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so are we as providers so that means one of my employees is sitting on the telephone while i'm still trying to treat patients and take care of them. you end up as a small provider with a staff size you can't possibly support so i got to a point where i was either going to have to grow very, very large or take a position and i opted on the latter. jon: so you spent your time in med school studying the human body, not necessarily earning an mba, for instance. >> exactly and that climate is changing. it used to be pretty simple. it wasn't all these games. in the old days, you know, you submitted a claim and they paid you which seems pretty fair to me. i saw your patient. i treated them. just pay me for what i did. to have a claim rejected, one example, i saw a patient so there was an office visit in menopause and they tried to tell me that visit and diagnose is

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