Why Doctors Struggle to Get Paid: The Hidden Crisis in Medical Billing & Insurance Denials | ft. Olga Khabinskay
Tue Jan 27 2026
Behind every doctor visit is a complex financial system most patients never see—and it’s pushing physicians to the brink.
In this eye-opening episode, Chuck sits down with OlgaKhabinskay, Director of Operations at WCH Service Bureau, to uncover the hidden reality of medical billing, insurance denials, AI-driven downcoding, and why doctors are leaving private practice.
With more than 23 years of experience in healthcare revenue cycle management, Olga shares how insurance company policies, administrative burden, and lack of transparency are driving physician burnout, increasing healthcare costs, and damaging the patient-doctor relationship.
Whether you’re a patient, physician, healthcare administrator, or simply trying to understand why U.S. healthcare is so expensive, join us to see really happening behind the scenes.
What You’ll Learn:
✅ Why insurance companies deny or downcode up to 30% of claims
✅ How AI is being used by insurers to reduce physician payments
✅ The real difference between Medicare vs. private insurancereimbursement
✅ Why doctors spend hours every week fighting denials instead oftreating patients
✅ How high-deductible health plans (HDHPs) shift costs to patients
✅ Why more physicians are selling their practices or leaving medicine entirely
Meet our Guest:
Olga Khabinskay is director of operations at WCH Service Bureau, a national health care practice management services company that provides billing, coding and credentialing as well as provider technology services. With more than 23 years of experience in health care revenue cycle management, she specializes in medical billing, revenue compliance, and payer contract evaluations, helping provider organizations reduce denials, strengthen collections, and make smarter network decisions.
An advocate and educator on closed panels, payer negotiations, and reinstatements, Olga designs practical workflows that shorten time to payment and improve audit readiness. She is currently developing a Trusted Biller Program to present to CMS and the New York State Medicaid Program, aimed at establishing standards that enhance billing accuracy, transparency, and payer–provider trust. A member of AAPC, HBMA, and RBMA, Olga also champions the idea that billers should be licensed to submit claims to government payers.
Learn more at https://wchsb.com/
Let’s Fix Healthcare!
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⭐ Leave a review to help others find the show
📤 Share this episode with anyone who works in or uses thehealthcare system (so…everyone!)
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Behind every doctor visit is a complex financial system most patients never see—and it’s pushing physicians to the brink. In this eye-opening episode, Chuck sits down with OlgaKhabinskay, Director of Operations at WCH Service Bureau, to uncover the hidden reality of medical billing, insurance denials, AI-driven downcoding, and why doctors are leaving private practice. With more than 23 years of experience in healthcare revenue cycle management, Olga shares how insurance company policies, administrative burden, and lack of transparency are driving physician burnout, increasing healthcare costs, and damaging the patient-doctor relationship. Whether you’re a patient, physician, healthcare administrator, or simply trying to understand why U.S. healthcare is so expensive, join us to see really happening behind the scenes. What You’ll Learn: ✅ Why insurance companies deny or downcode up to 30% of claims ✅ How AI is being used by insurers to reduce physician payments ✅ The real difference between Medicare vs. private insurancereimbursement ✅ Why doctors spend hours every week fighting denials instead oftreating patients ✅ How high-deductible health plans (HDHPs) shift costs to patients ✅ Why more physicians are selling their practices or leaving medicine entirely Meet our Guest: Olga Khabinskay is director of operations at WCH Service Bureau, a national health care practice management services company that provides billing, coding and credentialing as well as provider technology services. With more than 23 years of experience in health care revenue cycle management, she specializes in medical billing, revenue compliance, and payer contract evaluations, helping provider organizations reduce denials, strengthen collections, and make smarter network decisions. An advocate and educator on closed panels, payer negotiations, and reinstatements, Olga designs practical workflows that shorten time to payment and improve audit readiness. She is currently developing a Trusted Biller Program to present to CMS and the New York State Medicaid Program, aimed at establishing standards that enhance billing accuracy, transparency, and payer–provider trust. A member of AAPC, HBMA, and RBMA, Olga also champions the idea that billers should be licensed to submit claims to government payers. Learn more at https://wchsb.com/ Let’s Fix Healthcare! 🎧 Subscribe to Disruptive Dialogue on Apple Podcasts,Spotify, or YouTube ⭐ Leave a review to help others find the show 📤 Share this episode with anyone who works in or uses thehealthcare system (so…everyone!)