The difference between practices that scale and practices that stall is not clinical skill. It is operational structure. And most practices doing $250K to $500K a month have already outgrown theirs. In this episode, Dr. Heather Signorelli breaks down the three root causes of operational chaos that keep growing practices stuck at a revenue ceiling they cannot break through. You will learn: • Why ambiguity in roles costs you hard dollars in denied claims • How running your revenue cycle on memory puts your cash flow at risk every single day • Why unsigned charts are delaying tens of thousands in billing every month • Three things you can do this week to assess exactly where you stand This is Part 1 of 2. Part 2 delivers the exact accountability chart structure, daily checklist templates, and provider productivity metrics to fix what Part 1 diagnoses.