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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Learn more at www.natrevmd.com
Episodes
188 episodes
#187 How to Set Your Fee Schedule and When to Raise It
Show Notes Your fee schedule is a revenue ceiling. And for most independent practices doing over $3 million a year, that ceiling is set too low in ways that never generate a denial and never appear on a standard report. ...
#186 The First Domino: Why Your Billing Problem Starts at the Front Desk
Most practice owners think their billing problem is a billing problem. It usually is not. The denial showing up this month started 60 days ago at the front desk. In this episode, Dr. Heather Signorelli sits down with Josh Sauter, President and ...
#185 What Happens to Your Wealth When the Practice Has a Bad Quarter
Most independent practice owners know the practice and their personal life are supposed to be separate. Separate entities, separate accounts, separate tax returns. Almost none of them have built the structural separation that makes ...
#184 You Are the Most Expensive Person Doing $15 Tasks in Your Practice
Independent practices rarely lose money because the medicine is wrong. They lose it because the highest-paid person is buried in clerical work and the front desk is too deep in daily chaos to chase eligibility, fill cancelled slots, or collect ...
#183 How Multi-Location Practices Lose Revenue Between Sites, Part 2
Part 2 of our multi-location revenue series. If you haven't listened to Part 1 (EP182) yet, start there — the systems in this episode build directly on what we covered last week. EP182:
#182 How Multi-Location Practices Lose Revenue Between Sites, Part 1
You opened a second location because the first one was working. What no one told you: the moment you added that second site, you added a second set of revenue gaps. And most of them are invisible on a consolidated report. In Part 1, we ...
#181 4 Types of Leverage That Let Your Practice Make Money Without You
If you stepped away from your practice for 30 days, what would happen to your revenue? If the honest answer is "it would fall apart" — you don't have a scalable practice. You have a high-paying job with employees. In thi...
#180 Built to Last (Part 1) - Why Growing Practices Hit a Revenue Ceiling
The difference between practices that scale and practices that stall is not clinical skill. It is operational structure. And most practices doing $250K to $500K a month have already outgrown theirs. In this episode, Dr. Heather Sign...
#179 Building a Practice That Runs Without You - The 5 Systems You Need
Most physician owners we talk to took a vacation last year and spent half of it answering billing questions on their phone. That is not a staffing problem. That is a systems problem. In this episode, Dr. Heather Signorelli walks thr...
#178 The 4-Step Audit That Exposes What Your Billing Team Is Missing
What if the biggest revenue leak in your practice isn’t a denial or a payer contract problem - it’s the person processing your payments? In this episode, Dr. Heather Signorelli breaks down the four-step payment posting audit we run on e...
#177 The Patient Payment Posting Mistakes Inflating Your AR (Part 3 of 4)
When your patient AR report shows thousands in past-due balances, it’s easy to blame high deductibles. But a lot of that money is already in your bank account sitting unapplied—or it’s a phantom balance the patient never actually owed.
#176 The Insurance Payment Posting Mistakes Draining Your Revenue (Part 2 of 4)
Your AR report says hundreds of thousands of dollars are coming in. But if your team is making these four insurance posting mistakes, a significant portion of that AR is phantom money that was never going to be collected. In this ep...
#175 What Is Payment Posting and Why Your AR Is Lying to You
There’s a number in your practice that looks precise but lies to you every single month: your AR report. We routinely audit multi-provider practices showing $400K, $600K, even $1M in AR — and 20–40% of that “asset” is already dead. ...
#174 Why Your Net Income Doesn't Match Your Bank Account (And How to Fix It)
Your CPA sends a P&L on the 20th of every month showing a positive bottom line. Then tax season hits — or partners ask for a distribution — and the cash isn't in the bank. Sound familiar? This episode breaks down why standard P&...
#173 3 Early Warning Signs Your Medical Billing Is Broken
Resources mentioned Practice Revenue Leak Scorecard (free, ~60 seconds): https://eligibility.natrevmd.com/nrm-revenue-scorecard-v3
#172 Will Your Old AR Ever Pay?
If your practice has anywhere from $50,000 to $500,000 sitting in the 120+ day Accounts Receivable bucket, we have bad news: most of it isn't coming back. And the reason isn't what your billers are telling you. Old AR is rarely a pa...
#171 What Your Billing Reports Are NOT Showing You
Resources mentioned in this episode: Free Practice Revenue Leak Scorecard: https://eligibility.natrevmd.com/nrm-revenue...
#170 Must-Have SOPs for $5M+ Medical Practices
Free Resources Mentioned in This Episode: Get your personalized score of where your practice is losing revenue. <...
#169 Should you Outsource Your Billing? A Decision Guide
Thinking about outsourcing your medical billing? Before you make a decision, you need to listen to this episode. We hear the same three fears from practice owners every single day: "It’s going to be too much work to transition," "It...
#168 Stop Micromanaging: 3 Frameworks to Build Unbreakable Accountability
If you feel like you have to have your hands in every single part of your practice just to make sure things get done right, you don't have a staffing problem. You have a systems problem. In Part 1 of this two-part series, we break d...
#167 What to Expect When Working With Us
Are you afraid to switch billing companies because you don't want the pain of a transition? Or worse, are you worried the next team will be just as bad as the last? Most practices that come to us aren't failing—they are just leaving...
#166 7 hidden revenue leaks costing your practice $100k+
Every practice faces operational hurdles—from complex coding rules to clunky EMRs. But for a high-volume clinic, these everyday challenges can quietly add up to a six-figure revenue gap by year-end. In this episode, we break down co...
#165 The 10 Billing Opportunities You Don't Want to Miss
Resources Mentioned: Free Eligibility Checker 2026 Margin Protection Playbook
#164 The Payer Negotiation Playbook: How to Use Transparency Data to Get a Rate Increase
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,...