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lets say Im following a patients tumor size we need an MRI to see how the tumor is behaving the insurance company will deny it I will call them I will say the patient needs why because of this did you get a CAT scan first no they dont need a CAT scan they need a number no they do and I have to argue for 45 minutes guess what I dont get paid for as a doctor well for me Im a weird scenario but everyone else at the time if youre a lawyer are you doing anything for 45 minutes youre not getting compensated I dont find that doctors will call and argue most doctors will try and then we fail so then we start trying to hire administrators to do it for us and that is why health care costs have ballooned in this country I see our health care costs have double tripled doctors should be making way more money theyre not I order antibiotic I dont know which tablets capsules the patients Insurance denies the visit because I didnt put the right code or this Im a doctor I do science I do t