Primary Care Doomed - what does it take to get paid?

Most primary care doctors are running a small "mom and pop" business and any business will fail if payment is not received. A review of "ageing reports" (accounts receivable) can be eye opening for the doctor. Thirty-60-90 days past due can be a financial disaster. But what about bills that are not paid for over a year? It is not uncommon for active patients who get prompt return phone calls,