Share

The Dave Kittle Show
Part 2: Maximizing Practice Value With Optimized Revenue Cycle Management (RCM) with Robert Kowalick
A scalable and profitable health practice relies heavily on efficient revenue cycle management. What right strategy do you need to apply in your practice in order to unlock significant value, enhance your profit margin, and create a solid foundation for lasting generational wealth? How will you create a well-structured revenue management system that can help your business not only increase its purchase price but also build solid physical therapy practice?
This week's The Dave Kittle Show episode, Dave Kittle continues his last conversation with Robert Kowalick. Robert is the founder of Revenue Cycle Solutions, LLC. His professional purpose is to help PT and OT private practice owners maximize the value of their private practice. Revenue Cycle Solutions has evolved from a billing service to a revenue cycle management partner to business intelligence data provider through its unique utilization of time based data to identify and quantify practice operational revenue risks. Through the use of the Practice Data Solutions platform he created through his other company, Ascend Solutions, they turn the medical billing process into a billing intelligence tool.
Connect with Robert via email at rmk@certifiedrsllc.com or learn more on his website at https://www.certifiedrsllc.com/.
Listen to or Watch Part 1:
- Apple Podcast: http://bit.ly/3PQN7c2
- Spotify: https://spoti.fi/3ro6zTv
- YouTube: https://youtu.be/eR6b1x2z0QE
In this episode, they will touch on such topics as:
- Improving Cash Flow through Billing and Coding: The different strategies and techniques to enhance these processes, and highlighting the importance of efficient billing systems to overall business profitability.
- Increasing Margin for Billing Companies: The key to boosting profit margins for billing companies lies in optimizing processes and leveraging data in strategic ways.
- The Link Between Revenue Cycle and Practice Value: How timely and accurate payments play a vital role in defining the overall worth of a business.
- Maximizing Revenue and Conversion Rates: The practical tips and strategies to enhance these crucial components of your business practice.
P.S. Subscribe, rate, and review Here
Connect with him on:
Email: Dave@Conciergepainrelief.com
Instagram: @davekittle
LinkedIn: https://www.linkedin.com/in/davekittle/
or
Call (646)-781-8884
More episodes
View all episodes

414. The $70,000 Patient Most Clinics Miss
28:28||Ep. 414Some patients are worth $250… others are worth $70,000. Most clinics can’t tell the difference.Today I will break down one of the biggest missed opportunities in your healthcare business and that is identifying your highest-value patients early.Some patients come in for a few visits and disappear. Others stay for years, refer friends and family, and generate tens of thousands in revenue.Now the question is can you spot them before it’s obvious?Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – Spotting High Value Patients[01:13] – Three ways clinics earn[02:21] – Defining the 70k patient[03:21] – Psychology Meets Economics[04:10] – Frequent flyers question[05:09] – Rewards And Loyalty[06:49] – Who Stays For Years[09:57] – Three patient avatars[10:40] – Identity Builders And Referrers[14:38] – Avatar Two Connector[16:30] – The question asker avatar[17:34] – Answering Builds Trust[18:22] – Never Fake An Answer[18:54] – Same Day Red Carpet Experience[19:47] – Framing The Handoff to Your Team[21:27] – Exclusive Access Metaphors[23:07] – Speakeasy Experience[24:37] – Don’t Judge By Appearances[26:20] – High value client examples--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
413. Why Most Clinics Lose Patients (And Don’t Know It)
35:44||Ep. 413Most clinic owners think they have a marketing problem…But the real issue?They’re losing patients they already worked hard to get.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – Retention Over Acquisition[01:47] – Can't have your cake and eat it too[02:47] – Premium Pay Expectations[03:28] – Exclusivity And Side Gigs[04:10] – Career Ladders to Keep Talent[05:21] – Effort Beats Talent[06:55] – Radio Layoff Story[09:25] – Cutting Dead Weight Lessons[11:15] – Screening And Interview Questions[14:16] – Patient Retention After Departure[17:46] – Why We Avoid Honest Ratings[18:42] – The 73K Client Story[19:33] – Therapist Rapport Risk[20:56] – Brand Loyalty Beyond Staff[23:41] – Big Companies vs Personal Touch[24:40] – Finding Future VIP Clients[25:52] – Learning Requires Stakes[27:00] – Call In[29:37] – Digital Tools Over Trinkets[34:38] – Parting Shots What’s been harder in your clinic:A) Getting new patientsB) Keeping the right ones👇 Drop A or B below--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
412. We Had to Let a Therapist Go (Here’s What Happened)
29:52||Ep. 412Running a clinic isn’t just about getting patients, it is about building the right team.Join me and Jimmy as we break down a real situation where a physical therapist wasn’t meeting expectations… and what led to the decision to let them go.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – No Excuses Culture[01:38] – Trust Economy Shift[02:03] – Are PTs Adapting[03:25] – Therapist Resigns [04:43] – A Staffer Creates Content[06:00] – Keeping Patients Through Turnover[08:49] – Corrective Plan Breakdown[15:05] – Accountability Reset[15:30] – Clarifying Roles Early[16:07] – When Owners Need to Step In[17:48] – Quiet Quitting Warning Signs[18:15] – No Shows and Dropoffs tracking[19:20] – Leaky Bucket Problem[20:10] – Baseball Slump Analogy[21:28] – Patient Care Standards Broken[23:13] – Part Time Job Conflict[25:05] – Moonlighting And Pay Incentives[27:09] – Resignation Over Termination[28:01] – Corrective Plan Refusal--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
411. AI Is Becoming the New Referral Source
29:48||Ep. 411What if I told you… Patients are already using AI to choose their physical therapist… and you don’t even know it’s happening?On this episode, we will break down how tools like ChatGPT are quietly becoming the new referral source and why some patients are now bypassing traditional healthcare pathways entirely.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – Filter Patients[01:38] – Be The AI Answer[01:53] – AI Leads And Self Pay[03:13] – Intent Behind Prompts[04:04] – Inception Theory[05:25] – Get To No Faster[06:07] – Word Of Mouth 2.0 AI[06:18] – How Did We Search[07:19] – Snap Photos and Ask Questions to AI[08:26] – Master Prompt Questions[09:20] – The AI Knowledge Gap[10:27] – AI Threat To Providers[11:16] – Barrier To Knowledge Gone[12:29] – Coaches Still Matter[15:36] – Concierge Community Model[16:01] – Shared Enemy Marketing[17:08] – Fight Pain [19:29] – Finding The Real Enemy[26:25] – Fitness Brands And Enemies[28:04] – Parting Shots--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
410. Transform Conversations Into Patients
27:33||Ep. 410PT isn’t broken…But your revenue model might be.Today, we break down how podcasts can actually generate patients, why content is becoming the new sales funnel, and the real opportunity behind affiliate products and live selling. We also dive into how AI is already sending patients to clinics without you even realizing it and what that means for the future of your business.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – AI Footprint [01:41] – Podcast Funnel Setup[02:53] – TRT GLP1 Niche Angle[03:31] – Podcast As Sales Call[04:28] – Jeremy Sutton Proof of concept[05:06] – Dave On Warm Outreach[06:55] – Direct Outreach vs Long Play[07:46] – Interview The Ideal Client[08:19] – Hyper Tactical Setup[08:50] – Zoom Format Questions[09:10] – Finding Guests Dream 100[10:28] – GLP1 Referral Partners[11:09] – Serendipity Marketing Lesson[12:28] – Podcast As Amplifier[13:32] – Conquer First Episodes Fear[15:16] – Lowering Stakes Workshop[16:17] – Mailbag AI Referral Story[17:26] – How AI Picks You[22:17] – Frequency and Content Moat[23:42] – Using AI For Local Search[24:57] – Checking Your AI Reputation[25:53] – Alexa Test And Sources--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
409. PTs Are Leaving Money on the Table… Here’s Why
31:52||Ep. 409Why is every other profession cashing in on Products and OUR industry is scared?Today, we break down a massive opportunity most clinicians are completely ignoring.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:50] – Amazon Live Selling Demo[03:30] – Why Platforms Reward Attention[04:25] – Simple Marketing Framework[05:29] – Facebook Group Are Goldmine[09:26] – Clinician Monetization Blueprint[12:25] – Affiliate Lists and Trust[13:20] – Focus vs Diversification Debate[18:04] – Platform Creator Diversity[19:01] – Peloton Vibe Analogy[19:41] – Revenue Share Umbrella[20:34] – Radio Lesson Personality[21:40] – Course Remix Mindset[25:20] – Shark Tank Pitch [27:53] – Parting Shots--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
408. The Future of PT Clinics? Selling Products Live
29:03||Ep. 408Most physical therapists think their only product is treatment.But what if clinics should also be selling recovery tools, equipment, and experiences the same way fitness influencers and brands do?We also explore how clinics could combine products + services into a new kind of business model.Because the next generation of physical therapy might not just be about treatment…It might be about trust, authority, and the ability to show people what actually works.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[01:26] – What Arrived in Boxes[02:25] – Deal to Test Live Selling[03:19] – Premium vs Cheap[04:49] – Why People Pay More[06:44] – Selling Features vs Vibes[07:08] – Brand Value Examples[08:06] – Shoes and Status Symbols[09:25] – Kids Sports Buying Choices[10:08] – What Are You Buying[10:41] – Category Creators vs Copycats[11:21] – Live Selling Script Strategy[11:55] – Thrift vs Aesthetic[12:58] – Where Do You Splurge[14:45] – Logistics of the Hyperice Deal[16:28] – Proof of Concept to Scale[17:40] – Bundling Product with Service[20:54] – Scaling Live Sales Playbook[24:38] – Platforms and Affiliates👇 Question for PTs and clinic owners:Would you ever sell recovery products directly to your patients?--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
407. How PTs Can Grow on Social Media (Without Being Influencers)
31:41||Ep. 407Most physical therapists think social media is “marketing.”It’s not.Your eval is already structured like a viral video but you just don’t see it yet.Watch as we break down why PTs may secretly be the best content creators on the planet, how clinics can grow using organic social media, and why consistency and frequency matter more than perfect content.The clinics that win next won’t just treat better…They’ll capture attention better.Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – Engagement Juice Mindset[01:33] – Why you need to follow local pros?[02:05] – DM Only Mutuals[02:48] – Dan Martell DM Script[03:31] – Real Referral Stories from DMs[05:50] – Make DMs Sound Human[08:02] – how to stand out at events[10:10] – ManyChat Automation Tips[11:00] – Warm Up With Likes[12:09] – Public Comments Strategy[13:24] – Playful Engagement Stories[17:22] – Show vs Tell Marketing[18:41] – Social proof proves your value[20:00] – Eval Flow as Viral Content[20:53] – Hooks Clinicians Already Use[23:05] – Copy The Format Not The Person[23:57] – Handling Haters and Comments[27:36] – Ignore Or Use Comments[29:11] – Parting Shots --Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884
406. Social Media Marketing 2026
28:25||Ep. 406Most PTs are chasing “more patients” on Instagram…but the real game in 2026 is attention.We break down why physical therapists might secretly be some of the best content creators on the planet and how your PT eval already follows the same structure as a viral video. You just haven’t looked at it that way yet!Watch more from PT Pintcast →https://www.youtube.com/@PTPintcast---EPISODE BREAKDOWN[00:00] – Why PTs Win The Content Game[02:45] – What To Post In 2026[04:56] – Know Your Audience First[05:48] – Frequency Is The Lever[07:27] – Why Ten Posts A Day?[08:29] – Jimmy’s Weekly Posting Pattern[09:22] – Why AI Clip Tools Fall Short[10:29] – Avengers Format Example[13:16] – Clinic Clips And Monetization[14:12] – Training The Algorithm[15:52] – Organic Reach And Patience[18:16] – Scheduling Tools Vs Manual Posting[24:08] – Relax And Use Simple Formats[24:30] – Final Advice--Want to Connect with Dave?Book a strategy call:https://clarity.fm/davekittle/expertise/physical-therapy-merger-acquisitions-valuations-healthcare-marketing-salesThinking of selling your practice or partnering?https://www.fieldmakergroup.comConnect with Dave:Email: Dave@Conciergepainrelief.comInstagram: @davekittle https://www.instagram.com/davekittle/LinkedIn: https://www.linkedin.com/in/davekittle/orCall (646)-781-8884