Practice Perfect

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 b...

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 ...

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 act...

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 longitudi...

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...

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 fou...

Stress is inevitable, but burnout doesn’t have to be. In this powerful episode of Practice Perfect, Jennifer and Maya dive into the real reasons behind workplace burnout and what healthcare teams can do about it. From overloaded coders and overwhelmed managers to providers stretched thin, we explore what it takes to create a culture that not only survives—but thrives.

You'll learn:

• How to recognize the early signs of burnout

• W...

Hosts:

• Jennifer McNamara – Founder of Healthcare Inspired LLC, expert in compliance, coding, and revenue cycle management.

• Maya Turner – Owner of Turner Expert Consulting, passionate about helping practices thrive through expert guidance and simplified solutions.

  
  

Episode Summary:
In this episode, Jennifer and Maya bust some of the biggest myths surrounding payers. From payment delays to the misconceptions about small c...

Episode Summary:

In this episode of Practice Perfect Podcast, we break down the most overlooked yet crucial aspects of payer contracts. Are you leaving money on the table? Do you know when to negotiate, push back, or walk away? We’re diving into the must-know contract terms, red flags to watch out for, and insider tips to ensure you’re getting the best deal.

From understanding your leverage to why you should treat contracts like rela...

Episode Summary:

In this episode of Practice Perfect Podcast, we dive into the crucial role of quality assurance in coding and audits. Our guest, Robin Ingalls- Fitzgerald, joins us to discuss common coding errors, the impact of compliance, and why strong auditing processes are essential for healthcare organizations.

From modifier 25 and 59 issues to the challenges of telehealth, we uncover why consistent education, collaboration, an...

Episode Summary:

Medicare Advantage plans come with their own set of rules when it comes to prior authorizations and coverage determinations. If you’re navigating the complex world of Medicare Advantage compliance, this episode is for you!

Jennifer and Maya are joined by Richelle Marting to break down:
✅ How prior authorization requirements differ from traditional Medicare.
✅ Key regulatory updates practices need to know.
✅ ...

Episode Summary:

The healthcare revenue cycle is evolving fast, and staying ahead of the curve is essential for financial success. In this episode, Jennifer and Maya welcome Vanessa Moldovan to break down the biggest trends, challenges, and opportunities in Revenue Cycle Management (RCM) for 2025.

From payment models to automation, we’ll explore how practices can adapt and thrive in an ever-changing landscape. Whether you're a pr...

Efficiency is the key to a successful healthcare practice. In this episode, Jennifer and Maya share practical strategies to optimize workflows, eliminate inefficiencies, and improve team collaboration. From identifying bottlenecks to leveraging technology, this discussion will help you create a smoother, more productive practice without adding unnecessary stress to your team.

🔹 Identifying Workflow Bottlenecks:

• Common inefficien...

In the first episode of Practice Perfect, Jennifer and Maya team up to guide listeners through the essential steps for launching a successful medical practice. From compliance to team-building, this episode is packed with actionable advice to ensure your practice starts off on the right foot. 

Key Topics Covered: 

• The Essentials of Practice Start-Up: Licensing, compliance, and credentialing basics.  Choosing the right software an...