Running a household is team sport.
EDITOR’S NOTE; Tiffany Ferguson is a member of the RACmonitor editorial board and is a permanent panelist on the long-running Monitor Mondays live Internet weekly radio broadcast.
This is not going to be an article about how I have it all figured out; I have had my share of eating humble pie, and am still very much a work in progress. However, I am hoping that in telling my story, I will in some way help others know that you not alone; our stories are different, but we all experience a range of emotions and competing priorities.
Maybe it was the pandemic that sparked introspection among some, or perhaps financial, career, or family changes caused many people to enter a period of transformation. Maybe it was homeschooling your children or caring for your parents that forced us towards a life that looks and feels different than before COVID. The short version for me was a cancer diagnosis of Hodgkin’s lymphoma, followed by a stem cell transplant and then a pandemic. I should also set the stage that our household is a blended family, with six children, ages 5 to 13.
I had spent a significant amount of my career either providing care management at the bedside or running care management departments and divisions; however, I was no longer engaged with the political nature of my healthcare organization. As expected, cancer was a big wake-up call, and I realized I needed to adjust my priorities and be more intentional with my time. Although I love helping and being of service to others, I wanted to have some autonomy in my life and have a broader reach in my field, beyond just one healthcare organization. I had dreamed of joining Phoenix Medical Management for years after they completely overhauled our acute case management program, and in 2020 I made a full-time leap to helping my mentor, Stefani Daniels, run the company.
Transitioning to CEO means what I put into the company is returned; however, that also means that the pressure of and ability to pay our team members is waiting on leadership’s ability to maintain revenue streams. Thus, I knew I must be purposeful with my time to ensure I am moving the needle in business and managing priorities for my health and family.
Here are some ways that I try to stay sane and run a company, while going through maintenance treatment and taking care of six kids.
Acceptance of Imperfection
My quest to be perfect was thrown out the door when my college sweetheart and I got a divorce. The pressure I had been putting on myself for the desire to be happy (or what I thought happiness should look like) was unsustainable. The moment I admitted my faults, failures, and weaknesses and learned to own them as part of my story, I was free from the burden of “should.” I worked on my own journey of self to figure out my “whys” and “hows” on seeking to provide the same love and grace for myself that I was so easily willing to give others.
This means that my house does not have to be perfect. I would rather play board games or spend time with the kids over cleaning the house. It is not a hot mess, but with six kids, I must pick and choose my battles when it comes to clutter. Although I try to make most of our meals at home, there are plenty of times we run through the drive-through on the way to or home from one of the kids’ games or practices.
As often as possible, I make a point to close the office doors in my house on Friday, and I do not open them again until Monday morning. Resting and self-care is just as productive as anything else you will do. I have learned to listen to my body, and when it says I am doing too much, I scale back and find time to rest and recover.
Managing a Household is a Team Sport
My husband and I have to be aligned in getting things accomplished for the kids and the household. We have our routine and have learned to communicate when something feels like it is too much, or if we are tapped out on the neediness scale from the demands of kids, life, and work. In our busy schedules, it is important to make sure we carve out time to check in with each other. This is usually when we are finishing up the dishes after dinner, before the kids come roaring back through the kitchen to tell us they are hungry again and to ask “what’s for dessert?”
The survival of our household also comes from a great relationship with our exes. This has not always been easy, but the flexibility and clear communication about what the shared kids need has been such a driver of each of our successes. Our exes deserve their personal time just as much as we do, and we make sure to all honor that with each other. The focus is always on what is best for the kids, thus avoiding any pettiness.
I am also blessed with my kid’s grandmother, who lives nearby and still is very much a great help for transportation, joining us for dinner, and just really being in our lives. I also have great friends who come in and help with rides or just hang out, and we provide great support to one another. Accepting help was not an initial strength of mine, but I have learned that when someone says, “what do you need” or “what can I help with,” I am honest with my response and now appreciate the offer.
Organizational Skills
Wow, I should put a neon sign on this category. We have two calendars for both households to manage activities, parenting schedules, vacations, medical appointments, etc. I ensure that any major events also go on my work calendar so I am not missing anything from my personal life, because I am focused on my work life. I plan and communicate any times these two things intersect, which means I block my schedule if I need to get a child to the dentist, or if I need to coordinate rides and schedules if I am out of town for work. I have all calendars on my phone and computer, so I can pull them up wherever I am to reference when something new comes up or anything changes.
Every week I also seek a bird’s-eye view, looking at my meetings and family schedules to make sure I have time for the actual work that needs to get accomplished. I then meal plan for the week (I hate this task, by the way), make the grocery list, and put together my to-do list of the things I feel I need to accomplish. It is common that I am changing over laundry or throwing something in the oven or crockpot in between workday meetings and business projects.
Setting my Intentions
After my cancer diagnosis, amid wondering how much time I get to have, I gained a whole new perspective on how lucky I am every day to be here, to do what I love, and to spend time with my family and friends. For all of us, life is precious, and we are not in total control. That means I must try to be intentional about my schedule, activities, and how I spend my days. I own my calendar, and that means if I do not want to spend my time in a meeting that I know will yield few results, then I find a way to politely decline or delegate it to someone for whom it is more suited. I prioritize my time in three major buckets: work, relationships, and personal. I then look at what I have to accomplish in these buckets each week and set my schedule, determine the needle-movers, and set to-dos accordingly. I have a notebook that helps me keep track of my daily events, and it is also where I try to journal before I start my workday.
As mentioned, each day I try to journal for a couple of minutes, just what’s in my head before I start work – and I list a couple of gratitudes. I learned the hard way that I could spend my time doing tasks that make no difference in the projects or expectations that my clients have if I am not focused on what my objectives are each workday. I spent many years with a hectic morning, trying to get kids out of the house, only to run into my first meeting without time to decompress from the household I just left, when the kids decided they did not want to get dressed or brush their teeth that morning. By starting my day journaling and thinking of what I am grateful for, I can ensure that I check any hang-ups at the door and present my best self.
Granted, I could go on with any of these topics, but for sake of wrapping it up, let me conclude. I would say that running a company and managing a busy household requires flexibility and forgiveness. Sometimes, I am not going to be the best mom, or the mom that I want to be, and sometimes, I am not going to produce the greatest work that I want to put out to the world, but that is okay…because we are all just trying to manage. If I understand this, then I can easily guarantee the same compassion to others.
I hope that my own reflections provide some color and life to the content writer you see and hear each week on Monitor Mondays and RACmonitor.
EDITOR’S NOTE: Artificial intelligence was utilized for structural refinement and grammatical editing. All analyses, interpretations, and opinions expressed in this article are solely those of
Now’s the time for to us to schedule those mammograms and colonoscopies we may have been putting off, but it is also a good time
Please log in to your account to comment on this article.
Sepsis sequencing continues to challenge even experienced coding and CDI professionals, with evolving guidelines, documentation gaps, and payer scrutiny driving denials and data inconsistencies. In this webcast, Payal Sinha, MBA, RHIA, CCDS, CDIP, CCS, CCS-P, CCDS-O, CRC, CRCR, provides clear guideline-based strategies to accurately code sepsis, severe sepsis, and septic shock, assign POA indicators, clarify the relationship between infection and organ dysfunction, and align documentation across teams. Attendees will gain practical tools to strengthen audit defensibility, improve first-pass accuracy, support appeal success, reduce denials, and ensure accurate quality reporting, empowering organizations to achieve consistent, compliant sepsis coding outcomes.
Expert presenters Kathy Pride, RHIT, CPC, CCS-P, CPMA, and Brandi Russell, RHIA, CCS, COC, CPMA, break down complex fracture care coding rules, walk through correct modifier application (-25, -57, 54, 55), and clarify sequencing for initial and subsequent encounters. Attendees will gain the practical knowledge needed to submit clean claims, ensure compliance, and stay one step ahead of payer audits in 2026.
Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.
Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.
Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.
Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.
As AI reshapes healthcare compliance, the risk of biased outputs and opaque decision-making grows. This webcast, led by Frank Cohen, delivers a practical Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—to help you govern AI-driven claim auditing with confidence. Learn how to identify and mitigate bias, implement robust human oversight, and document defensible AI review processes that regulators and auditors will accept. Discover concrete remedies, from rotation protocols to uncertainty scoring, and actionable steps to evaluate vendors before contracts are signed. In a regulatory landscape that moves faster than ever, gain the tools to stay compliant, defend your processes, and reduce liability while maintaining operational effectiveness.
Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
