This is a different kind of issue, one I think a lotta people would be more familiar with. Management setting unrealistic goals and targets. Yes, those kinds of delays are so common they should be baked into the time expectations. However, that would result in fewer billable services forecasted per period. That bad. Want more money. While doctors offices should be immune to that kind of shitty behavior, they are still ultimately business and thus they gotta operate with that forever growing, profit forward behavior.