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As you age in practice GF, you work smarter, not harder. Reimbursement for procedures I perform are paid at barely 40% of what I charge by third parties. If my overhead is 50%, which is low, what do healthcare providers do? And don't say " but your number of patients increase", because the numbers still don't work. Many have gone to a cash only practice, charging a discount from their reasonable and customary, but certainly not accepting the paltry third party reimbursement. Only the very large groups will be able to survive on Medicare and Medicaid reimbursement, and even then, only the younger practictioners and foreign graduates will be fed those patients. Too many individuals come to the conclusion that greed plays a part in healthcare providers business decisions, however, until and unless they live a day in our shoes, their opinions are stale and based on falsehood.
And BTW, healthcare providers legacies are never based on how they bill.........moreso on quality of care provided, benevolence, volunteerism, compassion, reliability and so on. I doubt that if I was forced to morph my practice into a cash only one, that my patient base and referral pattern would change much.
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