Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • Upgrade to the KevinMD enhanced author page

The fallacy of billable hours

Skeptical Scalpel, MD
Physician
November 6, 2013
Share
Tweet
Share

Lawyers are hardworking people. That’s for sure. Take this lawyer from Ohio who billed long hours for court-appointed cases. For instance, he billed for 21, 21.5, 23 and 29 hours of work for 4 different days. His lawyer said he did the work but was simply a poor record keeper.

Right.

Not to be outdone, a lawyer from Iowa billed for more than 24 hours of work in a day on 80 separate days. He is being charged with a felony for receiving $178,000 for what are being called improper payments for work as a public defender.

Four other lawyers were terminated from the program for similar issues.

And you thought doctors worked long hours?

The president of the Iowa State Bar Association called the findings of the audit that discovered the problems “an isolated aberration, involving five lawyers. Simply put, a few bad apples do not spoil the barrel.”

Are these isolated aberrations?

I’m not so sure. A lawyer friend of mine (yes, I do have friends and even relatives who are lawyers) tells me that this is not particularly uncommon.

He said that lawyers will often schedule 5 or 6 case conferences at a courthouse over a 2 hour period and bill each client for 2 hours worth of work.

At least one lawyer feels that the billable hour model should be scrapped because “the billable hour makes no sense, not even for lawyers. If you are successful and win a case early on, you put yourself out of work. If you get bogged down in a land war in Asia, you make more money. That is frankly nuts.”

This meshes nicely with a story my lawyer friend told me. Shortly after he became a lawyer, he proudly walked into his boss’ office to report that he had settled a case in record time. His boss then chastised him for doing so and pointed out that settling the case so quickly cost the firm a lot of money.

It’s too bad that legal services are a privilege instead of a right. Then maybe someone other than I would be upset about how much it costs.

“Skeptical Scalpel” is a surgeon blogs at his self-titled site, Skeptical Scalpel.

Prev

I felt abandoned by the system to which I had committed my career

November 5, 2013 Kevin 17
…
Next

JAMA removes cover art, and why that matters

November 6, 2013 Kevin 10
…

Tagged as: Health Policy and Public Health

< Previous Post
I felt abandoned by the system to which I had committed my career
Next Post >
JAMA removes cover art, and why that matters

ADVERTISEMENT

More by Skeptical Scalpel, MD

  • The hospital CEO who made a surgical incision. What happened?

    Skeptical Scalpel, MD
  • Medical error is not the third leading cause of death

    Skeptical Scalpel, MD
  • Should speed-eating contests be banned?

    Skeptical Scalpel, MD

More in Physician

  • Medical hierarchy is silencing young doctors who want to write

    Dr. Buga Charles George Kenyi
  • Why military patients carry pain a chart can’t explain

    Ann Lebeck, MD
  • Leaving medicine is a translation problem, not a loss

    Shveta Gupta, MD, MBA
  • When a divorce ends a physician’s career

    Donald J. Murphy, MD
  • Military sports medicine and the cost of readiness

    Ann Lebeck, MD
  • When medicine confuses professionalism vs. compliance

    Gus W. Krucke, MD
  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Medical hierarchy is silencing young doctors who want to write

      Dr. Buga Charles George Kenyi | Physician
    • I built clinical decision-support tools at the bedside

      Ahmed Elsonbaty, MD | Health Technology
    • Peptide regulation: 4 lanes every physician must know

      Benjamin González, MD | Medications
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
  • Recent Posts

    • Medical hierarchy is silencing young doctors who want to write

      Dr. Buga Charles George Kenyi | Physician
    • Is anticoagulation bleeding risk worse in the real world?

      David K. Cundiff, MD | Medications
    • 5 layers every dengue prevention plan now needs

      Melvin Sanicas, MD | Conditions and Diseases
    • How administrative costs are crushing physician practices

      Kayvan Haddadan, MD | Physician Finance
    • Fragmented care is the gap digital health left open

      Robert Nieves, JD, MBA, MPA, RN | Health Policy
    • Musculoskeletal health may be the foundation of prevention

      Narinder Singh Parhar, MD | Conditions and Diseases

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 37 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Medical hierarchy is silencing young doctors who want to write

      Dr. Buga Charles George Kenyi | Physician
    • I built clinical decision-support tools at the bedside

      Ahmed Elsonbaty, MD | Health Technology
    • Peptide regulation: 4 lanes every physician must know

      Benjamin González, MD | Medications
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
  • Recent Posts

    • Medical hierarchy is silencing young doctors who want to write

      Dr. Buga Charles George Kenyi | Physician
    • Is anticoagulation bleeding risk worse in the real world?

      David K. Cundiff, MD | Medications
    • 5 layers every dengue prevention plan now needs

      Melvin Sanicas, MD | Conditions and Diseases
    • How administrative costs are crushing physician practices

      Kayvan Haddadan, MD | Physician Finance
    • Fragmented care is the gap digital health left open

      Robert Nieves, JD, MBA, MPA, RN | Health Policy
    • Musculoskeletal health may be the foundation of prevention

      Narinder Singh Parhar, MD | Conditions and Diseases

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The fallacy of billable hours
37 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...