Writing

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Latest

Put the Patient at the Center, and Everything Else Finally Makes Sense 22 Jun 2026 · LinkedIn The Amazing Value of “I Don’t Know” 10 Mar 2025 · LinkedIn Don’t be a Problem Solver. 3 Mar 2025 · LinkedIn Sometimes it’s not the Work Experience… 9 Feb 2025 · LinkedIn

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Writing

Mostly on Medicare claims processing and what it takes to modernize systems that have been right for thirty years.

The Value You’re Looking For is Closer Than You Think 6 Nov 2024 A nursing-home visit, a Medicare Summary Notice, and the distance between a sprint goal and a real beneficiary. Moving Claims Logic Off the Mainframe Without Losing What It Knows 11 Aug 2026 In a decades-old claims system, the code is the specification. That decides which modernization approaches can work. What “Real-Time Claims Processing” Actually Requires 9 Jun 2026 The nightly cycle provides ordering, snapshot consistency, and a failure boundary. Remove it and you own all three. Reading a Part A Claim: What FISS Status/Location Codes Actually Tell You 14 Apr 2026 The status/location field is four fields, not two — and RTP, rejection, and denial are not three words for the same event.