Podcasts about RCM

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

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

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!

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

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

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!

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.

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!

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

Healthcare providers waste $950 billion annually on manual workarounds caused by fragmented EHR systems and integration costs that don't scale. Shadowbox has developed a patented browser technology that functions as an API, enabling instant EHR data access without traditional integration expenses. In this episode of Category Visionaries, we sat down with Gregory Stein, CEO of Shadowbox, to dissect how the company evolved from serving desperate lab diagnostics customers to building strategic partnerships with established healthcare IT players like HC1 to reach health systems.   Topics Discussed: How the 21st Century Cures Act information blocking provisions remain largely unenforced, allowing EHR vendors to maintain data monopolies through integration fees Shadowbox's technical architecture: a white-labeled browser that accesses the document object model and API endpoints to extract HIPAA-compliant data without custom integrations Market entry strategy—targeting financially distressed lab diagnostics providers who couldn't afford traditional integration costs The HC1 partnership model: splitting the market by use case rather than geography, with HL7/API integrations going to HC1 and rapid, low-cost deployments going to Shadowbox Sequential interoperability capabilities that enable multiple vendor touchpoints (prior authorization, eligibility verification, billing) from a single data extraction   GTM Lessons For B2B Founders: Target customers facing existential financial pressure, not optimal market conditions: Shadowbox entered through lab diagnostics—a commoditized, low-margin segment hemorrhaging money where providers faced $5K-$50K integration costs per connection taking 3-6 months. Greg acknowledged labs are "the redheaded stepchild of healthcare" but their desperation made them willing to pilot unproven technology. The lesson: segments with severe unit economics problems become early adopter pools because status quo costs exceed perceived risk of new vendors. Build a partnerships function before you have market leverage: Shadowbox hired a partnerships-focused employee early to cultivate relationships with RCM vendors and lab information system providers already selling to target customers. Rather than waiting for customer traction to attract partners, they used partnerships to generate initial traction. Greg emphasized healthcare adoption requires credible references—partnerships provide instant credibility entrepreneurs can't buy. Map your ecosystem's existing vendor relationships and pursue co-sell arrangements before achieving meaningful ARR. Use early customer feedback to migrate upmarket, not pivot laterally: Shadowbox started with labs, expanded to imaging centers, but their true ICP emerged as health systems with 500-1,000 community providers on disparate EHRs where traditional integration economics break down. Greg noted: "health systems that have major outreach programs where it doesn't pencil out to have them on their EPIC system." The migration path moved from small, desperate customers toward larger organizations facing the same core problem at scale. Don't mistake initial ICP for ultimate ICP—use early segments as beachheads to validate technology before pursuing customers with better economics. Partner with horizontal competitors when you solve orthogonal use cases: The HC1 deal splits the interoperability market—structured, predictable integrations go to HC1's traditional approach while rapid deployments to fragmented provider networks go to Shadowbox. This isn't channel partnership but market segmentation by use case economics. Greg explained they bring "something complementary to and in some ways competitive" but combined create offerings competitors can't match. Evaluate whether your "competitors" actually serve different jobs-to-be-done within the same category, then structure partnerships around use case delineation rather than territorial splits. Leverage policy expertise as product moat in regulated markets: Greg's Capitol Hill background enabled Shadowbox to support the Coalition for Innovative Lab Testing's successful lawsuit blocking FDA regulation of lab-developed tests—directly protecting their customers' business models. This wasn't marketing but strategic positioning that demonstrates commitment beyond vendor relationships. In heavily regulated industries, founders with policy expertise or advisors who can shape regulatory outcomes create defensibility that pure technology cannot. Consider how industry advocacy amplifies customer loyalty while potentially expanding TAM through favorable regulatory changes.   //   Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe. www.GlobalTalent.co   //   Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role.   Subscribe here: https://open.spotify.com/show/53yCHlPfLSMFimtv0riPyM

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!

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

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.

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!

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!

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

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

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!

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.

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

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

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.

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.

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  

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!

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

In this episode of What's Best for the Patient Is Best for Business, Jerry welcomes back Angela Diaz, PT, VP of Market Development at TailorCare, to move from the “why” to the “how” of value-based musculoskeletal care.They dive deep into the operational engine of TailorCare, a risk-based care navigation company that partners directly with payers to manage the entire MSK journey. Angela breaks down exactly how patients enter their system—through both inbound referrals from network providers and outbound, predictive data analytics that identify members at high risk for surgery months in advance.Jerry and Angela explore the crucial performance metrics that define a "high-value" physical therapy partner in this new landscape, from risk-adjusted cost per episode and patient outcomes to timely access and reducing low-value care. This episode is a masterclass in future-proofing your practice, emphasizing that the transition to value-based care isn't a distant threat—it's an opportunity happening now.Key Takeaways:• The Payer-Partnered Model: Learn how TailorCare operates "at the top of the funnel" by taking on risk from payers and why collaboration is grouped by payer network (e.g., Humana) rather than by individual provider relationships.• Data is the New Currency: Discover how performance data—like risk-adjusted visit counts, patient outcomes, and avoidance of low-value care—is used to identify and partner with top-tier physical therapy practices and orthopedic groups.• Inbound vs. Outbound Patient Engagement: Understand the two primary pathways: inbound referrals from PCPs and orthopedists, and outbound predictive outreach to high-risk members to guide them to the right care before they need costly interventions. 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!

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

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  

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Dr. Todd Norwood, Senior Director of Clinical Services at Omada Health, a virtual care platform specializing in chronic disease management. With a background as a board-certified orthopedic and sports physical therapist, Todd shares his journey from traditional clinical practice to the forefront of digital health innovation—including his role in co-founding Physera, a telehealth startup later acquired by Omada.Jerry and Todd dive deep into the critical role of patient engagement in modern healthcare, exploring how technology can enhance outcomes while maintaining high-quality care. Todd breaks down key insights from his research, revealing how simple actions—like regular messaging between visits—can compound into significant improvements in patient adherence and clinical results. They also discuss the importance of data in proving value, the evolving landscape of telehealth, and why physical therapists must embrace digital tools to stay ahead.Key Takeaways:• Patient engagement drives outcomes: Each additional weekly message from a PT increases patient compliance with home exercises by 11%—and these effects multiply over time.• Early intervention matters: Starting care within 24 hours of sign-up boosts long-term engagement and success.• Tech is just a tool: The real skill lies in knowing when and how to use digital platforms to enhance—not replace—clinical expertise.• Data is non-negotiable: Accreditation and payer trust require proof of impact. PTs must measure outcomes rigorously to demonstrate their value.• The patient's core needs: Clear diagnosis, prognosis, and defined roles (patient + provider) are the foundation of trust and retention.Todd's research underscores a powerful truth: what's best for patients is best for business. Whether you're a clinician, practice owner, or healthcare innovator, this episode is packed with actionable insights to elevate care delivery in the digital age.

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!

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.

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

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.

In this insightful episode of What's Best For The Patient Is Best For Business, Jerry sits down with Dr. Monique Caruth—home health physical therapist, entrepreneur, and founder of Caruth Staffing Agency. Dr. Caruth shares her inspiring journey from starting as a solo clinician to building a thriving home health business rooted in quality care, strong relationships, and intentional leadership.Key Takeaways:• The Power of Trust & Letting Go – Dr. Caruth discusses the challenges of transitioning from clinician to CEO, learning to delegate, and trusting her team to uphold her business's mission.• Culture Over Scale – Why prioritizing emotional intelligence and soft skills in hiring leads to better patient care and team longevity—even if it means saying no to rapid growth.• Resilience in Business – From losing major contracts to overcoming health setbacks, Dr. Caruth reveals how adversity refined her focus on what truly differentiates her agency.• The Value of Authentic Connections – Why saying "yes" to mentoring others and staying open to learning from every interaction can be pivotal to a person's success.Tune in for a masterclass in building a purpose-driven business that balances compassion with strategy—and discover why Dr. Caruth believes your struggles could be someone else's survival guide. 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!

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.

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  

“We Speak CVE” podcast host Shannon Sabens chats with CVE™/CWE™ Project Lead Alec Summers and CWE Top 25 task lead/CWE Root Causes Mapping Working Group lead Connor Mullaly about the importance of mapping CVE Records (vulnerabilities) to their technical root causes using Common Weakness Enumeration (CWE). Additional topics include the benefits of RCM for CVE Numbering Authorities (CNAs) and consumers of CVE data, Common Vulnerability Scoring System (CVSS) and other vulnerability metadata and their differences with CWE, the CWE Top 25 Most Dangerous Software Weaknesses list, and the tools and guidance available to improve the RCM process (e.g., examples of mappings and best practices on the CWE website, mapping usage labels on CWE entry pages on the website, the RCM WG, and an LLM tool), and more. 

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.

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  

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

Ava Winslow knows exactly where most urgent cares are bleeding revenue, and it starts at the front desk.As the founding account executive on Flip's healthcare vertical, Ava brings a sharp perspective on how conversational voice AI is transforming phone interactions into a competitive advantage for clinics. With a background that spans hospitality, enterprise SaaS, and now healthcare technology, she's helping providers rethink what patient communication can and should look like.In this episode, Ava joins Michael and Hannah in-studio for a conversation packed with insight, data, and a little bit of sass. Flip launched its healthcare solution just last year, and it's already answering calls for hundreds of clinics, integrating with platforms like Experity, and driving real results—like reducing missed call rates by nearly 50% in just a week.From missed calls and visit conversions to outbound engagement and integration deep dives, this episode offers a front-row seat to what the future of front desk support really looks like—and how urgent cares can start benefiting from it right now.Whether you're dealing with staffing gaps, scaling pains, or just tired of “press 1 for more frustration,” this one's for you.

The Hidden Hazards of Surgical Prior Auth Prior authorization for surgical procedures continues to be one of the most frustrating and costly hurdles in the revenue cycle. In this episode, Bo Bowman and Stuart Newsome unpack the hidden hazards that routinely derail authorizations—before a procedure is even scheduled. Drawing on firsthand experience and fresh examples from real-world surgical workflows, they explore the most common pitfalls, including failure to prove medical necessity, inaccurate procedural coding, insufficient documentation, and timing missteps. They also touch on the role automation and AI can play in supporting human teams—helping to surface missing requirements, flag coding mismatches, and push authorizations forward before deadlines hit. Whether you're on the clinical side, in operations, or supporting from RCM or technology, this session will give you a clearer path forward and arm you with the awareness needed to avoid denials, delays, and administrative fatigue.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   What if your child's speech or chewing could give you clues about hidden developmental delays?   Did you know that your child's visit to the dentist could hold hidden insights into their overall development? Join host Teresa Duncan and guest Ann-Marie DePalma as they unravel the fascinating connections between a child's oral health and early signs of developmental delays—including conditions like autism. Discover why dental professionals might be the first to spot clues, from speech impediments to tongue ties, and how these seemingly minor oral challenges can indicate deeper issues in your child's physical and cognitive growth.   But there's more: Ann-Marie explains how both clinical and administrative dental teams can play a critical role in identifying and supporting children with developmental delays, by looking for patterns during appointments and asking the right questions when families call. You'll also learn practical advice for parents—from understanding what happens if a tongue tie isn't treated, to the significance of early referrals for therapies such as myofunctional therapy.   And it's not just about childhood—this episode explores broader themes of women's health in dentistry, including the role of hormones during menopause and their surprising link to conditions such as TMJ, TMD, and chronic headaches. Plus, get an insider's view on how artificial intelligence is transforming how dental offices track development, screen for health risks, and make the entire patient experience (from online scheduling to payments) more accessible.   Whether you're a parent concerned about your child's speech, a dental professional encountering more patients with autism or developmental delays, or someone curious about the intersection of oral health, women's health, and modern technology, this episode is packed with essential insights and actionable tips to help you be proactive at every age and stage.   Connect with Ann-Marie: Website:https://depalmaannmarie.com/ LinkedIn: https://www.linkedin.com/in/annmariedepalma/ Instagram: https://www.instagram.com/ann.marierdh/ Check out our previous Podcast: NTMT #159 Ep 99: Artificial Intelligence: What's The Big Deal? https://directory.libsyn.com/episode/index/id/24754176   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

Sam Schwager, Co-founder & CEO and David Khaydtov, Enterprise Account Executive of SuperDial sit down with GDN in New York City to discuss dental RCM and the future of AI. The SuperDial team share their thoughts on: The founding & development of SuperDial Merging AI with human expertise in RCM The future of dental RCM  Much more To schedule a demo or to learn more about SuperDial's dental RCM AI solution visit https://www.superdial.com/ You can also reach out to David Khaydatov via email at David@superdial.ai or on Linkedin at https://www.linkedin.com/in/david-khaydatov-857387b8/   

Six Shifts Shaping RCM Influenced by AI Agents In 2025, revenue cycle management is being reshaped by the rapid advancement of automation and the emergence of intelligent AI agents. This session explores six major shifts that are redefining how healthcare providers manage claims, denials, eligibility, and financial performance — all through the lens of AI-enabled transformation. Built from real conversations with revenue cycle leaders, clinical teams, and healthcare finance professionals, this session offers a strategic breakdown of where RCM is headed and what's holding organizations back. From the transition to platform-first strategies, to the increasing need for secure and resilient infrastructure, to the rethinking of workforce models around digital assistance — we'll dive into the practical realities shaping today's automation landscape. With AI agents now acting as collaborators, not just tools, healthcare organizations are beginning to realize new efficiencies, enhanced compliance, and measurable ROI. This session goes beyond hype and gets into how automation is truly impacting day-to-day revenue operations. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Imagine a dental world where patient data flows as freely as it does in medicine—no more wasted time, lost information, or clunky workarounds. Vyne's CEO Steve Roberts sits down with me to discuss why the dental industry is ready for transformational change and what that means for claims processing, practice efficiency, and ultimately, better care for your patients. I shared my frustration at the unfairness of ptient data being gatekept just for profit. It could be happening to you - it just seems normal. But it's not right.   Key Talking Points:   Why Patient Data Needs to Flow Freely Dental software systems shouldn't make it difficult or expensive to easily share patient information. Uncover how the lack of interoperability holds practices back, limits care quality, and what it will take to catch up to the medical field's standards.   The Evolution of Claims Processing & Real-Time Demands We talked about the trend of carriers seeing value in letting us have more access to claims and benefit information. How do we make it standard?   Change Healthcare's Security Breach—A Wake Up Call Hear lessons learned from last year's Change Healthcare security crisis that exposed vulnerabilities across the entire claims ecosystem. Find out what offices and vendors are doing to build redundancy, improve security, and ensure practices never face that kind of disruption again.   Whether you're a dental professional looking to stay ahead of industry changes, or you're passionate about making your practice more efficient and resilient, this episode is packed with strategies and inspiration for embracing the future of dental claims and technology.   Connect with Vyne: Website:  https://vynedental.com/   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

In this episode, Terry challenges all medical professionals. What is your role in managing the patient experience? A lack of patient prep can lead to an incomplete encounter for the physician including excessive visits. It can also lead to leakage in all departments, including the RCM staff's ability to perform their job. Terry offers her […] The post Is the provider “prepared” to see the patient? appeared first on Terry Fletcher Consulting, Inc..

In this episode, Brian Zimmerman talks with Scott Allen and Tim Fuchs from nimble solutions about how ambulatory surgery centers can optimize payer relationships and revenue strategies to fuel sustainable growth. They explore the current headwinds ASCs face—like flat reimbursements and rising costs—and how stronger partnerships with payers and RCM experts can turn these challenges into opportunities. Tune in for practical insights and one actionable step ASC leaders can take today to drive long-term value.This episode is sponsored by nimble solutions.

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