title: Optimizing revenue at a cosmetic surgery centre.
abstract: BACKGROUND
  The demand for cosmetic surgery and services has diminished with recent fluctuations in the economy. To stay ahead, surgeons must appreciate and attend to the fiscal challenges of private practice. A key component of practice economics is knowledge of the common methods of payment.
  
  
  OBJECTIVE
  To review methods of payment in a five-surgeon group practice in central Texas, USA.
  
  
  METHODS
  A retrospective chart review of the financial records of a cosmetic surgery centre in Texas was conducted. Data were collected for the five-year period from 2003 to 2008, and included the method of payment, the item purchased (product, service or surgery) and the dollar amount.
  
  
  RESULTS
  More than 11,000 transactions were reviewed. The most common method of payment used for products and services was credit card, followed by check and cash. For procedures, the most common form of payment was personal check, followed by credit card and financing. Of the credit card purchases for both products and procedures, an overwhelming majority of patients (more than 75%) used either Visa (Visa Inc, USA) or MasterCard (MasterCard Worldwide, USA). If the amount of the individual transaction surpassed US$1,000, the most common method of payment transitioned from credit card to personal check.
  
  
  CONCLUSIONS
  In an effort to maximize revenue, surgeons should consider limiting the credit cards accepted by the practice and encourage payment through personal check.
authors.affiliation: University of Texas Medical Branch, Galveston;
authors.forename: Joanna M
authors.initials: JM
authors.lastname: Funk
authors.forename: Charles N
authors.initials: CN
authors.lastname: Verheyden
authors.forename: Raman C
authors.initials: RC
authors.lastname: Mahabir