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20/20 MONEY

Adam Cmejlawww.integratedpwm.com
20/20 MONEY, hosted by Certified Financial Planner and experienced Wealth Adviser Adam Cmejla, aims to bring clarity to financial concepts and strategies that impact optometrists. For more information on the show and on Adam, please visit https://www.integratedpwm.com/
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Episodes

The in's and out's of billing and coding with Dr. John Rumpakis, OD, MBA

Welcome to this episode of 20/20 Money! In this episode, we have a special guest joining us, Dr. John Rumpakis. Dr. Rumpakis is a medical coding consultant for OD’s, and founder of CodeSAFEPLUS, which gives you the knowledge and factual data you need to be safe, compliant, and profitable in today’s healthcare environment. Today Dr. Rumpakis will walk us through a step-by-step process for optimizing practice revenue, including identifying the right CPT codes, setting appropriate prices, and lever...

Oct 16, 20231 hr 2 minEp. 258

When succession planning and partnerships are strained...what's the next best step?? (with Nathan Hayes of IDOC)

Welcome to this episode of 20/20 Money! My guest on today’s show is Nathan Hayes with IDOC . Nathan joins me back on the show to revisit a topic that we’ve discussed in the past but is worth revisiting on another episode: partnerships. Nathan and I share both of our experiences and thoughts about practice partnerships at all stages of their lifecycle: before, during, and towards the end of a partner’s career. We talk about how partnerships can be formed and structured, each of our thoughts on th...

Oct 09, 202353 minEp. 257

Successful implementation of VT in your practice with Dr. Heidi Bell

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Heidi Bell, OD, FCOVD. Heidi is a partner in Elite Eyecare , which houses Elite Vision Therapy within the practice and joins me on the show to talk about the success and passion she has for vision therapy and how following that passion has led to incredible success in the practice and fulfillment for her—personally and professionally. This was a very enjoyable conversation and we start off by talking about her journey in pra...

Oct 02, 20231 hr 3 minEp. 256

The financial profession is "clear as mud." Let's clarify fiduciary duty vs suitability standards, the different business models, & conflicts of interest

As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to subscribe to our monthly “planning life on purpose” newsletter that’s filled with tips and ideas to help you plan life on purpose. You can also set up a Triage conversation to learn a little bit more about how we serve in the capacity of a personal and professional CFO: helping OD practice owners around the coun...

Sep 25, 20231 hr 7 minEp. 255

Investing in your team, the importance of culture and purpose, what ODs can learn from dentistry, and focusing on the long-term with Dr. Andy Yaryan, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Andy Yaryan, OD . Andy and I have a great and wide-ranging conversation. Andy shares why his culture has been so important to his success and demonstrative ways in which he measures culture in his practice, why focusing on the two things every human wants can be instrumental in productive team members, a number of lessons he's learned by being involved in a dental practice coaching program, and other best practices that have...

Sep 18, 20231 hr 13 minEp. 254

Making the right decisions and avoiding mistakes with commercial real estate with Mike Jorgenson of Carr Healthcare Realty

Welcome to this episode of 20/20 Money! My guest on today’s show is Mike Jorgenson with Carr Healthcare Realty . Mike joins me on the show to discuss all things real estate and optometric practices and we discuss many different aspects of real estate. We talk about evaluating the location of your practice, buying vs leasing, the timeline for buildouts, why it’s a mistake to just call the number that’s in the window of a space for lease, the size of space to consider when thinking through the gro...

Sep 11, 20231 hr 20 minEp. 253

Overrated and underrated practice management metrics in the business of optometry with Dr. Matt Mitchell

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Matt Mitchell, OD. Matt joins me back on the show to put a light-hearted spin on some of the traditional practice benchmarks that are used in the profession. He talks about benchmarks that he feels are a bit over-rated in their use and dependency and which complementary benchmark that could be used that is under-rated, but still very impactful in helping you know the KPIs (key performance indicators) of your practice that ca...

Sep 04, 202351 minEp. 252

Building a "Super-single" vs a multi-location practice: a conversation with Dr. Julie Helmus & Mike Kogelis

Welcome to this episode of 20/20 Money! My guests on today’s show are Mike Kogelis & Dr. Julie Helmus, OD. Mike and Julie join me on the show to talk about the growth of each of their respective businesses—Mike as the co-owner with his wife Dr. Rasa Tamulavichus of Big City Optical , a 17 location practice in the greater Chicagoland area and Dr. Julie Helmus, the G2 owner of Helmus Optometry , a super-single location in Davis, California. In this enjoyable conversation, we talk about the min...

Aug 28, 202354 minEp. 251

Finding out what brings you joy and fulfillment at work and what frustrates you...and removing that from your life with Dr. Pete Kehoe, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Pete Kehoe, OD. This intro is packed with great info, so I hope you’ll listen to the entirety of it before jumping forward to the conversation. Pete and I share in a great conversation focused around one of the more important facets that impact a successful and cohesive practice: ensuring you have the right team members in the right roles within the practice doing work that they are inherently great at doing. We have this co...

Aug 21, 20231 hr 8 minEp. 250

How ignoring interest rate arbitrage and focusing on the emotion of paying off debt can accelerate savings and wealth creation with Dr. Matt Mitchell, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Matt Mitchell, OD. Matt joins me back on the show in response to a very thoughtful piece of feedback he sent me about his view on debt and money after listening to a number of episodes of the show. Matt’s been a long-time listener of the show and has also been a guest a number of times. I really appreciated Matt sending the feedback and rather than dialogue about it 1:1, I thought his viewpoint would make for a very enjoyabl...

Aug 07, 202348 minEp. 248

Why it's wrong to think you should get a discount to buy into the practice you've worked in as an associate

Welcome to this episode of 20/20 Money! On today’s episode I share some insights and experience as to why there can be a disconnect between owner and associate when it comes to establishing a buy-in price on a practice in which the associate has been working. This misalignment of value happens all-too-often and I’m hoping that this conversation can give you insights as to what both parties are thinking compared to what is correct and fair. As a reminder, you can get all the information discussed...

Jul 31, 202341 minEp. 247

How utilizing a streamlined hiring service can help save time and money by ensuring the right people are on the bus with Dr. Mike Neal, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Mike Neal, OD. Mike owns both a private practice in rural PA and is also the founder of Build My Team , a platform intended on helping practice owners nationwide simplify and streamline the hiring process for non-OD team members. Mike joins me to talk about how he flipped hiring on its head for his practice and how he’s built an entirely different service and process to help ODs hire the best candidates for their practice to...

Jul 24, 20231 hr 25 minEp. 246

The importance of tracking frame turn for profitability in your optical with Kayla Ashlee

Welcome to this episode of 20/20 Money! My guest on today’s show is Kayla Ashlee. Kayla is the creator behind Spexy, an online training platform that’s built to help independent ODs and their teams make the most out of their optical and empower them to embrace change in their practice. Kayla joins me back on the show to talk about the importance of tracking frame turnover in your optical and how important it is to track that data and what it can mean for your numbers. We also talk about pricing ...

Jul 17, 202355 minEp. 245

Seeing the business of optometry through a CFO lens: a conversation with Jackson Pace

Welcome to this episode of 20/20 Money! My guest on today’s show is Jackson Pace. Jackson joins me on the show today to talk through his journey working for a growing and thriving practice as a CFO and the lessons he’s observed along the way that he’s helping apply to the work that he does with practice owners around the country. We talk about when he thinks a practice is ready for a full-time CFO, the biggest challenges in understanding the cash flow of a practice, the cadence of reviewing fina...

Jul 10, 20231 hr 6 minEp. 244

Think you can sell your practice for a higher value based on potential? Think again.

Welcome to this episode of 20/20 Money! On this episode I talk about the importance of having a multi-year timeline when deciding to sell your business and why factoring your practice’s perceived or actual potential into the valuation isn’t a strategy that’s going to actually show up in the value of your practice.. As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure...

Jul 03, 202328 minEp. 243

Buying into the family practice and modernizing it with Dr. Julie Helmus, OD Pt. 2

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Julie Helmus, OD. This is part 2 of my conversation with Julie and in this episode, we dive deeper into the deal structure of buyer her parent’s practice, how it was funded, the current org chart of the practice, and some of the pieces of tech that they are using to manage a practice as large as theirs. Julie is also gracious in sharing some detailed numbers of her practice and we talk about the trajectory of the practice go...

Jun 26, 20231 hr 5 minEp. 242

Buying into the family practice and modernizing it with Dr. Julie Helmus, OD Pt. 1

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Julie Helmus, OD. Julie joins me on the show to share her journey into practice ownership as the G2 owner of Helmus Optometry (IOW, buying her parent’s practice). She shares the journey that she went through as a partial owner, navigating perceived nepotism in the practice during the acquisition process, her decision to keep it a “super single” as opposed to growing into multiple locations, and the importance of having an ex...

Jun 19, 202357 minEp. 241

Understanding and setting pricing in your practice that are fair and profitable with Dr. Chris Wolfe, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Chris Wolfe, OD. Chris joins me on the show to share in a conversation about how ODs can think about pricing the different services provided in the practice and how to frame that conversation with your patients, how ODs can think about researching their pricing on medical procedures, how to think about scheduling in your practice to be as efficient with OD hours as possible, 4 questions to consider asking every pt as it rela...

Jun 12, 202352 minEp. 240

Establishing, building, and nurturing culture in your practice (and why it's so important!) with Matt Curts

Welcome to this episode of 20/20 Money! My guest on today’s show is Matt Curts . Matt has a long and storied career. As a long-time CFO, he has a lot of experience working on businesses through the numbers. But, as Matt continued to lean into his passion and purpose, he realized that purpose and the pursuit of purpose is not limited to just a few but should be possible for everyone. He made the decision to leave corporate life and move into a ministry position within his church for four years, w...

Jun 05, 20231 hr 15 minEp. 239

Partnerships and the importance of a good buy/sell agreement with Ali Oromchian

Welcome to this episode of 20/20 Money! My guest on today’s show is Ali Oromchian . Ali joins me back on the show to talk about a not-too-common but very important part of any partnership: the terms and conditions of the buy/sell agreement that essentially is a part of every partnership. The extent to which the terms of the buy/sell are explicitly documented, however, can be wide-ranging. In this conversation, Ali and I define a buy/sell, how they work, some of the key elements of a buy sell, wh...

May 29, 202347 minEp. 238

Buy vs Build Convo #2: purchasing a low-revenue optometric practice vs cold starting with Nathan Hayes of IDOC

Welcome to this episode of 20/20 Money! My guest on today’s show is Nathan Hayes with IDOC. Nathan joins me back on the show to give another perspective around the question I asked Erich on last week's episode: how should a potential buyer/future owner look at lower-revenue private practices and whether it's better to buy a "fixer upper" vs cold starting their own practice. This was another spirited conversation filled with anecdotal examples of what can go right and wrong when purchasing practi...

May 22, 202352 minEp. 237

Buy vs Build Convo #1: purchasing a low-revenue optometric practice vs cold starting with Erich Mattai

Welcome to another episode of 20/20 Money. My guest on today's show is Erich Mattai with Akrinos. My conversation with Erich is essentially one of two conversations that I had with two different guests (the second guest/conversation will be next week's episode), all focused around one question: what should someone do if they're considering buying (or selling) a low-revenue private practice. To put context around this number, we're talking about private practices that are grossing somewhere betwe...

May 15, 202337 minEp. 236

The 3.5 tools of leadership for optometric practice owners with Dr. Ted McElroy, OD

Welcome to this episode of 20/20 Money. My guest on today's show is Dr. Ted McElroy, OD. Ted's become a good friend and collaborator over the years and there are few individuals that I've met that are more vocal and passionate about communicating the importance of developing leadership skills to private practice owners. In today's conversation, Ted and I go through an abridged version of the presentation that he presented at Vision Expo East titled "The 3.5 tools of leadership." Ted also walks u...

May 08, 202346 minEp. 235

Nurturing culture in a practice when the seller stays on in the practice they just sold w/ Dr. Mick Kling, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Mick Kling, OD ( Mick’s Practice , info on Mick’s Impact Leadership business ). Mick joins me on the show today to talk about the balance and “passing of the torch” from the seller to the buyer if the seller decides to stay in the practice and work post-sale and what that means for the culture of the practice. We talk about the idea of high power/low power positions of authority, the difference between direct and indirect co...

May 01, 20231 hr 7 minEp. 234

How tiny improvements compound your practice's financial success: a conversation with Dr. Bethany Fishbein from The Power Practice

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Bethany Fishbein, host of the Power Hour podcast and CEO of The Power Practice . Bethany joins me on the show to talk about how making tiny improvements in your practice and lead to remarkable financial results in your practice. This is another conversation had through the filter of what James Clear talks about in his book Atomic Habits, but this time Bethany shares ideas and concepts from the practice management point of vi...

Apr 24, 20231 hrEp. 233

Inside the methods and mindset of a highly efficient, highly profitable private practice with Dr. Todd Cohan, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Todd Cohan, OD ( email ; website ). Todd joins me back on the show to unpack the success that his practice had in 2022 and what made it his best year in practice—both in quality of work as well as profit margin. We cover a lot of different areas in this conversation, including his continued expanding scope of care that he’s providing to his patients, how he evaluates and makes decisions on new technology and equipment to add...

Apr 17, 202351 minEp. 232

LIVE at IDOC Connection!! Practice profits, household budgets, and personal wealth w/ Nathan Hayes

Welcome to this episode of 20/20 Money! This was a very special episode of 20/20 Money, as it not only was live on location at IDOC Connection 2023 in Orlando with Nathan Hayes but also done in front of an audience with a Q&A session towards the end of the conversation. Nathan and I talked about practice profits and household budgets and how to build personal wealth through the business of optometry. We discuss the cadence of distributions from the business to satisfy your personal budgetary...

Apr 10, 202354 minEp. 231

How optometrists can use last year's tax return to proactively plan for the coming year

In this episode, we'll talk about how you can use information from last year's tax return to plan proactively for the coming year. This approach can help you save money on taxes and avoid common mistakes and, as an optometric practice owner, take more agency over your cash flow during the course of the year. As a reminder, you can get all the information discussed in today’s conversation by visiting our website at integratedpwm.com and clicking on the Learning Center. While there, be sure to sub...

Apr 03, 202341 minEp. 230

$600k+ of student loans...GONE!! Catching up with Drs. Zac and Joelle Holland, OD

Welcome to this episode of 20/20 Money! My guests on today’s show are Drs. Zac & Joelle Holland, OD. Zac and Joelle join me back on the show to celebrate something that I know many younger ODs aspire to achieve and a number of seasoned ODs have already achieved: the paying off of their student loans. What makes their story so unique, inspiring, and empowering is the amount of student loan debt they had and how quickly they paid it off. This is essentially “Part 2” of our conversation as I ha...

Mar 27, 20231 hr 11 minEp. 229

Investing beyond the business of optometry: a conversation with Dr. Pete Kehoe, OD

Welcome to this episode of 20/20 Money! My guest on today’s show is Dr. Pete Kehoe, OD . Pete joins me back on the show to talk through his journey as an investor when overlayed on top of his professional journey as a practice owner. He shares examples of successful and not-so-successful investments that he’s made, resources and platforms that have helped him become a more informed and educated investor, how he thinks about assets vs income, and how he thinks about the business of optometry rela...

Mar 20, 202353 minEp. 228
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