Wednesday, May 20, 2026  |  ☁ 72°  |  Prior Auth Denial Risk: Extreme
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Local Practice Still Awaiting Fax Confirmation Of Fax Sent In 2021   •   Area EHR System Reports Record 14th Consecutive Year Of 'Planned Downtime' During Busiest Hours   •   Prior Auth Approval Expected Sometime Before Patient's Grandchildren Retire   •   Nation's Referral Coordinators Declare Emotional Support Sticky Note A Medical Necessity   •   Insurance Company Introduces Exciting New Denial Category: 'We Don't Feel Like It'   •   EHR Vendor Promises New Update Will Fix Everything, Break Everything Else
Healthcare Operations News • Est. 2026 • Not Affiliated With Anyone Who Can Actually Fix This

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"Documenting the Chaos So You Don't Have To. You're Already Doing That."
Today's Top StoryOpinion: I Have Worked In Healthcare Operations For 22 Years And I Am Begging Someone, Anyone, To Please Tell Me What Happened To Mr. Patterson's Referral
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This whole website is a farce. Any resemblance to actual persons, living or dead, organizations, or if you too named your fax machine Gerald, is purely coincidental and deeply unfortunate for all parties involved.
Opinion: I Have Worked In Healthcare Operations For 22 Years And I Am Begging Someone, Anyone, To Please Tell Me What Happened To Mr. Patterson's Referral
The author's desk at 5:47pm Thursday, including the second fax inbox and the portal confirmation that links to nothing
Ops Opinion

I have checked the fax. I have checked the other fax. I have checked the inbox we created specifically for faxes from this particular specialist group and then forgot about for four months. I am running out of places to check.

By Sandra K., Practice Manager, 22 Years In The Field, Currently Fine
Insurance Company Congratulates Practice On Flawless Prior Auth Submission, Denies It Anyway
Prior Authorization

Representatives called the documentation "a masterwork of clinical justification" before stamping it Not Medically Necessary.

Referral Coordinator Traces Patient's Journey Through 7 Practices, 4 EHR Systems, And One Actual Carrier Pigeon
Referral Archaeology

The 14-month investigation, conducted using only a spreadsheet and sheer determination, has been submitted for a Pulitzer.

Practice's Three EHR Systems Agree To Weekly Mediation Sessions After Refusing To Share Patient Data For Fifth Consecutive Year
EHR Couples Therapy

Therapist describes the systems as "emotionally unavailable to each other but very communicative about their individual needs."

In The Queue

More Stories ›
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Workflow Therapy

Front Desk Staff Develop 12-Step Program For EHR Dependency

Step One: Admit that the system has become unmanageable. Step Two: Accept that the system will never be updated. Steps Three Through Twelve: Find a new career.

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Sticky Note Methodology

Local Practice Achieves ISO Certification For Sticky Note Workflow Management System

Auditors praised the "remarkably consistent color-coding system" and the "institutional knowledge embedded in the note left on the printer since 2018."

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Prior Authorization

Man Who Submitted Prior Auth In January Starting To Wonder If He Should Follow Up

Sources say the patient, now 47, submitted the request during what he describes as "a more optimistic time in my life."

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Survivor Stories

Referral Coordinator Placed On Hold For 3 Hours, Emerges With Complete Sense Of Calm And New Perspective On Impermanence

"At some point around hour two I stopped being angry and started just... listening to the hold music. Really listening to it."

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Ops Opinion

Opinion: I Have Worked In Healthcare Operations For 22 Years And I Am Begging Someone To Please Tell Me What Happened To Mr. Patterson's Referral

By Sandra K., Practice Manager, Someone Please Check The Second Inbox Nobody Remembers Creating

EHR Couples Therapy

More ›
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EHR Couples Therapy

Inpatient And Outpatient EHRs Celebrate 9 Months Of Successfully Not Talking To Each Other

Couples therapist notes the systems have "established very clear boundaries" and are "honoring them rigorously."

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EHR Couples Therapy

Practice Brings In Third EHR System To Mediate, Now Has Three EHRs That Won't Talk To Each Other

Administration described the situation as "exponentially worse in a very specific and measurable way."

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Workflow Therapy

Study Finds Healthcare Operations Teams 73% More Efficient When Allowed To Vent For 8 Minutes Before Logging In

Researchers call the findings "obvious to everyone who has ever worked a front desk."

You've made it this far. You clearly work in healthcare operations and you're suffering. There's actually a better way.

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