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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