Guest guest Posted January 28, 2009 Report Share Posted January 28, 2009 i have offered to do house calls on a new patient with end stage renal dz and CA. it turns out he lives 1-1/2h from my office. wondering what to charge for travel time? would appreciate suggestions. kath -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2009 Report Share Posted January 28, 2009 I generally add $100 to my visit for house calls, but 1 1/2 hrs is a hefty drive. think about how many patients' fees you'd lose in 3 hrs. travel time and figure that into your house call fee. that's my suggestion, anyway. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2009 Report Share Posted January 29, 2009 Wow, Kath. 1.5 hours commute time is alot! That's 3 hours round-trip. I'm not sure what I would charge under those circumstances - I would surely be looking for benefits other than financial, because that's a huge time commitment that I wouldn't feel comfortable charging for. I have traveled up to 45 minutes (one-way) to see a patient, and then charged an additional $15 total on top of my usual fees. That was in the days when gas was much more affordable. In your case, you'd be spending 3x as much time traveling, as treating. Is this time expense recoverable as fees? Not all of it, I think. I'd love to hear how you decide to handle this. Andrea Beth Traditional Oriental Medicine Happy Hours in the CALM Center 1770 E. Villa Drive, Suite 5 Cottonwood, AZ 86326 (928) 274-1373 --- On Wed, 1/28/09, wrote: fee for travel time for housecalls " PCOM Alumni " <alumni Cc: " TCM List " <Chinese Traditional Medicine > Wednesday, January 28, 2009, 9:33 AM i have offered to do house calls on a new patient with end stage renal dz and CA. it turns out he lives 1-1/2h from my office. wondering what to charge for travel time? would appreciate suggestions. kath -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2009 Report Share Posted January 29, 2009 Wow, Sami. What are your visit fees? And where are you located? Andrea Beth Traditional Oriental Medicine Happy Hours in the CALM Center 1770 E. Villa Drive, Suite 5 Cottonwood, AZ 86326 (928) 274-1373 --- On Wed, 1/28/09, Sami Rank LAc <herbsnacupnxr wrote: Sami Rank LAc <herbsnacupnxr Re: fee for travel time for housecalls Chinese Medicine Wednesday, January 28, 2009, 3:07 PM I generally add $100 to my visit for house calls, but 1 1/2 hrs is a hefty drive. think about how many patients' fees you'd lose in 3 hrs. travel time and figure that into your house call fee. that's my suggestion, anyway. --- Subscribe to the free online journal for TCM at Times http://www.chinesemedicinetimes.com Help build the world's largest online encyclopedia for Chinese medicine and acupuncture, click, http://www.chinesemedicinetimes.com/wiki/CMTpedia and adjust accordingly. Please consider the environment and only print this message if absolutely necessary. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2009 Report Share Posted January 29, 2009 I charge $250 for treatments not in my office (usually IVF transfer treatments). This usually covers any travel expenses and time. At that price they are usually pretty motivated to get to my office which is my preference as well. But occasionally it is worth it for the patient and so I've got to make it worth it for me too. Chris Vedeler L.Ac. wrote: > > Wow, Kath. 1.5 hours commute time is alot! That's 3 hours > round-trip. I'm not sure what I would charge under those > circumstances - I would surely be looking for benefits other than > financial, because that's a huge time commitment that I wouldn't feel > comfortable charging for. I have traveled up to 45 minutes (one-way) > to see a patient, and then charged an additional $15 total on top of > my usual fees. That was in the days when gas was much more > affordable. In your case, you'd be spending 3x as much time > traveling, as treating. Is this time expense recoverable as fees? > Not all of it, I think. > > I'd love to hear how you decide to handle this. > > Andrea Beth > > Traditional Oriental Medicine > Happy Hours in the CALM Center > 1770 E. Villa Drive, Suite 5 > Cottonwood, AZ 86326 > (928) 274-1373 > > --- On Wed, 1/28/09, <acukath > <acukath%40gmail.com>> wrote: > <acukath > <acukath%40gmail.com>> > fee for travel time for housecalls > " PCOM Alumni " <alumni > <alumni%40pacificcollege.edu>> > Cc: " TCM List " <Chinese Traditional Medicine > <Chinese Traditional Medicine%40>> > Wednesday, January 28, 2009, 9:33 AM > > i have offered to do house calls on a new patient with end stage renal dz > and CA. it turns out he lives 1-1/2h from my office. wondering what to > charge for travel time? would appreciate suggestions. > > kath > > -- > > Oriental Medicine > Experienced, Dedicated, Effective > > Kath's Blog about , Healthy Living & Spirituality: > http://acukath.blogspot.com/ <http://acukath.blogspot.com/> > > Flying Dragon Liniment: Effective pain relief for muscles & joints > Formulated by Kath Bartlett, Traditional Chinese Herbalist > Available at Asheville Center for : > www.FlyingDragonLiniment.com > > and from the following supply companies: > Kamwo Herbal Pharmacy: NY - Chinatown > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > <https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1> > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > <http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor=\ & product=5554 & pg=> > > Asheville Center For > 70 Woodfin Place, Suite West Wing Two > Asheville, NC 28801 828.258.2777 > kbartlett > <kbartlett%40AcupunctureAsheville.com> > www.AcupunctureAsheville.com > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2009 Report Share Posted January 29, 2009 yes, that's my point as well. on occasion I just charge $100 (dropping my office fee), and that is for either elderly who have no transportation or someone who is bed-bound, but in both cases they must live close enough to make it work for me as well (like 15-20 min drive tops).- sami " At that > price they are usually pretty motivated to get to my office which is my > preference as well. But occasionally it is worth it for the patient and > so I've got to make it worth it for me too. " > > Chris Vedeler L.Ac. > > wrote: > > > > Wow, Kath. 1.5 hours commute time is alot! That's 3 hours > > round-trip. I'm not sure what I would charge under those > > circumstances - I would surely be looking for benefits other than > > financial, because that's a huge time commitment that I wouldn't feel > > comfortable charging for. I have traveled up to 45 minutes (one- way) > > to see a patient, and then charged an additional $15 total on top of > > my usual fees. That was in the days when gas was much more > > affordable. In your case, you'd be spending 3x as much time > > traveling, as treating. Is this time expense recoverable as fees? > > Not all of it, I think. > > > > I'd love to hear how you decide to handle this. > > > > Andrea Beth > > > > Traditional Oriental Medicine > > Happy Hours in the CALM Center > > 1770 E. Villa Drive, Suite 5 > > Cottonwood, AZ 86326 > > (928) 274-1373 > > > > --- On Wed, 1/28/09, <acukath > > <acukath%40gmail.com>> wrote: > > <acukath > > <acukath%40gmail.com>> > > fee for travel time for housecalls > > " PCOM Alumni " <alumni > > <alumni%40pacificcollege.edu>> > > Cc: " TCM List " <Chinese Traditional Medicine > > <Chinese Traditional Medicine%40>> > > Wednesday, January 28, 2009, 9:33 AM > > > > i have offered to do house calls on a new patient with end stage renal dz > > and CA. it turns out he lives 1-1/2h from my office. wondering what to > > charge for travel time? would appreciate suggestions. > > > > kath > > > > -- > > > > Oriental Medicine > > Experienced, Dedicated, Effective > > > > Kath's Blog about , Healthy Living & Spirituality: > > http://acukath.blogspot.com/ <http://acukath.blogspot.com/> > > > > Flying Dragon Liniment: Effective pain relief for muscles & joints > > Formulated by Kath Bartlett, Traditional Chinese Herbalist > > Available at Asheville Center for : > > www.FlyingDragonLiniment.com > > > > and from the following supply companies: > > Kamwo Herbal Pharmacy: NY - Chinatown > > https://www.kamwo.com/shop/product.php? productid=17442 & cat=0 & page=1 > > <https://www.kamwo.com/shop/product.php? productid=17442 & cat=0 & page=1> > > > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > http://www.goldenneedleonline.com/index.php? page=categories & category=14 & vendor= & product=5554 & pg= > > <http://www.goldenneedleonline.com/index.php? page=categories & category=14 & vendor= & product=5554 & pg=> > > > > Asheville Center For > > 70 Woodfin Place, Suite West Wing Two > > Asheville, NC 28801 828.258.2777 > > kbartlett > > <kbartlett%40AcupunctureAsheville.com> > > www.AcupunctureAsheville.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2009 Report Share Posted January 30, 2009 Chris: i ended up doubling my nml tx fee for the housecall, and charging .505 for millage (115 total = $58, this is the IRS rate for businesses). it ended up being around $200, but i wondered if it should have been more, given the 2.5 h of driving time? i'm a little cautious in this case as the patient is at end stage, & i don't think he's real mobile to be able to do the drive himself to get to my office. the family is regular folk, not upper middle class by any means. still, i need to come up with a policy that would apply to everyone, should another situation arise. your thoughts on charging for the driving time? kath On Thu, Jan 29, 2009 at 8:43 AM, Christopher Vedeler <vedelerwrote: > I charge $250 for treatments not in my office (usually IVF transfer > treatments). This usually covers any travel expenses and time. At that > price they are usually pretty motivated to get to my office which is my > preference as well. But occasionally it is worth it for the patient and > so I've got to make it worth it for me too. > > Chris Vedeler L.Ac. > > > wrote: > > > > Wow, Kath. 1.5 hours commute time is alot! That's 3 hours > > round-trip. I'm not sure what I would charge under those > > circumstances - I would surely be looking for benefits other than > > financial, because that's a huge time commitment that I wouldn't feel > > comfortable charging for. I have traveled up to 45 minutes (one-way) > > to see a patient, and then charged an additional $15 total on top of > > my usual fees. That was in the days when gas was much more > > affordable. In your case, you'd be spending 3x as much time > > traveling, as treating. Is this time expense recoverable as fees? > > Not all of it, I think. > > > > I'd love to hear how you decide to handle this. > > > > Andrea Beth > > > > Traditional Oriental Medicine > > Happy Hours in the CALM Center > > 1770 E. Villa Drive, Suite 5 > > Cottonwood, AZ 86326 > > (928) 274-1373 > > > > --- On Wed, 1/28/09, <acukath<acukath%40gmail.com> > > <acukath%40gmail.com <acukath%2540gmail.com>>> wrote: > > <acukath <acukath%40gmail.com> > > <acukath%40gmail.com <acukath%2540gmail.com>>> > > fee for travel time for housecalls > > " PCOM Alumni " <alumni<alumni%40pacificcollege.edu> > > <alumni%40pacificcollege.edu <alumni%2540pacificcollege.edu>>> > > Cc: " TCM List " <Chinese Traditional Medicine <Chinese Traditional Medicine%40yah\ oogroups.com> > > <Chinese Traditional Medicine%40<traditional_chinese_medic\ ine%2540> > >> > > Wednesday, January 28, 2009, 9:33 AM > > > > i have offered to do house calls on a new patient with end stage renal dz > > and CA. it turns out he lives 1-1/2h from my office. wondering what to > > charge for travel time? would appreciate suggestions. > > > > kath > > > > -- > > > > Oriental Medicine > > Experienced, Dedicated, Effective > > > > Kath's Blog about , Healthy Living & Spirituality: > > http://acukath.blogspot.com/ <http://acukath.blogspot.com/> > > > > Flying Dragon Liniment: Effective pain relief for muscles & joints > > Formulated by Kath Bartlett, Traditional Chinese Herbalist > > Available at Asheville Center for : > > www.FlyingDragonLiniment.com > > > > and from the following supply companies: > > Kamwo Herbal Pharmacy: NY - Chinatown > > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > <https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1> > > > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > < > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > > > > Asheville Center For > > 70 Woodfin Place, Suite West Wing Two > > Asheville, NC 28801 828.258.2777 > > kbartlett<kbartlett%40AcupunctureAsheville.com> > > <kbartlett%40AcupunctureAsheville.com<kbartlett%2540AcupunctureAsheville.\ com> > > > > www.AcupunctureAsheville.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2009 Report Share Posted February 5, 2009 1 hundred dollars is the accepted rate for a house call. If someone is closer, the treatment less complex and/or ability to pay is a consideration. charge less. If I get a call from an expensive hotel that have me in their files as an on call massage / acupuncturist, and it is a wellness visit for someone that money isn't a big issue, you can charge more. --- On Thu, 1/29/09, Sami Rank LAc <herbsnacupnxr wrote: Sami Rank LAc <herbsnacupnxr Re: fee for travel time for housecalls Chinese Medicine Thursday, January 29, 2009, 9:21 AM yes, that's my point as well. on occasion I just charge $100 (dropping my office fee), and that is for either elderly who have no transportation or someone who is bed-bound, but in both cases they must live close enough to make it work for me as well (like 15-20 min drive tops).- sami " At that > price they are usually pretty motivated to get to my office which is my > preference as well. But occasionally it is worth it for the patient and > so I've got to make it worth it for me too. " > > Chris Vedeler L.Ac. > > wrote: > > > > Wow, Kath. 1.5 hours commute time is alot! That's 3 hours > > round-trip. I'm not sure what I would charge under those > > circumstances - I would surely be looking for benefits other than > > financial, because that's a huge time commitment that I wouldn't feel > > comfortable charging for. I have traveled up to 45 minutes (one- way) > > to see a patient, and then charged an additional $15 total on top of > > my usual fees. That was in the days when gas was much more > > affordable. In your case, you'd be spending 3x as much time > > traveling, as treating. Is this time expense recoverable as fees? > > Not all of it, I think. > > > > I'd love to hear how you decide to handle this. > > > > Andrea Beth > > > > Traditional Oriental Medicine > > Happy Hours in the CALM Center > > 1770 E. Villa Drive, Suite 5 > > Cottonwood, AZ 86326 > > (928) 274-1373 > > > > --- On Wed, 1/28/09, <acukath > > <acukath% 40gmail.com> > wrote: > > <acukath > > <acukath% 40gmail.com> > > > fee for travel time for housecalls > > " PCOM Alumni " <alumni > > <alumni% 40pacificcollege .edu>> > > Cc: " TCM List " <traditional_ chinese_medicine > > <traditional _chinese_ medicine% 40. com>> > > Wednesday, January 28, 2009, 9:33 AM > > > > i have offered to do house calls on a new patient with end stage renal dz > > and CA. it turns out he lives 1-1/2h from my office. wondering what to > > charge for travel time? would appreciate suggestions. > > > > kath > > > > -- > > > > Oriental Medicine > > Experienced, Dedicated, Effective > > > > Kath's Blog about , Healthy Living & Spirituality: > > http://acukath. blogspot. com/ <http://acukath. blogspot. com/> > > > > Flying Dragon Liniment: Effective pain relief for muscles & joints > > Formulated by Kath Bartlett, Traditional Chinese Herbalist > > Available at Asheville Center for : > > www.FlyingDragonLin iment.com > > > > and from the following supply companies: > > Kamwo Herbal Pharmacy: NY - Chinatown > > https://www. kamwo.com/ shop/product. php? productid=17442 & cat=0 & page= 1 > > <https://www. kamwo.com/ shop/product. php? productid=17442 & cat=0 & page= 1> > > > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > http://www.goldenne edleonline. com/index. php? page=categories & category= 14 & vendor= & product= 5554 & pg= > > <http://www.goldenne edleonline. com/index. php? page=categories & category= 14 & vendor= & product= 5554 & pg=> > > > > Asheville Center For > > 70 Woodfin Place, Suite West Wing Two > > Asheville, NC 28801 828.258.2777 > > kbartlett@.. . > > <kbartlett% 40AcupunctureAsh eville.com> > > www.AcupunctureAshe ville.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2009 Report Share Posted February 5, 2009 actually, after talking online to many colleagues, the accepted practice for house calls is to double the regular tx fee, + mileage. i used the IRS rate of .505/mile, which is customary. everyone advised charging the regular hourly rate for the additional driving time. it turned out to be a 3.5-4h time commitment, so i tripled my usual visit fee + mileage. kath On Wed, Feb 4, 2009 at 9:58 PM, mystir <ykcul_ritsym wrote: > 1 hundred dollars is the accepted rate for a house call. If someone is > closer, the treatment less complex and/or ability to pay is a consideration. > charge less. If I get a call from an expensive hotel that have me in their > files as an on call massage / acupuncturist, and it is a wellness visit for > someone that money isn't a big issue, you can charge more. > > --- On Thu, 1/29/09, Sami Rank LAc <herbsnacupnxr<herbsnacupnxr%40>> > wrote: > Sami Rank LAc <herbsnacupnxr <herbsnacupnxr%40>> > Re: fee for travel time for housecalls > To: Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > Thursday, January 29, 2009, 9:21 AM > > > yes, that's my point as well. on occasion I just charge $100 > > (dropping my office fee), and that is for either elderly who have no > > transportation or someone who is bed-bound, but in both cases they > > must live close enough to make it work for me as well (like 15-20 > > min drive tops).- sami > > " At that > > > price they are usually pretty motivated to get to my office which > > is my > > > preference as well. But occasionally it is worth it for the > > patient and > > > so I've got to make it worth it for me too. " > > > > > > Chris Vedeler L.Ac. > > > > > > wrote: > > > > > > > > Wow, Kath. 1.5 hours commute time is alot! That's 3 hours > > > > round-trip. I'm not sure what I would charge under those > > > > circumstances - I would surely be looking for benefits other > > than > > > > financial, because that's a huge time commitment that I wouldn't > > feel > > > > comfortable charging for. I have traveled up to 45 minutes (one- > > way) > > > > to see a patient, and then charged an additional $15 total on > > top of > > > > my usual fees. That was in the days when gas was much more > > > > affordable. In your case, you'd be spending 3x as much time > > > > traveling, as treating. Is this time expense recoverable as > > fees? > > > > Not all of it, I think. > > > > > > > > I'd love to hear how you decide to handle this. > > > > > > > > Andrea Beth > > > > > > > > Traditional Oriental Medicine > > > > Happy Hours in the CALM Center > > > > 1770 E. Villa Drive, Suite 5 > > > > Cottonwood, AZ 86326 > > > > (928) 274-1373 > > > > > > > > --- On Wed, 1/28/09, <acukath > > > > <acukath% <acukath%25> 40gmail.com> > wrote: > > > > <acukath > > > > <acukath% <acukath%25> 40gmail.com> > > > > > fee for travel time for housecalls > > > > " PCOM Alumni " <alumni > > > > <alumni% <alumni%25> 40pacificcollege .edu>> > > > > Cc: " TCM List " <traditional_ chinese_medicine > > > > <traditional _chinese_ medicine% 40. com>> > > > > Wednesday, January 28, 2009, 9:33 AM > > > > > > > > i have offered to do house calls on a new patient with end stage > > renal dz > > > > and CA. it turns out he lives 1-1/2h from my office. wondering > > what to > > > > charge for travel time? would appreciate suggestions. > > > > > > > > kath > > > > > > > > -- > > > > > > > > Oriental Medicine > > > > Experienced, Dedicated, Effective > > > > > > > > Kath's Blog about , Healthy Living & > > Spirituality: > > > > http://acukath. blogspot. com/ <http://acukath. blogspot. com/> > > > > > > > > Flying Dragon Liniment: Effective pain relief for muscles & > > joints > > > > Formulated by Kath Bartlett, Traditional Chinese Herbalist > > > > Available at Asheville Center for : > > > > www.FlyingDragonLin iment.com > > > > > > > > and from the following supply companies: > > > > Kamwo Herbal Pharmacy: NY - Chinatown > > > > https://www. kamwo.com/ shop/product. php? > > productid=17442 & cat=0 & page= 1 > > > > <https://www. kamwo.com/ shop/product. php? > > productid=17442 & cat=0 & page= 1> > > > > > > > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > > > > http://www.goldenne edleonline. com/index. php? > > page=categories & category= 14 & vendor= & product= 5554 & pg= > > > > <http://www.goldenne edleonline. com/index. php? > > page=categories & category= 14 & vendor= & product= 5554 & pg=> > > > > > > > > Asheville Center For > > > > 70 Woodfin Place, Suite West Wing Two > > > > Asheville, NC 28801 828.258.2777 > > > > kbartlett@.. . > > > > <kbartlett% <kbartlett%25> 40AcupunctureAsh eville.com> > > > > www.AcupunctureAshe ville.com > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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