For anyone who has utilized the services of San Bernardino County’s hospital and is not an Arrowhead Regional Medical Center (ARMC) VIP, it comes as no surprise that ARMC’s billing system is a mess. Those who handle the billing are spread throughout the medical center and no one talks to one another. As a matter of fact, turf wars exist that sometimes result in billing being months, and yes, even years behind. It is yet one more area of ARMC that its medical director, Dr. Dev Gnanadev, has micromanaged into disarray.
ARMC has traditionally served the indigent and low-income members of our county. As such, many receive Medi-Cal, SSI and other government entitlement programs. Such programs are strict about billing, but if done correctly and timely, result in millions of dollars being returned to San Bernardino County. “Correctly” and “timely” are the key words here. Continue reading


