Someone is calling down tomorrow's schedule to confirm appointments, leaving voicemails that won't be returned. Someone else is logged into Availity checking eligibility for today's patients, one member ID at a time, because two payers changed plans on January 1 and nobody told you.
A patient hands back the clipboard. A medical assistant retypes the same demographics, medications, and history into the EHR that the patient just wrote by hand. The fax machine has been printing since 7: referral letters, lab results, records requests, all waiting for someone to figure out which chart they belong to.
And the recall list sits in a report nobody has time to run, let alone work: every patient overdue for a wellness visit, an A1C recheck, a follow-up your provider ordered six months ago.