Indeed, this post was inspired by a friend who spends an inordinate amount of time off the clock trying to get charts into just so shape so that claims go through. The exact way they want you to phrase stuff and what tests they need to see in the chart before approval changes regularly so practices basically have to hire a dedicated staff to keep up and let the doctors know about changes. Also results in small practices being driven out of business.

That's why my old doctor opened up a concierge practice. You pay a yearly membership fee, a low office fee, then everything else is at cost.