Blog|Videos|August 5, 2026

Small errors, big consequences: The Lego lesson for medical practices

Author(s)Neil Baum, MD
Fact checked by: Keith A. Reynolds

Two Lego pins one hole off cost two hours. In a practice, small errors cost far more. Neil Baum, MD, on 10 details that matter.

Two Lego pins, one hole off. That mistake cost an afternoon of building and two hours of backtracking. In a medical practice, the same kind of small error costs a denied claim, a missed diagnosis or a patient's safety.

On this week’s Five Minute Practice Fix, Neil Baum, MD, runs through 10 details that carry outsized consequences, from a transposed digit on a claim to micrograms mistaken for milligrams. His point: catastrophes rarely start big. They start small, at exactly the wrong moment.

Welcome to Five Minute Practice Fix, featuring instructional videos by physician and business of medicine expert Neil Baum, M.D. These videos are 5 to 10 minutes long and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians, significantly improving the efficiency and productivity of their medical practices.

About Neil Baum, M.D.

Baum is a professor of clinical urology at Tulane Medical School in New Orleans, Louisiana. He is the author of Marketing Your Clinical Practice: Ethically, Effectively, Economically, which is in its fourth edition, has sold over 175,000 copies and has been translated into Spanish. He has also written The Complete Business Guide to a Successful Medical Practice, which was published in 2015. He also authored What’s Going on Down There?, which has served as a guide for women’s health. He has written 10 books on practice management and the business of medicine.

Baum was the columnist for American Medical News for more than 25 years. He wrote the popular column “The Bottom Line” for Urology Times for more than 20 years. He has authored or coauthored over 250 articles in peer-reviewed medical publications on various urologic topics, as well as articles on practice management.

He has also authored The Business Basics of Building and Managing a Healthcare Practice (Springer 2019), which emphasizes the importance of being involved in the business of a medical practice.