Episodes

The elephant in the room is here — and waiting until January is not a strategy. 🐘 In this episode of the Practice Perfect Podcast, hosts Jennifer McNamara (Healthcare Inspired) and Maya Turner (Turner Expert Solutions) break down the CMS 2027 Proposed Rule and what it means for physicians, ASCs, and multi-specialty practices — right now, not next year. 🔑 What we cover: • The projected ~45% Medicare revenue decrease when the conversion factor cut and expiring temporary increase sta...

The revenue cycle is undergoing its most significant transformation in a generation. AI-driven automation, evolving payer behavior, workforce shifts, and mounting compliance demands are redefining what it means to lead in orthopedic and musculoskeletal practices, ASCs, and health systems. In this episode from the Bone & Joint Summit 2026, we bring together Sandy Giangreco Brown and Sonal Patel—respected voices in healthcare revenue cycle, compliance, and leadership—to explore how today's lead...

Why do patients feel blindsided by medical bills even when they receive good faith estimates? Why can't healthcare workers confidently explain why care costs what it does? And why does talking about money create so much fear in healthcare? In this episode, Jennifer McNamara (Healthcare Inspired) sits down with Elizabeth Johnson, CEO of MedicoCX, to tackle one of healthcare's biggest challenges: how to communicate honestly about costs without eroding trust. They explore: ✓ Why chargemasters an...

What does it take to build a financially resilient orthopedic practice in today's healthcare environment? In this panel discussion from the 2026 Bone & Joint Summit, Jennifer McNamara is joined by Preston Alexander, Shannon Cameron, and Maya Turner to discuss the financial, operational, and leadership strategies that help orthopedic and musculoskeletal organizations thrive despite increasing reimbursement pressures. The conversation explores how meaningful analytics, payer strategy, operationa...

The countdown to October 1 has already begun. In this episode of the Practice Perfect Podcast, Jennifer McNamara and Maya Turner discuss why healthcare organizations shouldn't wait until implementation day to prepare for the FY2027 ICD-10-CM diagnosis code updates. 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,...

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 aut...

In this episode, Jennifer and Maya unpack the “Mean Girl Effect” at work — the subtle, strategic behaviors that create confusion, undermine credibility, and erode psychological safety without ever appearing overtly aggressive. From social exclusion and information control to polite denial and professional gaslighting, they explore how toxic dynamics operate beneath the surface — and why high-performing, ethical professionals are often the most impacted. You’ll learn: What the Mean Girl...

Do your days in the practice feel… the same? Same problems. Same conversations. Same frustrations—just on repeat. In this episode, we’re talking about The Groundhog Day Effect—that feeling of reliving the same challenges over and over, even though you’re working hard and staying busy. This isn’t about motivation. It’s about awareness, leadership, and breaking patterns that quietly keep practices stuck. If you’ve ever thought, “Why does it feel like nothing is changing?” — this episode is for...

Growth doesn’t have to mean longer days, burned-out teams, or constant overwhelm. In this episode, we’re breaking down how to set SMART growth goals for your healthcare practice—goals that are clear, achievable, and actually supported by the people responsible for delivering patient care. This is a deep dive into intentional growth, leadership clarity, and the often-missing link between goals, staff support, and patient success. If you’re ready to grow smarter this year, this episode is for y...

Join Jennifer McNamara and Maya for a powerful episode tackling one of healthcare’s most pressing issues: team mental health and resilience. From burnout to bold leadership moves, this episode delivers real talk, real strategies, and a few unexpected movie quotes along the way. 💡 What You’ll Learn in This Episode: The Hidden Strain Behind the Scenes Why healthcare teams — from clinicians to coders — are feeling more pressure than ever. How after-hours stress (like worrying about documentation ...

Silence may feel like the safest choice when facing toxic staff behaviors—but in healthcare, silence carries a cost far too high to ignore. In this episode, we dive into the real-world impact of unaddressed toxicity on teams, patient safety, and organizational culture. Leaders often stay quiet out of fear—fear of conflict, fear of losing staff, or fear of mishandling HR processes. But avoiding action doesn’t preserve stability; it erodes it. The true cost of silence: How ignoring toxic behavior...

October brings a wave of pink ribbons, powerful stories, and reminders to prioritize early detection — but behind the awareness campaigns lies a complex operational world that deeply affects both providers and patients. In this powerful episode, Jennifer McNamara and Maya Turner take listeners behind the scenes to examine the business side of breast cancer care. From navigating payer rules to managing rising denial rates, Jennifer reveals how the revenue cycle intersects with clinical decision-...

September was National Skin Care Awareness Month, and we took the opportunity to spotlight why skincare is so much more than appearances. In this special episode of Practice Perfect, host Jennifer McNamara sits down with Megan Renner — Beauty Society representative, wife, and volunteer — who is passionate about helping women feel confident and cared for. Together, they dive into: ✅ Why skincare is about health, prevention, and confidence ✅ How simple routines can make a big difference every da...

This special bonus episode pulls together some of the most valuable conversations and updates across coding, compliance, and healthcare operations. We dig into the everyday realities of being a coder and how much more it takes than just knowing the rules. You’ll hear a fresh perspective from Cameron Lewellen, plus a big announcement from Turner Consulting that impacts how practices can get the support they need. We also shine a light on compliance in behavioral health—a space where regulations...

In this episode, we dive into the power of communication and how it shapes everything from workplace culture to payer negotiations. We start by unpacking why communication is key—not just in theory, but in the day-to-day challenges of healthcare teams. You’ll hear real stories that bring these points to life, showing how small details can make a big difference. From there, we turn to the payer games that practices are still stuck playing—denials, delays, and shifting rules—and talk about strat...

Jennifer McNamara and Maya Turner unpack why the phrase “But that’s how we’ve always done it” is so dangerous in healthcare compliance. From outdated CPT codes and risky documentation habits to billing inefficiencies and ignored payer contracts, they share real-world stories that show how clinging to old processes can lead to revenue loss, compliance red flags, and even patient harm. The key takeaway? Compliance and coding can’t live in the past—success requires adaptability, accountability, and continuous improvement.

Jennifer McNamara and Maya Turner break down the 2026 Medicare Physician Fee Schedule Proposed Rule and explain what it really means for practices. From reimbursement changes and compliance updates to documentation and medical necessity requirements, they highlight the key takeaways practices need to prepare for now—before the rule is finalized.

Seasonal Slowdown or Silent Revenue Leak? Every practice expects a dip in revenue during certain times of the year—but what if it’s not seasonal at all? In this episode, Jennifer McNamara and Maya Turner dive into how to tell the difference between predictable slowdowns and silent revenue leaks that quietly drain your bottom line. They’ll explore how patterns in claims, scheduling, and payer response times can either confirm seasonal trends or expose deeper operational issues. From front desk t...

This episode dives deep into the confusion many practices face when it comes to rejections vs. denials. Jennifer and Maya welcome back Cameron Lewellen to talk about how AI and automation can transform how practices handle claim issues, boost efficiency, and get paid faster. From hilarious personal stories to hard-hitting truths about insurance delays, this episode is packed with real talk and practical insights. The difference between a rejection and a denial Rejections never make it through ...

Copy-paste documentation: it seems harmless, but it’s costing healthcare practices more than they realize. In this episode, Jennifer and Maya unpack the real risks behind cloned EMR notes—from audit red flags to compliance violations. We’re talking: – What copy/paste looks like in provider notes – Why it's a major liability in audits – How coders, auditors, and providers can clean it up – Tips for starting the conversation with your team – Real-world examples that prove shortcuts aren't wo...

In this insightful episode, we dive into one of the most commonly overlooked areas in healthcare compliance—behavioral health. Sonal Patel joins Jennifer McNamara and Maya Turner to discuss why behavioral health compliance deserves more attention, especially as demand for services grows. From documentation pitfalls to the nuances of medical necessity, we highlight key risks that can lead to denials, audits, and even enforcement action if ignored. What You'll Learn: Why behavioral health is a hi...

In this episode of Practice Perfect , Jennifer McNamara dives into the CMS G2211 complexity add-on code—specifically how it applies (or doesn’t!) to specialty practices. Whether you’re in orthopedics, ENT, plastics, or any other niche, we’ll unpack CMS’s intent, share real-world scenarios, and give you actionable tips to document and bill confidently. What is G2211? A quick refresher on the 2024 complexity add-on for longitudinal care and complex decision-making. Specialty Scenarios How CM...

In this episode, we break down two commonly misunderstood terms in healthcare coverage: "Statutorily Excluded" and "Not Medically Necessary." While they may sound similar, these distinctions have major implications for providers, payers, and—most importantly—patients. We explore how these classifications affect insurance claims, appeal rights, provider obligations, and patient financial responsibility. Whether you're a healthcare administrator, clinician, or just navigating your own care, und...

Whether you’re a coder hunting for the right CPT, a tumor registrar assembling a perfect abstract, or a practice manager double‑checking documentation, that pathology report is gold— if you know how to mine it. In this episode Jennifer breaks down her go‑to process for turning dense, microscopic jargon into clean, billable data that tells the patient’s full story. In this conversation you’ll learn: How to navigate the four must‑read sections of every path report (and why the microscopic desc...