Optimizing Fee for Service with Medical Billing Expert Heather Signorelli, DO

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Many thanks to Heather Signorelli, DO, for joining me on The Art of Medicine with Dr. Andrew Wilner. Heather is a practicing pathologist and owner of a medical billing company. Heather’s interest in medicine and business began at an early age. Her father was an obstetrician for his entire career, and her mother was involved in hospital management.


At medical conferences, physicians who struggled with running their offices frequently asked Heather for help and inspired her to start her company. Heather began her medical billing business with her husband five years ago. Currently, she supervises 70 employees and assists 200 physician practices in collecting payments for their services. 


The current complexity of the number of carriers, plans, and rules conspires to prevent physicians from receiving prompt reimbursement for their services. The industry average is 40 days to get paid, although Heather’s company tries to shorten this considerably. Heather explained the top 3 things that physicians can do to improve collections. 


During our 30-minute discussion, we explored the growing concept of the Concierge Practice, which is a cash-based model. We also addressed the role of AI in streamlining office procedures and controlling overhead.


Micro-practices, as presented on this program by Kara Pepper, MD, on August 31, 2025, (   • Success in Solo Practice! an interview wit...  ) are another option to traditional insurance-based practices. Both Dr. Pepper and Dr. Signorelli have studied with business guru and pediatrician (https://www.bing.com/videos/riverview...)


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