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well again as always waitis physicians are getting screwed because non physician administration the government has come up with new set of rules new set regulations that have nothing to do with reducing the overall burden on health care as far as expenditures of concern and its nothing to do with improving healthcare hello Im dr. Alexander mikowski with the reimbursement Erics extra update this week we want to focus solely and exclusively on the branding development thats happening right now as we speak weve just learned that the Trump administration is proposing a new way of paying doctors under Medicare yes the Medicare reform is here but this is not what you think the way we all paid right now were doing a specialist of primary care doctor is that you get paid for level visits level service visits when you see patients in the office and there are five level visits from one two three four five nine nine to one nine nine to one one through nine and 205 only four of those are use