Medscape September 1, 2025
In August, Thomas Pontinen, MD, a Chicago-based anesthesiologist, found himself spending far more time with his billing vendor than he wanted.
It was a new contract — the fifth billing company he has hired in the 20 years since opening his integrative pain management clinic, which sees about 4000 patients each month. Initial meetings were promising, but the training process quickly became tedious.
“The most frustrating thing about outsourcing billing is they give you a great sales pitch, and then they change their tune,” Pontinen told Medscape Medical News.
Since midsummer, his new vendor had challenged his clinic’s workflow with what he called “nitpicky arguments.” The latest dispute was over a minor data entry issue. Because of his software setup,...
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