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To Charge or Not to Charge<br />

for Revisits?<br />

The issue of discounting the consultation fee for a revisit<br />

(If you are a member of our <strong>UVG</strong> Facebook Page, then<br />

you would have read the interesting discussion that Clive<br />

initiated about charging for revisits at your clinic.)<br />

A financial cancer has been debilitating the veterinary<br />

industry for many years, that Veterinary professionals feel<br />

the need to charge a client less for a revisit. The interesting<br />

aspect of this mentality is that it seems to only prevail in<br />

this industry. For some unknown reason, there is a belief<br />

that if we see a client again for a similar issue, that we are<br />

expected to charge less than the normal consultation fee.<br />

Let us analyse the motor vehicle industry as an<br />

example.<br />

You book your car in for a routine service and the mechanic<br />

fixes the problem for $150/hr plus parts. When you pick<br />

up your car, they inform you that the brake linings need<br />

replacing and you need to come back in next week for the<br />

replacement. The brake fix costs $150/hr plus parts. While<br />

fixing the brakes however, they notice there has been<br />

some damage to the transmission, requiring another visit<br />

at $150/hr plus parts. As you can see, regardless of the<br />

reason, there is the same pricing structure for every visit.<br />

It is an even more interesting situation when you have<br />

a meeting with your accountant or solicitor. They<br />

understand your circumstances inside and out, however<br />

every time you contact them, whether it is a phone call,<br />

letter, email or query, you are invoiced at the same rate as<br />

the initial meeting. And then there is the locksmith, who<br />

changes your front-door lock after it breaks. The bill comes<br />

to $120 for the call out and $100/hr plus parts. Next week,<br />

the same thing happens with your back-door lock and the<br />

charges do not change.<br />

There isn’t a professional service that includes a<br />

discount for repeat business. The veterinary industry<br />

stands alone with this idea that revisits should be<br />

cheaper. This outlook originates from an absence of<br />

self-worth. From believing that your time and your<br />

knowledge, doesn’t have any value. Your subconscious<br />

says “I didn’t get it right the first time, I don’t deserve to<br />

charge them again” or “they have already spent enough<br />

for a solution.”<br />

Regardless of how many times the client has come in for<br />

a consultation, your work has the same value. Therefore,<br />

you should charge all the revisits at the same hourly rate<br />

as the primary consult. You can always introduce a 3-tiered<br />

Revisit Rate Strategy, like this:<br />

• 0-8-minute revisit: The basics to be rechecked.<br />

Price it in at 1/2 to 3/4 of your primary consult.<br />

• 8-15-minute revisit: Re-explaining findings so that<br />

they can understand and stick to the course of<br />

treatment. Price this one out at the same rate as<br />

your primary consult. It says ‘Revisit’ on the<br />

invoice, but the price is the same as standard.<br />

• 15 minutes plus revisit: The complete re–evaluation<br />

and prolonged explanation. This should be priced<br />

HIGHER than the primary consult rate, because it<br />

is more work, time and effort.<br />

Remember, your mechanic doesn’t discount the brake<br />

linings because he has already done the service.<br />

The quickest way to establish self-belief in the industry is<br />

to enforce the same pricing structure per visit, regardless<br />

of how often it occurs. Until we price as if we are of value,<br />

we will never believe we are of value. Aim to discuss this at<br />

your next team meeting and decide that you will adopt the<br />

Revisit Rate Strategy. Good Luck!

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