A doctor who won't take any insurance or Medicare? Yank their license, plus imprisonment.

[jsmirman]

82. He really, really was

but I'm afraid there was also the sense that he was part of a literally dying breed.

You're so right about the coding.

You best believe part of that overhead is paying a skilled coder who can handle the labyrinth that is the medicare reimbursement system.

Those coders don't come cheap because that is a seriously skilled trade and the good ones are in very high demand.

And again, you are right about the timing problem, and the resulting cash flow problem. Anyone who knows anything about business understands the constant damage that this kind of payout timing causes.

It also reminds me of an old accounting prof's explanation of Gimbel's pre-shutdown: "yes, the customers were coming in and out, every day, but the register and the payments could not keep up with the overhead." (essentially, just because customers are coming in and out regularly, doesn't mean that a business isn't in serious cash flow distress).