I understand the E/M charge. As someone who lead more than one organization, there are a LOT of overhead expenses not directly related to the medicine, supplies, and doctor’s time. These include support staff, nurses, facility maintenance, equipment, utilities, and insurance just to start. Then there are compliance costs, record keeping, billing, computers, and more.
Never ran a medical facility, but as a businesswoman, I thought of these immediately.
These are not built into the price of services.
My 2 cents.
WHEN I GO TO WALMART OR THE LOCAL RANCH SUPPLY -—I HAVE COSTS ARE DEFINITELY PART OF WHAT I PAY FOR MY PURCHASES-—NEVER AN ADD ON.
HAVE DONE BOOKKEEPING SINCE 1957.
ENGINE BUILDERS (3)
MAYTAG DEALER
ADVERTISING GROUP
CRANK SHAFT GRINDER
HIGH TENSILE NUTS & BOLTS RETAILER
NEVER ANY “ADD ON” LINES ON AN INVOICE