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I just listened to this podcast on white coat investor and found out that there are companies that "facilitate" electronic payments to physicians but unlike Visa or Mastercard that take 1-3% or so from merchants, these guys are taking up to 16% before the money even gets to your office.
I also found out that the insurers use ghost codes to decrease "payments" to people who don't provide sedation (such as family doctors) which gives them justification to decrease payments to actual people who do provide sedation (anesthesiologists) which they can use to decrease average payments in arbitration under the no surprises act. I didn't know about these issues but wanted to raise awareness.