Podcasts about RCM

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?

In this solo episode of What's Best For The Patient Is Best For Business, Jerry dives into Part 2 of the Front Desk Selling Series, focusing on the power of permission-based questions during initial patient phone calls. This episode is all about sharing his expert insights on refining front desk communication to improve patient engagement and conversion.Building on the foundational concept of acknowledgment (covered in Part 1), Jerry explains how permission-based questions help control the conversation while making the caller feel heard and valued. He breaks down real-world examples, demonstrating how to steer discussions away from premature cost inquiries and toward understanding the patient's needs, ultimately leading to better outcomes for both the patient and the business.Key Takeaways:• Control the conversation by asking the most questions—the person guiding the dialogue shapes the process and results.• Permission-based questions build trust by signaling active listening and putting the patient's input at the center.• Defer cost discussions strategically by acknowledging the question, then redirecting to the patient's goals first.• Practical scripts for front desk staff to seamlessly integrate acknowledgment and permission-based questioning into calls.Whether you're a clinic owner, front desk staffer, or just looking to improve patient interactions, this episode is packed with actionable techniques to turn phone inquiries into scheduled appointments. Tune in, take notes, and start implementing these strategies today! 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!

Should You Offshore Medical Billing Patient Calls? The Hidden RCM Impact on Provider RelationshipsAre you struggling with the decision to offshore your medical billing patient calls? While the cost savings seem attractive, the impact on patient satisfaction and provider relationships could be more significant than you realize.This episode challenges the conventional wisdom around offshoring RCM functions and examines why patient calls may be the exception to the cost-cutting rule.What You'll Learn: Why patient RCM calls present unique challenges compared to other offshoring opportunities How offshore call centers can inadvertently amplify patient dissatisfaction and damage valuable referral relationships The critical distinction between technical functions (like payment posting) versus patient-facing services Why maintaining onshore patient calls may deliver ROI despite higher operational costs Practical strategies to evaluate which RCM functions are appropriate for offshoring versus keeping domesticPerfect for: Medical billing company executives, healthcare practice administrators, RCM operations directors, and healthcare provider organizations evaluating offshoring strategies.Drawing from industry experience across multiple healthcare verticals, this episode provides a nuanced view of the real business impact when patient calls are offshored—beyond simple cost calculations.Discover why protecting the patient experience at key touchpoints may be the most valuable investment you can make in your RCM operations. Listen now to transform your approach to medical billing customer service.

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/   

Are you considering hiring a business development specialist for your medical billing company but unsure if it's the right investment? Many practice owners find themselves at this crossroads, wondering if a dedicated biz dev person will actually deliver the ROI they promise.This episode challenges the conventional wisdom around hiring business development professionals in medical billing and offers alternative strategies that could save you hundreds of thousands while delivering better results.What You'll Learn: Why the traditional "biz dev" role often fails to generate sufficient leads and closed deals for medical billing companies How investing $50-100K in targeted marketing can outperform a $500K biz dev hire for your cash flow and growth When splitting functions between marketing specialists and dedicated sales professionals creates a more effective revenue pipeline The critical evaluation timelines for marketing vs. sales roles and how to sequence these investments strategically Specific scenarios where relationship-based sales to hospital systems might warrant a different approachPerfect for: Medical billing company owners, revenue cycle management executives, healthcare entrepreneurs scaling their billing services, and practice management consultants.Even established RCM companies with nine-figure revenues typically separate these functions rather than combining them in a single role, recognizing the specialized skills each requires.Transform your growth strategy by investing in the right resources at the right time, rather than seeking the unicorn "does-it-all" business development hire.Take control of your medical billing company's growth trajectory by implementing these proven strategies for sustainable business development without the hefty price tag.

In this episode of Leaders in Medical Billing, Chanie Gluck welcomes Davia Award, founder of Healthcare Partners Consulting & Billing (HPC), to share her extraordinary journey from a small-town biller to a national force in mental health RCM. With over 37 years in the industry, Davia is reshaping how billing companies operate—through empathy-driven leadership, building AI-powered tools like ClaimBuddy, and a bold mission to empower 100 women across the U.S. by 2027.  From tackling credentialing and coaching providers to developing bots for SOPs, Davia shows how holistic, tech-forward, and core values-centered leadership can change lives—and the future of medical billing. She also shares how she motivates her team to embrace AI and technology.  Learn more about HPC: https://hpcbilling.com/  Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology. 

In this solo episode of What's Best For The Patient Is Best For Business, Jerry dives into the critical first step of front desk sales—acknowledgement—during initial patient phone calls. As Part 1 of his Front Desk Sales Series, Jerry shares invaluable insights from his 15 years of experience, emphasizing how early interactions shape a patient's entire journey.Key Takeaways:• The Golden Moment: When a potential patient reaches out, the first 30 seconds of the call set the tone for trust, expectations, and long-term retention.• Power of Acknowledgement: Simply repeating back what the caller says (e.g., "Hi Jerry, I'm sorry to hear about your back pain—we help a lot of people with that!") signals that your practice is different and builds immediate rapport.• Control the Conversation: Proper acknowledgement prevents callers from derailing the discussion and guides them toward scheduling—without feeling rushed or ignored.• Prevent Problems Early: Many cancellations and no-shows can be avoided by mastering this initial step, as it aligns patient expectations from the start.Jerry breaks down real-world examples, revealing common pitfalls and actionable scripts to transform your front desk's phone game. Whether you're a clinic owner or a front desk team member, this episode is packed with strategies to turn inquiries into loyal patients.Tune in and learn why this simple skill—listening and acknowledging—can be your most powerful sales tool.Listen now and stay tuned for Part 2! 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!

Join Jonathan Guiney on Reliability Radio as he welcomes Sunil Kamerkar, from Asset Analytix. With over 30 years in the business, Asset Analytix specializes in helping Maximo® users transform their operations, focusing on data quality, PM job plan optimization, and strategic program assessments. Sunil explains their partnership with Reliabilityweb's Uptime Elements framework, which guides their comprehensive assessments with the RAM-GPS tool. Learn how they tackle common pain points like outdated PM programs, leveraging Maximo data and a blended methodology of tribal knowledge, FMEA, and RCM to drive tangible improvements and mitigate corrective work. Sunil details their engagement model, starting with an accessible Proof of Concept workshop that demonstrates immediate business benefits like reduced downtime, mitigated risk, and cost savings. He offers a powerful message for organizations feeling "not ready" due to data quality or budget constraints: "Start wherever you are." Discover how taking that crucial first step, starting small, and continuously measuring progress is key to overcoming inertia and sustaining your reliability journey.

Above all, love each other deeply, because love covers over a multitude of sins. Offer hospitality to one another without grumbling. Each of you should use whatever gift you have received to serve others, as faithful stewards of God's grace. . . . — 1 Peter 4:8-10 D'Near Scott, known as “Twin,” is actually a triplet—but that's another story. Today he stands with us in a large circle before lunchtime. Twin has spent much of his adult life working odd jobs, staying in abandoned buildings, and trying to survive. At Roseland Christian Ministries (RCM), Twin has found something more—a place where he is valued. Like a member of any family, Twin takes on roles that help us function together. He's quick to mop floors, take out the garbage, or shovel snow when necessary. Sunday through Friday, you'll find him at RCM, smiling, helping with odd jobs, and sharing in the meals we serve. Today, as 25 to 30 of us stand in a circle before lunchtime, tears well up in Twin's eyes, and his voice quavers as he says, “You are my family.” As we go around the circle, each of us shares our name, gives thanks, offers prayer requests, and speaks words of encouragement. Then we pray together, lifting each other up to God in Jesus' name, and we break bread as a community. In this way we remember that Christ calls us into a new family—his body, the church. May we always see one another as brothers and sisters in Christ, bound together in his love and grace. We are family. Father, thank you for the family we find in Christ. Help us to be united in your love. May we serve and uplift each other, reflecting your grace and compassion. Amen.

Send us a textLuke stops by the show to discuss his musical journey, which started at the age of 7,  how the pandemic changed his life, a separate identity from being a singer/musician, and more. ****Luke Marzec's life has always been about music. He picked up the violin aged 7, the sax at 10 and the piano soon after. At just 11, his natural talent earned him a place at the prestigious Royal College of Music (RCM) Junior Department. In fact, most of Luke's childhood was spent either in the practice room or on stage. By the time he graduated high school, he had led countless classical and jazz bands, ensembles and orchestras - professionally, at school, RCM, and at the national level. He formed his first band at York University and spent most of his early 20s playing sax in various jazz, psychedelic, indie, and brass bands in the north. He gained a scholarship to Trinity Conservatoire's Master's course in 2016, but after a full term of shredding, decided to focus on his career as a solo artist. In 2018, he released his EP Chances, which received critical acclaim. Over the next couple of years, Luke released two more EPs and gained writing and production experience, doing the rounds co-writing with artists in the UK such as Maverick Sabre, VC Pines, Benjamin Francis Leftwich and Jazzanova. He featured on Johannes Brecht's “Voicing Something” which was remixed by Adriatique. His Spotify page now has more than 15 million listens.  Today, Luke is one-third of London's experimental modular synth-jazz group Lazy H and the Loose Cables, in which he plays the tenor sax and synthesizer. The trio have gigged with London's Kinkajous, Mark Cake, Alabaster DePlume, Plumm and FlamingGods, and they released their first album Rotary Perception with Nottingham-based label Running Circles earlier this year. The avant-garde jazz album takes listeners through psychedelic and tender soundscapes, perfect for sci-fi film scores. He also hosts Headroom – one of the city's most exciting jam sessions which showcases some of the capital's best jazz and electronic instrumentalists and producers. Covid instigated a new period for the artist when he moved into a 44-foot narrowboat. Living life as a water traveler, Luke spent a lot of time in the countryside in relative solitude, before moving to Devon and setting up a new studio. After months in lockdown, this frenetic new period led to a prolific stream of writing and recording. Despite Marzec's writing and collaborating prowess, he is most at ease on stage where everything is simplest, where decision making is easiest and where he feels most alive. After the first note is played, the rest is as if he was watching himself perform; as if his spirit floats to another realm to observe his body. During his performances, the rugged growl of his voice in brilliant contrast to the soft notes he plays on the keys allows him to connect with his audience in moments of sheer bliss and unity. In 2025 Luke will take up residence at one of the city's newest micro-venues while touring across Europe to promote his new album, debut album Something Good Out Of Nothing.*****If you would like to contact the show about being a guest, please email us at Dauna@bettertopodcast.comUpcoming guests can be found: https://dmneedom.com/upcoming-guest Follow us on Social MediaInstagram: https://www.instagram.com/author_d.m.needom/Facebook: https://www.facebook.com/bettertopodcastwithdmneedomIntro and Outro music compliments of Fast Suzi©2025 Better To...Podcast with D. M. NeedomSupport the show

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?

Jessica Watson, Facility Coding Manager at Infinx, joins us to share how she leads high-performing remote coding teams without compromising on accuracy, culture, or speed. Learn practical tactics that make an RCM leader effective in today's complex coding environment.Brought to you by www.infinx.com

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Matt Byrne, Executive Director for Provider Partnerships at FIGUR8, Inc., to discuss the untapped potential of workers' compensation in physical therapy—and why ignoring this market could be a costly mistake. FIGUR8 provides the first FDA-registered, objective musculoskeletal (MSK) assessment tool, replacing outdated subjective methods and driving better patient outcomes.Matt challenges the common misconceptions about workers' comp, revealing why it's one of the highest-paying and most underserved segments in PT. With 900,000+ MSK claims annually—each costing employers $35K–$65K—he breaks down how clinics can leverage objective data to streamline care, reduce claim costs, and attract referrals from the many key stakeholders involved with workers' comp claims.Key Takeaways:• Workers' Comp Is a $1.35B Opportunity: At 12 visits per claim and $125/visit, this market is ripe for clinics willing to embrace it.• Data = Leverage: FIGUR8's technology replaces guesswork with biomechanical insights, justifying care plans and speeding up return-to-work timelines.• Better Payer Mix, Fewer Patients: Workers' comp reimburses higher than Medicare and commercial insurance—meaning clinics can increase revenue while seeing fewer patients.• Stop the Staffing Shortage Myth: Optimizing payer mix (e.g., shifting from 3% to 10% workers' comp) can ease clinician burnout and boost margins.• The "Hub-and-Spoke" Model: Hire one dedicated workers' comp PT to train staff and oversee high-value services (e.g., functional capacity exams billed at $800–$1,200 each).If you're tired of chasing shrinking reimbursements and want a proven way to serve your community and your bottom line, this episode is your wake-up call. 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!

Staying Ahead In The AI Arms Race With Payors As artificial intelligence takes a front seat in revenue cycle operations, providers are confronting a fast-changing landscape shaped by payor-driven automation. Denials are being issued in seconds. Post-payment reviews are ramping up. And compliance, once a back-office function, is now a strategic necessity. In this special Office Hours session, Stuart Newsome distills the most important insights from his AAPC HEALTHCON presentation and a prior HFMA segment—delivering a clear-eyed look at the AI arms race between payors and providers. The session will examine how payors are deploying AI to control costs, how providers can avoid costly compliance missteps, and what governance structures are needed to keep automation accountable. Attendees will leave with a practical understanding of the risks and remedies surrounding AI in healthcare RCM, plus actionable steps to build resilient compliance programs that evolve with the technology. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

In this episode, 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 solo episode of What's Best For The Patient Is Best For Business, Jerry dives into the transformative role of AI voice agents in healthcare—specifically on the non-clinical, pre-arrival side of operations. Jerry shares his firsthand experience working with AI voice technology over the past year, detailing how it's reshaping patient intake, scheduling, benefit checks, and cost callbacks, without replacing human roles.Key Takeaways:- AI voice agents are revolutionizing pre-arrival workflows—but success hinges on understanding your practice's people, processes, and patient journey before implementing the tech.  - Workflow is everything: AI should be strategically inserted into existing systems, not haphazardly overlaid. His case study reveals how mapping out SOPs and scripts upfront slashed onboarding time and costs.  - Human-AI collaboration is key: One client retained staff for quality assurance and follow-up, proving AI works best when complementing—not eliminating—human touchpoints.  - The patient experience gap: With healthcare admin satisfaction at historic lows, Jerry argues AI voice agents can reduce friction (like phone trees and portals) while building 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!

In this episode of Leaders in Medical Billing, Chanie Gluck speaks with David Strand, CEO of UnisLink and former COO of the Cleveland Clinic and Alina Health. David brings over 30 years of cross-sector healthcare leadership—from payers to providers to startups—and now leads UnisLink, a fast-growing RCM company backed by Riverside Partners.  David dives into what it takes to transition an early-stage RCM company into a scalable, process-driven organization. He shares insights on UnisLink's growth strategy, building offshore teams, AI for denial management, creating a consultative client experience, and the long-term vision of delivering value-based results for small and mid-sized practices.  Learn more about UnisLink: https://unislink.com/  Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology. 

In Christ we, though many, form one body, and each member belongs to all the others. — Romans 12:5 DeWitt is a beloved part of our church family. He was the first neighborhood kid to meet Rev. Tony Van Zanten, who served at Roseland before me. Seeing nowhere for young people to gather, Rev. Tony threw open the doors of the Roseland Community Center, inviting DeWitt and an entire generation to come in and play basketball and form a community, a family. Over the years, some of those young people moved away, graduated from college, or started businesses. Others died. DeWitt joined the military but returned and settled in next door. For the past 40 years he's been at Roseland nearly every day. He has cooked meals, hosted volunteer groups, played the congas in church, and participated in countless games of dominoes at the Drop-In Center. He has also sung in choirs and contributed to our vibrant community life. If you've been to Roseland Christian Ministries (RCM), you've probably met DeWitt. He's kind, fun-loving, and has a beautiful tenor voice (similar to that of Luther Vandross). I've learned that DeWitt's deepest longing is to be loved and belong—which all of us share. Some people find this in their immediate family or in their marriage. DeWitt found it in Christian community at RCM. I'm grateful that we can belong to God together in this place. Thanks be to God. Father God, thank you for the gift of belonging. In your love we find our true home. Help us to reflect the unity of Christ's body, where all are welcome. Amen.

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.

Revenue cycle leaders are navigating six transformative shifts in 2025 — all accelerated by automation and AI agents. This session breaks down how these changes are impacting denials, workforce models, platform strategy, and financial clearance, and offers practical insights on building smarter, agent-enabled RCM operations.Brought to you by www.infinx.com

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Dr. Valerie Rucker-Bussie, Community Development Officer for Rizing Tide, and Dr. Heidi Jannenga, Founder of Rizing Tide, to discuss how their nonprofit is addressing the critical shortage of physical therapists while improving diversity and representation in the profession.Rizing Tide provides scholarships, mentorship, and career development opportunities for first- and second-year DPT students from underrepresented backgrounds, helping to build a more inclusive and culturally competent workforce. Heidi shares the inspiration behind the organization—rooted in her own journey with WebPT—and Valerie highlights how their Employer Connect Program bridges the gap between students and future employers, creating a pipeline of talent for clinics nationwide.Key Takeaways:• Solving the PT Shortage – Rizing Tide is tackling the industry's workforce crisis by supporting students who might otherwise drop out due to financial barriers.• The Power of Representation – Research shows better patient outcomes when providers reflect the communities they serve—Rizing Tide is making that a reality.• Community & Mentorship – Beyond scholarships, the organization fosters a PT Pod community where students access mentorship, networking, and career opportunities.• Employer Benefits – Clinics partnering with Rizing Tide gain early access to top-tier talent, reducing recruitment challenges and improving workforce diversity.• The Business Case for DEI – Diversity isn't just ethical—it's good for business, expanding patient access and driving long-term growth.Tune in to hear how Rizing Tide is shaping the future of PT one scholar at a time.Learn more at Rizing-Tide.com If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Are you a dentist feeling overwhelmed, burned out, or just stuck in survival mode? What if the real issue isn't your clinical skills, but how you're managing your time, your stress, and your practice? Mark Davis built and ran 16 dental practices over the course of his career — and now he's sharing what most dentists never figure out until it's too late. The pressure to stay on schedule, the chaos of last-minute emergencies, the constant tension with staff… it's not just part of the job. It's a signal that something's off. This episode is about the real reason burnout creeps in, even when things look fine on the surface — and the kind of mindset shift that can fix it without blowing up your whole practice. If the day-to-day feels heavier than it should, this is one worth hearing. Connect with Dr. Mark Email mark@dentalsimplified.com Website https://dentalsimplified.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?

AI is helping payors deny claims faster than ever—are your compliance practices keeping up? Join Stuart Newsome for a concise, high-impact session covering key takeaways from his HEALTHCON talk and HFMA appearance, focused on staying compliant and competitive in the era of AI-driven RCM.Brought to you by www.infinx.com

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Kem Tolliver, President & CEO of Medical Revenue Cycle Specialists and co-host of the RevDive podcast. Kem shares her journey from medical receptionist to a nationally recognized healthcare consultant and educator. She introduces her 4-quadrant revenue cycle model, designed to help practices optimize everything from patient intake to financial reporting. Kem also shares advice for medical billing company owners looking to become more consultative and value-driven in an increasingly tech-forward RCM landscape.   Learn more about Medical Revenue Cycle Specialists: https://www.medrevenuecycle.com/  Check out Kem's podcast, RevDive, here: https://www.medrevenuecycle.com/podcast  Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology. 

In Part 3 of 3 of this sales-focused series on What's Best For The Patient Is Best For Business, Jerry is joined once again by Eddie Ernst to dive deep into the critical mindset shift needed for successful sales in healthcare—prioritizing arrivals over just filling schedules.Jerry and Eddie discuss the importance of qualifying leads effectively, ensuring that the right patients (or clients) are the ones booking appointments—those who will arrive, pay, and stay committed to their care. They break down key strategies for detaching from the outcome while staying fully engaged in the process, emphasizing that sales isn't about manipulation but about helping people make informed decisions that align with their needs.Key Takeaways:• Qualifying Leads Matters – Not every inquiry is a good fit. Learn how to ask the right questions upfront to determine if a potential patient is ready, willing, and able to commit.• Detach from the Outcome – Focus on the process, not just the sale. This mindset allows you to serve better without emotional burnout.• Mindset Over Money – If someone isn't ready to invest in their health (financially or mentally), no amount of persuasion will change that—and that's okay.• Acknowledge, Respond, and Close that Door – Handle objections (like cost or insurance) by acknowledging concerns, providing value, and steering the conversation back to the patient's needs.• The Meaning of Patient-Centered Care – If the priority of your calls is getting patients scheduled instead of determining what value you can provide them, you shouldn't be calling your business “patient-centered.”Tune in to this no-nonsense conversation that will challenge how you think about sales in healthcare—whether you're a PT, clinic owner, or sales professional. If you've ever struggled with no-shows, cancellations, or low conversion rates, this episode is a must-listen.Listen now and learn how to stop chasing appointments and start securing committed patients! If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

 In this episode of the Becker's Healthcare Podcast, Lukas Voss speaks with Gaurav Gupta, SVP of Product Strategy and Performance Management at Med-Metrix, about the rising role of artificial intelligence in revenue cycle management—and why transparency matters more than ever. Gaurav unpacks the challenges of “black box” AI, including staff distrust, compliance risk, and limited oversight, and explains how explainable AI can drive smarter, more trustworthy outcomes. Tune in to learn how healthcare leaders can evaluate AI tools with confidence and future-proof their RCM strategies.This episode is sponsored by Med-Metrix.

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

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

Discover how a revenue cycle health check can uncover hidden opportunities in your RCM operation. Using the Infinx A/R and Denials Management Platform, this episode explores how data-driven analysis reveals coding issues, denial patterns, and workflow gaps—ultimately driving smarter, more strategic revenue performance.

In Part 2 of 3 of this sales-focused series, Jerry is joined again by sales expert Eddie Ernst for a deep dive into refining the sales process. Eddie shares insights from his latest sales training approach, emphasizing the importance of direct questioning, maintaining control of conversations, and avoiding the pitfalls of "word vomit" that create uncertainty.Key Takeaways:• Better Questions = Better Results: Eddie explains how shifting to a more direct, authority-driven approach—forcing prospects to sell themselves on why they need help—leads to stronger buy-in and filters out uncommitted leads.• Avoiding Overselling: Jerry and Eddie discuss how untrained salespeople often talk past the close, creating confusion rather than clarity. The solution? Ask targeted questions, listen actively, and shut up after asking.• Controlling the Conversation: Learn why "earning the right to interrupt" is critical—and how letting prospects ramble unchecked can derail a sale.• Detaching from the Outcome: Eddie reveals why you "can't want it more than the prospect" and how to spot when someone isn't truly ready to commit.• Healthcare Parallels: From physical therapy to biz ops, the duo breaks down why foundational sales principles (like triaging leads upfront) prevent no-shows, cancellations, and burnout.Tune in for actionable strategies to tighten your sales process, eliminate wishy-washy prospects, and drive meaningful conversions—without manipulation. And stay tuned for Part 3, where Jerry and Eddie role-play these tactics live! 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   She started charging just $40 a month—now she runs a business that hit 7 figures. In this episode, Amanda DeMoura shares how her small side hustle evolved into a thriving dental business, what it really took behind the scenes, and the unexpected turns that shaped her success. In this episode, we talk about her journey from the ground up, navigating remote work and entrepreneurship, and what happens when growth forces you to make big, uncomfortable decisions. If you're in the dental industry, healthcare admin, or just curious how real businesses are built behind the scenes, this conversation is full of honest moments. It's a story about ownership, reinvention, and figuring it out as you go. Connect with Amanda: Website: https://amandademoura.com/ Email: Amanda@amandademoura.com Podcast: Breath of Fresh Air - Dental Podcast ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

In this episode of What's Best For The Patient Is Best For Business, host Jerry Durham sits down with Eddie Ernst, a former PTA turned high-ticket sales expert, for the first installment of a three-part series on sales in healthcare and beyond. Eddie shares his journey from clinical burnout to learning the art of inbound sales, offering valuable insights for clinic owners, front desk teams, and anyone looking to improve their sales process.Key Takeaways:• The Power of Inbound Leads: Eddie and Jerry discuss why inbound leads—people who raise their hand for help—are the gold standard for sales and how to maximize these opportunities.• Bridging (and Building) the Gap: Learn why simply selling the destination isn't enough—you must paint a clear picture of the journey, making the gap between where the prospect is and where they want to be undeniable.• Emotion Over Logic: Discover how to dig deeper than surface-level answers to uncover the real motivations behind a prospect's needs, tying their pain points to emotional outcomes.• Why Expertise Matters: Eddie breaks down how to position yourself as the expert they need—not just another commodity—by guiding prospects to their own conclusions.• The Cost of Overselling: Jerry and Eddie highlight the dangers of talking too much on sales calls and how it can derail even the most promising leads.Whether you're in healthcare, fitness, or any service-based industry, this episode is packed with actionable strategies to transform your sales approach—without feeling sleazy. Tune in for Part 1 of this eye-opening series and stay tuned for the next episode, where Jerry and Eddie dive into a live role-play to put these principles into practice! If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

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

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

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

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

In this powerful episode of What's Best For The Patient Is Best For Business, host Jerry Durham sits down with Dr. Rebeca Segraves, DPT, co-founder of Enhanced Recovery After Delivery, to discuss the untapped potential in women's health and how shifting the model of care can create a massive impact.Dr. Segraves shares her journey from working in oncology and post-surgical rehab to revolutionizing maternal health by advocating for early intervention physical therapy after C-sections and other pelvic surgeries. She breaks down how her work has not only improved patient outcomes but also saved hospitals hundreds of thousands of dollars, proving that patient-centered care is also financially sustainable. The conversation dives into:• The $1 trillion opportunity gap in women's health — and why the current system fails to address it.• How orthopedic and sports medicine models can (and should) be applied to women's health — including prehab, early intervention, and lifelong care.• The power of storytelling and media — why documenting patient experiences and provider success is a key in changing healthcare.• Why "pro bono" care isn't always the answer — and how to create equitable systems that respect both patients and practitioners.• The importance of personal transformation — Dr. Seagraves reveals how she turned rejection from her own mentors into a tipping point for systemic change.Tune in for an inspiring discussion on breaking barriers, redefining value in healthcare, and why the future of physical therapy demands bold, patient-first thinking.Listen now and rethink what's possible in your practice. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

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

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

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Angela Diaz, DPT, Vice President of Market Development for TailorCare, to explore the future of physical therapy in a value-based healthcare system. With decades of experience as a clinician, practice owner, and healthcare executive, Angela shares her insights on why PTs must lead—or risk being left behind—in the shift toward patient-centered, outcomes-driven care.Key Takeaways:-  Value-Based Care Is Here – Physical therapists must transition from fee-for-service models to payment structures that reward high-quality outcomes, cost efficiency, and patient satisfaction.-  Data Is Non-Negotiable – PTs need to track pain, functional outcomes, and patient satisfaction to prove their value. Angela emphasizes: "If you can't measure it, you can't improve it—or get paid for it."-  The Power of Shared Decision-Making – Angela shares a case study of a knee pain patient who avoided surgery through tailored PT and lifestyle changes—highlighting how aligning care with patient goals improves outcomes and reduces costs.-  PTs as First-Line Providers – In TailorCare's model, PTs triage musculoskeletal cases, collaborating with PCPs, orthopedists, and behavioral health to streamline care and prevent unnecessary procedures.-  Future-Proof Your Practice – Angela outlines four trends reshaping PT: hybrid care (telehealth + in-person), integrated care teams, AI/wearables for outcomes tracking, and patient choice driving reimbursement.-  "Step Up or Get Left Behind" – Angela's rallying cry: PTs have a unique role in prevention, recovery, and wellness—but must advocate for their place at the table in policy and payment reform.Whether you're a clinician, practice owner, or healthcare leader, this episode is a masterclass in positioning physical therapy as the cornerstone of value-based MSK care. Tune in and rethink what's possible for your practice and your patients. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

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

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

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

Litigation Strategies In Pathology RCM On this second installment of our pathology RCM series, we take a high-level look at a topic many practices avoid until it's too late—litigation as a strategic tool to protect and recover revenue. With decades of experience supporting pathology groups, David Smith, COO of MedReceivables Advisor, returns to guide us through the legal considerations that come into play when reimbursement efforts stall. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

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

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

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

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