NatRevMD

Send us Fan Mail In 2007, Dr. Amin Mery was an employed allergist in Houston, frustrated with partners who wanted a CT scan ordered on nearly every patient, kids included. A colleague gave him blunt advice: stop complaining or do something about it. So he gave himself two years. He hired a lawyer and a CPA, set up an LLC, learned the business side medical training never covered, and in 2009 opened...

Send us Fan Mail When Dr. Heather Signorelli picked a 2026 health plan for her family, she could compare deductibles, copays and out-of-pocket maximums in minutes. What she couldn’t see was what happens when someone actually gets sick: what’s covered, what needs prior authorization, and what counts as medically necessary. Prices are public now. The rules that decide whether a claim gets paid are n...

Send us Fan Mail Why does your practice keep solving the same problems over and over? A claim issue snowballs, a provider gives notice, a patient complaint lands on the owner’s desk. Everyone scrambles, and six weeks later it happens again. Most independent practices don’t have too many meetings. They have the wrong ones, or none at all. In this episode, Dr. Heather Signorelli shares the five-laye...

Send us Fan Mail You hung your shingle, or you’re thinking about it. Now what? How do you get patients through the door, keep good staff for a decade, and add physicians without the practice falling apart? Dr. Ram Surendran, M.D., MBA, opened Rochester Primary Care in Michigan in 2003 with three exam rooms, one employee and no patients. His first patient walked in two weeks later. To keep the door...

Send us Fan Mail You own the practice. You see your team every day. So why are you always the last one to hear about the problem? Your front desk has been falling behind on eligibility for weeks. One of your providers runs 45 minutes late and patients are starting to complain. Your billing team is sitting on open charts and denials nobody has flagged. Everyone around you knows. You don't, bec...

Send us Fan Mail How many AI billing tools have you been pitched in the last few months? If you are like most practice owners, more than any other vendor in years. Some of these tools are very good, and we are piloting one ourselves. But if your billing process is not clean, adding AI on top of it will only break it faster. In this episode, Dr. Heather Signorelli shares how we are running our own...

Send us Fan Mail Most practices don't have a lead problem. They have a follow-up problem. Dr. Mona Sodhi, DO, co-founder of Super Doc Tech, built her own direct-pay obesity medicine practice from scratch and found herself running ten disconnected tools on top of seeing patients. In this episode, she and Dr. Heather Signorelli talk about why interested patients slip away, why your CEO time mat...

Send us Fan Mail Last week a bill was introduced in Congress to stop corporate takeovers of physician practices. Some people are calling it reform. Dr. Heather Signorelli read the actual text, and in this episode she walks through what the bill says, what it leaves out, and why she thinks it misses the root cause of what’s squeezing independent practices. This is not a political episode. It’s a br...

Send us Fan Mail Over the last two weeks I have been interviewing candidates, and I asked every one of them the same question: why are you leaving? The top answer was not money, PTO or benefits. It was career growth. In this episode I share what that means for your practice and how we run our own hiring process. Build a career ladder for every role. Growth does not have to mean management. Front D...

Send us Fan Mail Most independent practices sign the payer contract they are handed. One or two doctors alone are not on a health plan's radar, so the rate stays low and the practice works harder to make up the difference. This week Dr. Heather Signorelli sits down with Ben Phillips, CEO of Nivano Physicians, an independent physician association in Northern California, and host of Healthcare...

Send us Fan Mail 📊 Free Billing Performance Scorecard: see where your billing team stands on six numbers, with the dollar value of every red and a one-page 90-day plan → https://eligibility.natrevmd.com/natrevmd-billing-performance-scorecard-actionable-plan 🔍 Two or more reds? Get a Free Metrics Audit Review → https://eligibility.natrevmd.com/metrics-audit-natrevmd Your billing team submits clai...

Send us Fan Mail Your physician goes out on leave, you bring in a covering doctor, and the claims go out under the absent physician's NPI. Everything seems fine. Then, months later, an audit notice arrives: the claims went out under the wrong NPI, without the right modifier, or past the time limit. Those claims can be pulled back. In this solo episode, Dr. Heather Signorelli walks practice ow...

Send us Fan Mail Most revenue leaks before the patient ever walks in. And billing usually gets the blame for problems the front desk could have prevented. Dr. Heather Signorelli sits down with Alejandro (Alex) Fernandez, CEO of Synergy Orthopedic Specialists, a 25-physician, 60-provider orthopedic group with 15 sites across Southern California, including an ASC, imaging, physical therapy and DME....

Send us Fan Mail Unhappy with your billing but afraid to switch? You are not the only practice in that middle. The numbers feel off, but a past transition (yours or a colleague's) meant months of slow cash, an overwhelmed front desk and frustrated providers. So you stay, and the cost shows up as a slow drift instead of one bad quarter. In this solo episode, Dr. Heather Signorelli shows practi...

Send us Fan Mail Most practices run on the bank balance and a sense of how busy things feel. In this working episode, Dr. Heather Signorelli takes your practice's vitals: seven numbers, four scored, about 20 minutes. Grab a pen.  FREE RESOURCES  Free Metrics Audit Review: send the seven monthly averages from this episode and get a physician-led read on what the pattern is saying and where to...

Send us Fan Mail Free resource: Practice Financial Health Dashboard for Physicians.  What you get: a free Excel workbook built for physician owners to track the practice's revenue, expenses, and billing health month over month, in one place. → https://eligibility.natrevmd.com/free-practice-financial-health-dashboard-for-physicians-natrevmd  Free Metrics Audit: a free 20-minute live read of si...

Send us Fan Mail Resources   Free Metrics Audit: a free 20-minute live read of six numbers from your last full month (charges, claims, adjustments, denials, A/R, net collections) to find where revenue is leaking. No patient data, no system access. Built for practices collecting $150K or more a month. → https://eligibility.natrevmd.com/metrics-audit-natrevmd  Practice Financial Health Dashboard for...

Send us Fan Mail Most practices don't have a billing problem. They have a not-knowing problem. Dr. Heather Signorelli walks through the three numbers that actually tell you whether your revenue cycle is healthy, and introduces the free Second Opinion Program built to give any practice an independent read.  Denial Rate Isn't the Full Story: A five percent denial rate sounds fine until you...

Send us Fan Mail Dr. Una, founder of EntreMD and mentor to hundreds of physician entrepreneurs, joins Dr. Heather Signorelli to talk about what actually drives practice growth without burnout, and shares an unscripted story about why her own practice now trusts NatRevMD with its billing.  Growth Problems Are Rarely About Billing: Dr. Una explains why the real lever for growth is almost always the...

Send us Fan Mail Two health plans sat fifty dollars apart in monthly premium. One covered forty percent of an inpatient stay, the other seventy five percent. Dr. Heather Signorelli walks through the exact process she used to shop for her own team's health insurance this year, and the mistakes worth skipping if you are doing this too.  Where we started looking: QuickBooks and brokers got us cl...

Send us Fan Mail We've spent a lot of time meeting with AI companies and testing technology in our own billing process. The lesson wasn't that AI can't help, it's that a tool solving one task can still make the whole revenue cycle harder without a designed handoff.  Lesson 1, fragmentation: Most AI vendors do one part of the job. The handoff to the next owner is what makes or b...

Send us Fan Mail A lot of practices are quietly paying for an AI tool and the staff it was supposed to replace. Same problem, double the cost. In this episode, Dr. Heather Signorelli talks with Simon (Dorien Simon) of Narrows Advisors about where AI actually works in medical billing right now, where it does not, and how to avoid the mistakes that waste the most budget.  The Last Mile Gap: EHRs and...

Send us Fan Mail 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 dollar amount into something comparable across payers, localities, and codes.  Step 1: Pull 12 months of paid-claim data by payer and CPT/HCPCS code, using allowed...

Send us Fan Mail 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 rates: CMS has proposed two 2027 conversion factors. The headline percentage is never your practice's percentage. Model your own top codes.  Change...

Send us Fan Mail Resources  MoneyFitMD: moneyfitmd.com  natrevmd.com  Dr. Latifat never learned anything about money in medical school, and by her own account avoided it entirely until fear of ending up like her burned-out attendings forced her to face it. She paid off $200,000 in student loans in about two and a half years without extra shifts, then built MoneyFitMD to help other women physicians...