NatRevMD

NatRevMD
  • 5.0 (25)
  • MEDICINE
  • UPDATED WEEKLY

Medical billing tips for healthcare professionals — by healthcare professionals.  This podcast is here to help private practices get paid what they’ve earned. We share real-world strategies for accurate coding, smoother billing workflows, and fewer denials — all from a team that’s been in your shoes. Whether you’re just getting started or trying to tighten up your revenue cycle, you’ll get practical advice you can actually use. Join the conversation in our Facebook Group: NatRevMDLearn more at www.natrevmd.com

  1. 8H AGO

    #181 4 Types of Leverage That Let Your Practice Make Money Without You

    If you stepped away from your practice for 30 days, what would happen to your revenue?  If the honest answer is "it would fall apart" — you don't have a scalable practice. You have a high-paying job with employees.  In this episode, Dr. Heather Signorelli breaks down the four forms of leverage that separate practices that grow on their own from the ones that only move when you show up.  The Leverage Framework:  Form 1 — Capital Leverage: why it's the highest-risk, lowest-compounding form Form 2 — Labor Leverage: why 10x headcount creates 10x management complexity Form 3 — Code/AI Leverage: what $15K–$25K/month in avoidable billing losses actually looks like Form 4 — Media Leverage: the one asset that compounds while you sleep The Lion Sprint Framework: why sprinting beats grinding — and what your three sprints are this week Episode breakdown:  00:00 Opening question: what happens if you step away?  02:30 Leveraged vs. un-leveraged — the real 2026 divide  05:00 Form 1: Capital Leverage  08:00 Form 2: Labor Leverage  11:00 Form 3: Code/AI Leverage  14:30 Form 4: Media Leverage  18:00 The Lion Sprint Framework  20:30 Sprint 1: Policy Sprint (Media Leverage)  22:30 Sprint 2: Chart Closure Sprint (Code + Labor Leverage)  24:30 Sprint 3: Eligibility Training Sprint (Labor + Media Leverage)  27:00 Free resource + payer rule change tease Resources Mentioned  Payment Posting Audit Checklist (free):  eligibility.natrevmd.com/payment-posting-checklist  Practice Revenue Leak Scorecard (free):  eligibility.natrevmd.com/nrm-revenue-scorecard-v3  Book a free 30-minute audit call:  calendly.com/heather-natrevmd  RECOVER Diagnostic Quiz:  natrevmd.com/quiz

    26 min

  2. 4D AGO

    #180 Built to Last (Part 1) - Why Growing Practices Hit a Revenue Ceiling

    The difference between practices that scale and practices that stall is not clinical skill. It is operational structure. And most practices doing $250K to $500K a month have already outgrown theirs.  In this episode, Dr. Heather Signorelli breaks down the three root causes of operational chaos that keep growing practices stuck at a revenue ceiling they cannot break through.  You will learn:  Why ambiguity in roles costs you hard dollars in denied claims How running your revenue cycle on memory puts your cash flow at risk every single day Why unsigned charts are delaying tens of thousands in billing every month Three things you can do this week to assess exactly where you stand This is Part 1 of 2. Part 2 delivers the exact accountability chart structure, daily checklist templates, and provider productivity metrics to fix what Part 1 diagnoses.  📊 Free Payment Posting Audit Checklist (free, no sign-up):  https://eligibility.natrevmd.com/payment-posting-checklist 📅 Book a free 30-min call:  calendly.com/heather-natrevmd

    23 min

  3. MAY 19

    #179 Building a Practice That Runs Without You - The 5 Systems You Need

    Most physician owners we talk to took a vacation last year and spent half of it answering billing questions on their phone. That is not a staffing problem. That is a systems problem.  In this episode, Dr. Heather Signorelli walks through the five operational and financial systems that allow a practice to generate and protect revenue without the owner acting as the lead biller, the collections manager, and the operations director all at once.  You will learn:  How to take clinical knowledge out of one doctor's head and turn it into practice-wide standards How to get daily financial visibility without waiting 30 days for a CPA report How software hard-stops protect revenue even when your best staff member quits How to benchmark provider productivity without having awkward conversations How to give managers real decision-making authority without losing control of your margins 📊 Free Practice Revenue Leak Scorecard (takes 3 minutes, free):  eligibility.natrevmd.com/nrm-revenue-scorecard-v3  📅 Book a free 30-min call:  calendly.com/heather-natrevmd

    31 min

  4. MAY 15

    #178 The 4-Step Audit That Exposes What Your Billing Team Is Missing

    What if the biggest revenue leak in your practice isn’t a denial or a payer contract problem - it’s the person processing your payments? In this episode, Dr. Heather Signorelli breaks down the four-step payment posting audit we run on every practice we onboard - and why practices doing $300K+ a month are routinely losing $8,000 to $25,000 of it to undetected posting errors. You’ll learn: • How to catch unapplied patient payments before they generate angry calls • The ERA spot check that exposes systemic contractual adjustment errors • How to find payer underpayments before your billing team writes them off • The write-off audit that protects your revenue from unauthorized adjustments This is the final episode in our four-part payment posting series. If you’ve been following along, you now have more visibility into your revenue cycle than most practice owners ever get. 📊 Free Payment Posting Audit Checklist: https://eligibility.natrevmd.com/payment-posting-checklist 📅 Book a free 30-min call: calendly.com/heather-natrevmd Resources mentioned: EP175 - What is Payment Posting? EP176 - Insurance Side Mistakes EP177 - Patient Payment Errors

    20 min

  5. MAY 13

    #177 The Patient Payment Posting Mistakes Inflating Your AR (Part 3 of 4)

    When your patient AR report shows thousands in past-due balances, it’s easy to blame high deductibles. But a lot of that money is already in your bank account sitting unapplied—or it’s a phantom balance the patient never actually owed.  In this episode (Part 3 of our Payment Posting series) we walk through the four patient payment posting mistakes that inflate AR and damage patient trust:  Unapplied patient credits — money in your bank, AR still open, patient gets billed again Payer denials shifted to patients by mistake — poster doesn’t read the ERA denial code, patient gets a statement for money they don’t owe Co-insurance misposted as a flat copay — wrong payment code at check-in, ledger breaks when the claim processes Unauthorized write-offs — billers clearing their queue by wiping balances with no authorization or audit trail Each mistake has a fix you can implement this week.  📋 Free Payment Posting Audit Checklist — the same framework we use in real practice audits: →https://eligibility.natrevmd.com/payment-posting-checklist Resources mentioned: 1. Payment Posting Audit Checklist — https://eligibility.natrevmd.com/payment-posting-checklist 2. Book a revenue review — https://calendly.com/heather-natrevmd/ 3. All episodes — natrevmd.com/podcast  4. Subscribe on YouTube — https://www.youtube.com/@NatRevMD

    18 min

  6. MAY 8

    #176 The Insurance Payment Posting Mistakes Draining Your Revenue (Part 2 of 4)

    Your AR report says hundreds of thousands of dollars are coming in. But if your team is making these four insurance posting mistakes, a significant portion of that AR is phantom money that was never going to be collected.  In this episode (Part 2 of our Payment Posting series) we walk through the four insurance-side mistakes that inflate AR and drain revenue:  Ignoring contractual adjustments — the gap between billed and allowed sits in AR as uncollectible phantom money Accepting underpayments as paid in full — payer shorts you on a contracted rate, poster writes off the difference without flagging it Leaving zero-balance claims open — fully paid claims clogging your AR and inflating your workload Duplicate posting — same ERA payment posted twice, creating phantom credits and balance chaos Each mistake has a fix you can implement this week.  📋 Free Payment Posting Audit Checklist — the same framework we use in real practice audits: https://eligibility.natrevmd.com/payment-posting-checklist Resource 1: Payment Posting Audit Checklist — https://eligibility.natrevmd.com/payment-posting-checklist Resource 2: Book a revenue review — https://calendly.com/heather-natrevmd/ Resource 3: All episodes — natrevmd.com/podcast  Resource 4: Subscribe on YouTube — youtube.com/@NatRevMD

    17 min

  7. MAY 5

    #175 What Is Payment Posting and Why Your AR Is Lying to You

    There’s a number in your practice that looks precise but lies to you every single month: your AR report.  We routinely audit multi-provider practices showing $400K, $600K, even $1M in AR — and 20–40% of that “asset” is already dead. Not collectible. Just trash left behind by bad payment posting.  In this episode — the first in a 4-part series on payment posting — Heather walks through what payment posting actually is, why getting it wrong silently inflates your AR, and the seven specific things that change in your practice when posting is done right.  Inside the episode:  Why your AR report is a mirror of your team’s posting accuracy, not what you’re actually owed How a $400K/month practice dropped their AR by 30% in two weeks — without collecting a dollar more The 7 reasons clean payment posting transforms your revenue cycle The audit moment we found 200+ accounts a week being reworked that were already paid in full What’s coming in Episode 176: the most common insurance-side posting mistake we see in almost every audit If you’re a practice owner, billing lead, or operations director who has ever made a financial decision off an AR report — this is the foundation.  Resources mentioned (Buzzsprout episode resources block)  📊 Free Payment Posting Audit Checklist  The exact framework we use when we audit a practice. Test your own team: https://eligibility.natrevmd.com/payment-posting-checklist    📅 Book a call with Heather  If your AR has been inflated by years of bad posting, that’s exactly what we fix at NatRevMD: https://calendly.com/heather-natrevmd/    🎧 More episodes  natrevmd.com/podcast  Buzzsprout chapter markers (paste in chapters field)  0:00 Hook — the number that’s lying to you  0:45 Why 20–40% of your AR may already be dead  1:45 What payment posting actually is  3:30 The $400K case study  5:30 7 reasons posting matters  12:30 Recap and what’s next

    10 min

  8. MAY 1

    #174 Why Your Net Income Doesn't Match Your Bank Account (And How to Fix It)

    Your CPA sends a P&L on the 20th of every month showing a positive bottom line. Then tax season hits — or partners ask for a distribution — and the cash isn't in the bank. Sound familiar? This episode breaks down why standard P&Ls fail private practices doing $150K+/month, and how to replace them with a live financial dashboard that tells you the truth in real time. RESOURCES MENTIONED IN THIS EPISODE 📊 Practice Revenue Leak Scorecard (free, 60 seconds) Your dashboard is only as accurate as the billing data feeding it. This 60-second diagnostic shows you exactly where your revenue is leaking — before you build a dashboard around bad numbers. 👉 https://eligibility.natrevmd.com/nrm-revenue-scorecard-v3?utm_source=buzzsprout&utm_medium=organic&utm_campaign=ep174 🩺 Book a billing review with NatRevMD If you want us to look under the hood of your revenue cycle directly: 👉 https://calendly.com/heather-natrevmd/ We cover the 5 reasons every practice owner needs a dashboard (not a delayed P&L): 1. True operating profit — separating partner distributions from operating expenses, so you never spend cash you don't have 2. A clear "raise readiness" threshold — pre-agreed rules so staff raise conversations stop being emotional 3. Exposed expense ratios — clinical comp, admin overhead, per-provider cost coverage, all as % of net collections 4. The 4-hour CPA spreadsheet replaced by a 15-minute partner meeting — same payoff, half the time, current data 5. Real confidence to grow — knowing exactly when you can safely add a provider, expand space, or distribute cash Plus: we walk through the exact prompt we used to build our dashboard with AI (Manus), the HIPAA hard line we never cross, and why none of this matters if your billing data is wrong upstream — we've seen practices with beautiful dashboards 8% off because of denials no one was tracking. ────────────────── ABOUT NATREVMD We're a physician-led revenue cycle company built specifically for independent medical practices doing $150K+/month. Our podcast is rated #2 globally for medical billing & coding podcasts (Feedspot 2025) and ranked in the Top 100 US Healthcare Podcasts (Feedspot 2026).

    15 min
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5
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About

Medical billing tips for healthcare professionals — by healthcare professionals.  This podcast is here to help private practices get paid what they’ve earned. We share real-world strategies for accurate coding, smoother billing workflows, and fewer denials — all from a team that’s been in your shoes. Whether you’re just getting started or trying to tighten up your revenue cycle, you’ll get practical advice you can actually use. Join the conversation in our Facebook Group: NatRevMDLearn more at www.natrevmd.com

Information

  • Creator
    NatRevMD
  • Years Active
    2022 - 2026
  • Episodes
    182
  • Rating
    Explicit
  • Copyright
    © 2026 NatRevMD
  • Show Website
    NatRevMD

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