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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Padding the Bill in Veterinary Practice

March 15, 2010 / (4) comments


Yeah, it’s true. When we’re faced with truly obnoxious clients we vets do what all professionals do but almost never deign to admit: We sometimes pad the bill (well, sort of).

I’m surely immersing myself in scalding water on this one, but honesty’s what you come to Dolittler for, right? So soak it up, because this post’s going to tell you why sugar beats vinegar every time.

Today’s client sounded sweet over the phone, but I’ve known her long enough to remain unswayed by this. This owner almost never arrives personally, preferring to send the housekeeper (who happens to be afraid of her charge) while she keeps her pedicure appointments. What’s far worse however is that Fido always arrives in distress, long past his original illness date.

Like most vets, I detest the concept of fighting fires when earlier detection of disease would have driven most responsible pet owners to seek professional help sooner.

It’s this series of irresponsible events that drives me to keep a closer tally of every miniscule cost this pet imposes on our practice in our efforts to get him well. No catheterization attempt goes unnumbered, no bag of fluids goes untallied and no pill goes unaccounted for.

That’s the reality of veterinary practice, and I’m sure it applies to my accountant, lawyer, masseuse (if I had one) and barmaid, too. Being nice, communicating well, and showing you care by doing your part is the key to getting treated well when it comes to getting your bill.

"Not fair!" you may well cry, but these are life’s truths in any service business. Ask any professional you know well, and the honesty may well pour forth in torrents you never imagined.

For most of us there are policies and pricings which we may adhere to assiduously. Then there are exceptions, which may well apply to any number of our compliant and caring clients.

If your pet arrives in obviously profound distress, due clearly to your disregard for her condition, you can bet you’ll get taken to task by our standard pricing policies. Show your concern and your evident care, and you’re more likely to catch a break on any number of itemized details.

I’m not promising you’ll save a bundle, but your attitude counts for perhaps 10 percent of your bill in most standard vet settings.

Now, this may sound unreasonable, and I’ll be the first to confess that it is. Humans will be humans.

Every responsible pet owner should know that unseen discounts are far more common in veterinary medicine than you might expect. We’re not really padding the bill when it comes to the losers; we’re charging YOU less because we love you.

 

 

Dr. Patty Khuly

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COMMENTS (4)
1
Standard concept in service of any kind:
by Galadriel on 03/15/2010 09:15am

Charge 'em 'till you like 'em.

2
I Agree completely
by michelle6621 on 03/15/2010 12:45pm

I just wanted to write to tell you I look forward to your email everyday, It has helped me and my 2 girls (german/aussie mix & APBT) I so agree with your latest blog about billing and such. If your going to be a responsible & loving pet owner you should see symptoms of things gone wrong and want to take your pet to the vets before they get out of hand. So thank you for bringing that to light.!!!

3
That's not "padding"
by susanbt on 03/18/2010 03:26pm

"Padding," is, as I understand the term, billing someone for more than the charges they legitimately incurred, usually by some amount that probably can be defended as reasonable if challeged (i.e.,writing that letter took me 15 min, but I'll bill her for 20, because how can anyone prove it didn't take 20?)

If I have a considerate client who makes my job less annoying, is always courteous, pays my bill promptly, and perhaps even refers me business, I may CHOOSE, as a courtesy, to not bother billing for every moment spent and paperclip used, regardless of whether our agreement permits it. But if you are a PITA who is nasty, unnecessarily dumps things in my lap at 6 pm on a Friday (when you knew for days or weeks it needed to be addressed), plays games with paying the bill (or just doesn't pay) - yes, I may bill you for every minute and every photocopy, plus interest. But that's not padding. It's leaving off the "good client discount."

4
by Equine DVM on 03/20/2010 10:06am

I agree with Galadriel. It's a PITA tax. (And yes, I also go easy on bills for nice, long-standing clients with unexpected expensive problems.)

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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