NatRevMD
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 real-world strategies for accurate coding, smoother billing workflows, and fewer denials — all from a team that’s been in your shoes. Whether you’re just getting started or trying to tighten up your revenue cycle, you’ll get practical advice you can actually use.
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Episodes
215 episodes
#214 $44,400 a Year, Just From One Code
Most payer negotiations start with a feeling. This one starts with a number: percentage of local Medicare, the single most useful tool for comparing payer rates. The one number: Percentage of local Medicare turns a raw d...
#213 The 2027 Reimbursement Change That Isn't a Fee Cut
2027 is not one reimbursement change. It's multiple changes moving at different speeds, some proposed, some confirmed, and the most expensive mistake is treating all of them like the same fee-schedule cut. Change 1, Medicare...
#212 High Income Is Not the Same as Wealth: What Physician Owners Must Decide Before Their Next Dollar Arrives
Resources MoneyFitMD: moneyfitmd.com natrevmd.com Dr. Latifat never learned anything about money in medical school...
#211 $1.3 Million and 18 Days: What a Cyberattack Actually Costs an Independent Practice
Resources Cybersecurity Incident Response Checklist: https://eligibility.natrevmd.com/natrevmd-cybersecurity-checklist
#210 1 in 5 Modifier 25 Claims Might Not Survive an Audit
Resources RECOVER Diagnostic: https://eligibility.natrevmd.com/recover-quiz-lp natrevmd.com Payment Posting Audit Checklist:
#209 She Left the Colonoscopy Treadmill. Here Is How She Gets Paid Now
Dr. Emily Ward knew in March 2020 that she was done. She left her gastroenterology partnership in 2023. The reason for the gap was not fear. The practice worked, the money was good, and staying was the rational choice every morning until ...
#208 The Medicare Rule That Means You Cannot Bill for Half the Lab Tests You Order
Part two of two. If you send a specimen to an outside lab and they bill you eighteen dollars for it, eighteen dollars is the most you can bill Medicare. Not your contracted rate. That is the anti-markup rule, and it is one of two things that qu...
#207 Medicare Pays $18 for a Strep Test. Here Is What That Means for In-Office Lab
In-office lab is one of the most common ancillary additions practices consider, and one of the easiest to get expensively wrong. Part one of two: the framework that decides everything before you spend a dollar. What CLIA is. ...
#206 $12,000 a Month in Revenue You Do Not Actually Have
Before you build a business case for anything, a new hire, a second location, a new service line, three numbers have to be right. Payer mix. Net collection rate. AR days. Most owners have all three. Almost nobody has calculated them correctly i...
#205 Your Practice Can Be Profitable and Still Run Out of Money
A practice hired a provider in January. The hire was right and she was generating revenue from day one. By March the practice was sixty thousand dollars short and could not make payroll, because nobody had modeled what cash looks like in month ...
#204 The Most Expensive Thing in Your Practice Is an Open Note
A full schedule is not the same thing as a healthy practice. Our guest this week walked into an independent family practice in Colorado to do finance work, was offered the practice manager role a few weeks later, and quickly found the gap: pati...
#203 She Never Missed a Monday. Her Collections Dropped Anyway
She never missed a Monday. Twelve months of weekly billing meetings, every number reviewed, every question answered. And by the end of that year her net collection rate had dropped four points, her ninety-plus AR was up forty percent, and her d...
#202 $144,000 a Year and Nobody Ever Escalates It
The most expensive billing relationship is not the one that is clearly failing. It is the one that is quietly not delivering. On a practice doing $400,000 a month, three points of net collection rate is $12,000 a month. Nobody escalates $12,000...
#201 You Are Half of Your Billing Company's Performance
A practice doing seven figures a month switches billing companies, and eighteen months later the denial rate is higher than the day they signed. Nobody lied. Both sides just walked in with a different picture of what good looked like. In this e...
#200 Your Performance Reviews Are Making Your Billing Team Worse
👉 Free 30-Day Revenue Recovery Plan: https://eligibility.natrevmd.com/nrc/-30day-revenue-recovery-planThe plan we would build with you if you walked i...
#199 You Are Destroying Half the Value of Every Hire in 90 Days
👉 Free RECOVER Diagnostic: eligibility.natrevmd.com/recover-diagnostic The exact framework we use when we walk into a new practice. Takes five minutes. Results are immediate. ──────────────── Only 12 percent ...
#198 $300,000 in Old AR Is at Risk During Your Next Billing Transition
There is a revenue cliff hiding inside the billing transition most independent practices are planning right now. Not from the change itself. From the order of it. In this episode we walk through why the money in your bank account during month o...
#197 The $40,000 Hire With the Perfect Resume
👉 Free RECOVER Diagnostic: eligibility.natrevmd.com/recover-diagnostic The exact framework we use when we walk into a new practice. Takes five minutes. Results...
#196 $112,000 Buried by a Billing Manager Who Was Afraid to Speak Up
👉 Free RECOVER Diagnostic: eligibility.natrevmd.com/recover-diagnostic The exact diagnostic we use when we walk into a new practice. Takes five minutes. Results are immediate. A billing manager at a family med...
#195 The GLP-1 Bridge Just Broke Your Prior Auth Workflow
FREE — SEE WHERE YOUR PRACTICE IS BLEEDING REVENUE IN 3 MINUTES Take the RECOVER Diagnostic Quiz: https://eligibility.natrevmd.com/recover-quiz-lp
#194 Who Does What, Who Answers, and Who Just Needs to Know
A household runs on clarity, not effort. So does a practice. Most performance problems in independent practices are clarity problems: somebody thought somebody else was handling it. This episode builds the RACI model (Responsible, Accountable, ...
#193 The 90-Day Plan for 2027 OB Billing
Q1 2027 cash flow crisis. That is what is waiting for every OB practice that does not have a plan in motion by October. Not because the codes are hard. Because the time ran out to prepare for them. Knowing what is changing and being ready for i...
#192 The Postpartum Same-Day Trap
Deliver at 11 PM Tuesday and round at 1 AM Wednesday: paid. Deliver at 8 AM Tuesday and round at 4 PM Tuesday: included in the delivery code, and billing it separately is a compliance violation. Same clinical work, two different outcomes. The o...
#191 Labor Management Is No Longer Invisible
Under the global model, labor management was absorbed into the delivery code. Two hours or twenty-two, same payment. Starting January 1, 2027, the AMA introduces 59080 through 59083, the first dedicated labor management codes in CPT history. Th...
#190 Every Prenatal Visit Is Now a Billable Event
Starting January 1, 2027 every antepartum visit becomes its own billable E/M charge. The global OB code goes away. The seventeen deleted codes include 59400, 59510, 59425, and 59426. And the way most prenatal notes are written today supports a ...