How do you set your fees so that they’re fair and compassionate to your clients… without undervaluing your worth? In this episode, we talk through the tough topic of setting your fees for your private lactation practice. Money is an uncomfortable topic for many people, especially women. And it can be difficult to ask for what your work is actually worth (or even realize your worth in the first place). But you’re not truly serving anyone when you set a low bar for your pricing. To run a business, you need to have money.
Now that so many lactation consultants are incorporating virtual consults into their services, questions are coming up about how to get tele-lactation covered by insurance (for in-network providers) and reimbursed out-of-network. In this article, I’ll cover the most common questions I’ve seen and point you to more in-depth resources so that you can be as informed as you possibly can be.
If you’re a lactation consultant in the US, then you know that the Affordable Care Act says that lactation consults should be covered as preventive services. But the reality is that many of our clients are NOT getting reimbursement for our services. If you’re anything like me, you’re disturbed at hearing that your clients are having to submit their superbills multiple times, or that they’re not even submitting them at all. You’re wondering which codes to use, and what to do to help your clients get reimbursed. While there are no magic formulas to use with the insurance companies that will guarantee any outcome for your clients, there are some simple strategies that you can use to maximize their chances.
You may not think it’s in your scope of practice to engage with insurance billing and coding—but if there are babies who are not getting human milk because insurance companies are shirking their responsibilities, then you may want to expand your understanding of your ethical duty to your clients.