Tuesday, August 11, 2026

Destiny Moore Wouldn’t Stop Asking Questions. What Legaci Harris-Moore’s Rare Diagnosis Can Teach Us About the Future of Medical Billing

What if the biggest problem in healthcare isn't a lack of data—but our inability to recognize the signal hiding inside it?



“Nobody sees you as a whole person.” — Lucy McBride, MD, Beyond the Prescription, a Washington, D.C.-based, board-certified internal-medicine physician and patient-advocacy writer. She is known for emphasizing whole-person, patient-centered care and better communication between doctors and patients.


At two months old, Legaci Harris-Moore began doing something that frightened her mother, Destiny Moore.

Her eyes sometimes turned inward.

Later, they rolled upward and appeared to get stuck.

Legaci was also struggling with developmental milestones.

Destiny was a first-time mother.

She did what many parents do.

She asked questions.

Some tests came back normal.

But the answers didn't explain what Destiny was seeing.

So she kept asking.

Eventually, genetic testing revealed that Legaci had ELP2-related disorder, an extraordinarily rare genetic neurological condition with fewer than 30 reported cases in the medical literature, according to reporting by Signal Akron. There is no established cure, and physicians are still learning about the condition.

At Akron Children's, Dr. Carrie Costin, director of genetics, had never personally treated a patient with the disorder.

Dr. Matthew Ginsberg, a pediatric neurologist, became part of the multidisciplinary care team.

Rachel Larkin, a physical therapist, worked with Legaci as she began early intervention.

And Destiny kept advocating.

At eight months, Legaci was gaining better head control, nearing independent sitting and beginning to hold her bottle.

There is a lesson here that has almost nothing to do with rare disease.

It is about signals.

Destiny saw one.

The healthcare system initially didn't know what it meant.

That distinction matters.

Because modern healthcare has no shortage of data.

It has a shortage of meaningful signal detection.

And nowhere is that more obvious than in medical billing.


The uncomfortable question physicians should be asking

What if your practice is already telling you where it is losing money?

What if the clues are sitting inside your claims?

What if your denials are not random?

What if your payer behavior has changed?

What if your documentation patterns are producing predictable financial consequences?

What if your staff knows exactly where the friction is—but nobody has connected all the pieces?

And what if the problem isn't that your practice needs more billing reports?

What if it needs someone—or something—to notice the pattern?

That is a very different way to think about medical billing.

And it is why I believe the next generation of revenue-cycle technology should not begin with:

“How can we automate billing?”

It should begin with:

“What is the practice failing to see?”


Medical billing has been asking the wrong question

For decades, the dominant question has been:

Did we get paid?

That question is necessary.

It is not sufficient.

A physician-owned practice should also ask:

Why did we get paid?

Why weren't we paid?

Why was the payment different?

Why did the claim require rework?

Why did this payer behave differently?

Why did this happen again?

Those questions move billing from transaction processing to intelligence.

And that shift is overdue.


Medical billing is not primarily a billing problem.

It is an information problem disguised as a billing problem.

Think about what happens after a patient encounter.

The physician creates documentation.

Someone translates that documentation into codes.

A claim is created.

The claim moves through a clearinghouse.

A payer adjudicates it.

A remittance comes back.

Someone posts the payment.

A denial may appear.

Someone works the denial.

An appeal may be filed.

Eventually, money arrives.

That sounds like one process.

It isn't.

It is a chain of disconnected information systems.

And every handoff creates an opportunity for information to disappear.

That is where money leaks.


The hidden irony of healthcare technology

Healthcare has spent billions digitizing information.

Yet physicians still spend enormous amounts of time trying to find the information they need.

We have EHRs.

Practice-management systems.

Clearinghouses.

Payer portals.

Revenue-cycle platforms.

Analytics tools.

Eligibility systems.

Prior-authorization platforms.

Coding software.

Denial-management systems.

And now AI.

Yet many practices still cannot answer a basic question:

Where exactly are we losing revenue?

That should bother us.

Because if we cannot see the leak, we cannot reliably fix it.


The industry loves dashboards

I am increasingly skeptical of dashboards.

Not because dashboards are bad.

Because a dashboard can create the illusion of control.

A practice receives a beautiful report.

Denial rate: 6.4%.

Days in A/R: 47.

Net collection rate: 94%.

Clean claim rate: 96%.

Everyone nods.

Then someone asks:

“Why?”

Silence.

The numbers are there.

The explanation isn't.

That's the difference between data visibility and decision intelligence.

A dashboard tells you what happened.

Intelligence helps you understand what deserves attention.


The Legaci lesson applies here

Destiny Moore didn't need another dashboard.

She needed someone to recognize that the available information did not explain what she was seeing.

That is what made her persistence valuable.

She wasn't simply asking:

“Is this test normal?”

She was asking:

“Does this explanation make sense?”

Physicians do this constantly.

You see the patient.

You review the labs.

You consider the history.

You notice something doesn't fit.

You investigate.

That is clinical reasoning.

Why don't we use the same mindset in practice operations?


Your billing data has a clinical history

Imagine treating your revenue cycle like a patient.

The claim is the symptom.

The denial is a finding.

The payer response is another finding.

The payment is an outcome.

The historical claim data is the longitudinal record.

The question becomes:

What is the diagnosis?

Maybe it is a documentation problem.

Maybe it is a payer-policy issue.

Maybe it is a workflow failure.

Maybe it is an authorization problem.

Maybe it is a coding inconsistency.

Maybe it is an underpayment pattern.

Maybe it is a combination.

The point is this:

You shouldn't treat every denial as an isolated event.

Some denials are symptoms of a larger condition.


The biggest billing mistake may be fixing the claim instead of fixing the cause

Let's say 100 claims are denied for the same reason.

Your team works all 100.

Ninety are eventually paid.

The practice celebrates a 90% recovery rate.

But nobody asks why the 100 claims were denied.

Next month, another 100 appear.

This is what I call administrative Groundhog Day.

The organization gets better at recovering from the same failure.

It never becomes better at preventing the failure.

That distinction could be worth more than another percentage point in collection rate.


Revenue recovery versus revenue intelligence

These are not the same thing.

Revenue recovery asks:

“How do we get this claim paid?”

Revenue intelligence asks:

“Why did this claim fail?”

Revenue recovery is reactive.

Revenue intelligence is preventive.

Revenue recovery measures effort.

Revenue intelligence measures patterns.

Both matter.

But if your organization spends most of its energy recovering from problems it could have prevented, you have an efficiency problem.


The statistics tell a bigger story

Administrative burden is not a minor annoyance.

The American Medical Association has repeatedly documented the burden physicians face from prior authorization and other administrative requirements.

The AMA has reported that physicians complete approximately 40 prior authorization requests per week, with significant physician and staff time consumed by the process. Previous AMA surveys found 95% of physicians reporting that prior authorization contributes to burnout.

The AMA's more recent survey also found limited physician confidence that insurer commitments to improve prior authorization would substantially reduce the burden.

These numbers are often presented as an argument for administrative reform.

They should also be understood as an argument for better information architecture.

Because administrative burden grows when humans repeatedly perform tasks that machines could organize, prioritize, or detect.

The goal should not be to eliminate humans.

It should be to stop wasting them.


The physician attention tax

We talk about taxes on income.

We should talk more about the attention tax.

Every unnecessary:

Phone call.

Portal login.

Claim review.

Documentation clarification.

Denial appeal.

Payer follow-up.

Spreadsheet.

Email.

Manual reconciliation.

takes something from the practice.

Sometimes it takes money.

Sometimes it takes staff morale.

Sometimes it takes physician time.

Sometimes it takes attention away from patients.

The last one is the most expensive.

Because attention is not infinitely scalable.


The true cost of a denial is not the dollar amount of the denial.

It is:

lost revenue + staff time + physician time + delay + opportunity cost + future repetition.

A $150 denial that takes 30 minutes to resolve may cost more than $150.

And if it happens 500 times a year, the real cost becomes substantial.

Yet most systems measure the denial as a transaction.

They do not measure the organizational friction around it.

That is a blind spot.


Why “AI will replace billing” is the wrong pitch

I understand why companies make the pitch.

It is catchy.

It sounds transformative.

It attracts attention.

But I don't think it is the right vision.

Healthcare is too complicated.

Coding has exceptions.

Documentation has context.

Payer policies differ.

Clinical judgment matters.

Compliance matters.

Contracts matter.

And occasionally the machine will simply be wrong.

The better question is:

Where should AI assist, and where should humans remain accountable?

That is a much more interesting question.


AI should find the needle

Not become the doctor.

Not become the coder.

Not become the compliance officer.

Not become the practice manager.

AI should help identify:

What deserves attention?

That could mean:

“This claim looks unusual.”

“This payer's denial behavior changed.”

“This procedure is being reimbursed differently than expected.”

“These claims share the same failure pattern.”

“This documentation issue is recurring.”

“This A/R category is deteriorating.”

“This payment appears inconsistent with historical behavior.”

The system surfaces the signal.

The human investigates.

That is a far safer and more useful model.


The human should decide what the signal means

This is especially important in healthcare.

A machine can recognize a pattern.

A human must understand context.

That is why human-in-the-loop design is not a temporary compromise.

It is likely to remain essential.

Recent research on automated medical coding illustrates this point. AI systems can be useful for extracting and structuring coding information, but generating highly accurate and specific codes remains challenging, particularly across complex clinical situations. Human oversight remains important.

That should not discourage innovation.

It should make us more disciplined about where we deploy it.


The future isn't autonomous billing

I don't think the future of medical billing is:

AI does everything.

I think it is:

AI watches everything. Humans decide what matters.

That is a subtle difference.

But it could change the economics of practice management.


What physicians should measure instead

Forget the temptation to track everything.

Start with a handful of questions.

1. What is our denial rate?

Useful.

But incomplete.

2. What causes our denials?

Much more useful.

3. Which causes repeat?

Now we are getting somewhere.

4. Which payer creates the most friction?

Useful.

5. Which services create the largest payment variance?

Very useful.

6. Which problems require physician intervention?

Extremely useful.

7. Which problems could have been prevented upstream?

That is the question I would build a company around.


The five signals every practice should watch

Signal 1: Repeated denials

One denial is an event.

Repeated denials are a pattern.

 

Signal 2: Unexpected payment variation

If the same service produces materially different payment outcomes, investigate.

Do not assume.

Measure.

 

Signal 3: Documentation friction

If the same type of clarification repeatedly reaches the same physician, something upstream may need attention.

 

Signal 4: Growing aged A/R

A/R aging is not merely a finance metric.

It can be a signal of workflow breakdown.

 

Signal 5: Staff rework

This may be the most overlooked metric.

Ask your billing staff:

“What task do you hate doing because you have to do it over and over?”

Then listen.

That answer may reveal your next automation opportunity.


Three expert lessons

Dr. Carrie Costin: Rare disease requires collaboration

The Legaci story shows what happens when a physician encounters something rare.

The answer may not exist inside one clinician's memory.

It may require literature.

Research networks.

Specialists.

Genetic information.

Therapists.

And the patient's family.

Lesson for medical billing:

When a problem crosses organizational boundaries, no single system may contain the answer.

Integration matters.


Dr. Matthew Ginsberg: Think beyond the individual encounter

Multidisciplinary care recognizes that one clinician cannot solve every aspect of a complex patient's needs.

Lesson for operations:

Your billing problem may not actually belong to billing.

It may originate in scheduling.

Authorization.

Documentation.

Coding.

Payer configuration.

Or contracting.

If you only look at the billing department, you may miss the cause.


Destiny Moore: Listen to the person closest to the problem

Destiny's experience may be the most important lesson of all.

The person closest to the problem often sees something others cannot.

In medicine, that person may be a parent.

A patient.

A nurse.

A front-desk employee.

A biller.

A practice manager.

A physician.

The hierarchy of healthcare should never become the hierarchy of information.

The person with the signal deserves to be heard.


The question most CEOs don't ask their billing staff

If I were walking into a physician-owned practice tomorrow, I wouldn't start with the CEO.

I'd start with the person doing the work.

I'd ask:

“What keeps breaking?”

Then:

“What do you keep fixing manually?”

Then:

“What do you know that the software doesn't?”

Those answers could be more valuable than a six-month consulting engagement.

Because frontline workers live inside the exceptions.


The technology gap is often a workflow gap

A practice might say:

“We need better AI.”

Maybe.

But sometimes the real problem is simpler.

Nobody owns the process.

Nobody reviews payer trends.

Nobody compares expected versus actual reimbursement.

Nobody analyzes denial root causes.

Nobody follows up on recurring problems.

Nobody turns lessons into workflow changes.

Buying technology before fixing ownership is like buying a faster ambulance without deciding where the hospital is.


What OnnX is trying to change

The idea behind OnnX is not that physicians need another billing dashboard.

They need a better way to understand what is happening between the clinical encounter and the payment.

The long-term vision is an intelligent layer connecting:

Clinical documentation → coding → claims → payer behavior → denials → payments → compliance → forecasting

The purpose is not to remove people.

It is to reduce unnecessary friction between them.

The technology should help answer:

What happened?

Why did it happen?

Is it recurring?

How much does it matter?

Who should look at it?

What can we do next?

That is a much more useful form of AI.


The practice should become a learning system

Imagine if every denial taught your organization something.

Imagine if every underpayment became a data point.

Imagine if every successful appeal updated your understanding of payer behavior.

Imagine if documentation issues became visible before claims were submitted.

Imagine if your practice could identify a deteriorating trend before it showed up in the quarterly financial statement.

That is what a learning revenue cycle looks like.

It does not merely process transactions.

It learns from them.


But there is a warning

Don't confuse intelligence with automation.

A system can be highly automated and completely unintelligent.

It can move bad information faster.

It can generate thousands of alerts nobody reads.

It can produce beautiful reports nobody acts on.

It can automate the wrong process.

Automation without judgment is just faster confusion.

That may be the most important sentence in this entire article.


The legal line cannot be ignored

Any serious discussion of AI-powered billing must include compliance.

Healthcare organizations must consider:

HIPAA

Accurate coding

Medical necessity

Documentation integrity

Payer contracts

False Claims Act risk

Anti-kickback rules

Stark Law where applicable

State-specific requirements

Data security

AI governance

The worst possible AI billing system would be one that makes aggressive recommendations without adequate controls.

A system should never encourage unsupported coding.

It should never manufacture documentation.

It should never confuse optimization with compliance.

The objective is:

appropriate reimbursement for appropriate care, supported by appropriate documentation.

Nothing more.

Nothing less.


The ethical question

Here is the question I want healthcare founders to ask:

If the AI makes the practice more profitable but makes the physician less attentive, did we actually improve healthcare?

I don't think so.

Technology should ultimately protect the human relationship at the center of medicine.

That includes protecting physician attention.

It includes reducing unnecessary administrative work.

It includes helping practices remain financially sustainable.

And it includes respecting the patient.

The patient should never become secondary to the revenue cycle.


What I would do in a practice tomorrow

Not next year.

Tomorrow.

Step 1: Pull the last 90 days of denials.

Rank them.

 

Step 2: Identify the top five causes.

Ignore the long tail for now.

 

Step 3: Find the repetition.

Which denial occurs again and again?

 

Step 4: Trace each denial upstream.

Where did the failure originate?

 

Step 5: Quantify the cost.

Include:

Lost reimbursement

Staff time

Physician time

Delay

Appeal effort

Opportunity cost

 

Step 6: Fix one problem.

Not ten.

One.

 

Step 7: Measure the result.

Did the problem decline?

If yes, standardize the improvement.

If no, investigate again.


Don't start with AI

This may sound strange coming from an AI founder.

But here it is:

Don't start with AI.

Start with the problem.

Then ask whether AI is the best tool.

Sometimes it is.

Sometimes a better workflow is enough.

Sometimes a rules engine is better.

Sometimes a human needs to make the decision.

Sometimes the problem is simply bad data.

Technology should serve the workflow.

Not the other way around.


The emerging opportunity: predictive billing

Today, much of revenue-cycle management is reactive.

A claim is denied.

Then someone acts.

The next generation should be more predictive.

Before submitting a claim, the system could potentially identify patterns suggesting elevated risk.

Before a payment is posted, it could identify unusual variance.

Before A/R becomes a problem, it could identify deterioration.

Before a physician repeatedly receives the same query, the organization could identify the pattern.

The goal is simple:

Move intervention upstream.

That is where the real leverage exists.


From reactive billing to preventive billing

Traditional:

Encounter → claim → denial → work

Better:

Encounter → intelligence → exception → intervention → claim

Even better:

Encounter → learning → prevention → clean claim → appropriate payment

That is the direction I believe the industry should move.


Why independent practices need this more than large systems

Large health systems can absorb inefficiency.

They have departments.

Analytics teams.

Revenue-cycle executives.

IT resources.

Consultants.

Independent practices usually don't.

A physician-owned clinic may have:

One practice manager.

A small billing team.

A front desk.

Several clinicians.

And a mountain of payer rules.

The smaller the organization, the more valuable attention efficiency becomes.

That is why intelligent automation could matter enormously for independent medicine.

Not because small practices need more technology.

Because they need less wasted effort.


The biggest opportunity may not be more revenue

This is another point I would challenge.

Healthcare technology companies often sell revenue growth.

But physician owners may care just as much about something else:

predictability.

Knowing what is coming.

Knowing where the problems are.

Knowing which payer is changing.

Knowing which workflow is failing.

Knowing how much cash is likely to arrive.

Knowing where the practice is exposed.

Predictability creates confidence.

Confidence changes decisions.

That may be more valuable than chasing another percentage point of collections.


A better definition of practice growth

Growth is not simply:

More patients.

More visits.

More revenue.

A healthier definition is:

More value created with less unnecessary friction.

That can mean:

Better patient access.

Better physician time.

Better staff retention.

Better documentation.

Better collections.

Better predictability.

Better margins.

Better patient experience.

Technology should support all of those.


The future belongs to connected information

The next major healthcare advantage may not come from another isolated application.

It may come from connecting information that already exists.

Clinical.

Financial.

Operational.

Payer.

Patient.

The winner will not necessarily be the company with the most AI.

It may be the company that creates the clearest context.

Because context turns information into decisions.


A final lesson from Destiny and Legaci

Destiny Moore didn't give up when the first answer was “normal.”

She recognized that normal was not the same thing as explained.

That distinction should be printed on the wall of every medical practice.

A clean claim is not necessarily a healthy revenue cycle.

A high collection rate is not necessarily an efficient practice.

A low denial rate is not necessarily proof that nothing is wrong.

A dashboard is not necessarily insight.

An AI model is not necessarily intelligence.

And a normal number is not necessarily the end of the investigation.

Sometimes the most important question is simply:

“Does this make sense?”

That is where curiosity begins.

That is where clinical reasoning begins.

And perhaps that is where the next generation of healthcare operations should begin too.


Final Thoughts: Stop Looking at the Number. Look for the Signal.

The story of Destiny Moore and Legaci Harris-Moore is ultimately a story about persistence.

A mother noticed something.

She questioned the explanation.

She kept looking.

Eventually, the system found the signal.

Physician-owned practices face a different version of the same challenge every day.

The signal is already there.

It may be in your denials.

Your payments.

Your A/R.

Your payer behavior.

Your documentation.

Your staff's frustration.

Your physician's inbox.

Your patients' administrative experience.

The question is whether you are looking for it.

Because the future of medical billing is not about processing claims faster.

It is about understanding the practice better.

It is about moving from:

transactions → patterns

patterns → insight

insight → action

action → prevention

That is where technology becomes genuinely useful.

And that is where I believe physician-led healthcare has an opportunity to take back something it cannot afford to lose:

attention.

Attention to the patient.

Attention to the practice.

Attention to the signals that tell us when something isn't working.


Get Involved: Ask the Question Others Aren't Asking

Here is my question for physicians and clinic owners:

What is your practice's “something doesn't make sense” moment?

The denial that keeps returning.

The payer that suddenly behaves differently.

The procedure that is consistently underpaid.

The workflow your staff has learned to work around.

The administrative task everyone accepts because “that's just how healthcare works.”

Tell me about it in the comments.

What are you seeing that the reports aren't telling you?

If you've solved one of these problems, share how.

If you're still trying to solve it, say so.

And if this article makes you think differently about medical billing, repost it so another physician or clinic owner can join the conversation.

Healthcare improves when we stop normalizing problems simply because they've been around for a long time.

Question the process. Find the signal. Fix the system.


Three Actions for Physician Leaders

Look closer. Your billing data may contain information your practice is not using.

Ask why. Don't stop at the denial, the payment, or the number. Find the pattern behind it.

Start upstream. The best revenue-cycle problem may be the one you prevent before the claim is ever submitted.


Frequently Asked Questions

Is AI going to replace medical billers?

Probably not in the way the marketing suggests.

AI is more useful as a force multiplier for experienced professionals than as a wholesale replacement for human judgment.

Should every medical practice adopt AI billing?

No.

The first question should be whether there is a measurable problem worth solving.

What should a practice automate first?

Start with high-volume, repetitive, rules-based tasks that consume significant staff time and carry relatively low clinical risk.

What should remain human?

Complex coding, compliance-sensitive decisions, ambiguous documentation, unusual cases, and situations requiring clinical or professional judgment should have appropriate human oversight.

What is revenue intelligence?

It is the ability to turn claims, documentation, payer, payment, and operational information into actionable understanding of how the practice is performing.

Why aren't denial reports enough?

Because reports tell you what happened.

They often don't tell you why it happened, whether the pattern is recurring, or what should happen next.

Should physicians care about medical billing?

Yes, but not by becoming billers.

Physicians should understand the major financial and administrative patterns affecting the sustainability of their practices.

What is the biggest mistake practices make?

Treating recurring operational failures as individual incidents.

If the same problem keeps appearing, it deserves a root-cause analysis.


Myth Busters

MYTH: A low denial rate means your billing operation is healthy.

Not necessarily. You may still have underpayments, missed charges, aged A/R, or other leakage.

MYTH: AI accuracy is the only thing that matters.

No. Workflow fit, explainability, security, compliance, escalation, and human oversight matter too.

MYTH: More automation is always better.

No. Bad automation can amplify bad processes.

MYTH: The billing department owns every revenue-cycle problem.

Often false. Problems can originate in scheduling, authorization, documentation, coding, contracting, or payer configuration.

MYTH: Financial optimization conflicts with patient care.

It can if done badly. But a financially healthy practice can sustain staff, technology, access, and patient care. The key is keeping clinical appropriateness at the center.


Practical Resources

Start with what you already have:

EHR data

Practice-management reports

Clearinghouse reports

ERA information

Denial reports

Payer portals

A/R aging

Contract schedules

Provider productivity reports

Then create a simple weekly review.

Ask five questions:

What went wrong?

How often did it happen?

How much did it cost?

Why did it happen?

What will we change?

You don't need a sophisticated AI system to begin thinking this way.

You need curiosity.


The Future Outlook

The next decade of medical billing will probably not be defined by one magical AI system.

It will be defined by the gradual movement from reactive administration to predictive intelligence.

Claims will become more connected to clinical context.

Payer behavior will become more measurable.

Documentation and coding workflows will become more integrated.

Exceptions will become easier to identify.

Human review will become more targeted.

Revenue forecasting will become more dynamic.

And physician-owned practices may finally gain something they have historically lacked:

a clear view of what is happening between the exam room and the bank account.

That is a worthwhile goal.

Not because money is more important than medicine.

Because financial clarity helps physicians keep practicing medicine on their own terms.


About the Author

Dr. Daniel Cham is a physician, healthcare technology consultant, and entrepreneur focused on the practical intersection of medical technology, healthcare management, medical billing, and practice operations.

As founder of OnnX, an AI-powered medical billing SaaS concept, Dr. Cham is exploring how intelligent technology can help small and medium-sized physician practices reduce administrative friction, improve revenue-cycle visibility, identify recurring problems, and make more informed operational decisions.

His perspective is grounded in a simple principle:

Healthcare technology should give physicians more clarity, not more complexity.

Connect with Dr. Cham on LinkedIn to learn more.


Disclaimer

This article is intended for general educational and informational purposes. It does not constitute medical, legal, coding, compliance, reimbursement, financial, or other professional advice.

Healthcare laws, regulations, payer policies, contracts, coding requirements, and reimbursement methodologies can change and may vary by circumstance.

Practices should consult appropriately qualified professionals before making decisions involving patient care, billing, coding, compliance, contracts, technology implementation, or legal risk.


Continue the Conversation

The most useful healthcare ideas often emerge where medicine, operations, technology, and human experience intersect.

For additional perspectives on healthcare innovation, medical billing, practice management, entrepreneurship, and the changing business of medicine:


Knowledge Drives Progress

Knowledge is useful when it changes what we notice.

What we notice changes the questions we ask.

Better questions create better decisions.

Start looking for the signals your practice has been generating all along.


A Resource for Physicians and Clinic Owners

I've placed a free resource in the Featured section of my LinkedIn profile.

No complicated funnel.

No unnecessary signup.

Just a practical resource you can use to think differently about practice operations, billing, and healthcare technology.

PS: Check the Featured section of my LinkedIn profile for the free resource and start there.


Join the Conversation

If this perspective resonates, repost the article so other physicians, clinic owners, and healthcare leaders can consider the same question:

What is your practice trying to tell you that you haven't noticed yet?

#MedicalBilling #HealthcareRevenueCycle #RevenueCycleManagement #PhysicianPractice #HealthcareManagement #MedicalPracticeManagement #HealthcareTechnology #HealthTech #HealthcareAI #MedicalCoding #ClinicalDocumentation #HealthcareInnovation #IndependentPhysicians #PhysicianEntrepreneur #PhysicianLeadership #PracticeManagement #HealthcareOperations #RevenueIntelligence #OnnX

 

Monday, August 10, 2026

Kiara’ Darvonne Bowling’s Story: The Patient Journey Doesn’t End When the Hospital Saves Your Life

What one Oakland patient’s long road to recovery reveals about the hidden connection between patient care, administrative friction, and the future of medical billing.



“The needs of the patient come first.” — Donald M. Berwick, MD, MPP, is a physician and healthcare-quality expert, co-founder of the Institute for Healthcare Improvement and former CMS administrator. His work centers on patient safety, healthcare quality, and patient-centered care.


What if we have been thinking about medical billing completely backwards?

On August 6, 2026, Kiara’ Darvonne Bowling was walking a dog in Oakland.

She was 31.

She was finishing her J.D. at California State University East Bay. She had recently returned from a summer program at Yale. She had also recently been selected as Miss California Regency International 2026.

She was building a future.

Then a car struck her.

In seconds, the future she had been working toward became uncertain.

Bowling suffered a brain bleed and multiple facial fractures and was taken to Highland Hospital. Her family says she faces multiple surgeries, extensive rehabilitation, transportation to appointments, and potentially a lifelong recovery. (People)

There is a detail in this story that I cannot stop thinking about.

The story does not end with the ambulance.

It does not end with surgery.

It does not end when the bleeding is controlled.

It does not even end when the patient leaves the hospital.

The real story begins afterward.

Physical therapy.

Specialists.

Follow-up care.

Prescriptions.

Transportation.

Insurance.

Authorizations.

Claims.

Bills.

Appeals.

Family members taking time away from work.

A patient trying to understand what happens next.

That is the part of healthcare we often hide behind the word administrative.

And I think that word has become a problem.

Because some of the things we call administrative are actually part of the patient's healthcare journey.


Here is my contrarian take

Medical billing is not merely a finance function.

It is a patient-continuity function.

That statement may make some healthcare executives uncomfortable.

Good.

It should.

Because we have spent decades separating the clinical side of medicine from the business side of medicine.

Clinical people care for patients.

Administrative people handle the paperwork.

Finance collects the money.

IT manages the systems.

Compliance watches the rules.

The payer processes the claim.

Everyone has a box.

But the patient has only one story.

And when those boxes do not communicate, the patient experiences the consequences.


The patient sees a story. We see transactions.

This is one of the biggest problems in modern healthcare.

A physician sees a patient.

The EHR records an encounter.

A coder assigns codes.

A claim is created.

A clearinghouse transmits it.

A payer adjudicates it.

A remittance arrives.

An employee posts the payment.

A denial enters a work queue.

A bill goes to the patient.

The system calls this a successful transaction.

The patient experiences something very different.

“I was injured.”

“I needed care.”

“I am trying to recover.”

“Why is my treatment delayed?”

“Why did I receive this bill?”

“Why does my doctor say one thing and my insurance company say another?”

“What happens next?”

That last question may be the most important one.


What if the biggest healthcare technology opportunity isn't another clinical tool?

Healthcare innovation loves the visible problem.

Cancer.

Imaging.

Surgery.

Diagnostics.

Drug discovery.

Remote monitoring.

AI scribes.

Clinical decision support.

All important.

But there is another enormous layer underneath healthcare:

the administrative infrastructure that determines whether the clinical work gets translated into sustainable care.

This layer is not glamorous.

It doesn't make headlines.

Nobody posts a dramatic product launch about correcting an eligibility error.

But multiply one small error by 10,000 encounters.

Now you have a business problem.

Multiply it across thousands of practices.

Now you have a healthcare problem.


The uncomfortable question for physicians

Here is the question I would ask every physician-owner:

If your practice could not collect what it earned for 90 days, how long could you continue caring for patients?

Thirty days?

Sixty?

Ninety?

Longer?

The answer tells you something about your practice.

A medical practice is not financially healthy simply because the physicians are busy.

It is not healthy because the waiting room is full.

It is not healthy because collections increased this month.

It is healthy when clinical work reliably becomes sustainable operating cash.

That is not greed.

That is infrastructure.

A clinic that cannot pay its nurses cannot provide nursing care.

A clinic that cannot retain staff cannot maintain continuity.

A clinic that cannot invest in equipment eventually compromises capacity.

A clinic drowning in administrative work has less attention available for patients.

So let's stop pretending that financial operations are somehow outside healthcare.

They are part of the machinery that keeps healthcare available.


The story behind the claim

Think about a patient who needs months of rehabilitation.

The patient's clinical journey might look like this:

Emergency care.

Specialist evaluation.

Imaging.

Surgery.

Follow-up.

Physical therapy.

Primary care.

Medication management.

Rehabilitation.

Then another specialist.

Then another appointment.

The administrative journey is just as complicated.

Eligibility.

Authorization.

Claim submission.

Claim status.

Payment.

Denial.

Appeal.

Secondary insurance.

Patient responsibility.

It is one patient.

But the system may treat the journey as dozens of unrelated transactions.

That is the disconnect.

Healthcare is longitudinal.

Billing systems are often transactional.

The opportunity is to connect them.


Recent News: Kiara’ Darvonne Bowling's story makes the invisible visible

Bowling's story has received attention because the circumstances were extraordinary and because the injuries were severe.

But the deeper reason it matters to healthcare professionals is more ordinary.

Her recovery requires more than emergency medicine.

It requires a network.

It requires time.

It requires rehabilitation.

It requires transportation.

It requires financial resources.

It requires family support.

And it requires coordination.

Her family's fundraising effort specifically identifies ongoing medical care, transportation, physical therapy, and possible future surgeries among the needs associated with her recovery. (People)

That is the real patient journey.

And it raises a question:

Why does our healthcare infrastructure remain so good at documenting encounters and so bad at preserving the entire story?


The first myth: “Billing is not patient care.”

I disagree.

Not because billing is clinical medicine.

It isn't.

But because the administrative system affects access, continuity, staffing, and financial stability.

Imagine a prior authorization delays treatment.

Is that “just administration”?

Imagine an incorrect eligibility record forces a patient to postpone an appointment.

Is that “just administration”?

Imagine a denial requires repeated calls and the treatment is delayed.

Is that “just administration”?

Imagine a physician leaves independent practice because administrative work has become economically unsustainable.

Is that “just administration”?

The label matters because labels influence priorities.

If we call something administrative, we may decide it can wait.

Sometimes it cannot.


The second myth: “A clean claim means we are doing well.”

No.

A clean claim is a useful metric.

It is not a complete diagnosis of your revenue cycle.

A practice can have a strong clean-claim rate and still suffer from:

Slow payment.

Underpayments.

Aging A/R.

Poor denial recovery.

Unworked claims.

Silent write-offs.

Secondary claims that are never filed.

Payer-specific friction.

High staff workload.

The question is not simply:

“Did the claim go out clean?”

The bigger question is:

“How reliably did clinical work become cash?”


The third myth: “We need more billing staff.”

Sometimes you do.

But first ask why.

If employees are repeatedly correcting the same problem, adding more employees may simply increase the cost of inefficiency.

Suppose a practice repeatedly submits claims with an eligibility problem.

One employee fixes it.

Another reviews it.

A biller resubmits it.

Someone checks the status.

Another person posts the eventual payment.

Five touches.

One preventable problem.

The industry calls this productivity.

I call it expensive repetition.

The better question is:

Why did the error reach the claim in the first place?


The fourth myth: “AI will solve RCM.”

No.

AI will solve some RCM problems.

It may also create new ones.

AI can identify patterns.

It can flag risk.

It can prioritize work.

It can automate repetitive tasks.

It can recognize anomalies.

It can help predict which claims deserve attention.

But AI cannot rescue bad processes simply because the software is intelligent.

Bad data + sophisticated AI = sophisticated bad data.

That is why I believe the real opportunity is upstream.


My thesis: billing is a data-quality problem

This is the idea behind much of my work with OnnX.

Billing is often a data-quality problem before it becomes a billing problem.

Think about the sequence.

The patient provides information.

The front desk enters it.

The clinician documents care.

The practice captures diagnoses and services.

The system creates the claim.

The claim is transmitted.

The payer evaluates it.

By the time the denial appears, the original mistake may be several steps upstream.

Yet the practice often attacks the denial at the end.

That is expensive.

The closer you move prevention to the source, the cheaper the correction usually becomes.

Prevent upstream.

Monitor continuously.

Escalate intelligently.

Recover selectively.

That is a better RCM philosophy.


The statistic physicians should pay attention to

The American Medical Association's 2025 physician survey found that 95% of physicians said prior authorization delays access to necessary care.

92% said prior authorization negatively affects clinical outcomes.

79% reported that patients abandon treatment because of authorization challenges.

And 26% said prior authorization had contributed to a serious adverse event, including hospitalization, permanent impairment, or death. (AMA)

Physicians and their staff reported spending an average of 13 hours each week dealing with prior authorization.

That is not a small administrative annoyance.

That is a workforce.


Another number worth knowing

The 2025 CAQH Index estimated that healthcare avoided approximately $258 billion in administrative costs through electronic transactions and improved data exchange.

But the same analysis identified another $21 billion in potential savings from further automation of manual and partially manual administrative transactions. (CAQH/GlobeNewswire)

That is the paradox.

Healthcare has automated enormous amounts.

And there is still enormous friction left.

So the question isn't:

“Does automation work?”

It clearly does.

The question is:

“Where should we automate next?”


Three expert perspectives

Don Berwick: the system exists for the patient

Berwick's work on healthcare quality repeatedly returns to a simple principle:

Patients are not components of the system. The system exists for them.

That sounds obvious.

But operational design often tells a different story.

When a staff member spends an hour correcting a preventable billing error, who benefits?

When a physician spends an evening dealing with an insurance issue, who benefits?

When a patient waits weeks because administrative work failed, who benefits?

The patient should be the test.


Atul Gawande: technical success isn't the whole outcome

Gawande's writing frequently examines the gap between medical capability and what people actually experience.

A technically successful procedure is not necessarily a successful healthcare journey.

The patient still has to live afterward.

That is why continuity matters.

The procedure is an event.

Recovery is a process.

Healthcare systems are designed heavily around events.

Patients live through processes.


Danielle Ofri: don't automate away the human being

Ofri has written extensively about listening and the gap between what patients say and what doctors hear.

That matters in the age of AI.

We should automate administrative friction.

We should not automate empathy.

We should not automate judgment where judgment is required.

We should not replace human conversation simply because a machine can generate text.

Automate the repetitive. Protect the relational.

That should be one of the foundational principles of healthcare AI.


The five-stage revenue cycle physicians should understand

Forget the complicated terminology for a moment.

Think about RCM as five stages.

1. Capture

Did we capture the right information?

2. Validate

Can we identify the problem before submission?

3. Submit

Did the claim leave correctly and on time?

4. Monitor

Do we know what happened afterward?

5. Recover

If something went wrong, are we acting intelligently?

Most traditional RCM systems become very active in stage five.

I would rather spend more energy in stages one and two.

Because:

Recovery is expensive.

Prevention is cheaper.


The 30-day physician-owner challenge

You do not need a million-dollar consulting engagement to start.

Try this.

Days 1–7: Find the leaks

Pull 90 days of data.

Look at:

Denial reasons.

A/R aging.

Payment delays.

Underpayments.

Write-offs.

Top payers.

High-value unpaid claims.

Don't fix anything yet.

Find the pattern.


Days 8–14: Rank the problems

Choose your top three.

Not ten.

Three.

Ask:

Which problem costs the most?

Which occurs most often?

Which is easiest to prevent?

Where do those three overlap?

That intersection is where you start.


Days 15–21: Remove human touches

For each recurring problem, ask:

Can eligibility be checked automatically?

Can the system flag missing information?

Can payer rules be applied before submission?

Can the claim be prioritized automatically?

Can payment variance be detected?

Can aging claims be escalated?

Can staff review exceptions instead of everything?

That is where technology should earn its place.


Days 22–30: Measure

Compare your baseline.

Did:

Denials fall?

A/R improve?

Payment time decrease?

Staff touches decrease?

Underpayments get recovered?

Cash improve?

If you cannot answer those questions, the project isn't finished.


The seven metrics I would watch

Forget the dashboard with 47 boxes.

Start with seven.

1. Days in A/R

2. 90+ day A/R

3. Preventable denial rate

4. Net collection rate

5. Average time to payment

6. Underpayment variance

7. Human touches per claim

That last one deserves special attention.

Because it measures friction.

And friction is expensive.


The metric most dashboards miss

Human touches per claim.

Imagine two practices.

Practice A gets a claim paid after one automated transaction.

Practice B gets the same claim paid after:

A phone call.

A correction.

A resubmission.

A status check.

A second follow-up.

A payment posting correction.

Both practices collected the money.

But they did not operate the same way.

One has a scalable system.

The other has a labor-intensive system.

Revenue alone will not show you the difference.

Touch count will.


Underpayments: the quiet leak

Everyone talks about denials.

Underpayments can be quieter.

A claim is paid.

The staff member posts it.

Everyone moves on.

But was the payment correct?

If expected reimbursement was $1,000 and the payer paid $850, the claim technically got paid.

But $150 remains unexplained.

Multiply that across thousands of claims.

Now you have a revenue opportunity.

That is why payment integrity should sit beside denial management.


The problem with “industry best practices”

Here's another contrarian point.

There is no universal best practice.

There are better practices for specific environments.

A dermatology practice is not a cardiology practice.

A solo physician is not a 300-provider group.

A Medicare-heavy practice is not the same as a commercially insured practice.

A rural clinic is not the same as an urban specialty group.

So don't ask:

“What is the best RCM workflow?”

Ask:

“What workflow produces the best outcome for our patients, our staff, our specialty, and our payer mix?”

Benchmarking is useful.

Copying is not.


What physicians should stop accepting

Stop accepting:

“That's just how insurance works.”

Stop accepting:

“Our billing company handles everything.”

Stop accepting:

“Our clean-claim rate is good.”

Stop accepting:

“We need more staff.”

Stop accepting:

“The payer denied it.”

Stop accepting:

“That's too small to worry about.”

Every one of those statements may be true.

But none of them explains the root cause.

The better question is always:

Why?


What physicians should start asking

Why did this claim fail?

Where did the error begin?

Could we have predicted it?

Could we have prevented it?

How many staff touches did it require?

How much did it cost to recover?

What happens if we multiply this by 10,000 claims?

Those questions change the conversation.


Legal implications: automation does not remove responsibility

AI and automation make RCM more powerful.

They also create governance obligations.

Practices need to consider:

HIPAA.

Data security.

Business associate agreements.

Coding compliance.

Documentation integrity.

Medical necessity.

Payer contracts.

Overpayments.

False Claims Act exposure.

Improper billing.

Timely filing.

Credentialing.

Patient financial communications.

The principle is simple:

The software can automate the workflow. It cannot automate accountability.

If an automated system makes a mistake, the practice still needs to understand:

What happened.

Why it happened.

What data was used.

What action was taken.

Who reviewed it.

How the problem was corrected.


Ethical considerations

There is a line between optimizing revenue and optimizing care.

It matters.

A system designed to improve reimbursement should never become a system that encourages inappropriate clinical decisions.

The physician's clinical judgment must remain independent.

The goal should be:

Accurate care.

Accurate documentation.

Accurate coding.

Accurate reimbursement.

Not:

“Find every possible way to increase the bill.”

That distinction is foundational.


Another ethical question: where do the savings go?

Suppose automation saves a practice $150,000.

What happens next?

Do you reduce staff?

Increase physician capacity?

Improve benefits?

Expand patient access?

Invest in cybersecurity?

Lower patient costs?

Fund better clinical equipment?

There isn't one correct answer.

But there should be a conversation.

Efficiency should create capacity, not simply demand more productivity from exhausted people.


Why I built OnnX

This is where my work as a physician and entrepreneur intersects.

I did not build OnnX because I believe physicians need another billing dashboard.

They don't.

They need fewer administrative headaches.

They need visibility.

They need earlier warnings.

They need cleaner workflows.

They need to know where revenue is at risk.

And they need technology that works with their practice instead of creating another layer of work.

The philosophy behind OnnX is straightforward:

Identify the problem early.

Automate what is predictable.

Surface what requires attention.

Keep humans in the loop where judgment matters.

Give the practice control of its own revenue-cycle intelligence.

That last point matters.

The physician should not have to ask a vendor:

“What is happening with my claims?”

The system should tell the practice.


Why eliminating middlemen is not really about eliminating people

I use the phrase “eliminate middlemen” carefully.

Not every third-party billing company is bad.

Many are excellent.

The problem is opacity.

If the practice cannot see what is happening, cannot understand why claims are failing, cannot measure performance, and cannot easily access its operational data, it becomes dependent.

The goal should be operational independence.

That means the practice understands:

What happened.

Why.

What is at risk.

What needs attention.

What was recovered.

What remains unresolved.

Technology should make the practice more informed.

Not more dependent.


The future: predictive RCM

Traditional billing asks:

What went wrong?

The next generation should ask:

What is likely to go wrong?

Imagine knowing before submission that a claim has a high probability of rejection.

Imagine knowing which payer behavior is changing.

Imagine identifying a documentation gap before it becomes a denial.

Imagine detecting an unusual reimbursement pattern before hundreds of claims are affected.

Imagine knowing which 20 claims deserve human attention this morning.

That is where predictive RCM becomes interesting.

Not because prediction is perfect.

Because attention is limited.


But AI should know when it doesn't know

This is critical.

A good system should not pretend certainty.

A claim with high confidence can be automated.

A complex claim should be escalated.

A high-dollar claim may require human review.

An ambiguous case may need clinical context.

The architecture should be:

AI detects.

AI prioritizes.

AI explains.

Human decides when judgment matters.

That is safer.

And it is more useful.


The hidden lesson in Kiara’ Darvonne Bowling's story

Her story is not an RCM case study.

It should never be presented that way.

She is a person experiencing something painful and profoundly uncertain.

But her story reminds us of something important.

A medical event is rarely a single event.

It is a chain.

And the chain continues long after the emergency room.

For Bowling, the next chapters involve recovery.

For other patients, it may be cancer treatment.

A transplant.

A chronic illness.

A new diagnosis.

A disability.

A rehabilitation program.

End-of-life care.

Whatever the condition, patients do not experience the system one department at a time.

They experience it as life.

That is the standard healthcare technology should eventually meet.


The biggest opportunity in healthcare may be invisible

We have become fascinated with what AI can generate.

Maybe the better question is:

What unnecessary work can AI make disappear?

A summary is useful.

A prediction is useful.

A generated note may be useful.

But if a physician still spends hours dealing with preventable administrative problems, something is missing.

The greatest healthcare technology may be the technology nobody notices.

The claim that never becomes a denial.

The authorization that never becomes a delay.

The payment discrepancy that gets caught automatically.

The aging account that gets addressed before it becomes a crisis.

The staff member who goes home on time.

The physician who doesn't open the billing portal at 9:30 p.m.

Those are outcomes worth measuring.


A new definition of patient-centered care

Maybe patient-centered care should include more than the exam room.

Maybe it should include:

The waiting room.

The referral.

The authorization.

The claim.

The bill.

The follow-up.

The recovery.

The transition home.

The patient doesn't care which department owns the problem.

They just want it solved.

That is the ultimate test.


FAQ

Is RCM really part of patient care?

Not clinically, but operationally it affects access, continuity, staffing, and practice sustainability.

Should every practice adopt AI?

No.

Start with the problem.

Then determine whether automation is appropriate.

Is outsourcing RCM a mistake?

No.

It can be effective.

But maintain visibility, data ownership, performance measurement, and accountability.

What should I measure first?

Start with A/R days, aging, preventable denials, payment velocity, and human touches.

Is a 95% clean-claim rate good?

It may be.

But it tells only part of the story.

Look at what happens after submission.

Should every denial be appealed?

No.

Prioritize based on probability of recovery, dollar value, effort, payer behavior, and filing limits.

Can AI replace billers?

The better question is which billing tasks should no longer require manual work.

Human judgment remains important for exceptions and complex cases.

What is the biggest RCM mistake?

Waiting until the denial.

The better strategy is identifying the problem before submission.

How do I know whether an RCM technology investment worked?

Establish a baseline.

Then measure changes in denials, A/R, payment speed, staff touches, underpayments, and cash.


Myth Buster

Myth: Billing is finance's problem.

Reality: RCM crosses clinical documentation, front-office operations, coding, billing, payer relations, technology, and finance.

Myth: More billers fix bad RCM.

Reality: More people can increase capacity, but they cannot automatically fix bad workflow.

Myth: AI eliminates the need for human oversight.

Reality: AI should reduce repetitive work while escalating uncertainty.

Myth: Clean claims equal healthy cash flow.

Reality: Payment velocity, aging, underpayments, and recoverability matter too.

Myth: Every denial is the payer's fault.

Reality: Many problems begin upstream.

Myth: Small-dollar discrepancies do not matter.

Reality: Small losses multiplied across thousands of encounters can become substantial.


Tools, metrics, and resources

A practical RCM technology stack should include capabilities for:

Eligibility verification

Authorization tracking

Claim validation

Claim-status monitoring

Denial analytics

Payment reconciliation

Underpayment detection

A/R aging

Payer performance

Workflow automation

Exception management

The tool is secondary.

The metric is primary.

If you cannot identify the metric you want to improve, you probably are not ready to buy the tool.


Three resources worth reading

American Medical Association — Prior Authorization Survey
The AMA's latest physician survey provides current evidence on authorization burden, delays, treatment abandonment, administrative workload, and patient consequences.
Read the AMA findings

2025 CAQH Index
The CAQH Index examines administrative transactions, automation, interoperability, and remaining opportunities for efficiency.
Read the CAQH Index findings

DataSpring Administrative Transaction Framework
DataSpring provides information about administrative healthcare transactions including eligibility, authorization, claims, payment, and remittance processes.
Explore the framework


Three things I would do tomorrow morning

First: Pull your 90-day A/R and denial data.

Second: Identify the three largest preventable sources of friction.

Third: Ask your team one question:

“Why are humans still doing this manually?”

That question may uncover more value than another software demonstration.


Future Outlook

The next phase of medical billing will not be about creating more sophisticated ways to chase money after something goes wrong.

It will be about preventing the problem.

The evolution looks something like this:

Reactive RCM

What went wrong?

Automated RCM

Can software do the work?

Predictive RCM

What is likely to go wrong?

Preventive RCM

How do we stop the problem before it happens?

That is where healthcare should be heading.

And eventually, the best RCM system may become almost invisible.

The physician documents.

The patient receives care.

The system validates.

The claim moves.

Exceptions surface.

Humans intervene where needed.

The payment arrives.

No drama.

No heroic billing recovery.

No midnight spreadsheet.

Just a healthcare system quietly working the way it should.


Final Thoughts: We are solving the wrong problem downstream

Kiara’ Darvonne Bowling's story began with a terrible moment.

But her story is not only about what happened on that Oakland street.

It is about everything that comes afterward.

That is true for millions of patients.

And it is true for medical practices.

We cannot control every event that changes a patient's life.

But we can control how much friction we create after that event.

We can build better workflows.

We can capture better information.

We can identify problems earlier.

We can automate repetitive work.

We can protect human judgment.

We can make practices financially stronger.

And we can remember why all of this matters.

There is a human being behind every claim.

There is a clinician behind every clinical decision.

And there is a practice behind every promise to keep caring for patients tomorrow.

The goal of healthcare technology should not be to make medicine more automated.

The goal should be to make medicine more human by removing the work that never needed a human in the first place.


Get Involved — Start the Conversation

Here is the question I want to leave with physicians and clinic owners:

What is one administrative task your practice still performs manually that you believe should have disappeared years ago?

Tell me in the comments.

What is the biggest source of RCM friction in your practice?

If you have solved it, share what worked.

If you have not solved it, share the problem.

Someone else may have already found an answer.

And if this article made you rethink the relationship between patient care, administrative work, and revenue cycle management, please repost it so more physicians and clinic owners can join the conversation.

Raise your hand. Start the conversation.

Share what you are learning.

Help build a healthcare system where better operations give clinicians more room to care.


Continue the Conversation

The healthcare conversation should not stop with the latest headline.

I share practical perspectives on healthcare operations, medical technology, medical billing, physician entrepreneurship, and innovation.

For deeper insights, practical strategies, and behind-the-scenes perspectives on how healthcare is changing, continue the conversation here:

Knowledge creates momentum. Start learning, challenge assumptions, and turn better information into better decisions.


Free Resource

Looking for something practical?

Visit the Featured section of my LinkedIn profile for a free resource designed to help physicians and clinic owners think differently about practice operations and revenue cycle.

No signup required.

Take it.

Use it.

Share it with your team.

And if it helps, pass it along to another physician who needs it.

PS: The free resource is waiting in Featured on LinkedIn.


About the Author

Dr. Daniel Cham is a physician, healthcare management consultant, and entrepreneur focused on the intersection of medical technology, healthcare operations, and medical billing.

As founder of OnnX, he focuses on practical technology solutions designed to help small and medium-sized medical practices reduce administrative friction, improve revenue-cycle visibility, identify preventable problems, and spend less time navigating unnecessary billing complexity.

His perspective comes from working across clinical medicine, healthcare operations, entrepreneurship, and medical technology.

His goal is straightforward:

Take complicated healthcare problems and turn them into practical ideas physicians can actually use.

Connect with Dr. Cham on LinkedIn to learn more.


Disclaimer

This article is intended for general educational and informational purposes only. It should not be interpreted as medical, legal, regulatory, coding, billing, compliance, financial, or other professional advice.

Healthcare laws, payer policies, contractual requirements, and individual practice circumstances vary. Readers should consult appropriately qualified professionals for guidance concerning their specific circumstances.

Information concerning Kiara’ Darvonne Bowling's accident and recovery is based on publicly available reporting and may change as additional information becomes available.


#Healthcare #HealthcareLeadership #PhysicianLeadership #MedicalPractice #MedicalBilling #RevenueCycleManagement #RCM #HealthcareOperations #HealthcareInnovation #HealthTech #MedicalTechnology #AIinHealthcare #PhysicianEntrepreneur #PracticeManagement #IndependentMedicine #PrivatePractice #PatientCenteredCare #PatientExperience #HealthcareTransformation #DigitalHealth #HealthcareAdministration #MedicalPracticeManagement #RevenueCycle #PhysicianOwnedPractice

 

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