CT Lawyer: I read the OP but I think the front-office staff to a large degree reflects the standards and expectations of the professionals who own the practice. However, as more and more of the previously independent practices are bought out and rolled up into large hospital-owned or regional mega-practices, the physicians no longer feel the same personal obligation for oversight of the reception staff or billing/accounting staff. In the latter case, the administrative staff may not even be onsite and when you call, you are transferred to a centralized billing office in another city or location. As these ownership changes continue and ownership is more concentrated and distant, the teflon effects will worsen as there is less accountability and oversight by medical caregivers and professionals.
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