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Today we’re getting serious about something that silently chips away at your revenue, frustrates your staff, and leaves your bottom line looking weaker than it should be: claim denials.

Because here’s the truth: the average practice loses thousands—sometimes hundreds of thousands or even millions—each year to preventable denials. But these aren’t just billing department headaches. They’re indicators of broken processes that are costing you real money. And, in many cases, physician owners are completely unaware of how much money their practice is actually losing. We see a lot of groups where the billing team is resigned to having to write off claims, rather than doing the work to create systems and workflows to maximize collections. Billers are either tired, overworked, or simply lazy, and wind up quietly writing off thousands (if not millions) of dollars because it all seems too difficult, or they’re not incentivized to figure it out.

Don’t get me wrong – the insurance industry is incredibly complex, and billing rules and denial reasons frequently seem completely illogical. Many of them are. And, I would assert that as a hard-working physician, you should still get paid.

So, in today’s episode, we’re going to walk through the top 5 most common reasons your claims get denied. Then we’ll look at operational fixes for each one—concrete changes you can make in your practice to stop the revenue leaks. I’ll also estimate how much your practice can recoup by addressing each issue. From there, we’ll talk about what it takes to build a high-performing billing team with strong leadership and standardized workflows. And finally, we’ll talk KPIs—the key metrics you should be watching—and wrap up with some ideas for incentive plans that will keep your revenue cycle team motivated and focused.

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Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

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Today’s topic hits home for just about every medical practice out there: EMRs. They’re the systems we love to hate—and sometimes just outright hate. But here’s the thing: many practices are sitting on a goldmine and don’t even realize it. Instead of scrapping your current EMR and spending hundreds of thousands of dollars switching, what if you could get a major upgrade simply by using what you already have?

Many medical groups only use about 30–40% of their EMR's capabilities. That means up to 70% of the tools you need to work smarter, not harder, are already right there—waiting for you to harness them. Today, we’re diving into the steps you can take to give your EMR a full makeover, optimize both your business office and clinical workflows, and most importantly, get you and your team out of the EMR quicksand and back to focusing on patient care.

Please Follow or Subscribe to get new episodes delivered to you as soon as they drop!
Visit Jill’s company, Health e Practices’ website: https://healtheps.com/
Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber
Want more content? Find sample job descriptions, financial tools, templates and much more: www.MedicalMoneyMattersPodcast.com

Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/
Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

Send us a text

Dr. Nandita Gupta is a physician executive and a Chief Medical Officer at Peace Health, a faith-based not-for-profit health center serving Oregon, Washington & Alaska. She is a practicing cardiologist and advocate for leadership development and a thought leader on Executive Presence. She has 25 years of clinical experience and nearly 2 decades of healthcare leadership experience as Chief of Medicine, Chief of Cardiology, Cardiovascular service line director, Associate CMO and now CMO. She has been recognized as a top cardiologist in the Portland Monthly magazine for many consecutive years, and is a recipient of the Oregon Medical association’s excellence in Health Equity award. She is a coach, mentor and a leader.

We discuss the importance of reading the room, the differing facets of executive presence, and how to develop it as a leadership skill that is especially critical for physicians, as none of this is taught in medical school. She also discusses the differences between clinical skills and leadership skills and how physicians and administrators can mindfully and intentionally develop their executive presence.

Dr. Gupta can be reached at: https://www.linkedin.com/in/nanditacgupta/ or via email at: cnandita@gmail.com.

Please Follow or Subscribe to get new episodes delivered to you as soon as they drop!
Visit Jill’s company, Health e Practices’ website: https://healtheps.com/
Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber
Want more content? Find sample job descriptions, financial tools, templates and much more: www.MedicalMoneyMattersPodcast.com

Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/
Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/