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 stack together

• Why CMS is treating every non-E&M service as a "secondary procedure" — and what that does to bundled reimbursement

• How to run your 12-month revenue baseline and identify your high-dollar procedure exposure

• The 60-day comment period: how to make your voice count with CMS

• Where AI helps (and where it absolutely does NOT replace certified coders and compliance experts)

• The OBGYN global package overhaul — new prenatal risk coding and Medicaid trimester considerations

• Payer contract renewals and December-to-January care overlap

🎬 Plus — Lights, Camera, Healthcare! We're breaking down The Devil Wears Prada 2 and the leadership lessons hiding in plain sight.

✅ Action items: Pull your Medicare baseline. Audit your OBGYN workflows. Submit comments during the CMS window. And whatever you do — protect your coding, compliance, and education budgets.

🎤 Coming up: Maya Turner presents on Independent Dispute Resolution (IDR) at the AMBA Association conference.

👥 About your hosts:

Jennifer McNamara — Founder of Healthcare Inspired, specializing in revenue cycle optimization, compliance, and provider education.

Maya Turner — Founder of Turner Expert Solutions, coding, billing, and IDR subject-matter expert.

Subscribe for more practical, no-fluff healthcare operations education from Healthcare Inspired and Turner Expert Solutions.

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 leaders can modernize operations, build resilient teams, and drive sustainable revenue performance without losing sight of the people, providers, and patients at the center of it all.

Our guests discuss the real challenges orthopedic leaders face: modifier accuracy and coding complexity, prior authorization bottlenecks, ASC expansion strategy, implant vendor negotiation, provider education, and how to bring AI into your practice the right way. Most importantly, they explore how leaders can support their teams through change, foster psychological safety, invest in career growth, and turn frontline staff into champions of transformation.

Whether you're running a practice, ASC, or health system, this conversation will reshape how you think about revenue cycle leadership in 2026 and beyond.

Guests: Sandy Giangreco Brown & Sonal Patel
From: Bone & Joint Summit 2026
Hosted by: Healthcare Inspired | Remote Healthcare Consulting & Education

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 and allowables confuse patients (and what to do about it)

✓ How every healthcare worker needs basic revenue cycle literacy—not just billing staff

✓ The real reason the No Surprises Act hasn't solved surprise bills

✓ How physicians can navigate insurance requirements without gaming the system

✓ Why AI in healthcare communication is creating new trust problems

✓ Young adults and medical debt: an emerging crisis

✓ How to place staff in roles where they actually succeed

✓ Why employer investment in education pays dividends

This conversation reveals that financial transparency isn't a billing problem—it's a leadership and communication problem. When everyone from front office to clinical staff understands the revenue cycle, patients feel more prepared, less betrayed, and more likely to trust your practice.

Perfect for practice leaders, revenue cycle professionals, clinical staff, and anyone working to improve patient experience and practice performance.

Elizabeth Johnson — CEO of MedicoCX, serving 600+ community-based providers across 50 states. Passionate about medication access, healthcare advocacy, and building organizational competency around patient financial communication.

📍 Connect with Elizabeth: https://www.linkedin.com/in/ej-biologics/

• Financial literacy is a team sport, not a billing department function
• Patients need education about chargemasters, allowables, and EOBs to understand their bills
• Transparency builds trust; avoidance builds resentment
• Technology enhances communication but shouldn't replace human connection
• Employee development is a competitive advantage in healthcare recruiting

Attend the Healthcare Advocate Summit (September, Vegas) to connect with like-minded healthcare professionals focused on patient advocacy, financial transparency, and healthcare transformation.

📌 Learn More: https://www.healthcareadvocatesummit.com/

Healthcare Inspired helps medical practices, hospitals, and ambulatory surgery centers optimize operations and strengthen performance through practical consulting, education, and professional development.

Listen now and discover how better communication creates better patient outcomes and healthier practice finances.