I have been in the business of working hospital accounts for over 30 years. During a time when workers comp paid bills at 100% of the Medicare payment guidelines, not the current 20% which reduces annually. Medical payers are very aware of the fact that hospitals and medical offices do not have sufficient staff to stay on top of the millions of unpaid medical bills that go unpaid and end up being written off to bad debt. If you are a hospital, you have hospital billings and physician billings. Anywhere between millions of dollars and small injection billings as low as $7.00. Now add the COVID and aftermath and you have a major concern on how you are going to get your bills paid before they time out. Without sufficient staff you will be fighting a never-ending battle. Not fun.