Podcasts about RCM

Tiff and Pam talk about the current intersection of technology in the practice, and how using and understanding AI as a tool for busywork means you can focus on the tasks that really need that human touch. They talk about why training AI could be just as critical as training humans, where to look first when incorporating the software into your practice, how a staff member can serve as quality check for automated tasks, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Tiffanie (00:01) Hello, Dental A Team listeners. This is Tiff back with you here on the podcast. And we are in the studio today. I have myself and I have Miss Pam with me. And Pam is one of our prize possession consultants here at the Dental A Team. We have had Pam on our team for a little while now. And if you are special enough and blessed enough to work with her, you know exactly who she is and you have some solid foundational systems. Pam is a systems guru. She busts them out.   And she holds accountability like I've never seen before. And when she learns something, she learns it forever. And I love getting to watch you, Pam, progress in your Dental A Team journey. I watch you like taking notes all the time on the systems that we, you know, hold tried and true. Yesterday Dana was talking about a couple of systems during our collaboration and I was like, gosh.   She's just over there feverishly writing and I love it because I know exactly what's gonna happen. You're gonna like go back, you're gonna relearn   Pamela (00:54) I was. Yes, I was.   Tiffanie (00:58) it, and you're gonna teach it. And it was just really cool. So I love that, Pam. Thank you. And I love that you have these skill sets that you're able to then take and you help so many practices implement the same skill sets, like not just our systems, but how to retain it. You know how you retain it.   But then you're also looking for how are other people retaining the things that they're learning so that you can help them grow in their learning as well. So it's just really cool to watch, Pam. Thank you for everything you do and thank   Pamela (01:27) Thank you.   Tiffanie (01:28) you for being here today. How are you?   Pamela (01:31) you know, I'm doing fabulous and thank you. I appreciate all those kind words, Tiff. That was very nice. I think it's a unique and great time to be in dentistry. So v we've seen a lot of changes over the years and now we're to a stage that is changing very, very quickly.   Tiffanie (01:50) I agree. I I love that you said that, Pam, because something that I think we've said in dentistry for a long time is that dentistry is really progressive in a lot of ways. I think there's a lot of things in dentistry that haven't changed and haven't progressed, like Rick canals, things like that are still being done similarly to how they were thirty years ago. But so much in dentistry is so progressive and it's changing all the time. But I I think we've always said that. But I think in the last five, six years that has   Like us saying that before doesn't even make sense anymore. Like the progression we're seeing now is wild.   Pamela (02:26) It's it's crazy. you know, I was thinking about this, and there are so many systems that we have done for years that we're not perfecting, right? That we still could perfect and are in addition to any AI stuff we have. But the interesting thing is is that now something that has been in scarcity our entire human existence or now or soon will become like an abundant commodity, which is intelligence, right?   Tiffanie (02:53) Yeah. Yeah.   Pamela (02:55) So   I think that it's really wild to be thinking about that intelligence is a commodity and we can buy it.   Tiffanie (03:03) Yeah, I think that's amazing. That was a great perspective. And you are not wrong. I listen to a lot of   Pamela (03:07) Yeah.   Tiffanie (03:09) podcasts and I know you do too that speak to that same thing. And I think both of our households house many conversations around that same thing. I think we we share that.   Pamela (03:18) That is so true. It's so true.   Tiffanie (03:22) Yeah. So with that, Pam, I think that's a great start. What are you seeing? expand on that for me. Like what are you seeing as far as I love that like intelligence is is a   purchasable at this point. What are you seeing with your practices or just the research you're doing and the things you're hearing and and listening to within the dental world, narrow that down for us. What are you seeing from your perspective how that's changing dentistry?   Pamela (03:48) Yeah,   well I I think the the question is is how do we react to that reality, right? And a lot of practices are have not gotten into the AI and are now saying, okay, I want my insurance verification done, I want, you know, RCM done, the revenue cycle management done by AI, but it is a little daunting. Right? It is like I had one practice say   yo well we have this company that's doing our RCM and and I said do you are you like what are you doing with it and they said nothing they do it and I'm like dear goodness gracious like there are you have to manage it unfortunately I think we're at a real a space where we're not the Ironman like Jarvis runs everything   Tiffanie (04:43) Yeah.   Pamela (04:43) you know stage we're at the   Alexis and we have a lot of really smart AI tools. Most of them, I'm well, they're all sitting on top of separate systems and what we are contributing. I don't think we're pardon me quite to the point where it's an operating system as opposed to, you know, pieces. So I'm seeing practices now take those pieces, try to learn them, and then develop their skills even more in the stuff that they were doing.   So what I mean by that is how are we, how are they actually doing at clean claims, right? Are they   Tiffanie (05:23) Yeah.   Pamela (05:24) getting the clean the claims clean before they send them in? how are they doing on you know managing the online scheduling? Are they reacting to that? And is all the patient's insurance information accurate before it goes to the AI?   So that's that's what I'm seeing. That's a s a little bit of a struggle.   Tiffanie (05:47) Yeah. I think something you pointed out there was that a lot of people a lot of people seem to be jumping headfirst and just like handing the keys over rather than allowing it to be a tool that they use still with oversight. And I noticed recently, even just on my chat GPT that I use down at the bottom, it's like, Hey FYI, these may be inaccurate. Like this is not to be taken as truth. Yeah. And I'm like, well   Pamela (06:11) Yes, I j I saw that, yeah. So true.   Tiffanie (06:16) We need that reminder though, kind of like the McDonald's coffee cup that now has, you know, since nineteen ninety or whatever it was, says that the contents are hot. Like humanity needs those reminders 'cause I think we're so it's like a it's a catch to me too, 'cause I do think we're so quick to jump onto things and try them. But   Pamela (06:34) Mm-hmm.   Tiffanie (06:34) at the same time we're like second guessing and   thinking we can't and thinking they don't work, but we do latch on to certain things where we're just like, wait, that was expected. I expected to be able to drink my coffee as soon as you handed it to me. You know, that it wasn't gonna be scalding hot, that I could just just go. And same with the AI. I think there's so many aspects of it that we just expected all of the truth to be on the internet somewhere. We've been primed that the truth is on the internet and   we just expected it to be true that now chat is like, hey, wait a second, like, hey, I'm just like your buddy who did the research online, the same as your friend next door. Like this   Pamela (07:09) Right.   Tiffanie (07:13) could be wrong. And I think it's an interesting thought because to your point of view, handing over your cycle management, your your revenue and all of that data, handing that over to AI and expecting it to just be perfect from here on out with no mistakes is wild.   Right, but we're doing it. So many of us are doing it. Similarly to the online scheduling. I know we have a lot of practices and we have some doctors that have spoken for us at our events. we had one last September that our doctor focused on AI, and she pointed out the facts of needing to train their AI the same as they're training a human. Like you get a   Pamela (07:51) Yeah, yes. Yes.   Tiffanie (07:54) result and you're like, you got that result, you're fired, you're done, we give up.   You say, actually,   Let's tweak it to be what we want it to be. So we're saying yes and okay, cool. And let's do it this way. Let's move it this direction. with that statement, you also said insurance verifications, making sure they're accurate. And it made me think too, we've always said, you know, good information in is good information out, bad information in is bad information out. And I think   That's the same with any of it, with any of the AI tools or any of it, right? The it can only scour the internet for so much information and find so much truth. With the good information in, that goes as far as everything. So whatever it is that we're asking and training these systems and these tools to produce is what we're going to get. So we're not spending the time with the AI and we're not spending the time saying, This is the result that I want, this is how I want you to get there.   we're doing a disservice to ourselves just the same as so many people we were just talking about this. So many people are still misusing or underutilizing tools that we've had for gosh, at this point I always say 30 years, but at this point I think it's going on like 40 years, right? Like we've had these tools for   Pamela (09:12) Exactly, yeah.   Tiffanie (09:14) a long time. We're still   Pamela (09:16) Yeah.   Tiffanie (09:16) misusing them because I know both of us have walked into offices where they're like changing the prices in the treatment plan.   And they're doing all this math and there's a calculator. I still have offices that have the calculators that have the tape, and I'm like, where are you even where do you buy the tape anymore? Right. But they do, they have this running tab. And I'm like, what are you doing? And they say, Well, it's never right. We always have a balance. And I'm like, Okay, this is like a band-aid fix, right? So no matter what technology you have, there's so much tech that saves us so much time. And that's the point of this conversation is what kind of tech is out there that can   save our team   Pamela (09:52) Mm.   Tiffanie (09:53) time. And a lot of that time is for the administrative team, gives them the the chance to do other things, right? So automating things gets rid of busy work, allows them to do other things. But if we're not utilizing the tool correctly from the get-go, it's not saving the time because we're going back and fixing it anyway. So maybe we're saving time on we have an online scheduling app and it works. So our team maybe doesn't have to answer as many new patient calls.   But then that same person is over here calculating by hand a treatment plan estimate. It's like, cool, well, we just like took nonsensical   Pamela (10:28) Yeah.   Tiffanie (10:29) time and put it into a nonsensical time suck again. So, Pam, how   Pamela (10:33) Yeah. Yeah.   Tiffanie (10:35) are you helping the chain offices to really utilize the tools to actually save the time? And when they're not, so like that situation, how do we how do we get to the bottom of it? Because for me,   When I see somebody calculating treatment plan estimates because they always have a bill at the end, I'm like, cool, that's like a band-aid over this massive gash on your arm and it stopped the bleeding   Pamela (10:59) Mm-hmm.   Tiffanie (11:00) in that one spot, but it's not fixed. Like you still need stitches. How do we get to the bottom of it? And how do you help practices really figure out what truly is going to save them time and how they can get there?   Pamela (11:14) Yeah,   I think it goes back to basics. Before we layer on that AI piece of it, we have to have those basics in place. And you're right, there are a lot of practices and you know that are struggling with that. They're still doing things by hand. So, you know, have going back to the basics and having that correct verbiage, I think, is super important. to with the patient of knowing that.   There may be, it is an estimation, and there may be a difference when once your insurance pays. And you can offer to the patient, you know, if you would like to call, I don't like doing predeterminations, pre-D, I'm kind of against them. A lot of people still do them for larger treatment. I understand that. but for if you are to, you know, tell a patient, look, if if it's a credit.   we will get that credit right back to you within the month, right? have   Tiffanie (12:12) Mm-hmm.   Pamela (12:13) some sort of verbiage that gives you a little bit of out, but also be confident when you're prevent presenting those numbers if you've done the homework. So I think that's where it goes is back to the basics, making sure the basics are correct before you, you know, are giving that treatment plan to the patient. And then your verbiage is super important. And trusting it.   Tiffanie (12:36) Yeah, I totally agree.   And trusting it exactly. Being able to trust the system is huge. So making sure I think you're you're like spot on back to the basics, right? So making sure your verbiage is in line and making sure that the information that we're putting into the computer system is as accurate as possible. And you can use AI tools for that too, right? So we have   Pamela (12:55) Right. Right.   Tiffanie (12:56) AI tools this day and age that do insurance verifications and they upload it into the system.   They do all of the pieces. But then again, back to what we said earlier and how you said like this practice is like, we don't even look at it, right? Same thing. Like if you're if you're paying for an AI bot to go scour, get the information, put it into your system, and then you're turning around and you're like, well, it's always wrong, right? I I always have a balance or a credit. And so I calculate it just to double check, like, okay, maybe we need to look to see.   Further back, where is that miscalculation coming from? Because the insurance data in the system, the patient's data in the system, the right fee schedules, all of those pieces are feeding the tech and the intelligence, the information that it's spouting out to you. So it can only do so much. So if you've   Pamela (13:47) Right.   Tiffanie (13:48) got, you know, you didn't mark the you didn't you didn't tell the bot that you needed to mark that there was a downgrade. So you're you're having   crowns come back and there's two hundred dollar balance because it was downgraded, right? Well, stop hand calculating that and tell the bot to do it differently. Tell the system to do it differently. Whatever your system   Pamela (14:06) That's right. That's right.   Tiffanie (14:08) is, there's a little button somewhere that you you click it and it says downgrades, right? Account for downgrades, etc. So utilizing those tools from the ground zero, I think is just massive and it's something that's been severely underutilized for a really long time.   that needs to be right first. Because then if we go in and we layer these AI bots on top of that, that data is what they're working with. Just like Dentrix can only give you a treatment plan based on the information that you put in there. You put the fee schedule, you put the percentages, you put the treatment plan. You did all the buttons, you clicked and you put the treatment plan. It spouts out these numbers based on the information you put in it. The bot's going to do the same thing. So I think that's our soapbox bot.   Pamela (14:55) yeah.   Tiffanie (14:55) situation there,   like we go on forever. Go for it.   Pamela (14:59) Yeah, no, I I agree and a lot. a lot of practices are struggling with this and they're because they're getting this AI and saying, Hey, it's not worth it. Like I'm still having to call the insurance company, I'm still having to, you know, calculate by hand, right? And I think it it does go back, like we said, to the basics and really digging down on that. And I mean continue to use AI, but like you said.   it's so interesting. You have to teach it, right? And you may not be able to look to say, this is the exact to the penny downgrade amount, but once you have taught it, you do need to trust it. Yeah. Yeah.   Tiffanie (15:40) Yeah, I agree. I love   it. Okay, what kind of tools? I've I've got a few, you know, that I'm I've been seeing the online scheduling, I think, is finally making it headway. It's been a tool that we've had for a really long time, but we've   Pamela (15:55) Yes.   Tiffanie (15:55) all been very afraid of it for good reasons. That's fine. But what are some other tools that you're seeing them implement? So AI bots, like what are what are your practices using them for that people could start looking at?   Make sure their foundations are correct. Start looking into how could we automate some busy work to give my team back time? What are you seeing out there in in dentistry right now, Pam?   Pamela (16:17) Yeah.   definitely the RCM, the revenue cycle management. I think that AI does a really great job with that. But the thing I I spoke about earlier is I the and getting to the root of the problem, if you don't want to have to manage it more, then you have to make sure your claims are clean. And what does that mean? And that's going back to basics, truly, as well. Like, are we taking all the photos? Are we taking   you know, all the blood points when probing. Are we doing are we doing everything we can do to make sure that they have as much information as they have. So I think RCM is kind of the number one I'm seeing. insurance verification, where a lot of practices are moving there. I think there's still a little struggle with that because we don't get the patient information a as quickly. And you know, I think most of the most of them say put it in two days before.   Tiffanie (17:15) Yeah.   Pamela (17:16) Patient communication, so even filling the schedule, right? texting people to say on an ASAP list, you know, those kind of things are being utilized very well. schedule optimum schedule optimization as well. So I think there are programs out there that help you say fill that schedule and say, here's the patients that would work in this hole, right? So I think it's   We have to accept that AI is here, right? so I think very, very to your point is yes, training it, but also yes, we do have to learn it. And it it will be it's one of those things. We're kind of lifelong learners, people in dentistry, because we always have new things coming. And so we have to look at it like this. This is just a a piece to learn, and the more we can learn about it, the better.   that we are gonna get. We can't just be afraid of it. I say dig right in, figure that, you know, whatever you're using, figure it out. Call the company, ask questions, ask the right questions, you know, what what how do I get my insurance verification better? You know, and let them help you and tell you because they know everyone doesn't know. And if you just like one and done, I'm leaving it alone, you're probably not gonna have   as good of experience as you could have with it. Yeah. And so I think doctors   Tiffanie (18:43) Yeah. Yeah, I love those.   Pamela (18:45) need to be a little bit aware aware. It takes time to learn. It's not just plug   Tiffanie (18:50) Yeah.   Pamela (18:50) and play.   Tiffanie (18:51) Yeah. And to piggyback off that, it sounds like making sure we still have KPIs in place, there's still somebody overseeing results, that somebody's still verifying that that employee, right, is doing the job right is key because if we're if we do have an AI bot that's helping with revenue cycle management, and then we're not looking at AR numbers, we're not seeing, you know, our over ninety.   decrease or or is it increasing like we're not watching those KPI points. That's how it gets lost. Just the same as somebody with a great resume comes in and says, hey, I'm gonna clean up your AR for you. Pay me X amount of dollars and we stick them in a corner and never look at it. Right? It's the same thing. So making sure those KPIs are in place. I think there's a ton of AI style tools that have come out for front office administrative work, which makes sense. You know, that's that's where AI   is in the administrative world right now as the recording of this podcast at least but something that I see a lot of practices using too and I think you have a few that are using them the like Pearl and Overjet AI systems for that second opinion at least I know a lot of doctors are liking that second opinion which has helped it's not I I think of it as busy work now but that like co-diagnosing space and really just that confidence   in what I'm diagnosing seems to come across a lot more from the doctors and those tools have been super beneficial as well. So I think there's starting to be this massive shift in the AI tech kind of industry where there is going to be more coming out for the the back office as well. And I think Pam, a lot of insurances are actually using systems like Pearl and Overjet, those AI tools to read x-rays and process claims a lot faster too.   Which to your point then they gotta be super clean. You're okay.   Pamela (20:45) Well, yeah, and and sorry, I totally did not mean to interrupt you,   but that that brings up something that I've thought about and I've heard from practices, a lot of claims are being denied, right?   Tiffanie (20:58) Yeah.   Pamela (20:58) More. I think it's up like by twenty percent over the last few   Tiffanie (21:01) I agree.   Pamela (21:01) years. And that's probably because they are using AI to read the x rays, and   Tiffanie (21:09) Yeah.   Pamela (21:09) there is no way the human eye can be as good as   an the AI assistance, you know, the tech   Tiffanie (21:19) Yeah. Yeah.   Pamela (21:20) the the radiology it it it that is going to become an AI job. So just in general.   Tiffanie (21:25) For sure.   Pamela (21:26) And so reading reading X rays, they're they're proficient. They're they're extremely intelligent at it. And so we need to jump on that bandwagon to make sure that we are seeing everything too. But   yeah, that's   Tiffanie (21:40) Yeah, agreed.   Pamela (21:41) very, very true.   Tiffanie (21:42) Yeah. And the same as the other AI tools, they have their variances as well. And you train those   Pamela (21:47) Mm-hmm.   Tiffanie (21:47) tools too. And you train yourself to see like, okay, well, this variance of that is like that's that's pretty extreme. I'm not like my practice doesn't diagnose that way. Cool, that's a watch for you, right? But at least it's being pointed out and you can compare. You can look at okay, what did last time look like versus this time? Which is super cool because that's not something you can do.   with just our eyes of that kind of comparison.   Pamela (22:11) Yeah.   Tiffanie (22:12) So whether you're diagnosing off of it or using it as a tool to see progress and change, train it, train it and train yourself just the same as you're training your scheduling bots.   Pamela (22:22) I I agree a hundred percent. And it it does have to be managed, right? It it does have to we have to learn it and we have to manage and it i it's just not a one and done. Just yeah. So very sh very   Tiffanie (22:33) Yeah. Yeah. Well, I love it.   There's so much tech to be found. I think some key ones that we can kind of action item here to go explore at least. I love the online scheduling tools if you're not using them yet. I think they're worth it. they weren't always. They have turned a corner. They are worth it. and Pam, I think even the scheduling   bots that answer, you know, new patient calls, things like that are taking over and they're doing really phenomenally. And then I think I would push to make sure your insurance information is accurate. obviously, you know, Pearl or Overjet kind of tools, those are phenomenal too. But I think starting with those scheduling and those insurances, if you're not using those tools yet, I think it's worth looking into because I really do think that revenue cycle management, all of those pieces are   hugely beneficial at this point. So do your homework. Go ahead.   Pamela (23:30) I agree and I think I think   it yeah, do your homework and I think it's exciting what's happening in with the voice activation. I don't think it's quite   Tiffanie (23:38) Mm-hmm.   Pamela (23:39) there yet, but that is something I know dental offices are very hungry for. I know it's a little intimidating, but when it gets better, and I I think it's developed huge amount from when I was in the office because it d had   Tiffanie (23:53) Yeah.   Pamela (23:54) just started. and you know, I think   Offices are really looking forward to that and doctors are looking for their notes to help with their notes, right?   Tiffanie (24:05) Yeah.   Pamela (24:05) So I think those are the two big areas that we want to watch   Tiffanie (24:08) Yeah.   Pamela (24:09) and really keep abreast of what's going on and you know, keep automating and you can do it slow and it shouldn't be intimidating.   Tiffanie (24:18) Yeah, I completely agree. I think slow is fast these days. Everything's changing so much. It's worth it to do   Pamela (24:24) Yeah.   Tiffanie (24:25) your due diligence and make sure that you're using it correctly and to its full extent. So I love it. Thank you so much, Pam. This was a lot of fun. I know that the AI tech world is your jam. you do a lot of introspective work on it and just it's a big conversation topic for you. So thank you for   Being on here with me today and being willing to share your knowledge.   Pamela (24:49) Thank you, thank you. I love AI and I can't wait to buy a robot.   Tiffanie (24:54) Yeah, no right. That's what a our   we have an almost 13-year-old in the house and he's ready to buy one, ready to build them, ready to go. I love it. I love it. Of course.   Pamela (25:02) I know, it's it's very cool. Well thank you for the time, Tiffanie. It was great to talk about this.   Tiffanie (25:09) Thanks, fam. Awesome. Okay, listeners, share this with a buddy. share some information you might have. You might be trying something in your practice now. Drop us a five-star review below and call that out. People do read through those comments.   or if you're on our socials, put it in the comments section. You guys have some conversations about this. There's a lot to be learned here and there's so much to be shared. I know we had a doctor speaking on how she's using AI, but then we also just had a massive conversation in our doctor's only mastermind last Tuesday about AI tools, AI bots, kind of how different practices are using them. So it's a huge conversation. Get it rolling in there, get on board with some other doctors and share these tools with each other.   Hello@TheDentalATeam.com. If you need anything from us at all, we are always happy to share all of the knowledge that we have and we're always happy to help you in your practice on your journey towards an amazing rest of the year. Thanks so much guys and we'll catch you next time.  

A resident read a student's personal statement and asked why she didn't just use ChatGPT. The comment landed like a wound. In this episode, certified coach and professor Kathleen Muldoon returns to unpack what a residency personal statement is actually for, and why an algorithm can't do it for you. This episode is based on her article "Why ChatGPT can't write your residency personal statement," published on KevinMD. You will hear why the product was never the essay but the self-knowledge that comes from writing it, how AI tends to average out the distinctive voice and sharp edges that make an applicant feel human, and where a tool like ChatGPT can still help without taking over the whole process. She also weighs whether AI detection tools unfairly flag applicants whose first language isn't English. Hear why she says the real question was never whether AI wrote it, but whether the person still comes through. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

An eye surgeon who used to see forty patients a day now sees one to three in a morning, and he has no staff. Oren Fass, a board-certified ophthalmologist and cataract surgeon, has been an employed physician, a practice owner, and an owner who sold to private equity, and he now runs a solo micro practice. This episode is based on his article "The hidden variable in the physician burnout debate," published on KevinMD. You will hear how his agents read incoming faxes, start the scheduling, and apply his billing rules, and why he says this was not feasible three years ago. He is direct about why doctors feel stuck, from the six to twelve month timelines on licenses and insurance panels to the second shift of charting that starts at six in the evening. He also argues that ownership and creativity are the two bets worth making now, and that the salaried job may be the riskier one. You will hear where he thinks the model fits, and where it does not. This episode is brought to you by ModMed. Welcome to your new AI-Powered Practice from ModMed. We're transforming specialty care by embedding AI Assistants across your entire workflow. Our all-in-one platform of EHR, patient engagement, practice management, and RCM helps reduce repetitive work while keeping you firmly in control. Trained on de-identified data from nearly a billion patient encounters, this isn't just smarter software. It's a new way of working for specialty medicine, more efficient and more connected to the patient experience. Start building your AI-Powered Practice at modmed.com. VISIT SPONSOR → https://www.modmed.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

In this episode, Doug Arvin, CPA, MBA, Chief Financial Officer, Essentia Health West, discusses AI's growing impact on healthcare finance, physician partnerships and the challenges and opportunities facing rural healthcare. He also shares his perspective on innovation, value-based care, workforce investment and new approaches to growth beyond traditional hospital expansion.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

Welcome to NSCHBC Edge Podcast, where we separate facts from assumptions in the world of revenue cycle management.Today we're talking about what it really means to be evidence-based. In healthcare, that phrase gets used a lot, but in RCM it has a simple meaning: show your work. Otherwise, you're just making confident guesses.Too many billing and compliance decisions are still driven by tribal knowledge, office habits, or someone's gut instinct instead of actual data. But data should be driving every operational and financial decision.

Last episode, we watched medicinal chemistry dream up enclitide (MK-0616) — this week we find out what happens when someone actually has to make it. Dani and LC are joined by David Thaisrivongs and Gao Shang to unpack their recent JACS paper on the total synthesis of enlicitide, a macrocyclic peptide complex enough to keep company with taxol, vancomycin, and eribulin. Along the way they get into the pivot from solid-phase to solution-phase peptide synthesis, the perpetual headache of sourcing non-canonical amino acids and how biocatalysis cracked it open, and the crystallization detective work that let the team ditch chromatography entirely. There's also a great discussion on why a late-stage macrolactamization became a late-stage RCM — the kind of route decision that looks obvious only in hindsight. Fair warning: this one was among JACS's top-accessed papers of 2025, so you're in good company!If you enjoyed this chapter of the enlicitide story, stay tuned—we've got plenty more peptide chemistry, process development adventures, and behind-the-scenes drug discovery stories coming your way this season.Read some of the papers we discussed today:Total Synthesis of Enlicitide Decanoate - ⁠⁠J. Am. Chem. Soc.⁠⁠Follow the Pharm to Table podcast on X - ⁠⁠⁠⁠@PharmtoTablePod⁠⁠⁠⁠Visit our website at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podcasters.spotify.com/pod/show/pharm-to-table⁠⁠⁠⁠⁠⁠⁠

Can four numbers reveal the true health of your dental practice? In this takeover episode, Dental Revenue Network member Ashley Bond of Wisdom Dental Billing explains why your monthly metrics may matter more than your production goals. Think of these reports as clues to hidden revenue rather than regular tasks.    She explores the four key numbers that provide a clear picture of a practice's financial health: collection percentage, insurance accounts receivable over 90 days, patient accounts receivable, and adjustments. Drawing from years of experience in a family dental practice and working with practices across the country, Ashley explains why production alone does not guarantee profitability and why consistent collections are a real measure of success. You'll learn how delayed insurance claims affect patient payments and why regularly reviewing adjustments helps to catch errors and even identify signs of potential fraud. This takeover episode is full of practical strategies to get these systems started today.    Find your missing revenue and fix your systems. Schedule your complimentary practice analysis today! https://meetings.hubspot.com/colleen-salpini/book-time-with-the-wisdom-team?utm_medium=podcast&utm_source=kol&utm_campaign=teresa-podcast     Connect with Wisdom: Email:  info@withwisdom.com Text "Demo" at 314-648-2663 Visit their website: https://www.withwisdom.com/   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Podcast listeners use NTMT100 for a $100 courtesy. ------------- 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  

Luis Voloch, Co-Founder and CEO of Jimini Health, focuses on mental health through the Sage platform, which provides continuous AI support for patients while keeping clinicians informed and in control. The approach addresses the problem of patients turning to general-purpose AI for behavioral health support by offering a HIPAA-compliant, purpose-built alternative with proper safeguards and clinician supervision. The platform improves patient adherence to therapy and provides valuable information about progress between appointments, which is particularly important in mental health care where outcomes are non-linear and diagnostic precision is limited. Luis explains, "Right now, the AI healthcare environment is, I'd say, largely split when it comes to clinical AI between largely clinician-facing and back-office capabilities. So things like AI scribes and RCM tools and clinician coaching tools and products like that on one hand, with on the other hand, things that are primarily for patients. You may see things on the app store that are like AI therapists or products that are standalone for patients. And where Jimini stands is really as unifying both of these, where the core thesis for the company is that the right way to help patients and to build helpful clinical AI products is by integrating with the clinician as well, where the clinician has the ability to oversee what the AI is doing and to guide what the AI is doing."   "The company's belief is that we need to build purpose-built AIs for mental health that are HIPAA-compliant and safe, with all the right guardrails. And most importantly, where clinicians are in the loop and where the clinicians can oversee and guide what the AI is doing." "We primarily work with large behavioral health provider organizations interested in improving the quality of care they deliver. One specific big opportunity we bring is bridging the time between sessions so that patients have additional support. The core of the product is what we call Sage. Sage is an app that engages with patients in various ways, with the guidance of the clinician, so that Sage knows what is happening in the therapy sessions or whatever other appointments the patient is having. It is then able to follow the clinical priorities of the clinician when the clinician is not there, and Sage supports these patients on a daily basis." #JiminiHealth #MentalHealth #DigitalHealth #BehavioralHealth #AIinHealthcare #PatientEngagement #CareAdherence #Telehealth #HealthTech #AI #MentalHealth #PatientSafety jiminihealth.com Listen to the podcast here

Luis Voloch, Co-Founder and CEO of Jimini Health, focuses on mental health through the Sage platform, which provides continuous AI support for patients while keeping clinicians informed and in control. The approach addresses the problem of patients turning to general-purpose AI for behavioral health support by offering a HIPAA-compliant, purpose-built alternative with proper safeguards and clinician supervision. The platform improves patient adherence to therapy and provides valuable information about progress between appointments, which is particularly important in mental health care where outcomes are non-linear and diagnostic precision is limited. Luis explains, "Right now, the AI healthcare environment is, I'd say, largely split when it comes to clinical AI between largely clinician-facing and back-office capabilities. So things like AI scribes and RCM tools and clinician coaching tools and products like that on one hand, with on the other hand, things that are primarily for patients. You may see things on the app store that are like AI therapists or products that are standalone for patients. And where Jimini stands is really as unifying both of these, where the core thesis for the company is that the right way to help patients and to build helpful clinical AI products is by integrating with the clinician as well, where the clinician has the ability to oversee what the AI is doing and to guide what the AI is doing."   "The company's belief is that we need to build purpose-built AIs for mental health that are HIPAA-compliant and safe, with all the right guardrails. And most importantly, where clinicians are in the loop and where the clinicians can oversee and guide what the AI is doing." "We primarily work with large behavioral health provider organizations interested in improving the quality of care they deliver. One specific big opportunity we bring is bridging the time between sessions so that patients have additional support. The core of the product is what we call Sage. Sage is an app that engages with patients in various ways, with the guidance of the clinician, so that Sage knows what is happening in the therapy sessions or whatever other appointments the patient is having. It is then able to follow the clinical priorities of the clinician when the clinician is not there, and Sage supports these patients on a daily basis." #JiminiHealth #MentalHealth #DigitalHealth #BehavioralHealth #AIinHealthcare #PatientEngagement #CareAdherence #Telehealth #HealthTech #AI #MentalHealth #PatientSafety jiminihealth.com Download the transcript here

Web: www.JonesHealthLaw.comPhone: (305)877-5054Instagram: @JonesHealthLawFacebook: @JonesHealthLawYouTube: @JonesHealthLawRevenue cycle management (RCM) refers to the financial process used by healthcare organizations to track and collect incoming patients, and encompasses the entire revenue lifecycle: from the initial patient scheduling to the final payment collection. Deficiencies in an organization's RCMprocesses such as timeliness, accuracy and missing documentation can lead to lost revenue. According to a report by Change Healthcare, healthcare providers lose Approximately $262 billion in revenue every year due to payer denials. Payer denials stem from a variety of reasons including discrepancies in an organization's RCM process, some of which will be discussed in this post.

Get the key takeaways from the Infinx Thought Leadership Executive Forum, where finance, RCM, and transformation leaders discussed AI, workforce strategy, prior authorization, AR and denials, revenue integrity, and what's next for revenue cycle strategy.Brought to you by www.infinx.com

In the not-too-far future, as envisioned by Sam Schwager, Co-Founder and CEO at SuperDial, most revenue cycle management (RCM) will be handled by an AI agent at the provider that communicates with an AI agent at the payer. SuperDial is on that path, handling large numbers of billing calls with its voice agent.SuperDial entered the AI space in an unusual way. They were an RCM company themselves, focusing on behavioral health, and realized they could not grow unless they could automate the calls during which human agents would spend hours on hold and conduct "the same conversation 40 different times a day." After successfully building the voice agent for their own needs, they started marketing their AI voice agent to other RCM vendors about two-and-a-half to three years ago. Their AI agents have now conducted more than seven million calls for their clients.Learn more about SuperDial: https://www.superdial.com/Healthcare IT Community: https://www.healthcareittoday.com/

Revenue cycle management (RCM) sounds like the least sexy phrase in healthcare — a back-office spreadsheet problem. It isn't. Andrew Tsang, an independent healthcare analyst and writer of the Substack Health Is Other People, with 15+ years across providers, payers, consulting, and policy, joins Stacey Richter to unpack how RCM has grown into a $200-plus-billion industry that eats roughly a third of every healthcare dollar spent — not on care, but on the fight over who pays for it. Together they trace RCM's front end, middle, and back end, and the "hot potato" that lands on whoever has the least leverage to fight back. WHAT YOU'LL LEARN ✅ How revenue cycle management (RCM) grew into a $200-plus-billion industry — Andrew Tsang puts RCM-related market cap at roughly $217 billion, and estimates roughly a third of every healthcare dollar goes to the fight over payment, not to care ✅ The three phases of RCM (front-end eligibility and prior authorization, middle clinical coding, and back-end claims adjudication and appeals) and why the "hot potato" of financial responsibility lands on whoever has the least administrative leverage — patients, independent practices, or self-funded employers ✅ Why a routine screening colonoscopy can flip to a diagnostic procedure — and an unexpected bill — the moment a polyp is found, even though the ACA mandates the screening itself be free ✅ How the prior authorization burden (physicians average roughly 39 prior auths a week) forces independent practices to compete on administrative capacity rather than clinical outcomes, accelerating consolidation into larger health systems ✅ Why self-funded employers face their own version of the hot potato through stop-loss "lasering," where a stop-loss carrier can exclude a specific high-cost employee from coverage after a catastrophic claim ✅ Why direct contracting — agreeing on price upfront — is Andrew Tsang's proposed way to opt out of the RCM hot potato game entirely WHY THIS MATTERS Revenue cycle management isn't a niche back-office function — it's a $200-plus-billion economy built on claim-by-claim fights over who pays. As Stacey Richter puts it, this isn't a story about villains; it's a story about an industry built around claim-by-claim fistfights. Whoever has the least administrative leverage in any given moment — patient, independent practice, or self-funded employer — is the one who winds up eating the cost. MENTIONED IN THIS EPISODE Andrew Tsang's Revenue Cycle Market Landscape interactive chart and his Substack. EP497 with Zack Kanter: Apple Podcasts | Spotify | Other Apps EP363 with David Scheinker, PhD: Apple Podcasts | Spotify | Other Apps LinkedIn Post by Sheri Mancini, MD, FACS EP494 with Sarah Emond: Apple Podcasts | Spotify | Other Apps === LINKS ===

Merging Organizations Without Breaking the Revenue Cycle Mergers and acquisitions may bring organizations together on paper, but revenue cycle operations rarely align automatically. This Office Hours discussion explores what leaders should understand about workflows, systems, reporting, culture, and operational continuity when RCM teams and processes come together. 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, Chibueze Okey Agba, Executive Vice President and CFO, Hartford HealthCare, discusses how AI, consumer-focused care, and strategic partnerships are transforming healthcare delivery, while sharing why today's CFOs must be multidimensional leaders who drive innovation, operations, and long-term growth.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Revenue doesn't disappear overnight. It slips away through denied claims, incomplete documentation, poor insurance verification, and small breakdowns that most dental practices never notice until the numbers stop adding up.   In this episode of Nobody Told Me That, Teresa Duncan sits down with Allyssa Mizenko, CEO of Zen Dental Support, for an in depth conversation about the hidden challenges of revenue cycle management. They discuss why insurance verification is more important than ever, how weak documentation leads to costly claim denials, why front office and clinical teams need to work together, and how setting the right financial expectations with patients can improve collections. Whether your practice handles billing in house or works with a billing company, this episode shares practical insights to help protect your revenue, strengthen your systems, and improve the overall patient experience.   Connect with Allyssa Mizenko Facebook: https://www.facebook.com/zendentalsupport Instagram: https://www.instagram.com/zendentalsupport LinkedIn: www.linkedin.com/in/allyssa-mizenko-8aa014387   Dental Claims Attachment Checklist: https://mizenkodallyssa.gumroad.com/l/tzcnjx —------------- Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Podcast listeners use NTMT100 for a $100 courtesy.   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. -------------   **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 #Dentistry #DentalPractice #RevenueCycleManagement #DentalInsurance #DentalBilling  

Rogério Manso, presidente da ATGás, analisa o processo de revisão tarifária das transportadoras de gás natural e os riscos da aplicação do método RCM. Ele defende que a metodologia alternativa, sem referência internacional, pode gerar insegurança jurídica e afugentar investimentos bilionários no setor. O executivo também avalia o impacto do LRCAP sobre o sistema de transporte, a contratação de capacidade pelas termoelétricas e os desafios para conectar novos terminais de GNL à malha. Uma visão estratégica do lado das transportadoras sobre o futuro das tarifas.

Mergers and acquisitions may bring organizations together on paper, but revenue cycle operations rarely align automatically. This episode's discussion explores what leaders should understand about workflows, systems, reporting, culture, and operational continuity when RCM teams and processes come together.Brought to you by www.infinx.com

Marcelo Mendonça, diretor-executivo da Abegás, analisa os gargalos que mantêm o gás natural caro no Brasil. Ele defende a metodologia RCM para reduzir tarifas de transporte, critica a exclusão do gás de políticas como o Redata e alerta para o risco de alta de 25% nos preços da molécula em agosto. O executivo também comenta a necessidade de revisão da Lei do Gás, a busca por indexadores nacionais e as oportunidades para o GNV em veículos pesados. Uma visão estratégica das distribuidoras para o setor. Inscreva-se no canal e ative as notificações para não perder os próximos debates. Deixe seu like para promover esse conteúdo. Capítulos 00:00 Abertura 03:03 Perfil pessoal de Marcelo Mendonça 04:18 Nova proposta da ANP para base de ativos das transportadoras 05:52 Risco de judicialização da revisão tarifária das transportadoras 07:40 Risco de fuga de investimentos com tarifas mais baixas 09:06 A agenda regulatória do gás no último ano do governo Lula 3 10:13 Prioridades para o próximo governo na política do gás 14:09 Oportunidades em veículos pesados e data centers 17:25 Migração industrial para outros combustíveis preocupa 20:24 Possibilidade de revisão da Lei do Gás 21:34 Margem de distribuição não é vilã da conta final 24:07 O equilíbrio entre expansão da rede e modicidade tarifária 27:59 Impacto da guerra: reajuste de 19% em maio e previsão de mais 25% em agosto 31:43 Debate sobre indexador nacional para preço do gás 34:11 Brasil tem demanda potencial, mas preço atual trava investimentos 37:07 Indexador precisa refletir realidade dos diferentes setores 40:42 O conflito federativo sobre a classificação de gasodutos 45:08 Abegás defende discussão entre esferas federal e estadual 46:00 Considerações finais e encerramento #gasnatural #abegas #industria #preçodogás

For the 196th episode of the Healthcare IT Today Podcast, we are talking about revenue cycle management! We kick this episode off by sharing what we have been hearing at the recent conferences we’ve both been attending in the RCM space. Next, we talk about what technology actually helps the coding personnel shortage we are currently facing. Then, we discuss what we think the reality and the promise of AI is in RCM. Lastly, we debate whether we are heading towards having totally autonomous coding/RCM one day. Here's a preview of the topics and questions we discuss in this episode: We've both been to conferences recently in the RCM space; what are you hearing? We are facing a coding personnel shortage. What technology actually helps? What is the reality and promise of AI in RCM? Are we heading for a day when we have totally autonomous coding/RCM? Now, without further ado, we’re excited to share with you the next episode of the Healthcare IT Today podcast. We publish a new Healthcare IT Today podcast every ~2 weeks. Thanks to our friends at Healthcare Now Radio, you’ll be able to listen to the latest episodes of Healthcare IT Today on their radio station for the first two weeks. Then, we’ll be publishing each episode as a podcast and YouTube video here after it finishes on the radio. You can also subscribe to the Healthcare IT Today podcast on any of the following platforms: Apple Podcasts Google Podcasts Stitcher Podcast Radio TuneIn Spotify iHeartRadio Pandora Thanks for listening to Healthcare IT Today and if you enjoy the content we’re sharing, please rate the podcast on your favorite podcasting platform. Along with the popular podcasting platforms above, you can Subscribe to Healthcare IT Today on YouTube. Plus, all of the audio and video versions will be made available to stream on HealthcareITToday.com. If you work in Healthcare IT, we’d love to hear where you agree and/or disagree with the perspectives we shared. Feel free to share your thoughts and perspectives in the comments of this post, in the YouTube comments, with @Colin_Hung or @techguy on Twitter, or privately on our Contact Us page. Let us know what you think of the podcast and if you have any ideas for future episodes. Thanks so much for listening! Listen to Our Latest Episodes:

Every CMS-1500 claim includes a set of certifications, attestations, and legal statements printed on the reverse side of the form. While these statements may seem like standard administrative language that has been around for decades, they carry significant legal and compliance implications. In this episode, Terry breaks down what these certifications actually mean and why every claim submitted is a legal representation that the services billed were properly documented, medically necessary, accurately coded, and provided in compliance with applicable regulations. She also explains why understanding these attestations is essential to maintaining a strong revenue cycle management (RCM) workflow, reducing compliance risk, and helping organizations avoid costly payer audits. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post CMS-1500 Form Compliance appeared first on Terry Fletcher Consulting, Inc..

July marks five years of The Heart of Healthcare, and we're grateful for every listener who's tuned in. If you've enjoyed the show, please show your love by leaving us a review!This month, Steve and Halle take stock of an industry where capital is concentrating, incumbents are making big bets, AI is moving from promise to early proof points, and a public health crisis is quietly building in the background.We cover:The digital health funding numbers that just dropped, and what they reveal about where the money is really goingA $12 billion deal that has the RCM world buzzingThe Nature study that has clinical AI companies on edgeA new entrant into medical imaging that nobody saw comingThe public health crisis that sports betting built, and why healthcare isn't talking about it enoughEarly data out of Utah that could change how we think about AI in clinical settingsLinks:IPO Watch List: https://halletecco.substack.com/p/the-digital-health-ipo-watchlistEnsemble Health / Thoreau deal: https://hitconsultant.net/2026/06/18/thoreau-makes-strategic-investment-in-ensemble-health/Nature Medicine AI study: https://www.nature.com/articles/s41591-026-04431-5Midjourney Medical: https://www.theverge.com/ai-artificial-intelligence/952011/midjourney-medical-ai-ultrasound-scanDoctronic pilot outcomes: https://commerce.utah.gov/wp-content/uploads/2026/05/Doctronic-Outcomes-May-2026.pdf—

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   What if we could identify hidden tooth cracks and structural damage before patients experience pain? In this episode, I sat down with Dr. Cherilyn Sheets to discuss InnerView AI, a dental diagnostic technology that helps detect cracked teeth, failing restorations, implant issues, and other hidden dental problems that may not appear on traditional X rays. Dr. Sheets explains how measuring tooth movement under load provides a new way to evaluate oral health and improve early diagnosis.    Dr. Sheets shares the research behind InnerView AI which was new to me. As the conversation continued I became more excited by how it could strengthen dental documentation and improve treatment acceptance. We talked at length about treatment presentation. You'll want to hear how we communicate more simply with visual diagnostic proof. Patients don't necessarily want to understand the science behind the diagnosis but they all want to know how to move forward. I hope this episode helps you with those conversations.   Connect with Dr. Sheets  Website: www.perimetrics.ai Linkedin: https://www.linkedin.com/in/dr-cherilyn-sheets-dds-a2841311/ Email: CGSheets@ncofi.org   —------------- Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Take advantage of Early Bird pricing through July 4th!  ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. -------------   **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 #Dentistry #DentalTechnology #CrackedTeeth #ImplantDentistry #DentalDiagnostics  

Send us Fan MailStarting January 1, 2027 every antepartum visit becomes its own billable E/M charge. The global OB code goes away. The seventeen deleted codes include 59400, 59510, 59425, and 59426. And the way most prenatal notes are written today supports a 99212 at best, even when the visit was genuinely a 99214. Dr. Heather Signorelli and Maria Reynoso, Director of RCM at NatRevMD, walk through what changes, what the notes have to say, and the three actions every OB practice should take this week. What changes January 1, 2027: Antepartum-only codes (59425, 59426) and global OB codes (59400, 59510) are deleted. Every prenatal visit is now a standard E/M visit with modifier TH. New patient 99202–99205. Established patient 99211–99215. What the notes actually look like today: Notes have been written for speed because the global model did not reward note detail. A typical 16-week prenatal note (BP, fundal height, FHTs, “patient doing well, return in 4 weeks”) supports a 99212. The provider did much more during that visit. None of it is in the note. Under 2027, that gap is real revenue. What a 99214 note has to say: ACOG's position: pregnancy is a chronic illness with exacerbation and progression for E/M purposes. The complexity is built in. The note has to reflect it. For a 99214, document the ongoing management of the pregnancy as a condition, the data reviewed with your interpretation, and moderate risk decisions like prescription management or monitoring a condition that could escalate. “Anatomy scan reviewed, normal” is a 99212. “Anatomy scan reviewed, normal four-chamber heart, no CNS abnormality, EFW consistent with dates, AFI normal, counseled patient” is a 99214. High-risk patients finally pay for the complexity of their care: Under the global model the complex patient and the low-risk patient paid the same. The new model fixes that two ways. Complex visits code at a higher level (99214 / 99215). And more frequent visits equal more claims. For 99215 the note needs the specific complicating diagnosis named, data reviewed with interpretation, the management decision and the reason behind it, and specialist coordination if applicable. Same-day procedures and modifier 25: Antepartum procedures (NSTs, ultrasounds, amniocentesis, CVS) still bill separately. The E/M visit on the same day is now also billable with modifier 25. The note must independently support the E/M, not just the procedure. Three actions this week: Audit twenty random prenatal notes against the 2021 E/M guidelines to set your baseline Rebuild EHR templates to prompt for MDM elements, not for speed Start documentation training in Q3, using providers' own notes side by side with the corrected version and the dollar difference Quick Reference Table:       Topic                                                                                    What to knowDeleted codes count                     -      17 codes deleted total Antepartum-only codes                  -       59425, 59426 — deleted Jan 1, 2027Global OB codes                                  -       59400, 59510 — deleted Jan 1, 2027 New patient E/M range                    -       99202–99205 + modifier TH Established patient E/M range    -       99211–99215 + modifier TH 99214 vs 99213                              -       ~$46 per visit at Medicare ratesModifier 25               -       On the E/M when a procedure is also billed same dayACOG test date         -September 1, 2026 — recommended start for test claimsRVU finalization       - CMS proposes July 2026, finalizes November 2026 RESOURCES BLOCK Save your seat: Live OB/GYN Global Codes Update Webinar (July 7, 2026, 4:00 PM ET) · eligibility.natrevmd.com/obgyn-global-updates-webinar Book a 1:1 with Dr. Signorelli · calendly.com/heather-natrevmd/ Practice Revenue Leak Scorecard · eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist · eligibility.natrevmd.com/payment-posting-checklist RECOVER Diagnostic Quiz · natrevmd.com/quiz Series Part 1 (EP188): https://podcasts.apple.com/us/podcast/188-17-ob-codes-just-got-deleted-your-real-deadline/id1624182351?i=1000773393336Coming next: EP191 · Phase 2 labor management codes (the codes that have never existed in CPT before) 

Former CME floor trader and RCM co-founder Bobby “Yogi” Schwartz joins Jeff to close out our Chicago month and walks through a wild career arc: from generational hog pit roots to dominating the Nasdaq futures pit during the dot-com bubble, then building prop firms, arbing minis vs. big contracts, and eventually stepping into Hollywood film finance before returning to launch RCM. Bobby shares vivid floor stories: badges, hand signals, full-contact fights, and multi-million-dollar errors, while explaining how open outcry actually worked, why Chicago produced so many elite prop traders, and how the e‑mini revolution rewired the futures landscape. He breaks down building and backing 100+ traders, deploying early “gray box” tech, and structuring option and index arb trades that bridged futures, ETFs, and cash baskets.The conversation then shifts to what RCM does today: multi-FCM clearing, outsourced trading, ETF and mutual fund infrastructure, ag and global trade finance, and navigating the explosion of new DCMs, prediction markets, and perps. Along the way, Bobby drops Hollywood war stories, Chicago steakhouse lore, and a candid look at where derivatives trading is headed next.Chapters:00:00-01:12=Intro01:13-10:06=From Yogi's Jacket to a Generational Life on the CME Floor10:07–20:20 = Inside the Nasdaq Pit: Dot‑Com Vol, E‑Mini Arbs, and Human Algos20:21–31:36 = From Floor to Screens: Building Prop Firms and Hollywood Film Arbs31:37–41:42 = Hollywood Trades: Indie Film, Oscar Winners, and Risk Like a Trader41:43–58:06 = Building RCM: Clearing, Outsourced Trading, ETFs, Ag, and China58:07–01:10:47 = Chicago War Stories: Pit Fights, Steakhouse Nights, and Trader Royalty01:10:48-01:17:51 =  Life After the Pit: Chicago NightsHow Chicago Became the World's Options, Vol, and Derivatives Capital (with Cboe's Rob Hocking & Mandy Xu)Inside $2B of Chicago Real Estate: Tommy Choi on Housing, Migration, and Millennialsrcmalternatives.comDon't forget to subscribe to⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Derivative⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, follow us on Twitter at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@rcmAlts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠sign-up for our blog digest⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.Disclaimer: This podcast is provided for informational purposes only and should not be relied upon as legal, business, or tax advice. All opinions expressed by podcast participants are solely their own opinions and do not necessarily reflect the opinions of RCM Alternatives, their affiliates, or companies featured. Due to industry regulations, participants on this podcast are instructed not to make specific trade recommendations, nor reference past or potential profits. And listeners are reminded that managed futures, commodity trading, and other alternative investments are complex and carry a risk of substantial losses. As such, they are not suitable for all investors. For more information, visit⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.rcmalternatives.com/disclaimer⁠⁠⁠⁠

Revenue cycle metrics can reveal far more than days in A/R, cash collections, or cost to collect. In this episode, Jon Vitiello, SVP & CFO at St. Luke's Health, joins Stuart Newsome to discuss how CFOs interpret RCM signals, separate operational noise from financial risk, and use revenue cycle insight to guide strategy, investment, Medicare Advantage response, and patient access performance.Brought to you by www.infinx.com

On today's episode, Dr. Mark Costes sits down with Shreyas Parab, co-founder and CEO of Daydream, to talk about how AI is reshaping dental revenue cycle management. Shreyas shares how growing up in his mother's dental practice gave him firsthand experience with the stress, complexity, and financial impact of insurance billing. After stepping in to run her practice during a family health crisis, he saw just how much practices lose when verification, claims, denials, and payment posting are not handled with precision.  The conversation dives into how Daydream uses AI agents and human oversight to automate insurance verification, submit claims, post payments, appeal denials, and recover outstanding insurance AR while giving practices better visibility and control. Shreyas also explains why inaccurate insurance verification can damage patient trust, how outsourced billing can fall short without quality controls, and why aligned incentives matter when choosing an RCM partner. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.daydream.dental https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

What if your biggest profitability opportunity isn't a new patient or a new location, but the revenue you've already earned and never fully collected?   Kendall Hussein sits down with Shreyas Parab, who grew up running every job in his mom's small dental practice in Philadelphia before founding Daydream, one of the most AI-driven RCM companies in dental today. Shreyas breaks down why collections actually drop as practices scale, why a 99% collection rate can still mean you're 45 days from your money, and what it costs when your office manager is on hold with MetLife instead of filling chairs. He walks through how Daydream's AI-powered billing team helped DEO member Beam Dental recover $36,626 in just 76 days.  

In this episode, we break down the CMS nationwide six-month moratorium on new home health agency and hospice Medicare enrollments—effective May 13, 2026—and what it means for your agency, your growth plans, and your revenue cycle. We'll cover exactly what the moratorium blocks (new enrollments, certain ownership changes, branch and practice location expansions), what it does not block (existing provider operations, billing, and routine compliance), and why agencies are seeing intensified scrutiny through targeted investigations and advanced analytics during this period. You'll get a clear action plan for how to respond.  This episode is designed for home health and hospice leaders, RCM specialists, compliance officers, and operations teams who need practical, compliance-focused guidance to stay ahead of the rules. Whether you're planning acquisitions, branch expansions, or ownership changes, this conversation will help you make smarter decisions and keep your agency operating with excellence during a period of heightened regulatory pressure. Want to be audit ready? Check out healthrevpartners.com to learn about coding, OASIS review, and RCM services.  Chapters (00:00:03) - CMS Home Health and Hospice Moratorium

In this episode, Amanda de los Reyes, MBA, FHFMA, EHRC - Vice President Revenue Cycle, Renown Health, discusses the growing impact of payer denials, automation, and regulatory changes on revenue cycle operations, while sharing how Renown is leveraging technology and strategic partnerships to expand access to care and support future growth.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In this episode, Jon Alford, CFO, UW Medicine and Vice President for Medical Affairs at the University of Washington, joins the podcast to discuss the evolving financial challenges facing academic medical centers, from labor costs to reimbursement pressures. He also shares how automation, operational efficiency, and frontline engagement are shaping his leadership approach in his new role.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Most dentists think insurance is just malpractice coverage until a cyberattack shuts down the office or a flood destroys expensive equipment. And on that note, a missed premium payment can leave the practice completely uninsured. In this episode, Jack McKinney from TDIC Insurance Solutions explains the hidden gaps that can cost dental practices thousands of dollars and why office managers need to be involved in insurance conversations long before a crisis happens.    It may surprise you to know that relationships with insurance agents matter! They can tell you if your practice becomes dangerously underinsured as they grow. It can happen when adding services like Botox or expanding office space. Jack explains the realities of property insurance, cyber insurance, disability coverage, workers compensation, EPLI, and business interruption coverage while sharing real world examples of practices discovering costly gaps only after disaster strikes. We talk about scary ransomware too - it's real and it's out there. After this episode, get in contact with your agent!    Connect with Jack Mckinney Contact number: 916-554-5356 Website: https://www.tdicinsurance.com/ Facebook: TDIC - The Dentists Insurance Company LinkedIn: TDIC - The Dentists Insurance Company   —-------------   Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Take advantage of Early Bird pricing through July 4th!  ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. -------------   **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   #DentalInsurance #DentalPracticeManagement #DentistryBusiness #DentalOffice #DentalPodcast   

In this episode, Lynn Ansley, Vice President of Revenue Cycle Management at Moffitt Cancer Center, joins the podcast to discuss how her team is leveraging automation, process optimization, and Epic implementation to transform revenue cycle operations.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In this episode, Paul Chausse, Jr., SVP Revenue Cycle and Chief Revenue Cycle Officer, Tampa General Hospital, discusses how AI agents are reshaping revenue cycle operations, the challenges of the fee for service model, and the leadership skills needed for the next generation of RCM leaders.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

The Future of RCM Is Finally Catching Up Stuart Newsome is joined by Monte Sandler, Chief Operating Officer at WebPT, for a thought-leadership conversation on why healthcare RCM has remained so difficult to automate, why many organizations are skeptical after past technology disappointments, and how AI may finally help modernize the revenue cycle in a more dynamic, human-in-the-loop way. The conversation will explore what makes healthcare different from other industries, where traditional automation has fallen short, how AI should be realistically understood, and why the future of RCM is less about replacing people and more about helping teams work smarter, faster, and with better support. 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/

What if the biggest revenue leak in your practice isn't production… but what happens after treatment is completed? In this episode of the Raving Patients Podcast, Dr. Len Tau sits down with returning guest Shreyas Parab, co-founder and CEO of Daydream, to unpack how AI is transforming dental billing, insurance verification, and revenue cycle management. Shreyas shares how growing up in his mother's dental practice shaped his understanding of the administrative burdens that silently drain profitability and damage the patient experience. From insurance verification mistakes to denied claims and surprise patient bills, this conversation dives deep into why outdated systems are costing practices far more than they realize. Dr. Len and Shreyas also explore the future of AI in dentistry, where it's already succeeding, where it's overhyped, and how practices can use automation to improve efficiency without sacrificing patient relationships. If you've ever struggled with insurance headaches, front desk overwhelm, staffing challenges, or negative reviews tied to billing confusion, this episode offers a practical look at how the future of dental administration is evolving. What You'll Learn Why billing and insurance issues are one of the biggest causes of negative dental reviews How inaccurate insurance verification impacts patient trust and profitability The difference between AI that enhances a practice and AI that replaces human connection Where AI is already thriving in dentistry today Why administrative overload hurts both patients and team culture How automation can improve claim follow-up and reduce denials The future of front desk staffing and dental operations Why patient experience still matters more than technology How Daydream uses AI and human oversight together for RCM accuracy What dentists should focus on if they want more freedom and less operational stress — Key Takeaways 00:44 Introduction and Sponsor Message 02:00 Shreyas Reflects on Supercharge Your Dental Practice 04:23 Growing Up in a Dental Practice 09:30 AI's Rapid Growth in Dentistry 13:40 The Reality of AI Receptionists 17:05 How Billing Problems Hurt Patient Experience 19:46 The Hidden Cost of Insurance Verification Errors 24:45 What Dental RCM Looks Like With and Without AI 27:18 Can AI Make Mistakes? 30:15 Reducing Denials and Increasing Profitability 32:20 Which Practices Benefit Most From Daydream 35:17 The Future of the Dental Front Desk 36:55 Why Better Systems Give Dentists More Freedom 38:47 How to Learn More About Daydream 39:10 Final Thoughts and Closing Remarks   — Connect with Shreyas Website: Daydream Dental Free Dental Billing Resource: Dental Billing 101 AI Google Review Analysis Tool: Daydream Google Review Analyzer   — 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!  

Healthcare revenue cycle has relied on rules engines, manual workflows, and brittle automation for decades. In this episode, Monte Sandler, Chief Operating Officer at WebPT, joins Stuart Newsome to discuss why AI may finally give RCM teams a way to manage complexity more dynamically while keeping human expertise at the center.Brought to you by www.infinx.com

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Most dental patients think their only option is to pay out of pocket or rely on limited dental insurance, but what if thousands of dollars in treatment could actually be covered through medical billing instead?   Although I don't teach it, I keep up with its impact on dentistry. For many offices, medical billing bridges the gap between what patients need and what they can afford. I'm joined by Danielle Brown and Dental Revenue Network member Sandy Buechler. They explain how dental conditions tied to medical issues like autoimmune disorders, diabetes, cancer treatments, and trauma can qualify for medical coverage when properly documented. The concept of medical necessity is key to coverage. They go over how telling the patient's full health story matters more than just listing procedures. Also discussed is how medical credentialing and pre-authorizations are different from what we see in dentistry.   Beyond the technical side, Sandy and Danielle focus strongly on patient advocacy and empowerment, especially in large and involved cases like full mouth reconstruction and implants. My takeaway is that we are operating in a revenue cycle world where dental billing incorporates medical care. Are you ready for it?    Connect with Sandy Buechler ImpleMed:  https://implemeddental.com/ Email: Sandy@implemeddental.com LinkedIn: https://www.linkedin.com/in/sandy-buechler-04aa16236/   Connect with Danielle Brown My Smile Insured: https://www.mysmileinsured.com/ Facebook: https://facebook.com/mysmileinsured/ Instagram: https://instagram.com/mysmileinsured/ LinkedIn: https://www.linkedin.com/in/danielle-brown-21594a1a9/   —-------------   Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Take advantage of Early Bird pricing through July 4th!  ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. -------------   **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt   #DentalBilling #MedicalBilling #DentalCare #OralHealth #Dentistry  

Stuart Newsome is joined by Lindsey Nelson, Gretchen Manica, Jeremie Gluckman, and Viveka Jagadeesan for a practical discussion about the subtle but important ways AI is changing everyday work, how that shift mirrors the same staffing and efficiency pressures healthcare organizations face, and what revenue cycle leaders should consider as they adopt AI without losing sight of governance, context, and outcomes. That framing is consistent with the brainstorm's emphasis on the “ordinary user” becoming more of a contributor, the need for human-in-the-loop oversight, and the importance of tying the conversation back to real RCM pressures rather than generic AI hype. 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

AI in Revenue Cycle: From Today's Reality to Tomorrow's Edge Host Jenna Hagan and her guest Sloan Clardy, a recognized thought leader in the revenue cycle management space, discuss the evolution of RCM over the past few decades. They unpack some of the industry's most persistent challenges, separate hype from reality when it comes to AI's impact on revenue cycle management, and explore how organizations can drive more predictable speed, stronger performance, and what's next as health tech continues to advance. 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/

As AI makes billing faster, it also makes it easier for bad actors to target practices and their revenue cycle. My guest today works extensively in RCM, and implements AI in RCM, and he'll open our eyes to the dark side and how to fight back.  Vinod (Vinny) brings over 15 years of experience in operations, financial analysis, strategy, growth, corporate development, strategic planning, and marketing. At MBWRCM, 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-Driven Phishing and Fraud: How hackers are using Generative AI to create hyper-realistic fraudulent claims and payment redirect requests. The Evolving Cybersecurity Landscape: Why RCM systems are now the primary target for ransomware due to the high value of PHI and financial data. Defensive AI: Using AI to detect patterns in billing data that indicate a breach or fraudulent activity before it's too late. Building a Redundancy Plan: Practical steps for independent practices to ensure continuity of claims processing during a widespread cyber outage. The Ethics of AI in Security: Addressing the liability shift when AI makes a decision that leads to a data exposure. Want 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 Sankaran https://www.linkedin.com/in/vinodsankaran/ Connect with Carl White Website: http://www.marketvisorygroup.com Email:  whitec@marketvisorygroup.com Facebook:  https://www.facebook.com/marketvisorygroup YouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmig LinkedIn: http://www.linkedin.com/in/healthcaremktg

In this episode, Dan Bowen, President, Sebastian River Hospital, Orlando Health, shares how culture, transparency, and community engagement are shaping his leadership approach in his first 90 days. He discusses strategies for physician alignment, staff retention, and building trust with both teams and the community while staying grounded in a mission of service.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   What keeps great dental assistants loyal to a practice and why do so many leave? Julie Varney shares what dentists can understand about retention, respect, leadership, and building a team that wants to stay. We discuss career growth, communication, and what today's assistants actually want from the practices they join.   We then dig into what makes a dental practice worth staying in, from creating trust and offering education to avoiding the mistakes that drive good assistants away. We touch on workforce challenges, team dynamics, licensing, and the future of dental assisting. If you want stronger retention and a better dental team, this episode is for you!    Connect with Julie Facebook: https://www.facebook.com/dentalassistingeducation/ Instagram: https://www.instagram.com/dentalassistantsrock Tiktok: https://www.tiktok.com/@julievarney YouTube: https://www.youtube.com/@dentalassisting Podcast: https://www.dentalassistantpodcast.com/   —-------------   Practice Management Power Day is happening in Denver, Colorado, and it is built for leaders who want real results. Learn directly from top practice management experts and industry speakers who know what it takes to run a profitable, organized, high performing practice. The event will take place on Friday, September 25 at the Vivos Institute, located next to the Denver Airport. Register now at: https://practicemanagementpowerday.com Take advantage of Early Bird pricing through July 4th!  ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond "what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. -------------   **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, Jodie Hilliker, Senior Director of EHR Services at Healthrise, shares how RCM leaders can protect cash flow during EHR transitions by prioritizing operational readiness, aligning cross-functional ownership, and proactively addressing workflow and documentation gaps.This episode is sponsored by Healthrise.

In this episode, Aaron Lewis, President and CFO, Lifepoint Health, shares how the organization is scaling through acquisitions, navigating financial and payer pressures, and leading transformational change to strengthen operations and expand care in underserved communities.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand.

Robert Chestnut, SVP, CFO, LMH Health, shares how his organization is addressing workforce shortages, strengthening culture, and leveraging technology to improve operations and revenue cycle performance. He also discusses the importance of strategic prioritization, regional collaboration, and leadership alignment in driving long term financial resilience.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In this episode, Sunitha Reddy, Chief Revenue Officer and Vice President of Operations, Prime Healthcare, discusses how revenue cycle strategy powers hospital turnarounds, tackles payer pressure and denials, and leverages AI to improve efficiency while supporting care access.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In this episode, Ian Macdonald, CFO, Union Health, shares how his data-driven approach is guiding major transformation including a recent hospital acquisition, dual system integrations, and strategic investments in AI and technology to drive future growth.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

Kiera is a guest on The Zero Balance Podcast with John Stamper! She and John discuss the advancement of software over the past few years, and why the current culmination — artificial intelligence — isn't something to be skittish around in your practice.  Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today we are sharing a guest interview I did on another podcast. And it was too valuable not to bring you guys here.   this episode, you're gonna hear this host lead the conversation and then I'll wrap us up at the end. I cannot wait. It was truly one of my most   incredible episodes and I truly hope you enjoy.   John (00:19) What's going on everybody. Welcome to another episode here on The ZeroBalance podcast brought to you by the team at Quanta Suite. Very excited to keep this thing going. Uh, our last conversations and episodes crazy to think it's 2026 already were at the Dykma conference. And I had the privilege of spending time, not only with the Quanta Suite team, but also a lot of great individuals that came on the podcast and talked about what they were seeing in that case, it was in the DSO space. Uh, I'm very excited today to   be with Kiera Dent from the Dental A team. I've known Kiera for many years. We were actually just talking before we came on here live. ⁓ she is doing a lot along with her team to help dental practices, take things to the next level. she's been in dental for many, many years. And so we're going to have a conversation today, ⁓ kind of around all things AI and automation and love to have her, you know, kind of share with all of you what she's seeing, you know, her and her team are working with dental practices on a daily basis. And obviously, you know, the Qantas suite team is, is creating.   their software in an effort to be able to support practices in the RCM world. But Kiera, it's such great to have you here. How you doing?   Kiera (01:26) Oh my gosh, John, it's great to see you again. And I love chatting about all things dentistry. I love having the last name dent. I love dental. love AI. love, um, it's crazy. Dental A Team hits 10 years old this year, which is like absolutely wild. Uh, 2026, I was getting ready to, know, writing my goals out and I was like, Oh my gosh, I turned 40. My husband turns 40. We've been married for 15 years and Dental A Team hits 10 years this year. So   ⁓ and I bring that up only because like, it's like a trifecta of a cool year for me. ⁓ but I think as you were discussing, like being in dental consulting for 10 years, having worked in front office teams, having worked at a dental college, having owned dental practices, having bought and sold, having consulted like 300 plus offices physically, ⁓ watching the DSO emerge, watching AI come in. I just think it's really like such a fun time for us to be in dentistry and so many great advancements and, yeah.   In Dental A Team, we are obsessed with doctors and teams, like getting them aligned, getting them streamlined, helping dentists be like CEOs and owners of their practices. We love ⁓ Josh, we love what he's building in DCS and now in Qantas. We think that they're doing some really fun, incredible things. And Dental A Team, we're just really big on, I think, streamlining dental practices, helping them say yes to more things. So getting them in their vision, getting financially free and profitable.   and then getting systems and team development to support that. And AI is definitely being a big player. And I think dentistry is, it's so fun because it's been such a, like, I think slow roll on evolution in certain ways. Sometimes I think we are very archaic. My husband's in healthcare and medicine and he's like, wait, that's your guys' software. I'm like, don't judge. I know it's a little dated. He's like, they didn't even have that when I started my career 15 years ago. ⁓ But I think,   to watch dentistry evolve into AI and automations and different things. I think we are in such a special time. So yeah, we work with solo practices. We work with multi practices. We work with emerging DSOs. We work with DSOs. We've got consulting for kind of a broad spectrum and kind of our sweet side, like two to five to $10 million practice. ⁓ We definitely have built a lot of things that can help multi offices, but yeah, we really love those offices that are obsessed about team, about culture and about.   just positively impacting the world of dentistry in the greatest way possible. So John, super excited to talk about it. I feel like we just have like so much knowledge to bring to the table and just rift and discuss and give your listeners hopefully a fresh, fun, positive perspective on the world of AI dentistry and of course bringing team and doctor perspectives to the table for you today.   John (04:03) Well, thanks for sharing that. you can see, everybody, Kiera comes with a ton of energy, but it is rooted, as she mentioned, in years of experience in this industry. And here's where I wanted to start, Kiera. So I want to go back maybe like five or six years in dentistry when there was a lot of new software platforms that were coming to dentistry, patient engagement, right? It was like this big giant party and a lot of practices were excited. You may remember though, as someone that works directly with the dental practices with as much   excitement as there was there also was a little bit of overwhelm right because it's like where do we start like how do we build these in and it's funny that you talk about your husband because yes in dentistry these are all somewhat kind of new to the industry and so practices are figuring how to use them and I do feel like okay maybe a couple years ago with like firms like yourself that have really helped these practices figure out how to utilize them they got that under their belt and then   here comes AI, right? And here comes this whole new way for these practices to be able to communicate, you know, task orient and all that stuff. So that's kind of the first place I'd like to start is that when you look at the work that you do now with the dental practices and I say the word AI, where is everybody's heads?   Kiera (05:13) Yeah. and agreed. I think, I think that this is just evolution of business. Like if I were to like even simplify it down, I think dentistry has been so much like we drill teeth, we fill teeth, but I'm like, guys, we have evolved. We don't do wooden teeth anymore. we've evolved and now there's laser and there's PRF and there's more advancements to dentistry that we do. Like I have a practice, I call them my PRF powerhouse and they've added PRF to their practices and we've added multi-millions to their office.   But like, yes, financially, that's been amazing, but their patient care has gone up so much, like the amount of results we're seeing. so when people are like, software's AIs, I'm like, hold on. You have evolved in your dentistry and you've seen how much it's evolved and how much better it is. I mean, the way we used to do crowns compared to how we do crowns, we can do same day crowns. We look at how we do ortho. We look at the different like skill sets that we've been able to add in. I feel like AI is the same thing. And I think when we get a little skittish, that's actually where I feel like we're   at more danger of a society. as I don't want to use the word old John, but I'm like, Hey, if you're not going to innovate and like you're going to die. there's innovate or die. We've got to grow and evolve or we're going to be left behind. And I mean, I think we see that with certain practices who elected no, no, John, I'm not going to have online and online. No, they're going to see my sign. They're going to drive by. This is how I'm going to be. Well, if you don't have an online presence today,   you're pretty much not visible anywhere in the world. No, no, no, John, I'm not going to do Google reviews. I don't need to do Google reviews. Well, Google reviews are how people find you. And now it's becoming AEO where AI is actually now searching for offices. I mean, we just did a trip to Iceland and where did I go? Chat GPT. And where's my next place I go? I go to Instagram, TikTok. What are the best places to go? No, John, I don't need to be on social media. We don't need to have that presence. We have our marketing. We send postcards.   Well, if you're not on Instagram, people are going there now. They go check your Google reviews and then go check your online profile. So I think for dentists to maybe recognize that high five, like you actually have evolved over the last several years. You've evolved. You are morphing and as businesses, it is an innovation or it is a die. And so when we talk about AI, AI is going to be awesome. You guys, AI was created. Like I think so much of the reason it took off is because we had 2020, we shut down.   Then we went through 2021 of the great resignation. We could not find people. You want to talk about hygiene shortages? Well, great. Now we're able to bring in people and you're like, but AI is not going to replace hygiene. Correct. But AI is actually helping with perio charting and different pieces that we're able to utilize. It's cutting down our costs that we're able to have on some of the billing and the revenue cycle management that we actually have alleviated funds to be able to pay the higher costs of hygiene that's offsetting. So our businesses can still be profitable. So when I look at it from a business,   I think guys, welcome to 2026, welcome to AI and get excited about it. And rather than being afraid of it, let's start to embrace and you don't have to be the earliest adopter, but I will say similar to like, I'm not going to join the internet. I'm not going to have Google reviews. I'm not going to do Instagram. We have watched that those who wait too long, I'm not going to do online payments. John, that's my favorite. Like we still expect checks. I don't even know how to write a check guys. Like truly I'm like, who accepts checks? ⁓   But things like that are so dated and so cumbersome compared to how the world's evolving that you are niching yourself more and more, more to less and less and less of a patient base. And if that's your exit strategy, rock on, it's a great one. But if you're not on the exit strategy, you definitely need to get on board with AI. And I think like we have a practice in Maryland, she's a pediatric practice and she's like, we call it AI Amy. And well, yes, our team gets annoyed with ⁓ AI Amy. They've trained an AI bot to be able to schedule for these   DC parents that want to make appointments at all hours of the day and they want to talk to someone. AI Amy schedules and guess what? AI Amy schedules about 75 % correctly and the team's annoyed and the doctor's like, you never get to be mad at AI Amy because that was 75 % of patients that we didn't even have to schedule. 25 % were a miss. Perfect. But that was 25 % out of 75, like a hundred percent. We, that's a quarter. We've literally cut down our space. And so I think when it's looking at   scheduling tools, revenue cycle management, ⁓ looking at how we use it for hygiene. Doctors like using Pearl or ⁓ Overjet to help with diagnosis. Case acceptance is going up. And while it's not perfect today, I think getting in the language, getting in the familiarity so you don't accidentally get too dated, AI is going to take off faster than anything else. If you're not on chat GPT, if you're not utilizing it for things, it cuts down man hours and people are like, but I don't want people to lose jobs. And I'm like,   You're not, we're elevating, we're lifting up our practice and we're morphing into where the world and society is going and your practice and your patients will thrive because of it. So that's my take. And I know I kind of went on a soapbox for you, John, but I think doctors need to realize it's not as scary as I think maybe some of them are looking. ⁓ It's something we've always done. It just looks different today.   John (10:22) Well, I'm glad you shared all that because I've been talking with people a lot lately and I feel like in unknown times or times where many of us don't know kind of where things are going to be, it really calls for leadership. And I think that's what's important. I think that's what you shared. think that practices are looking for people like yourself and others that are living this. They've dove into it. They're embracing it. They're learning how to get the maximum out of it. And so I glad you shared that. All right. So that's the first piece, right? That's kind of like the overwhelming the tech.   you mentioned a little bit about revenue cycle management and I wanted to get your thoughts as well on this other thing that dental practices are facing which is patients now come in and are having the same type of expectation of the experience on the business side of the practice, their billing and their payments and all of that, that we have with other businesses that we work with.   And so now a dental practice is getting questions as you know so well, like, okay, like am I gonna be able to pay easy? Are we gonna be able to track all this easy? Because that's how we do it with other businesses. And now all of sudden the dental practices have had to wake up and they have to make sure that that part of their practice is also, you know, automated and where it needs to be. So love to have your thoughts on that part as well.   Kiera (11:37) Yeah, and John, just to piggyback of where you were talking about dentists getting on board, I will just plug, and this is why we built an in-person mastermind, is because I recognize dentists feel like they're on isolated islands. And when you can get around really smart, you are the equivalent, proximity is power. And so getting around dentists that are not afraid of this, being in groups, listening to podcasts like this, if we can serve on that, rock on, I'm happy to do that. I would just encourage you to...   surround yourself with smart people that are getting involved in this and people that push you out of your comfort zone. People that have voices that are maybe not the same of what you normally listen to. Like if you're always listening to Fox News, maybe listen to CNN or if you're listening to CNN, then go to Fox. Like you need to hear opposing opinions on this. And I would just really encourage people to be a part of innovation rather than being destroyed by innovation would be my recommendation. And then going into this patient payment.   John, it makes me laugh because dentistry and I did a podcast, I should go find it. was several years ago and I'm like, why is dentistry on payments? Like we're in the 1800s, like put it on my tab. I'm like, what is going on in dentistry? Like nowhere else do you go and you're like, got my groceries, but could you put that on my tab, John? Yeah. Yeah. But yet in dentistry, we're like, yeah, we'll bill insurance and then we'll charge you for that. What are we doing? And I just think like,   Our revenue cycle management in dentistry is so dated and archaic that I'm like, ladies and gents, it's an amazing way for you to make a lot more money with a lot less effort if you just update a little bit on your revenue cycle management. Like we are so archaic ⁓ and dental insurances are using AI. Like why do you think Pearl and Overjet exist? Well, you better believe that the insurance companies are ripping that too. They're using AI to see their claims.   ⁓ so with payments and patients, do think like patients are expecting us to have online scheduling. They're expecting us to have easy ways to pay. mean, I've even seen some dental offices that take payments in Bitcoin and I'm not here to say you need to go clear to Bitcoin or like some extremes, but I do think that there's this evolution of, I don't want to wait a long time. I don't want to have weird payment things. want to people like John, I think it used to be the society where we worked eight to five.   We left our work at home. didn't have computer or at work. We didn't have computers. Our phone was a landline. It would shut off and we were home. That does not exist anymore. So most of the time I feel like our eight to five is our quiet time at work. And then after hours we're like, ⁓ I need to pay for this and I need to take care of this appointment and I need to schedule the kids for this. And we do that while we're sitting in bed scrolling through Instagram and like, shoot, I need to make that payment.   I feel dental practices, they have such an amazing opportunity if they will update and use more modern, I would say, like it's not even AI guys. We're just talking about getting onto the playing field. If you would do that, I have watched practices that implement these processes, their AR, their collections, their profitability are exponentially more, I would say consistent and constant as much as...   as opposed to being like inconsistent and fluctuating like they were in the past, because patients can pay all the time. Patients can send things forward. And I do think like, yes, dentistry people want that good old home, like girl and dentists that like takes care of them. But I think a lot of times the way you've evolved with technology also helps people see how have you evolved in your dentistry as well. I do not want to go to somebody who's still paper charts. I get concerned about   Are we up to speed on our current things? That's so foreign to me. No one else does that anymore that I think we to be careful that we don't accidentally date our dentistry by not being up to speed on our payments as well.   John (15:27) So you just built the bridge to the next thing I was going to ask you, right? So we talked a little bit about technology and embracing it, the patient experience and what they expect. And then this final thing is the perception of the patient in looking at the practice and the technology that the practice invests in. And again, 10, 15 years ago, when maybe dentistry was not as proactive and patients were just going to the practice. Now practices are, it's more competitive. There's more practices in every city, many across the country.   And so with that becomes this image that you portray to the patient and your business that you are making those investments to stay up to speed to be able to provide those types of services. And so talk about that a little bit. And I think that   for many dental practices, like for many of us that are entrepreneurs, like we've lived in this ROI world, right? If you ever were someone that had to raise cash or capital, you get those questions. And from a dental practice perspective, right? It's like, okay, we're going to make this investment in technology and rightfully so. What's the ROI on this? And I do think, and I loved your thoughts on this, that companies are doing such a better job of being able to paint that picture of, okay, you're going to make this investment. You're going to put this technology in the practice. It's going to make your patient experience better. But here is going to be   the return on investment, you are going to unlock a lot of your AR that's out there, make things easier for your patients. So talk about that a little bit.   Kiera (16:50) Yeah. I'll just get like paint a story of a practice. So there's a practice in Texas and this practice is amazing. Like they truly have a castle of an office. am blown away at how stunning this practice is. They are up to par on all the latest technology. They do a lot of these items in their practice, but what they were doing was the patient came in. So the waiting room was beautiful and they would just walk the patient straight back to the back.   Now this is a practice who's been around multi-generations of dentistry. They do service in other places. They have a state of the art lab they do in-house. Like it is a practice that should be showcased and they were struggling and their revenue was down and we went in person with this office and we consulted their team and we taught them like, we're going to have you guys take them on a patient tour. like, this is a pretty large team. think there's about 35, 40 people and we like made them role play walking through this practice and showcasing.   this ROI items that they've put into it. I you guys are using this, but do your patients actually know that you're doing it? So we do this, we implement it, we track a few things with them. Fast forward two, three months post visit, their reviews exponentially went up, their new patient counts went up, their revenue, they had their highest revenue number they had ever had and their culture of their team was happier. And I was like, I don't think I can sit here and say it's a coincidence. So like the patients love the tour.   Like they love seeing this practice. They love seeing what's going on. And what is as is it just gives confidence. And I say, John, if you and I were to go to ⁓ a surgeon, right? I'm going to want to know that that surgeon is the best freaking surgeon and that I'm going to put my confidence in them because I only have one arm, one hand, one leg, one neck. We'll have one set of teeth too. And so helping patients get the perception of who you are as a dentist and showcasing, I have seen like I've worked in hundreds of practices.   And some of my best offices do not showcase like they're the best and perception is a lot. Now there's some practices who actually are not great dentists and they showcase like they're amazing. And so you've got to make sure that who you are is what you're doing. But the ROI, and I wanted to showcase that practice, they have invested in a lot of this technology. They have invested in advancing their practice and it shows and they're able to show their patients. And we had direct correlation of higher reviews, higher new patients and higher production. And so I think.   Just that example, and this was done just a couple of months ago. We were out there in September and in December they had their highest month. So it wasn't a long-term ROI churn. It was very quick. so I think in general, medicine has evolved. think across the board, we're talking healthcare as a whole has leveled up. They uptick higher. Patients are expecting more. I mean, we go anywhere and technology is higher. You go to the movie theater, you go to the restaurants.   everything has upleveled. And if you and your practice are not up leveling, and I don't think it's hard for dentistry, I'm like, you guys already have a 3d printer or you already have a scanner or you already are taking digital x-rays. Just tell your patients, you do this showcase it around because I think the, the fallacy that you might fall into is like, but patients are just loyal to me. I think I to be careful because there's so much online noise that while a patient might love you,   they're seeing other offices that might accidentally take away your patients and they're doing it. Like it annoys me, John. I have a patient sitting in my chair and like, yeah, I just went to Dr. Thompson down the street from my ortho. I'm like, so we do ortho here, but they didn't know we did it. And so don't accidentally not showcase your work and showcase how great you are and how up to par you are that you're accidentally losing patients that are silent levers of your practice. ⁓ because you didn't showcase how great you were and let your patients know what you actually do.   I think that's the trap and the opportunity if you take it to be able to keep your patients with you and keep them happier with you when there's still noise and chatter because they know they're at the best practice that's investing and elevating and giving them the best patient care they possibly can have.   John (20:52) Yeah, I've been thinking about that a lot lately, just this kind of invisible credibility that comes with what you just talked about, which is when a business, in this case, a dental practice is making the investment in these newer technologies. A lot of times as patients, we don't say it, but we know, like you said, you walk into a practice and you see there's in your own life, you know what it took to remodel your house or to get a new car or whatever the case may be of the things that are important to you. And so I think more and more patients know   and understand what a dental practice or a business has to go through when they up their game. I believe that you get a lot of credibility out of that, right? Versus maybe the one that doesn't do that. Maybe the thought becomes whether it's real or not. Hey, why aren't they doing that? Like are things not good here? Like, do I have something to be concerned about? And in many cases, perception is reality. And again,   It's going to run through to patient care. We all know that. think the last thing I wanted to get your thoughts on, and you talked a little bit about earlier was AI in the sense of case acceptance because you know, you and I both have been in this industry for many years and have watched all the courses that dentists and hygienists and dental assistants have had to take on how to present good treatment and get case acceptance.   and we've watched them struggle for many years, Kiera, and then all of a sudden we have these newer technologies where you can show the patient where the work needs to be done in their mouth. And it's crazy, right? All of a sudden, I'm like, wow, that's me? That's where I have to get work done? the dentist is like, I've been telling you this for like, why didn't you just believe me? And in front of our eyes, this technology is now instilling confidence in the patients. And ultimately, it's a win for everybody.   Kiera (22:36) Yeah, think it's such a beautiful time for dentistry right now because we've been living in shades of gray for so many years. We advanced from like little tiny thumbnail ⁓ x-rays to on the screen x-rays that are still in gray to now having AI that can show patients exactly what's going on. And it's colored and it's showing them and it's giving measurements. And I think like what an amazing opportunity for you.   to use tools at your fingertips where you're not having to try to convince a patient of like, can you kind of see this like little gray box within this like other gray box that they truly cannot see? To now, this is what we're seeing. This is how it is. And to still give the doctors the liberty to be diagnosing. I know some have said that like AI is so aggressive on it. And I'm like, you don't have to diagnose that, but you now have a tool that's going to at least highlight. And I think dentists, you're so busy. You're running from exam to exam to exam. You have something.   that can look for all these things, prep it. You can train your eye. You can tee up all your associates that come in. Your hygiene team can learn collectively and your patient now has visible proof. It's like the, and I know dentists hate being compared to mechanics and I'm very sorry. I think it's just such a good like analogy. I go, you know, right? Like I go to the mechanic and like, here, you need new breaks. And I'm like, but do I really? Cause I've been scammed so many times patients like, do I really need a crown? John? Like, are you sure?   John (23:50) analogy I say because   Kiera (24:02) And we have taken that guesswork of, you sure? To being able to show them with black and white proof to where they're bought into it. They know they're not being scammed by you. They can see it with their own eyes and they're much more likely to accept treatment. I say, like confidence is what people are buying when they're saying yes to dentistry. Confidence is what increases your case acceptance. And this is a layer of confidence for you as the dentist, for your patients to see, for your team to all speak the same language.   care if AI is over diagnosing, don't over diagnose. You are still the doctor. Like this is just a tool in your tool belt. But I think it's something that hands down, I am so pro using it. I'm like, doctors also be so vigilant because insurances are denying claims based on the same software. Like they're using AI as well. So you might as well be in the game with them to see what they're seeing, to learn, to educate AI. So you're a part of it.   They use AI in medicine all the time. They use AI overlays on their x-rays that I'm like, yes, I get that it's not perfect. Yes, I get that it's clunky, but gosh, it's a freaking good tool that I would strongly advise you trying out, getting to know, using and learning. Even if it just helps you. I think about it. If I'm able to get 1 % more on case acceptance, go look at everything you're diagnosing. Usually that's a pretty good uptick, but not even just on your bottom line, but on the amount of patients you're able to help and serve. ⁓ why not?   Like what, what are you holding back on? I would just say, don't be afraid. Like just get in the game because you'll learn it's a lot better for you than it is scary. And there's a lot more good than there is harm.   John (25:39) Yeah, no question. Well, here's how I want to bring us home. You work with a lot of dental companies and I believe that this gap that I've seen for years between like the companies that are bringing the technologies to the dental practices and the practices themselves, it's exciting to kind of watch that gap close, right? Like I'm seeing more and more companies kind of listen and say, hey, what problems are you having? How can we utilize our resources to help you solve these problems? And you know,   We talked a little bit about at the onset, you know, the relationship that you have with Josh and DCS or whatever. And what's exciting is that you have companies that are starting, ⁓ and doing and solving one problem and then taking a lot of that feedback and then creating, you know, in this case, another technology platform and an effort to kind of elevate that problem. I mean, to be able to solve that problem with their solutions. What's that been like, right? Like talk a little bit about when you watch these companies evolve and continue to listen to the dental practice and bring these technologies to help these practices.   practices up their games.   Kiera (26:41) Oh, I think it's amazing. Actually. I am such a pro. Like I'm on a couple of different boards as well. And I think it's something where when I look at it, I'm like, why are these people doing it? And it's because we love dentistry. Like I look at Dental A Team team and what I used to consult versus what we consult now, like there's DSO, there's different needs than what a solo practitioner has. And so Dental A Team evolved and we became something of what are we going to do to serve the DSO thing and still be able to give back.   What is Josh with DCS? Like we heard this, we saw the need and we built something to help on that other avenue. To me, I think like, how awesome is it that you have people that are in the weeds, in the trenches have been here? I mean, I've got a decade of consulting, not to mention my like five years prior to that of assisting and all the other things prior to before that, like five more years. Like there's so much, like you have people that are so embedded in dentistry and they've seen the evolutions.   that they're willing to come forward. They're willing to execute. They're willing to stamp. They're willing to work hard to evolve these products and softwares to give back to you. And I think like people who are deeply rooted in dentistry, building these products, they're the best ones. Like I watched Modento, which I'll just give them. Like they were built by a hygienist and a dentist, and they were able to be one of the best softwares when they first started that I've ever seen. I'm like, I could tell this was built by people that got it. And so watching DCS like,   They get it. They're in the trenches. They've been watching this. They know what they're doing and they're moving it forward. We've been watching offices. We've been working with DSOs. We see what the nuances are and we build and create stuff to serve the dentist. Gosh, I just think it's magic and I think it's beautiful. And I think like, how lucky are we to be in these spaces to have people that have had enough time in the industry to know what the next layer is that you need before you even know. It feels like Henry Ford to me in a little bit like,   They said, if I give the people what they want, they'll want a faster horse. But if I give them what they need, it will be a car. And they don't even know that they need that yet. And I think that that's where we're evolving is being able to anticipate the needs of what offices need prior to them even realizing it's a need. And that to me is like just epic and incredible of a society and a community that really wants to give back and serve and make dentistry the best it can be.   John (28:55) Well, and who would have ever thought that a dental company would take the time to create a podcast like this, the zero bounce podcast, right? As a way to continue to add value and of course, invite amazing guests like yourself. I can tell everybody. I remember, I don't know how many podcast episodes Kiera has done, you know, in the past over many years. I remember the actual weekend that she was building and putting up those black panels behind her. ⁓ and so it's like, you know, you're, you're, you're definitely   listen to someone, you know, when you talk about someone that has rolled up their sleeves and dug in an effort to move dentistry forward, Kiera, you certainly have done that. And, ⁓ I know the DCS and Quanta Team really, really appreciate you taking the time out of your busy schedule to show your passion. And I think more importantly, help dental practices bridging a lot of these technologies and how to implement them. So any final thoughts as we wrap.   Kiera (29:47) Yeah, well, huge appreciation, John. And thank you for helping me with the background, because I definitely asked for you and your help and your insights. So appreciate that. I love it. Thank you. But I think, again, it's an evolution. And I would just say AI is going to be awesome. And there's going to be glitches, and there's going to be problems with anything. But I think the more we can embrace and we can innovate, we're either going to innovate or we're going to die. And we're going to be either on the path forward or we're going to be left behind.   John (29:55) So good.   Kiera (30:14) I think, Denissure, we have such a beautiful gift to give people confidence and clarity and smiles and health that no other profession is able to do. So I think it's just a moral charge for each of you to look to see where is maybe one area of AI or advancement that I'm willing to step into this year. So I commit to not getting dated. ⁓ And I think DCS and the Qantas team are a great place to start. think on our side, if there's anything we can do with team, with consulting, with...   like shoot, hate doing this. I don't want to go rally my team. Great. We love to do that. We do the part that no one likes to do just like DCS. They do the part of billing that no one likes to do. ⁓ I think we like do the dirty work of dentistry, but we love it we have a passion for it. So if we can help them serve in any way, TheDentalATeam.com Hello@TheDentalATeam.com. ⁓ huge partners of DCS and have referred many people to them over the years and just excited for what they're doing. So be excited guys. We live in the best times. We live in the most innovative times. And I think it's just.   a really amazing miracle that we get to be a part of dentistry and the changes. And I think everybody needs to realize what you do or don't do is going to have an impact on our future of dentistry. And I think that that's a moral charge each of us should take to be able to preserve the sanctity of our dentistry. That doesn't mean we stop it. That just means that we're able to positively impact. We're able to keep the integrity of our profession. And each of us, think, have a moral charge to do that. And so get on board, be a part of it, be a part of the noise, be a part of having your voice heard.   and I'm truly just excited and honored and happy to help in any way we can.   John (31:45) great way to wrap. And if you're watching this on YouTube, love to have you subscribe to The ZeroBalance podcast. If you are an audio podcast listener and you're listening to on Spotify or Apple as well, subscribe. And each time the Quanta team adds a new episode like this great one with Kiera, it'll come through on your listening device of choice. So Kiera, thanks so much. Best of luck as you continue to do great things. It's a big year for you, like you mentioned, 2026. So I'm excited to stay connected and watch all the great things that you and the Dental A Team are doing. So until next time, we'll see you everybody.   The Dental A Team (32:13) All right, Dental A Team listeners, that was the guest interview that I absolutely loved. And I hope that if there was one idea that stood out to you, don't just agree with it, but actually go implement it this week. And if you need help setting this up in your practice or you need help just navigating or need a friend, head on over to TheDentalATeam.com and I'll be able to help you guys out. Click on the book of call or any way that we can support and serve you. That's what we're here for. That's what we're obsessed with. And as always, thanks for listening and I'll catch you next time on the Dental A Team podcast.

Industrial Talk is onsite at SMRP 2025 and talking to Nancy Regan and Corey Dickens about "The future of operational excellence". Scott Mackenzie introduces Elevotec ERP, EAM, and business intelligence solutions on the Industrial Talk Podcast. The episode features Nancy and Corey, industry veterans discussing their careers in reliability and maintenance. Nancy, with 27 years of experience, emphasizes the importance of mentorship and simple explanations in reliability. Corey, with 13 years in the Navy and industry, highlights the need for leadership, mentorship, and workforce development. They stress the importance of overcoming comfort zones, embracing failure, and leveraging technology while maintaining foundational skills. Both advocate for inspiring the next generation and the value of conferences like SMRP for professional growth. Outline Introduction to Elevotec and Industrial Talk Podcast Scott introduces Elevotec, highlighting their ERP, EAM, and business intelligence solutions.Scott thanks listeners for joining the podcast, celebrating industrial professionals and their contributions.Scott mentions the SMRP 33 conference in Fort Worth, Texas, and introduces guests Nancy and Corey. Backgrounds of Nancy and Corey Scott asks Nancy and Corey to introduce themselves.Nancy shares her 27-year journey in reliability-centered maintenance (RCM) and her passion for the field.Corey discusses his 13-year career in maintenance and reliability, starting in the Navy and transitioning to the industrial sector.Both guests highlight their experiences and the impact of mentorship on their careers. Challenges and Opportunities in Mentorship Scott emphasizes the importance of inspiring the next generation and addressing the skills gap.Nancy stresses the significance of mentorship and the impact of her mentors, particularly John Mowbray.Corey talks about the need for vision, leadership, and ongoing support to develop talent.Both guests agree on the importance of mentorship and the role of experienced professionals in guiding the next generation. Inspiring the Next Generation Corey discusses the need for workforce development, including training and recruitment efforts.He highlights the importance of mentorship and the role of military veterans in the workforce.Nancy shares her approach to simplifying complex concepts to make them accessible to new professionals.Both guests emphasize the need for practical experience and the value of hands-on training. Overcoming Comfort Zones and Embracing Failure Nancy talks about the importance of getting out of one's comfort zone to achieve personal and professional growth.Corey shares his experience with failure and how it has shaped his approach to leadership and problem-solving.Both guests discuss the challenges of middle management and the need for effective leadership.They emphasize the importance of embracing failure as a learning opportunity and not being afraid to take risks. The Role of Technology and Certification Corey discusses the role of technology in training and developing the next generation of professionals.He highlights the importance of certification programs like the Certified Maintenance and Reliability Technician (CMRT).Nancy shares her approach to explaining complex concepts using simple analogies.Both guests agree on the need for a balanced approach to technology and traditional training methods. Final Thoughts and Contact Information Scott thanks Nancy and Corey for their insights and encourages listeners to reach out to them for mentorship and guidance.Nancy provides her contact information and mentions her availability on LinkedIn.Corey also encourages listeners to connect with him on LinkedIn for further discussions.Scott wraps up the podcast, emphasizing the importance of attending conferences like SMRP to network and learn from industry professionals. If interested in being on the Industrial Talk show, simply contact us and let's have a quick conversation. Finally, get your exclusive free access to the Industrial Academy and a series on “Why You Need To Podcast” for Greater Success in 2026. All links designed for keeping you current in this rapidly changing Industrial Market. Learn! Grow! Enjoy! NANCY REGAN'S CONTACT INFORMATION: Personal LinkedIn: https://www.linkedin.com/in/thenancyregan/ Company LinkedIn: https://www.linkedin.com/company/theforceinc/ Company Website: https://theforceinc.com/ COREY DICKENS' CONTACT INFORMATION: Personal LinkedIn: https://www.linkedin.com/in/coreydickens/ Company LinkedIn: https://www.linkedin.com/company/brightlysoftware/ Company Website: https://www.brightlysoftware.com/ PODCAST VIDEO: https://youtu.be/Fu54DdXmA9g THE STRATEGIC REASON "WHY YOU NEED TO PODCAST": OTHER GREAT INDUSTRIAL RESOURCES: NEOM: https://www.neom.com/en-us Hexagon: https://hexagon.com/ Arduino: https://www.arduino.cc/ Fictiv: https://www.fictiv.com/ Hitachi Vantara: https://www.hitachivantara.com/en-us/home.html Industrial Marketing Solutions:  https://industrialtalk.com/industrial-marketing/ Industrial Academy: https://industrialtalk.com/industrial-academy/ Industrial Dojo: https://industrialtalk.com/industrial_dojo/ We the 15: https://www.wethe15.org/ YOUR INDUSTRIAL DIGITAL TOOLBOX: LifterLMS: Get One Month Free for $1 – https://lifterlms.com/ Active Campaign: Active Campaign Link Social Jukebox: https://www.socialjukebox.com/ Industrial Academy (One Month Free Access And One Free License For Future Industrial Leader): Business Beatitude the Book Do you desire a more joy-filled, deeply-enduring sense of accomplishment and success? 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