No Show Fees. How much do you charge?

xstichr159

Contributor
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20
Location
Decatur, AL
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No Show Fees

I'm in Decatur, Alabama and we charge $25 if they no show or cancel within 24 hrs of appointment without an excellent reason. Patient's pay it no problem.
 

CodingKing

True Blue
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3,955
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My PCP is Worcester, MA charges $150 for missed appointment. Which to me is an unreasonable amount.
 

JCaillouet

Networker
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77
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Well

I've worked in some offices before. And from the Neuro charging $75.00 for a no show as well as some charging $30-40..the issue becomes:

What's your PCP willing to serve as a monetary penalty for patients who don't show?

Got a collection plan in place for those patients?

I live in College Park, GA and I've worked inside the perimeter of Atlanta.
 

JenniferB7

Guru
Local Chapter Officer
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214
Location
Victoria, TX
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I worked in Chicago, IL for a specialist office that charged $25 for no-show/cancel less than 24 hours appointments and $250 for no-shows / last minute cancellations for surgery. My allergist office in Chicago, IL charged $75.00 for missed appointments. I now live and work in Texas and my doctors here charge $25-$35 for missed appointments.

I agree with ellzeycoding that $25 - $35 seems to be the most common. Having said that, you have to consider your patient demographic. My allergist in Chicago worked in downtown and her patient demographic included some high level executives whereas the physicians I worked for had a large Medicare/Medicaid population. The purpose of charging a no-show/missed appointment fee is to dissuade patients from no-showing or canceling without sufficient notice, which deprives the office of the opportunity to schedule another patient in that time slot.

Suggestions:

  • Make sure you have an office policy about no-show fees, when they are collected, in what instances they may be waived, etc.
  • Make sure that your no-show policy is prominently displayed in your office and reiterated to patients when they schedule their appointment and when making confirmation calls.
  • Include the no-show policy language in the policy paperwork the patient signs at their first visit.

Good Luck!

Jennifer M. Connell, CPC, CPCO, CPC-P, CPB, CPMA, CPPM, CPC-I, CENTC
 

smontague

Networker
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77
Location
Ashland, NH
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I am in NH at a rural facility. We have a mixture of family medicine, internal medicine, pediatrics, and behavioral/mental health. We currently charge a $50 no show fee for medical visits and $100 for mental health no shows.
 

pattiland

Networker
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36
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Single provider

Hello, I'm in small town Wisconsin. We currently charge $45 for a no show, but offer much flexibility. If the patient had to work, car trouble, volunteer fire call, etc., the doctor will wave the charge. This understanding of how life can get complicated gets us a lot of loyalty from patients, which is important in a small town.

If we were in a larger metropolitan area, I think this flexibility might be less important.
 
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Rheumatology practice in NC. For a return pt we charge $20 for a new pt $50. Return pts pay before their visit and can discuss with the physician why they NS and the physicians decide if they will wave it or not. If it is waved we will refund. New Pts must pay the NS fee before they can schedule another New Pt appointment.
 
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