That is partially true, it doesn't have to be a physician, but it does have to be somebody with real knowledge and skill and not just a 3 Month course somewhere

That is partially true, it doesn't have to be a physician, but it does have to be somebody with real knowledge and skill and not just a 3 Month course somewhere. Someone I knew, would optimize the billing codes so that she could "write-off" non-covered items, and maximize patient care. Her salary was still quite low compared to other doctors in executive roles.