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Q. I discovered that the owner of the practice I work at has been changing my invoices. Flea medications, shampoos, and glucosamine supplements are being charged to an over-the-counter charge, even though I sold them to the client at the time of the exam. Shouldn't those items fall under my production?

Q: I discovered that the owner of the practice I work at has been changing my invoices. Flea medications, shampoos, and glucosamine supplements are being changed to an over-the-counter charge, even though I sold them to the client at the time of the exam. Shouldn't those items fall under my production?

Yes. Any products and services you provide during the course of an office visit should be credited to you as production income, says Veterinary Economics Hospital Management Editor Mark Opperman, CVPM, owner of VMC Inc. in Evergreen, Colo. Production is defined as "fees generated and collected for services and products the doctor is directly involved in delivering." So if you conduct an outpatient office visit and perform an exam, a heartworm check, and vaccinations, and you dispense flea control or heartworm medications during the visit, you should get production credit for all those products and services. Food is the only exception, Opperman says. It doesn't normally have a production credit.

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