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NatRevMD episodes

  • #145 The Ultimate RPM Implementation Playbook (Part 2)

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    Resources Mentioned:

    • Eligibility Billing Verification Checklist: https://natrevmd.com/eligibility-billing-verification/
    • Margin Playbook: https://natrevmd.com/margin-playbook/

    In Part 1, we covered the new 2026 RPM codes. Now, it’s time to put them into practice. In this episode, we give you the practical, operational playbook for implementing a successful RPM program.

    Our new podcast episode is a deep dive into RPM implementation. We cover:

    • How a primary care practice added $72K in new revenue with RPM
    • How an OB/GYN clinic is using the new short-term codes
    • The 4 key criteria for choosing an RPM vendor
    • A step-by-step documentation guide to stay audit-proof

    This is the practical, how-to guide you need to turn the 2026 RPM opportunity into a reality.

    23 min
  • #144 The RPM Gold Rush (Part 1): Understanding the 2026 Code Changes

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    Need resources for your practice?  

    • Help your staff with eligibility training à https://natrevmd.com/eligibility-billing-verification/ 
    • Identify patient AR revenue leads for your practice à  https://natrevmd.com/margin-playbook/ 

    What if you could add 6 figures in new revenue this year for every 100 patients you enroll in a program your staff is already doing the work for? The 2026 CPT code changes for Remote Patient Monitoring (RPM) have created a gold rush, and in this episode, we give you the map. 

    In Part 1 of our two-part series on RPM, we lay the foundation. We cover the clinical case for RPM, a detailed breakdown of the new 2026 codes (99445 and 99470), and the five qualification criteria you must meet to stay compliant. 

    In this episode, you will learn: 

    • The clinical evidence that makes RPM a must-have for chronic care 
    • A detailed breakdown of the new 2026 CPT codes 
    • The 5 rules you must follow to be compliant with RPM billing 

    This is the foundational knowledge you need to capitalize on one of the biggest revenue opportunities in healthcare for 2026. Don't get left behind. 

    Resources Mentioned: 

    • AMA CPT® 2026 Code Set 
    • CMS Physician Fee Schedule
    13 min
  • #143 Deductibles Just Reset. Here's How to Avoid the Collections Nightmare

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    It’s January, and that means deductibles have reset. For most medical practices, this is the start of a patient collections nightmare that cripples cash flow in February and March. But it doesn’t have to be.

    The root of all patient AR is a failure to communicate. In this episode, you’ll get a 3-step playbook to get ahead of the Q1 AR explosion by setting clear expectations with your patients.

    In this episode, you will learn:

    •  The exact script your front desk must use to eliminate patient “sticker shock.”
    • Why you must verify benefits for every single patient in Q1, with no exceptions.
    • How to make upfront payment collection a standard, non-awkward policy.

    This 15-minute episode provides a clear, urgent strategy to protect your cash flow and save your team from chasing debt all quarter. Don’t start the year in a hole.

    Resources Mentioned:

    • Free Checklist: Download the Eligibility Billing Verification Checklist at https://natrevmd.com/eligibility-billing-verification/
    14 min
  • #142 6 Operator Moves To Grow Revenue in 2026 (Without Adding Providers)

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    Ready to stop the leaks and start growing? Download our free 2026 Margin Protection Playbook and follow along: https://natrevmd.com/2026-margin-protection-playbook/  

    Been told to grow revenue and margin in 2026, but you can’t add providers or new service lines? This episode is for you. 

    We’re not talking about vague “growth strategies.” We’re giving you six concrete, operator-level moves you can make with the team and resources you already have to stop revenue leaks and grow your practice. 

    In this episode, you’ll learn: 

    • How to set a concrete 2026 revenue and visit goal (and the exact math to get there) 
    • How to audit your capacity and find out how much money you’re losing to no-shows and open slots 
    • A simple plan to get more patients on the schedule without spending a dime on marketing 
    • How to attack patient and insurance AR that’s killing your cash flow 
    • Where to find the “hidden money” in your practice (think unsigned charts and unbilled claims) 
    • The three metrics you should run your entire 2026 around 

    If your practice is collecting over $150,000 per month and you want our team to do this for you, book a call on our website: https://natrevmd.com/ 

    26 min
  • #141 Why Your Bank Account Doesn’t Match Your AR Reports

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    Your AR reports look fine, but you feel like you’re leaving money on the table. Find out why. 

    For leaders of high-revenue practices, that nagging feeling is often the first sign of a six or seven-figure blind spot in your revenue cycle. High-level metrics don't tell the whole story. 

    In this episode, Dr. Heather Signorelli gives you the exact 4-week billing audit system we use to ensure claims are timely, accurate, and aggressively worked. This is the plan you need to stop flying blind and find the cash your practice is missing. 

    Want us to take a look? We perform a comprehensive Medical Billing Metric Audit for practices that qualify. See if your practice qualifies at https://natrevmd.com. 

    A free resource to tighten up your front-end processes. Get it here: https://natrevmd.com/eligibility-billing-verification/ 

    21 min
  • #140 Your Practice is Thriving. Your Systems Aren't. Here's the Fix.

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    Tired of running your practice on chaos? Get your free Eligibility & Billing Verification guide here: https://natrevmd.com/eligibility-billing-verification/ 

    You're a leader who has built a successful practice, but your systems are struggling to keep up. This operational friction is the biggest threat to your future growth. 

    This episode gives you a clear plan to fix it. Dr. Heather Signorelli acts as your guide, sharing the simple tech stack you need to automate claims, standardize training, and revolutionize your hiring process. 

    Stop being a firefighter in your own practice. It's time to build the systems that will allow you to scale. 

    Ready to see where your billing metrics are at? Check here to see if you qualify for a Billing Metric Audit: https://natrevmd.com/schedule-a-call/ 

    27 min
  • #139 We Found thousands in Uncashed Checks: How to Uncover Hidden Revenue

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    Grab our free Eligibility Checklist & Guide to prevent claim denials before they happen: https://natrevmd.com/eligibility-billing-verification/" 

    Is your practice leaving money on the table? The answer is probably yes, and you might be shocked to find out where it's hiding. 

    In this episode, Dr. Heather Signorelli is joined by NCR’s RCM expert Mandy to pull back the curtain on the most common and costly billing errors they uncover in medical practices. From thousands of dollars in uncashed checks sitting at the post office to undercharging for services, they reveal the hidden leaks in your revenue cycle and provide actionable steps to fix them. 

    In this episode, you will learn:  

    • How a simple bank reconciliation process uncovered tens of thousands in lost revenue. 
    • The sneaky reason you might be undercharging for your services and how to fix it. 
    • How one practice reduced their eligibility denials from 90% to just 10%. 
    • The secrets to managing unapplied payments and coordination of benefits (COB) denials. 

    If you're a practice owner, manager, or physician who wants to maximize your revenue and improve your billing processes, this episode is packed with valuable insights and real-world examples. Don't let these common mistakes drain your practice's profits any longer. 

    22 min
  • #138 How We Build OBGYN Comp Plans That Boost Profit & Stop Provider Turnover

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    ACTION FIRST: Want to fix your billing process from the ground up? Get our free Employee Training Guide for Eligibility & Verification here: https://natrevmd.com/eligibility-billing-verification/ 

    Your OBGYN compensation model is probably broken. 

    How do I know? 

    Because it values a routine prenatal visit at $0. 
    And a delivery at $3,200. 

    This means you are not paying people what they are worth. You are not incentivizing the right activities. And you are probably losing good providers because of it. 

    In this episode, Dr. Heather Signorelli gives you the entire 7-step playbook to fix it. For free. 

    You will learn: 

    • The only metric that matters for OBGYN comp (it’s not visits or RVUs). 
    • The "Magic Number": How to find the exact amount of profit available for each provider’s salary and bonus. 
    • The Simple Threshold Formula: Salary + Overhead. We explain why COGS isn’t in it. 
    • The Biggest Mistake: Why using last year’s overhead for bonuses is costing you thousands. 

    This is the model we use to help practices align incentives, increase profit, and keep their best people. 

    Connect with NatRevMD: 

    25 min
  • #137 Stop Riding a Bicycle to a Race: Choosing the Right EMR & Billing Setup for Real Practice Growth

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    Is your practice trying to grow—but your EMR or billing setup just can’t keep up? 

    Dr. Heather breaks down why the wrong system can silently drain revenue, increase denials, and stall growth. You’ll learn:

    • Which EMRs actually help practices thrive
    • Why letting your billing company control your software is a huge risk
    • How to protect your AR and get cleaner reporting
    • The simple setup that keeps your practice running like a well-oiled machine

    Stop spinning your wheels—tune in and set your practice up to win the race! 🏁

    Need a free billing metric audit? If your practice collects $150K+/month, head to NatRevMD.com → Free Revenue Audit

    6 min
  • #136 Stop Undercoding: The Coding Mastery Tips Every Physician Needs (w/ Dr. Anne Hirsch)

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    Most practices think they need more—more patients, more visits, more volume. But what if the real revenue opportunity isn’t volume at all… it’s coding?
    In this episode, Dr. Heather sits down with Dr. Anne Hirsch, an internal medicine physician turned coding expert and physician coach, to explore why most practices are coding far below what their clinical work justifies—often doing a level 5 visit, documenting a level 4, and billing a level 3.

    You’ll learn:
    • Why “fear-based coding” is silently draining your revenue
    • The most common undercoding patterns physicians don’t realize they’re doing
    • How better documentation reduces burnout and increases clinician confidence
    • Real examples of everyday visits that should nearly always be level 4s
    • How to implement quarterly audits, templates, and MDM habits that actually stick
    • Why physician-to-physician coding education creates better adoption and outcomes
    • How improved coding can add $30,000–$35,000+ per physician per year—without adding a single new patient

    If your practice hasn’t had a coding audit in the last 6–12 months, this episode is your wake-up call.

    Want a free coding evaluation for your practice?
    Email [email protected] with the subject line “Free Coding Evaluation” and our team will help you get started.

    21 min

About NatRevMD

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Medical billing tips for healthcare professionals — by healthcare professionals.
 

This podcast is here to help private practices get paid what they’ve earned. We share…

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