NatRevMD

#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 Signorelli breaks down the three root causes of operational chaos that keep growing practices stuck at a revenue ceiling they cannot break through.  You will learn:  * Why ambiguity in roles costs you hard dollars in denied claims  * How running your revenue cycle on memory puts your cash flow at risk every single day  * Why unsigned charts are delaying tens of thousands in billing every month  * Three things you can do this week to assess exactly where you stand  This is Part 1 of 2. Part 2 delivers the exact accountability chart structure, daily checklist templates, and provider productivity metrics to fix what Part 1 diagnoses.  📊 Free Payment Posting Audit Checklist (free, no sign-up):  https://eligibility.natrevmd.com/payment-posting-checklist 📅 Book a free 30-min call:  calendly.com/heather-natrevmd

#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 through the five operational and financial systems that allow a practice to generate and protect revenue without the owner acting as the lead biller, the collections manager, and the operations director all at once.  You will learn:  * How to take clinical knowledge out of one doctor's head and turn it into practice-wide standards  * How to get daily financial visibility without waiting 30 days for a CPA report  * How software hard-stops protect revenue even when your best staff member quits  * How to benchmark provider productivity without having awkward conversations  * How to give managers real decision-making authority without losing control of your margins  📊 Free Practice Revenue Leak Scorecard (takes 3 minutes, free):  eligibility.natrevmd.com/nrm-revenue-scorecard-v3  📅 Book a free 30-min call:  calendly.com/heather-natrevmd

#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 every practice we onboard - and why practices doing $300K+ a month are routinely losing $8,000 to $25,000 of it to undetected posting errors. You’ll learn: • How to catch unapplied patient payments before they generate angry calls • The ERA spot check that exposes systemic contractual adjustment errors • How to find payer underpayments before your billing team writes them off • The write-off audit that protects your revenue from unauthorized adjustments This is the final episode in our four-part payment posting series. If you’ve been following along, you now have more visibility into your revenue cycle than most practice owners ever get. 📊 Free Payment Posting Audit Checklist: https://eligibility.natrevmd.com/payment-posting-checklist 📅 Book a free 30-min call: calendly.com/heather-natrevmd Resources mentioned: EP175 - What is Payment Posting? [https://podcasts.apple.com/us/podcast/175-what-is-payment-posting-and-why-your-ar-is-lying-to-you/id1624182351?i=1000766228584] EP176 - Insurance Side Mistakes [https://podcasts.apple.com/us/podcast/176-the-insurance-payment-posting-mistakes-draining/id1624182351?i=1000766785843] EP177 - Patient Payment Errors [https://podcasts.apple.com/us/podcast/177-the-patient-payment-posting-mistakes-inflating/id1624182351?i=1000767490583]

#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.  In this episode (Part 3 of our Payment Posting series) we walk through the four patient payment posting mistakes that inflate AR and damage patient trust:  * Unapplied patient credits — money in your bank, AR still open, patient gets billed again  * Payer denials shifted to patients by mistake — poster doesn’t read the ERA denial code, patient gets a statement for money they don’t owe  * Co-insurance misposted as a flat copay — wrong payment code at check-in, ledger breaks when the claim processes  * Unauthorized write-offs — billers clearing their queue by wiping balances with no authorization or audit trail  Each mistake has a fix you can implement this week.  📋 Free Payment Posting Audit Checklist — the same framework we use in real practice audits: →https://eligibility.natrevmd.com/payment-posting-checklist Resources mentioned: 1. Payment Posting Audit Checklist — https://eligibility.natrevmd.com/payment-posting-checklist 2. Book a revenue review — https://calendly.com/heather-natrevmd/ 3. All episodes — natrevmd.com/podcast  4. Subscribe on YouTube — https://www.youtube.com/@NatRevMD

#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 episode (Part 2 of our Payment Posting series) we walk through the four insurance-side mistakes that inflate AR and drain revenue:  * Ignoring contractual adjustments — the gap between billed and allowed sits in AR as uncollectible phantom money  * Accepting underpayments as paid in full — payer shorts you on a contracted rate, poster writes off the difference without flagging it  * Leaving zero-balance claims open — fully paid claims clogging your AR and inflating your workload  * Duplicate posting — same ERA payment posted twice, creating phantom credits and balance chaos  Each mistake has a fix you can implement this week.  📋 Free Payment Posting Audit Checklist — the same framework we use in real practice audits: https://eligibility.natrevmd.com/payment-posting-checklist Resource 1: Payment Posting Audit Checklist — https://eligibility.natrevmd.com/payment-posting-checklist Resource 2: Book a revenue review — https://calendly.com/heather-natrevmd/ Resource 3: All episodes — natrevmd.com/podcast  Resource 4: Subscribe on YouTube — youtube.com/@NatRevMD