How Many Services Rendered In Your Practice Are Not Accounted For?
A. Outpatient Services
Fecal Exam
Heartworm check
Injections
Nail Trim
Other
B. In-Patient Services
Surgical cases
Suture material
Anesthesia time
Hospitalization
Extra materials used
Medical cases
Injections
Fluid therapy
I.V. catheters
Radiographs
Laboratory procedures
Outpatient procedures
Vaccinations
Heartworm check
The Cost To Your Practice In Lost Revenue
A. Outpatient services - $ ________
B. In-patient services - $ ________
Surgical cases - $ ________
Medical cases - $ ________
Effect On Your Bottom Line
A. Represents "true profits"
B. High Gross – Low Net
Causes Of Ineffective Charging And Lack Of Effective Internal Controls
A. Practitioners are too busy
B. Receptionist-oriented problems
Lack of concern
Lack of motivation
Lack of training
4. Responsibility "thrown upon them"
C. Ineffective management
D. Inefficient or confusing fee schedule and receipting system
E. Intentionally not rendering services
F. Intentional "give-aways"
How To Implement Effective Internal Controls And Prevent Client Give-Aways
A. Out-patient services
1. Itemized client statement
2. Have receptionist circle services requested by client
3. Receptionist should be required to review medical record
Update preventative procedures
Simple and efficient method of record keeping
4. Exam room check-off form
Use of exam room technician
5. Practitioner to check through circled procedures and check-off any additional services rendered
Receptionist to post charges for ALL services rendered
B. In-patient procedures
1. Surgical procedures
a. Operating room usage form
To be completed by surgical technician
b. Common sense (ie. If there is an operating room charge, there has to be an anesthesia charge)
c. One person in charge of posting all surgical fees
d. Charge for surgeon's time
e. Charge for anesthesia time
2. Medical procedures
a. In-hospital tracking form
1. Must have accurate medical record system
2. One person in charge of reviewing chart and posting all charges
3. Common sense (ie. I.V. catheters for heartworm treatments; "bandages," etc.)
