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Private Practice Survival Guide

Author: Brandon Seigel

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This podcast is all about empowering you to create the change you want to see in your practice. As a private practice strategist, I have dedicated my career to transforming the way that healthcare functions.


Brandon Seigel, President of Wellness Works Management Partners, is an internationally known private practice consultant with over fifteen years of executive leadership experience. Seigel's book "The Private Practice Survival Guide" takes private practice entrepreneurs on a journey to unlocking key strategies for surviving―and thriving―in today’s business environment. Now Brandon Seigel goes beyond the book and brings the same great tips, tricks, and anecdotes to improve your private practice in this companion podcast.


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135 Episodes
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Send us a text In this episode, you’ll learn why exempt salaries often fail in private practices—even when they look like a clean solution for predictable payroll. The episode breaks down what “exempt” actually means under the Fair Labor Standards Act (FLSA) (fixed salary, no overtime eligibility, and strict duties tests) and why many practice owners unintentionally create risk by using “salary” as a shortcut instead of a compliance-based classification. You’ll hear the most common failure po...
Send us a text Most leaders think payroll is a simple math problem. This conversation breaks down why it is more complex—and why the way you classify, pay, and structure your team directly impacts profitability, valuation, retention, and culture. From the real differences between W-2 employees and 1099 contractors to exempt vs. non-exempt rules, the episode clarifies what “Uncle Sam gets paid either way” actually means and why a contractor-heavy model can limit the value of a business. You wi...
Send us a text Do personality tests actually translate into real-world performance—or are they just another hiring trend? In this episode, we break down how personality assessments, when used correctly, can become a powerful predictor of performance, retention, and team effectiveness. The conversation explores why conscientiousness consistently emerges as one of the strongest predictors of success in modern performance models, and why high-performing organizations avoid hiring “yes people” in...
Send us a text In this Private Practice Survival Guide episode, Brandon Seigel explains how personality assessments become truly useful when you treat them as decision-grade data—not labels. He reframes assessments as a way to understand patterns in thoughts, feelings, and behaviors, and clarifies a common misunderstanding: someone can be introverted and still enjoy extrovert activities, but that doesn’t mean those activities won’t exhaust them. The leadership takeaway is simple—don’t confuse...
Send us a text We break down why the future of effective marketing is no longer transactional, but transformational. Rather than chasing one-time conversions, the conversation reframes marketing as a trust-based, value-driven process built on dialogue, collaboration, and genuine human connection.We explore how shifting the question from “How do I sell to you?” to “Why would you want to succeed with me?” changes outcomes entirely. By focusing on creating real results for clients, brands can de...
Send us a text Relationship-based marketing is not about sounding polished—it’s about sounding human. In this episode, we break down what separates genuine relationship marketing from transactional “used car salesman” tactics, and why trust, consistency, and customer experience are the real growth levers. You’ll learn how people make decisions when they feel valued, and why marketing becomes truly effective when you can apply data and insights to create relevance for the customer. We unpack w...
Send us a text In this episode of the Private Practice Survival Guide, Brandon Siegel breaks down why the “another day, another dollar” mindset quietly limits growth—and how reframing progress changes everything. Instead of chasing outcomes alone, this conversation focuses on why progress over attainment creates stronger teams, healthier motivation, and more sustainable performance inside private practices. We explore how small wins compound into powerful feedback loops, why recognizing emplo...
Send us a text Most employee goal systems fail for one simple reason: they measure output, not purpose. In this episode we break down why people don’t disengage from work—they disengage from work that feels meaningless. Real performance doesn’t come from pressure or metrics alone; it comes from alignment, ownership, and visible progress in both life and work. This conversation challenges the idea that employees should only have goals tied to company KPIs. Instead, it explores how personal goa...
Send us a text Strategies for Evaluating a Trailing KPI breaks down how private practice owners can use historical performance data to make smarter, more confident business decisions. In this Private Practice Survival Guide quick-tip episode, Brandon Siegel explains what trailing KPIs are, how they differ from leading indicators, and why metrics like revenue per session, collection rate, net profit margin, patient acquisition cost, and appointment arrival rates are essential for evaluating op...
Send us a text If you’re making decisions based on “how it feels” instead of what your financial data is actually saying, this episode will reset your approach. We focus on a practical, operator-friendly way to evaluate your past financial analytics—so you can spot trends, tighten performance, and plan the next quarter (and year) with clarity. We break down how to look at historical revenue and expense patterns, identify what’s driving profit (and what’s quietly eroding it), and use key metri...
Send us a text In this quick tip episode of The Private Practice Survival Guide, Brandon breaks down the real reason most private practices fail a HIPAA compliance audit: they don’t realize how easily PHI can be exposed—often in ways that can be interpreted as gross negligence. From front-desk conversations and sign-in sheets to visible computer screens, unsecured paper charts, and unencrypted communication, Brandon explains how common “everyday” workflows create preventable compliance risk. ...
Send us a text HIPAA compliance can feel like a moving target for private practice owners—but most violations don’t come from “bad intent.” They come from gaps in training, inconsistent workflows, and unsecured handling of Protected Health Information (PHI). Brandon breaks down the most common HIPAA pitfalls seen across clinics—what creates real risk, what regulators look for (including the “gross negligence” standard), and how to build repeatable safeguards that reduce exposure without paral...
Send us a text In this quick-tip episode of the Private Practice Survival Guide, Brandon breaks down the real cost of Ego-Driven Leadership—and what it takes to replace “my way” management with Group-Oriented Leadership built on trust, shared accountability, and better decision-making. Using practical examples (including how a one-size-fits-all change can damage Client Experience), he explains how ego erodes morale, suppresses innovation, increases turnover, and fuels burnout. You’ll learn ac...
Send us a text In this episode of the Private Practice Survival Guide, Brandon breaks down the most common leadership flaws hurting today’s private practices—and how they quietly drive burnout, turnover, low morale, and declining client experience. He outlines practical, real-world issues leaders face: lack of clear vision and role-based accountability, micromanagement, poor delegation, low emotional intelligence, resistance to change, inconsistent decision-making, weak conflict resolution, a...
Send us a text Identify your biggest growth red flags before they become practice-ending problems. In this Quick Tip episode of the Private Practice Survival Guide, Brandon Siegel breaks down the most common private practice growth liability indicators and how to get ahead of them: cash flow gaps, overreliance on a single payer, rushed hiring, weak financial runway, poor delegation, lack of compliance awareness, burnout, underutilized technology, and a declining patient experience. You’ll lea...
Send us a text This episode breaks down how to determine whether your private practice is truly ready for growth by focusing on sustainable, data-driven decision making. Brandon explains that rapid expansion can erode profitability if your payer mix, margins, staffing, or infrastructure can’t support it, and that organic growth often outperforms rushed acquisitions. He outlines how to assess market demand, analyze KPIs, review financials, understand your patient census, evaluate risk, and dec...
Send us a text In this quick tip episode Brandon dives into the critical strategies for empowering your change management stakeholders. From patients and employees to vendors and family members, every stakeholder plays a vital role in driving meaningful change within your practice. Brandon shares proven techniques for involving stakeholders early in the process, equipping them with the tools and training they need to succeed, and celebrating their contributions. He introduces innovative ideas...
Send us a text Change is uncomfortable—but decisive leadership is what keeps a private practice growing instead of falling behind. In this episode, we break down how to make smarter decisions, build a change-ready culture, and eliminate the resistance that slows your practice down. You’ll learn how to create a clear vision, use data to guide decisions, prepare patients and staff for operational shifts, and run a simple SWOT process before making any major move. From navigating new technology ...
Send us a text This quick-tip episode breaks down the blueprint for building a high-efficiency insurance eligibility system that actually works—before the chaos of January hits. Brandon reveals the annual VOB strategy top practices use to stay ahead: forming a dedicated verification task force, running preseason workflow simulations, batching by payer, gamifying team performance, using standups and dashboards, and applying smart tools like APIs and AI phone verification. He walks through how ...
Send us a text The new year hits—and suddenly every practice is drowning in deductible resets, wrong eligibility data, billing surprises, and frustrated patients. This episode gives you the exact playbook to fix it. Brandon breaks down how to streamline insurance verification, prevent surprise bills, batch your workflow by payer, re-engage patients discharged for benefit exhaustion, and protect revenue during the most chaotic month of the year. You’ll learn how to under-promise and over-deliv...
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