Orthopedic Coding Alert

Most offices give patients 1 -free- no-show When a patient does not show up for a scheduled appointment, you lose time and money, but deciding how much to collect for a no-show and when to start charging can be confusing. 

See what the experts have to say about developing a fair no-show payment policy. Remind Patients of Charge Early ...

You should note your office's no-show charge in the new patient paperwork, says Jennifer Darling, owner of BBC Medical Management Services LLC in Dallas.

-The no-show policy can be stated in the practice brochure, which is given to the patient. This is the best way to inform patients -- in writing,- says Catherine Brink, CMM, CPC, president of HealthCare Resource Inc. in Spring Lake, N.J.

For instance, Brink says, you might try this script in your new patient paperwork or brochure: -Our practice has a policy to charge a no-show fee of $XXX for the second time a patient fails to show up for his scheduled appointment.- And Often After receiving the written notice, -patients can be reminded of the no-show fee again when you call to remind them of their appointment,- Brink says.

That way, you-ve already told the patient in writing and over the phone about your no-show policy, so there should be no misunderstandings if a charge is levied.

No-Show Fee May Vary for Different Services Each medical office will have to decide for itself how much it should collect from patients for no-shows. Darling proposes a no-show fee about on par with a typical copay amount, in the $20 to $40 range.

-This [amount] is small enough for the patient to pay, and large enough to compensate the physician for the time the patient took in the schedule,- she says.

You might also consider charging different no-show amounts for different types of services.

-If the visit was for a big-money service, say a $1,000 procedure, you should charge more, maybe $250. Some practices charge the fee of the service that was scheduled,- Brink says.