Posts Tagged ‘fees.’

California Blue Cross PPO reductions in physician fees. : An article from: National Underwriter Property & Casualty-Risk & Benefits Management

Tuesday, August 10th, 2010

Product DescriptionThis digital document is an article from National Underwriter Property & Casualty-Risk & Benefits Management, adopted by the 7th National Underwriter Company Published in 1993 June The length of the article is 679 words. The length of the page above on a 300-word page type. The article is delivered in HTML format and is available in your Amazon. com Digital Locker immediately after purchase. You can view it with any web browser. The share of provider: Blue Cross of California provides the fees paid to more than 13,000 physicians who are part of the managed care system to reduce the cultivation of 5-6% to the rapidly rising cost of medical services. Blue Cross, in a May 11, 1993, letter informed the physicians involved surgeons, radiologists, anesthesiologists and pathologists tax cuts, but would have the family physician fees will remain intact. The California Medical Association has expressed its displeasure at the decision which has received national attention. Citation Details Title: California Blue Cross PPO reductions in physician fees. (Preferred Provider Organization) Author: G. HaggertyPublication Alfred National Property & Casualty Insurer-Risk & Benefits Management (Magazine / Journal) Date: June 7 1993Publisher: The National Underwriter Company Issue: Page N23: P6 (2) Distributed by Thomson Storm

California Blue Cross PPO reductions in physician fees. : An article from: National Underwriter Property & Casualty-Risk & Benefits Management

Reader’s Digest June 2007 – Angelina Jolie save the world one child at a time, Fatal error Hospital, Normal, or nuts, new hidden fees

Thursday, July 29th, 2010

Reader’s Digest June 2007 – Angelina Jolie save the world one child at a time, Fatal error Hospital, Normal, or nuts, new hidden fees

Government policy and the effectiveness of user fees in Jamaican hospitals

Monday, July 26th, 2010

Government policy and the effectiveness of user fees in Jamaican hospitals

FL: hospital ignored the proposal for a regulation has provided more than 160,000 in legal fees from the hospital. : An article from: Hospital Law Regan Report

Monday, July 12th, 2010

Product DescriptionThis digital document is an article of the Law Regan Report Thomson Gale Hospital on 1 December 2007 Published. The length of the article is 592 words. The length of the page above on a 300-word page type. The article is delivered in HTML format and is available in your Amazon. com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: FL: hospital’s proposal for the settlement ignored: over $ 160,000 in legal fees awarded hospital. (Hospital Law Decisions of Note) (summary of cases) Author: David A. TammelleoPublication: Law Hospital Regan Report (Newsletter) Date: December 1 2007Publisher Thomson GaleVolume: 48 Issue: 7 Page: 3 (1) Article Type: Case overviewDistributed The Thomson Gale

FL: hospital ignored the proposal for a regulation has provided more than 160,000 in legal fees from the hospital. : An article from: Hospital Law Regan Report

The reference veterinary fees

Tuesday, July 6th, 2010

The reference veterinary fees

Law Practice Management – How To Determine Your Fees

Wednesday, June 16th, 2010

Determining fees is a difficult law practice management task for most attorneys when thinking through their law firm marketing plans. In determining fees for certain services, attorneys often fall short of what they should charge. Too many attorneys are afraid of even charging the competitive price for their services when making their law firm marketing plans. Further, they make the pricing decisions often with no data or conceptual framework. Additionally, instead of focusing their efforts on how they can justify getting top dollar for what they offer, they charge a fee that is often way too low and often actually can scare off potential clients who think there is something missing from a service that is “cheap”. Additionally many attorneys don’t realize that most purchasers in the marketplace by far are “value purchasers” and not looking for “cheap”.
So before you sit down and begin thinking through your law practice management pricing strategy you need some distinctions around pricing commonly used in law firm marketing planning. Then add your pricing strategy to your law firm marketing plans. You need to be sure that you are charging a sufficient fee on everything to guarantee you a good profit not just a good living. Do know a law practice management law firm marketing plan is not effective if you only attract people who want to pay the lowest fee for a service. These are not loyal clients. Instead, you want to focus your law practice management and law firm marketing plans on attracting clients who will become long term assets to the firm. Low price clients are not building your base of long term clients I can promise you that.
There are basically four ways of determining how much you should be charging for your services. Lets move right into those now.
The Market Method In Law Practice Management Pricing
This is one good way of determining pricing. Get your assistant to support you in this law practice management task and spend some time discovering what the range of pricing is in the community. Have her do a “mystery shopper” study by calling around as if he/she were a potential client and find out what your competitors say on the phone to her around pricing. She may need to call from her home phone to avoid caller ID. As another option you could have him/her call other assistants or paralegals at your competitors and offer to exchange your fees for their fees or you could do that with other lawyers yourself in your market. If you really want to get into it and have maximum data you can write maybe a few dozen competitors in your marketplace and say you are doing a fee survey and if they would send you their fee list you will create a composite list that does not identify those responding and send them a copy of the results. To keep it simple for them include a stamped, self-addressed envelope with a list of the most common services offered in your practice area. Now you will see what people are charging for services similar to those you offer. You should be able to come up with a range of prices. Use this range to set prices for your own services. My recommendation in law firm marketing planning is to charge at the 75% level of the list. So you should be at or in the top 25% of the fees.
Remember that in general it is not a good law practice management strategy to compete on price. Most potential clients will see pricing that is too low as a signal that there is something missing either from the service, the provider, or the firm. And people who are looking for a low price will follow that low price wherever they can find it rather than becoming long-term clients. So be sure that your price covers your costs and a reasonable profit margin.
The Cost Method in Law Practice Management Pricing
This law practice management pricing method is very straightforward really. One simply determines what the costs are to deliver products or services and adds on a reasonable profit, somewhere between fifteen percent at the least and maybe thirty three percent at the most. The most common mistake in law practice management using this method is to neglect to include some form of your expense. Solo and small firm attorneys tend to not include their own salary!
OK, let me say it again. In law practice management often you count yourself out of the expenses and you should include yourself in the expenses. Why? Often you are doing at least some of the technical work. Yes? Often you are doing at least some of the management work. Yes? As the owner of the business you are due a reasonable profit. Yes? If you are all three of these in one, you should consider one salary as due you for your time and expertise as the technician and manager as well as a profit of fifteen to thirty percent due you as the owner. So be sure to include a reasonable cost for your technical and managerial work in the expenses part of this formula.
Fixed Rate Method in Law Practice Management Pricing
This is the method used by many auto mechanics (it is called “the flat rate book”) and other service providers. This method is where you determine a fixed rate for various jobs and charge that rate no matter what. If the mechanic spends less time than allotted for the job, he makes more. If he spends more time than allotted, he makes less. But in the end, it all evens out (well, usually to the mechanics’ favor if you ask me). Another example using this method is how managed health care has used this system with hospitals and doctors. Lawyers can use this system if they desire.
The “Rule of Three” in Law Practice Management Pricing
This “rule of thumb” called the “rule of three” used in law practice management is not what your CPA might tell you and it does not fail you either. Ask your CPA what they think about it and they will like it. To begin we are going to be thinking in thirds. For the first third we will take the total amount of salaries/bonuses (not benefits just salaries – benefits go into the second third coming next) for the revenue generators and/or timekeepers (this includes you if you are generating revenue) and call that our first third. So add up the salaries of the lawyers, paralegals, and legal secretaries who generate revenue or are timekeepers and call this your first third (lets just say that number was $100,000 to keep it simple). Whatever that number is take that number again and it is your second third which we will call your “overhead” (thus that second third is $100,000 and don’t forget you if you are doing some managing partner type duties since that part of your time goes here in overhead). Then take that same number and we will call that your last third, which we will call gross profits (another $100,000). What you need to do is take the total amount (in this example $300,000) and now figure out how much you must charge per billable hour, per fixed rate or how many contingency fee cases won to be sure you hit the target we must hit given our first third number times three (in this example $300,000).
This method shows you how much per hour you need to charge. Since you know how many billable hours each revenue generator can do per month, simply divide that into your total of all thirds ($300,000) to see what you need to charge per billable hour to make your numbers come out correctly. As long as you hit your targets you will be assured of a 15% to 30% net profit from your operations. After all if you are the owner of the practice you deserve a fair profit as well don’t you agree? This method is known as the Rule of Three. If this method is a bit too confusing do feel free to contact me and I will help you sort it out in a few minutes on the phone.
It is a good idea to think through all of these pricing methods in determining your law practice management pricing strategy before setting a price and moving ahead with a law firm marketing plan to ensure you are thoroughly exploring all options. Remember the tendency for most lawyers is to price too low. Don’t do that! In another article I will tell you how to speak to potential clients so you never have a problem getting the fee you deserve.

Banning Referral Fees for Personal Injury Claims – Will Insurance Brokers be Hit Hardest?

Sunday, June 13th, 2010

Copyright (c) 2010 Evolution Legal

When LJ Jackson sat down to re-write the future of legal services, top of his list seemed to be the banning of referral fees and from all around it was 3 cheers for Jackson. Well hang on LJ you and your gang are just plain wrong.

Do you remember as far back as 1999 and the newly written Access to Justice Act? If you can you will recall that referral fees were banned at that point. Hence convoluted business models (translation: back door referral fees), the rise of Claims Direct and The Accident Group, severe malpractice (lawsuits still ongoing?) and grossly inflated ATE premiums – all of which led to satellite litigation, technical challenges and an industry meltdown.

In 2004 sanity prevailed and there was a change to the Solicitors referral code, allowing referral fees to be paid if handled in a transparent manner and this resulted in the most stable period that the personal injury sector has enjoyed for a long time and increased access to justice for the man in the street.

This, coupled with the regulation of Accident Management Companies resulted in a significant watershed in the personal injury market.

If referral fees are banned once again, we will undoubtedly see the return of back door payments, malpractice, legal challenges, back to the instability the market endured around the start of the Century.

The future threatened is completely out of kilter with the modern commercial world and is effectively one of legislation against market forces.

With the millions and millions of pounds spent by CMC’s and Solicitors on advertising, the public are more aware than ever of their rights and of the availability of access to justice. Jackson believes his changes are about access to justice, but he has monumentally failed to understand the market, apparently looking upon CMC’s as some sort of “parasitical leach” and let’s face it, who cares what happens to them?

In practice, referral fees paid by Solicitors to CMC’s merely form part of a marketing budget that the Solicitor would no doubt have spent on some other sort of marketing drive, such as advertising, but has chosen to spend the money with a CMC as there is a some form of a guaranteed result – so who’s decision is it to spend the marketing budget with an advertising agency or with a CMC?

So what is a referral fee? Certain people seem to use the term to imply some sort of dishonesty, but of course only when discussing those dastardly CMC’s!

It is also perplexing that the legal snobocracy fail to realise that the year is 2010 and that Solicitors are business people and are not following some kind of vocation. Operating a law firm on the basis that the public will find you through membership in MASS or APIL or by walking into your office on the High Street will result in failure, and the clever law firms know this. But also please note: No-one is holding a gun to the head of the poor Solicitor, being bullied by the awful CMC. They choose to pay a CMC because it is usually the most effective use of the marketing buck.

Furthermore, why is it that CMC’s are the parasites, but Solicitors are perceived as “seekers of truth and justice”? The marketing model for acquiring new clients is broadly the same yet Conservative Shadow Justice Minister Henry Bellingham, recently commented that if the Tories got into power, they now don’t want to ban referral fees (as they previously stated they would) as it is not a very capitalist thing to do, but in any event they didn’t want to ban them for those jolly good Solicitors, just for those awful, ambulance chasing CMC’s!!!!! Cheers Henry, there’s nothing like a free market economy to ensure a level playing field is there?

When the claims management market was regulated in 2004, advertising for clients in hospitals was mostly abandoned by CMC’s, only to be replaced at the speed of sound by Solicitors. Who are the ambulance chasers again?

The snobocracy also appears closer to home. I was recently having a few beers with some chaps from a law firm to whom we refer work to (I wont name names although I should!). Now this firm has conservatively had 500 Personal injury referrals from us in about 2 years and yes they pay us a fairly standard referral fee on a per case basis. It was all very convivial until the 3rd or 4th pint was downed, when the sneering dismissiveness began.

“All you do is fill a form in and send it on to us” “We do all the work” “All you do is sell claims on”

I was shocked to be honest.

Not because these people seemed ignorant of how much work and marketing spend goes into to securing a contract with an Insurance Broker for example, so that the phone rings and there is a client on the other end needing assistance after an accident. I already knew these were effectively house cats, sitting behind their desk being fed a steady diet of new clients each day, not knowing or caring how that new client magically appeared in front of them.

But the level of malevolence in which their diatribe was delivered took me by surprise. These “Solicitors” (they aren’t actually qualified) were more than happy to go and secure their pay rises on the back of bringing a commercial relationship to the Partners, happy to earn their bonuses on recovered legal costs, but actually they resent us as well.

But what does this all mean for those outfits at the other end of the referral process, especially Insurance Brokers?

Are they going to lose their valuable revenue stream of referral fees from their clients who have had non-fault accidents? If so does anyone care if this sends a few of them out of business?

Well yes we care! CMC’s and Insurance Brokers have a good understanding of what is required for the person who was actually involved in a non-fault accident needs, the actual brass tacks of sitting on the side of the road with a car you cant drive and 2 screaming kids in the back.

The Broker understands because that’s his client and he wants them to renew their policy with them next year, so he wants the client to have an A1 level of service, after all claims are the shop window of the Insurance process. The CMC understands because he wants the Broker to refer more clients to them, so who benefits? The client sat on the side of the road with 2 screaming kids that’s who!

At this point the Broker probably isn’t thinking about commissions or referrals, just the service that the client gets and there is the crux of the matter. For all the talk about referral fees being banned, yes some CMC’s will probably go to the wall and maybe even a few insurance brokers as well, but the real victims will be the policyholders who will have any choice removed from their decision making process and be left with a massive call centre to talk to and try and sort out a problem.

Determining Your Fees in Law Practice Management

Saturday, June 12th, 2010

Determining fees is a difficult law practice management task for most attorneys when thinking through their law firm marketing plans.  In determining fees for certain services, attorneys often fall short of what they should charge. Too many attorneys are afraid of even charging the competitive price for their services when making their law firm marketing plans. Further, they make the pricing decisions often with no data or conceptual framework.  Additionally, instead of focusing their efforts on how they can justify getting top dollar for what they offer, they charge a fee that is often way too low and often actually can scare off potential clients who think there is something missing from a service that is “cheap”.  Additionally many attorneys don’t realize that most purchasers in the marketplace by far are “value purchasers” and not looking for “cheap”.    So before you sit down and begin thinking through your law practice management pricing strategy you need some distinctions around pricing commonly used in law firm marketing planning.  Then add your pricing strategy to your law firm marketing plans. You need to be sure that you are charging a sufficient fee on everything to guarantee you a good profit not just a good living.  Do know a law practice management law firm marketing plan is not effective if you only attract people who want to pay the lowest fee for a service. These are not loyal clients. Instead, you want to focus your law practice management and law firm marketing plans on attracting clients who will become long term assets to the firm.  Low price clients are not building your base of long term clients I can promise you that.There are basically four ways of determining how much you should be charging for your services.  Lets move right into those now.The Market Method In Law Practice Management PricingThis is one good way of determining pricing. Get your assistant to support you in this law practice management task and spend some time discovering what the range of pricing is in the community. Have her do a “mystery shopper” study by calling around as if he/she were a potential client and find out what your competitors say on the phone to her around pricing.  She may need to call from her home phone to avoid caller ID.  As another option you could have him/her call other assistants or paralegals at your competitors and offer to exchange your fees for their fees or you could do that with other lawyers yourself in your market.  If you really want to get into it and have maximum data you can write maybe a few dozen competitors in your marketplace and say you are doing a fee survey and if they would send you their fee list you will create a composite list that does not identify those responding and send them a copy of the results. To keep it simple for them include a stamped, self-addressed envelope with a list of the most common services offered in your practice area.  Now you will see what people are charging for services similar to those you offer. You should be able to come up with a range of prices. Use this range to set prices for your own services. My recommendation in law firm marketing planning is to charge at the 75% level of the list.  So you should be at or in the top 25% of the fees.Remember that in general it is not a good law practice management strategy to compete on price. Most potential clients will see pricing that is too low as a signal that there is something missing either from the service, the provider, or the firm. And people who are looking for a low price will follow that low price wherever they can find it rather than becoming long-term clients. So be sure that your price covers your costs and a reasonable profit margin.The Cost Method in Law Practice Management PricingThis law practice management pricing method is very straightforward really. One simply determines what the costs are to deliver products or services and adds on a reasonable profit, somewhere between fifteen percent at the least and maybe thirty three percent at the most. The most common mistake in law practice management using this method is to neglect to include some form of your expense.  Solo and small firm attorneys tend to not include their own salary!OK, let me say it again.  In law practice management often you count yourself out of the expenses and you should include yourself in the expenses.  Why? Often you are doing at least some of the technical work. Yes? Often you are doing at least some of the management work. Yes? As the owner of the business you are due a reasonable profit. Yes? If you are all three of these in one, you should consider one salary as due you for your time and expertise as the technician and manager as well as a profit of fifteen to thirty percent due you as the owner.  So be sure to include a reasonable cost for your technical and managerial work in the expenses part of this formula.Fixed Rate Method in Law Practice Management PricingThis is the method used by many auto mechanics (it is called “the flat rate book”) and other service providers.  This method is where you determine a fixed rate for various jobs and charge that rate no matter what. If the mechanic spends less time than allotted for the job, he makes more. If he spends more time than allotted, he makes less. But in the end, it all evens out (well, usually to the mechanics’ favor if you ask me).  Another example using this method is how managed health care has used this system with hospitals and doctors. Lawyers can use this system if they desire.The “Rule of Three” in Law Practice Management PricingThis “rule of thumb” called the “rule of three” used in law practice management is not what your CPA might tell you and it does not fail you either. Ask your CPA what they think about it and they will like it. To begin we are going to be thinking in thirds. For the first third we will take the total amount of salaries/bonuses (not benefits just salaries – benefits go into the second third coming next) for the revenue generators and/or timekeepers (this includes you if you are generating revenue) and call that our first third. So add up the salaries of the lawyers, paralegals, and legal secretaries who generate revenue or are timekeepers and call this your first third (lets just say that number was $100,000 to keep it simple). Whatever that number is take that number again and it is your second third which we will call your “overhead” (thus that second third is $100,000 and don’t forget you if you are doing some managing partner type duties since that part of your time goes here in overhead). Then take that same number and we will call that your last third, which we will call gross profits (another $100,000). What you need to do is take the total amount (in this example $300,000) and now figure out how much you must charge per billable hour, per fixed rate or how many contingency fee cases won to be sure you hit the target we must hit given our first third number times three (in this example $300,000).  This method shows you how much per hour you need to charge. Since you know how many billable hours each revenue generator can do per month, simply divide that into your total of all thirds ($300,000) to see what you need to charge per billable hour to make your numbers come out correctly. As long as you hit your targets you will be assured of a 15% to 30% net profit from your operations.  After all if you are the owner of the practice you deserve a fair profit as well don’t you agree? This method is known as the Rule of Three.  If this method is a bit too confusing do feel free to contact me and I will help you sort it out in a few minutes on the phone.It is a good idea to think through all of these pricing methods in determining your law practice management pricing strategy before setting a price and moving ahead with a law firm marketing plan to ensure you are thoroughly exploring all options.  Remember the tendency for most lawyers is to price too low.  Don’t do that!  In another article I will tell you how to speak to potential clients so you never have a problem getting the fee you deserve.

How to Properly Charge Late Fees in a Mobile Home Park

Friday, June 11th, 2010

Mobile home park tenants are not rich. Most of them live from paycheck to paycheck. As a result, they frequently don’t pay their bills on time – sometimes at all. To motivate these tenants to pay their lot rent on time, you must enact a late fee for rent that is not received by the due date. However, enacting such a plan is a lot more complicated than most park owners recognize. And messing up the plan can cause extreme legal and financial penalties. Here are a few initial points to consider:

How much to charge the tenant.

There is a law in most states as to the maximum late fee you can charge. It is not left up to your discretion. You are not allowed to charge a punitive amount. For example, if the lot rent is $150 per month, your late fee cannot be $100. The law is very specific on what you can and can’t charge. Don’t know the maximum amount allowed by law? You’ve got to get this data before you can go forward.

How much to charge the tenant as long as it is within the law.

You do not want anyone to ever be late. As a result, you should charge the maximum amount allowed by law to definitely get their attention. If the maximum is $50, then charge $50. I’ve toyed with this as much as anyone, but I’ve found that you have to make it absolutely not an option to be late, or the tenant may rearrange his payment plan and pay for that needed car repair/case of beer/cell phone bill before your lot rent. I cannot think of any reason not to go for the full amount allowed by law.

When do your charge it?

You should charge the late fee after a certain grace period. For example, if the rent is due on the first of the month, then you might have a grace period of the 5th. Any rent paid between the due date and the grace period (and obviously before the due date) would not be assessed any type of late fee. However, any rent received after the grace period would receive a late fee. In our example, any rent received on the 6th or later would be charged a late fee.

How do you prove when you got it?

The best way to do this is by postmark, assuming that you have the rent sent in to a P.O. Box as we do. If the postmark is after the fifth, then you will charge a late fee. What if the postsmark is on the fifth? Well, in some areas, if you sent it on the 5th, it can still reach its destination theoretically by that afternoon. So you are much safer just using the day after the end of your grace period for the postmark definition of late rent. And obviously, you want to save every late postmarked envelope as Exhibit A if you have to go to court over it. No judge is going to rule against you if the postmark is later than the grace period end date.

What about a late fee system that increases with every day? 

These systems, and we’ve tried them, are just too complicated. Although you may feel like it is going to motivate the customer, we’ve found that it really doesn’t – they don’t think that strategically. Basically, if they have the money in hand they’ll pay you, and if not they can’t. It’s not like you are reminding them. Normally, if they miss the first of the month, they don’t get paid again until the 15th, and as a result can’t pay you again until the fifteenth, no matter what the penalty. Just keeping track of a daily escalating late fee will cost you way more in time than it is worth.

How do they know they owe a late fee for next month? 

The best system is to send a monthly invoice, showing the rent plus a late fee, if they have one. Obviously, you have to have some kind of notification system if you want to be paid. If you let the tenant pay the rent in person at the park office, then the manager will need to keep a list of who owes it and collect at that time. If you send the rent to a P.O. Box, then there will have to be some type of system in place or you will never get your late fees. They can’t pay it if they don’t know they owe it. And don’t imagine that they should know themselves – it doesn’t happen in the real world. They always dream that somehow they got around the system, or you screwed up and forget to assess it.

Am I being mean charging a late fee?

No. On the contrary, you are being a bad landlord if you don’t. If the general tenant base starts delaying or stops paying altogether their rent, then the property will either go bankrupt or into disrepair. Neither scenario is for the good of the community. You must maintain order and keep the bills paid for these folks to have a home. And a late fee is the magic ingredient to help keep them paying, and at least create a small buffer if they don’t. Would you rather charge a late fee or kick them all out on the street, because that’s basically the choice you are making over the long run.

Can I forgive the late fee once assessed?

Legally you can. However, if you do that for one individual, then word will spread, and you will be besieged by folks wanting the same perk. You are far better off to stay uniform in your treatment of tenants. If you want, you could spread the late fee over several months to make it less painful, The only exception would be for extremely mitigating circumstances concerning a tenant who has never been late. For example, an elderly gentlemen who was put in the hospital on the 29th and released on the 7th. Even then, I would come up with a spin on it like you kept the late fee, but gave him an early payment discount for the next month of the same amount.

Other considerations?

It has been our experience that the total late fees in a stabilized, seasoned tenant base equals the amount of bad debt. This is very important, as it theoretically eliminates your line item of bad debt, when offset by late fees. Without late fees, you will never have perfect collections. With late fees, you scientifically can. And that’s essential for hitting your budget.

Conclusion

Late fees are an essential part of being a good landlord. And it is very important that you do them the right way for them to be fair and accurate. In addition, you have to build a system to assess the fees that it simple, consistent and not time consuming.

If you follow the system shown in this article, you will see an immediate improvement in your income and general happiness of your customers in your mobile home park.

What Fees are Included in Rhinoplasty Costs?

Thursday, May 27th, 2010

No surgery is an inexpensive one but some people are unaware of the costs and fees associated with their surgical procedure. One of the most common forms of plastic surgery is rhinoplasty, commonly called a nose job. There are many fees associated with rhinoplasty surgery, many of which patients aren’t typically aware of or informed of during the initial consultation.

Among the normal fees are surgeon’s fee, operating room cost, the cost of anesthesia, and other surgical costs. The following is a breakdown of other fees associated with rhinoplasty costs.

Aftercare Fees

Once your rhinoplasty is complete there will still be fees that you may be responsible for covering. These aren’t normally listed in the initial cost of the surgery because they are fees incurred during recovery. While you may be aware of the fee for the surgical room or facility, you may not be aware of charges you incur while in a recovery room or hospital room. Some can be billed by the hour (in the case of an outpatient facility) or by the day, which only is necessary if you are undergoing a more extensive rhinoplasty and then you should be aware of how much a daily hospital room rate will be. After your surgery you will also be prescribed pain medication. If you are sent home with a pain medication, this cost will be figured into your final bill as well. However, you may have the option to pick up a pain medication through a prescription, in which case you will need to factor that in separately.

Before Procedure Fees

It sounds hard to believe but there are fees that may not be included in the surgeon’s initial consultation fee. You can probably expect to pay for any rhinoplasty pictures that are used in determining how to perform your procedure. Even if this isn’t a Polaroid picture, it can be in the form of an x-ray or mold of the area to be worked on. Another common fee that is considered normal but not listed in the original estimated cost of rhinoplasty surgery is pre-admission testing. Pre-admission testing can include a physical, blood work, X-rays, as mentioned before, HIV testing and other lab work as required or requested by your surgeon. Of course, not all surgical facilities require testing prior to the rhinoplasty surgery but larger facilities such as hospitals may require additional testing.

Operational Fees

Of course you should be aware of the items that you will be charged for during the procedure and immediately after as well. These are considered normal and customary. You are already aware of the cost of anesthesia but you may also be charged for professional fees for the anesthesiologist who will administer the medication. Rhinoplasty does not come without some sort of pain medication during the procedure as well.

Other costs that are routine will be any creams, lotions or bandages that are used during and after your rhinoplasty surgery. While it sounds extremely expensive and overwhelming, these costs are normally filed under the cost of nursing care and use of the operating room so you may not even see them in your final bill. You can request a breakdown of services rendered at the time of billing but most people don’t elect this option.