An FP starts to charge an administrative fee

I am the practice manager for a 2 physician Internal Medicine office in Northern Illinois. We just implemented an “administrative fee” at the $120 level. This will pay for all non-insurance covered services like refills, prior authorizations, parking placards, etc, but will also allow us to purchase and implement an EMR/PM, bring our lab back in-house, and pay our staff at a reasonable level of compensation.

In the week since the letters have went out, only 3 patients have elected to leave. This in a practice base of over 5600.

Good business? I believe so. But you can be damn sure the level of care the providers offer and the staff show is going to set the standard for other offices to emulate.