Time Base Billing Problem 3: Client drop outs

In my last post I looked at the second problem that clients encounter when they receive health care services on a session to session basis.

Problem 2 Recap

The second problem being a dilution of the trust between the therapist and the practitioner administering the care. Why a reduction in trust? Well under session to session care the client will have suspicions warranted or unwarranted, spoken or unspoken, that the therapist’s recommendations may be based on self serving interests over their best interests as the client.

If you are reading this and you are a therapist you will appreciate that over-servicing of clients rarely occurs. Given the carer nurturer profile of the typical clinician the servicing if anything tends to be that of the client being under-serviced for their respective needs and potential recovery rate.

The Conflict of Time Based Billing

However despite over servicing being rare in allied health the very nature of the selling of time-based health services, like it or otherwise, is set up so that the longer it takes the better for the therapist and the worse for the client financially.

One of the other chief problems clients receiving health services based on a session to session basis encounter is the increased likelihood of dropping out of care.

The problem with premature drop outs from the care required is multifold:

  • failure to fully rehabilitate can require the client to return for treatment if the problem or injury/pain returns at a later stage (a flare up).
  • a return to the treatment process will ultimately incur greater treatment costs as opposed to rehabilitating the condition fully with the first incidence.
  • greater frustration levels and potentially heightened anxiety levels may result from a recurrence of a condition or injury.
  • overall greater impact on health and physical fitness of the client with a reduction in physical function due to the returning injury.

A Common Mistake: Self Discharging from Care

One of the common mistakes made by clients who self discharge from treatment is that they mistakingly perceive or believe that the absence of pain equates to full rehabilitation. The reality however being that if any of the causative or contributory injury factors remain unaddressed through the rehabilitation process than the client is at risk of experiencing a further flare up. Hence the absence of pain is a poor indicator of an individual being fully rehabilitated.

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Physio With a Finish Line™,

Brad Beer physiotherapist gold coast

Brad Beer (APAM)

Physiotherapist (APAM)
Author ‘You CAN Run Pain Free!
Founder POGO Physio
Host The Physical Performance Show