Hi Reader Last week I walked through the hidden costs of running your practice on tools that weren't built for healthcare — compliance gaps, tech failures, after-hours admin, the whole picture. A few of you wrote back. The common thread: I know something needs to change. I just don't know where to start. That's exactly what I want to talk about today. Most clinicians aren't bad at tech. They're just doing the wrong job. You trained to provide care. Somewhere along the way you also became your...
10 days ago • 2 min read
Hey Reader, Here's something almost every small practice gets wrong: They price out a Telehealth visit by what they can see. Their time. The platform fee. Maybe add a little for overhead. What they don't price is the cost of running healthcare on tools that were never built for it. That cost is real. It's steady. And for most solo and small-group practices, it's meaningfully larger than the line items already on the books. The DIY stack isn't free. It just bills you in a different currency....
17 days ago • 2 min read
Hi Reader What's taking up too much of your time? Greetings from the gate ✈️ By the time you read this, I'll be somewhere over the country on my way to the American Telemedicine Association annual conference in Orlando, FL. Every year I come back with a notebook full of ideas — and the most useful ones aren't the keynotes. They're the small, practical shifts you can plug into a Monday morning schedule. This week's issue is simple: a quick AI primer that's especially useful if you're running a...
about 1 month ago • 3 min read
Hey Reader, Short and Sweet this week. Last week I asked you to name the single biggest drain on your time or revenue right now. If you were looking for solutions, The Exhibit Hall and all of the possible solutions at NATCON last week was overwhelming. Many of you know that you are overworked, understaffed and could be doing better and helping more patients, but you don't know where to start. The responses came in fast. And while the specifics varied — no-shows, billing denials, documentation...
about 1 month ago • 1 min read
Hi Reader Secure Telehealth I'm writing this from Denver. I'm at NatCon26 — the National Council for Mental Wellbeing conference — and I've spent the last day in rooms full of behavioral health providers, practice owners, and care leaders. Smart people. Dedicated people. And the thing I keep hearing, over and over, isn't about clinical protocols or patient outcomes. It's something along the lines of "I don't know which technology to trust." OR "How do I pick?" or "Should I switch?" The vendor...
about 2 months ago • 2 min read
Hi Reader -Dan Mountain Last week I asked you to think about Chronic Care Management and Revenue Cycle Management. Many responses involved learning how added collections can help your practice and many of you are interested in learning how to get more of the revenue back that you have earned. Today we are starting a 3 week series on Billing and Reimbursement because denials are becoming more and more of an issue for Telehealth Providers. Let's face it, Payers are using AI to deny more often,...
about 2 months ago • 3 min read
Hey Reader, Here's something I see constantly with small mental health and wellness practices: They set up Telehealth during COVID, it worked "well enough," and now it's just... there. A way to keep patients happy. What it's not being used as is a revenue tool. That's a missed opportunity — and it's more common than you'd think. When your virtual care setup is actually dialed in, a few things happen: You stop losing patients to friction. A clunky intake process, a platform that confuses...
2 months ago • 1 min read
Hi Reader What's taking up too much of your time? Last week I asked you to write down the one task you do manually, repeatedly, and kind of dread. A lot of you replied. And I want you to know — I read every single one. The answers fell into two buckets, administrative work and keeping patients engaged. Not your clinical work, It's the administrative grind that follows. That's not a coincidence. And it's not a personal failing. It's a systems problem — and there are tools built specifically to...
2 months ago • 3 min read
Hi Reader What's taking up too much of your time? Last week I asked you to write down the one task in your practice week that you do manually, repeatedly, and kind of dread. A lot of you wrote back. Scheduling follow-ups. Chasing no-shows. Sending intake forms by hand. Re-explaining the same billing issue to the same insurance companies. The answers were different but the tone was almost identical across every reply: yeah, I know. I've known for a while. That's actually the more interesting...
2 months ago • 3 min read