Another question for established docs. I mentioned about this problem previously.
Due to highly competition in our area, we have to stock immunization injections and others. We currently not accepting medicaid so we have to buy them at market prices (low volume pricing). Some injection bottle cost 500-1000 each. Insurance pays almost same cost plus injection fee (couple dollars). It clearly that we are loosing lots of money either by keeping them in the fridge or MA mistakes. I've read and many docs don't do those immunization or expensive shots any more but due to our highly competition environment, we still have to do those injections. Drug companies withdraw funds directly from our credit accounts and monthly cost are even much higher than billing fee ( I complained about monthly 6% billing fee )...
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