I will admit that "dominating" is a pejorative word, but this is on venting, so I splurged.
In rheumatology, we do the same thing repetitively, so we have learned all the rookie mistakes.
We have zero problems with Medicare, everything is electronic, they don't review claims, they don't lose claims and we are paid in 10 days with a report in 2 days on if something in the batch failed to process. Palmetto is our carrier, and they give us hospitality. This is very fortunate for us, cause you cannot get on the phone with Medicare.
Commercials slow pay, lose claims, review for 45 days and then ask another affiliated company to review for 45 days and then have 45 days to write a check. I have infusion patients with a balance of more than $10k needing their monthly infusion and we haven't been paid since November and they have been on the same treatment for years, with the same insurance.
I mean, I'm talking about California.