Dogfish:

I used to audit Miedcaid. What you described is NOT how it works. It's a bit more complex than this, but in a nutshell, Medicaid tracks the amount charged by all physicians for a given procedure. Let's say the average of all Drs to set a broken arm is $100. Medicaid would pay $75. you the lesser of what you charge or $75.00
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No huevos no pollo.