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  4. For the 30-minute initial call, is that paid up-front? If so, what do you charge, or is that free? Then, [are] the follow-up and tests billed as one invoice or separately? What percentage of Kresser patients are not treated in person?

For the 30-minute initial call, is that paid up-front? If so, what do you charge, or is that free? Then, [are] the follow-up and tests billed as one invoice or separately? What percentage of Kresser patients are not treated in person?

Amy Nett: Sandy asks, “For the 30-minute initial call, is that paid up-front? If so, what do you charge, or is that free? Then, [are] the follow-up and tests billed as one invoice or separately? What percentage of Kresser patients are not treated in person?”

For the 30-minute consult, CCFM charges $295 for the initial call, [and] it is paid up-front. All the appointment fees are charged, I believe, the day before the appointment because of [the] cancellation policy. Follow-up appointments are billed at a rate of, I believe, $480 per hour, but the case review is, I think, $1,200 for the hour-long appointment with Chris. I think mine’s $1,000 and I spend about 75 to 90 minutes. And then follow-up tests and supplements are billed on a separate invoice because those are sent to patients. They’ve already paid for their appointment, and then the appointment summary is sent to the patient and the admin says, “Here are the supplements and tests that were recommended during your appointment. Here’s how much they cost. What would you like us to order?”

[The] percentage of patients not treated in person? Everybody is required to be seen in person initially. California medical law [states that] you have to establish care with a patient in person, so 100 percent of our patients are seen in person for that case review appointment and then follow-up appointments can be done via phone or video. California law might be changing where it might not be absolutely essential to have that first appointment in person. But again, you have to decide to some extent, like, what’s your comfort level. For me personally, I do require every case review appointment has to be in person. I think you get a very different connection with patients when it’s in person. I think it’s very different; you pick up on a lot of cues that you’re not going to get over [the] phone or even video.

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