Is dropping Medicare a bold business move—or a dangerous gamble? In this episode of the NatRevMD Podcast, Dr. Heather Signorelli dives deep into the pros, cons, and realities of opting out of Medicare. From understanding the difference between being “non-par” vs. fully opting out, to the financial and operational risks practices face, this episode gives you the insights you need before making a decision. 

Tune in to learn what the data says, what specialties are most likely to opt out, and how to evaluate the impact on your practice’s revenue, patients, and long-term strategy. 

📢 Subscribe, leave a review, and share with a colleague who needs this. 

🔗 Visit www.natrevmd.com for more revenue-boosting resources. 

In this episode of the Nat Rev MD Podcast, Dr. Heather Signorelli chats with Marissa Vasquez, office manager at Emerald Coast, about the realities of running a medical practice. From building a positive culture and managing staff challenges to streamlining eligibility and financial processes, Marissa shares practical lessons every practice can use to thrive. 

 📢 Subscribe, leave a review, and share with a colleague who needs this. 

Want more resources to grow your leadership and revenue skills?
Head over to natrevmd.com — where physician leaders go to sharpen their business edge, streamline their practice, and unlock tools that actually move the needle. 

Most doctors think leadership is just “being in charge.” It’s not.

It’s the ability to inspire people to follow your vision—even on their toughest days. It’s knowing when to speak up, when to listen, and when to repeat yourself until the message sticks. It’s realizing you can’t lead everyone the same way—and that your leadership style can make or break your team.

In this week’s NatRevMD Podcast, Dr. Heather Signorelli talks with Dr. Matt Astin about what makes a true physician leader without sacrificing patient care or burning yourself out.

📩 Connect with Dr. Astin:
Email: [email protected] 
Instagram & X: @AstinMD

 💡 Want more resources to grow your leadership and revenue skills?
Head over to natrevmd.com — where physician leaders go to sharpen their business edge, streamline their practice, and unlock tools that actually move the needle. 

Is your practice getting lost in the noise?

In this powerful episode, marketing strategist Emily Steele joins Dr. Heather Signorelli to share the exact steps practices can take to improve visibility and attract more patients—without a massive budget.

You’ll learn:

• How to fix your digital front door (aka your website and Google listing)
• The #1 metric that affects your online reputation (and how to boost it)
• Why content doesn’t need to be overwhelming—and where to start
• What “privacy-first” marketing means in healthcare
• When to skip paid ads (and when to consider them)

Emily has 18+ years of marketing experience with Fortune 500s, startups, and now mission-driven organizations—including physicians. Her insights are clear, actionable, and grounded in real-world results.

Book a free 20-minute call with Emily or request a marketing audit at steelandsage.com

Need help with your revenue cycle? Visit natrevmd.com 

Is it time to ditch insurance? 

In this episode of the NatRevMD podcast, Dr. Heather Signorelli walks you through how to decide if going cash-pay—or dropping a specific payer—is right for your private practice.

We’ll cover:

• What cash-pay actually means (hint: it’s not one-size-fits-all)
• How to analyze your payer mix, patient base, and cost-per-visit
• A step-by-step framework for evaluating the risks and upside
• How to phase into cash-pay without losing your patient base
• What regrets practices have had—and how to avoid them

Whether you're fed up with denials, tired of delayed payments, or just curious about alternatives—this episode gives you a clear path to decide if cash-pay is the next step for your business.

 📢 Subscribe, leave a review, and share with a colleague who needs this.

 
 Learn more or book a strategy call at NatRevMD.com 

You’re seeing patients. Billing regularly. But are you actually getting paid what you should be? 

In this episode, Dr. Heather Signorelli breaks down the real way to read your practice’s financial data so you stop guessing and start knowing. From spotting CPT reimbursement shifts to trending by date of service, this is your blueprint for data-driven decisions that actually grow revenue. 

No more flying blind. Get clarity. Get paid. 

🎧 Listen now and take the lead with facts, not feelings.
 📢 Subscribe, leave a review, and share with a colleague who needs this. 

🔗 Visit www.natrevmd.com for more revenue-boosting resources. 

Stop Revenue Leaks, Fix Your AR, and Build Financial Momentum 

You're doing the work, but is your revenue telling the same story? In this no-BS episode, Dr. Heather Signorelli pulls back the curtain on the silent killers draining your practice income. Discover 7 tactical moves that stop revenue leaks, revive your aging AR, and flip the switch on predictable, growing revenue. Real talk. Real results. This is how thriving practices stay ahead. 

Don’t settle for “just enough.” Listen now and start building financial momentum. 

Subscribe, leave a review, and share to help more practices plug revenue leaks—without the extra stress. 

🔗 Visit www.natrevmd.com for resources like our book, billing course, and services. 

In this follow-up to our last episode on MIPS (Merit-Based Incentive Payment System), Dr. Heather Signorelli takes a deeper dive into what physicians need to know to maximize Medicare reimbursements and avoid penalties. We unpack the four MIPS categories—Quality, Promoting Interoperability, Improvement Activities, and Cost—and how they impact your final score. You’ll also hear real-world examples of specialty-specific metrics, tips for leveraging your EMR for MIPS success, and how group vs. individual reporting works. Whether you're new to MIPS or just looking to improve your performance, this episode is packed with actionable insights to help you stay compliant and boost revenue. 

🔍 Listen now and learn how to make MIPS work for your practice! 

Subscribe, leave a review, and share to help more practices plug revenue leaks—without the extra stress. 

🔗 Visit www.natrevmd.com for resources like our book, billing course, and services. 

Are you leaving Medicare money on the table? In this episode of the NatrevMD Podcast, Dr. Heather Signorelli unpacks the Merit-Based Incentive Payment System (MIPS) and how your practice can benefit. From eligibility thresholds to performance categories, learn how to avoid penalties and earn bonus payments by staying compliant and proactive. 

✅ Practical tips
✅ Who needs to report
✅ How to check your eligibility 

Subscribe, leave a review, and share to help more practices plug revenue leaks—without the extra stress. 

🔗 Visit www.natrevmd.com for resources like our book, billing course, and services. 

In this episode of the NatRevMD Podcast, we uncover the 5 most common claim denials—and exactly how to fix them. From the #1 denial that starts at the front desk to documentation tweaks that save thousands, we’re diving deep into the silent killers of your revenue. 

Discover real-world strategies to avoid modifier mistakes, stay on top of timely filing limits, and even use a simple 30-second script to stop COB issues before they start. 

Subscribe, leave a review, and share to help more practices plug revenue leaks—without the extra stress. 

🔗 Visit www.natrevmd.com for resources like our book, billing course, and services.