Resources mentioned 

• Practice Revenue Leak Scorecard (free, ~60 seconds): https://eligibility.natrevmd.com/nrm-revenue-scorecard-v3
• Book a call with our team: https://natrevmd.com/contact/
• Visit us: natrevmd.com 

Are your patient volumes climbing but your bank deposits flatlining? That's one of the most terrifying patterns in private practice  and the scariest part? Your reports might not show any of it. 

In this episode, we break down the 3 early warning signs that your billing is broken and give you a clear, actionable plan to diagnose the problem before it becomes a six-figure issue. 

If you're running an independent medical practice doing $250K+ a month, this is the gut check you need. 

What we cover 

• Warning Sign #1: AR over 90 days creeping above 15–20% — and why your team might be "statussing" claims instead of resolving them 
• Warning Sign #2: Lack of transparency from your billing team (in-house or outsourced) — what to ask for, and what their answer tells you 
• Warning Sign #3: Receipts dropping while charges stay stable — the two most common causes 
• A real example from a practice we work with — credentialing holds and why pulling the data first matters 
• Your 3-step action plan to run this week 

Chapters 

(00:00) Charges up, deposits flat: the signal most owners miss 

(01:30) Free Practice Revenue Leak Scorecard 

(02:15) Warning Sign #1: AR >90 days 

(04:30) Warning Sign #2: Lack of transparency from your billing team 

(06:30) Warning Sign #3: Receipts drop while charges stay stable 

(08:30) Recap: the 3 key takeaways 

(09:30) Your 3-step action plan this week 

(11:30) Book a free revenue audit 

About NatRevMD 

We're a physician-led medical billing and revenue cycle management company built for independent medical practices. Founded by Dr. Heather Signorelli, we help private practices stop revenue leaks, fix broken billing operations, and protect their margins.