#Medical Coding Audit
Explore tagged Tumblr posts
Text

Medical Coding Audit Guide for Physicians | 3Gen Consulting
Learn how to navigate a medical coding audit with confidence. This guide helps physicians stay compliant, avoid costly errors, and improve coding accuracy for better reimbursements and audit readiness.
0 notes
Text
External Coding Audits: A Vital Tool for Healthcare Providers
In today’s complex healthcare landscape, with constantly evolving medical codes and payer regulations, external coding audits have become a crucial tool for healthcare providers. These independent reviews, conducted by third-party experts, offer a comprehensive assessment of coding practices, identifying errors, inefficiencies, and potential compliance risks.
Why are External Coding Audits Important?
Ensuring Compliance: Healthcare is a heavily regulated industry. External audits help providers adhere to strict coding standards, reducing the risk of penalties and legal issues.
Improving Coding Accuracy: By identifying and correcting coding errors, audits help prevent claim denials and underpayments, safeguarding revenue integrity.
Enhancing Operational Efficiency: Regular audits can streamline coding processes, leading to increased efficiency and reduced administrative costs.
Key Benefits of External Coding Audits:
Reduced Compliance Risk: By staying up-to-date with regulatory changes, audits minimize the risk of non-compliance.
Objective Assessment: External auditors provide an unbiased perspective, identifying issues that internal reviews might miss.
Improved Documentation: Audits often lead to better documentation practices, supporting accurate coding and clinical decision-making.
Increased Revenue: By identifying missed billing opportunities and reducing denials, audits can boost revenue and cash flow.
Continuous Learning: Audit feedback provides valuable insights for training and educating coding staff.
Types of External Coding Audits:
Pre-Bill Audits: Review coding before claims are submitted to prevent errors.
Retrospective Audits: Analyze past claims to identify and correct errors.
Focused Audits: Target specific services or departments for in-depth review.
Common Coding Errors Identified by Audits:
Upcoding or Downcoding: Billing for services at an incorrect level.
Unbundling: Separately billing for procedures that should be grouped together.
Incomplete or Inaccurate Documentation: Lack of sufficient documentation to support coding.
How to Choose the Right External Coding Audit Partner:
When selecting an external audit partner, consider the following:
Certification and Expertise: Choose a partner with certified coding professionals.
Proven Track Record: Look for a partner with a history of successful audits.
Customization Capabilities: Select a partner that can tailor audits to your specific needs.
By investing in regular external coding audits, healthcare providers can significantly improve their coding accuracy, compliance, and overall financial performance. A reliable medical coding company and medical billing services��provider like Allzone MS can help navigate the complexities of medical coding, ensuring that your organization is well-positioned to thrive in the dynamic healthcare landscape.
Read more: https://www.allzonems.com/medical-coding-audit/
#Allzone MS Medical Coding Audits#American Medical Association guidelines#Avoiding Medical Coding Errors#Benefits of External Coding Audits#Centers for Medicare & Medicaid Services guidelines#Certified Medical Coders#Choosing a Medical Coding Audit Partner#Coding Documentation Improvement#CPT#CPT Codes#E/M Codes#External coding audit#External vs Internal Coding Audits#Focused Medical Coding Audits#HCPCS Coding Compliance#Healthcare Coding Audits#Healthcare Compliance Audits#ICD-10#ICD-10-CM Codes#Medical Coding Accuracy#Medical Coding Audit#Medical Coding Audit Best Practices#Medical Coding Compliance#medical-coding#Medicare Physician Fee Schedule final rules#payer coding guidelines#reducing claim denials#Revenue Integrity in Healthcare#Revenue Optimization for Healthcare Providers#Third-Party Coding Audit
0 notes
Text
#Healthcare coding and consulting services#Medical Coding Audit in new york#Medical Coding Audit Services in US#Outsource Medical Coding Audit Services in US#Outsource Medical Coding Audit Services#Medical Coding Audit Service Providing Company#Medical Coding Audit Service Provider#Medical Coding Auditing Company#Medical Coding Auditing Company in US
3 notes
·
View notes
Text
#Healthcare coding and consulting services#Medical Coding Audit in new york in US#Medical Coding Audit Services in US#Outsource Medical Coding Audit Services in US#Outsource Medical Coding Audit Services#Medical Coding Audit Service Providing Company#Medical Coding Audit Service Provider#Medical Coding Auditing Company#Medical Coding Auditing Company in US
2 notes
·
View notes
Text
Elevate Your Skills: The Importance of a Transcription Certificate Program in Today’s Job Market

In an increasingly digital and globalised world, the demand for accurate and efficient documentation of audio and video content has surged. From medical reports to legal proceedings and business meetings, transcription plays a pivotal role in maintaining clear communication and accurate records. If you're seeking a career that blends attention to detail, language proficiency, and technical skills, a Transcription Certificate Program in Coimbatore could be the stepping stone you need to succeed in today's competitive job market.
What Is a Transcription Certificate Program?
A transcription certificate program is a specialised course designed to train individuals in converting speech (recorded or live) into written text. These programs typically cover different types of transcription, such as general, medical, and legal transcription. Through a combination of theoretical knowledge and hands-on practice, students learn grammar and punctuation rules, transcription formatting, documentation standards, industry terminology, and how to use transcription software.
Coimbatore, known for its educational institutions and technological advancement, has emerged as a prime location for professional training programs. Opting for a Transcription Certificate Program in Coimbatore ensures not only quality education but also exposure to a growing industry within a well-connected city.
Why Choose a Transcription Certificate Program in Coimbatore?
Coimbatore is fast becoming a hub for technical education and skill development in South India. There are several reasons why enrolling in a transcription certificate program here can provide a competitive edge:
1. Industry-Oriented Curriculum
Programs in Coimbatore are often structured to align with the current demands of employers. Whether you’re interested in general transcription or looking to specialise in medical or legal fields, the coursework is regularly updated to reflect industry changes and emerging tools.
2. Access to Technology and Tools
Modern transcription demands familiarity with digital tools and software. Certificate programs in Coimbatore typically offer hands-on training with industry-standard transcription platforms, foot pedals, and speech recognition software to enhance accuracy and speed.
3. Qualified Trainers and Mentors
The city attracts experienced professionals who bring real-world knowledge into the classroom. Learning under such mentors provides invaluable insights into challenges and expectations in professional transcription.
4. Opportunities for Internship and Job Placement
Being a city with a growing healthcare, IT, and legal services sector, Coimbatore offers several internship and job opportunities for transcription trainees. Students often find entry-level roles soon after certification, thanks to the close industry-academic collaboration.
Key Benefits of a Transcription Certificate Program
Whether you're a recent graduate, a homemaker looking to work from home, or a professional seeking a career shift, the Transcription Certificate Program in Coimbatore offers numerous advantages:
1. Enhanced Employability
Employers often prefer certified transcriptionists because they are trained to maintain confidentiality, adhere to timelines, and produce error-free documentation. A certificate validates your skills and makes your resume more attractive to potential employers.
2. Work-from-Home Opportunities
One of the major attractions of transcription jobs is the ability to work remotely. Certified professionals can work as freelancers, join remote transcription teams, or even start their own small business offering transcription services.
3. Flexible Learning Paths
Many certificate programs offer flexible scheduling, allowing you to learn at your own pace. Whether you opt for a full-time, part-time, or weekend batch, you can find a program that suits your lifestyle and commitments.
4. Diverse Career Options
With a solid foundation in transcription, you can branch into various domains such as medical transcription, legal transcription, content captioning, academic transcription, and even subtitling for multimedia content.
5. Improved Language and Listening Skills
Transcription training improves your command of language, grammar, and punctuation while sharpening your listening and comprehension skills—competencies that are valuable in any professional setting.
Who Should Enrol?
The Transcription Certificate Program in Coimbatore is ideal for:
Graduates from arts, commerce, science, or medical backgrounds
Professionals seeking a career switch
Stay-at-home parents looking for remote work
Language enthusiasts with strong typing and listening skills
Students aiming for quick job readiness
What to Expect During the Program
A well-structured transcription certificate program in Coimbatore typically includes:
Basics of transcription and documentation
English grammar, spelling, and punctuation training
Typing practice and speed-building techniques
Use of transcription software and foot pedals
Exposure to different accents and speech patterns
Practice with real-world transcription files
Ethics, confidentiality, and time management skills
Most programs conclude with an assessment and certification that reflects your proficiency and readiness for the job market.
Conclusion
In a world where clear documentation is essential across all industries, transcription is no longer just a supportive role—it’s a necessity. Whether you're interested in the healthcare sector, legal documentation, academic content, or multimedia production, transcription offers a path to a rewarding and flexible career.
Enrolling in a Transcription Certificate Program in Coimbatore allows you to acquire these in-demand skills in a supportive, resource-rich environment. With the right training, dedication, and certification, you can position yourself as a valuable professional in a growing field—ready to take on remote roles or in-office positions with confidence and expertise.
So if you're looking to elevate your skills and step confidently into a thriving profession, consider starting your journey with a transcription certificate program in Coimbatore today.
#Medical Billing Courses in Coimbatore#transcription certificate program in Coimbatore#Certificate Program in Medical Transcription Coimbatore#Medical Coding Academy in Coimbatore#Medical Coding Auditing training Coimbatore#Clinical Coding training Coimbatore#Dental Coding training Coimbatore#Health information Management courses Coimbatore#Saudi Coding training in Coimbatore#CPMA Training Coimbatore#AAPC institute of Medical Coding Coimbatore#Transcription Courses in Coimbatore#Medical Coding Course in Coimbatore#Australian Clinical Coding Training Coimbatore#Medical Transcription Course in Coimbatore#AM coding training in Coimbatore#Post graduate program in Health information management in Coimbatore#Medical coding Training Coimbatore#professional medical coding courses in Coimbatore#medical coding programs in Coimbatore#medical coding certification courses Coimbatore
0 notes
Text
Medical Coding Services in California | Error-Free Coding

At Bristol Healthcare, we offer a comprehensive suite of medical coding services designed to support healthcare providers in every aspect of their revenue cycle management process. Our team of certified coders possesses extensive expertise across 40+ medical specialties, ensuring that our medical coding services are both precise and compliant with industry standards.
#medical coding services#icd-10 coding#cpt-4 coding#hcpcs coding#hcc coding#clinical documentation#medicare rac audits and appeals
0 notes
Text
ICD-10 codes play a vital role in revenue cycle management, ensuring accurate billing, fewer denials, and higher reimbursements. With its vast range of detailed diagnosis and procedure classifications, ICD-10 enhances coding precision but also introduces challenges like compliance and ongoing training. Is your practice making the most of ICD-10 to improve financial performance?
Read detailed blog @ https://bit.ly/4hafhsF To maximize the benefits of ICD-10, healthcare providers should:
Invest in continuous coder training
Leverage AI-driven coding technology
Conduct regular internal audits
Stay updated on payer policies and regulations
By implementing these best practices, your practice can reduce claim denials, enhance compliance, and optimize revenue cycles. The future of medical billing is evolving—make sure your RCM strategy is built for success.
Contact Info Hub Consultancy Services for expert medical billing and coding solutions. Visit: www.infohubconsultancy.com Email: [email protected]
#ICD-10 codes play a vital role in revenue cycle management#ensuring accurate billing#fewer denials#and higher reimbursements. With its vast range of detailed diagnosis and procedure classifications#ICD-10 enhances coding precision but also introduces challenges like compliance and ongoing training. Is your practice making the most of I#Read detailed blog @ https://bit.ly/4hafhsF#To maximize the benefits of ICD-10#healthcare providers should:#•#Invest in continuous coder training#Leverage AI-driven coding technology#Conduct regular internal audits#Stay updated on payer policies and regulations#By implementing these best practices#your practice can reduce claim denials#enhance compliance#and optimize revenue cycles. The future of medical billing is evolving—make sure your RCM strategy is built for success.#Contact Info Hub Consultancy Services for expert medical billing and coding solutions.#Visit: www.infohubconsultancy.com#Email: [email protected]
0 notes
Text
The healthcare sector is always evolving. It might be challenging to handle advanced changes without a system in place due to the constantly changing regulatory standards and rules. Medical billing audit is crucial as it supports providers in maintaining compliance with legal standards, providing high-quality care efficiently, and strengthening the practice’s financial stability. In this guide, We will go into comprehensive detail on medical billing audits, including their relevance, how they work, and the benefits they provide to the healthcare business.
#Medical billing coding services#Medical Coding Services#Medical Billing Audit#Medical Billing auditing services#Billing Coding Services#Health Care Coding Service#Health Care
0 notes
Text
Enhance Efficiency with Accurate and Customizable Medical Coding Audit Tools
GeBBS automated medical audit coding technology, iCode Assurance, helps healthcare organizations optimize, comply and improve revenue cycle management.
0 notes
Text
Accurate & Efficient Medical Coding Audit Services - 3Gen Consulting Ensure compliance and optimize revenue with 3Gen Consulting’s medical coding audit services. Identify errors, improve documentation, and maximize reimbursements with expert solutions. To know more about our services, visi the website!
#medical coding consulting#medical coding services#medical coding audit#medical coding in usa#3Gen Consulting
0 notes
Text
Maximize Reimbursement and Compliance with Expert Medical Coding Services
For physicians, understanding and implementing proper medical coding practices isn’t just about administrative efficiency; it’s the lifeblood of your practice, directly impacting reimbursement, compliance, and ultimately, your financial health. Leveraging expert medical coding services can be a game-changer in this regard.
Ignoring or mismanaging medical coding can lead to a cascade of problems: denied claims, delayed payments, audits, and even legal repercussions. On the other hand, mastering these practices, often with the support of professional medical coding services, ensures accurate compensation for your services, streamlines operations, and allows you to focus on what you do best — providing exceptional patient care.
This comprehensive guide will delve into the essential aspects of proper medical coding practices for physicians, offering actionable insights to optimize your practice’s billing and compliance, and highlighting how medical coding services can support these efforts.
Why Proper Medical Coding Matters More Than Ever
The healthcare landscape is constantly evolving, with new regulations, payment models, and technological advancements emerging regularly. This dynamism makes robust medical coding practices more crucial than ever. Here’s why:
Financial Viability: Accurate coding directly translates to accurate reimbursement. Under-coding means leaving money on the table, while over-coding can trigger audits and penalties. Professional medical coding services can help ensure optimal reimbursement.
Compliance with Regulations: Healthcare is a heavily regulated industry. Proper coding ensures adherence to guidelines set by HIPAA, CMS, and other governing bodies, mitigating the risk of fraud and abuse accusations.
Audit Preparedness: Payer audits are a fact of life. Meticulous coding practices provide the documentation necessary to withstand scrutiny and demonstrate medical necessity.
Reduced Claim Denials: Incorrect or incomplete codes are primary drivers of claim denials. Proper coding significantly reduces these, improving your cash flow and reducing administrative burden. Expert medical coding services specialize in minimizing denials.
Data Accuracy for Future Planning: Coded data contributes to a broader understanding of healthcare trends, allowing for better resource allocation and policy development. For your practice, it offers valuable insights into service utilization and patient demographics.
Key Pillars of Proper Medical Coding Practices for Physicians
Achieving coding excellence requires a multi-faceted approach. Here are the fundamental pillars, where specialized medical coding services can often provide significant assistance:
Meticulous Documentation: The Foundation of Good Coding
You’ve heard it before, and it bears repeating: if it wasn’t documented, it wasn’t done. Comprehensive and precise clinical documentation is the bedrock of accurate coding. Coders, whether in-house or through medical coding services, rely solely on your notes to assign codes.
Clarity and Specificity: Document every detail of the patient encounter — chief complaint, history of present illness, review of systems, physical examination findings, assessment, and plan. Be specific about diagnoses, treatments, and medical necessity.
Linking Diagnosis to Service: Ensure your documentation clearly connects the services provided to the patient’s diagnosed condition. For instance, if you perform a specific test, the diagnosis should justify its medical necessity.
Use of Approved Abbreviations: Stick to universally recognized and approved medical abbreviations to avoid confusion.
Timeliness: Document notes concurrently or immediately after the patient encounter to ensure accuracy and completeness.
Addressing All Diagnoses: Document all relevant diagnoses, even if they are secondary or comorbid conditions, as they can impact the complexity of the encounter and the associated E/M code.
Up-to-Date Code Knowledge: Staying Ahead of the Curve
Medical coding is not static. ICD-10-CM, CPT, and HCPCS Level II codes are regularly updated, revised, and expanded. Staying current is non-negotiable. This is where dedicated medical coding services truly shine, as their core business is to maintain this expertise.
ICD-10-CM: The International Classification of Diseases, Tenth Revision, Clinical Modification, is used for diagnosing patient conditions. Be aware of the annual updates that typically take effect on October 1st.
CPT (Current Procedural Terminology): Developed by the AMA, CPT codes describe medical, surgical, and diagnostic services. New codes and revisions are released annually, effective January 1st.
HCPCS Level II: Healthcare Common Procedure Coding System Level II codes are used for products, supplies, and services not covered by CPT codes (e.g., ambulance services, durable medical equipment). These also undergo regular updates.
Official Resources: Rely on official resources like the AMA CPT manual, CMS guidelines, and reputable coding organizations for updates and clarifications. Medical coding services will always use these authoritative sources.
Understanding Evaluation and Management (E/M) Coding Guidelines
E/M coding is often a significant source of errors and audits. The 2021 E/M guideline changes for office and outpatient visits, and subsequent changes for other E/M services, significantly altered how these services are coded. Expert medical coding services are well-versed in these complex guidelines.
Medical Decision Making (MDM) or Time: For most E/M services, coding is now based primarily on the complexity of medical decision-making or the total time spent on the encounter on the date of the service.
Know the Elements of MDM: Understand the three elements of MDM: Number and complexity of problems addressed, amount and/or complexity of data to be reviewed and analyzed, and risk of complications and/or morbidity or mortality of patient management.
Accurate Time Tracking: If coding by time, accurately document the total time spent and the activities performed during that time.
Continuous Education: The nuances of E/M coding require ongoing education and review.
The Importance of Modifiers
Modifiers are two-character alphanumeric codes appended to CPT or HCPCS codes. They provide additional information about a service or procedure, clarifying circumstances without changing the definition of the main code. Proficiency with modifiers is a hallmark of quality medical coding services.
Clarify Circumstances: Modifiers indicate why a service was performed, if it was part of a larger procedure, or if unusual circumstances applied.
Prevent Denials: Incorrect or missing modifiers are a frequent cause of claim denials.
Common Modifiers for Physicians: Familiarize yourself with frequently used modifiers like -25 (Significant, separately identifiable E/M service by the same physician on the same day of a procedure), -59 (Distinct procedural service), and anatomical modifiers.
Leveraging Technology and Expertise, Including Medical Coding Services
While manual coding is possible, technology and professional expertise can significantly enhance accuracy and efficiency. This is precisely where specialized medical coding services come into play.
Electronic Health Records (EHRs) with Integrated Coding Tools: Modern EHRs often have built-in coding assistance, real-time claim scrubbing, and compliance alerts. Maximize the features of your EHR.
Computer-Assisted Coding (CAC) Software: CAC tools analyze clinical documentation and suggest appropriate codes, improving accuracy and reducing manual effort.
Certified Medical Coders / Medical Coding Services: Consider employing or consulting with certified medical coders or outsourcing your coding needs to dedicated medical coding services. Their specialized knowledge and ongoing training can be invaluable in navigating complex coding scenarios and staying compliant.
Regular Audits (Internal and External): Conduct internal coding audits regularly to identify patterns of errors. Consider external audits periodically for an unbiased assessment and to identify areas for improvement. Many medical coding services also offer auditing as part of their offerings.
Common Medical Coding Pitfalls to Avoid
Upcoding: Assigning a code for a higher level of service than actually provided or documented. This can lead to severe penalties.
Downcoding: Assigning a code for a lower level of service than actually provided. This results in lost revenue.
Bundling Issues: Incorrectly billing for services that are already included in a more comprehensive procedure code.
Lack of Medical Necessity: Coding for services that are not medically necessary for the patient’s condition.
Ignoring NCCI Edits: Overlooking National Correct Coding Initiative (NCCI) edits, which prevent inappropriate payment for services that should not be billed together.
A Culture of Coding Excellence
Proper medical coding practices are not a one-time fix; they require an ongoing commitment to education, accuracy, and continuous improvement. Engaging with reputable medical coding services can significantly contribute to building this culture.
Invest in Training: Provide regular training for your entire clinical and administrative staff on documentation and coding guidelines.
Foster Communication: Encourage open communication between physicians and coders (whether in-house or from medical coding services) to clarify documentation and coding questions.
Implement a Review Process: Establish a robust review process for claims before submission to catch errors proactively.
Stay Informed: Subscribe to industry newsletters, attend webinars, and participate in professional organizations to stay abreast of coding changes.
By embracing these proper medical coding practices, and by strategically utilizing expert medical coding services where beneficial, physicians can build a more financially stable, compliant, and efficient practice. It’s an investment that pays dividends, allowing you to focus on your core mission: delivering high-quality healthcare to your patients. Don’t let coding complexities hinder your success — empower your practice with precision and expertise, potentially through top-tier medical coding services.
#healthcare medical billing management solutions#outsource medical coding services#outsourced medical coding companies#outsourcing medical coding services#medical billing outsourcing#denial management companies#denial management solutions#rcm claim resolution services#medical coding audit services#ophthalmology billing companies#denial management services#medical billing industry#payment posting solutions#chiropractic billing company#medical coding outsourcing companies#medical coding solutions#charge capture services#outsource medical coding companies#medical coding outsourcing company#outsource medical coding usa#medical coding outsourcing services#cpt coding outsourcing#medical coding outsourcing#medical coding services#outsourcing billing services#medical coding outsourcing companies in usa#hipaa-compliant specialty coding company#medical billing outsourcing company#electronic claims submission solutions#cpt coding company
0 notes
Text
🩺 Are You Overpaying? Let Instapay Healthcare Services Help You Save! 💸
Is your practice losing money due to medical coding errors? Even small mistakes can lead to major revenue losses! That's why Instapay Healthcare Services offers comprehensive Medical Coding Audit Services to help you:
✅ Identify costly coding errors ✅ Ensure billing compliance ✅ Maximize your practice's revenue!
Stop overpaying and start saving with professional audit services tailored to your needs. Let us handle the audits while you focus on patient care!
📞 Call us today at +1(646) 851-2115 or email [email protected] to schedule your audit.
#Healthcare coding and consulting services#Medical Coding Audit in new york#Medical Coding Audit Services in US#Outsource Medical Coding Audit Services in US#Outsource Medical Coding Audit Services#Medical Coding Audit Service Providing Company#Medical Coding Audit Service Provider#Medical Coding Auditing Company#Medical Coding Auditing Company in US
0 notes
Text

#Healthcare coding and consulting services#Medical Coding Audit in new york in US#Medical Coding Audit Services in US#Outsource Medical Coding Audit Services in US#Outsource Medical Coding Audit Services#Medical Coding Audit Service Providing Company#Medical Coding Audit Service Provider#Medical Coding Auditing Company#Medical Coding Auditing Company in US
1 note
·
View note
Text
Choosing the Right Medical Billing Course: A Step-by-Step Approach for Success

The healthcare industry continues to grow at an unprecedented rate, creating a high demand for skilled professionals who can manage administrative and financial aspects effectively. Among the most sought-after roles in this sector is medical billing. Medical billing specialists play a vital role in ensuring healthcare providers receive timely payments by accurately processing insurance claims and patient invoices. As a result, there is a growing interest in Medical Billing Courses in Coimbatore, where students can gain the expertise required to build a rewarding career in this field.
If you are considering enrolling in a medical billing program, it is essential to select the right course that aligns with your career goals and offers industry-relevant skills. This blog will guide you through the importance of medical billing courses, the benefits of pursuing them in Coimbatore, and a step-by-step approach to choosing the ideal program.
Why Choose Medical Billing as a Career?
Medical billing is a critical component of the healthcare revenue cycle. It involves converting healthcare services into billing claims, submitting them to insurance companies, and ensuring payments are received. With the rise of health insurance coverage and advanced healthcare systems, the demand for certified medical billing professionals has surged.
A career in medical billing offers numerous benefits:
High demand and job security: The healthcare industry requires consistent billing operations, creating stable job opportunities.
Flexibility: Many medical billing jobs offer flexible work hours or remote work options.
Entry-level accessibility: With proper training from Medical Billing Courses in Coimbatore, you can start your career in this field without the need for a lengthy educational background.
Benefits of Pursuing Medical Billing Courses in Coimbatore
Coimbatore is rapidly emerging as a hub for healthcare and IT services, making it an ideal city for students who want to enter the medical billing profession. The benefits of pursuing medical billing training in Coimbatore include:
Quality Training: Many institutes in Coimbatore provide comprehensive medical billing programs covering topics like insurance claim processing, healthcare terminologies, and coding standards.
Experienced Instructors: Training courses in Coimbatore are often led by experienced professionals who offer real-world insights into the medical billing process.
Industry-Relevant Curriculum: Medical billing courses in the city are designed to match current industry demands, ensuring students gain the latest skills and knowledge.
Career Opportunities: Coimbatore’s growing healthcare sector increases the chances of finding internships and employment opportunities after course completion.
Key Skills You’ll Gain from a Medical Billing Course
Medical billing courses are designed to equip students with the practical and theoretical skills required to succeed in the healthcare industry. Some essential skills you will develop include:
Understanding healthcare terminologies and medical coding systems.
Mastering billing software and electronic health record (EHR) systems.
Learning the process of submitting claims and handling insurance reimbursements.
Understanding compliance with healthcare regulations and standards like HIPAA.
Developing strong communication and problem-solving skills to liaise with healthcare providers and insurance companies.
Step-by-Step Guide to Choosing the Right Medical Billing Course
With multiple training programs available, choosing the right course may feel overwhelming. Follow these steps to select the most suitable medical billing program:
1. Assess Your Career Goals
Before enrolling, identify your long-term career objectives. Do you want to work in a hospital, clinic, or insurance company? Understanding your career goals will help you pick a course that aligns with your interests.
2. Look for a Comprehensive Curriculum
A well-structured curriculum is vital for building strong foundational knowledge. The best Medical Billing Courses in Coimbatore include modules on medical terminology, coding systems (ICD and CPT), billing procedures, and healthcare regulations.
3. Evaluate the Mode of Learning
Many training providers offer flexible learning options, including classroom sessions and online modules. Choose a format that suits your schedule and learning style. Online medical billing courses are ideal for working professionals, while classroom programs provide hands-on experience.
4. Check for Practical Training
Practical experience is essential in medical billing. Look for programs that offer real-world case studies, internships, or simulated billing environments to enhance your understanding.
5. Consider Certification Preparation
A good medical billing course should prepare you for certifications like Certified Professional Biller (CPB) or other recognised credentials. Obtaining certification enhances your job prospects and boosts your credibility in the employment market.
6. Compare Course Fees and Duration
Different institutes offer varying fee structures and course durations. Choose a program that provides value for money and fits within your budget while covering all essential topics.
7. Look for Placement Assistance
Some institutes in Coimbatore offer career support services, including resume-building workshops and interview preparation. These services can significantly boost your job prospects.
Career Opportunities After Medical Billing Training
Completing a medical billing course opens the door to several career opportunities, including roles like:
Medical Billing Executive
Insurance Claims Analyst
Revenue Cycle Management (RCM) Specialist
Billing Coordinator for healthcare organisations
As the healthcare industry continues to grow, the demand for skilled billing professionals will only increase, offering long-term career stability.
Final Thoughts
Enrolling in Medical Billing Courses in Coimbatore can be a transformative step toward building a stable and rewarding career in the healthcare sector. By selecting the right course with a strong curriculum, practical training, and certification preparation, you can gain the confidence and expertise needed to succeed. Coimbatore’s growing healthcare and IT infrastructure make it a prime location for pursuing this career path, offering plenty of opportunities for fresh graduates and professionals alike.
#Medical Billing Courses in Coimbatore#transcription certificate program in Coimbatore#Certificate Program in Medical Transcription Coimbatore#Medical Coding Academy in Coimbatore#Medical Coding Auditing training Coimbatore#Clinical Coding training Coimbatore#Dental Coding training Coimbatore#Health information Management courses Coimbatore#Saudi Coding training in Coimbatore#CPMA Training Coimbatore#AAPC institute of Medical Coding Coimbatore#Transcription Courses in Coimbatore#Medical Coding Course in Coimbatore#Australian Clinical Coding Training Coimbatore#Medical Transcription Course in Coimbatore#AM coding training in Coimbatore#Post graduate program in Health information management in Coimbatore#Medical coding Training Coimbatore#professional medical coding courses in Coimbatore#medical coding programs in Coimbatore#medical coding certification courses Coimbatore
0 notes
Text
#gastroenterology billing services#medical billing services cherry hill nj#hedis measures reporting services in rcm#hedis measures reporting services in medical billing#credit balance medical billing service in rcm#holiday staffing support services#migrate to new emr pms services#contract negotiation in rcm#patient demographic entry in rcm#patient demographic entry medical billing services#ar run down and recovery audit services#under paid claim audit#credit balance medical billing service#document mangement services - medical billing#diagnosis-related group rcm#proprietary ehr serives#coding denial management services in rcm#patient demographic entry billing services#under paid claims audit
0 notes
Text
Irregularities
LIFE WE GREW SERIES MASTERLIST <3
summary : A federal audit brings a sharp, brilliant compliance officer face-to-face with Jack Abbot, a rule-breaking trauma doctor running a shadow supply system to keep his ER alive. What starts as a confrontation becomes an alliance and the two of them fall in love in the messiest, most human way possible.
word count : 13,529
warnings/content : 18+ MDNI !!! explicit language, medical trauma, workplace stress, injury description, mention of child patient death, grief processing, alcohol use, explicit sex, hospital politics, emotionally repressed older man, emotionally competent younger woman, mutual pining, slow-burn romance, power imbalance (non-hierarchical), injury while drunk, trauma bay realism, swearing, one (1) marriage proposal during sex
Tuesday – 8:00 AM Allegheny General Hospital – Lower Admin Wing
Hospitals don’t go quiet.
Not really.
Even here—three floors above the trauma bay and two glass doors removed from the chaos—there’s still the buzz of fluorescent lights, the hiss of a printer warming up, the rhythm of a city-sized machine trying to look composed. But this floor is different. It's where the noise is paperwork, and the blood is financial.
You walk like you belong here, because that’s half the job.
Navy slacks, pressed. Ivory blouse, tucked. The black wool coat draped over your arm has been folded just so, its lapel still holding the shape of your shoulder from the bus ride over. Your shoes are silent, soft-soled—conservative enough to say I’m not here to threaten you, but pointed enough to remind them that you could. Lanyard clipped at your sternum. A pen looped into the coil of your ledger notebook. A steel travel mug in one hand.
The other grips the strap of a leather bag, weighed down with printed ledgers and a half-dozen highlighters—color-coded in a way no one but you understands.
The badge clipped to your shirt flashes with every turn:
Kane & Turner LLP : Federal Compliance Division
Your name, printed clean in black sans serif.
That’s the only thing you say as you approach the front desk—your name. You don’t need to say why you’re here. They already know.
You’re the audit. The walk, the clothes, the quiet. It’s all part of the package. You’ve learned that you don’t need to act intimidating—people project the fear themselves.
“Finance conference room’s down the left hallway,” says the woman behind the desk, not bothering to smile. She’s polite, but brisk—like she’s been told to expect you and is already counting the minutes until you’re gone. “Security badge should be active ‘til five. If you need extra time, check with admin operations.”
You nod. “Thanks.”
They always act like audits come unannounced. But they don’t. You gave them notice. Ten days. Standard protocol. The federal grant in question flagged during the quarterly compliance sweep—a mismatch between trauma unit expenditures and the itemized supply orders. Enough of a discrepancy that your firm sent someone in person.
That someone is you.
You push the door open to the designated conference room and are hit with the familiar scent of institutional lemon cleaner and cold laminate tables. One wall is floor-to-ceiling windows, facing the opposite hospital wing; the rest is sterile whiteboard and cheap drop ceiling. Someone left two water bottles and a packet of hospital-branded pens on the table. The air is too cold.
Good. You work better like that.
You slide into the seat furthest from the door and start unpacking: first the laptop, then the binder of flagged ledgers, then a manila folder marked ER SUPPLY – FY20 in your handwriting. You open it flat and smooth the corners, spreading it across the table like a map. You don’t need directions. You’re here to track footprints.
Most audits feel bloated. Fraud is rarely elegant. It’s padded hours, made-up patients, vendors that don’t exist. But this one is… off. Not obviously criminal. Just messy.
You sip the lukewarm coffee you poured in the break room—burnt, stale, and still the best part of your morning—and begin.
Line by line.
February 12th: Gauze and blood bags double-logged under pediatrics.
March 3rd: 16 units of epinephrine marked as “routine use” with no corresponding case.
April 8th: High-volume saline usage with no corresponding trauma log.
None of it makes sense until you hit the May file.
May 17th.
Your finger stills over the page. A flagged case code—4413A—a GSW patient brought in at 02:11AM, code blue on arrival. The trauma bay requisition log is blank. Completely empty. No gauze. No sutures. No chest tube. Not even surgical gloves.
Instead, the corresponding supply usage appears—wrong date, wrong bay, under the general medicine supply closet three doors down. The only signature?
J. Abbot.
You sit back in your chair, eyes narrowing.
It’s not the first time his name has come up. You flip through past logs, then again through the April folder. There he is again. Trauma-level supplies signed under incorrect departments. Equipment routed through pediatrics. Trauma kit requests stamped urgent but logged under outpatient codes.
Never outrageous. Never duplicated. But always… altered. Shifted.
And always the same name in the bottom corner.
Jack Abbot Trauma Attending.
No initials after the name. No pomp. Just that hard, slanted signature—like someone in too much of a hurry to care if the pen worked properly.
You lean forward again, grabbing a sticky note.
Who the hell are you, Jack Abbot?
Your phone buzzes. A reminder that your firm expects an initial report by EOD. You check your watch—8:58 AM. Still early. You’ve got time to dig before anyone notices you’re not just sitting quietly in the background.
You open your laptop and search the internal directory.
ABBOT, JACK. Emergency Medicine, Trauma Center – Full Time Contact : [email protected] Page: 3371
You hover over the extension.
Then you close the tab.
There are two ways to handle something like this. You can go the formal route—submit a flagged incident for admin review, request clarification via email, cc your firm. Or...
You can go see what the hell kind of doctor signs off on trauma supplies like they’re water and lies to the system to get away with it.
You stand.
Your shoes are soundless against the tile.
Time to meet the man behind the margins.
Tuesday — 9:07 AM Allegheny General Hospital – Emergency Wing, Sublevel One
You don’t belong here, and the walls know it.
The ER hums like a living organism—loud in the places you expect to be quiet, and disturbingly quiet in the places that should scream. No signage tells you where to go, just a worn plastic placard labeled “TRAUMA — RESTRICTED ACCESS” and an old red arrow. You follow it anyway.
Your heels click once. Then again.
A tech throws you a sideways glance. A nurse barrels past with a tray of tubing and a strip of ECG printouts clutched in her fist. You flatten yourself against the wall. Keep moving.
This isn't the world of emails and boardrooms and fluorescent-lit compliance briefings. Here, time is blood. Everything moves too fast, too loud, too hot. It smells like antiseptic and old sweat. Somewhere nearby, a man is moaning—low, ragged. In another room, someone shouts for a Glidescope.
You don’t flinch. You’ve sat across from CEOs getting indicted. But still—this is not your battlefield.
You square your shoulders anyway and head for the nurse’s station, guided by the pulsing anxiety of your purpose. The folder tucked against your ribs is thick with numbers. Itemized trauma inventory. Improper codes. Unexplained cross-departmental requisitions. And one name—over and over again.
J. Abbot.
You stop at the cluttered, overrun desk where five nurses and two interns are trying to share a single charting terminal. Dana Evans, Charge Nurse, gives you a look like she’s been warned someone like you might show up.
“You lost?” she asks, not unkind, but sharp around the edges.
“I’m here for Dr. Abbot. I’m conducting an internal audit—grant oversight tied to the ER trauma budget.”
Dana lets out a soft, near-silent laugh through her nose. “Oh. You.”
“Excuse me?”
“No offense, but we’ve been placing bets on how long you’d last down here. My money was on ten minutes. The med student said eight.”
“I’ve been here twelve.”
She cocks a brow. “Well. You just made someone ten bucks. He’s at the back bay, not supposed to be here this morning—double-covered someone’s shift. Lucky you.”
That last part catches your attention.
“Why is he covering?”
Dana shrugs, but her expression flickers—tight, guarded. “He’s not supposed to be. Got a call about a kid he used to mentor—resident from one of his old programs. Car wreck on Sunday. Jack’s been pacing ever since. Showed up before sunrise. Said he couldn’t sleep.”
You blink.
“You’re telling me he—”
“Hasn’t slept, probably hasn’t eaten, definitely hasn’t had a civil conversation since Saturday? Yeah. That’s about right.”
You process it. Nod once. “Thank you.”
She grins. “You’re brave. Not smart. But brave.”
You leave her laughing behind you.
The trauma wing proper is a maze of curtained bays and rushed movement. You keep scanning every ID badge, every profile, looking for something—until you see him.
Back turned. Clipboard under his elbow, talking to someone too quietly for you to hear. He’s taller than you’d imagined—broad in the shoulders, but tired in the way his weight shifts unevenly from one leg to the other. One knee flexes, absorbs. The other does not.
You recognize it now.
You walk up and stop a respectful foot behind.
“Dr. Abbot?”
He doesn’t turn at first. Just adjusts the pen behind his ear, flicks a switch on the vitals monitor. Then:
“Yeah.”
He looks over his shoulder, sees you, and stills.
His face is older than his file photo. Harder. Faint stubble across his jaw, a constellation of stress lines under his eyes that no amount of sleep could erase. His black scrub top is creased at the collar, short sleeves revealing tan forearms mapped with faded scars and the pale ghost of a long-healed burn.
You catch your breath—not because he’s handsome, though he is. But because he’s real. Grounded. And already deciding what box to put you in.
You lift your badge. “I’m with Kane & Turner. I’m conducting a trauma budget audit for the grant you’re listed under. I’d like to go over some of your logs.”
He stares at you.
Long enough to make it feel intentional.
“Now?”
“I was told you were available.”
He huffs out a laugh, if you can call it that—dry and crooked, more breath than sound. “Jesus Christ. Yeah. I’m sure that’s what Dana said.”
“She said you came in before sunrise.”
Jack doesn’t look at you. Just scratches once at his jaw, where the stubble’s gone patchy, then drops his hand again like the gesture annoyed him. “Didn’t plan to be here. Wasn’t on the board.”
A beat. Then: “Got a call Sunday night. One of my old residents—kid from back in Boston. Wrapped his car around a guardrail. I don’t know if he fell asleep or if he meant to do it. Doesn’t matter, I guess. He died on impact.”
His voice doesn’t shift. Not even a flicker. Just calm, like he’s reading it off a report. But his fingers twitch once at his side, and he���s standing too still, like if he moves the wrong way, he might break something in himself.
“I’ve been up since,” he adds, almost like an afterthought. “Figured I’d do something useful.”
You hesitate. “I’m sorry.”
He finally looks at you, and the hollow behind his eyes is like a door left open too long in winter. “Don’t be. He’s the one who didn’t walk away.”
A beat of silence.
“I won’t take much of your time,” you say. “But there are significant inconsistencies in your logs. Some dating back six months. Most from May. Including—”
“Let me guess,” he interrupts. “May 17th. GSW. Bay One unavailable. Used the peds closet. Logged under the wrong department. Didn’t have time to clear it before I scrubbed in. End of story.”
You blink. “That’s not exactly—”
“You want a confession? Fine. I logged shit wrong. I do it all the time. I make it fit the bill codes that get supplies restocked fastest, not the ones that make sense to people sitting upstairs.”
Your mouth opens. Closes.
Jack turns to face you fully now, arms crossed. “You ever had a mother screaming in your face because her kid’s pressure dropped and you’re still waiting for a sterile suction kit to come up from Central?”
You shake your head.
“Didn’t think so.”
“I understand it’s difficult, but that doesn’t make it right—”
“I’m not here to be right,” he says flatly. “I’m here to make sure people don’t die waiting for tape and tubing.”
He steps closer, voice quieter now.
“You think the system’s built for this place? It’s not. It’s built for billing departments and insurance adjusters. I’m just bending it so the next teenager doesn’t bleed out on a gurney because the ER spent two hours requesting sterile gauze through the proper channel.”
You’re trying to hold your ground, but something in you wavers. Just slightly.
“This isn’t about money,” you say, though your voice softens. “It’s about transparency. The federal grant is under review. If they pull it, it’s not just your supplies—it’s salaries. Nurses. Fellowships. You could cost this hospital everything.”
Jack exhales hard through his nose. Looks at you like he wants to say a hundred things and doesn’t have the energy for one.
“You ever been in a position,” he murmurs, “where the right thing and the possible thing weren’t the same thing?”
You say nothing.
Because you’ve built a life doing the former.
And he’s built one surviving the latter.
“I’ll be in the charting room in twenty,” he says, already turning away. “If you want to see what this looks like up close, you’re welcome to follow.”
Before you can answer, someone shouts his name—loud, urgent.
He bolts toward the trauma bay before the syllables finish echoing.
And you’re left standing there, folder pressed to your chest, heart hammering in a way that has nothing to do with ethics and everything to do with him.
Jack Abbot.
A man who rewrites the rules not because he doesn’t care—
But because he cares too much to follow them.
Tuesday — 9:24 AM Allegheny General – Trauma Bay 2
You were not trained for this.
No part of your CPA license, your MBA electives, or your federal compliance onboarding prepared you for what it means to step inside a trauma bay mid-resuscitation.
But you do it anyway.
He told you to follow, and you did. Not because you’re scared of him—but because something in his voice made you want to understand him. Dissect the logic beneath the defiance. And because you're not the kind of woman who lets someone walk away thinking they’ve won a conversation just because they can bark louder.
So now here you are, standing just past the curtain, audit folder pressed against your chest like armor, trying not to breathe too shallow in case it looks like you’re afraid.
It’s loud. Then silent. Then louder.
A man lies on the table, unconscious. Twenty-five, maybe thirty. Jeans cut open, a ragged wound in his left thigh leaking bright arterial blood. A nurse swears under her breath. The EKG monitor screams. A resident drops a tray of gauze on the floor.
You don’t step back.
Jack Abbot is already at the man’s side.
His hands move like they’re ahead of his thoughts. No hesitation. No consulting a textbook. He pulls a sterile clamp from a drawer, presses it to the wound, and shouts for suction before the blood can pool down the table leg. The team forms around him like satellites to a planet. He doesn't yell. He commands. Low-voiced. Urgent. Controlled.
“Clamp there,” Jack says, to a stunned-looking intern. “No, firmer. This isn’t a prom date.”
You stifle a snort—barely. No one else even reacts.
The nurse closest to him says, “BP’s crashing.”
“Pressure bag’s up?”
“In use.”
“Give me a second one, now. And call blood bank—we’re skipping crossmatch. Type O, two units.”
You shift your weight quietly, moving two inches left so you’re out of the path of the incoming trauma cart. It bumps your hip. You don’t flinch.
He glances up. Sees you still standing there.
“You sure you want to be here?” he asks, not pausing. “It’s not exactly OSHA compliant.”
You meet his eyes evenly.
“You invited me, remember?”
He blinks once, but says nothing.
The monitor screams again. Jack lowers his head, muttering something you don’t catch. Then, to the nurse: “We’re not getting return. I need to open.”
“You want to crack here?” she asks. “We’re two minutes from OR three—”
“We don’t have two minutes.”
The tray arrives. Jack snaps on a new pair of gloves. You glance down and catch the gleam of something inside him—a steel that wasn’t there in the hallway.
This man is exhausted. Unshaven. Probably hasn't eaten in twelve hours. And yet every move he makes now is poetry. Violent, beautiful poetry. He’s not a man anymore—he’s a scalpel. A weapon for something bigger than him.
And still, you stay.
You even speak.
“If you’re going to override a standard OR protocol in front of a compliance officer,” you say calmly, “you might want to narrate it for the notes.”
The entire room freezes for half a second.
Jack looks up at you—truly looks—and his mouth twitches. Not a smile. Something older. A flicker of amusement under pressure.
“You’re a piece of work,” he mutters, turning back to the table. “Sternotomy tray. Now.”
You watch.
He cuts.
The man survives.
And you’re left trying to hold onto the version of him you built in your head when you walked through those double doors—the reckless trauma doctor who flouts policy and falsifies entries like he’s above the rules.
But he’s not above them.
He’s beneath them. Holding them up from below.
Twenty-three minutes later, he’s stripping off his gloves and washing his hands at a sink just past the trauma bays. The blood spirals down the drain in rust-colored ribbons. His jaw is clenched. His shoulders sag.
You step closer. No fear. No folder to hide behind now—just your voice.
“I don’t know what you think I’m doing here,” you say quietly, “but I’m not your enemy.”
Jack doesn’t look up.
“You’re wearing a suit,” he says. “You carry a clipboard. You track numbers like they tell the whole story.”
“I track truth,” you correct. “Which is a lot harder to pin down when you hide things in pediatric line items.”
He turns. That gets his attention.
“Is that what you think I’m doing? Hiding things?”
“I think you’re manipulating a fragile system to serve your own triage priorities. I think you’re smart enough to know how to avoid audit flags. And I think you’re exhausted enough not to care if it lands you in disciplinary review.”
His laugh is dry and joyless.
“You know what lands me in disciplinary review? Not spending thirty bucks of saline because a man didn’t bleed on the right fucking floor.”
“I know,” you say. “I watched you save someone who wasn’t supposed to make it past intake.”
Jack pauses.
And for the first time, you see it: a beat of surprise. Not in your observation, but in your acknowledgment.
“Then why are you still pushing?”
“Because I can’t fix what I don’t understand. And right now? You’re not giving me a goddamn thing to work with.”
A long silence stretches.
The sink drips.
You fold your arms. “If you want me to report accurately, show me what’s behind the curtain. The real system. Your system.”
Jack watches you carefully. His brow furrows. You wonder if anyone’s ever said that to him before—Let me see the whole thing. I won’t flinch.
“Follow me,” he says at last.
And then he walks. Not fast. Not trying to shake you. Just steady steps down the hallway. Past curtain 6. Past the empty crash cart. To a supply room you didn’t even know existed.
You follow.
Because that’s the deal now. He shows you what he’s built in the margins, and you decide whether to burn it down.
Or defend it.
Tuesday — 10:02 AM Allegheny General – Sublevel 1, Unmapped Storage Room
The hallway leading there isn’t on the public map. It’s narrower than it should be, dimmer too, the kind of corridor that exists between structural beams and budget approvals. You follow him past the trauma bay, past the marked charting alcove, past a metal door you wouldn’t have noticed if he hadn’t stopped.
Jack pulls a key from the lanyard tucked in his back pocket. Not a swipe badge—a key. Real, metal, old. He unlocks the door with a twist and a grunt.
Inside, fluorescent light hums awake overhead. The bulb stutters once, then holds.
And you freeze.
It’s a supply closet—but only in name. It’s his war room.
The room is narrow but deep, lined wall-to-wall with shelves of restocked trauma kits, expired saline bags labeled “STILL USABLE” in black Sharpie, drawers of unlabeled syringes, taped-up binders, folders with handwritten tabs. No digital interface. No hospital barcodes. No asset tags.
There’s a folding chair in the corner. A coffee mug half-full of pens. A cracked whiteboard with a grid system that only he could understand. The air smells like latex, ink, and whatever disinfectant they stopped ordering five fiscal quarters ago.
You take a breath. Step in. Close the door behind you.
He watches you like he expects you to flinch.
You don’t.
Jack leans a shoulder against the far wall, arms crossed, one leg bent to rest his boot against the floorboard behind him. The right leg. The prosthesis. You clock the adjustment without reacting. He notices that you notice—and doesn’t look away.
“This is off-grid,” he says finally. “No admin approval. No inventory code. No audit trail.”
You walk deeper into the room. Run your fingers along the edge of a file labeled: ALT REORDER ROUTES – Q2 / MANUAL ONLY / DO NOT SCAN
“You’ve built a shadow system,” you say.
“I built a system that works,” he corrects.
You turn. “This is fraud.”
He snorts. “It’s survival.”
“I’m serious, Abbot. This is full-blown liability. You’re rerouting federal grant stock using pediatric codes. You’re bypassing restock thresholds. You’re personally signing off on requisitions under miscategorized departments—”
“And you’re here with a folder and a badge acting like your spreadsheet saves more lives than a clamp and a peds line that actually shows up.”
Silence.
But it’s not silence. Not really.
There’s a hum between you now. Not quite anger. Not admiration either. Something in between. Something volatile.
You raise your chin. “I’m not here to be impressed.”
“Good. I’m not trying to impress you.”
“Then why show me this?”
“Because you kept your eyes open in the trauma bay,” he says. “You didn’t faint. You didn’t cry. You watched me crack a man’s chest open in real time, and instead of hiding behind a chart, you asked me to narrate the procedure.”
You blink. Once. “So that was a test?”
“That was a Tuesday.”
You glance around the room again.
There are labels that don’t match any official inventory records you’ve seen. Bin codes that don’t belong to any department. You pull a clipboard from the wall and flip through it—one page, then another. All hand-tracked inventory numbers. Dated. Annotated. Jack’s handwriting is messy but consistent. He’s been doing this for years.
Years.
And no one’s stopped him.
Or helped.
“Do they know?” you ask. “Admin. Robinavitch. Evans. Anyone?”
Jack leans his head back against the wall. “They know something’s off. But as long as the board meetings stay quiet and the trauma bay doesn’t run dry, no one goes looking. And if someone does, well…” He gestures to the room. “They find nothing.”
“You hide it this well?”
“I’m not stupid.”
You pause. “Then why let me see it?”
Jack looks at you.
Not quickly. Not dramatically. Just slowly. Like he’s finally weighing you honestly.
“Because you’re not like the others they’ve sent before. The last one tried to threaten me with a suspension. You walked into a trauma bay in heels and told me to log my chaos in real-time.”
You smirk. “It is hard to argue with a woman holding a clipboard and a minor God complex.”
He chuckles. “You should see me with a chest tube and a caffeine withdrawal.”
You flip another page.
“You’ve been routing orders through departments that don’t even realize they’re losing inventory.”
“Because I return what I borrow before they notice. I run double restocks through the night shift when the scanner’s offline. I update storage rooms myself. No one’s ever missed a needle they weren’t expecting.”
You shake your head. “This is a house of cards.”
Jack shrugs. “And yet it holds.”
“But for how long?”
Now you’re the one who steps forward. You plant yourself in front of the table and open your binder. Click your pen.
“I can’t pretend this doesn’t exist. If I report this exactly as it is, the grant’s pulled. You’re fired. This hospital goes under federal review for misappropriation of trauma funds.”
He doesn’t blink. “Then do it.”
You stare at him. “What?”
He steps off the wall now, closes the space between you like it’s nothing.
“I’ve survived worse,” he says. “You think this job is about safety? It’s not. It’s about how long you can keep other people alive before the system kills you too.”
You inhale, hard. “God, you’re dramatic.”
He smirks. “And you’re stubborn.”
“Because I don’t want to bury you in a report. I want to fix the goddamn machine before someone else gets chewed up in it.”
Jack stares at you.
The flicker of something new in his expression.
Respect.
“Then help me,” you say. “Let me draft a compliance framework that mirrors what you’ve built. A real one. If we can prove this routing saved lives, reduced downtime, and didn’t drain pediatric inventory, we can pitch it as an emergency operations protocol, not fraud.”
His brows lift, skeptical. “You think they’ll buy that?”
“No,” you say. “But I’m not giving them the choice. I’m giving them math.”
That gets him.
He grins. Barely. But it’s real.
“God,” he mutters. “You’re a menace.”
“You’re welcome.”
He turns away to hide the grin, but not before you catch the edge of it.
And then—quietly—he reaches for a file at the back of the shelf. It’s older. Faded. Taped up the side. He places it in your hands.
“What’s this?” you ask.
“The first reroute I ever filed. Back in 2017. Kid named Miguel. We were out of blood bags. I had a connection with the OR nurse who owed me a favor. Rerouted it through post-op. Saved the kid’s life. Never logged it.”
You glance down at the file. “You kept it?”
“I keep all of them.”
He meets your eyes again.
“You’re not here to bury me. Fine. But if you’re going to save me, do it right.”
You nod.
“I always do.”
Tuesday — 12:23 PM Allegheny General – Third Floor Charting Alcove
There’s no door to the alcove. Just a half-wall and a partition, like someone once tried to offer privacy and gave up halfway through. There’s a long desk, a broken rolling chair, two non-matching stools, and a stack of patient folders leaning so far left you half expect them to fall. The overhead light buzzes faintly, casting everything in pale hospital yellow.
You sit at the desk anyway.
Jacket folded over the back of the stool, sleeves pushed to your elbows, fingers already flying across the keyboard of your laptop. You’re building fast but clean. Sharp lines. Conditional formatting. A crisis-routing framework that looks like it was written by a task force, not two people who met five hours ago in a trauma hallway soaked in blood.
Jack stands across from you.
Leaning, not lounging. One arm crossed, the other flexed slightly as he rubs a knot in his shoulder. His scrub top is wrinkled and dark at the collar. There's a faint stain down his side you’re trying not to identify. He hasn't touched his phone in forty minutes. Hasn’t once asked when this ends.
He’s watching you.
Not like you’re entertainment. Like he’s waiting to see if you’ll slip.
You don’t.
“You ever sleep?” he asks, finally breaking the silence.
You don’t look up. “I’ve heard of it.”
He makes a sound—half laugh, half breath. “What’s your background, anyway? You don’t have the eyes of someone who studied finance for fun.”
“Applied mathematical economics,” you say, still typing. “Minor in gender studies. First job was forensic audits for nonprofits. Moved to healthcare compliance after a board member got indicted.”
That gets his attention. “Jesus.”
You glance at him. “I’m not here because I care about sterile supply chains, Dr. Abbot. I’m here because I know what happens when people stop paying attention to the margins.”
He leans in. “And what happens?”
You meet his eyes.
“They bleed.”
Something in his face tightens. Not defensiveness. Recognition.
You go back to typing.
On your screen, the Crisis Routing Framework takes shape line by line. A column for shelf code. A subcolumn for department reroute. A notes field for justification. A time-stamp formula.
You highlight the headers and format them in hospital blue.
Jack watches your hands. “You make it look real.”
“It is real. I’m just reverse-engineering the lie.”
“You ever consider med school?”
You snort. “No offense, but I prefer a job where the people I save don’t flatline halfway through.”
He grins. It's tired. But it's real.
You type another line, then say, “I’m flagging pediatric code 412 as overused. If they run a query, we need to show it tapered off this month. Start routing through P-580. Float department. Similar stock, slower pull rate.”
He nods slowly. “You’re scary.”
“Good. You’ll need someone scary.”
He rubs his thumb along his jaw. “You always this relentless?”
You pause. Then look at him.
“I grew up in a house where if you didn’t solve the problem, no one else was coming. So yeah. I’m relentless.”
Jack doesn’t smile this time. He just nods. Like he gets it.
You shift gears. “Talk me through supply flow. Where’s your weakest point?”
He thinks. “ICU hoards ventilator tubing. Pediatrics short-changes trauma bay stock twice a year during audit season. Central Supply won't prioritize ER if the orders come in after 5PM. And once a month, someone from anesthesia pulls from our cart without logging it.”
You blink. “That’s practically sabotage.”
You finish a formula. “Okay. I’m structuring this like a mirrored requisition chain. Any reroute needs a justification and a fallback, plus one sign-off from a second attending. If we’re going to pitch this as protocol, we can’t make you look like the sole cowboy.”
Jack quirks a brow. “Even though I am?”
“Especially because you are.”
He laughs again, and it’s deeper this time. Not performative. Just… easy.
He moves closer. Pulls a stool up beside you. Watches the screen over your shoulder.
“Alright. Let’s build it.”
You glance at him sideways. “Now you want in?”
“I don’t like systems I didn’t help design.”
You smirk. “Typical.”
“Also,” he adds, “I’m the one who’s gonna have to sell this to Robby. If it sounds too academic, he’ll assume I lost a bet and had to let someone from Harvard try to fix the ER.”
“I went to Ohio State.”
“Even worse.”
You roll your eyes. “We’re naming it CRF—Crisis Routing Framework.”
“That’s terrible.”
“It’s bureaucratically unassailable.”
“Still sounds like a printer manual.”
“You’re welcome.”
He chuckles again, and it hits you for the first time how rare that sound probably is from him. Jack Abbot doesn’t laugh in meetings. He doesn’t charm the board. He doesn’t play. He works. Bleeds. Fixes.
And here he is, giving you his time.
You scroll to the bottom of the spreadsheet and create a new tab. LIVE REROUTE LOG – PHASE ONE PILOT
You look at him. “You’re gonna log everything from here on out. Time, item, reroute, reason, outcome.”
Jack raises a brow. “Outcome?”
“I’m not defending chaos. I’m documenting impact. That’s how we scale this.”
He nods. “Alright.”
“You’re going to train one resident to do this after you.”
“I already know who.”
“And you’re going to let me present this to the admin team before you barge in and call someone a corporate parasite.”
Jack presses a hand to his chest, mock-offended. “I never said that out loud.”
You glance at him.
He exhales. “Fine. Deal.”
You close the laptop.
The spreadsheet is done. The framework is real. The logs are ready to go live. All that’s left now is convincing the hospital that what you’ve built together isn’t just a workaround—it’s the blueprint for saving what’s left.
He’s quiet for a minute.
Then: “You know this doesn’t fix everything, right?”
You nod. “It’s not supposed to. It just keeps the people who do fix things from getting fired.”
Jack tilts his head. “You really believe that?”
You meet his eyes. “I wouldn’t be here if I didn’t.”
He studies you like he’s trying to find the catch.
Then he leans forward, forearms resting on his knees. “You know, when they said someone from Kane & Turner was coming in, I pictured a thirty-year-old with a spreadsheet addiction and no clue what a trauma bay looked like.”
“I pictured a man who didn’t know what a compliance code was and thought ethics were optional.”
He grins. “Touché.”
You smile back, tired and full of adrenaline and something else you don’t have a name for yet.
Then you stand. Sling your laptop under your arm.
“I’ll send you the first draft of the protocol by morning,” you say. “Review it. Sign off. Try not to add any sarcastic margin notes unless they’re grammatically correct.”
Jack stands too. Nods.
And then—quietly, like it costs him something—he says, “Thank you.”
You pause.
“You’re welcome.”
He doesn’t say more. Doesn’t have to. You walk out of the alcove without looking back. You’ve already given him your trust. The rest is up to him.
Behind you, Jack pulls the chair closer. Opens the laptop.
And starts logging.
Saturday — 12:16 AM Three Weeks Later Downtown Pittsburgh — The Forge, Liberty Ave
The bar pulses.
Brick walls sweat condensation. Shot glasses clink. The DJ is on his third remix of the same Doja Cat song, and the bass is loud enough to rearrange your internal organs. Somewhere behind you, someone’s yelling about their ex. Your drink is pink and glowing and entirely too strong.
You’re wearing a bachelorette sash. It isn’t your party. You barely know half the girls here. One of them’s already crying in the bathroom. Another lost a nail trying to mount the mechanical bull.
And you?
You’re on top of a booth table with a stolen tiara jammed into your hair and exactly three working brain cells rattling around your skull.
Someone hands you another tequila shot.
You take it.
You’re drunk—not hospital gala drunk, not tipsy-at-a-networking-reception drunk.
You’re downtown-Pittsburgh, six-tequila-shots-deep, screaming-a-Fergie-remix drunk.
Because it’s been a month of high-functioning, hyper-competent, trauma-defending, budget-balancing brilliance. And tonight?
You want to be dumb. Messy. Loud. A girl in a too-short dress with glitter dusted across her clavicle and no memory of the phrase “compliance code.”
You tip your head back. The bar lights blur.
That’s when you try the spin.
A full, arms-above-your-head, dramatic-ass spin.
Your heel lands wrong.
And the table snaps.
You hear it before you feel it—an ugly wood crack, a rush of cold air, your body collapsing sideways. Something twists in your ankle. Your elbow hits the edge of a stool. You end up flat on your back on the floor, breath gone, ears ringing.
The bar goes silent.
Someone gasps.
Someone laughs.
And above you—through the haze of artificial light and bass static—you hear a voice.
Familiar.
Dry. Sharp. Unbelievably fucking real.
“Jesus Christ.”
Jack Abbot has been here twelve minutes.
Long enough for Robby to buy him a beer and mutter something about needing “noise therapy” after a shift that involved two DOAs, one psych hold, and an attempted overdose in the staff restroom.
Jack hadn’t wanted to come. He still smells like the trauma bay. His back hurts. There’s blood on his undershirt. But Robby insisted.
So here he is, in a bar full of neon and glitter, trying not to judge anyone for being loud and alive.
And then you fell through a table.
He doesn’t recognize you at first. Not in this light. Not in that dress. Not barefoot on the floor with your hair falling out of its updo and your mouth half-open in shock.
But then he sees the way you try to sit up.
And you groan: “Oh my God.”
Jack’s already moving.
Robby shouts behind him, “Is that—oh shit, that’s her—”
Jack ignores him. Shoves through the crowd. Kneels at your side. You’re clutching your ankle. There's glitter on your neck. You're laughing and crying and trying to brush off your friends.
And then you see him.
Your eyes go wide.
You blink. “...Jack?”
His jaw tightens. “Yeah. It’s me.”
You try to sit up straighter. Fail. “Am I dreaming?”
“Nope.”
“Are you real?”
“Unfortunately.”
You drop your head back against the floor. “Oh God. This is the most humiliating night of my life.”
“Worse than the procurement meeting?”
You peek up at him, hair in your eyes. “Worse. Way worse. I was trying to prove I could still do a backbend.”
Jack sighs. “Of course you were.”
You wince. “I think I broke my foot.”
He presses two fingers to your pulse, checks your ankle gently. “You might’ve. It’s swelling. You’re lucky.”
“I don’t feel lucky.”
“You are,” he says. “If you’d twisted further inward, you’d be looking at a spiral fracture.”
You stare at him. “Did you really just trauma-evaluate my foot in a bar?”
Jack looks up. “Would you prefer someone else?”
“No,” you admit.
“Then shut up and let me finish.”
Your friends hover, but none of them move closer. Jack’s presence is... commanding. Like the bar suddenly remembered he’s the person you call when someone stops breathing.
You watch him.
The sleeves of his black zip-up are rolled to the elbow. His hands are clean now, but his cuticles are stained. His ID badge is gone, but he still wears the same exhaustion. The same steady focus.
He touches your foot again. You flinch.
Jack winces, just slightly.
“I’ve got you,” he says.
Jack slips one arm under your legs and the other behind your back and lifts.
“Holy shit,” you squeak. “What are you doing?!”
“Getting you off the floor before someone livestreams this.”
You bury your face in his collarbone. “I hate you.”
He chuckles. “No, you don’t.”
“You’re smug.”
“I’m right.”
“You smell like trauma bay and cheap beer.”
“Don’t change the subject.”
He carries you past the bouncer, past the flash of phone cameras, past Robby cackling at the bar.
Outside, the air hits you like truth. Cold. Sharp. Clear.
Jack sets you down on the hood of his truck and kneels again.
“You’re taking me to the ER?” you ask, quieter now.
“No,” he says. “You’re coming to my apartment. We’ll ice it, wrap it, and if it still looks bad in the morning, I’ll take you in.”
You squint. “I thought you weren’t off until Monday.”
Jack stands. “I’m not, but you’re coming with me. Someone’s gotta keep you from dancing on furniture.”
You blink. “You’re serious.”
“I always am.”
You look at him.
Three weeks ago, you rewrote a system together. Built a lifeline in the margins. Saved a hospital with data, caffeine, and stubborn brilliance.
And now he’s here, brushing glitter off your shoulder, holding your sprained foot like it’s the most obvious thing in the world.
“I thought you hated me,” you murmur.
Jack looks at you, something unreadable flickering behind his eyes.
“I didn’t hate you,” he says.
He leans in.
“I just didn’t know how much I needed you until you stayed.”
Saturday — 12:57 AM Jack's Apartment — South Side Flats
You don’t remember the elevator ride.
Just the press of warm hands. The cold knot of pain winding tighter in your foot. The way Jack didn’t flinch when you leaned into him like gravity wasn’t working the way it should.
He’d carried you like he’d done it before.
Like your weight wasn’t an inconvenience.
Like there wasn’t something fragile in the way your hands gripped the edge of his jacket, or the way your voice slurred slightly when you whispered, “Please don’t drop me.”
“I’ve got you,” he’d said.
Not a performance. Not pity.
Just fact.
Now you’re here. In his apartment. And everything’s still.
The door clicks shut behind you. The locks slide into place. You blink in the quiet.
Jack’s apartment is...surprising.
Not messy. Not sterile. Lived in.
A row of mugs lined up by the sink—some hospital-branded, one chipped, one that says “World’s Okayest Doctor” in faded red font. A half-built bookshelf in the corner with a hammer sitting beside it, a box of unopened paperbacks on the floor. A stack of trauma logs on the kitchen counter, marked with highlighters. There’s a hoodie tossed over the back of a chair. A photo frame turned face-down.
He doesn’t explain the place. Just moves toward the couch.
“Feet up,” he says gently. “Cushions under your back. I’ll get the ice.”
You let him settle you—ankle elevated, pillow beneath your knees, spine curving against the soft give of the cushion. His hands are firm but careful. His touch steady. No wasted movement.
The moment he turns toward the kitchen, you finally exhale.
Your foot throbs, yes. But it’s not just the injury. It’s the shift. The collapse. The way your brain is catching up to your body, fast and unforgiving.
He returns with a towel-wrapped bag of crushed ice. Kneels beside the couch. Presses it gently to your swollen ankle.
You wince.
He watches you. “Still bad?”
“I’ve had worse.”
He cocks his head. “Let me guess—tax season?”
You smile, tired. “Try federal oversight for a trauma unit that runs on scraps.”
His mouth twitches. “Fair.”
He adjusts the ice. Shifts slightly to sit on the floor beside you, back against the edge of the couch.
“Thanks for not taking me to the hospital,” you murmur after a beat.
He snorts. “You were drunk, barefoot, and covered in glitter. I figured they didn’t need that energy tonight.”
You laugh softly. “I’m usually very composed, you know.”
“Sure.”
“I am.”
“You’re also the only person I’ve ever seen terrify a board meeting into extending a $1.4 million grant with nothing but a color-coded spreadsheet and a raised eyebrow.”
You grin, despite the ache. “It worked.”
He looks at you then.
Really looks.
“Yeah,” he says quietly. “It did.”
Silence stretches, but it’s not awkward.
The hum of his fridge clicks on. The distant wail of a siren threads through the cracked kitchen window. The ice burns through the towel, numbing your foot.
You turn your head toward him. “You don’t talk much when you’re off shift.”
He shrugs. “I talk all day. Sometimes it’s nice to let the quiet say something for me.”
You pause. Then: “You’ve changed.”
Jack’s eyes flick up. “Since what?”
“Since the first day. You were—” you search for the word, “—hostile.”
“I was exhausted.”
“You’re still exhausted.”
“Maybe.” He rubs a hand over his face. “But back then, I didn’t think anyone gave a shit about the mess we were drowning in. Then you showed up in heels and threatened to file an ethics report in real-time during a trauma code.”
You grin. “You never let me live that down.”
He chuckles. “It was hot.”
You blink. “What?”
His eyes widen slightly. He looks away. “Shit. Sorry. That was—”
“Say it again,” you say, heartbeat ticking up.
He hesitates.
Then, quieter: “It was hot.”
The room stills.
Your throat goes dry.
Jack clears his throat and stands. “I’ll get you some water.”
You catch his wrist.
He stops. Looks down.
You don’t let go. Not yet.
“I think I’m sobering up,” you whisper.
Jack doesn’t speak. But his expression softens. Like he’s afraid you’ll take it back if he breathes too loud.
“And I still want you here,” you add.
That breaks something in his posture.
Not lust. Not intention.
Just clarity.
Jack lowers himself back down. Closer this time. He leans forward, arms on his knees, forearms bare, veins visible under dim kitchen-light glow. You’re aware of the space between you. The hush. The hum.
“I’ve been trying to stay out of your way,” he admits. “Let the protocol speak for itself. Let the work be enough.”
“It is.”
“But it’s not all.”
You nod. “I know.”
He meets your eyes. “I meant what I said. I didn’t know how much I needed you until you stayed.”
Your chest tightens.
“You make it easier to breathe in that place,” he adds. “And I haven’t breathed easy in years.”
You lean back against the couch, exhale slowly.
“I think we’re more alike than I thought,” you murmur. “We both like being the one people rely on.”
Jack nods. “And we both fall apart quietly.”
Another silence. Another shift.
“I don’t want to fall apart tonight,” you whisper.
He looks at you.
“You won’t,” he says. “Not while I’m here.”
And then he reaches for your hand. Doesn’t take it. Just lets his fingers rest close enough that the warmth passes between you.
That’s all it is.
Not a kiss.
Not a confession.
Just one long moment of quiet, where neither of you has to hold the weight of anyone else’s world.
Just each other’s.
Sunday — 8:19 AM Jack's Apartment — South Side Flats
You wake to soft light.
Filtered through half-closed blinds, the kind that turns gray into gold and casts long lines across the carpet. The apartment is quiet, still warm from the night before, but there’s no sound except the faint hum of the fridge and the scrape of the city waking up somewhere six floors down.
Your foot throbs—but less than last night.
The pain is dulled. Managed.
You shift slowly, eyes adjusting. You’re on the couch, still in your dress, a blanket draped over you. Your leg is elevated on a pillow, and your ankle is wrapped in clean white gauze—professionally, precisely. You didn’t do that.
Jack.
There’s a glass of water on the coffee table. Full. No condensation. A bottle of ibuprofen beside it, label turned outward. A banana and a paper napkin.
The care is unmistakable.
You blink once, twice, then sit up slowly.
The apartment smells like coffee.
You limp toward the kitchen on your good foot, using the back of a chair for balance. The ice pack is gone. So is Jack.
But on the counter—neatly arranged like he planned every inch—is a folded gray hoodie, your left heel (broken but cleaned), a fresh cup of black coffee in a white ceramic mug, and something that stops you cold:
The new CRF logbook.
Printed. Binded. Tabbed in color-coded dividers. The first page filled out in his slanted, all-caps writing.
At the top: CRF — ALLEGHENY GENERAL EMERGENCY PILOT — 3-WEEK AUDIT REVIEW. In the corner, under “Lead Coordinator,” your name is written in ink.
There’s a sticky note beside it. Yellow. Curling at the edge.
“It works because of you.— J”
You stare at it for a long time.
Not because it’s dramatic. Because it’s not.
Because it’s simple. True.
You pick up the binder, flip to the first log. It’s already halfway filled—dates, codes, outcomes. Jack has been tracking everything. By hand. Every reroute. Every save. Every corner he’s bent back into shape.
And he’s signing your name on every one of them.
You run your fingers over the paper.
Then reach for the mug.
It’s warm. Not fresh—but not cold either. Like he poured it minutes before leaving.
You sip.
And for the first time in weeks—maybe longer—you don’t feel like you're catching up to your own life. You feel placed. Like someone made room for you before you asked.
You limp toward the window, slow and careful, and watch the street below wake up.
The city is still gray. Still loud. But it’s yours now. His, too. Not perfect. Not quiet. But it’s working.
You lean against the frame.
Your chest aches in that unfamiliar, not-quite-painful way that only comes when something shifts inside you—something big and slow and inevitable.
You don’t know what this is yet.
But you know where it started.
On a trauma shift.
In a supply closet.
With a man who saw your strength before you ever raised your voice.
And stayed.
One Month Later — Saturday, 6:41 PM Pittsburgh — Shadyside, near Ellsworth Ave
The sky’s already lilac by the time you get out of the Uber.
The street glows with soft storefront lighting—jewelers locking up, the florist’s shutters halfway drawn, the sidewalk sprinkled with pale pink petals from whatever tree is blooming overhead. The restaurant is tucked between a jazz bar and a wine shop, easy to miss if you’re not looking for it.
But Jack is already there.
Leaning against the doorframe, hands in his pockets, like he doesn’t want to go in without you. He’s in a navy button-down, sleeves pushed up to the elbow, top button undone. He’s not hiding in trauma armor tonight. He looks clean. Rested. Still a little unsure.
You see him before he sees you.
And when he does—when his head lifts and his eyes find you—he stills.
The kind of still that feels like reverence, even if he’d never call it that.
He says your name. Just once. And then:
“You came.”
You smile. “Of course I came.”
“I wasn’t sure.”
You tilt your head. “Why?”
He looks down, breathes out through his nose. “Because sometimes when things matter, I assume they won’t last.”
You step closer.
“They haven’t even started yet,” you murmur. “Let’s go in.”
The bistro is warm. Brick walls. Low ceilings. Candles on every table, their flames soft and steady in small hurricane glass cylinders. There’s a record player spinning something old in the corner—Chet Baker or maybe Nina Simone—and everything smells like rosemary, lemon, and the faintest hint of woodsmoke.
They seat you at a two-top near the back, under a copper wall sconce. Jack pulls out your chair.
You settle in, napkin across your lap, and when you look up—he’s still watching you.
You say, half-laughing, “What?”
He shakes his head. “Nothing.”
You arch a brow.
Jack clears his throat, quiet. “Just… didn’t think I’d ever sit across from you like this.”
You tilt your head. “What did you think?”
“That you’d disappear when the work was done. That I’d keep building alone.”
You soften. “You don’t have to anymore.”
He looks away like he’s holding back too much. “I know.”
The first half of the date is easier than expected.
You talk like people who already know the shape of each other’s silences. He tells you about a med student who called him “sir” and then fainted in a trauma room. You tell him about a client who tried to expense a yacht as “emergency morale restoration.” You laugh. You eat. He lets you try his meal before you ask.
But somewhere between the second glass of wine and dessert, the air starts to shift.
Not tense. Just heavier. Like both of you know you’ve reached the part where you either step closer… or let it stay what it’s always been.
Jack leans back, arm resting on the back of the chair beside him.
He watches you carefully. “Can I ask something?”
You nod.
“Why’d you keep answering when I texted?”
You blink. “What do you mean?”
“I mean—you’re good. Smart. Whole. You didn’t need me.”
You smile. “You’re wrong.”
Jack doesn’t say anything. Just waits. You fold your hands in your lap. “I didn’t need a fixer,” you say slowly. “But I needed someone who saw the same broken thing I did. And didn’t flinch.”
His jaw flexes. His fingers tap the edge of the table. “I flinched,” he says. “At first.”
“But you stayed.”
Jack looks down. Then up again. “I’ve never been afraid of blood,” he says. “Or death. Or screaming. But I’ve always been afraid of this. Of getting used to something that could disappear.”
You exhale. “Then don’t disappear.” It’s not flirty. It’s not dramatic. It’s a promise.
His hand finds the table. Palm open.
Yours moves toward it.
You hesitate. For half a second.
Then place your hand in his.
He closes his fingers around yours like he’s done it a hundred times—but still can’t believe you’re letting him. His voice is low. “I like you.”
“I know.”
“I don’t do this. I don’t—”
“Jack.” You squeeze his hand. He stops talking. “I like you too.”
No rush. No smirk. Just this slow-burning, backlit certainty that maybe—for once—you’re allowed to be wanted in a way that doesn’t burn through you.
Jack lifts your hand. Presses his lips to the back of it—once, then again. Slower the second time.
When he lets go, it’s with a softness that feels deliberate. Like he’s giving it back to you, not letting it go.
You reach for your phone, half on autopilot. “I should call an Uber—”
“Don’t,” Jack says, low.
You pause.
He’s already pulling out his keys. “I’ll drive you home.”
You smile, small and warm.
“I figured you might.”
Saturday — 9:42 PM Your Apartment — East End, Pittsburgh
The hallway feels quieter than usual.
Maybe it’s the way the night sits heavy on your skin—thick with everything left unsaid in the car ride over. Maybe it’s the way Jack keeps glancing over at you, not nervous, not unsure, but like he’s memorizing each second for safekeeping.
You unlock the door and push it open with your shoulder.
Warm light spills out into the hallway—the glow from the lamp you left on, the one by the bookshelf. It’s yellow-gold, soft around the edges, the kind of light that doesn’t ask for anything.
Jack pauses at the threshold.
You watch him watch the room.
He notices the details: the stack of books by the bed. The houseplant you’re not sure is alive. The smell of bergamot and something citrus curling faintly from the kitchen. He doesn’t say anything about it. He just steps inside slowly, like he doesn’t want to ruin anything.
You toe off your shoes by the door. He closes it behind you, quiet as ever. You catch him glancing at your coat hook, at the little ceramic tray full of loose change and paper clips and hair ties.
“You live like someone who doesn’t leave in a rush,” he says softly.
You tilt your head. “What does that mean?”
Jack shrugs. “It means it’s warm in here.”
You don’t know what to do with that. So you smile. And then—like gravity resets—you’re both standing in your living room, closer than you meant to be, without shoes or coats or any buffer at all.
Jack shifts first. Hands in his pockets. He looks down, then up again. There’s something almost boyish in it. Almost shy. “I keep thinking,” he murmurs, “about the moment I almost asked you out and didn’t.”
You swallow. “When was that?”
He steps closer. His voice stays low. “After we wrote the first draft of the protocol. You were sitting in that awful rolling chair. Hair up. Eyes on the screen like the world depended on your next keystroke.”
You laugh, soft.
“I looked at you,” he says, “and I thought, ‘If I ask her out now, I’ll never stop wanting her.’”
Your breath catches.
“And that scared the hell out of me.”
You don’t speak. You don’t need to. Because you’re already reaching for him. And he meets you halfway. Not in a rush. Not in a pull. Just a quiet, inevitable lean.
The kiss is slow. Not hesitant—intentional. His hand finds your waist first, the other grazing your cheek. Your fingers curl into the front of his shirt, anchoring yourself.
You part your lips first. He deepens it. And it’s the kind of kiss that says: I waited. I wanted. I’m here now.
His thumb traces the side of your face like he’s still getting used to the shape of you. His mouth moves like he’s learned your rhythm already, like he’s wanted to do this since the first time you told him he was wrong and made him like it.
He breaks the kiss only to breathe. But his forehead stays pressed to yours. His voice is hoarse.
“I’m trying not to fall too fast.”
You whisper, “Why?”
Jack exhales. “Because I think I already did.”
You press your lips to his again—softer this time. Then pull back enough to look at him. His expression is unguarded. More than tired. Relieved. Like the thing he’s been carrying for years just finally set itself down. You brush your thumb across the line of his jaw.
“Then stay,” you say.
His eyes meet yours. No hesitation.
“I will.”
He follows you to the couch without asking. You curl into the corner, legs tucked beneath you. He sits beside you, arm behind your shoulders, body warm and still faintly smelling of cologne.
You rest your head on his chest.
His hand moves slowly—fingertips tracing light shapes against your spine. You think maybe he’s drawing the floor plan of a life he didn’t think he’d ever get.
Neither of you speak. And for once, Jack doesn’t need words.
Because here, in your living room, under soft lighting and quiet, and the hum of a city that never quite sleeps—you’re both still.
And neither of you is leaving.
Sunday – 6:58 AM Your Apartment – East End, Pittsburgh
It’s still early when the light begins to stretch.
Not sharp. Not the kind that yells the day awake. Just a slow, honey-soft glow bleeding in through the blinds—brushed gold along the floorboards, the edge of the nightstand, the collar of the shirt tangled around your frame.
It smells like sleep in here. Like warmth and cotton and skin. You’re not alone. You feel it before your eyes open: the quiet sound of someone else breathing. The weight of a hand resting loosely over your hip. The warmth of a body curved behind yours, chest to spine, legs tucked close like he was worried you’d get cold sometime in the night.
Jack.
Your heart gives a small, guilty flutter—not from regret. From how unreal it still feels. His arm shifts slightly. He inhales. Not quite awake, but moving toward it. You keep your eyes closed and let yourself be held.
Not because you need protection. Because being known—this fully, this gently—is rarer than safety.
The bedsheets are half-kicked off. Your shared body heat turned the room muggy around 3 a.m., but now the chill has crept back in. His nose is tucked against the crook of your neck. His stubble has left faint irritation on your skin. You could point out the way his foot rests over yours, how he must’ve hooked it there subconsciously, anchoring you in place. You could point out the weight of his hand splayed across your ribcage, not possessive—just there.
But there’s nothing to say. There’s just this. The shape of it. The way your body fits his. You shift slightly beneath his arm and feel him breathe in deeper.
Then—“You’re awake,” he murmurs, his voice sleep-rough and warm against your skin.
You nod, barely. “So are you.”
He lets out a quiet hum. The kind people make when they don’t want the moment to change. You turn in his arms slowly. He doesn’t fight it. His hand slips to your lower back as you roll, fingers still curved to hold. And then you’re facing him—cheek to pillow, inches apart.
Jack Abbot is never this soft.
He blinks the sleep out of his eyes, messy hair pushed back on one side, face creased faintly where it met the pillow. His mouth is slightly open. There’s a dent at the base of his throat where his pulse beats slow and steady, and you watch it without shame.
His eyes search yours. “I didn’t know if you’d want me here in the morning,” he says.
You reach up, touch a lock of hair near his temple. “I think I wanted you here more than I’ve wanted anything in weeks.”
That gets him. Not a smile. Something quieter. Something grateful. “I almost left at five,” he admits. “But then you turned over and said my name.”
You blink. “I don’t remember that.”
“You said it like you were still dreaming. Like you thought I might disappear if you stopped saying it.”
Your throat catches. Jack reaches up, runs a thumb under your cheekbone. “I’m not going anywhere,” he says.
You rest your forehead against his. “I know.”
Neither of you move for a while.
Eventually, he shifts slightly and kisses your jaw. Your temple. Your nose. When his lips brush yours, it’s not a kiss. Not yet. It’s just a touch. A greeting. A promise that he’ll wait for you to move first.
You do.
He kisses you slowly—like he’s checking if he can keep doing this, if it’s still allowed. You kiss him back like he’s already yours. And when it ends, it’s not because you pulled away.
It’s because he smiled against your mouth.
You shift again, stretching your limbs gently. “What time is it?”
Jack rolls slightly to glance at the clock. “Almost seven.”
You hum. “Too early for decisions.”
“What decisions?”
“Like whether I should make breakfast. Or pretend we’re too comfortable to move.”
Jack tugs you a little closer. “I vote for the second one.”
You laugh against his chest. His hand strokes up and down your spine in lazy, slow passes. Nothing rushed. Just skin and warmth and quiet.
It’s a long time before either of you try to get up. When you do, it’s because Jack insists on coffee.
You sit on the bed, cross-legged, blanket pooled around your waist while he pads around the kitchen in boxers, hair a mess, your fridge open with a squint like he’s trying to understand your milk choices.
“I have creamer,” you call.
“I saw. Why is it in a mason jar?”
“Because I dropped the original bottle and couldn’t get the lid back on.”
Jack just laughs and pours two mugs—one full, one halfway. He brings yours first. “Two sugars?”
You blink. “How did you know?”
“You stirred your coffee five times the other day. I watched the way your face changed after the second packet.”
You squint. “You remember that?”
Jack shrugs, eyes soft. “I remember you.”
You take the cup. Your fingers brush. He leans in and kisses the top of your head. The apartment smells like coffee and him. He stays all morning. You don’t notice the time pass.
But when he kisses you goodbye—long, lingering, forehead pressed to yours—you don’t ask when you’ll see him next.
Because you already know.
Friday – 12:13 AM Your Apartment — East End, Pittsburgh
You’re awake, but just barely.
Your laptop is dimmed to preserve battery, the spreadsheet on screen more muscle memory than thought. You’d told yourself you'd finish reconciling the quarterly vendor ledger before bed, but your formulas have started to blur into one long row of black-and-white static.
There’s half a glass of Pinot on your coffee table. You’re in an old sweatshirt and socks, glasses slipping down the bridge of your nose. The only light in the apartment comes from the kitchen—low, golden, humming.
It’s late, but the kind of late you’re used to. And then—three knocks at the door. Not buzzed. Not texted. Not expected.
Three solid, decisive knocks.
You sit up straight. Laptop closed. Glass down. Your feet find the floor with a soft thud as you cross the room. The locks click one by one. You look through the peephole and your heart stumbles.
Jack.
Black scrubs. Blood dried along his collar. One hand braced against your doorframe, as if he needed the structure to hold himself up.
You don’t hesitate. You open the door. He looks at you like he’s not sure he should’ve come. You step aside anyway.
“Come in.”
Jack crosses the threshold slowly, like someone walking into a church they haven’t set foot in since the funeral. He doesn’t speak. Doesn’t kiss you. Doesn’t offer a greeting. His movements are mechanical. His body’s tight.
He stands in the middle of your living room, beneath the soft spill of light from the kitchen, and doesn’t say a word.
You shut the door. Turn toward him.
“Jack.”
His eyes lift to yours. He looks wrecked. Not bleeding. Not broken. Just… done. And yet still trying to hold it all together. You take one step forward.
“I lost a kid,” he says, voice gravel-thick. “Tonight.”
You go still.
“She came in from a hit-and-run. Eleven. Trauma-coded on arrival. We got her to the OR. Her BP was gone before the second unit of blood even cleared.”
You don’t interrupt.
“She had these barrettes in her hair. Bright pink. I don’t know why I keep thinking about them. Maybe because they were the only clean thing in the whole room. Or maybe because—” he breaks off, jaw clenched.
You reach for his wrist. He lets you.
“I didn’t want to stop. Even after I knew it was gone. Her mom—” his voice cracks—“she was screaming.”
Your fingers tighten gently around his. He finally looks at you. “I shouldn’t be here.”
“Why?”
“I didn’t want to bring this to you. The blood. The mess. You work in numbers and deadlines. Spreadsheets and order. This isn’t your world.”
“You are.”
That stops him. Jack looks down.
“I didn’t know where else to go.”
You step into him fully now, arms sliding around his back. His hands hover for a moment, unsure.
Then he folds. All at once. His chin drops to your shoulder. One arm tightens around your waist, the other wraps up your back like he’s afraid you might vanish too. You feel it in his body—the way he lets go slowly, like muscle by muscle, his grief loosens its grip on his spine.
You don't rush him. You don’t ask more questions.
You just hold.
It takes him a long time to speak again.
When he does, it’s from the couch, twenty minutes later. He’s sitting with his elbows on his knees, your throw blanket around his shoulders.
You made tea without asking. You’re curled at the other end, knees drawn up, watching him with quiet presence.
“I don’t know how to be this person,” he says. “The one who can’t hold it all.”
You sip from your mug. “You don’t have to hold it alone.”
Jack lets out a sound that’s not quite a laugh. “You say that like it’s easy.”
You set the mug down. Shift closer.
“You patch up people who never say thank you. You hold their trauma in your hands. You drive home alone with someone else’s blood on your shirt. And then you pretend none of it touches you.”
He looks over at you.
“It touches you, Jack. Of course it does.”
He doesn’t respond. You reach for his hand. Laced fingers. “I don’t need you to be okay right now.”
His shoulders drop slightly. You lean into him, resting your head on his arm.
“You can fall apart here,” you say, voice low. “I know how to hold weight.”
Jack breathes in like that sentence pulled something loose in his chest. “You were working,” he says after a beat. “I shouldn’t have come.”
You look up. “I audit grants for a living. I’ll survive a late ledger.”
He smiles, barely. You move your hand to his jaw, thumb brushing the stubble there.
“I’m glad you came here.”
He leans forward, presses his forehead to yours. “Me too.”
He kisses you once—slow, still tasting like exhaustion—and when he pulls back, it feels like the world has shifted a half-inch left.
You don’t say anything else. You just get up, take his hand, and lead him down the hallway.
You fall asleep wrapped around each other.
Jack’s head pressed between your shoulder and collarbone. Your legs tangled. Your arm around his middle. And for the first time in hours, his breathing evens out. He doesn’t flinch when the siren howls down the block. He doesn’t wake from the sound of your radiator clanking.
He stays still.
Safe.
And when you wake hours later to the soft grey of morning just beginning to yawn over the windowsill—Jack is already looking at you. Eyes soft. Brow relaxed.
“You okay?” you whisper.
He nods. “I will be.”
Jack watches you like he’s learning something new. And for once—he doesn’t try to fix a single thing.
Two weeks after the hard night — Thursday, 9:26 PM Your Apartment — East End, Pittsburgh
The second episode of the sitcom has just started when you realize Jack isn’t watching anymore. You’re curled into the corner of the couch, fleece blanket over your legs, half a container of pad thai balanced precariously on your thigh. Jack’s sitting at the other end, your feet in his lap, chopsticks abandoned, one hand absently rubbing slow circles over your ankle.
His gaze is fixed—not on the TV, not on his food. On you.
You pause mid-bite. “What?”
Jack shakes his head slightly. “Nothing.”
You raise an eyebrow. He smiles. “You’re just… really good at this.”
You blink. “At what? Being horizontal?”
He shrugs. “That. Letting me in. Making room for me in your life. Turning leftovers into dinner without apologizing. Letting me keep my toothbrush here.”
You snort. “Jack, you have a drawer.”
He grins, but it fades slowly. Not gone—just quieter. “I keep waiting to feel like I don’t belong in this. And I haven’t.”
You watch him for a long beat. Then: “Is that what you’re afraid of?”
He looks down. Then back up. “I think I was afraid you’d get bored of me. That you’d realize I’m too much and not enough at the same time.”
Your heart tightens. “Jack.”
But he lifts a hand—like he needs to say it now or he won’t. “And then I came here the other week—falling apart in your doorway—and you didn’t flinch. You didn’t ask me to explain it or shape it or make it easier to hold. You just… held me.”
You set the container down. Jack shifts closer. Takes your foot in both hands now. Thumb moving over your arch, slower than before.
“I’ve spent years patching things. Working nights. Giving the best parts of me to strangers who forget my name. And you—” he exhales—“you made space without asking me to perform.”
You don’t speak. You just listen. And then he says it. Not softly. Not theatrically. Just right.
“I love you.”
You blink. Not because you’re shocked—but because of how easy it lands. How certain it feels.
Jack waits. Your mouth opens—and for a moment, nothing comes out. Then: “You know what I was thinking before you said that?”
He quirks a brow.
“I was thinking I could do this every night. Sit on this couch, eat cold noodles, watch something dumb. As long as you were here.”
Jack’s eyes flicker. You move closer. Take his face in both hands. “I love you too.” You don’t say it like a question. You say it like it’s always been true.
Jack leans in, kisses you once—sweet, grounding, slow. When he pulls back, he’s smiling, but it’s not smug. It’s soft. Like relief. Like home.
“Okay,” he says quietly.
You nod. “Okay.”
Four Months Later — Sunday, 6:21 PM Regent Square — Their First House
There are twenty-seven unopened boxes between the two of you.
You counted.
Because you’re an accountant, and that’s how your brain makes sense of chaos: it gives it a ledger, a timeline, a to-do list. Even now—sitting on the floor of a house that still smells like primer and wood polish—your eyes keep drifting toward the boxes like they owe you something.
But then Jack walks in from the porch, and the air shifts. He’s barefoot, hoodie sleeves pushed up, a bottle of sparkling water dangling from one hand. His hair’s slightly damp from the post-move-in rinse you bullied him into. And there’s something different in his face now—lighter, maybe. Looser.
“You’re staring,” he says.
“I’m mentally organizing.”
Jack drops beside you on the floor, leans his shoulder into yours. “You’re stress-auditing the spice rack.”
“It’s not an audit,” you murmur. “It’s a preliminary layout strategy.”
He grins. “Do I need to leave you alone with the cinnamon?”
You elbow him.
The room around you is full of light. Big windows. A scratched-up floor you kind of already love. The couch is still wrapped in plastic. You’re sitting on the rug you just unrolled—your knees pressed to his thigh, your coffee mug still warm in your hands. There’s a half-built bookcase in the corner. Your duffel bag’s still open in the hall.
None of it’s finished. But Jack is here. And that makes the rest feel possible. He glances around the room. “You know what we should do?”
You look at him, wary. “If you say ‘unpack the garage,’ I’m calling a truce and ordering Thai.”
“No.” He turns toward you, one arm braced across his knee. “I meant we should ruin a room.”
You blink. Then stare. Jack watches your expression shift. You set your mug down slowly. “Ruin?”
“Yeah,” he says casually, totally unaware. “Pick one. Go full chaos. Pretend we can set it up tonight. Pretend we didn’t already work full days and haul furniture and fail to assemble a bedframe because someone threw out the extra screws—”
“I did not—”
He holds up a hand, grinning. “Not important. Point is: let’s ruin one. Let it be a disaster. First night tradition.”
You pause.
Then—tentatively: “You want to… have sex in a room full of boxes?”
Jack freezes. You raise an eyebrow. “Oh my God,” he mutters.
You start laughing. Jack covers his face with both hands. “That’s not what I meant.”
“You said ruin a room.”
“I meant emotionally. Functionally.”
You’re still laughing—half from exhaustion, half from how red his ears just went.
“Jesus,” he mutters into his hands. “You’re the one with a mortgage spreadsheet color-coded by quarter and you thought I wanted to christen the house with a full-home porno?”
You bite your lip. “Well, now you’re just making it sound like a challenge.”
Jack groans and collapses backward onto the rug. You follow him. Lay down beside him, shoulder to shoulder. The ceiling above is bare. No light fixture yet. Just exposed beams and white primer. You stare at it for a long beat, side by side. He turns his head. Looks at you.
“You really thought I meant sex in every room?”
You shrug. “You said ruin. I was tired. My brain filled in the blanks.”
Jack snorts. Then rolls toward you, props himself on one elbow. “Would it be that bad if I had meant that?”
You glance at him. He’s flushed. Amused. Slightly wild-haired. You reach up and thread your fingers through the edge of his hoodie.
“I think,” you say slowly, “that it would make for a very effective unpacking incentive.”
Jack grins. “We’re negotiating with sex now?”
You shrug. “Depends.”
He kisses you once—soft and full of quiet mischief. You blink up at him. The room is suddenly still. Warm. Dimming. Gentle. Jack’s smile fades a little. Not gone—just quieter. Real.
“I know it’s just walls,” he says softly, “but it already feels like you live here more than me.”
You frown. “It’s our house.”
He nods. “Yeah. But you make it feel like home.”
Your breath catches. He doesn’t say anything else. Just leans down and kisses you again—this time longer. Slower. His hand curls against your waist. Your body moves with his instinctively. The kiss lingers.
And when he finally pulls back, forehead resting against yours, he whispers, “Okay. Let’s ruin the bedroom first.”
You smile. He stands, offers you a hand. And you follow. Not because you owe him. But because you’ve already decided:
This is the man you’ll build every room around.
One Year Later — Saturday, 11:46 PM The House — Bedroom. Dim Lamp. One Window Open. You and Him.
Jack Abbot is looking at you like he wants to burn through you.
You’re straddling his lap, bare thighs across his hips, tank top riding high, no underwear. His sweatpants are halfway down. Your bodies are flushed, panting, teeth-marks already ghosting along your collarbone. His hands are firm on your waist—not rough. Just present. Like he’s still making sure you’re real.
The window’s cracked. Night breeze slipping in against sweat-slicked skin.
The sheets are kicked to the floor.
You’d barely made it to the bedroom—half a bottle of wine, two soft laughs, one look across the kitchen, and he’d muttered something about being obsessed with you in this shirt, and that was it. His mouth was on your neck before you hit the hallway wall.
Now you're here.
Rocking slow on his cock, bodies tangled, your hand braced on his chest, the other wrapped around the back of his neck.
“Fuck,” Jack groans, barely audible. “You feel…”
“Yeah,” you whisper, forehead pressed to his. “I know.”
You’d always known.
But tonight?
Tonight, it clicks in a way that guts you both.
He’s not thrusting. He’s holding you there—deep and still—like if he moves too fast, the moment will shatter.
He kisses you like a vow.
You can feel how wrecked he is—his hands trembling a little now, his mouth hot and slow on your shoulder, his body not performing but unraveling.
And then he exhales—sharp, shaky—and says:
“I need you to marry me.”
You freeze.
Still seated on him, still connected, your breath caught mid-moan.
“Jack,” you say.
But he doesn’t stop.
Doesn’t even blink.
“I mean it.” His voice is low. Hoarse. “I was gonna wait. Make it a thing. But I’m tired of pretending like this is just… day by day.”
You open your mouth.
He lifts one hand—fumbles behind the nightstand, like he already knew he was going to crack eventually.
And pulls out a ring box.
You blink, heart pounding. “You’re kidding.”
“I’m not.”
He flips it open.
The ring is huge.
No frills. No side stones. Just a bold, clean-cut diamond—flawless, high clarity, set on a platinum band. Sleek. A little loud. But elegant as hell. The kind of thing that says, I know what I want. I’m not afraid of weight.
You blink down at it, still perched on top of him, still pulsing around him.
Jack’s voice drops—tired, exposed. “I know we won’t get married yet. I know we’re both fucking alcoholics. I know we argue over the thermostat and forget groceries and ruin bedsheets we don’t replace.”
Your throat goes tight.
“I know I leave shit everywhere and you color-code spreadsheets because it’s the only way to feel okay. I know you’re steadier than me. Smarter. Better. But I need you to be mine. Fully. Officially. Before I ruin it by waiting too long.”
You look at him—really look.
His eyes are glassy. His hair damp. His lips parted. He looks like he just survived a war and crawled out of it with the only thing that mattered.
You whisper, “You’re not ruining anything.”
He doesn’t flinch.
“Say yes.”
“Jack.”
“I’ll wait. Years, if I have to. I don’t care when. But I need the word. I need the promise.”
You lean forward.
Kiss him slow.
Then lift the ring from the box.
Slide it on yourself, right there, while he’s still inside you. It fits perfectly.
His breath stutters.
You roll your hips—just once.
“Is that a yes?” he asks.
You drag your mouth across his jaw, bite down gently, then whisper: “It’s a fuck yes.”
Jack flips you—moves so fast you gasp, but his hands never leave your skin. He spreads you beneath him like a prayer.
“You gonna come with it on?” he asks, voice wrecked, forehead to yours.
“Obviously.”
“Fucking marry me.”
“I just said yes, idiot—”
“I need to hear it again.”
“I’m gonna marry you, Jack,” you whisper.
His hips drive in deeper, and you sob against his neck. Jack curses under his breath.
You come first. Soaking. Gasping. Shaking under him. He follows seconds later—moaning your name like it’s the only language he speaks.
When he collapses on top of you, still sheathed inside, he’s breathless. Raw.
He lifts your hand. Looks at the ring.
“It’s too big.”
“It’s perfect.”
“You’re gonna hit people with it accidentally.”
“I hope so.”
Jack presses a kiss to your palm, right at the base of the band.
Then, out of nowhere—
“You’re the best thing I’ve ever done.”
You smile, blinking hard.
“You’re the best thing I ever let happen to me.” You hold up your left hand, wiggling your fingers. The diamond flashes dramatically in the low light. “I can’t wait to do our shared taxes with this ring on. Really dominate the IRS.”
Jack groans into your shoulder. “Jesus Christ.”
You laugh softly, kiss the crown of his head.
And somewhere between his chest rising against yours and the breeze cooling the sweat on your skin, you realize:
You’re not scared anymore.
You’re home.
#jack abbot#jack abbot x reader#shawn hatosy#dr abbot#the pitt fanfiction#the pitt#the pitt x reader#jack abbot fanfiction#dr abbot x you#dr abbot x reader#the life we grew#fanfiction#fluff#the pitt hbo
2K notes
·
View notes