Clinical Business Framework

Insurance Claims Processing Challenges Charu expressed frustration with processing EFTs and handling insurance claims, particularly with United Healthcare and Oscar, despite following provided instructions. Charu...

Grand Opening Event Summary Florence shared that her grand opening event went well with approximately 120 people attending, including family and friends. She explained that she started seeing patients before the...

Key TakeawaysG2211 Billing Strategy: A trial is needed to identify payers for the G2211 code, as it's being rejected when billed with therapy codes (e.g., 90833). The goal is to capture the ~$23/claim revenue without...

Loan Structure and Banking Arrangements Charu discussed her loan structure and banking arrangements with Jennie. She explained that there are prepayment penalties on her loan if paid off within two years, and the...

Finding Medical Staff Recruitment Challenges Florence discussed her ongoing challenges finding help at work and her experience with a recruiter who provided only one potential candidate, a third-year resident looking...

In this session, Florence and Vineka shared real progress on a theme that's been building all year: getting the right work off your plate and onto the right system or person. Florence walked through the first week of...

Caribbean Family Trip Discussion Florence shared details about a recent family trip to the Caribbean for her daughter's 16th birthday, which cost more than expected despite not being all-inclusive. She discussed the...

Personal Updates and Technical Issues Jennie shared details about her recent week-long trip to Hawaii for their anniversary, including a visit to Lanai island. Florence discussed attending her youngest daughter's...

Key Highlights Follow the money. We discussed the importance of tracking claims through the entire revenue cycle—from claim generation to payment—to identify where revenue may be leaking. Delegate, don't disappear....

School Year Start and End Dates The group discussed the different start and end dates for the school year across different regions. Charu mentioned that school in Texas starts later, around August 19th, and ends...