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If you’ve ever looked at your tax return and wondered, “Why am I paying this much?” — this episode will feel like a breath of fresh air.

Dr. Heather sits down with longtime CPA and trusted advisor Riki Singh, who manages over 250 small and mid-sized businesses, including many medical practices. Riki brings clarity to a topic most physicians secretly stress about: how to stop unintentionally overpaying in taxes.

In this episode, we break down:

• Why so many physicians overpay without realizing it
• What actually matters when comparing W-2 vs. 1099 income
• Simple structural decisions that can lead to massive long-term savings
• Real audit stories (including one horror case you don’t want to miss)
• What to consider as you plan for 2026
• And whether AI will ever replace tax professionals

If you want a clear, trustworthy explanation of how to structure your income, protect yourself, and stop leaving money on the table, this conversation is absolutely worth your time.

Tune in and start making smarter decisions with your money. 

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For decades, OBGYNs have been forced to fit every prenatal visit, every complication, every late-night call, and every ounce of cognitive work into a single global maternity payment. But that model is ending — and the shift is massive.

In this episode, Dr. Heather Signorelli breaks down exactly what’s changing on January 1, 2027, why global billing is being eliminated, what we know so far, what’s still uncertain, and how practices can use this transition to finally get paid for the care they already provide.

If you’re an OBGYN, practice manager, or billing leader, this is essential listening.

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Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen.

In this episode of the NatRevMD Podcast, Dr. Heather Signorelli sits down with Dr. Jonathan Block — a board-certified urologist, obesity medicine specialist, certified physician executive, and former U.S. Air Force Major — to explore what it truly means to lead in medicine. With over 35 years in healthcare, Dr. Block has journeyed from the back of an ambulance to the hospital boardroom, blending clinical insight with business strategy and leadership mastery.

From “micro leadership” at the bedside to building thriving teams and mastering the business side of practice, Dr. Block shares how leaning into discomfort and leading by example can transform not just a workplace, but an entire career.

🎧 Tune in for practical advice, real stories, and inspiring insights to help you lead your practice and your people with confidence.

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In this episode, Dr. Heather sits down with SEO expert Darcy Sullivan to unpack one of the biggest problems practices face today: visibility. You can be the best clinician in your community, but if patients can’t find you online, your practice stays invisible.

Darcy breaks SEO down in a simple, relatable way—from the “Oreo Method” to the real truth about Google profiles, backlinks, and why consistency matters more than complicated tactics. Whether you’re just opening your clinic or realizing it’s time to finally get intentional with your online presence, this conversation gives you practical steps you can start using right away.

If you’ve ever wondered why your marketing efforts aren’t translating into more patients—or how AI is changing the way people search—this episode is your guide to getting seen, chosen, and trusted.

If you enjoyed this episode, please leave us a review and drop a comment—your feedback helps us reach more practitioners just like you.

Check out our website for more resources, trainings, and practice growth tips:
www.natrevmd.com

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Free Resource:
Make sure eligibility isn’t causing preventable denials. Download the free Eligibility Checklist →https://natrevmd.com/eligibility-billing-verification/

In this episode, Heather Signorelli, DO, sits down with Dr. Dan Wandsneider—founder of a rural hospitalist group serving critical access hospitals across Wyoming and Colorado—to unpack what it truly takes to build a practice model that supports clinicians, strengthens communities, and elevates patient care.
Dr. Wandsneider shares his journey from residency to creating a sustainable, physician-led hospitalist model focused on protecting clinician well-being, reducing burnout, and keeping patients local. Together, they discuss the realities of starting a practice, building trust in small communities, hiring physicians who align culturally, and why the most important metrics are often the human ones.

This episode is a blueprint for any physician or practice leader who wants to build intentionally, grow sustainably, and create a clinical environment where everyone—providers, staff, and patients—can thrive.

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Free Resource:
Make sure eligibility isn’t causing preventable denials. Download the free Eligibility Checklist → https://natrevmd.com/eligibility-billing-verification/

Modifier 59 is one of the most overused—and misunderstood—modifiers in medical billing. In this episode, Dr. Heather Signorelli breaks down exactly when 59 is appropriate, when it isn’t, and why using it on labs (like a UA) is a major compliance mistake.

You’ll learn:

• The real CPT and Medicare definition of modifier 59
• When to use 59 vs the X-modifiers
• Why adding 59 rarely changes payment but can flip denials
• The most common misuse patterns
• Clinical examples from urgent care, ortho, GI, and OB/GYN
• How to document a truly “distinct procedural service”

Need a billing partner who understands this?
Learn more at NatRevMD.com. 

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Discover how AI is transforming urgent care and primary care. In this episode, Dr. Heather sits down with Geoffrey, CEO of Preface Health, to explore how AI intake, ambient scribing, and full-journey patient support are revolutionizing the way clinics operate.

Learn how Preface Health’s intelligent assistant, “Sarah,” helps reduce administrative workload, improve documentation accuracy, boost coding precision, and enhance patient retention by supporting follow-up care and engagement.

👉 See how AI can streamline your workflow: Book a demo with Preface Health (https://www.prefacehealth.com/)

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Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen.

This week on the NatRevMD Podcast, Dr. Heather Signorelli sits down with orthopedic surgeon Dr. Eli Ahdoot, who built a successful private practice from scratch — in the middle of a pandemic. From knocking on hospital doors to managing payroll and balancing family life, Dr. Ahdoot shares what it really takes to grow a profitable, patient-loved practice.

If you're a physician dreaming of independence or struggling to scale your clinic, this episode is packed with wisdom, grit, and honest lessons you won’t hear in training.

🔗 Listen now and visit www.natrevmd.com for more resources to help your practice thrive.

Send us Fan Mail

Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen.

What if your medical career could take you beyond the walls of your clinic — to new places, passions, and possibilities? 

In this inspiring episode, Dr. Heather Signorelli talks with Dr. Andrew Willner, a board-certified neurologist, author of The Locum Life, and host of The Art of Medicine podcast. Together, they explore how physicians can embrace flexibility, creativity, and adventure through locum tenens and beyond.

Dr. Willner shares his journey of blending medicine with writing, travel, and storytelling — proving that fulfillment in healthcare doesn’t have to follow one path. You’ll learn how to:

• Avoid burnout by reigniting your curiosity
• Use locum tenens to reclaim freedom and balance
• Build a purposeful career that aligns with your values

🎧 Tune in and discover how to redefine success in medicine — on your own terms.

 👉 For more resources to help your practice thrive, visit www.natrevmd.com

Send us Fan Mail

Before you dive in—make sure your team isn’t missing a critical first step in protecting your revenue. Check out our free guide on Eligibility & Billing Verification (https://natrevmd.com/eligibility-billing-verification/) to prevent costly claim denials before they happen.

Ever wonder how many patients your practice really needs to see each day to be profitable? In this episode, Dr. Heather Signorelli breaks down the profitability math every private practice owner should know — from understanding overhead and compensation structures to knowing exactly how much profit each patient brings in.

You’ll learn how to:
✅ Calculate your break-even and profit-per-patient
✅ Build compensation models that motivate and make sense
✅ Set realistic growth targets using real financial data
✅ Avoid the trap of being “busy” but not profitable

If you’ve ever felt like you’re guessing when it comes to your numbers — this episode will give you clarity, confidence, and a roadmap to sustainable growth.

🎧 Tune in now and start running your practice like the CEO you are.

👉 Want to learn more about boosting your revenue and streamlining your billing process? Visit www.NatRevMD.com for free resources, expert insights, and audits to help your practice thrive.