How a Pediatric Practice Stopped Chasing Payments and Scaled to a Team of Nine

Written by
Practice Better
Stephanie Wong, MScFN, RD, reviewed by Julia Rapoch, Director of Payments
Published on
May 6, 2026

When Lisa Moane started The Paediatric Naturopath nine years ago, she had a clear vision: a practice focused entirely on children's health, with nothing else on the menu. No adults, no generalist consultations — just kids.

What she didn't anticipate was how much of her energy would go toward chasing payments.

"With traditional payment plans, there was always someone each day whose card would declined, and we had to keep retrying payments."

Today, Lisa leads a team of nine practitioners and has been running her practice on Practice Better since March 2020, when the pandemic pushed her to telehealth. But building that practice meant solving a problem she hadn't planned for.

The challenge: protecting revenue without turning clients away

Lisa's policy has always been simple: 100% payment upfront at the time of booking. It protects her time and her team's schedule. But it also created friction in the booking process.

Pediatric appointments aren't cheap, and families don't always have the money available on the day they want to book. 

"A lot of people will say to me, I don't have the money now — and they've booked an appointment for two weeks' time. I always just said, book an appointment when you have the money."

That was a barrier she had no good answer for. Payment plans existed within Practice Better, but they came with a catch: if a client's card declined, the follow-up fell to Lisa's team. Every day, someone's payment failed. Every day, someone had to retry.

Bank debits required a separate workload altogether. Many clients preferred to pay by direct deposit, but that meant Lisa's team became responsible for even more manual invoicing work.

"Whenever someone goes to direct deposit, we'd have to reconcile our bank account versus Practice Better and take it off manually."

The turning point: payments that work the way the practice does

Earlier this year, Practice Better expanded its integrated payment solution, Practice Better Payments, to include bank debits and Buy Now, Pay Later options — giving practitioners access to both directly inside the platform, without needing a separate payment processor. 

For Lisa, it addressed the challenges she'd been navigating for years.

1) Bank debits are now processed through Lisa's Practice Better Payments account, eliminating manual reconciliation completely. The administrative step that used to fall to her team simply disappears. 

"Having payments integrated means we don't have to manually reconcile transfers or chase payments. It makes things much simpler operationally."

Lisa processes an average of seven bank debits each month, which translates to roughly 1 hour 45 minutes of reconciliation work her team no longer has to do — time that goes back into the practice.

2) Buy Now, Pay Later options — Afterpay, specifically — gave Lisa an answer to a question that had always stumped her: What do you do when a client wants to book can't pay right away? Now, they have a path forward, at no risk to Lisa and her practice.

"With Afterpay, they handle the payment collection — that's a massive difference for us."

The benefit runs both ways. Clients get flexibility; Lisa's practice gets protection. Afterpay handles collections, so if a client misses a payment, Afterpay chases it — not Lisa’s team.

"Afterpay significantly reduces the risk of payment defaults. We no longer have to chase unpaid balances."

Results that speak for themselves

With bank debits and Buy Now, Pay Later, Lisa was able to achieve what she set out to build nine years ago: a practice with virtually zero no-shows, predictable cash flow, and a payments setup that works as hard as she does. The clearest proof point is what's no longer happening.

"We rarely deal with no-shows because 99% of our clients have already paid. Last year, we only had to write off two invoices in total."

Two invoices. In a full year. For a practice with nearly a decade of history and a team of nine. 

The numbers from Practice Better Payments tell a similar story. Since activating bank debits and Afterpay (Buy Now, Pay Later) in February 2026, The Paediatric Naturopath has processed 16 bank debit transactions and 13 Afterpay transactions through the platform — volume that previously either fell outside Practice Better entirely or required manual follow-up to collect.

Those bank debits are also doing quiet work on the bottom line. Processing via BECS Direct Debit rather than credit card saves approximately $1.10 per transaction on average — modest on a per-transaction basis, but it compounds as volume grows.

For Lisa, that number tells the whole story about what integrated payments can do for a practice that takes its revenue seriously.

"Requiring upfront payment has protected our revenue. We don't have issues with people booking and not turning up because payment is already secured."

She also expects to see an uptick in bookings now that Afterpay is live, because up-front cost has always been the main prohibiting factor for many would-be clients.

"Our appointments are not cheap, so I know cost is a barrier. I anticipate seeing an uplift based on Afterpay being available to our clients."

Built to grow with you

Lisa joined Practice Better in 2020 as a solo practitioner moving to telehealth. Six years later, she's leading a nine-person team with a payments setup that matches the scale she's built.

When she started, chasing a declined payment plan was a daily reality. Now, with a team of nine and a full slate of appointments, that's simply not part of how her practice operates anymore. Clients who once would have been turned away now have a path to booking — and Lisa's team isn't the one managing what happens if they miss a payment.

"If Practice Better Payments didn't exist, it would honestly be a deal breaker for us."

For practitioners who are still managing bank debits manually, chasing declined payment plans, or turning away clients who can't pay upfront, Lisa's story is a straightforward case for what changes when payments are properly integrated.

Clients had been asking her for Afterpay for years, and she was able to meet the demand with Practice Better Payments.

"It's something they genuinely wanted, and it's great to now be able to offer it."

Ready to simplify how you get paid?

Practice Better Payments gives you the tools to collect payments the way your practice actually works. Online, you can accept bank debits, Buy Now, Pay Later (including Affirm, Klarna, Afterpay, and Clearpay), credit and debit cards, HSA/FSA cards, Apple Pay, and Google Pay. 

In person, accept integrated payments with the WisePOS E terminal reader, which supports tap, chip, and swipe-enabled transactions, and secure card capture for future payments.

If you're not yet using Practice Better Payments, learn more or start your free trial today. The less time you spend chasing payments, the more time you have to build and invest in your practice.

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How a Pediatric Practice Stopped Chasing Payments and Scaled to a Team of Nine

When Lisa Moane started The Paediatric Naturopath nine years ago, she had a clear vision: a practice focused entirely on children's health, with nothing else on the menu. No adults, no generalist consultations — just kids.

What she didn't anticipate was how much of her energy would go toward chasing payments.

"With traditional payment plans, there was always someone each day whose card would declined, and we had to keep retrying payments."

Today, Lisa leads a team of nine practitioners and has been running her practice on Practice Better since March 2020, when the pandemic pushed her to telehealth. But building that practice meant solving a problem she hadn't planned for.

The challenge: protecting revenue without turning clients away

Lisa's policy has always been simple: 100% payment upfront at the time of booking. It protects her time and her team's schedule. But it also created friction in the booking process.

Pediatric appointments aren't cheap, and families don't always have the money available on the day they want to book. 

"A lot of people will say to me, I don't have the money now — and they've booked an appointment for two weeks' time. I always just said, book an appointment when you have the money."

That was a barrier she had no good answer for. Payment plans existed within Practice Better, but they came with a catch: if a client's card declined, the follow-up fell to Lisa's team. Every day, someone's payment failed. Every day, someone had to retry.

Bank debits required a separate workload altogether. Many clients preferred to pay by direct deposit, but that meant Lisa's team became responsible for even more manual invoicing work.

"Whenever someone goes to direct deposit, we'd have to reconcile our bank account versus Practice Better and take it off manually."

The turning point: payments that work the way the practice does

Earlier this year, Practice Better expanded its integrated payment solution, Practice Better Payments, to include bank debits and Buy Now, Pay Later options — giving practitioners access to both directly inside the platform, without needing a separate payment processor. 

For Lisa, it addressed the challenges she'd been navigating for years.

1) Bank debits are now processed through Lisa's Practice Better Payments account, eliminating manual reconciliation completely. The administrative step that used to fall to her team simply disappears. 

"Having payments integrated means we don't have to manually reconcile transfers or chase payments. It makes things much simpler operationally."

Lisa processes an average of seven bank debits each month, which translates to roughly 1 hour 45 minutes of reconciliation work her team no longer has to do — time that goes back into the practice.

2) Buy Now, Pay Later options — Afterpay, specifically — gave Lisa an answer to a question that had always stumped her: What do you do when a client wants to book can't pay right away? Now, they have a path forward, at no risk to Lisa and her practice.

"With Afterpay, they handle the payment collection — that's a massive difference for us."

The benefit runs both ways. Clients get flexibility; Lisa's practice gets protection. Afterpay handles collections, so if a client misses a payment, Afterpay chases it — not Lisa’s team.

"Afterpay significantly reduces the risk of payment defaults. We no longer have to chase unpaid balances."

Results that speak for themselves

With bank debits and Buy Now, Pay Later, Lisa was able to achieve what she set out to build nine years ago: a practice with virtually zero no-shows, predictable cash flow, and a payments setup that works as hard as she does. The clearest proof point is what's no longer happening.

"We rarely deal with no-shows because 99% of our clients have already paid. Last year, we only had to write off two invoices in total."

Two invoices. In a full year. For a practice with nearly a decade of history and a team of nine. 

The numbers from Practice Better Payments tell a similar story. Since activating bank debits and Afterpay (Buy Now, Pay Later) in February 2026, The Paediatric Naturopath has processed 16 bank debit transactions and 13 Afterpay transactions through the platform — volume that previously either fell outside Practice Better entirely or required manual follow-up to collect.

Those bank debits are also doing quiet work on the bottom line. Processing via BECS Direct Debit rather than credit card saves approximately $1.10 per transaction on average — modest on a per-transaction basis, but it compounds as volume grows.

For Lisa, that number tells the whole story about what integrated payments can do for a practice that takes its revenue seriously.

"Requiring upfront payment has protected our revenue. We don't have issues with people booking and not turning up because payment is already secured."

She also expects to see an uptick in bookings now that Afterpay is live, because up-front cost has always been the main prohibiting factor for many would-be clients.

"Our appointments are not cheap, so I know cost is a barrier. I anticipate seeing an uplift based on Afterpay being available to our clients."

Built to grow with you

Lisa joined Practice Better in 2020 as a solo practitioner moving to telehealth. Six years later, she's leading a nine-person team with a payments setup that matches the scale she's built.

When she started, chasing a declined payment plan was a daily reality. Now, with a team of nine and a full slate of appointments, that's simply not part of how her practice operates anymore. Clients who once would have been turned away now have a path to booking — and Lisa's team isn't the one managing what happens if they miss a payment.

"If Practice Better Payments didn't exist, it would honestly be a deal breaker for us."

For practitioners who are still managing bank debits manually, chasing declined payment plans, or turning away clients who can't pay upfront, Lisa's story is a straightforward case for what changes when payments are properly integrated.

Clients had been asking her for Afterpay for years, and she was able to meet the demand with Practice Better Payments.

"It's something they genuinely wanted, and it's great to now be able to offer it."

Ready to simplify how you get paid?

Practice Better Payments gives you the tools to collect payments the way your practice actually works. Online, you can accept bank debits, Buy Now, Pay Later (including Affirm, Klarna, Afterpay, and Clearpay), credit and debit cards, HSA/FSA cards, Apple Pay, and Google Pay. 

In person, accept integrated payments with the WisePOS E terminal reader, which supports tap, chip, and swipe-enabled transactions, and secure card capture for future payments.

If you're not yet using Practice Better Payments, learn more or start your free trial today. The less time you spend chasing payments, the more time you have to build and invest in your practice.

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