NatRevMD

By NatRevMDBusiness Entrepreneurship Medicine Health & Fitness Management

NatRevMD episodes

March 27 #164 The Payer Negotiation Playbook: How to Use Transparency Data to Get a Rate Increase
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Are you tired of being underpaid by insurance companies? For years, payers have held all the cards in contract negotiations, forcing independent practices to accept low reimbursement rates. But the game has changed.
In this episode, we reveal how your practice can use new, federally mandated price transparency data to negotiate a rate increase. We provide a step-by-step playbook for building a data-driven case, initiating the negotiation, and securing the rates you deserve.
Stop leaving money on the table. It’s time to fight back.
10 min
March 24#163 The High-Deductible Squeeze: 9 Ways Your Practice Can Collect More
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Resources Mentioned:
Eligibility Verification Guide
Margin Protection Playbook
High-deductible health plans are crushing your practice’s cash flow. If you’re still using old-school patient collection methods, you’re leaving thousands on the table every single month.
In this episode, we break down nine specific, actionable strategies that top-performing practices are using right now to collect more patient balances, faster. No fluff, no theory—just a practical playbook for getting paid in 2026.
14 min
March 20#162 Hire Slow, Fire Fast: How to Find, Train, and Keep the Right Front Desk Staff
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Resources Mentioned:
Free Eligibility and Billing Verification Guide
2026 Margin Protection Playbook
Complimentary Billing Metric Audit
The single biggest hiring mistake a medical practice can make is hiring front desk staff for their resume and not their attitude. Research shows 89% of hiring failures are due to attitude, not a lack of skills. Yet most practices continue to hire for EHR experience and hope for the best. This is the root cause of the revolving door at your front desk.
In this episode, we share a proven framework to stop the churn. Learn how to hire for attitude and train for skill, using behavioral interview questions and a structured hiring process. We also cover five data-backed tactics from the MGMA for retaining the great people you hire, including creating career ladders and effective onboarding. Stop wasting time and money on bad hires. This episode will show you how.
15 min
March 17#161 The Prior Authorization Overhaul: What Your Practice Needs to Know Right Now
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Free Guides Mentioned in This Episode:
2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook
Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/
Prior authorization has officially changed and medical practices need to act now.
As of January 1, 2026, new CMS prior authorization rules are in effect, including faster Medicare Advantage decision timelines, new prior auth requirements for 17 traditional Medicare services, and a shift away from fax-based workflows toward electronic APIs.
In this episode, we break down the three biggest prior authorization changes for 2026 and share a simple 3-step action plan to help OB/GYN, urgent care, and specialty practices reduce denials and protect cash flow.
👉 Learn how prepared your practice really is. Visit natrevmd.com for free resources and a complimentary billing metric audit.
10 min
March 13#160 The Revenue Opportunity Hiding in Your OB/GYN Practice
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Free Guides Mentioned in This Episode:
2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook
Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/
What if your OB/GYN practice could generate an additional $70,000+ in revenue without adding more patient visits?
In this episode, Dr. Heather Signorelli breaks down Advanced Primary Care Management (APCM)—a new set of Medicare codes introduced in 2025 that reimburse practices for the ongoing care management many providers are already delivering.
From care coordination and medication management to managing complex or high-risk patients, OB/GYN practices often perform significant work outside of office visits that historically hasn’t been reimbursed.
Dr. Signorelli explains how APCM works, why OB/GYN practices may qualify, and how implementing this program could unlock new revenue opportunities for your practice.
👉 Want to see if your practice could benefit from APCM? Learn more at NatrevMD.com.
14 min
March 10#159 Part 3: 3 Metrics That Drive Growth
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Free Guides Mentioned in This Episode:
2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook
Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/
In the final installment of The Practice Health Scorecard, we’re talking about the most important part of your practice: growth.
A profitable, efficient practice is wonderful, but it’s worthless if the flywheel isn’t spinning. If you’re not consistently bringing in new patients and retaining the ones you have, your practice will eventually stagnate and decline.
Ready for a change in RCM services? Check us out at NatRevMD.com
17 min
March 06#158 Part 2: 3 Efficiency Metrics
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Free Guides Mentioned in This Episode:
2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook
Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/
In Part 2 of our series we’re moving from revenue to efficiency metrics.
A profitable practice is great, but if your daily operations are inefficient, you’re leaving a massive amount of money on the table. For practices, where patient relationships and complex care pathways are critical, operational efficiency is the key to providing excellent care while remaining profitable.
20 min
March 03#157 3 Profitability Metrics Every Practice Must Track
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Free Guides Mentioned in This Episode:
Margin Protection Playbook: https://natrevmd.com/margin-playbook
Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/
Is your OB/GYN practice busy, or is it profitable? They are not the same thing. A full schedule and high billing numbers can mask deep, underlying profitability issues.

In Part 1 of our 3-part series, we explore the three most important metrics that drive your practice’s profitability. We move beyond vanity metrics to give you a clear, actionable framework for understanding the true financial health of your practice.
17 min
February 27#156 The Top 5 Things Auditors Are Looking For
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Free Guides Mentioned in This Episode:
Margin Protection Playbook: https://natrevmd.com/margin-playbook
Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/
Right now, your practice’s billing data is being run through an AI model and compared to every other practice in your state. That AI is looking for one thing: outliers. Are you one of them? And if you are, do you even know it?
In this episode, we pull back the curtain on exactly what payers are scrutinizing most aggressively in 2026. This isn’t guesswork. This is based on the latest CMS RAC audit targets, payment integrity trends, and real-world audit data.
Listen now to find out where you’re most exposed.
12 min
February 24#155 That Certified Letter Just Arrived. Now What?
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Free Guides Mentioned in This Episode:
Margin Protection Playbook: https://natrevmd.com/margin-playbook
Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/
Your stomach drops. You check the mail and there it is: a certified letter from your biggest payer demanding medical records. You have 30 days to respond. Where do you even start?
If this is the first time you’re thinking about an audit, it’s already too late to fix the charts they want. The practices that survive audits—and avoid six-figure paybacks—are the ones that live in a state of constant readiness.
In this episode, Dr. Heather Signorelli walks you through the different types of audits (Payer, RAC, TPE) and explains why the old "wait and see" approach is financial suicide in an era of data-mining payers.
12 min