Practice Management
How much time do you allow to go by before you won’t do a follow-up appointment and need to do a new patient appointment again, or does this happen? I’m asking because if people do a case review and then don’t contact you for a year or two, what happens then? What’s the protocol, so to speak?
Dr. Amy Nett: Great question. This is variable. If someone doesn’t contact us for a year, no problem, because it...
When do you collect the entire fee for the case review? Do you collect some of it at the initial interview and the rest later, or what?
Dr. Amy Nett: We’ve changed this. We used to collect the entire fee up front, but every once in a...
So follow-ups are normally 30 minutes?
Dr. Amy Nett: Chris’s follow-ups are only 30 minutes. For my follow-ups, patients are allowed to self-schedule for 30 minutes,...
With follow-ups, do you order fresh labs in advance?
Dr. Amy Nett: No, follow-ups are generally to follow up on labs that were previously ordered. When I have a...
Are there frequently asked questions for between appointments that staff can answer for you?
Dr. Amy Nett: We’re working on that. We have frequently asked questions for certain supplements and for certain labs. The...
If there’s a six- to eight-week gap between the initial consult and case review appointment and patients are advised to do a 30-day reset, are there any additional guidelines given for the remaining two to four weeks?
Dr. Amy Nett: No. A lot of people come already on a Paleo diet, so in general, I tell people...
How do you get Prescript-Assist to patients?
Dr. Amy Nett: In Chris’s store, actually, he sells Prescript-Assist, so we actually just give them the link to Prescript-Assist...
How many PubMed alerts do you have? And would you be willing to share your list?
I don’t have so many now. I used to have 70 or 80, probably, but now I have a couple...
What’s your average patient case fee? In other words, on average, how much do you think you make on a given patient case? What’s the average amount of time you spend working with a particular client? In terms of lab costs, what sort of estimate do you give patients during their initial consult about how they might pay for all of their recommended labs?
Chris Kresser: Good questions. As far as average patient case fee, I’m a little embarrassed to say, but I’m not...
I noticed your clinic has the different lab test kits invoiced to physician account. How much do you charge the patient for the different tests? What is your upcharge for this service? Do you then provide an HCFA claim to the patient so they can send the charges to insurance for reimbursement with the CPT codes attached that apply to the different tests?
Chris Kresser: We don’t upcharge on labs, technically. We don’t mark up the cost of the lab because that’s illegal...
