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What’s the real cost of not growing your practice when the time is right? Spoiler alert: it’s more than just lost revenue.

Welcome to Medical Money Matters. Today’s episode tackles something many practice leaders know they should think about—but often push to the bottom of the to-do list: when and how to scale your medical practice.

Now, if you’re a physician or practice administrator, your day is already full. You’re seeing patients, solving staffing problems, reviewing financial reports, answering portal messages—and probably skipping lunch to do it. So when the topic of expansion comes up, it can feel overwhelming. Unnecessary. Even reckless.

But here’s the truth: in many cases, not growing when your practice needs to can be more damaging than growing too soon. And the impact goes beyond your bottom line. We’re talking about team burnout, patient dissatisfaction, and even harm to your practice’s reputation.

The good news? There’s a path to healthy, responsible growth. One that doesn’t require overextending yourself or guessing your way through the process. That’s what we’re unpacking today.

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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 formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/

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/

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What if your most complex visits were being paid as basic ones—and no one on your team even noticed?

That’s not a hypothetical. It’s happening right now.

Today we’re talking about something that could be quietly draining your revenue, hurting your bottom line, and going completely unnoticed by your billing team: automatic downcoding of high-level E/M visits. This is a new policy from Cigna, and they're not alone. Other major payers—including UHC—are doing the same thing. And they’re doing it in a way that makes it difficult to detect, hard to fight, and shockingly easy to miss.

If you're a physician, a practice administrator, a billing leader—anyone responsible for the financial health of your practice—this episode is critical listening.

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 formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/

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/

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You've got two leaders at the helm - one knows the medicine, the other knows the business. Sounds like a dream team, right? But what happens when they're not on the same page?

Welcome to Medical Money Matters. Today we're diving into the art and science of clinical-administrative dyads - those essential partnerships that drive medical groups forward. When they work, they create clarity stability, and strength. When they falter, things get messy—fast.

Whether you're a CEO paired with a Chief Medical Officer, a Board President working closely with a Practice Administrator, or you're part of a different leadership pair, this episode is for you. We're going to unpack what makes these partnerships work, what gets in their way, and how to build—or rebuild— a dyad relationship that can truly lead a practice with purpose.

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 formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/

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/

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Picture this: you're finalizing your residency, or you've spent years in practice and you're finally ready to strike out on your own. You have this forward-thinking amazing vision—a practice that reflects how you want to deliver care. A place built for patients, for community, perhaps for innovation. It’s exciting. But here’s the truth: owning your own practice isn’t just about medicine—it’s about running a business. And that means you need a roadmap that’s complete, accurate, and realistic. That means a business plan with a financial pro forma and a timeline you can rely on.

Having that plan isn’t academic. It’s the difference between a dream and an actual launch. With it in hand, finding a banking partner becomes a lot more straightforward. Banks want to see organization, evidence of planning, clarity around costs, revenues, how you get paid, and when you can pay them back. And because starting a medical practice is usually a once‑in‑a‑career experience—or maybe twice at most—working with a seasoned business consultant is essential. This is your big leap—don’t just go it alone.

So, today we’re going to walk through what you absolutely need to build into that startup plan. We’ll talk through how you’ll structure your entity, how you’ll forecast your finances, how contracting, credentialing, HR, and operations all fit together, and why a realistic timeline matters.

To get the free startup checklist mentioned in this episode, please email dave@healtheps.com and he will send it to you.

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 formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 30+ hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/

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/

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Join me for a compelling conversation with leadership development expert, Laurie Baedke, FACHE, FACMPE where we unpack what Mentorship, Sponsorship and Coaching can mean to a medical group's bottom line. Laurie draws from her experience as a leadership development program founder, author, and international speaker as she shares with us the reasons why medical groups should double down on developing their teams, and building bench strength.

In a time where margins are being squeezed, regulations are tightening and time is limited, Laurie makes a great case for developing your most precious resource: your people. Laurie can be reached at www.LaurieBaedke.com and on LinkedIn at https://www.linkedin.com/in/lauriebaedke/

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 formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 30+ hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/

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/

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Welcome to the Medical Money Matters Podcast, brought to you by Health e Practices—where we explore smarter ways to manage the business side of medicine, without losing sight of why we’re here: to provide excellent care.

Today’s episode might make you a little uncomfortable—and that’s a good thing. We’re talking about revenue that slips through your fingers every single day. And here’s the truth: if you’re not watching your revenue cycle closely, you’re very likely seeing patients for free and you don’t even know it.

That’s not hyperbole. We’ve seen it over and over again: practices losing thousands, even hundreds of thousands of dollars annually because of small breakdowns—some of which happen before the patient even walks through the door. Today, we’re going to track down where your money might be hiding, and more importantly, how to keep losing money in the future.

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 formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 30+ hours of online, on-demand training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/

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/

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Welcome back to Medical Money Matters. I’m Jill Arena, and I’m so glad you’re here with me for this very special edition of the podcast. Today, I’m beyond excited to introduce something that’s been in the works for over three and a half years—a course that I truly believe can transform the way physicians engage with the business side of medicine.

This is Physician’s Edge: Mastering Business and Finance in Your Medical Practice. It’s an online, on-demand course designed to give you the practical business and financial training that you never received in medical school. And it’s something I created in response to a need I’ve seen over and over again for decades—and more recently, in response to direct requests from many of the graduates of the Physician Leadership Project. They’ve been asking me, “Where can I go to really dig into finance and business at a level that’s relevant to physicians?” And until today, I haven’t had a good answer. But now, I do.

So if you're wondering how this all came to be—why I felt so compelled to put in the time, the resources, and the effort to build something like this—it all goes back to the very first episode of this podcast. In that episode, I shared a hard truth: our medical education system has done an incredible job of training clinicians to be excellent doctors. But it has completely failed to train you for the realities of business. And in today’s healthcare environment, that knowledge is no longer optional. It’s essential.

Medical schools teach you to be the knower of all things. The one with the answers. And that’s exactly what our patients need in the exam room or the OR. But in the world of business, it’s a very different game. Out here, it’s perfectly acceptable—even encouraged—to say, “I don’t know, but I’ll find out.” Unfortunately, that kind of curiosity is often stifled in your training. And that stifling can have real consequences when you're running or participating in a multi-million-dollar practice without the background to support it. You can purchase the course here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/

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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/

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You walk into the office and feel it right away—something’s off. A nurse is giving the front desk the silent treatment, one of your physician partners is avoiding eye contact, and the clinic administrator looks like they’re about to quit on the spot. And yet… no one says anything. Everyone keeps moving, business as usual.

Sound familiar?

Welcome back to Medical Money Matters, the podcast where we talk about the business side of medicine—without losing sight of the people who make it work. I’m glad you’re here because today we’re diving into something every practice deals with but few want to talk about: conflict.

More specifically, how to have those tough conversations with staff, partners, and even patients—the ones we dread but desperately need to have.

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 formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 30+ hours of online, on-demand training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical

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/