The Slow Death of Private Practices

The days when a doctor could show up in a small town, rent an office and hang out a shingle, sadly, is pretty much over. The knowledge base necessary to run a small business is not part of medical education, and few new graduates want to tackle such a task.

Medical billing alone has become complex and difficult. Our office has over 13 different payors who all have different reimbursement rates and rules. We have three full-time billers who work on claims, submissions and collections. Another handles medical records and referrals, and we get so much paperwork send to us that we need one full-time employee just to scan it all into the electronic medical chart. I don’t know how one busy doctor could handle all that.