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Facility fees are one of the most misunderstood and debated topics in general practice. In this episode of the Practice Partners Podcast, Ami Assigal and Zac Pandur unpack the legal, operational, and psychological realities behind charging facility fees, and why understanding them is critical for sustainable practice management.

We unpack:

• What facility fees actually are and when they can be charged alongside Medicare rebates
• How treatment room budgeting influences fee decisions
• The psychology behind charging patients and why staff confidence matters
• The compliance considerations every practice must understand
• How clear patient communication protects trust and reputation

We also talk honestly about:

• Why some teams hesitate to charge and how that impacts financial health
• The risks of inconsistent messaging across reception, nurses, and doctors
• The importance of structured billing processes to prevent revenue leakage
• Educating staff so fees are explained with clarity and confidence
• Adapting fee models to suit your practice environment and patient base

This episode is for practice owners, managers, and healthcare leaders who want to strengthen their billing systems, improve communication, and build financially sustainable clinics.

Facility fees are not just about revenue.
When implemented correctly, they support quality care, operational stability, and long term viability.

References: Medicare Explanatory Note GN 7.17

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