Many surgical practices have signs that read "Payment is expected at time of service," but as your practice has probably found, it's not an easy policy to enforce. So follow these five easy precautions to make sure you get your copayments on site and on time. 1) Verify patients'insurance coverage when scheduling appointments. 2) Talk to patients before their appointments about their financial responsibility for copayments, deductibles and noncovered services. 3) Give patients an up-front estimate of what they will owe. 4) Ask forpayment of copayments and deductibles when patients register for their appointments. 5) Offer flexible payment options, like credit cards or extended payment plans. Extra: