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sliding scale payments

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I have a home visit private practice lactation consulting business.

One of my most frustrating moments is when a client calls wanting help,

I explain what I do, home visit for 1/1/2-2 1/2 hours, give them the

tools to submit the bill to insurance company, cost of the visit

explained and tell them I will be happy to work out a payment plan if

necessary. When they don't call back and I can feel it is because of

cost - I feel so frustrated. I am wondering how people who use a

sliding scale fee work this??? Most of the clients referred don't seem

to mind or have a problem paying but there is a whole community of

people out there who don't have the means and they don't get referred

for help at times. Yes, I know - LLL is there for them and that's

great!!! Anyway, if anyone has any thoughts on how they handle

referrals who don't have the means to pay. Of course, I have at times

done a consult without payment - but as a general rule I can't do

this.

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