MSPT and VP of Operations at OnusOne, to tackle one of the most persistent and challenging issues in physical therapy: clinician compensation.Jason shares his personal story of nearly leaving the PT profession due to crippling student debt and a compensation model that didn't reflect his value. This experience led him to co-found OnusOne, a company revolutionizing how rehab professionals get paid by creating transparency and aligning incentives between practice owners and their clinical staff.Jerry and Jason dive deep into the flaws of traditional salary and hourly pay models, explaining how they often suppress earnings and create misaligned expectations. They discuss how the OnusOne software platform empowers practice owners to build customizable, data-driven compensation models that allow therapists to see the direct connection between their work and their paycheck.Key Takeaways:• The Transparency Problem: Most therapists don't understand the link between the revenue they generate and their compensation, a fundamental disconnect unique to physical therapy compared to other healthcare professions.• Unlock Earning Potential: Moving to a variable compensation model allows clinicians to directly control their income, giving them a clear path to achieve their financial goals without having to ask for a raise.• A Powerful Hiring & Retention Tool: Implementing a system like OnusOne is a significant differentiator in the interview process, allowing owners to show candidates exactly how they can achieve their desired salary.• The Calibration Point: The success of any model hinges on the owner first understanding their business's financial "zero point"—the minimum revenue needed to cover all expenses—before building plans for their team.• Change Management is Key: Successfully transitioning a team requires a long-game approach, offering choice (including a safe, 100% salary option), and comprehensively testing models to build and maintain trust. 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!

Nobody Told Me That! with Teresa Duncan
EP 158 Lessons Patients Taught Me The Hard Way

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Sep 18, 2025 32:40


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:

Home Health Revealed
Investing in People: Melissa Battistella of Cadre Hospice on RCM, Leadership, and Lasting Change

Home Health Revealed

Play Episode Listen Later Sep 17, 2025 13:13


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

Whats Best For The Patient Is Best For Business
Want more conversions? GET BETTER LEADS!! A Medical Marketing Masterclass with Seth Turnoff from Custom Medical Marketing

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Sep 16, 2025 86:36


In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Seth Turnoff, Co-Founder and Managing Partner of Custom Medical Marketing (CMM).They dive deep into the critical, often overlooked connection between marketing, sales, and patient experience in a private practice. Seth shares his unique perspective from his "Jerk Store" series on LinkedIn, where he breaks down bad sales outreach, and explains how his firm uses "searchless marketing" to target ideal patients through demographics and psychographics.The conversation is a masterclass in why treating your front desk as a revenue-generating sales center, not just a logistics hub, is the key to sustainable growth. Jerry and Seth discuss the downstream chaos of poor lead handling, the danger of counting leads as revenue, and why the best marketing in the world fails without a system to convert interest into arrived, paying patients.Key Takeaways:• Marketing and Sales are a Partnership, Not the Same Thing: Effective marketing generates awareness, but a dedicated sales process is required to convert that interest into scheduled appointments. They must work in tandem, with data flowing back from sales to inform and improve marketing efforts.• Your Front Desk is Your Sales Engine: Stop viewing your front desk team as merely schedulers. Empower them with the time, training, and systems to have meaningful conversations, set proper expectations, and gather crucial data on every lead—whether they schedule or not.• Track Everything to Stop Guessing: You cannot improve what you do not measure. Implementing a simple lead tracker is essential to understand where your best patients come from, identify leaks in your funnel, and make data-driven decisions instead of emotional ones.• Better Leads Lead to Better Conversions: The ultimate way to improve conversion rates is to attract higher-quality, better-fitting leads through targeted marketing. This reduces pressure on the sales team and creates a more efficient and profitable practice.• Intentionality Creates Patient Success: Every patient touchpoint—from the first phone call and the check-in process to the clinical experience and billing—must be intentionally designed. Reverse-engineering the ideal patient journey ensures a seamless, professional experience that builds trust and loyalty.Tune in for an honest, no-fluff conversation filled with actionable strategies to align your marketing, sales, and operations to serve more patients and build a healthier 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!

Irish Tech News Audio Articles
Reliability Ireland Conference to Unite Global Experts on the Future of Engineering

Irish Tech News Audio Articles

Play Episode Listen Later Sep 12, 2025 4:15


A two-day conference which will examine cutting-edge technology, best practice and leadership in Maintenance, Reliability and Asset Management will be held in Kilkenny later this month. The conference will bring together over 35 exhibitors and 250 leaders from the pharmaceutical, biotech, medical device, life science, manufacturing, aerospace, industrial engineering and energy sectors. 'Reliability Ireland' takes place at the Lyrath Hotel, Kilkenny on Tuesday, September 23rd and Wednesday, September 24th. The event is designed for professionals who ensure the reliability and performance of systems, machinery, and infrastructure, as well as those shaping organisational strategy. It brings together individuals aligning asset management initiatives with broader business goals including strategy and sustainability objectives. The event will feature 18 Irish and International keynote and industry speakers, including former Ireland and Lions Rugby Captain Brian O'Driscoll; Aeronautical Engineer and STEM Advocate, Dr Norah Patten; The Mental Fitness Coach, Neil O'Brien of SkillStack; Digital Transformation and AI Specialist Kevin Rad; RCM expert Nancy Regan; with industry leaders and experts from Eli Lilly, Boston Scientific, Johnson & Johnson, Digital Manufacturing Ireland, ASHRAE and many more. The Mental Fitness Coach, Neil O'Brien of Skillstack, will be highlighting the importance of getting the basics in business right. He said: "A lot of my clients are in elite sports and I always tell them that those who achieve the best results are those who are getting the basics right and this advice can be applied to any business. Whether it's customer service, sales or leadership, a company needs to ensure that these are being done better than the competition to get ahead." Another area to be explored is AI-driven strategies in business. Digital Transformation and AI Specialist Kevin Rad said: "Companies using AI-driven strategies are already seeing a reduction of 50% in unplanned maintenance downtime and their maintenance costs have decreased by a quarter. Businesses that embrace these tools are positioning themselves ahead of the curve in efficiency, reliability, and asset performance." Bernard Yore, CEO of ESS Group, which organises the event, describes Reliability Ireland as more than a conference and exhibition. He said, "It is a foundational platform for all things reliability, maintenance and asset management. It is essential for engineers and asset management professionals looking to lead through technology, best practices and leadership." Reliability Ireland is a biennial event designed by industry, for industry and was established in 2016. Registration closes on Thursday, September 18th. For more information or to register, visit https://reliabilityireland.ie/. The key themes of Reliability Ireland 2025 are: Strategy, Leadership and Workforce Development AI, Next-Gen Technology and Digital Transformation Benchmarking, Best Practice and Data-Driven Insights Sustainability, ESG and Future-Proofing Assets Condition Monitoring and Predictive Analytics More about Irish Tech News Irish Tech News are Ireland's No. 1 Online Tech Publication and often Ireland's No.1 Tech Podcast too. You can find hundreds of fantastic previous episodes and subscribe using whatever platform you like via our Anchor.fm page here: https://anchor.fm/irish-tech-news If you'd like to be featured in an upcoming Podcast email us at Simon@IrishTechNews.ie now to discuss. Irish Tech News have a range of services available to help promote your business. Why not drop us a line at Info@IrishTechNews.ie now to find out more about how we can help you reach our audience. You can also find and follow us on Twitter, LinkedIn, Facebook, Instagram, TikTok and Snapchat.

Dentists IN the Know
Dental Insurance Software with TJ Gilray on Humpday Happy Hour™

Dentists IN the Know

Play Episode Listen Later Sep 11, 2025 38:39


Send us a textTJ Gilray started his career as every dentist's favorite guy - the infamous cold-calling salesman

Dentists IN the Know
Dental Insurance Software with TJ Gilray on Humpday Happy Hour™

Dentists IN the Know

Play Episode Listen Later Sep 10, 2025 43:49


Send us a textTJ Gilray started his career as every dentist's favorite guy - the infamous cold-calling salesman

Modern Healthcare’s Healthcare Insider Podcast
Unlock Hidden EBITDA and Turn RCM into a Strategic Asset

Modern Healthcare’s Healthcare Insider Podcast

Play Episode Listen Later Sep 10, 2025 14:11


Is your organization thinking about revenue cycle management (RCM) the right way? In this episode of Healthcare Insider, Garett Kreitz, co-president of Med-Metrix, explains how to elevate RCM from a transactional function into a true strategic asset. Listeners will learn: What end-to-end RCM really means in practice How providers can uncover hidden EBITDA and strengthen their bottom line Real-world strategies Med-Metrix uses to help health systems maximize reimbursement and reduce revenue leakage Tune in to hear how aligning leadership, technology and execution can transform the revenue cycle into a powerful driver of financial health.

Whats Best For The Patient Is Best For Business
CMS 2026 PROPOSAL: Pay Cut or Payday? Interview with Billing Expert Rick Gawenda, PT

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Sep 9, 2025 55:06


On this episode of What's Best For The Patient Is Best For The Business, Jerry dives deep into the critical, often complex world of billing compliance with industry expert Rick Gawenda, PT.Rick, the founder and president of Gawenda Seminars & Consulting, breaks down the high-impact proposals from CMS for the 2026 Physician Fee Schedule. They move beyond the headlines to provide a practical, actionable guide for clinic owners and therapists, with a special focus on the new Remote Therapeutic Monitoring (RTM) codes and how to leverage them for both improved patient outcomes and practice growth.This is a must-listen for any practice looking to stay ahead of the curve, ensure compliance, and understand how to successfully implement innovative care models like RTM.

Nobody Told Me That! with Teresa Duncan
EP 157 The One Mistake That Could Wipe Out Your Dental Practice Overnight

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Sep 2, 2025 57:36


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Did you know a single ransomware attack can cost a dental office six figures or shut it down entirely? A small dental practice is an ideal target for a cyberattack easy to overlook, often underprotected, and rich with valuable patient data. Teresa Pichay (returning guest!) and Katie Fox from the California Dental Association joined me for a scary session. They shared how hackers use phishing emails, malware, and AI-powered scams to break into dental systems, steal information, and demand high ransoms. Many in dentistry assume they're too small to attract hackers, but that very assumption makes them more vulnerable to hacking attempts. Personal devices, outdated software, and unsecured networks create easy entry points. Even if the breach occurs through a third-party vendor, the dental office is still held responsible. Without strong cybersecurity protocols, HIPAA compliance, and safeguards in place, practices risk data exposure on the dark web or deep web, legal trouble, and costly service disruptions. Cyber liability insurance can help but prevention through secured systems, trained staff, and regular risk assessments is the only reliable defense in an AI-driven threat landscape. Resources from the CDA: Resources from the CDA:  CDA_2025_Cyber_Safety_Checkup.pdf CDA_2025_Questions_Software_Vendor.pdf Want to see the source behind the discussion? Check out the articles below: Medical and Dental Groups Settle Class Action Data Breach Lawsuits Aspen Dental reaches $18.7M settlement in data tracking case Connect with Teresa and Katie  Email: Teresa.pichay@cda.org & security@cda.org  Resources at California Dental Association https://www.cda.org/ ------------- 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 ------------- 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  

Whats Best For The Patient Is Best For Business
COLLABORATION is the New Currency: PTs, Physicians, and Policy!! Interview with Angela Diaz and Dana Strauss

Whats Best For The Patient Is Best For Business

Play Episode Listen Later Sep 2, 2025 58:42


In this timely episode of What's Best For The Patient Is Best For Business, host Jerry Durham is joined by two powerhouse voices in healthcare: Angela Diaz, PT, VP of Market Development at TailorCare, and Dana Strauss, PT, DPT, a physical therapist turned health policy strategist.Recorded in the wake of CMS's monumental 2025 Physician Fee Schedule proposed rule, this conversation is a masterclass in translating complex policy into actionable business strategy. Jerry, Angela, and Dana dissect the new regulations and mandatory models, moving beyond the headlines of reimbursement cuts to uncover the significant opportunities hidden within for forward-thinking physical therapy practices.They break down the new ambulatory specialty model for low back pain, the WISER model aimed at reducing wasteful spending, and the TEAM model holding hospitals accountable for 30-day post-discharge care. The discussion provides a clear roadmap for PTs to pivot from being siloed service providers to becoming indispensable, collaborative partners in a value-based care system.Key Takeaways:• Why the conversion factor is only a small piece of the reimbursement puzzle and how PTs/OTs were inadvertently grouped with specialists, leading to a potential negative impact.• How to leverage data to demonstrate your value to physicians and health systems participating in new mandatory models (like the ambulatory specialty model for low back pain), making you a sought-after partner instead of an ancillary service.• The critical difference between capitation and true value-based care, and why attaching your payment to quality outcomes is the only sustainable path forward.• A practical strategy for engaging referring physicians by focusing on their pain points and asking, "What can I do to help you be successful in this new model?"• Why the future of PT isn't about doing less but about providing the right care at the right time—including phone calls, remote monitoring, and self-care guidance—to improve outcomes and reduce the total cost of care for a population.Tune in for an empowering conversation that will change your perspective from one of uncertainty to one of opportunity, proving that by focusing on collaboration and patient outcomes, you can future-proof your practice and thrive in the new landscape of 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!

PracticeCare
Vinny Sankaran on In-House, Outsourcing, and Hybrid RCM Models

PracticeCare

Play Episode Listen Later Aug 26, 2025 25:30


If you take insurance, then you know about Revenue Cycle Management (RCM). The industry keeps evolving. You can bring your RCM in house, outsource it, or mix and match them. Not sure what to choose? Thinking so changing what you're doing now? My guest today will break each option down for us to help you out.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:In house, outsourcing, and hybrid options to do your RCMSimilarities and differences between themWhich ones are better fits than others depending on a practice's descriptionWant 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

MedCity Pivot
Transforming Hospital Operations with Jeremy Delinsky

MedCity Pivot

Play Episode Listen Later Aug 21, 2025 24:27


I interviewed Jeremy Delinsky, CEO of Smarter Technologies, about AI-driven clinical documentation improvement and RCM revenue cycle management.   Episode Resources Connect with Arundhati Parmar aparmar@medcitynews.com  https://twitter.com/aparmarbb?lang=en https://medcitynews.com/   Review, Subscribe and Share If you like what you hear please leave a review by clicking here   Make sure you're subscribed to the podcast so you get the latest episodes. Click here to subscribe with Apple Podcasts  Click here to subscribe with Spotify Click here to subscribe with Podbean Click here to subscribe with RSS

Nobody Told Me That! with Teresa Duncan
EP 156 Dental Insurance Secrets Every Dentist Should Know

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Aug 20, 2025 53:59


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Did you know 80% of dental claim denials can be overturned with the right strategy? I love meeting fellow insurance nerds! My time with Dr. Christie Bateman was packed full! She shared how to master PPOs, Medicare Advantage plans, and complex prior authorization rules while protecting your bottom line. Dr. Christie breaks down the exact methods she uses to reverse denials, clear documentation, targeted patient photos, and short, persuasive appeals that insurance carriers can't ignore. Get the inside scoop on Liberty Medicare Advantage's extensive prior auth requirements and how direct advocacy led to changes that benefit dentists. We discussed the concept of “provider gold cards” that could dramatically reduce administrative workload.  The conversation wraps up with real talk about how patient education can guide smarter insurance plan choices. It's not just about better coverage - it's about a smarter patient. Connect with Dr. Christie Website: Bateman & LaMond Milford Dentistry Instagram: milforddentist Facebook: Bateman & Lamond Milford Dental   ------------- 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 ------------- 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  

The Raving Patients Podcast
To Bill or Not to Bill (Yourself): The AI Answer

The Raving Patients Podcast

Play Episode Listen Later Aug 15, 2025 42:07


If your practice's collections aren't where they should be, it might not be because of fewer patients—it could be because your revenue is trapped in insurance company limbo. The truth? Without a rock-solid revenue cycle management (RCM) process, you're leaving money on the table… and adding stress to your team. In this episode of the Raving Patients Podcast, I sit down with Shreyas Parab, co-founder and CEO of Daydream, to explore how AI can revolutionize dental billing without removing the human expertise that keeps claims moving. Shreyas shares his unique perspective—shaped by growing up in his mother's small Medicaid dental practice—on why dental billing is a hidden bottleneck for many offices and how automating key steps can unlock both revenue and time. We break down what “human-in-the-loop” AI really means, how to verify insurance more efficiently, and why complete transparency in billing services is non-negotiable for cash flow health. We also dig into the broader role of AI in dentistry—what's working now, where the technology still falls short, and the untapped opportunities that could transform patient communication and education in the near future. Shreyas provides real-world examples of practices that have recovered hundreds of thousands in aged receivables by combining AI-driven workflows with experienced billers, and why this hybrid approach outperforms both in-house teams and traditional billing agencies. Whether you're currently outsourcing, doing billing in-house, or simply curious about what's possible, this conversation will give you the tools to evaluate your RCM strategy and future-proof your practice against the growing complexity of insurance reimbursement. Here are the interesting stuff we talked about in this episode: Automating bottlenecks works best with expert oversight. Pure AI isn't ready to replace billers—but it can triple their efficiency. Transparency is key. If you can't see exactly what's happening with your claims, you can't fix revenue leaks. Growth magnifies billing challenges. Expanding operatories, adding associates, or buying a new practice will strain in-house billing unless processes scale. Patient communication is an untapped AI opportunity. Future tools could educate patients before appointments, improving case acceptance and freeing up clinical time.   Key Takeaways 00:43 Introduction and Event Announcement 02:23 Meet Shreyas Parab: The Vision Behind Daydream 04:30 The Journey from Dental Practice to AI Solutions 05:59 Understanding the Burden of Dental Billing 07:45 The Role of AI in Automating Dental Billing 10:00 Why Automation Over Software Tools? 13:00 Human-AI Collaboration in Dental Billing 14:33 Services Offered by Daydream 15:46 AI-Driven Processes in Dental Billing 17:47 Pain Points with Traditional Billing Agencies 21:12 Identifying Candidates for Daydream's Services 23:22 Exploring AI's Impact on the Dental Industry 24:00 The Future of AI in Dentistry 28:44 AI's Role in Patient Education and Communication 30:38 Limitations of AI in Dental Practices 33:06 Understanding AI's Writing Patterns 38:19 Innovative Marketing Strategies in Dental Practices   — Connect with Shreyas Learn more about Daydream and schedule a demo at daydream.dental.   — 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!

Leaders in Medical Billing
Bonus Episode: AI for Patient Billing — Real-World Tools, Results & Strategies

Leaders in Medical Billing

Play Episode Listen Later Aug 13, 2025 49:20


In this bonus episode of Leaders in Medical Billing, we're bringing you the full replay of our most recent, live webinar: AI for Patient Billing. Hosted by Chanie Gluck, this session features a deep dive into how artificial intelligence is transforming one of the most overlooked — and increasingly critical — parts of the revenue cycle. You'll hear from two seasoned RCM leaders actually using AI in the field: Jeff Robertson, CEO of Nexus, shares how AI tools like Raxia helped one client double monthly patient payments and reduce average days to payment by over 50%. John Gwin, CEO of Auctus Group, walks us through his experience using Inbox Health and other platforms to boost collection velocity while maintaining a strong patient experience. They break down: The shift in revenue mix and why patient payments can no longer be ignored How to evaluate and select AI tools based on EMR integration, pricing models, and long-term ROI The importance of front desk processes — from capturing contact details to coaching staff on payment conversations Real-world metrics, implementation timelines, and what to expect as these platforms evolve Whether you're new to AI or already exploring automation, this episode is packed with tactical insights and hard-won lessons to help you stay ahead.

Physical Therapy Owners Club
Getting Paid What You're Worth: Revenue Tips For Private Practices With Lance Gross

Physical Therapy Owners Club

Play Episode Listen Later Aug 12, 2025 32:00


In this episode of the Private Practice Owners Club podcast, Nathan Shields sits down with Lance Gross of GTS Physical Therapy to tackle one of the most overlooked profit killers in private practice: poor revenue cycle management (RCM), leading to sub-optimal revenue and profits.Lance breaks down how clinic owners can dramatically improve cash flow, revenue, and profitability by tightening up RCM systems—without seeing more patients or working more hours. From monitoring provider billing habits to boosting patient retention and increasing frequency of care, we explore the small tweaks that lead to big financial wins.If your clinic is bringing in patients but profits aren't where they should be, this conversation will show you exactly where to look and what to change.Whether you're in growth mode or just trying to stop the bleeding, this episode gives you the tools to take control of your financial future—starting today.To hear more from Lance and how he grew to 25 clinics in 7 years, join us at the PPOClub Conference in Destin, FL, Oct. 2-4, 2025. Register here - https://ppoclubevents.com/homepage

NSCHBC Edge Podcast
AI in RCM: Will Coders and Billers Be Replaced?

NSCHBC Edge Podcast

Play Episode Listen Later Aug 12, 2025 24:07


Automating medical coding presents significant challenges due to the intricate nature of health information management, particularly medical records, which form the bedrock of healthcare coding and billing. Protected Health Information (PHI) exists in various formats, including handwritten notes, patient intake forms, and dictated lab reports. This lack of standardization poses a considerable hurdle for AI systems.Revenue Cycle Management (RCM) professionals—such as coders, billers, and auditors—possess the contextual understanding necessary to interpret and extract crucial information from diverse and sometimes illegible records. The complexity of abstracting documentation is further compounded by ambiguous acronyms, localized jargon, and specialized medical language. Additionally, a substantial portion of the information provided to coders is subjective, demanding a level of interpretation that current AI technology may not yet possess.For AI to acquire these essential skills, medical coders will need to train the systems, and auditors will be responsible for verifying their accuracy. This technological shift is inevitable, so RCM professionals should consider developing these skills to remain competitive in the evolving IT landscape.Join us as host Terry Fletcher welcomes Sirisha Bommireddipalli to the show for an insightful discussion on this important topic.

Smart Business Revolution
Mompreneur Life: Balancing Business and Motherhood With Chanie Gluck

Smart Business Revolution

Play Episode Listen Later Aug 6, 2025 36:02


Chanie Gluck is the Founder and CEO of 4D Global, a medical billing and healthcare outsourcing company specializing in Revenue Cycle Management (RCM). 4D Global helps US-based medical billing companies scale by providing experienced offshore teams based in India, delivering cost-effective and efficient solutions. She has over two decades of experience in the industry, has led two successful companies, and has been recognized by the Titan 100, Forbes Next 1000, and Enterprising Women of the Year awards. Chanie is also the host of the Leaders in Medical Billing podcast and a respected voice in RCM innovation and AI integration. In this episode… Starting and scaling a business is tough — doing it while raising four children is even tougher. Entrepreneurs in demanding industries often face isolation, overwhelm, and uncertainty around how to grow sustainably while balancing personal responsibilities. So how do you create a thriving, people-first company that scales globally without sacrificing your family or sanity? Chanie Gluck offers an inspiring answer. With nearly 30 years of experience in the medical billing field, she shares her playbook for solving these challenges. Chanie emphasizes the importance of curiosity, problem-solving, and self-education — crediting her early library deep dives on sales and operations as foundational. She discusses how taking bold risks, like pitching herself to doctors and embracing offshoring in India years before it was trendy, enabled her to scale with efficiency. Chanie also stresses building trust with clients through free value-added services and fostering community among introverted industry professionals through podcasts and webinars. Tune in to this episode of the Smart Business Revolution Podcast as John Corcoran interviews Chanie Gluck, CEO of 4D Global, about scaling a medical billing business while raising a family. Chanie shares how she transitioned from local services to global operations, along with insights on offshoring, thought leadership, and adapting to AI in healthcare. Listeners will also learn why podcasts are powerful marketing tools and the importance of community-driven leadership.

Nobody Told Me That! with Teresa Duncan
EP 155 Beyond Micromanagement: What Makes Today's Office Managers Great

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Aug 6, 2025 51:01


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Modern office managers lead through clarity, culture, and connection not control. My longtime friend and colleague Lorie Streeter joins me for a frank conversation about the lessons we've learned over the years.    Micromanagement is everywhere, and dental teams are evolving whether leaders are ready or not. The shift from task-checking to true team empowerment is reshaping how successful practices run. We share stories of real managers navigating burnout, toxic dynamics, and panic hiring with surprising clarity.    There's a raw conversation about what happens when doctors undermine authority, how culture breaks down quietly, and why emotional intelligence is now a non-negotiable skill. We tackle some unexpected truths about staffing “shortages,” leadership blind spots, and what it actually means to build a team that runs on trust not fear. If you've ever carried more weight than your title suggests, this episode unpacks why... and what to do next.   Connect with Lorie   Website: MAXASSIST Facebook Lorie Genelin Streeter Instagram Lorie Streeter - Maxed Out LinkedIn Lorie Streeter   ------------- 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 ------------- 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  

Outcomes Rocket
The Secret to Faster Payments in Healthcare Is Smarter Automation with Sam Schwager, Co-founder and CEO of SuperDial

Outcomes Rocket

Play Episode Listen Later Jul 31, 2025 10:19


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 The future of healthcare billing lies in human-AI collaboration that speeds up results without sacrificing quality. In this episode, Sam Schwager, Co-founder and CEO of SuperDial, shares how voice AI is reshaping revenue cycle management (RCM) by automating routine phone calls and boosting team productivity. With a human-in-the-loop model, SuperDial delivers immediate value while learning and improving over time. Sam highlights the growing demand for fast ROI from AI tools and the potential of AI-to-AI communication via text protocols like HTTP to further streamline operations. As healthcare continues to spend heavily on administrative tasks, SuperDial has helped claims teams become up to four times more productive by handling calls for prior authorizations and denial follow-ups. Tune in and learn how voice AI is changing healthcare operations faster, smarter, and more cost-effectively than ever! Resources: Connect with and follow Sam Schwager on LinkedIn. Follow SuperDial on LinkedIn and explore their website! Email Sam directly here.

Nobody Told Me That! with Teresa Duncan
EP 154 Dental Case Acceptance Tips: How Your Team Can Increase Treatment Acceptance Rates

Nobody Told Me That! with Teresa Duncan

Play Episode Listen Later Jul 30, 2025 57:50


More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Is the secret to more dental case acceptance hiding in plain sight right inside your own team?   If you've ever wondered why some patients freeze at the mention of treatment costs, or how to handle those moments when someone starts Googling your every word from the chair, you're not alone. In this episode, Teresa talks with Angela Sullivan of Adaptive Dental Solutions about effectively helping teams boost treatment acceptance without feeling like a pushy salesperson. Angela shares stories and lessons straight from the operatory, from the power of a simple photo to honest talk about money and shares why confidence (not more facts) is what gets patients to say yes. The conversation covers everything from handling awkward price conversations to how handoffs and team communication can make or break your acceptance rates.    They wrap up with a preview of their October 10 workshop on advanced dental career possibilities. If you've ever wondered what is ‘Beyond the Operatory' then you'll love what they have planned!   Connect  with Angela:   Website https://adaptivedentalsolutions.com/ Email angela@adaptive-dental-solutions.com Facebook Adaptive Dental Solutions Instagram angeladavissullivan_ads  LinkedIn Angela Davis-Sullivan   Angela's book: https://www.amazon.com/Coming-Home-Better-Practice-no-nonsense/dp/0999786377   Join us for Beyond The Operatory on October 10, 2025 — a career workshop with Angela Davis-Sullivan and Teresa Duncan. Reserve your spot now: https://www.odysseymgmt.com/bto-waitlist ------------- 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 ------------- 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  

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Revenue Cycle Optimized: RCM Leadership That Gets Results in Coding Teams

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jul 16, 2025 30:20


Managing a coding team in today's revenue cycle landscape is no small task—especially when that team is remote, the claims are complex, and the pressure is high. In this session, Jessica Watson, Facility Coding Manager at Infinx, joins host Stuart Newsome for an unfiltered look at what makes an RCM coding leader effective. Jessica shares how she balances performance metrics with coder wellbeing, builds a culture of transparency and accountability across remote teams, and addresses common pitfalls like documentation ambiguity, productivity burnout, and denial patterns. Jessica breaks down what it really takes to build trust, accuracy, and efficiency in a modern coding department. Whether you're leading a coding team or just want to understand what “good” looks like in the world of facility coding and revenue cycle management, this episode delivers real-world tactics and frameworks you can use today. 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