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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, Dr. Heather Signorelli breaks down how to calculate your cost to carry the seat—the number of patients each provider must see to break even. You’ll learn how to separate fixed and variable costs, understand your true overhead, and use these insights to make smarter hiring and compensation decisions. Perfect for physicians and practice owners looking to build a more profitable, efficient, and scalable practice. 

👉 Visit www.natrevmd.com for more resources to help your practice thrive, and don’t forget to subscribe and leave a review to support the show! 

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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 to prevent costly claim denials before they happen.

Most practices think ICD-10 codes determine how much they get paid, but the truth is, they decide if you get paid at all. In this episode, Dr. Heather Signorelli breaks down how vague or incorrect ICD-10 coding can sabotage your revenue, trigger denials, and signal “low value” to payers. You’ll learn how to code with precision, prove medical necessity, and finally get paid for the work you do.

If you’ve ever been hit with a denial for “lack of medical necessity,” this episode is a must-listen.

👉 Visit www.natrevmd.com for more resources to help your practice thrive, and don’t forget to subscribe and leave a review to support the show! 

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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 to prevent costly claim denials before they happen.

In this episode of NatRevMD, Dr. Heather Signorelli chats with Omar Morillo, Certified Financial Planner and founder of Imperio Wealth Advisors, about how physicians can protect their assets, save on taxes, and plan for the future.

They dive into smart business structures, asset protection, pension plans, and estate planning—the often-overlooked essentials that keep your hard work secure.

If you’re a healthcare professional looking to strengthen your financial foundation and safeguard your legacy, this episode is a must-listen.

🔗 Learn more: imperiowealthadvisors.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 to prevent costly claim denials before they happen.

In this episode of the NatRevMD Podcast, Dr. Heather Signorelli reveals how just five key metrics can tell you whether your practice is thriving or quietly losing up to 15–25% of its revenue every month. Many practices don’t realize they’re leaking revenue simply because they’re not tracking (or understanding) the right numbers.

You’ll learn:
✅ How to know if your insurance and patient AR are under control
✅ What your denial rate really says about your billing performance
✅ Why front desk collections matter more than you think
✅ The truth about eligibility checks—and how to fix failed ones fast

Filled with real-life examples and practical strategies from hundreds of physician practices, this episode helps you identify revenue leaks, strengthen your processes, and empower your team to get paid faster.

👉 Ready to uncover where your practice might be losing money?
Visit NatRevMD.com for free resources, revenue audits, and proven tools to help your practice thrive.

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**Free Guide for Listeners:** Boost your practice’s cash flow and reduce denials with our step-by-step **Eligibility & Billing Verification Training Guide.**  
Download it here → https://natrevmd.com/eligibility-billing-verification/

Starting October 1st, Cigna is rolling out a controversial “R49” policy that automatically down-codes higher-level E/M visits—cutting physician reimbursement even when documentation fully supports the billed level. In this episode of the NatRevMD Podcast, Dr. Heather Signorelli, DO, breaks down what this means for your practice, how ICD-10 codes and E/M guidelines intersect, and why the California Medical Association is fighting back. You’ll learn:

• 🔎 What R49 really does and which CPT codes are being targeted (99204, 99205, 99214, 99215, 99244, 99245).
• 📝 How to protect your practice with rock-solid level 4 and 5 documentation and accurate ICD-10 coding.
• ⚖️ What legal and advocacy efforts are underway to stop algorithmic down-coding.
• 🚑 Practical steps for appeal and audits so you can recover revenue and stay compliant.

By the end of this episode, you’ll have actionable strategies to strengthen your documentation, safeguard reimbursement, and navigate payer policy changes with confidence.

👉 Don’t forget to subscribe to the NatRevMD Podcast, leave us a review on your favorite platform, and visit NatRevMD.com for resources, audits, and practice support to help your billing stay compliant and profitable.

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Checkout the EntreMD Business School: https://entremd.com/

Hiring the wrong way can drain your practice’s profits—but it doesn’t have to. In this episode, Dr. Una shares her proven framework for hiring profitably in private practice. You’ll learn how to avoid cashflow crunches, recognize the right time to bring on new team members, and build a thriving, sustainable team that supports your long-term growth.

👉 Visit us at www.natrevmd.com to learn more resources for your practice.
 📌 Don’t forget to subscribe to the podcast and leave a review—your feedback helps us reach and support more physicians like you!

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Credentialing may not be glamorous—but it’s one of the most important parts of keeping your practice’s revenue flowing. In this episode of Nat Rev MD, Dr. Heather Signorelli breaks down the Top 5 Credentialing Mistakes that cost practices time, money, and peace of mind. From missing contracts to failing to renegotiate payer rates, delaying new provider credentialing, and overlooking expirations, she shares practical steps to prevent costly errors.

By the end of this episode, you’ll know exactly how to spot risks, plug leaks, and create systems that protect your revenue and keep your practice running smoothly. Whether you’re a growing practice or just trying to get organized, this is an essential guide to mastering credentialing once and for all.

 Subscribe, share this episode with a colleague, and visit NatrevMD.com for more resources. 

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Most physicians don’t burn out from patients—they burn out from endless charts, inboxes, and denied claims. After 15 years in “charting chaos,” Dr. Sarah Smith discovered a system to close every chart before leaving work—and now she teaches other physicians how to do the same.

In this episode of the NatRevMD Podcast, you’ll learn how to:

• Eliminate 5–30 hours of unpaid work each week
• Close charts the same day
• Stop eligibility denials that drain revenue

👉 Tune in now—and visit NatRevMD.com to learn more.

👉 Explore our Eligibility & Billing Verification Guide
for practical tips to protect your revenue.

👉 Learn more about Dr. Sarah Smith’s work at ChartingCoach.ca

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When Dr. Rachel Rubin was told her work was “too weird” to succeed, she proved everyone wrong. Now a leading sexual medicine specialist and founder of a thriving practice, she’s reshaping how medicine approaches women’s health. 

In this episode of the NatrevMD Podcast, Dr. Rubin shares how rejection fueled her success, the role of networking, why marketing is service—not sales—and her course helping clinicians prescribe evidence-based hormone therapy. 

👉 Don’t forget to subscribe, leave a review, and share this episode with other professionals. 

For more resources, visit NatrevMD.com. 

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Is your practice losing revenue to unpaid patient balances? 

In this episode of NatRevMD, Dr. Heather Signorelli uncovers why patients aren’t paying, the mistakes that cost practices thousands, and the simple strategies you can implement—from credit card on file policies to front desk scripting—to cut patient AR, protect your revenue, and maintain strong patient relationships. 

For more resources, visit NatRevMD.com—and don’t forget to share this episode with other healthcare professionals who need it.