"Practice Perfect" focuses on achieving excellence in healthcare practices by addressing key aspects such as compliance, documentation, billing, coding, and revenue cycle management. It emphasizes practical strategies, attention to detail, and continuous improvement to optimize efficiency and ensure success in medical practices. This concept encourages learning, adaptability, and adherence to industry standards to maintain top-tier performance.
Practice Perfect
Claim This Podcastby Jennifer McNamara
32 episodes
Updated Daily
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Podcast Overview
"Practice Perfect" focuses on achieving excellence in healthcare practices by addressing key aspects such as compliance, documentation, billing, coding, and revenue cycle management. It emphasizes practical strategies, attention to detail, and continuous improvement to optimize efficiency and ensure success in medical practices. This concept encourages learning, adaptability, and adherence to industry standards to maintain top-tier performance.
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🇺🇲
Publishing Since
1/11/2025
1 verified contact email on file for Practice Perfect
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Recent Episodes
August 3, 2026
Revenue Resilience and Understanding Analytics
<p>What does it take to build a financially resilient orthopedic practice in today's healthcare environment?</p><p>In this panel discussion from the <strong>2026 Bone & Joint Summit</strong>, Jennifer McNamara is joined by <strong>Preston Alexander</strong>, <strong>Shannon Cameron</strong>, and <strong>Maya Turner</strong> to discuss the financial, operational, and leadership strategies that help orthopedic and musculoskeletal organizations thrive despite increasing reimbursement pressures.</p><p>The conversation explores how meaningful analytics, payer strategy, operational excellence, and collaboration can transform data into better business decisions while keeping patient care at the center of every decision.</p><p>Whether you're an executive, practice administrator, revenue cycle leader, coder, auditor, or physician leader, this episode offers practical insights you can immediately apply to strengthen your organization.</p><ul><li>Why "revenue resilience" is more important than ever</li><li>The unique financial challenges facing orthopedic and musculoskeletal practices</li><li>The evolution of analytics in revenue cycle management</li><li>Which KPIs leaders should monitor regularly—and why</li><li>Using data to drive decisions instead of assumptions</li><li>Identifying underpayments and strengthening payer contract performance</li><li>The growing role of cash-pay and concierge services</li><li>Revenue cycle trends affecting independent practices</li><li>Why operational collaboration is essential across departments</li><li>Leadership perspectives on building financially sustainable organizations</li></ul><p><strong>Jennifer McNamara</strong><br>CEO & Founder, Healthcare Inspired LLC</p><p><strong>Preston Alexander</strong><br>Founder & CEO, Forward Slash Health</p><p><strong>Shannon Cameron</strong><br>Chief Operating Officer, Harvard Medical Faculty Physicians</p><p><strong>Maya Turner</strong><br>Founder & CEO, Turner Expert Consulting Services</p><ul><li>Reliable data is the foundation of effective decision-making.</li><li>KPIs only create value when organizations act on what they reveal.</li><li>Underpayment monitoring should be an ongoing operational priority.</li><li>Understanding payer contracts is essential to protecting revenue.</li><li>Financial resilience requires collaboration between operations, coding, billing, finance, and leadership.</li><li>Practices must continually adapt to changing reimbursement models and patient expectations.</li><li>Strong organizations focus on long-term sustainability rather than reacting to short-term challenges.</li></ul><ul><li>Orthopedic Practices</li><li>Ambulatory Surgery Centers (ASCs)</li><li>Revenue Cycle Leaders</li><li>Practice Administrators</li><li>Physicians</li><li>Medical Coders</li><li>Auditors</li><li>Healthcare Consultants</li><li>CFOs and Financial Leaders</li></ul><p>Learn more about Healthcare Inspired LLC:<br><a href="https://healthcareinspiredllc.com" target="_new" rel="noopener">https://healthcareinspiredllc.com</a></p><p><br></p><p>Listen to more episodes of the Practice Perfect Podcast for conversations on revenue cycle management, compliance, coding, leadership, and healthcare innovation.</p><p>Follow Jennifer on LinkedIn for weekly insights on:</p><ul><li>Revenue Cycle Management</li><li>Medical Coding</li><li>Auditing & Compliance</li><li>Healthcare Leadership</li><li>Practice Operations</li><li>Education & Professional Development</li></ul><p><strong>Subscribe to Practice Perfect</strong> so you never miss conversations with healthcare leaders who are helping practices improve performance, strengthen compliance, and build organizations designed for long-term success.</p><p>In This EpisodeMeet the PanelKey TakeawaysWho Should Listen?ResourcesConnect With Jennifer McNamara</p>
July 14, 2026
Before October Hits: Your FY2027 ICD-10 Preview
<p>The countdown to October 1 has already begun.</p><p>In this episode of the <strong>Practice Perfect Podcast</strong>, Jennifer McNamara and Maya Turner discuss why healthcare organizations shouldn't wait until implementation day to prepare for the <strong>FY2027 ICD-10-CM diagnosis code updates</strong>.</p><p>From documentation changes and coding revisions to compliance risks and provider education, this conversation focuses on practical steps every organization can take now to ensure a smooth transition. Whether you're a coder, auditor, provider, CDI specialist, or revenue cycle leader, this episode will help you prepare your team before the annual code update takes effect.</p><p>Jennifer and Maya also share implementation strategies, common pitfalls they see during ICD-10 transitions, and recommendations for educating providers before October Why early preparation matters for ICD-10 implementationarrives.</p><p><strong>Jennifer McNamara, CCS, CPC, CDEO, CRC, CPMA, COSC, CGSC, COPC, CPCI</strong><br>CEO & Founder, Healthcare Inspired LLC</p><p>Jennifer is a nationally recognized healthcare consultant, educator, author, and speaker with more than 20 years of experience in medical coding, auditing, compliance, documentation improvement, and revenue cycle management. She is passionate about helping healthcare organizations improve compliance while simplifying complex coding and regulatory changes.</p><p><strong>Maya Turner, CPC, CPCO, CPMA, CPC-I, CFPC, CRC</strong><br>Director of Auditing, Healthcare Inspired LLC</p><p>Maya is a nationally recognized coding, auditing, and compliance expert with more than 30 years of healthcare experience. As an AAPC Approved Instructor, consultant, and national speaker, she specializes in coding compliance, audit methodology, provider education, quality assurance, and operational excellence. Maya is known for translating complex coding guidance into practical strategies healthcare professionals can apply immediately.</p><p>🌐 Healthcare Inspired LLC: <a href="https://healthcareinspiredllc.com?utm_source=chatgpt.com" target="_new" rel="noopener">https://healthcareinspiredllc.com</a><br>🎙️ Practice Perfect Podcast<br>📅 Bone & Joint Summit 2026: July 16–17, 2026</p><p>Follow Healthcare Inspired LLC for educational resources, webinars, podcasts, and industry updates designed to help healthcare organizations improve compliance, strengthen documentation, and optimize revenue cycle performance.</p><p>If you enjoyed this episode, subscribe, leave a review, and share it with a colleague. Together, we can stay ahead of the changes—and ahead of the challenges.</p><p></p>
April 22, 2026
Network or Nightmare: Hidden Compliance Risks in Medicare Advantage
<p>Jennifer McNamara and Maya Turner dive deep into the Office of Inspector General's (OIG) February 2024 guidance on Medicare Advantage compliance, focusing on network adequacy and access to care. This episode unpacks the hidden compliance risks that medical practices and Medicare Advantage organizations face, exploring the tension between gatekeeping policies, utilization management, and patients' right to timely access to medically necessary care. The hosts discuss systemic failures in prior authorization processes, outdated policies, and the role of artificial intelligence in claims processing—offering practical insights for healthcare practices navigating these complex regulations.</p><p><strong>Network Adequacy & Access to Care</strong></p><ul><li>The disconnect between provider directories and actual participation status</li><li>Real-world patient scenarios: arriving at offices only to find providers no longer participate</li><li>The gatekeeper model in Medicare HMO plans vs. traditional Medicare</li><li>CMS regulations on network adequacy testing and the 2030 deadline</li><li>Shared responsibility between insurers and medical practices for accurate information</li></ul><p><strong>Provider Education & Communication Gaps</strong></p><ul><li>Lack of education from Medicare Advantage plans to providers</li><li>Shift from in-person representative visits to electronic-only communication</li><li>Conflicting guidance between state payers and Medicare managed care programs</li><li>The need for clear, consistent communication about covered services</li></ul><p><strong>Utilization Management & Prior Authorization Issues</strong></p><ul><li>Prior authorization as a core barrier to access to care</li><li>Gatekeeping policies preventing medically necessary procedures</li><li>Documentation's critical role in authorization decisions</li><li>Importance of providers thoroughly understanding their contracts</li><li>Peer review challenges: Not all "peers" are true specialists in relevant fields</li><li>The problem of apples-to-apples comparisons (e.g., cardiologist vs. interventional cardiologist)</li></ul><p><strong>Policy Review & Compliance Risks</strong></p><ul><li>Insurance companies operating with outdated policies (sometimes 5+ years old)</li><li>Annual CPT code changes not reflected in insurer policies</li><li>Compliance risk when policies aren't aligned with Medicare updates</li><li>Many practices still lack comprehensive compliance plans</li><li>The need for regulatory requirements to match current medical practice and technology</li></ul><p><strong>Automation vs. Augmentation in Claims Processing</strong></p><ul><li>Differences between automation and augmentation in AI-driven systems</li><li>Algorithm failures: Same claims denied incorrectly multiple times</li><li>Automation doesn't guarantee accuracy or faster processing</li><li>Predictive AI limitations in managing complex, multi-system healthcare plans</li><li>The imperfect system behind the "perfect idea"</li><li>Cost containment driving automation at the expense of quality</li></ul><p><strong>Contract Negotiations & Fighting Back</strong></p><ul><li>Why some large healthcare systems write off millions instead of appealing denials</li><li>Importance of having healthcare attorneys review contracts</li><li>Real-world examples of providers who fought back successfully</li><li>Balancing "getting business" with understanding contractual rights</li><li>The financial benefit of appeals and proper reimbursement pursuit</li></ul><p><strong>OIG Oversight Areas (Preview of Future Episodes)</strong></p><ul><li>Improper financial incentives and behind-the-books arrangements</li><li>Marketing practices under scrutiny</li><li>Risk adjustment methodologies</li><li>Quality of care validation mechanisms</li></ul><p><strong>Topics for Future Episodes:</strong> Risk adjustment methodologies, quality of care oversight, and deeper analysis of OIG regulatory framework for Medicare Advantage organizations</p><p><strong>Upcoming Events:</strong></p><ul><li><strong>General Surgery & Gastroenterology Combined Conference:</strong> June 4–5, 2026</li><li><strong>Ortho Summit:</strong> July 2026</li><li><strong>E&M Symposium:</strong> Fall 2026</li></ul><p><br></p>
32 total episodes available
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Frequently asked questions
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- What is Practice Perfect?
- How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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