Revenue RxĀ 

The prescription for maximizing reimbursement, streamlining operations, and avoiding costly mistakes in healthcare billing.

When Productivity Becomes Your Identity

entrepreneurship leadership Sep 02, 2026

Why selling the billing side of my business, building an excellent auditing team, and gaining control of my schedule still did not teach me how to slow down

I am turning 60 in October, and lately I have been thinking more seriously about time. Not time in the abstract, but my time: time with my grandchildren, time to travel, time to read, time to create, and even time to clean our modest above-ground pool, which barely gets used, without feeling as though I should be doing something more important for a client.

For those who do not know, I sold the billing side of my business in October 2025. I had spent years being responsible for other organizations’ revenue, and between the years before 2020 and the time I sold, the insurance environment changed dramatically. The work had become harder to manage at the size I wanted to remain. I could have invested heavily in technology and artificial intelligence tools, but I no longer wanted to build that business into something bigger. I wanted to invest in myself and in the work I still felt called to do.

The company that purchased it had the technology, infrastructure, and resources to take the clients to the next level. I was ready to stop carrying the weight of everyone’s billing operation, and the sale gave me exactly what I said I wanted: more control over my time.

What it did not give me was the ability to slow down.

That realization has been more uncomfortable than I expected. I no longer accept new billing clients. I have built an excellent audit team. I can take time off when I choose. In fact, the week I first recorded these thoughts, I was preparing to leave to spend time with my granddaughters and give my daughter-in-law a well-deserved break. I have created more freedom, yet I still struggle to use it without feeling that I should be working.

This is not really a time-management problem. It is what happens when productivity becomes part of your identity.

I have worked on the business side of healthcare for more than 40 years, and I have always approached my work like an entrepreneur, even when I was working under someone else’s company name. I cared about the organization’s success. I brought my own ideas, pride, dedication, and sense of responsibility to the job. I was not giving my best only for the company. I was giving my best because that was how I wanted to show up in the world.

There is a popular message today that employees should never give too much because the company will replace them tomorrow. I understand where that message comes from, and there are circumstances in which it is absolutely fair. No one should sacrifice their health, family, or dignity for an organization that takes without giving anything back.

But I also resist the idea that doing excellent work somehow makes you foolish. Your effort is not only a gift to an employer. It is an expression of your own standards, gifts, and character. The challenge is learning the difference between doing your best and believing that your best must always include more.

That is the distinction I am still trying to learn.

I have made changes. I generally limit meetings to Tuesday, Wednesday, and Thursday. A meeting makes it on Monday or Friday only when I have been away, when a project matters deeply to me, or when we need to discuss money someone owes me. I say that with humor, but the boundary itself is serious. I had never protected my schedule that way during all my years as an entrepreneur.

Still, boundaries on a calendar do not automatically change the beliefs underneath the calendar.

On the Sunday when I began recording these thoughts, I had an entire work plan for the day. The pool needed to be vacuumed. Weeds needed to be pulled. Books were waiting to be read. Content could have been created, and an e-book I genuinely want to write could have received my attention. Instead, I was working on client reports.

My audits are detailed, but I want the final report to be understandable to leaders who do not speak in coding and regulatory language all day. I want every finding to tell them what went wrong, why it matters, and what they can do about it. That standard matters to me. It is one of the reasons clients hire me.

But I also have to face a harder truth: my insistence on personally reviewing and wording everything may not be only about quality.

I have hired very capable people. My team includes a detox nurse, certified coders, a former substance use disorder counselor, and professionals with deep payer and healthcare experience. If I genuinely believe they are excellent, why must everything still pass through me? Is it because the work truly requires my eyes every time, or because being the final set of eyes reassures me that I am still essential?

Those are not comfortable questions, but successful people should be willing to ask them. Perfectionism can look noble because it produces strong work. It can also become a sophisticated way of maintaining control, delaying delegation, and making sure no one can fully function without us.

I listen to podcasts while I walk the dog, searching for the hack that will solve my relentless pursuit of productivity. Sometimes I listen to music, but often I am still trying to learn something, improve something, or unlock the reason I cannot simply exist outside the walls of work.

I do not have the tidy answer that usually appears at the end of a business article. I am not writing this from the other side of the struggle. I am writing it from the middle.

What I do know is that money will not automatically create permission to rest. Selling a company will not do it. Hiring an excellent team will not do it. Blocking off Mondays and Fridays will not do it. Those things can create the opportunity for freedom, but they cannot make us feel worthy of using it.

Perhaps this next stage of my life is not about retirement. I am not sure that is even what I want. Maybe it is about learning that I can still be excellent without always being available. I can share my gifts without giving away every open hour. I can serve my clients without making every request more urgent than my own life.

I also have to stop pretending that time off is something I will schedule after I finish the work. I want to travel, and earning money is part of making that possible, but the trips are not even on the calendar. There will always be another report, presentation, proposal, or promise that feels as though it should be completed first.

So instead of continuing to ask, “How much more can I accomplish?” perhaps I need to begin asking, “What do I want to have time to experience?”

Even with this growing awareness, I still do not have it figured out. I still work on Sundays. I still promise work faster than I should. I still wake up thinking about what a client needs before I think about what I need. But I am beginning to recognize that the same drive that helped me build a career, and a business could prevent me from fully enjoying what I built.

The work will never be finished. The life I worked so hard to create should not have to wait until it is.

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