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Many thanks to Matthew Hermann, MD, a radiologist and Founder of the teleradiology company Right Read MD. Dr. Hermann began his career as a conventional radiologist but soon saw the virtues and opportunities of off-site practice.

Now based in Puerto Rico, he leads a team of physicians who provide high-quality radiology care to multiple hospitals. Matt loves Puerto Rico’s culture and doesn’t object to their low tax rates either!

During our 40-minute discussion, Dr. Hermann discussed the potential downsides of conventional telemedicine models. For example, groups that are incentivized solely by productivity, especially those run by private equity companies, may yield suboptimal results.

Radiologists working at home can also feel isolated and miss out on learning from colleagues that would occur in a more traditional patient care setting. Dr. Hermann explored whether teleradiology is a good long-term career option. While today’s demand is great, it’s unclear what the future holds for this type of medical service.

Dr. Hermann emphasized the hidden value of dedicated on-site radiologists who can develop professional relationships with referring physicians. Relationships between radiologists and surgeons, for example, have proven to influence surgical decision-making.

However, when hospitals lack the resources for permanent on-site radiologists, teleradiology becomes a clinically necessary and attractive option. Chart access for teleradiologists, along with a focus on patient care rather than pure productivity, can help mitigate the negatives of operating off-site.

Dr. Hermann’s company handles licensing and credentialing. He also ensures that radiologists on his team are appropriately compensated. Right Read MD continues to grow.

To learn more or to contact Dr. Hermann, please check out his website: www.rightreadmd.com

or email info@rightreadmd.com

#teleradiology #entrepreneur #burnout #hospitalmedicine #radiology #telemedicine

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If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"

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This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

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Many thanks to Heather Signorelli, DO, for joining me on The Art of Medicine with Dr. Andrew Wilner. Heather is a practicing pathologist and owner of a medical billing company. Heather’s interest in medicine and business began at an early age. Her father was an obstetrician for his entire career, and her mother was involved in hospital management.

At medical conferences, physicians who struggled with running their offices frequently asked Heather for help and inspired her to start her company. Heather began her medical billing business with her husband five years ago. Currently, she supervises 70 employees and assists 200 physician practices in collecting payments for their services.

The current complexity of the number of carriers, plans, and rules conspires to prevent physicians from receiving prompt reimbursement for their services. The industry average is 40 days to get paid, although Heather’s company tries to shorten this considerably. Heather explained the top 3 things that physicians can do to improve collections.

During our 30-minute discussion, we explored the growing concept of the Concierge Practice, which is a cash-based model. We also addressed the role of AI in streamlining office procedures and controlling overhead.

Micro-practices, as presented on this program by Kara Pepper, MD, on August 31, 2025, are another option to traditional insurance-based practices. Both Dr. Pepper and Dr. Signorelli have studied with business guru and pediatrician

Please click "Fanmail" and share your feedback!

If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"

To never miss a program, subscribe at www.andrewwilner.com.

Follow me on Instagram: @andrewwilnermd

X: @drwilner

linkedin.com/in/drwilner

Please rate and review each episode.

To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com

This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

Or paste this link into your browser:

https://locumstory.com/?source=DSP_directbuy_drwil...

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Many thanks to Paul Sippil, CPA, for joining me on today’s episode of “The Art of Medicine with Dr. Andrew Wilner!” Paul is a CPA with a special interest in retirement planning for physicians. He started his career as an auditor, but soon moved on to work in financial services, which he found more satisfying.

Although he trained as a CPA, today Paul’s practice focuses on optimizing 401(k) and pension plans for medical practices rather than on personal tax questions. Paul identifies himself as a “forensic 401 (k) consultant” or more loosely, a “401 (k) Vigilante.”

During our 30-minute discussion, Paul emphasized that “hidden” fees are often part of 401 (k) retirement plans. To optimize savings, these fees must first be identified and then, potentially, negotiated. We discussed the current absurd fee structure of “assets under management,” which should be avoided. Paul recommended that physicians seek out financial advisors who are “fee for service,” which is definitely sound advice based on discussions with other wealth managers we have had on this program! We also discuss the role of the personal CPA.

To learn more or to contact Paul, please check out his website: https://www.paulsippil.com/ and YouTube channel: at https://www.youtube.com/@paulsippil

Thanks again to Paul Sippil for sharing your expertise on The Art of Medicine with Dr. Andrew Wilner!

@paulsippil #feeforservice #assetsundermanagement #401k #fiduciary

Please click "Fanmail" and share your feedback!

If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"

To never miss a program, subscribe at www.andrewwilner.com.

Follow me on Instagram: @andrewwilnermd

X: @drwilner

linkedin.com/in/drwilner

Please rate and review each episode.

To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com

This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com.

Or paste this link into your browser:

https://locumstory.com/?source=DSP_directbuy_drwil...