Operations journal
Field notes on running the business behind the medicine
Practical, experience-backed writing on revenue cycle, credentialing, staffing, service line launches, and the operating discipline that keeps independent practices profitable.
Latest articles
Practical operations guidance for independent practices
Six field notes drawn from two decades running practice operations across multi-specialty hospitals and independent medical groups. Each piece is written to be read in ten minutes and acted on the same week.
The Hidden Cost of Credentialing Delays
A new provider waiting ninety days for credentialing is not just an inconvenience — it is salary, overhead, and lost panel revenue compounding weekly. Here is how to run credentialing like a calendar, not a hope.
Reading Your Denial Queue: A 30-Day Triage Plan
Most practices work denials oldest-first and wonder why cash does not move. A thirty-day triage by dollar value, payer, and root cause turns the queue from a swamp into a system.
When to Renegotiate Your Billing Vendor Contract
If your billing contract has not been opened in three years, you are almost certainly overpaying and under-served. A renegotiation is not a fight — it is a reset of expectations, metrics, and fees.
Launching an In-House Imaging Line: A Pro Forma Checklist
In-house imaging can capture revenue leaking to outside facilities — or it can become a six-figure capital sink. The difference is a disciplined pro forma and an honest volume forecast.
Staffing Ratios That Actually Track Visit Volume
Static staffing grids are why practices are overstaffed on Tuesdays and drowning on Mondays. Build ratios that flex with real visit volume and the overtime line disappears.
The Weekly Scorecard Every Practice Owner Should Read
A practice owner who cannot see the operation in ten minutes is flying blind. Here is the one-page weekly scorecard that tells you whether the week was won or lost.
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