These people are a total scam. Do your research. They were accused of committing Medicare Fraud, and settled for 14 million, and still I am not convinced that their billing is ethical. They have the most aggressive ruthless impolite billers that literally follow you everywhere. You are not safe anywhere except for possibly the bathroom. The culture here is only about the bottom line. Not patient care. They train the billers to stalk you on rounds, follow you around the halls, and they even go to the physician's lounge and interrupt your break perhaps as you have some food going down your throat to ask you if you can change things in your note to allow them to bill higher level of care. They assign 20+ patients per provider also because all they care about is maximal billing with the least number of providers.